“老来得子”幸福吗？--农村地区大龄生子与心理健康分析

从生育行为主体出发、基于子女性别结构,利用2013年中国社会综合调查（ CGSS）数据,分析了大龄生子群体的心理健康状况。初步研究发现,大龄生子群体的心理健康低于非大龄生子群体,“老来得子”忧大于喜;“38岁前仅生女、38岁及以后生子”群体的心理健康低于“38岁前已生子、38岁及以后生子／女”群体。这说明,男孩偏好下的“老来得子”并不必然提高心理健康;生育作为复杂的人口事件,子女数量、子女性别以及生育年龄等均成为心理健康的扰动因素。     

Hospital Patient Behavior: Reactance, Helplessness, or Control?

Hospitals are commonly regarded as unpleasant places to be. The reason is that, as a total institution, the hospital creates a depersonalizing environment that forces the patient to relinquish control over his or her daily existence. It is suggested that patients cope with depersonalizing loss of control by assuming "good patient" behavior or "bad patient" behavior. Predictions are offered as to who will show which behavior pattern under which circumstances. However, a review of these patterns suggests that some "good patients" may actually be in a state of anxious or depressed helplessness, whereas "bad patients" are exhibiting anger and reactance against the perceived arbitrary removal of freedoms. An analysis of the behavioral, cognitive, affective and physiological correlates of these patterns, as well as the behaviors they elicit in staff, suggests that both the "good patient" and the "bad patient" sustain health risks. It is argued that a more informed and participative role for the hospital patient can eliminate or offset many of these risks and actually improve the level of physical and psychological health in the hospital setting.     

Family relations, adjustment and well-being in a longitudinal study of children in care

The article reports on a longitudinal study of children placed in a children's home during the first two years of the 1980s. The 26 children placed when younger than 4 years of age and staying more than 4 weeks were followed up 3 and 9 months after leaving the children's home and 5, 10, 15 and 20 years later. The children's family relations, including early attachments and later parental relationships and the perception of who is their family, have been one of the predominant themes in the recurrent studies. None of them had lived with both parents after leaving the children's home and 20 of them had been in foster care for periods or permanently. At the time of the last study the children were young adults, aged 20–25. They are categorized in three rather distinct categories, one for those with a ‘good’ and one for those with a ‘moderate’ social adjustment and well‐being and one for those with a ‘bad’ social adjustment and well‐being insofar as involvement with drugs, criminal behaviour and legal sanctions are concerned. Their contacts and relationships with birth parents and foster parents and the perception of who is their family are analysed by use of attachment theory and developmental psychopathology.     

The effect of intent and character information on children's evaluations of third-party transgressions

Research in adults suggests that their perception of moral transgressions is affected by the moral character of the agent performing the transgression, such that undesirable actions enacted by ‘good’ agents are seen as less serious than those performed by ‘bad’ agents. This may be partly driven our tendency to view undesirable acts as less intentional when the agent has a perceived good moral character. It is currently unclear whether or not children make similar judgements. Therefore, we investigated if children's use of moral character information is consistent with their judgements of transgressions when the intent behind the act was ambiguous or blatant. Children aged 6–8-years (N = 60) viewed a series of six moral transgressions in which the protagonist's intent was ambiguous or blatantly harmful, and their moral character was described as being good, mixed or bad. The children were then asked how much they felt the behaviour was intentional, how severe it was and the degree of punishment it deserved. Transgressions performed by ‘good’ characters were viewed as less intentional than those by ‘bad’ characters, but only when the intent behind it was ambiguous. Similarly, transgressions performed by good characters were viewed as less severe and deserving of less punishment than those performed by bad characters, although this effect was not moderated by intent information. These pattern of findings suggest that the view of transgressions performed by good individuals as less serious than the same act performed by bad individuals is established early in development.     

