Assessment of older adults’ satisfaction with adult protective services investigation and assistance

This study examined elder self-neglect client satisfaction with services provided by an Adult Protective Services (APS) program. A total of 77 community-dwelling older adults with APS-substantiated self-neglect responded to the standardized and widely used 8-item Client Satisfaction Questionnaire. Approximately 75% of the participants reported being satisfied with the overall services. They felt that the services provided were responsive to their need(s) and helped them deal with their problem(s). Greater than 80% responded that they would refer a friend, would utilize APS in the future if necessary, and were at least satisfied with the amount of help received. The extent to which their needs were met received the lowest satisfaction scores. Future studies are needed to examine elder self-neglect client satisfaction in relation to specific services.     

Convergence or mediation? Experts of vulnerability and the vulnerability of experts’ discourses on nanotechnologies – a case study

Since 2004, risk in the context of nanotechnologies has been criticized as being too abstract and an all-inclusive category. Moreover, the concept of risk is not precise enough to describe the potential issues related to the development of nanotechnologies. Instead, experts on technological development emphasize risk communication. In the field of nanotechnologies, this term was redefined in February 2005 in relation to the question of societal acceptance of nanotechnologies. Risk communication is about gaining stakeholder acceptance of policy decisions, whilst the public and stakeholders are encouraged to participate actively in the communication process through public consultations or hearings. Thus, on the one hand, the category of risk has been pragmatically nuanced to better highlight the vulnerability of the communication of nanotechnologies. On the other hand, this vulnerable communication is not the result of a deficit of information. It is based on the idea of participation, where vulnerability hinges on the social groups specialized in the design, application and diffusion of nanotechnologies within society. How is such participation possible, and what does it entail? We develop this question in the framework of a comparative survey of experts in the development of nanotechnologies in Grenoble (France) and Hamburg (Germany).     

Female victims of domestic violence: which victims do police refer to crisis intervention?

Factors associated with activation of a volunteer-based crisis intervention services program for victims of police-reported intimate partner violence (IPV) were examined to determine if those for whom services were activated were representative of the overall eligible population. The study population comprised 2,092 adult female victims of male-perpetrated police-reported IPV. Crisis intervention services were requested by responding patrol officers in 415 (19.8%) of these incidents. Activation of crisis intervention services was more likely for victims who were married to their abusive partner, pregnant, or of Latina or Asian race/ethnicity and among IPV incidents involving physical abuse, visible victim injuries, and arrest of the abusive partner. Additionally, one of the city's five police precincts was less likely than the remaining four to utilize these services. Activation of crisis intervention services was associated with factors related to need and feasibility of service delivery, but differential activation at the precinct level was also found to be influential.     

Constructions of ‘vulnerability’ in comparative perspective: Scottish protection policies and the trouble with ‘adults at risk’

This paper places Scottish adult support and protection (ASP) policy in the context of debates about the nature of ‘vulnerability’ and its usefulness as a defining concept in law and social policy. It examines the construction of ‘adults at risk’ in ASP policy, using a comparison with the construction of children in Scottish child protection policy, on the one hand, and women in Scottish domestic abuse policy, on the other, to illuminate the nature of the vulnerability that ASP considers itself to be addressing. It then problematises this construction, drawing both on the social model of disability and on an ethic of care. It concludes that current ASP policy remains underpinned by unhelpful assumptions about disabled people, older people and people with mental or physical health problems. A more inclusive understanding of vulnerability would be more empowering to these people and others, in policies concerned with mistreatment and abuse.     

A configurational approach to transnational families: Who and where is one's family in the case of mobile older adults?

This article introduces a novel transnational family configuration (TNFC) approach to study the diversity of family forms across kinship and geographical boundaries. Integrating theoretical insights from family sociology and transnational family research, it examines contemporary families as personal networks that encompass both subjectively identified and potentially transnationally dispersed kin and non-kin members. Drawing on original survey data and in-depth interviews with adults aged 55+ living in Switzerland, it compares migrants’ and non-migrants’ personal family networks. The results indicate that these networks are both diverse and transnational. Although there is a strong correlation between transnationality and migration background, other life-course factors also contribute to the development of transnational family networks beyond the scope of migrant ‘exceptionalism’. By advocating the adoption of a TNFC approach to the study of contemporary families, in diverse population groups and various cultural contexts, this study paves the way for future research in this area.     

