Elder Abuse in Residential Settings in Israel—Myth or Reality?

ABSTRACT

The article tries to answer the question: Is elder abuse in residential care in Israel a myth or a reality? A broad definition of abuse was used, including the ‘classical’ forms presented in the literature, and also violation of rights and any act that infringes on quality of life of residents. As no data exist which directly explored this issue, the analysis was based on: recent laws mandating the report of abuse, governmental surveillance data, court cases, media clippings, and data from quality of life studies. Findings reveal that abuse in its ‘classical’ form exists only in a limited number of small private unlicensed facilities. However, when using the broader definition, abuse is a reality in many settings, exercised mainly by nurses' aides.     

From “whom to blame” to “nothing to fear”: documentary narratives,voices, and “dependent destigmatization” of severe mental patients (SMPs) in Hong Kong

Media often stigmatize severe mental patients (SMPs) by portraying them as dumb, sluggish, or violent. Conversely, TV documentaries, as a particular media genre, have the potential to destigmatize SMPs by entrusting them with an authentic presence and a direct voice. Illuminated by Couldry’s (2010) discussion on voice and drawing on narrative analysis, this article examines the evolving and joint endeavor of media and mental hospitals in systematically destigmatizing SMPs and in promoting the rehabilitation mode of mental health care in Hong Kong. From 1989 to 2011, Hong Kong Connections produced three documentaries. Shifting the narrative from “whom to blame” to “nothing to fear,” the documentaries establish a destigmatization agenda jointly formulated by the media and mental hospitals. SMPs’ voices steadily increase in length and prominence in the narrative’s temporal line, yet they are strictly orchestrated within the sealed narrative that is subject to the institutional interest of promoting the rehabilitation mode of mental health care in Hong Kong. The voice/narrative inequality between SMPs and mental institutions leads to the “dependent destigmatization” that indicates a dependent power relation between SMPs and powerful institutions.     

Experiences of a Mass Interinstitutional Relocation for Long-Term Care Staff

This research explored long-term care (LTC) staff perceptions and experiences of working in LTC and providing care to residents following a mass interinstitutional relocation. In-depth, semistructured interviews were conducted with 63 LTC workers. Thematic analyses revealed three overarching themes related to how staff members perceived their relationships with other staff members following relocation. The first theme, post-relocation relationships between staff members, included the subthemes “Staff are segregated from each other” (physical distance) and “We were a family” to “barely say hi” (psychological distance). The second theme, post-relocation stress, has two subthemes: “Staffing is our big issue” and consequences of stress: absenteeism and leave. The third theme is recommendations for improving and managing staff relationships post-relocation. Relationships among staff members are integral to working in LTC and providing care to residents following a mass interinstitutional relocation. Recommendations for improving staff relationships and morale are suggested.     

Abuse,neglect and exploitation in assisted living: an examination of long-term care ombudsman complaint data

Long-term care ombudsmen are advocates who empower and assist residents with complaints relating to quality of care and violations of resident rights in assisted living (AL) and skilled nursing facilities (SNF). Given that long-term care residents are vulnerable to elder abuse, neglect and exploitation (ANE), and existing gaps in the literature addressing ANE in AL, more research is needed to understand the prevalence of ANE in these communities. Ombudsman complaint data (n = 140,497 complaints) in 3,171 Texas long-term care facilities were analyzed using proportion Z tests. Findings showed that SNF had higher rates of ANE per resident. For both AL and SNF, verbal/psychological abuse was the most reported type of ANE and sexual abuse was the least reported. AL residents had disproportionately high rates of financial exploitation. We explored factors that may contribute to these findings and recommend strategies for preventing ANE.     

Healthcare Use in the Heartland: How Health Care Selection Varies Between Rural,Retirement‐Age Migrants and Long‐Term Residents

One increasingly important problem affecting rural health care selection is the tendency of older residents to bypass local health care providers. This research investigates how the effects of community characteristics and attachment on health care bypass behavior vary between rural retirement‐age migrants and retirement‐age long‐term residents. Non‐health‐related behaviors, such as purchasing goods and services outside one's community during a health care trip, that is, “outshopping,” could influence bypass if individuals combine trips for their medical care with other consumer needs. Basing our work on the outshopping theory, we argue that bypass behavior is one facet of consumer consumption patterns for both rural retirement‐age migrants and long‐term residents. In addition, dissatisfaction with local health care and services like shopping can “push” rural residents to bypass local health care and travel greater distances for primary health care. We further contend that strong community attachment has an opposite “pull” effect that can help to negate the push of outshopping and reduce the likelihood of bypass. Our results reveal retirement‐age migrants are significantly more likely to bypass local primary health care providers than retirement‐age long‐term residents. Furthermore, our analysis bridges the rural health care and retirement community development literature to suggest that outshopping theory can now be applied to rural primary health care bypass behavior.     