Only cord-cutters? Midwifery and childbirth in rural north India

This paper discusses the negative effect midwives' traditional birth procedures have on the promise of decreasing perinatal morbidity and mortality rates in North India. Specifically, 3 aims are achieved: 1) a discussion of the status of TBAs--traditional birth attendants--in different parts of India; 2) a presentation of field work on midwives, compiled from a recent study done in Uttar Pradesh; and 3) a discussion of the training offered to midwives by the Indian government and why it has been unsuccessful. In South India it is common for a woman to give birth in the presense of relatives and friends. The woman's dai - or midwife - is called in at the last moment, and is rarely in full charge of the childbirth. Because childbirth is thought of as a dirty and shameful occurrence, the dai is also thought of as an inferior menial -- not as an expert in her job. Most dais are illiterate, poor, and pursue their jobs after a marital breakdown has occurred. In fact, most midwives have no training or experience in baby delivery prior to their first delivery. However, one important role that the dai plays is in her diagnostic ability to advise women with complications to go to a health center. This is due to the fear that the midwife has of being associated with a bad birth which could ruin her reputation. The Indian government began a program in 1977 to train 1 dai for every 500 people. Most midwives are wary of government personnel because they often encourage the midwife to take more responsibility in the actual birth as well as in more complicated births. Because the dais, their clients, and their trainers, share such low opinions of midwifery, and because secular changes are rare in such a traditional country, midwife training prospects do not look promising.     

Conspicuous conservatism in risk choice

We analyze the risk levels chosen by agents who have private information regarding their quality, and whose performance will be judged and rewarded by outsiders. Assume that risk choice is observable. Agents will choose risk strategically to enhance their expected reputations. We show that conspicuous conservatism results: agents of different qualities choose levels below those that would be chosen if quality were observable. This happens because bad agents must cloak their identity by choosing the same risk level as good agents, and good agents are more likely to distinguish themselves if they reduce the risk level. Our results contrast starkly with those for the case when risk choice cannot be observed.

The Ecology of Risk Taking

We analyze the risk level chosen by agents who have private information regarding their quality. We show that even risk-neutral agents will choose risk strategically to enhance their reputation in the market, and that such choices will be influenced by the mix of other agents' types. Assuming that the market has no strong prior about whether the agents are good or bad, good agents will choose low levels of risk, and bad agents high levels. Empirical evidence is gathered on 2462 firms over 24 years. The results support the model: agents of higher quality have less variable performance.     

Physicians' understanding of consent requirements for phase I clinical trials in cognitively impaired or highly vulnerable populations

We investigated physicians' attitudes about entering patients who cannot give informed consent or who are of a vulnerable population into clinical trials. A survey instrument asked a nationwide sample of practicing physicians about whether ten hypothetical patients could be enrolled in a phase I clinical trials. The impact of demographic variables on the number of scenarios viewed as completely or somewhat acceptable was analyzed via student's T tests or analysis of variance (ANOVA) as applicable. All significant (p<0.01) variables were entered into a multiple logistic regression model. Eighty-four percent of respondents indicated that at least one case scenario was acceptable. A majority of those who conduct clinical trials (62%), who had training in the ethics of clinical research (78%), and who sit on institutional review boards (IRBs) (83%) approved of at least one case scenario. Physicians approved of the entry of some patients who cannot give informed consent or who are of a vulnerable population into clinical trials. More effective education on the guidelines involving clinical research should be available to practicing physicians, residents, and medical students. There should also be assurance that physicians who conduct clinical trials or who sit on IRBs have the requisite knowledge about the ethics of clinical research.     

Physicians' Understanding of Consent Requirements for Phase I Clinical Trials in Cognitively Impaired or Highly Vulnerable Patients

We investigated physicians' attitudes about entering patients who cannot give informed consent or who are of a vulnerable population into clinical trials. A survey instrument asked a nationwide sample of practicing physicians about whether ten hypothetical patients could be enrolled in a phase I clinical trials. The impact of demographic variables on the number of scenarios viewed as completely or somewhat acceptable was analyzed via student's T tests or analysis of variance (ANOVA) as applicable. All significant (p < 0.01) variables were entered into a multiple logistic regression model. Eighty-four percent of respondents indicated that at least one case scenario was acceptable. A majority of those who conduct clinical trials (62%), who had training in the ethics of clinical research (78%), and who sit on institutional review boards (IRBs) (83%) approved of at least one case scenario. Physicians approved of the entry of some patients who cannot give informed consent or who are of a vulnerable population into clinical trials. More effective education on the guidelines involving clinical research should be available to practicing physicians, residents, and medical students. There should also be assurance that physicians who conduct clinical trials or who sit on IRBs have the requisite knowledge about the ethics of clinical research.     

Relationship Formation on the Internet: What's the Big Attraction?