Family caregivers’ perceptions of maltreatment of older adults with dementia: findings from the northwest of Spain

Dementia is a neurocognitive disorder that implies a risk factor of maltreatment by family caregivers. In this study, we analyzed both informal caregiver’s perceptions of maltreatment and aspects of the caregiver and caregiving behavior that may be associated with maltreatment. We conducted five focus groups (FGs) in three Spanish cities: Segovia, Soria and León. The themes that were identified were related to two levels of maltreatment: (a) relational and (b) institutional. At the relational level, we observed the justification of maltreatment of Older Adults with Dementia (OAswD) by family caregivers during the occurrence of behavioral symptoms. At the institutional level, we noted that lack of support from the government was considered a type of maltreatment. These themes suggest that policy issues related to healthcare should be considered.     

Gendered expectations of the biographical and social future: young adults’ approaches to short and long-term thinking

Numerous studies have found that although young adults are arguably less constrained by gendered norms and expectations than previous generations, they have nevertheless continued to imagine their biographical futures in highly gendered ways. In this paper I draw on an analysis of 28 in-depth interviews in which 16 women and 12 men (aged 18–34) were asked to discuss their expectations for both the biographical and social future. The results of this study largely confirm the findings of previous scholarship, with young women often viewing childbearing and caring responsibilities as compulsory, while young men largely viewed these commitments as complementary to their chosen careers. This paper extends existing findings in this area by examining, firstly, whether these perceptions of the biographical future are mirrored in the participants’ views of the long-term, social future, and secondly, what implications such views may have when they are extended into this register. In so doing it ultimately finds that the gender norms that shape young adults’ expectations for their own futures are echoed in their outlooks upon the social future.     

A longitudinal qualitative evaluation of an economic and social empowerment intervention to reduce girls’ vulnerability to HIV in rural Mozambique

PurposeAn intervention including business training and health education was implemented in Mozambique, where girls are at elevated risk for acquiring HIV. As part of a mixed-methods evaluation, we describe perceived effects of the intervention on girls’ sexual behavior and school attendance.MethodsWe conducted 49 in-depth interviews (IDIs) with girl intervention participants (ages 13–19), 24 IDIs with heads of girls’ households, 36 IDIs with influential males identified by girls, and 12 focus group discussions with community members after the intervention ended and one year later.ResultsInformants said the primary intervention benefit was realized when girls had money to stay in or return to school and/or to buy necessities for themselves and their households—reducing their need for transactional or intergenerational sex. However, some girls did not make a profit and some businesses were not sustainable. Sometimes the intervention appeared to be implemented in a way to reinforce inequitable gender norms resulting in some girls feeling shame when they reengaged in risky sex after their businesses failed.ConclusionsEarning money enabled girls to potentially reduce their vulnerability to HIV. We offer recommendations for future multi-sector interventions, including the need to address potential harms in programs serving vulnerable girls.     

Migrants,Refugees and Insecurity. Current Threats to Peace?

Since the early 1980s, international migration has moved beyond humanitarian, economic development, labour market and societal integration concerns, raising complex interactive security implications for governments of migrant sending, receiving and transit countries, as well as for multilateral bodies. This article examines the effects of international migration on varied understandings and perceptions of international security. It discusses why international migration has come to be perceived as a security issue, both in industrialized and developing countries. Questions are raised on the migration-security nexus and the way in which the concepts 'security' and 'migration' are used. The real and perceived impacts of international migration upon national and regional security, both in industrialized and developing countries, are analysed. The policies developed by governments and multilateral agencies since the mid-1980s to mitigate the destabilizing effects of certain kinds of international population movement and human displacement are examined. The conclusions stress the need for the establishment of a comprehensive framework of international cooperation among origin and receiving countries and international organizations to address the destabilizing implications of international migration.     

Does the diurnal cycle of cortisol explain the relationship between physical performance and cognitive function in older adults?

