Disability and Chronic Illness Identity: Interviews with Lesbians and Bisexual Women and Their Partners

Disability rights activists and cultural workers are articulating disability identity and culture. Through interviews with lesbians and bisexual women with disabilities or chronic illnesses and their partners, the present study examined disability/chronic illness identity on the level of individual, couple, and community. Participants shared differing perspectives about how disability/chronic illness identity relates to other aspects of identity, and about whether disability/chronic illness identity is fluid or constant. They described several challenges they have encountered in developing disability/chronic illness identity. Couples talked about developing boundaries and balance in their relationships, and about how disability or chronic illness has strengthened their relationships. A number of participants spoke about identity as intimately linked with community. Implications for community building are discussed.     

The Search for an Authentic Entrepreneurial Identity: Difference and Professionalism among Women Business Owners

This article contributes to the recent stream of research on enterprise and identity by exploring the authenticity‐driven identity work of a group of women business owners. While previous research has highlighted the effort some female business owners put into fitting in with the masculine identity of the entrepreneur, this article focuses on those women who self‐consciously adopt a feminized entrepreneurial identity as a means of being ‘who I really am’ in a business context. Nevertheless, despite their expressed commitment to a feminized identity, the article highlights their incorporation of a contrasting position or antagonism in this authenticity‐driven endeavour. Drawing on Charme's notion of existential authenticity, which places an emphasis on the cultural, historical, political, economic and physical limits to being ‘true to oneself’, the article shows how the situated nature of women's search for an authentically driven entrepreneurial identity means that they draw on a feminized discourse of difference and a contrasting masculine discourse of professionalism in their identity construction labours.     

Collaborative care for individuals with bipolar disorder or schizophrenia and co-occurring physical health conditions: A systematic review

While rates of chronic physical health conditions are increasing for the general population, individuals with severe mental illness are at greater risk. Co-occurring mental and physical health conditions are associated with poor health care utilization, socioeconomic, and patient-reported health status outcomes. This study used systematic review procedures to investigate the effectiveness of collaborative care models for improving the health of adults with bipolar disorder or schizophrenia and co-occurring chronic physical health conditions. Six studies met inclusion criteria, and included outcomes related to quality of life, physical health, and mental health. Collective and study-level results are reported and discussed, including implications for social work practice and research.     

Internet-based Cognitive Behavioral Therapy for DSM-IV Sexual Dysfunctions in Breast Cancer Survivors: Predictors of Treatment Response

Abstract

Objectives: We evaluated factors predictive of the effect of internet-based cognitive behavioral therapy (CBT) in breast cancer survivors with a sexual dysfunction. Methods: Fifty-five women completed questionnaires assessing sexual functioning and distress at baseline and post-CBT. Results: Higher therapy compliance and better partner baseline sexual functioning predicted better post-CBT sexual functioning. Higher therapy compliance and higher partner relationship satisfaction predicted lower sexual distress. Therapy compliance, in turn, was predicted by active partner involvement in therapy and a stronger therapeutic relationship. Conclusions: To increase the effect of internet-based CBT, we recommend partner involvement in therapy and establishing a strong therapeutic relationship.     

The ‘Feminine Advantage’: A Discursive Analysis of the Invisibility of Older Women Workers

This article discusses the overlap of gender and age identity and its implications in a specific political context — a public inquiry into the problems facing the older unemployed. Using discourse analysis, it examines how ‘older worker’ identity is socially constructed in this setting. At the beginning of the inquiry, fundamentally gendered versions of ‘older worker’ identity were initially constructed, yet by its conclusion, female versions had disappeared. The analysis shows that this ‘invisibility’ of female ‘older worker’ identity is the outcome of a central discursive struggle for recognition of older male workers as a disadvantaged group in the labour market. This ‘disadvantaged’ status is achieved by constructing a companion version of ‘feminine advantage’ in the search for employment. The article discusses the complexity of discursive processes through which this invisibility is accomplished and its implications for those targeted by female and male older worker identity.     

