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Considerable attention has been given recently to the perplexing problem of the relationship between attitudes and behavior (Ehrlich, 1969; Deutscher, 1969; Warner and DeFleur, 1969; Ajzen et al., 1970; Lastrucci, 1970; Tarter, 1970). Methodological issues have been debated, the lack of congruence between attitudes and behavior has been examined, and a variety of solutions have been offered. We are told, for example, that the continuing poor correlation between measured attitudes and overt behavior requires us to search for the intervening variable or variables which apparently obtain (Ehrlich, 1969); or to employ the "direct observation" of the phenomenon under investigation rather than try to extrapolate from paper-and-pencil tests to behavior (Deutscher, 1969); or to develop theories that, in turn, enable us to find indicators that are more valid than the paper-and-pencil type (Lastrueci, 1970); or to simply admit that attitudes as "presently conceptualized play no real role in behavior" (Tarter, 1970). A number of important aspects of attitude research, however, have been obscured or omitted in these discussions. For the surprising aspect of the situation is not, as has often been implied, the lack of congruence between attitudes and behavior, but the persistent use of research designs that are inappropriate for the complexity of the subject under investigation. Further, it is surprising that researchers have failed to draw out other important implications of their research. That is, the fact that an attitude does not lead directly to a behavior does not justify the assertion that attitudes play no role in behavior, or that attitude research lacks significant implications for social life. The basis for this latter statement will be shown below in a discussion of the values of attitude research. It may be that inadequate research designs, valued for their simplicity rather than their appropriateness, are a manifestation of the "publish or perish" syndrome. In any ease, this paper attempts to outline the problems and the values of attitude research, and to demonstrate thereby that such research is of great significance for the understanding of social phenomena. If that significance seems minimized by those studies that have found poor correlation between attitudes and behavior, the fault lies both in the failure to create research designs that reflect the complexity of the problem and in the tendency to exalt the importance of the proximate causes of overt behavior. [ABSTRACT FROM AUTHOR]

This paper explores how the structuring of places and time influence Aboriginal and Torres Strait Islander patient and carer experiences of health services. Face-to-face in-depth interviews were conducted with urban Aboriginal and Torres Strait Islander people with diabetes, chronic heart failure or chronic obstructive pulmonary disease as well as family carers (N = 19). Content analysis was undertaken. Participants report that each element of the time spent in Aboriginal Medical Services is seen as more valuable and worthwhile than in mainstream health services, from social and health sharing experiences in the waiting room to health care in clinical places; and that users feel they can rely on sufficient time and respectful care in their clinical consultation. Purposeful design of both physical and temporal aspects of health services is called for. We suggest re-introducing opportunities for spatiotemporal design in health care that have been limited by the segmented 'person as illness' design features of Australia's current mainstream health system. [ABSTRACT FROM AUTHOR]

Despite almost two decades of reform under Australia's National Mental Health Strategy, the life circumstances of many people with mental illness seem little improved. While lack of rehabilitation, housing and community support services have been blamed for policy shortfalls, there is also concern that mental health services may impede rather than facilitate recovery from mental illness. To explore this particular concern, this paper reports data from a project which evaluated a group mentorship programme for new graduate nurses working in an Australian public mental health service. Prominent among the problems raised in mentorship group discussions were: the arduous nature of mental health work; the uncaring attitudes and practices of many veteran nursing staff; and the maltreatment and neglect of service users. These participants characterised mental health facilities as tough security-minded places, where staff act more as risk-managers rather than therapists, and all service users are treated as if they might be dangerous. They also perceived a connection between the dismissive ways in which they were often treated by veteran colleagues and the widespread mistreatment of service users. [ABSTRACT FROM AUTHOR]