Keeley's journey: From service user to service provider

Background: This paper presents the vocational journey of a young British woman, Keeley, who changed her career aspirations to become a mental health worker following an episode of significant mental health difficulties. Keeley's story illustrates the application of the locally developed WORKS framework in conceptualising and supporting Keeley's vocational recovery. Approach: A narrative approach highlights the partnerships that developed between Keeley, the Occupational Therapist, Sally, and the User Support and Employment Service. Findings: The WORKS framework supported Keeley and Sally to collaboratively develop a successful employment pathway. Strategies, including attention to Keeley's view of her capabilities and aspirations, volunteer placements, support of peers, employer engagement and planning for sustainable employment, assisted Keeley to establish her chosen career. Keeley's journey highlights the leadership role that mental health services can assume by providing paid work for people with experience of mental health difficulties.     

Associations Between Romantic Relationship Factors and Body Mass Index Among Weight Loss Surgery Patients

The current study utilized a sample of 183 patients, in romantic relationships, who were either pre‐ or post‐weight loss surgery (WLS), to assess (a) associations between romantic relationship factors and pre‐ and post‐surgery body mass index (BMI), (b) the positive and negative influences of obesity in romantic relationships, and (c) the influence of romantic relationship factors on BMI and the reciprocal. Correlations, confirmatory factor analysis, and multiple linear regression were conducted. Patients endorsed greater negative influence of obesity in their romantic relationships compared to positive influences, and their romantic relationship quality was predicted by several variables, including BMI, in pre‐ and post‐surgery patient groups.     

Problem-solving communication in foster families and birthfamilies

This study assessed child behavior problems and parent-child communication behaviors during problem solving in three groups of families with adolescent children: foster families, birthfamilies with a child at risk for behavior problems, and birthfamilies with a child not at risk. Levels of positive and negative communication behaviors in the foster families were similar to those in the lower-risk families and were significantly related to foster child behavior problems.     

Paying to improve your chances: Gambling or insurance?

Will a more risk-averse individual spend more or less to improve probabilities, say on marketing efforts that enhance the chance of a sale? For any two payoffs and starting probabilities, the answer is unfortunately indeterminate. However, interpreting gambling as increasing small chances of good outcomes and insurance as reducing small chances of bad outcomes, the more risk-averse individual will pay less (more) to gamble (insure). We find a critical switching probability that depends on the individuals and outcomes involved. If the good outcome is less (more) likely than this critical value, the expenditures represent gambling (insurance).     

Service workers' responses to abuse of the elderly

The social service providers and physicians who encounter elder abuse have several potential avenues of intervention open to them in helping the elderly. Practice and training issues are discussed that are relevant for improving interventions and referrals in cases of family abuse of the elderly.     

The impact of risk sharing on efficient decision

A group of risk-averse members must choose among monetary risks and payoff-sharing rules. Departure from the status quo requires unanimous consent. Such groups drill for oil, bail out nations, and make hostile takeover bids. Assume agreement on probabilities. As is well known, if all members have identically shaped HARA utility functions, efficient group act-choices follow another such function independently of payoff sharing. We show that all other groups inevitably have complex efficient behavior, accepting gambles among individually unacceptable lotteries in almost every status quo position. We also develop proper risk aversion for groups, and treat disagreement on probabilities.Support of the Associates of the Harvard Business School (Pratt) and the Business and Government and Energy and Environmental Policy Centers (Zeckhauser) is gratefully acknowledged. We received helpful comments from Scott Johnson, Mark Machina, and a referee. Jay Patel provided assistance beyond the call of collegiality.     

Rural studies: Modernism, postmodernism and the ‘post-rural’

In response to Philo [(1992b), Neglected rural geographies: a review. Journal of Rural Studies8, 193–207), who calls for rural studies to take the study of ‘others’ more seriously, we argue the need to take postmodernism more seriously. The paper focuses upon the production of knowledge about rural areas by academics. In the narrative that we provide here, the ‘rural’ had a strong presence until Pahl's critique of the rural-urban continuum which both diminished the status of the rural and emphasised the role of class in shaping particular spaces. Newby and his colleagues applied class analysis to agriculture, likewise undermining the significance of the rural. Further applications of general social theory, such as the political economy and restructuring approaches, show how modernist rural studies seem to be fighting a losing battle to posit the indispensability of the significance of the urban-rural division as an explanation; articulating and rearticulating the divide within a whole range of processes: economic, social and cultural. Rural social scientists have woven this modernist narrative, but, as Philo shows, one effect has been the neglect of certain social groups, cultures and identities. However, in contrast to Philo, we argue that a rather fundamental reassessment of social scientific approaches to the rural is required if these ‘neglected others’ are to be satisfactorily considered. We believe a ‘sociology of postmodernism’ would offer a more reflexive perspective on the processes which give rise to ‘the rural’. We thus call for an end to the use of universal or global concepts such as ‘rural’ (or the ‘urban’) and for a concern with the way places are ‘made’. This will entail a focus on ‘power’ as certain actors impose ‘their’ rurality on others. We term this the study of the ‘post-rural’.