HIV-infected woman. Illness cognition assessment.

1. Special attention is particularly important in addressing the mental health needs of HIV-infected women. These needs may involve issues such as concerns about present or future pregnancy; child-rearing, often as single parents; poverty, illicit drug use or addiction; and the potential lack of support services. 2. Diagnosis of HIV infection in women may be overlooked, as the clinical signs that routinely trigger the suspicion of HIV illness in men are often interpreted to reflect depression or psychological factors, such as stress or overwork, rather than raise the suspicion of HIV infection in women. 3. Understanding a woman's illness cognition is an important component of designing strategies that can enhance coping. The picture a woman generates regarding her illness is a composite of her experiences and responses, and determines to a large extent what she will do in response to her illness.     

Relational Anxiety and Sexting

Individuals in pursuit of, or currently in, a romantic relationship typically communicate via technology, extending to sexting with one another. Sexting is commonly understood as the sending and receiving of sexually suggestive or sexually explicit photos, video, or text via cell phone or other technologies. The characteristics that fuel whether one engages in sexting are not well understood. In this study, 459 unmarried, heterosexual undergraduate students (female = 328; male = 131), aged 18 to 25 years, from three universities completed an online questionnaire about their behaviors with technology and romantic relationships. In general, low attachment avoidance and high fear of negative evaluation from the dating partner predicted sending a sexually suggestive photo or video, sending a photo or video in one’s underwear or lingerie, and sending a sexually suggestive text. High fear of negative evaluation predicted sending a nude photo or video as well as sending a text message propositioning sex. Low attachment avoidance, greater fear of negative evaluation, and greater social distress when dating were associated with sexting behaviors.     

The problem of social generations: a critique of the new emerging orthodoxy in youth studies

Over the previous seven years the application of a social generation paradigm or ‘theory’ has gained increasing currency as a method in analysing young people's relationship with the life course. Whilst not a new concept or approach its resurgence and reconfiguration to ‘new’ times has seen some writers positioning it as a ‘new orthodoxy’ or ‘consensus’ within youth studies. In this it is seen as providing a conceptual framework that better helps us understand the complexity of circumstances and conditions that shape youth identities in late modern society. In this paper we examine and explore the underlying assumptions and claims that are made by those advocating the social generational paradigm, raising questions and seeking further clarification on a number of key themes. We accept youth studies needs to move beyond ‘old models’ that define and understand social context as a simply a tension between ‘structure or/and agency’ or as a ‘flavour’ to social action. To conclude therefore we propose the need to have an approach that is ecological and both accepts ‘social change’ and ‘continuity’ as critical parts of the life course, one that recognises the nature and influence of power and social reproduction, especially for different social classes, in shaping the experience of being young.     

Improving special education mediation

This article provides background information about special education and mediation and offers some points to consider for those interested in starting, improving or analyzing a special education mediation process. This article is based on the author's experience as a mediator as well as on site visits, interviews and a review of the relevant literature. The author concludes that mediation can be a very effective method for settling special education disputes and/or improving relationships but that the process can be affected by outside factors such as politics, finances and/or the system.     

Pelvic organ prolapse: review of the aetiology, presentation, diagnosis and management

Pelvic organ prolapse is a common condition affecting a large number of women. Incidence increases after the menopause. Age, parity and obesity are the most consistently reported risk factors. Many women can be asymptomatic of prolapse but common symptoms include a sensation of a bulge or fullness in the vagina or urinary, bowel or sexual dysfunction. Management depends upon symptoms and the type and grade of the prolapse as well as any associated medical co-morbidities. Management options include expectant, conservative or surgical approaches. Up to 10% of women having a surgical procedure for prolapse will require a second procedure. It is, therefore, important to consider lifestyle modifications such as weight loss and conservative measures including pelvic floor muscle training, topical estrogens and pessaries as initial management options.     

