Chronic Physical Disability and Secondary Control: Appraisals of an Undesirable Situation

1995 ◽  
Vol 9 (4) ◽  
pp. 229-248 ◽  
Author(s):  
Susan E. Krantz

“Secondary control” (accommodation to unchangeable, undesirable situations), rather than just “primary control” (choosing to leave or improve the situation) can help in adapting to a chronic physical disability. To identify instances of secondary control, semistructured interviews with 22 persons with chronic physical disabilities were conducted. This research examined the emotional valence of disability appraisals, and identified regularities in these appraisals. Results showed that the great majority of interviewees used secondary control in handling their disability, and that 95% of comments were non-negative in emotional tone. Regularities included mention that one learns much about the self and others, and comes to know more than able-bodied persons in some ways. It is concluded that secondary control processes are useful, and their training should be considered during cognitive therapy.

2018 ◽  
Vol 17 (2) ◽  
pp. 263-283
Author(s):  
Magdalena Gómez-Díaz ◽  
María Jiménez-García

Introducción: La Inteligencia emocional, resiliencia y autoestima son conceptos relacionados con el desarrollo personal. Las personas que presentan discapacidad física, la percepción de las diferentes situaciones a las que tienen que enfrentarse pueden influir en sus emociones y comportamiento.Objetivo: Analizar las diferencias o similitudes entre las personas con discapacidad y sin discapacidad en el ámbito de la inteligencia emocional, la resiliencia y la autoestima. Metodología: Estudio cuantitativo de tipo descriptivo, transversal, y prospectivo, utilizando las escalas de la Inteligencia emocional TMMS-24, la escala de la Resiliencia CD-RISC10 y la escala de la autoestima de Rosemberg, con un total de 100 participantes. Resultados: Las personas con discapacidad física presentan medias estadísticamente superiores en inteligencia emocional y resiliencia, aunque en autoestima las personas sin discapacidad presentan medias superiores. Discusión: Distintos autores ponen de manifiesto que las emociones juegan un papel fundamental en el bienestar de los individuos. En el caso de las enfermedades que implican discapacidad física, afectan a los diferentes aspectos de la vida de las personas, por lo tanto se hace más necesario aún el buen manejo emocional para evitar que la persona sufra mayores consecuencias físicas y/o emocionales. Conclusiones: Las personas con discapacidad física presentan unos niveles adecuados de inteligencia emocional en sus diferentes dimensiones, desarrollando estrategias de afrontamiento que les permiten hacer frente a dichas dificultades. La autoestima de las personas con discapacidad física, se ve mermada por la baja percepción de control independiente. Introduction: Emotional intelligence, resilience and self-esteem are concepts related to personal development. People who have physical disabilities, the perception of the different situations that have to face may influence emotions and behavior.Objective: Analyze the differences or similarities between people with disabilities and without disabilities in the field of emotional intelligence, resilience and self-esteem.Methodology: Type descriptive, transversal and prospective, quantitative study using the scales of the emotional intelligence TMMS-24, the scale of the Resilience CD-RISC10 and the scale of the Rosenberg self-esteem, with a total of 100 participants.Results: Persons with physical disabilities present mean statistically higher on emotional intelligence and resilience, although regarding self-esteem people without disabilities have an upper mean.Discussion: Different authors have shown that emotions play a fundamental role in the well-being of individuals. In the case of diseases that involve physical disability, affect different aspects of the life of people, therefore even good emotional management is necessary most to avoid that the person may suffer greater consequences physical and/or emotional.Findings: Persons with physical disability have adequate levels of emotional intelligence in its different dimensions, developing coping strategies that enable them to cope with such difficulties. The self-esteem of people with physical disabilities is weakened by the low perception of independent control.


2018 ◽  
Vol 49 (2) ◽  
pp. 338-354 ◽  
Author(s):  
Laurent Jansseune ◽  
Mafalda Pardal ◽  
Tom Decorte ◽  
Òscar Parés Franquero

Cannabis Social Clubs (CSCs) are a nonprofit model for the supply of cannabis originating in Spain. This article aims to provide an overview of current CSC practices in Barcelona, exploring the role played by CSC Federations in shaping them. This analysis draws on 32 semistructured interviews with CSC managers ( n = 15) and with other stakeholders in Barcelona ( n = 17). We build also on field observations at other CSCs based in Barcelona. We found a heterogeneity of CSC practices, some of which were not in line with the self-regulatory codes developed by the CSC Federations. In applying an earlier CSC typology, we identified also country-specific CSC features. While the CSC Federations have contributed to unifying the cannabis movement and made efforts to homogenize CSCs’ practices, in the absence of (government) cannabis regulation, their efforts have to some extent been undermined.