Women Elite Leaders Doing Respectable Business Femininity: How Privilege is Conferred,Contested and Defended through the Body

This paper offers a theory of respectable business femininity. Respectable business femininity is theorized as a discursive and relational process that explains tensions women elite leaders experience at the nexus of being both One and Other and sometimes privileged, embedded notions of leadership as masculine and wider expectations of acceptable embodied femininity. Such tensions manifest through a disciplining of women leaders’ bodies and appearance by self‐and‐others, as a means of appraising women as credible elite leaders and respectable women. Through a qualitative study we show how, within sites of ambiguity, embodied leadership and subjectivities are both enabled and constrained. Accounts highlight how privilege is fluid and (de)stabilized in that it is conferred, contested and defended through women's bodies and appearance. We advance understandings of contemporary respectable femininity, privilege at work, and body work, and consider practical implications for women leaders and management education.     

Public Documents and Legislation: The South Australian Juvenile Courts Act, 1971, and Community Welfare Act, 1972

Abstract

This study of social work practice and disability follows the history of two fields of disability: mental illness and intellectual disability. Of particular interest are two key policy influences in the disability sector, deinstitutionalisation and normalisation. The extent to which deinstitutionalisation and normalisation have brought real benefit to people with disabilities is examined from social workers' perspectives. The implementation of these policies and practices on the daily work of social workers is discussed. This research indicates that social work practice in these two fields involves significantly different foci and approach. The study found that the similarities and differences between the two fields of practice are influenced by the historical and contemporary developments in the care and control of people with disabilities.     

Promoting resilience and emotional well-being of transgender young people: research at the intersections of gender and sexuality

Within lesbian, gay, bisexual and transgender (LGBT) research there is increasing health-related scholarship on trans lives, with a growing awareness of the impact of health inequalities on trans well-being. The aim of the paper is to provide greater understanding of transgender young people’s views of what is needed to promote their emotional well-being and resilience by undertaking specific analysis of data collected as part of wider research with young people (n?=?97). The study utilised participatory qualitative methods with a cross sectional design generating data via a focus group with trans youth (n?=?5), followed by thematic analysis. Findings suggest that both individual and collective capacities or resources enable and sustain resilience and well-being for trans young people. The adversity trans youth face is present in school, the community and in healthcare, but they are able to find places where they feel safe and connected to others. Practitioners, teachers and school nurses are well positioned to facilitate structural change in alliance with trans youth to promote resilience. Research results were utilised to inform health improvement, commissioning and service delivery.     

Adolescent Daughters of Mothers with Breast Cancer: Impact and Implications

While the literature supports the view that a parent's illness will have an impact on a child, less specific attention has been given to the impact of a mother's breast cancer on her adolescent daughter. In this paper, clinical vignettes derived from interviews with adolescent daughters (ages 12–19) living with mothers who have breast cancer are presented to illustrate some of the concerns daughters have about themselves and their mother's illness. The daughters express anxiety about changes in family roles, but seem more concerned about the potential loss of the mother/daughter relationship. They describe their fears of recurrence of the disease as well as getting the disease themselves. The girls also demonstrate great strength; resilience and hope in the face of the challenges presented by the changes in their lives. Girls who had mothers die of the disease are not included in this article. Implications for treatment are discussed.     

Exploring the Association Between Dispositional Cancer Worry,Perceived Risk,and Physical Activity Among College Women

Abstract

Objective: In this study, the authors explored the association between dispositional cancer worry (DCW), risk perceptions (RP), and physical activity (PA) among college females. Participants: Four hundred fifty-one females from a midwestern university completed an online survey in September/October 2012. Methods: DCW severity, DCW frequency, RP, and PA were measured along with qualitative data about PA as cancer prevention. Results: Sixty-nine percent of participants did not meet PA recommendations. DCW severity was a significant predictor of meeting PA recommendations (odds ratio = 1.2, 95% confidence interval [1.00, 1.38]; p = .05). Qualitative data revealed a lack of knowledge about breast cancer risk and PA as cancer prevention. Conclusions: College women do not engage in enough PA nor feel at risk for developing breast cancer. A lack of knowledge exists about the cancer prevention benefit of PA. Results indicate a need for PA interventions that both educate breast cancer risk and motivate health protective behaviors.     

