Older People’s Conceptualization of Abuse: A Systematic Review

The concept of elder abuse is a relatively recent one, and there is ongoing debate around its definition and interpretation. Policy in America, the United Kingdom, and Ireland has been criticized as being professionally driven and therefore paternalistic and disempowering. Little is known about older people’s understanding of the term “abuse” or the behaviors that they deem to be abusive. In this systematic review, eight databases were searched using agreed-upon criteria, and the results were assessed for relevance. Fifteen studies were included and are discussed under the themes of caregiving, domestic violence, society, abusive acts, and thresholds.     

Social Workers’ Attitudes Toward Older Adults: A Review of the Literature

Ageist attitudes toward older adults have been recognized as barriers to recruiting and training competent social workers. This article provides a systematic review of the literature that focused on social workers’ and social work students’ attitudes toward older adults and working with older adults. The authors sought empirical studies that used an attitudinal measure of ageism with a social work sample, and a total of 20 articles met the criteria. Characteristics of the studies’ participants, methodology, instruments, and results were evaluated. This article discusses the findings and offers implications for future research.     

Older Adults’ Gambling Motivation and Problem Gambling: A Comparative Study

Gambling participation rates among older adults (65+ years) have been increasing in recent years. Very few studies have compared older and younger gamblers on gambling motivation and problem gambling. This study compared 41 male and 63 female older gamblers (66-87 years; median 73) to 20 male and 85 female younger gamblers (17-34 years; median 20) in New Zealand on gambling involvement, gambling motives and number of gambling related problems in the previous 12 months. The questionnaire included the Gambling Motivation Scale (GMS) and the Revised South Oaks Gambling Screen (SOGS-R) of current problem gambling. There were between-group age differences but no significant gender or gender by age interaction effects. While older adults had significantly lower scores on all the measures, except they gambled more frequently, for both groups frequency of gambling, number of activities, largest amount spent in a single session and all motives were correlated with SOGS-R scores. Preferences for electronic gaming machines and bingo were related to SOGS-R scores for both age groups. Hierarchical regression analysis showed that after statistically controlling for age, gambling involvement and other motives, tension release uniquely predicted SOGS-R scores. For both age groups, increasing severity of problem gambling is more likely to be associated with releasing tension than with winning money or seeking sensation.     

The Effects of Similarity on Charitable Giving in Donor–Donor Dyads: A Systematic Literature Review

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - Giving circles and alumni campaigns are popular forms of nonprofit fund-raising practice that may lead to positive peer...     

Long-Term Care Preferences Among Older Adults: A Moving Target?

ABSTRACT

This study investigates long-term care preferences across three hypothetical scenarios and over one year of time among a sample of disabled older women receiving informal care (n?=?420). Unpaid or paid help in one's home was preferred, given scenarios of instrumental activities of daily living (IADL) and activities of daily living (ADL) needs; nursing home care was most preferred for dementia care. While aggregate preferences for long-term care were relatively stable, there was considerable fluctuation in individuals' preferences over time, with just 52.5%, 44.4%, and 44.6% of participants retaining their initial first choice across IADL, ADL, and dementia scenarios, respectively. Implications of study findings are discussed.     

A Profile of Middle-Aged and Older Adults Admitted to Nursing Homes: 2000–2008

Middle-aged adults are becoming an increasing share of the nursing home population. Minimum Data Set assessment data for 2000 and 2008 are used to explore similarities and differences in sociodemographic, residential, medical, and psychiatric characteristics of newly admitted middle-aged adults (31–64) compared to their older counterparts (65+). Relative to their share of the state population, Black middle-aged adults are overrepresented in nursing homes across 45 states and the District of Columbia. Chronic conditions, including diabetes, renal failure, chronic obstructive pulmonary disease, asthma, and circulatory/heart disorders, appeared to contribute to the increasing presence of middle-aged adults. There were substantial increases in diagnoses of psychiatric disorders at admission; psychiatric diagnoses were significantly higher among middle-aged adults. Middle-aged adults were also more likely to have residential histories of prior stays in psychiatric facilities relative to older adults. States' rebalancing efforts need to attend to the increasing presence of disability associated with chronic medical and psychiatric conditions among middle-aged adults.     