2021 ◽  
Vol 15 (11) ◽  
pp. e0009923
Author(s):  
Xiaohua Chen ◽  
Hong-bing Liu ◽  
Tie-Jun Shui ◽  
Shun Zha

Background Leprosy is potentially debilitating. The risk factors related to physical disabilities associated with leprosy disease in Yunnan, China was not clear. Methodology/Principal findings We studied 10644 newly detected leprosy patients from Yunnan, China, from 1990 to 2019. Factors associated with Grade 1 (G1D) and Grade 2 (G2D) physical disabilities or overall physical disabilities (combined G1D and G2D) associated with leprosy were analyzed using multinomial and ordinal logistic regression analyses. The following factors were associated with the development of physical disability in these patients with leprosy: delayed diagnosis [odds ratio (OR): 5.652, 4.399, and 2.275; 95% confidence intervals (CIs): 4.516–7.073, 3.714–5.212, and 2.063–2.509; for ≥ 10, 5–10 y, and 2–5 years, respectively], nerve damage (OR: 3.474 and 2.428; 95% CI: 2.843–4.244, and 1.959–3.008; for 2 and 1 damaged nerves, respectively), WHO classification of PB (OR: 1.759; 95% CI: 1.341–2.307), Ridley-Jopling classification (OR: 1.479, 1.438, 1.522 and 1.239; 95% CI: 1.052–2.079, 1.075–1.923, 1.261–1.838, and 1.072–1.431; for TT, BT, BB, and BL when compared with LL, respectively), advanced age (OR: 1.472 and 2.053; 95% CI: 1.106–1.960 and 1.498–2.814; for 15–59 and over 60 years old, respectively), zero skin lesions (OR: 1.916; 95% CI: 1.522–2.413), leprosy reaction (OR: 1.528; 95% CI: 1.195–1.952), rural occupation (OR: 1.364; 95% CI: 1.128–1.650), Han ethnicity (OR: 1.268; 95% CI: 1.159–1.386), and male sex (OR: 1.128; 95% CI: 1.024–1.243). Conclusions Delayed diagnosis, nerve damage, no skin lesions, WHO and Ridley-Jopling classifications, leprosy reactions, advanced age, rural occupation, Han ethnicity, and male sex were associated with disability in leprosy patients. Identifying risk factors could help to prevent physical disability.


2021 ◽  
pp. 1-36
Author(s):  
Proma Ray Chaudhury

Abstract Operating within the androcentric premises that support idealized models of populist leadership, self-representations cultivated by female populist leaders often involve precarious balancing acts, compelling them to appropriate contextualized traditionalist discourses and modes of power to qualify for conventional leadership models. This article engages with the stylistic performance of populist leadership by Mamata Banerjee of the All India Trinamool Congress in the state of West Bengal, India, focusing on her adoption of the discursive mode of political asceticism, nativist rhetoric, and religious iconography. Through an interpretive analysis of selected party documents, autobiography, and semistructured interviews with Banerjee's followers and critics, the article delineates Banerjee's populist self-fashioning as a political ascetic and explores perceptions of her leadership. The article argues that while the self-makings of female populist leaders remain fraught and contested, they contribute substantially toward redrawing the boundaries of both conventional leadership models and the broader political landscapes they inhabit.


Author(s):  
Susumu Yamaguchi ◽  
Takafumi Sawaumi

Individuals exercise control over themselves, others, and environment. According to a seminal work by Weisz, Rothbaum, and Blackburn, which represents a Western view, people in the West prefer to control others or environment to make their life more comfortable (primary control), whereas people in the East prefer to control themselves to fit into environment (secondary control). This chapter critically examines the Western conceptualization of control. Then an alternative view based on Asian value system is presented. According to this view, East–West differences exist not in the target of control (oneself vs. others or environment) but in how people attempt to control others and their environment. The authors present empirical evidence to support the alternative view and propose a framework to understand individuals’ seeking for psychological well-being in the East and West. Westerners (especially North Americans) prefer to control the environment so that they can feel autonomous, whereas Easterners (especially Japanese) care more about consequences of control in terms of interpersonal harmony.


Electronics ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 140 ◽  
Author(s):  
Eva González-Romera ◽  
Enrique Romero-Cadaval ◽  
Carlos Roncero-Clemente ◽  
Mercedes Ruiz-Cortés ◽  
Fermín Barrero-González ◽  
...  