We hypothesized that people who can better disclose their "true" or inner self to others on the Internet than in face-to-face settings will be more likely to form close relationships on-line and will tend to bring those virtual relationships into their "real" lives. Study 1, a survey of randomly selected Internet newsgroup posters, showed that those who better express their true self over the Internet were more likely than others to have formed close on-line relationships and moved these friendships to a face-to-face basis. Study 2 revealed that the majority of these close Internet relationships were still intact 2 years later. Finally, a laboratory experiment found that undergraduates liked each other more following an Internet compared to a face-to-face initial meeting.     

X–children and the militarisation of everyday life: comparative comments on the politics of youth, victimage and violence in transitional societies

Based on ethnographic fieldwork in Northern Ireland and South Africa, this paper contends that the so–called ‘children of violence’ are perceived in terms of the serious cultural contradictions of the adult world and rarely in their own terms. Does the concept and norm of childhood give us permission to give violence a defining site of origination? Does childhood have a discursive function similar to penal incarceration as a limit–category of social abuse or caretaking by which society as a whole can be measured? If so, it is not surprising that children and youth are not merely conceptualised as victims of the pathological, but they become pathogenic as well. They are not only a vulnerable target of violence and aggression, but are reciprocally positioned: as authors of violence bearing the unmediated social horrors of the past; as suspect actors in the present; and as potential aggressors in the future. If childhood is good to think about these days, what does it really allow us to think about?     

Remembering Bad Cooks

ABSTRACT

To the extent the food studies literature concerns itself with cooking, the focus is exclusively on good cooking, and that which tastes good. This article focuses on the neglected area of bad cooking, and what sorts of messages a putatively bad-tasting dish is supposed, again putatively, to convey about the person who cooked it. In opening up the disgusting meal for anthropological investigation, this article also exposes an underworld of social relations where antipathy and rejection prevail, in place of community and sentiments of nostalgia.     

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).     

行政的“疆域”与行政法的功能

行政的范围 ,既取决于不同时代 ,不同社会经济条件下 ,人们对“公共物品”的需求 ,同时也取决于人们对政府权力的成本—效益的认识。在传统社会 ,人们对“公共物品”的需求量较小 ,政府管的事自然不多 ;在现代社会 ,人们对“公共物品”的需求量大增 ,政府的职能和行政的范围是不是就应该和必然无限地扩张呢 ?行政国家、全能政府在为人们部分解决了现代社会发生的许多复杂问题 (如“市场失灵”问题 )以后 ,又导致了大量的更为复杂的问题 (如政府腐败、社会腐败问题 )。于是 ,“有限政府” ,政府权力向社会 (“第三部门”)转化的方案提出来了。政府权力转化为社会公权力后 ,行使社会公权力的行为还属不属“行政”的范畴 ,应否受行政法的规范和控制 ?行政法的功能是什么 ?管理论、控权论、平衡论对之有不同的看法。现代行政法在纠正传统行政法片面强调管理或片面强调控权的偏向后 ,正逐步形成以规范和控制行政权为手段 ,以服务行政相对人和保护行政相对人合法权益为目的的法律规范体系     

Future Directions in the Study of Close Relationships: Conflict Is Bad (Except When It's Not)

Beneficial and detrimental correlates of interpersonal disagreement have been postulated and documented. The conclusion: conflict is both bad and good. The evidence for these paradoxical effects is summarized. In this article, we argue that the consequences of conflict for individuals depend on its frequency, the way in which it is managed, and the quality of the relationship in which it arises. Non‐linear patterns of association are hypothesized such that constructive conflicts, particularly those arising in supportive relationships, should (up to a limit) predict more beneficial and fewer detrimental outcomes. In contrast, coercive conflicts, particularly those arising in unsupportive relationships, should predict more adverse and fewer favorable outcomes.     

Can good news lead to a more pessimistic choice of action?

Adapting a definition introduced by Milgrom (1981) we say that a signal about the environment is good news relative to some initial beliefs if the posterior beliefs dominate the initial beliefs in the sense of first-order stochastic dominance (the assumption being that higher values of the parameter representing the environment mean better environments). We give an example where good news leads to the adoption of a more pessimistic course of action (we say that action a ₁, reveals greater pessimism than action a ₂, if it gives higher payoff in bad environments and lower payoff in good environments). We then give sufficient conditions for a signal not to induce a more pessimistic choice of action.A first version of this paper was written when the author was Heyworth Research Fellow at Nuffield College, Oxford, and presented at the Second Annual Congress of the European Economic Association (Copenhagen, August 1987). The author is grateful to an anonymous referee for helpful comments.     