Children’s Disclosure of Sexual Abuse: A Systematic Review of Qualitative Research Exploring Barriers and Facilitators

This study evaluates and synthesizes qualitative evidence addressing factors affecting a child’s decision to disclose an experience of sexual abuse. Childhood sexual abuse is a devastating crime, with long-term negative impacts. Understanding the factors that affect a child’s decision to disclose is vital. Disclosure enables access to support and protection, both therapeutically and legally. A systematic review was conducted focusing on factors affecting a child’s decision to disclose an experience of sexual abuse. Seven studies were identified, quality appraisal undertaken, and meta-ethnography used to synthesize the studies. Six new super-ordinate themes were developed: Fear of what will happen; Others’ reactions: fear of disbelief; Emotions and impact of the abuse; An opportunity to tell; Concern for self and others; and Feelings toward the abuser. Themes indicated the importance of support, structure, and opportunity to facilitate disclosure and should be utilized by agencies to develop practices that facilitate disclosures.     

Older Adults’ Receipt of Financial Help: Does Personality Matter?

This study examined the role of personality traits in the receipt of financial help at older ages using the 2006 and 2008 waves of Health and Retirement Study data. An investigation of (1) how the five domains of personality traits (openness to experience, conscientiousness, extraversion, agreeableness, and neuroticism) are associated with the receipt of financial help among older adults and (2) the relationship between personality traits and the source of financial help received was examined. Three sets of probit analyses were conducted. The results indicated that personality can predict financial help and the source of financial help. Specifically, older adults who exhibited relatively higher levels of neuroticism and agreeableness were more likely to receive financial help, whereas those who exhibited relatively higher levels of conscientiousness were less likely to receive financial help regardless of the source. Furthermore, older adults who had relatively higher levels of neuroticism were more likely to help themselves with individual sources such as credit cards whereas agreeable older adults were more likely to receive financial help from family members. These findings have implications for financial counseling, planning and education professionals, public assistance program directors, and policy makers. Understanding the effect of personality on financial decision-making can help with financial planning throughout life and inform outreach efforts for those in need of financial help.     

Long-Term Effects of a Parenting Preventive Intervention on Young Adults’ Attitudes Toward Divorce and Marriage

This study examined whether the New Beginnings Program (NBP), a parenting-focused preventive intervention designed to reduce children’s postdivorce mental health problems, affected attitudes toward divorce and marriage in young adults whose mothers had participated 15 years earlier. Participants (M = 25.6 years; 50% female; 88% White) were from 240 families that had participated in a randomized experimental trial (NBP vs. literature control). Analyses of covariance showed that program effects on both types of attitudes were moderated by gender. Males in the NBP reported more positive attitudes toward marriage and less favorable attitudes toward divorce than males in the literature control.     

Women’s Experiences of Pornography: A Systematic Review of Research Using Qualitative Methods

Given the proliferation of pornography in personal, relational, and social realms, it is vital to understand women’s experiences of this accessible, stimulating, and versatile sexual material. We therefore conducted the first systematic review of research using qualitative methods published in English in peer-reviewed journals. Our search of five databases yielded 22 eligible articles. Thematic analysis of results revealed four broad themes: women encountering pornography, pornography and the self, pornography in the context of relationships, and making sense of pornography. Discussion of themes and subthemes included reflections on women’s explanations of intentional and unintentional encounters with pornography, conflicted perceptions of themselves in relation to female pornography actors, diverse perceived effects of pornography on intimate relationships, and tensions between women’s arousal to pornography and their values. It was evident that women’s experiences of pornography are complex and nuanced, often paradoxical, varying among and within individuals. Our synthesis of results and assessment of limitations suggest (a) that researchers need to define what they mean by pornography and specify any content used in their research and (b) that understanding would be enriched by research that is culturally contextualized and acknowledges public discourses about pornography.     