Background

Regular physical activity is a promising strategy to treat and prevent cognitive decline. The mechanisms that mediate these benefits are not fully clear but physical activity is thought to attenuate the harmful effects of chronic psychological stress and hypercortisolism on cognition. However, the circadian pattern of cortisol secretion is complex and it is not known which aspects are most closely associated with increased cognitive function and better physical performance. This is the first study to simultaneously measure cognitive function, the diurnal cycle of salivary cortisol and physical performance in older adults, without cognitive impairment (n?=?30) and with amnestic Mild Cognitive Impairment (aMCI) (n?=?30).

Results

Regression analysis showed that better cognitive function was associated with better physical performance. A greater variance in cortisol levels across the day from morning to evening was associated with better cognitive function and physical performance.

Conclusions

The results support the idea that a more dynamic cortisol secretion pattern is associated with better cognitive function and physical performance even in the presence of cognitive impairment, but our results could not confirm a mediating role in this relationship.

     

Does physical exercise improve perceptual skills and visuospatial attention in older adults? A review

Neuroimaging studies suggest that when the brain ages, more areas are involved to perform a task in order to obtain the same results. This, together with the increase in crystalized intelligence and wisdom, is usually considered as a compensatory strategy. Research has demonstrated that physical activity might also act as a strategy and be one of the main factors that can slow down age-related perceptual and cognitive decline. Research also suggests that different types of physical exercise and sport lead to different changes in perceptual and cognitive skills as well as in several areas of the brain, especially those involving multiple domains, such as exergaming, dance or some sports. This review summarizes the findings of recent studies with older adults investigating the brain and cognitive benefits of different forms of physical exercise. Visuospatial attention, which plays a critical role in our daily lives, especially for older adults, is a central part of this analysis.     

What does being an adult mean? Comparing young people’s and adults’ representations of adulthood

This article aims at exploring the representations young people and adults attribute to the concept of adulthood in order to analyse the effects these ideas have on their reciprocal perception and recognition. In so doing, it draws upon data collected through a grounded theory study, which has been conducted in Italy involving young people and adults in semi-structured qualitative interviews. Data show that an outdated traditional model is still used by both the samples to determine who is an adult and when the adult status is acquired without discussing its validity in front of a changed social scenario. An evaluative function is added to traditional transitional markers of adulthood, which are used by both young people and adults to accuse each other of being ‘not mature enough’. A discrepancy between the shared ideal representations of adulthood and the actual possibility the two generations have to meet those social expectations in their lives emerge. The implications of these results for youth transitions to adulthood are discussed in the light of the high level of intergenerational inequality characterising the Italian context.     

How are George Orwell’s writings a precursor to studies of popular culture?

George Orwell is known as an acclaimed novelist, essayist, documentary writer, and journalist. But Orwell also wrote widely on a number of themes in and around popular culture. However, even though Orwell's writings might be considered as a precursor to some well-known themes in studies of popular culture his contribution to this area still remains relatively unacknowledged by others in the discipline. The aim of this article is simply, therefore, to provide a basis to begin to rethink Orwell’s contribution to contemporary studies of popular culture. It does so by demonstrating some comparable insights into culture and society between those made by Orwell and those found in the work of Bakhtin, Bourdieu, and Deleuze. These insights are also related to four main areas of discussion: debates in contemporary cultural studies about the contested pleasures of popular culture and experiences; the relationship between language and culture; how social class needs to be defined not just economically but also culturally; and how one might escape cultural relativism when writing about popular culture. The article concludes by suggesting that Orwell is a precursor to contemporary studies of popular culture insofar that some of the cultural themes he explores have become established parts of the discipline’s canon.     

Quality of life of older people in Israel: a comparison between older people living at home who are members of a ‘supportive community’ and nursing home residents

The supportive community is a program that was developed in Israel for older people who live at home. The program provides its members with a service package that includes medical and social services, emergency call-button, cultural activities, and a ‘community parent’ who is responsible for the members. Using quantitative method, this study compared the level of quality of life between 55 older people living in their homes who are members of a supportive community (average age = 74.7) and 60 elderly people living in nursing homes (average age = 75.8). As expected, results indicate that quality of life among the older people living at their homes who are members of a supportive community was higher than among the older people living in a nursing home. In addition, the quality of life of married, educated, functionally independent older people in good health and with a good economic situation was higher. Predictor variables of quality of life were: the place of residence, health status, and age. In light of increased life expectancy and the growing need to care for the older population, the practical application of the study focused on a recommendation for the social services to continue the support community development program.