Wanted and Unwanted Fertility: Victoria 1971 to 1975

In both practical and subjective terms, birth control became more available in Victoria after 1971. During 1971 to 1975, this change seems to be more considerable than changes in social and economic factors affecting wanted births. Therefore it is hypothesized that, during this period, unwanted fertility declined more steeply than wanted fertility. Evidence of a growing use of more effective methods of birth control, and of the differential rates of change in various categories of births, appear to support this hypothesis. Births designated ‘unwanted’ declined more than those designated ‘wanted’, and within the ‘unwanted’ categories, declined most for those women who had best access to birth control.     

‘Undeserving’ mothers? Practitioners’ experiences working with young mothers in/from care

Although teen pregnancy is on the rise in Canada, and while adolescent mothering in general has received considerable recent attention from researchers, there is a paucity of information about the particular experiences of young women who become mothers while in government care. Emerging out of a study guided by a grounded theory methodology to address this knowledge gap, this paper examines the experiences and perspectives of government‐based social workers who work with young mothers in/from care. Our findings indicated that social workers reflect prevailing middle class values, including norms about ‘good’ and ‘bad’ parenting, and centred around the belief that adolescent pregnancy is, in and of itself, bad. One of the most significant ramifications of workers’ values was their belief about the inevitability of ‘the cycle’: of children in care begetting children who ultimately came into care. Ironically, though workers and young mothers were both preoccupied by the concept of ‘the cycle’, and each were determined to break it, the two groups had very different ideas about what the cycle was all about and what perpetuated it. Unfortunately, this disjunction in perspectives, along with major recent shifts in the direction of child welfare policy and practice and related constraints in the resources at workers’ disposal, conjoined to create significant barriers to what workers and young women both recognized as supportive practice with youth in care.     

Disciplining Disability under Danish Active Labour Market Policy

This article explores how caseworkers are re‐constructing disability in the Danish welfare system and disciplining themselves and clients according to the active labour policy paradigm. Combining Foucault's ideas about discipline with Maynard‐Moody and Musheno's method of interpreting street‐level bureaucrats' stories ( Foucault 1977 ; Maynard‐Moody and Musheno 2003 ), we analyze caseworkers' stories about their clients, fellow caseworkers and themselves to understand how they practice the ideology behind active labour policy. Our analysis uses Møller's (2009 ) interviews with 24 Danish caseworkers who administer social welfare and sick leave benefits based on disability as the primary eligibility criterion. We selected stories told by caseworkers that exemplify archetypes of good and bad citizens, good and bad clients, and good and bad caseworkers. Through interpretative analysis, we elucidate how caseworkers make sense of active labour policy and internalize the pressures of managerial reforms to discipline both citizens and each other.     

Face-to-Face Contact Post Adoption: Views from the Triangles

The importance of ongoing contact for children with membersof their birth families is currently a matter of great concernto both practitioners and academics and there is ongoing debateabout the merits or otherwise of the different forms of postadoption contact. Research evidence remains largely inconclusiveand the Prime Minister in his review of adoption highlightedthe urgent need for more research evidence to assist professionalsin making decisions about adoption and contact. To date, muchof the research does not adequately differentiate between typesand frequency of contact, the conditions under which contactis arranged and members of birth families who are involved.Whilst the needs of the child should be at the forefront ofany decision about contact, it is also important to considerthe repercussions for others involved in contact arrangements.This paper reports the findings from a sample of eleven adoptivekinship networks. Adoptive parents, children and birth relativesfrom the same kinship networks who were sharing direct, face-to-facecontact were interviewed. We were able to explore the developmentof relationships between adults and the ways in which theirinteraction affected the experience of contact as reported tous by the children. By focusing on issues associated with theconvergence or divergence of attitudes, feelings and perceptionswe identify factors that facilitate or impede beneficial contactand contribute to its maintenance. Understanding similaritiesand differences between participants in the adoption triangleprovides important information for adults and children involvedin face-to-face contact and for those professionals attemptingto facilitate the openness process.