Mental disease postpartum and parent‐infant interaction—evaluation of videotaped sessions

In order to investigate the influence of maternal mental illness postpartum on mother‐infant and father‐infant interaction, infants of 14 mentally ill women admitted to hospital within 6 months after delivery were compared to infants of 22 women who had been somatically ill. Videotaped sessions when the infant was 10 months old revealed that mothers in the psychiatric sample showed less sensitivity in comparison to mothers in the somatic sample. When the infant was 2 years old, mothers in the psychiatric sample showed less positive affect and less link‐infant follow (stimulation dimension) as compared to the somatic mothers. However, there were no differences between fathers in the psychiatric sample and fathers in the somatic sample in any of the interaction variables. In the psychiatric sample, fathers showed more warmth as compared to mothers. In the somatic sample, fathers scored higher than mothers on autonomy but lower than mothers on link‐infant follow (stimulation dimension). A possible interpretation of our data was that the mental illness of the mothers may lead to a more active parenting role of the father in order to buffer the deficit in the mother‐infant relation. Copyright © 2001 John Wiley & Sons, Ltd.     

Individual-level sterility: A new method of estimation with application to sub-saharan Africa

This paper extends work on measures of population proportions sterile to propose a new estimator of an individual woman's age at sterility and consequently her sterility status at given ages. Accuracy and reliability, examined in a simulation study, appear satisfactory. From World Fertility Survey data for five African countries, the proportions sterile by age estimated by the individual measure and by the population estimator are almost identical. Cameroon and Kenya show substantial variation in prevalence and incidence of sterility across ethnic groups and by number of marriages. Unexpectedly, the evidence suggests that sterility increased from 1960 on in Kenya and remained unchanged in Cameroon.     

A non‐linear model of fecundability,postpartum amenorrhea,and sterility*

This paper proposes a convolution model of fecundability, controling for the effects of postpartum amenorrhea and unobserved heterogeneity in fecundability. Simulation analysis was used to assess the validity and reliability of estimates derived from the model. Analysis showed that the model captured the mean and standard deviation of age at the onset of sterility in simulated populations where sterility followed either a Gompertz, a gamma, or a lognormal distribution. The model performed well when sterility was specified by either a lognormal or a gamma distribution. The model also accurately estimated fecundability and postpartum amenorrhea. Next, the model was found to fit data from 17th and 18th century French Canadian birth histories. In this French Canadian sample the mean age at sterility was found to be 46.3 years using a gamma model. The decline in fecundability was almost linear after age 30. Thus, fecundability at age 40 had declined to about one‐third of that observed at age 30. Variability in individual fecundability was quite high. For example, women with fecundability one standard deviation above the mean had about 2.3 times as high fecundability as women one standard deviation below the mean.     

Transforming the public sphere: the case of Moscow’s city libraries

ABSTRACT

This article aims to explore the link between civil society and the public sphere in present-day Russia by studying a recent library reform project in Moscow. In 2013, a comprehensive reconstruction of Moscow's network of 448 public libraries was initiated by a group of intellectuals, architects and urbanists. The project team aimed at modernizing Moscow's city libraries by making them more accessible and appealing to the public. The reconstruction gained support from the city administration that sought to strengthen the function of public libraries as cultural and educational institutions and, at the same time, improve the city's image in the eyes of its citizens. The article poses the question of whether this reform has been successful in making Moscow's city libraries more open, accessible and inviting for the public, and whether the reform has contributed to the development of a public sphere in the city by providing new spaces for participation and civic engagement. The article explores the reform process based on interviews with key informants and document analysis. It looks into the project objectives, its implementation process and its legacy. The analysis of the library reform project revealed contradictory results, as the reform did not develop beyond the pilot phase, but was stopped due to fading support from the city administration. Overall, the library reform thus remained an unfinished process. For developing the public sphere, the legacy of the reform project is ambivalent. On the one hand, the project has proved that creating new public spaces in Moscow is possible. On the other hand, it showed that the public sphere remains limited in today's Russia, as civic initiatives cannot develop beyond a cultural niche project. Due to a lack of political support for societal pluralism, a true autonomous public sphere remains beyond reach in present-day Russia.     