A Typology of Source of Information About the Continuing Care Retirement Community and Older Adults’ Living Arrangement

Abstract

A continuing care retirement community (CCRC) represents a residential alternative for older adults. It offers a variety of social and health care services to meet older adults’ needs and preferences. Using the theory of innovation as a theoretical basis, the overall goal of the study was to use the source of information about the CCRC as a potential predictor of the decision to move. In total, 76 older adults responded to a question about the source of information on the CCRC. Of these, 40 were CCRC residents and 36 were community dwellers, who expressed an interest in the CCRC but decided to remain in their community. Based on their responses, respondents were classified into one of five clusters (e.g., spouse, friends, children, nonhuman sources, mixed human and nonhuman sources). Those classified into the spouse or adult children as sources of information were more likely to live in a CCRC. Results show that information about the CCRC should be conveyed to additional members in the family, such as adult children, as they often take a major role in the decision to relocated. The findings have implications for administrators as they clearly point to potential sources of greater influence on older adults’ decision to relocate.     

How and Why Do Social and Sustainable Initiatives Scale? A Systematic Review of the Literature on Social Entrepreneurship and Grassroots Innovation

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - Social and sustainable initiatives generally start small and need to scale to create substantial impact. Our systematic...     

Chomsky’s Nativism: A Critical Review

The Analysis of Verbal Behavior -     

Can Botox Offer Help Women With Vaginismus? A Systematic Review and Meta-Analysis

Abstract

Objectives: Evaluating the effect of botox injections on the satisfactory penetrating in women with vaginismus. Methods: A comprehensive systematic search in the electronic databases carried out up to September 2018. All studies that used botox to treat vaginismus were included in this review. Results: Nine cohort studies were included in meta-analysis. Our results indicate that botox can be an option for effective treatment of patients with vaginismus (event rate = 0.855, 95% confidence interval = 0.764 to 0.915; p-value < 0.001). Conclusion: Botox injection can improve vaginismus. However, because of the lack of randomized clinical trials, this conclusion should be carefully interpreted.     

Older Adults’ Experiences of Sexual Difficulties: Qualitative Findings From the English Longitudinal Study on Ageing (ELSA)

There is a growing body of evidence demonstrating that sexual activity is important to the quality of life of older adults, and that it can be influenced by physical, psychological, and social factors. However, older adults’ experiences of sexual difficulties remain relatively unexplored. This article draws on qualitative data collected as part of the English Longitudinal Study of Ageing (ELSA). Participants answered a Sexual Relationships and Activities Questionnaire (SRA-Q), which included an open comment box for further details, 1,084 (1/7) of which were completed. These data were analyzed using Template Analysis, and findings on the experiences of sexual difficulties are presented in this article. Sexual difficulties were contextualized within the couple relationship and could be detrimental to the relationship, particularly if the partner would not seek professional help. Participants reported that sexual difficulties could also have a negative impact on psychological well-being, described mainly as frustration, depression, and sadness. For some participants the supportive nature of their relationship buffered these impacts. Few had sought professional help; those who had reported helpful and unhelpful experiences. These findings add to the limited evidence base and have implications for health care in the context of global aging and a growing recognition of older adults’ sexual rights.     

Visual Expressions of Corporate Superiority: A Review of Jacqueline Hassinck’s Photographic Art Project and Booklet ‘The Table of Power’

Arguing that institutional rationality constitutes a meta‐institution upon which the specific institutions of the capitalist social order depend, this paper explores the possibility that it might be interrogated through the imaginary worlds created by readers in their responses to literary fiction. It does so by constructing a fictive encounter between the response aesthetics of Wolfgang Iser and two novels by Ian McEwan, Saturday and Enduring love, both of which feature institutional rationality as a core element of the ‘reality’ from which they are constructed.

