Concerns about death among severely ill people

Personal construct psychology was used to generate a set of questions about concerns about death among severely ill people. Answers to these questions were provided by content analyses of the responses of a large group of ill people to an open-ended question about their current experiences. Comparison of their responses with those of a similar group of well people indicated that they expressed more concerns about death. More death-related concerns were reported by those ill people who were facing surgery rather than those who were not, those whose illnesses were acute rather than chronic, and those who were interviewed while in the hospital rather than at home. Gender, age, marital status, and educational attainment were all considered predictors of death-related concerns; but none was found to be significant, nor were concerns about death observed to vary according to illness type. The psychological states found to accompany greater death-related concerns among ill people proved to represent both the adaptive and the dislocative processes of mourning. People who were not ill, but who had greater death-related concerns than other well people, on contrast, showed signs only of the more dislocative processes. Some of the implications of these findings for thanatological counseling of severely ill people are discussed.     

Problems in interagency collaboration: Lessons from a project that failed

Several institutions (e.g., child welfare, police, court, health, education, social service) are necessarily involved in the management of child abuse in all communities. The need for better cooperation among them has been acknowledged; inquests into child deaths resulting from abuse have often attributed some blame to faulty communication and/or poor cooperation between the institutions. The Community Child Abuse Team (CCAT) Project was designed by these same institutions in Hamilton, Ontario, to maximize interagency collaboration. The hypothesis, that this "interagency collaboration" model would provide more efficient and effective services to abused children and their families, was never tested. During its 30 months of operation the CCAT program never materialized as planned and funding was terminated. This paper describes selected problems and issues that arose during the struggle to implement the project. The central problematic issue was control. Those responsible for the project lacked the power to insist that the design be adhered to during the initial stage.     

Reclassification and documentation in talog cards and a computer stored record

A project to recatalog and reclassify the book collection of the Bowman Gray School of Medicine Library utilizing the Magnetic Tape/Selectric Typwriter system for simultaneous catalog card production and computer stored data acquisition marks the beginning of eventual computerization of all library operations. A keyboard optical display system will be added by late 1970. Major input operations requiring the creation of "hard copy" will continue via the MTST system. Updating, editing and retrieval operations as well as input without hard copy production will be done through the "on-line" keyboard optical display system. Once the library's first data bank, the book catalog, has been established the computer may be consulted directly for library holdings from any optical display terminal throughout the medical center. Three basic information retrieval operations may be carried out through "on-line" optical display terminals. Output options include the reproduction of part or all of a given document, or the generation of statistical data, which are derived from two Acquisition Code lines. The creation of a central bibliographic record of Bowman Gray Faculty publications patterned after the cataloging program is presently under way. The cataloging and computer storage of serial holdings records will begin after completion of the reclassification project. All acquisitions added to the collection since October 1967 are computer-stored and fully retrievable. Reclassification of older titles will be completed in early 1971.