Adolescent Residents Negotiate the Construction of Social Problems in a Low-Income Community: Making Claims on the “City of Sadness”

The social constructionist approach to research on social issues provides a conceptual means in understanding how specific problems are generated and handled by institutional claims-makers, including the state and mass media. In neighborhood research, the voice of adolescent residents is seldom heard, let alone the value of their claims in relation to the state's construction. This article endeavors to address this in several steps: by outlining the specific developmental trajectory of low-income community in Hong Kong; by examining the dominant state discourse on the nature and “solution” of community problems; and by analyzing the voice of adolescent residents. Empirically, 54 Chinese adolescents (aged 12 to 17 years) were recruited to participate in eight focus groups to express how they saw community conditions. Furthermore, a random sample of 22 parents of the participants was surveyed as comparison. Finally, the article suggests that adolescents' constructions provide significant opportunities developing more critically informed, “bottom-up” agendas for community revitalization.     

Pharmaceutical Intimacy: Sex,Death, and Methamphetamine

ABSTRACT

In this article, I draw from ethnographic work conducted among residents of an “in-house” drug and alcohol treatment center in Baltimore, Maryland, to discuss the relationships born of pharmaceutical (ab)use. By looking in close detail at the autobiographical accounts of one man in treatment for addiction to methamphetamine, I attempt to chart the way life and death are at times brought into close proximity, and at others wedged firmly apart, by such things as love and avoidance. My concern is with the ethics of care that emerge through the so-called “small events” in everyday relations; that so often define a life or a relationship as falling under the category “normal” or “pathological.” I ask how such things as the known demands placed on the body by the need to maintain or avoid relations, whether pharmaceutically mediated or not, come to bear on the decision to “let die” or the resurgence of moral worlds. I end by discussing the different aspects of relatedness revealed by the dependencies and alliances formed by the kinship between pharmaceuticals and humans.

In compliance with current ethical research standards, the names of all informants have been changed to assure their anonymity.     

“The Paper that You Have in Your Hand is My Freedom”: Migrant Domestic Work and the Sponsorship (Kafala) System in Lebanon

A recent report on migrant domestic work in Lebanon has cited psychological disorder among Lebanese “Madams” as the leading cause of violence against their migrant maids (Jureidini, 2011, www.kafa.org.lb/StudiesPublicationPDF/PRpdf38.pdf ). This report typifies much of the existing scholarship on the experiences of migrant domestic workers (MDWs) in the Middle East, where the focus is on employer–employee relationships, especially the abusive Arab “Madam.” In this paper, I argue that the portrayal of violations of MDW rights as abuse of one set of women by another is inherently problematic on several fronts. It privatizes the structural problem of workers’ and immigrant rights violations, delegates it to the household, and absolves the state of its responsibility. Moreover, the focus on abusive employers takes attention away from the root of the problem – the inherently exploitative system of migration and recruitment in the region, the sponsorship system. The sponsorship system not only creates conditions for much of these violations, but also systematically produces a new population of readily exploitable worker – the category of “illegal workers.” Oral histories and interviews with individual workers are employed to analyze the process by which illegal workers are “produced” in Lebanon. Finally, focus group discussions highlight critical policy recommendations made by the workers themselves, which address the systemic bases of their exploitation in Lebanon.     

Older adults affected by polyvictimization: A review of early research

ABSTRACT

In contrast to work within the child-abuse field, polyvictimization of older adults did not become a focus of professional attention until this decade. Despite this lack of formal identification, a search of the research and practice literature revealed that prior research investigating single forms of or other elder abuse issues contained evidence of what was variously termed “multiple,” “multi-faceted,” “co-occurring,” or “hybrid” elder abuse. A wide range of victims (1.4%–89.7%) identified in existing elder abuse studies was found to have experienced what constitutes “polyvictimization.” This late-life polyvictimization evidence, the contexts in which victims are harmed, and information regarding the impact of multifaceted elder abuse are all presented and discussed in this article. Selected published cases illustrate the clinical dynamics operating in late-life polyvictimization situations.     