The conclusions are somewhat negative. The problems posed to McEwan’s personifications of institutional rationality, despite the author’s reputation for arbitrary and sometimes macabre plotlines, are nowhere such as to call into question their understandings of the events which befall them. Nor, reading the novels as explorations of that very one‐dimensionality, are readers likely to be induced into a questioning of their own understandings of the world. This is because the novels in question, like most modern literary fiction, have been produced within a tradition which reaches back to the romantic/humanist reaction to institutional rationality, and this makes it possible for readers to distance themselves from characters in which it is exemplified. Far from producing a critical Imaginary, readers who respond in this manner are likely to externalize any interrogations of institutional rationality suggested by its fictional recontextualization and produce, instead, one in which the superiority of their own understandings of the world is confirmed. Whilst this may be opposed to institutional rationality in the routinised sense of an antagonistic accommodation, nothing new is added by the reading of the novels.

Whilst some of the problem may lie in the characterization of the principle protagonists in the selected novels – which is both flat and static – it is suggested that there is also a problem with the initial expectation of a critical imaginary created by Iser’s theory. The fact is that its creation depends on an assumed response on the part of the reader that has no evidential basis. This empirical deficit cannot be made good either by Iser’s earlier construct of an ‘implied reader’, nor by his later posit of self‐aware role‐taking as a fundamental anthropological need. Whilst one cannot rule out the possibility that some readers might respond as Iser supposes – even to the novels discussed in this paper – there is no particular reason to rule it in either.     

Students’ Role Confusion When Working With Older Adults: The Voices of Foundation Students

A qualitative research project was carried out to investigate how first-year graduate students integrated their field work learning with their classroom leaning (N?=?17). The study reveals the students’ difficulty in integrating their practical learning with theoretical classroom knowledge. Using grounded theory analysis, two types of student reactions to integrating knowledge were found: role confusion and role clarity; most fit into the role confusion group. Performing supportive social work, working with involuntary clients, and the age of the client were all linked to the students’ role confusion. Implications for teaching strategies using reflective practice are discussed, as well as possible connections between beginning students’ confusion, ageism, and lack of interest in the field of aging.     

Older Adults’ Use of Adaptable Design Features in Housing Units: An Exploratory Study

In 1997, the city of North Vancouver, British Columbia developed Adaptable Design Guidelines for housing to support aging-in-place for older tenants. This article reports the first qualitative evaluation of those adaptable design features since those guidelines were implemented. The study used a qualitative methodology to explore the elderly tenants’ use and satisfaction of the adaptable design features in the housing units and environmental changes made by those tenants. Key qualitative categories that emerged from the interviews were design preferences and environmental modifications. Findings from this study can inform future revisions of the guidelines and demonstrate what needs to be done in environmental design of seniors’ housing that can foster functional independence.     

Households’ Net Worth Accumulation Patterns and Young Adults’ Financial Health: Ripple Effects of the Great Recession?

We examined households’ dynamic patterns of net worth accumulation between 1999 and 2009 and asked whether these patterns related to the financial health of young adults growing up in those households. Two patterns of net worth emerged—the first remained high and stable and the second experienced a precipitous decline between 2007 and 2009. Young adults who grew up in households with high and stable net worth also experienced the greatest benefit in financial health. Given wealth losses in the wake of the Great Recession and the ripple effects those losses may have had—and may continue to have—on households and their children, policies that stimulate wealth accumulation may be feasible and timely strategies for improving financial health.     

Perceived Stepparent–Child Relationship Quality: A Systematic Review of Stepchildren's Perspectives

Stepfamily scholars have emphasized the importance of including stepchildren in the analysis and discussion of stepfamily life. This systematic review synthesized recent research examining predictors/correlates of stepparent–child relationship quality from the viewpoint of stepchildren in the United States. Five bibliographic databases were searched, resulting in 631 potentially relevant studies for review. Manual searches of three prominent family studies journals were also conducted. Screening and eligibility assessment based on a priori inclusion criteria yielded a final sample of 23 studies, including published studies and reports found in the “gray” literature. Significant predictors/correlates associated with stepchildren's perceptions of stepparent–child relationship quality were grouped into the following conceptual domains: individual characteristics, family characteristics, features of (step)parent–child interactions, and stepcouple dynamics. Limitations, implications, and future research directions are discussed.