It is usual in literature that power sharing among grid-forming sources of an isolated microgrid obeys their energy rating, instead of economic agreements between stakeholders, and circulating energy among them is usually avoided. However, these energy interchanges make strong sense and classical power sharing methods must be reformulated in the context of prosumer-based microgrids. This paper proposes a secondary control method for a prosumer-based low-voltage nanogrid that allows for energy interchange between prosumers, where storage systems, together with PV generators, are the controllable grid-forming sources. A power flow technique adapted to islanded microgrids is used for secondary control algorithm and the whole hierarchical control strategy for the prosumer converter is simulated and validated. This hierarchical control consists of three stages: tertiary control plans the energy interchange among prosumers, secondary obtains different voltage and power setpoints for each of the grid-forming sources, and, finally, primary control guarantees stable voltage and frequency values within the nanogrid with droop rules. Inner control loops for the power converter are also defined to track setpoints and assure stable performance. Simulation tests are carried out, which prove the stability of the proposed methods and the accuracy of the setpoint tracking.


2008 ◽  
Vol 16 (6) ◽  
pp. 993-997 ◽  
Author(s):  
Francisco Carlos Félix Lana ◽  
Evaldo Pinheiro Amaral ◽  
Fernanda Moura Lanza ◽  
Andrigo Neves e Silva Lopes de Saldanha

Leprosy is potentially debilitating. The present study aims at describing and assessing the occurrence of physical disabilities in cases of leprosy in the population of the Vale do Jequitinhonha/MG, in the period 1998-2006. It is an epidemiological descriptive study and the data were collected from the Leprosy Notification Forms. This information was processed using EPI-INFO and analyzed, based on the indicators recommended by the Ministry of Health and the force of association between variables. Of the 1461 cases notified, 46.2% were diagnosed with some kind of physical disability (12.1% degree II). Of these, 59.1% were male; 96.9% of the people were over 15 years old, and 93.2% were multibacillary (p < 0.001). A hidden prevalence of 433 cases was estimated in the period 2002-2006. The results show that the diagnosis of Hansen's disease in the region is late, revealing the need to intensify prevention and control.


2015 ◽  
Vol 14 (5) ◽  
pp. 519-531 ◽  
Author(s):  
Megan Best ◽  
Phyllis Butow ◽  
Ian Olver

AbstractObjective:Spiritual history taking by physicians is recommended as part of palliative care. Nevertheless, very few studies have explored the way that experienced physicians undertake this task.Method:Using grounded theory, semistructured interviews were conducted with 23 physicians who had experience in caring for advanced cancer patients. They were asked to describe the way they discuss spirituality with their patients.Results:We have described a delicate, skilled, tailored process whereby physicians create a space in which patients feel safe enough to discuss intimate topics. Six themes were identified: (1) developing the self: physicians describe the need to understand and be secure in one's own spirituality and be comfortable with one's own mortality before being able to discuss spirituality; (2) developing one's attitude: awareness of the importance of spirituality in the life of a patient, and the need to respect each patient's beliefs is a prerequisite; (3) experienced physicians wait for the patient to give them an indication that they are ready to discuss spiritual issues and follow their lead; (4) what makes it easier: spiritual discussion is easier when doctor and patient share spiritual and cultural backgrounds, and the patient needs to be physically comfortable and willing to talk; (5) what makes it harder: experienced physicians know that they will find it difficult to discuss spirituality when they are rushed and when they identify too closely with a patient's struggles; and (6) an important and effective intervention: exploration of patient spirituality improves care and enhances coping.Significance of results:A delicate, skilled, tailored process has been described whereby doctors endeavor to create a space in which patients feel sufficiently safe to discuss intimate topics.


2019 ◽  
Vol 35 (6) ◽  
pp. 876-901 ◽  
Author(s):  
Xanthe Hunt ◽  
Leslie Swartz ◽  
Stine Hellum Braathen ◽  
Cleone Jordan ◽  
Poul Rohleder

2011 ◽  
Vol 35 (5) ◽  
pp. 449-456 ◽  
Author(s):  
Orrie Dan ◽  
Abraham Sagi-Schwartz ◽  
Yair Bar-haim ◽  
Yohanan Eshel

People’s response to stress depends to a large extent on their sense of perceived control over the situations they encounter. This longitudinal study of 136 children (70 girls) examined associations between attachment patterns and maternal sensitivity at 12 months of age, and perceived primary and secondary control at 11 years of age. Compared with children who were ambivalently attached in infancy, children who were securely attached reported a greater perceived primary control in general, and more primary control in interaction with their parents at 11 years of age. No such between-group difference in primary control tendencies was found in the context of reported interaction with peers. Higher maternal sensitivity in infancy was associated with higher perceived general primary control at 11 years of age. Lower maternal sensitivity was associated with higher perceived secondary control in children who were ambivalently attached to their mothers in infancy. The results are discussed within a theoretical framework linking early infant experience and the evolving personality characteristics of primary and secondary perceived control in older children and adolescents.


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