The Most Cherished Myth: Puritanism and Liberty Reconsidered and Revised

This paper revisits and reconsiders the prevailing assumption or conventional wisdom about the association or affinity between Puritanism and liberty in historically Puritan societies, especially America and to a lesser extent Great Britain. It argues and elaborates on that the “Puritanism and liberty” equation or link is a naïve assumption, speculative explanation or cherished liberal-democratic mythology analogous and related to, as well as even more enduring and prevalent than, what contemporary sociologists call the “beloved myth” of an elective affinity or connection between Calvinism and modern capitalism. The paper aims to fill in a void in the current sociological literature in which attempts to question and reveal the Puritanism and liberty equivalence as a myth are relatively infrequent. Overall, the paper aims to contribute to the existing literature on the relationships between Puritanism, Calvinism and other ascetic Protestantism on the one hand and modern democratic society on the other.     

Are Instructors Who Have “Practical Experience” Necessarily Superior to Those Who Don’t?

Personal or practical experience is often touted as a uniquely valuable source of knowledge in academia, as in everyday life. Assumptions about the necessity, superiority, or insightfulness of “first-hand familiarity” with a phenomenon (such as working as a police officer or suffering discrimination) can shape hiring decisions, influence how faculty members present themselves, and guide the developmental trajectory of departments. These assumptions can be superficial, however. This article questions the universal appeal of personal experience by arguing that it is not without limitations; not always possible, desirable, or relevant; sometimes not dramatically distinct from other ways of knowing; and sometimes inferior to other ways of knowing. Prior experience can have benefits, but is not an unassailable source of knowledge and should not be treated as an unqualified “good.”     

Small networks and selectivity bias in the analysis of survey network data

Selectivity bias is a danger whenever observations are systematically excluded from a data set on the basis of a dependent variable, whether this exclusion is explicit or implicit. If present, the problem has severe consequences for the validity of statistical estimates of effects. The problem is of importance to the analysis of survey network data, since many network measures (such as density) are available only for persons having networks of size two or larger, while others (such as percent kin) are defined only for those having networks of size one or more. Analysts can adjust for selectivity bias by estimating the risk of exclusion (in this case, of having a network of size 0 or 1), and including the modeled risk as a control in substantive equations. Such estimates are presented for the 1985 General Social Survey network data; in the course of this results of Fischer and Phillips on social isolation are replicated. Other ways of guarding against selection bias are also discussed; at a minimum, network size should be included among the set of regressors in analyses of survey network data, as a methodological control if not as a substantive variable.     

‘I hereby come out’: What sort of speech act is coming out?

The process of coming out linguistically as a lesbian or as a gay man is occasionally referred to as a speech act (e.g. Harvey 1997: 72; Liang 1997: 293). This analogy is taken as a starting point to explore the extent to which coming out is a performative act, and what sort of speech act coming out may be. The discussion draws on the perspective of both the speaker and the hearer to consider how the acts involved in coming out are open to interpretation. Parallels are drawn between the act of coming out as a lesbian or a gay man and other instances of self–disclosure or of individuals' constructions of new facets of their identities.     

Betting on Life: Associations Between Significant Life Events and Gambling Trajectories Among Gamblers with the Intent to Quit

Considerable evidence has suggested that problem gambling may be transitory and episodic, with gamblers routinely moving in and out of clinical thresholds. Findings in qualitative and quantitative studies have converged on identifying preliminary evidence for the role of life events as motivators and contributing factors for gambling changes over time. The aim of this study was to conduct an exploratory analysis of the relationship between life events, their respective experience as positive or negative, and gambling trajectories among problem gamblers intending to quit. Life event occurrence and ratings as positive or negative, and changes in gambling severity were analyzed over a 12-month period for 204 adult problem gamblers intending to reduce or quit their gambling. Overall, mixed effects models revealed several relationships between life events and both the magnitude and direction of gambling change over time. In particular, gamblers who experienced a greater number of positive events or specific events such as legal events, the adoption/loss of a child, or negative changes to their social relationships, finances, work environments or social/health activities were more likely to exhibit greater gambling reductions over time. Conversely, gamblers who experienced a greater number of negative events, such as family bereavement, the dissolution of a marriage, or negative changes to their residence exhibited smaller gambling reductions or increases in gambling severity. Possible mechanisms which may explain the findings and the importance of examining the subjective experience of life events are discussed. Recommendations for future studies examining associations between life events and gambling trajectories are provided.     