Structural invariance and stability of sense of coherence: A longitudinal analysis of two groups with different employment experiences

This 5-year follow-up study investigated the structure and the factorial invariance of the 13-item sense of coherence (SOC) scale (Antonovsky, ) in two employment groups (unemployment/lay-off experiences vs. continuous full-time employment) and across two measurement times. In addition, the stability of SOC between these two employment groups was compared. The postal questionnaire data was collected twice, in 1992 and in 1997. The participants were Finnish technical designers (N=352) aged between 25 and 40 years in 1992. A total of 51% of the investigated participants had been employed full-time during the 5-year follow-up period and 49% had been unemployed and/or laid off for a total period of at least one month during the follow-up. The confirmatory factor analysis indicated that the SOC scale measured one general second-order SOC factor consisting of three, first-order factors of meaningfulness, comprehensibility, and manageability. The results also indicated that the scale was best used as an 11-item measure. The factorial invariance of the scale across time and across the two employment groups was supported by the data. Unexpectedly, the stability of SOC did not differ between the two employment groups. However, those participants who had experienced unemployment and/or been laid off during the follow-up period had a weaker SOC at both measurement times than those who had been employed throughout the follow-up.     

Normal childbirth and evidence based practice

This paper was presented at a Health Conference in March 2007, celebrating the 150th birthday of the Royal Women's Hospital in Melbourne. It discusses the definition of "normal childbirth", and the pros and cons of three medical technologies: caesarean section, epidural analgesia during labour and routine ultrasound screening during pregnancy, and whether clinical practices, in Australia and Sweden (author is Swedish), in relation to these methods are evidence based. It also discusses the impact of non-scientific reasons, such as anxiety, on clinical decision making.     

Motherhood status and union formation in Moshi, Tanzania 2002-2003

Age at first union is increasing throughout much of sub-Saharan Africa at the same time that not all couples are waiting for marriage before their first sexual intercourse. We assessed the effect of a premarital first birth on entrance into a first union in an urban area in East Africa -- Moshi, Tanzania. The data come from the Moshi Infertility Survey of 2002-2003. Women who spent less than a year in single motherhood were significantly more likely than childless women to enter into a first union, although the magnitude of this relationship was weaker for more recent cohorts. Women who had been single mothers for 5 or more years (about two-thirds of women with a premarital birth) were significantly less likely than women without children to enter into a first union.     

Stratified structural and epistemic aspects of the care manager's discretion—a theoretical approach to social work related to older people's potential relocation to a residential home

By applying a theoretical point of departure, the overarching aim of this article is to describe, analyze, and try to understand why care managers in their everyday occupational practice normalize the restrictive approach when older people consider relocation to a residential home. While earlier research to a large extent has drawn attention to how the care managers carry out the restrictive approach, this article pays attention to the circumstances paving its way. The focus is on influences from different sociological levels, thereby ‘stratified’, and from two aspects of discretion, where ‘structural aspects’ refer to choices between permitted alternatives and ‘epistemic aspects’ to practical reasoning under conditions of indeterminacy. With this combination, a multitude of circumstances contributing to the restrictive approach is revealed. Thus, the theoretical model includes levels as well as discretionary powers where formulas constitute the foundation at each level, subsequently related to multidisciplinary references in order to get the practice into perspective. The findings show that the priority given to home-based care in contrast to residential care is repeated and confirmed at each level and besides in an interchange between structural and epistemic aspects.     

Supervision as pedagogy and support in the Swedish eldercare - a developmental project

The number of elderly people is gradually increasing, and with it the number of persons receiving some kind of care in their everyday lives. However, researchers and the mass media recurrently report great difficulties for many caregivers in their work situations. This article considers process-oriented supervision as a pedagogic method for training and support of nurse aids and managers in Swedish eldercare. With reference to a developmental project, the author discusses the clash between the supervisor's process-oriented manner and the staffs' problem-oriented attitudes. This shows that supervision in this form may not necessarily be an effective way of reforming care. Instead the caregivers point out organisational changes and better leadership as more adequate methods.