A Civil Religion for World Society: The Direct and Diffuse Effects of Human Rights Treaties, 1981–20071

Much research has concluded that human rights treaties have a null or negative effect on governments’ human rights practices. This article reexamines the influence of human rights treaties, with a focus on two kinds of treaty effects: direct—the effect of treaties on the countries that ratified them; and diffuse—the effect of treaties on countries regardless of ratification. My analysis of two prominent human rights treaties finds that they often reduce levels of repression and abuse over time and independently of ratification. Some of these effects are nonlinear, reversing direction as time elapses or as more countries become party to the treaties. These findings are interpreted with reference to world polity institutionalism in sociology, and especially the “Durkheimian” strains of this approach. Human rights norms as embodied in treaties operate as a kind of civil religion for world society. These norms not only have long‐term direct effects among countries that ritualistically ratify human rights treaties, but they also diffusely impact countries irrespective of formal endorsement.     

Japanese Contributions to Theory and Practice in Developmental Psychology

ABSTRACT

Despite the potential of digitally enhanced learning environments for supporting twenty-first-century learning and educational change, there is a dearth of research knowledge on students’ transformative agency in their use of digital technologies and media within these contexts. Transformative agency accounts for young people’s initiative and commitment to transform their activity and its context(s) for personal and/or academic ends. This paper reports an investigation of students’ transformative agency in a novel, student-centered design and learning environment, referred to as a makerspace. We present our empirical findings as a narrative, illustrating how transformative agency emerged and developed via three intertwined discursive and action-level manifestations of such agency, namely “deviating”, “switching”, and “transfiguring”, in the social activity of a group of four 5th grade students participating in the makerspace environment over one school semester. Our study makes an original contribution to the research on students’ transformative agency and its temporal unfolding in a novel digitally enhanced learning environment.     

Genealogy of tabunka kyōsei: A Critical Analysis of the Reformation of the Multicultural Co-living Discourse in Japan

The Japanese government started to accept semi-skilled foreign workers officially under the newly established tokutei ginō status in 2019, and national policies for supporting foreign residents are gradually being developed. However, it is unclear how the principles of tabunka kyōsei (multicultural coexistence or co-living), the official slogan for supporting foreign residents since the mid-2000s, have changed as a result of recent policy trends. In this article, I examine the transformation of logics for legitimizing policies for foreign residents using discourse analysis of the official government documents on tabunka kyōsei. Previous critical studies have revealed that tabunka kyōsei is based on the logic of a binary opposition between “Japanese” and “foreigners”. This was combined with the neoliberal logic of “supports for self-reliance”, a paternalism that sees foreigners as being in need of support if they can live "just as" Japanese. This paternalism has prevented the development of recognizing the human rights and cultural differences of foreign residents as de facto immigrants. In addition, a logic has explicitly emerged in the tabunka kyōsei discourse at the end of the 2010s that sees foreigners as a threat to national security and that their acceptance should be strictly governed by the border control policy and socially controlled from the viewpoint of national interests. To deal with this situation, tabunka kyōsei must be recreated as a principle for recognizing foreign residents as immigrants and guaranteeing their human rights and cultural differences.     

Single Mothers “Do” Family

This paper explores how single mothers both incorporate others into family life (e.g., when they ask others to care for their children) and simultaneously “do families” in a manner that holds out a vision of a “traditional” family structure. Drawing on research with White, rural single mothers, the author explores the manner in which these women both endorse their children’s attachment to other caregivers and maintain boundaries around issues of discipline and attachment vis‐à‐vis these others. The author demonstrates that single mothers are willing to share this protected realm of family life with a new man (a fiancé or cohabiting boyfriend) as they pursue the goal of what has been called the “Standard North American Family.”     

The first lady of social media: The visual rhetoric of Michelle Obama’s Twitter images

While American first ladies have long used media to craft their image, Michelle Obama is the first contemporary first lady to use social media to promote her public persona. We use the lens of symbolic convergence theory to explore the fantasy themes incumbent in images shared through Michelle Obama’s Twitter account. Since first ladies have long been perceived as representing the American “everywoman,” understanding the fantasies built into the social media image of the first lady extends knowledge about the perception of American women more broadly. Our findings indicate that Michelle Obama’s Twitter images are strategic in that they reflect the visual themes that the media traditionally use in their coverage of first ladies. Specifically, Michelle Obama’s social media messaging portrays her as an activist mother—who espouses noncontroversial causes such as education and children’s health—and a nonpartisan figure with deep familial ties.     