Disability and identity: the challenge of epilepsy

Through examining the case of people with epilepsy (which, as we demonstrate, has an ambiguous status in relation to both popular and academic conceptions of disability) we explore the fluid, negotiable and contingent nature of identity and, in particular, the identification as ‘disabled’. Disability, we argue, cannot be reduced to either biology or social oppression, or even primarily to biological or social factors: it is the outcome of a complex interaction between a multiplicity of factors – biological, environmental, social, psychological, cultural and political – which will interact and be experienced differently by different people, at different times and in different situations. Rather than conceiving of disability in ‘all or nothing’ terms and of differing explanations as competing and mutually exclusive, it would be more productive to see them as partial and potentially complementary contributions to the better understanding of a complex and multifarious reality.     

Celebrity capital: redefining celebrity using field theory

This article proposes to redefine celebrity as a kind of capital, thereby extending Bourdieu’s field theory. This redefinition is necessary, it is argued, because one of the main limitations shared by current definitions of celebrity is their lack of explanatory power of the convertibility of celebrity into other resources, such as economic or political capital. Celebrity capital, or broadly recognizability, is conceptualized as accumulated media visibility that results from recurrent media representations. In that sense, it is a substantial kind of capital and not a subset or special category of social or symbolic capital, the latter being defined as legitimate recognition by other agents in a social field. Rather than adding another definition of celebrity next to many others, the notion of celebrity capital proposed here should be seen as an attempt to integrate the existing approaches of celebrity into a single comprehensive conceptualization that can enable us to grasp this societal and cultural phenomenon better.     

“Whom should We Help First?” Transnational Helping Practices in Ecuadorian Migration

Collective remittances, in the framework of migrant transnationalism, have been recently dealt with in some empirical research, especially on the Mexican‐US migration system. Far less studied is their significance in different migration flows, including their real contribution – as desirable as this may be – to local development. The article is concerned with a bottom up analysis of a migration flow where collective remittances – as the only way for emigrants to keep helping their local communities, well beyond their own families – are still in their infancy. It explores, through a translocal ethnography of Ecuadorian migration to Italy, the underlying attitudes, personal meanings and expectations – as well as the structural opportunities and constraints – accounting for helping practices at a distance. Charitable transfers to communities of origin are reconstructed as to their motivations, their main aims and beneficiaries, their embeddedness in mutual networks among immigrant co‐nationals. How is it that some of them decide to help “people in need” in their own communities overseas, or in their home towns, or in both? Is this an expression of communal belonging, or a matter of social status maintenance, or something else? Further reflections on the dilemmas inherent in transnational helping practices are then developed. Concluding remarks emphasize the relatively poor scope for such initiatives, in a recent and first‐generation flow over a long distance. While co‐ethnic solidarity overseas is a precondition for transnational helping practices, the latter are also affected by the developments of public policies in the countries of origin and of destination. Overall, an effective integration overseas is necessary for collective remittances to have some currency and impact.     

Brief Communication: “If You Do Not Gamble, Check This Box”: Perceptions of Gambling Behaviors

Most adults in the U.S. have participated in one or more gambling activities. However, many people engage in gambling activities without considering themselves as gamblers. Four hundred and forty-nine university students returned surveys about their participation in gambling activities. After completing a questionnaire recording the style and frequency of gambling participated in, respondents were asked to indicate whether or not they gambled. Results indicated that gamblers participated in twice as many forms of gambling activities as those who classified themselves as non-gamblers. Scratch tickets and lottery tickets were not generally considered gambling unless purchased frequently. Casino visits, bingo, dog races, football pools, golf matches, local poker games, and other card games were more likely to be viewed as gambling, especially when engaged in frequently. Subjects who had gambled on at least one occasion with bookies, dice games, video poker in a bar, dog or cock fights, or off track betting almost always identified themselves as gamblers. It is recommended that further research be conducted to clarify the gambling activities, and frequency of those activities, that influence a person's perceptions of gambling.     