Citizenship beyond politics: the importance of political,civil and social rights and responsibilities among women and men1

Previous research has suggested that men are more engaged as citizens than are women. Yet, little is known about gender cleavages across a variety of citizenship norms. To what extent do men and women define citizenship differently? To address that question, this study examines the importance men and women assign various citizenship rights and responsibilities using 2004 ISSP data from 18 Western, industrialized nations. Using a disaggregated approach to understanding definitions of citizenship, we examine political, civil, and social rights and responsibilities. After controlling for a variety of demographic and attitudinal influences, we find that men and women are not different in their views regarding the importance of political responsibilities. However, women do view political rights as significantly more important than do men. Further, in comparison to men, women view both civil and social responsibilities and rights domains as significantly more important.     

What Labour Engenders1: Women and Men,Time and Work in the New Guinea Highlands

Debates over equality in New Guinea have raged for years. While people may subscribe to egalitarian values, this seems hollow to some observers in the context of relations between women and men, notably the sexual division of labour. Some even talk of men exploiting the labour of women. This paper considers the validity of these claims in the Was valley of the Southern Highlands Province, using data collected in a time-budget survey to document and assess differences between women's and men's activities. It also reviews ideas of time expended undertaking any activity, and the relevance of notions of work and labour to people's daily routines. It questions the propriety of introducing capitalism's preoccupation with labour. Differences in the activities of women and men, far from evidencing relations of inequality, are significant for such stateless political orders in eschewing hierarchical arrangements, where no one exercises control over resources or capital needed by others to secure livelihoods.     

Education,Work and Parenthood: Comparing the Experience of Young Men and Women in Sweden

This article analyzes the determinants of young men and women’s entry into parenthood, applying hazard regressions to a combination of longitudinal micro-data from the 1992/1993 Swedish Family Survey and aggregate time-series data. We study the impact of education, labor market attachment and macro-economic change on becoming a parent for both men and women in Sweden since the mid-1960s. Our results show clear gender differences both when it comes to individual characteristics and aggregate-level factors. Even though the effects sometimes differed according to gender, education and labor market attachment were key factors determining the transition to parenthood. Over time the pattern grew increasingly similar for men and women.     

Prisoners of conscience in the Plowshares and School of the Americas Watch movements: the politics of privilege,gender, and religious identity

ABSTRACT

The American peace movement has always been predominantly white and Christian, and this essay makes the privileged identities of nonviolent prisoners of conscience in the Plowshares and School of the Americas Watch movements its analytical starting place. From the axes of gender (female or male) and religious identity (laity or vowed religious), it examines how privilege and experience are understood and animated by movement participants, and how this impacts activist experience. Specifically, it investigates how some prisoners of conscience negotiate and employ their whiteness, education, class, and status as a strategic use of ‘privilege power,’ as well as how the ‘moment of action’ is a gendered experience of empowerment that is shaped by religious identity. The data illuminate the ways that privilege can be a site of intentional contestation and power, while un-examined areas of identity can shape experience in meaningful ways.     

Identity Work,Techniques of Neutralization,and Deviance: Exploring the Relationship Among Older Adult Gamblers

This study investigates the value of techniques of neutralization in understanding how people involved in marginal to widely deviant behaviors perform identity work. Based on 33 in‐depth interviews with older adult gamblers, we show how techniques of neutralization are used to align personal and social identities. We describe the techniques of neutralizations our participants use along a continuum of gambling involvement, showing how techniques differ in variety and content and are contingent on larger narratives about appropriate behaviors, identities, and selves operating in contemporary society. Our research helps to refine sociologists' understandings of relationships between levels of involvement in deviant behaviors and identity work.     