Prevalence of Sexual Trauma History Using Behaviorally Specific Methods of Assessment in First Year College Students

There are several challenges associated with evaluating the prevalence of sexual trauma, including child sexual abuse and adult sexual assault. The aim of this study was to assess sexual trauma prevalence rates among first year college students (N = 954) using behaviorally specific questions and a more representative recruitment sample that did not rely on self-selection. Participants completed a list of sexual trauma questions, including general questions containing labels such as “rape” or “abuse” as well as behaviorally specific questions that describe specific behaviors that qualify as sexual trauma without labels. Results indicated that 6.7% of the sample reported at least one incident of child sexual abuse, with similar rates for men and women. Women were more likely to report a history of adult sexual assault, which was reported by 12.4% of the total sample. Participants were also more likely to endorse a history of sexual trauma when answering behaviorally specific rather than general “label” questions. Women survivors in particular were more likely than men to identify their experiences as abuse/assault (66.7% versus 21.1% for child sexual abuse), which may help explain prevalence differences between men and women in prior research. Men may be less likely than women to label their experiences as abuse and may be underidentified in sexual trauma research without the use of behaviorally specific questions. Overall, the results of this study suggest that the prevalence of sexual trauma is better assessed using behaviorally specific questions and that this is an important topic of study among both men and women.     

Preservation of self in the nursing home: Contradictory practices within two models of care

Researchers have identified several aspects of nursing home care that interfere with residents' preservation of self. This paper examines how different models of care shape residents' opportunities for preserving a sense of self, adult identity, and agency. Using ethnographic data, I analyze staff practices in two facilities that reflect the contrast between the home and hospital models of long-term care. Previous research on long-term care suggests that an informal, “home-like” approach to care creates more opportunities for residents to preserve a sense of self-identity, whereas a formal, “institutional” approach fosters depersonalizing practices that interfere with residents' psychosocial well-being. My research suggests, however, that both approaches can have contradictory effects on residents' preservation of self. I analyzed patterns of objectification and infantilization that emerged in the social interactions between residents and staff members, as well as practices that mitigated these patterns. This study highlights how a larger culture of ageism and stigma surrounding dependency can become embedded in micro-level practices and underscores the challenges of defining and implementing “good” care.     

Effects of a multimodal activation program (SimA-P) in residents of nursing homes

Is it possible to maintain or even enhance functional and cognitive independence in residents of nursing homes? Little is known about the potentials and limits of therapeutic methods designed to maintain independence in elderly people already in need of residential nursing care. The aim of the “Rehabilitation in Nursing Homes” research project was to determine the practicability and effectiveness of a rehabilitative approach targeting residents of nursing homes. The main objectives of the activation program were to maintain and enhance residents’ cognitive and functional autonomy. Data on psychological, functional, and medical variables were obtained from a sample of 294 nursing home residents (age range?=?70–99 years) at three points of measurement over a 12-month period. The intervention approach draws on the theoretical and practical findings of the SimA Study (“Bedingungen der Erhaltung und Förderung von Selbstständigkeit im höheren Lebensalter,” “conditions on maintaining and supporting independent living in old age”; Oswald et al., Z. Gerontopsychol. Psychiatr., 15:61–84, 2002, Z. Gerontopsychol. Psychiatr., 15:13–31, 2002) and incorporates the results of recent therapeutic and rehabilitative studies in the fields of geriatrics and gerontopsychiatry. The intervention involves a combined program of cognitive and physical activation. An alternative program based on biographical information was designed specifically for residents with dementia. Results show that the intervention had significant effects on cognitive and functional parameters. Moreover, transfer effects were observed with respect to activities of daily living and frequency of falls.     

Decolonizing my hair,unshackling my curls: an autoethnography on what makes my natural hair journey a Black feminist statement

ABSTRACT

There is unquestionably a buzz in US Black women’s communities about a trending “natural” phenomenon. Sales of chemical relaxers (sometimes dubbed “creamy crack” among the US Black community) have dropped 34 percent since 2009, while sales of “natural” hair care products that promise to non-chemically enhance or beautify “natural” curls are up exponentially. Corresponding to the rise in sales of “natural” hair care products are beauty blogs, YouTube instructional videos and supportive social groups—such as “natural hair” meet-ups, which have organically emerged for, and been mostly created by, Black women as a tool to support and nurture women as they take this journey. In this article, I use Black feminist P.H. Collins’s work because her understanding of the relationship between knowledge, consciousness and empowerment provides a framework or point of departure for grasping my own lived experience of going “natural” with regards to modes of oppression and methods of resistance.