The self as a problem: the intra-personal coordination of conflicting desires

We show that models of the self in the social sciences can be grouped into two large families or classes: models that posit the self as a unitary system of preferences, values, images or coherent propositions, and models that posit the self as a fragmented entity, composed of either a mosaic of roles and impulsive desires that are mutually disconnected, or as an ongoing and irresolvable conflict among competing interests, impulses or identities. We distinguish between an Aristotelian tradition in modeling the self-representative of the first kind of model-and a Heraclitean tradition-representative of the second kind of model. Whereas the Aristotelian tradition has been well represented in the work of economists, economic sociologists and personality psychologists, the Heraclitean tradition has received far greater emphasis in the modeling of social phenomena -through the work of such thinkers as Marx, Althusser, Foucault and Goffman, without being explicitly acknowledged -until recently -as a source of inspiration for a model of the self. We present arguments that explicitly challenge the Aristotelian representation of the self and present an explicit set of alternatives for modeling the self as an ever-changing, possibly internally conflicting entity.     

The effect of current sexual behavior on friendship,dating, and marriage desirability

The purpose of this research was to extend previous studies examining the influence of a person's sexual behavior on others' perceptions of his/ her relationship desirability. Over 750 students from three universities judged the friendship, dating, and marriage desirability of a person based on information ostensibly provided by him/her about current sexual activity. Overall, the results indicated that a target person portrayed as engaging in low sexual activity in a current relationship was perceived to be more desirable as a friend and marriage partner than a person engaging in moderate or high sexual activity, whereas moderate or high sexual activity was preferred more in a dating partner. Whether the sexual activity occurred in a casual or steady dating relationship, however, also affected desirability perceptions. Finally, evidence was found for a reverse double standard in ratings of dating desirability: males were perceived as most desirable as a date when they engaged in moderate sexual activity, whereas females were perceived as most desirable as a date when they engaged in high sexual activity.     

Exploring youths' perceptions of the hidden practice of youth work in increasing social capital with young people considered NEET in Scotland

This small-scale research explores the generation of social capital in young people growing up in one urban area and one rural area in Scotland via community-led youth work projects that aim to re-engage young people categorised as NEET (Not in Employment Education or Training). By looking at their varied and complex biographies, it considers young people's experiences and perceptions of their communities and their transitions from education to the workplace. Using social capital as a theoretical lens, we examined the impact that youth work can have not just on these important transitions but also upon the young people themselves. By visiting two different sites of engagement we were able to explore whether the type of initiative (media or sports) or place (urban or rural) had an impact on the generation of capital for young people. The youth work practice in both areas acted as a glue between the young people and their communities, creating opportunities where the two could be bound together and relationships created. This occurred in both sites regardless of the area or type of initiative and confirmed in this study that youth work acts as a site of capital building.     

Privileges and penalties in the legal profession: an intersectional analysis of career progression

Intersectionality theory is concerned with integrating social characteristics to better understanding complex human relations and inequalities in organizations and societies (McCall 2005). Recently, intersectionality research has taken a categorical and quantitative turn as scholars critically adopt but retain existing social categories to explain differences in labour market outcomes. A key contention is that social categories carry penalties or privileges and their intersection promotes or hinders the life chances of particular groups and individuals. An emergent debate is whether the intersection of disadvantaged characteristics (such as female gender or minority ethnic status) produce penalties that are additive, multiplicative or ameliorative. Research is inconclusive and as yet pays little attention to moderating factors such as employer type, size, geographic location or work profile. Drawing on administrative records for individuals qualified as solicitors in England and Wales, collected by the Solicitors Regulation Authority (SRA), combined with aggregated workforce data and firm characteristics of their law firms, we undertake a statistical analysis of the intersection of gender and ethnicity in the profession with a degree of precision and nuance not previously possible. In response to calls to broaden studies of inequalities and intersectionality beyond their effect on pay or income (Castilla 2008) we focus on career progression to partnership as our key measure of success. The original contribution of our study is twofold. First, we establish statistically different profiles of law firms, showing how the solicitors’ profession is stratified by gender, ethnicity and socio‐economic background, as well as the type of legal work undertaken by developing a model of socio‐economic stratification in the profession. Second, we demonstrate that while penalties tend to be additive (i.e. the sum of the individual ethnic and gender penalties) this varies significantly by law firm profile and in some situations the effect is ameliorative.