Energizing the ordinary: Biographical work and the future in stroke recovery narratives

Historically, the life course has been constructed as an organized and linear temporal progression. This holds true in various disciplines from education, to psychology, to counseling. The foundation of a life unfolding through temporal categorizations is documented in textbooks and theories that straddle these disciplines as well as many others, including the sociology of health and illness, which has often conceptualized the illness experience as embedded in a recovery trajectory.Here, we take this to task. Using Gubrium and Holstein's [Sociol. Inq. 65 (1995) 207; Gubrium, J., & Holstein, J., (1997). The new language of qualitative method. New York: Oxford University Press] analytic vocabulary of biographical work, we analyze narratives of stroke survivors by emphasizing the ordinary resources used as discursive foundations for the narrative production of the future in illness. Ordinary resources focused on include God and spirituality, comorbidities, and activity and leisure. The discussion is embedded in overarching concerns with “healthy aging” in gerontology and geriatrics.     

The Care–tech Link: An Examination of Gender,Care and Technical Work in Healthcare Labour

Despite the dramatic increase of technology in the healthcare field, little is known of how care work and technical work are related. Examining substitute healthcare providers offers a useful illustration of the care–tech link because nursing (care) and medical (technical) models often merge. Forty‐two interviews with men and women (nurse practitioners, nurse anaesthetists and physician assistants) were conducted in the USA. The results showed that the gendered nature of care–tech boundaries has shifted in small but important ways and that the gendering of work influenced the shape of these boundaries. Men often encountered barriers when moving too far into the care realm and attempted to overcome this by ‘caring cautiously’ and emphasizing problem‐solving care. Women faced similar barriers from the ‘old boys network’ when they entered highly technical areas. There is also evidence that men and women challenged existing care–tech boundaries and moved beyond their traditional roles.     

Breast cancer coverage in China and the United States: a comparative analysis of wire service news stories

The incidence rate of breast cancer is relatively high but declining in the United States whereas it is relatively low but increasing in China. This study analyzes coverage from the Associated Press (AP) and the Xinhua News Agency (Xinhua) to compare how news media in each nation have covered breast cancer. The results indicate that the AP was more likely to cover treatment and personal stories whereas Xinhua was more likely to cover risk reduction and prevention and to cover early detection and diagnosis. Subtler differences also emerged in coverage of breast cancer. The patterns observed may reflect not only differences between the two nations in incidence rates and efforts to address the disease but also broader differences in their news and medical values, practices, and institutions. News coverage of breast cancer, in turn, may influence how citizens of each nation will form perceptions regarding the disease.     

Chronic care,integrated care,and mental health: Moving the needle now

Healthcare reform is currently a hot topic in the United States, and the Chronic Care Model has frequently been cited as the foundation of recent attempts to integrate mental health and physical health care. However, challenges exist to fully integrated care that have delayed adequately meeting the multiple needs of mental health service recipients. This article highlights multiple changes that can be incorporated into mental health care now, derived from the Chronic Care Model, to better meet clients’ physical and mental health needs. These changes include focusing on population-level data and incorporating technology and multidisciplinary teams in treatment and prevention efforts.     

Rejection,Humiliation, and Parole: A Study of Parolees' Perspectives

Research on status rejection has developed considerably over the past two decades and is applied in a number of different settings to better understand criminal and deviant behavior. Our research contributes to that body of work by examining the ways in which status rejection may create a potentially humiliating dynamic for individuals on parole. Specifically, we use in‐depth interviews with parolees to illustrate how the parolee identity can promote the experience of status rejection and simultaneously foster conditions for humiliation—an emotional state that may impede one's ability to both (re) construct a conventional identity and reintegrate back into one's community.