The Alzheimer's Solution: How Today's Care Is Failing Millions and How We Can Do Better,by Kenneth S. Kosick and Ellen Clegg

Abstract

Marital literature has identified partner intimacy and autonomy as important determinants of marital satisfaction. However, little is known about how the balance of intimacy and autonomy affects the success of long term marriages among older couples. The author surveyed 88 men and 92 women in long term stable marriages to examine the effects of partner intimacy and autonomy on marital satisfaction. Multiple regression analyses revealed that intimacy was positively related, and hostile control was negatively related to marital satisfaction. Older respondents rated their partners higher in intimacy than middle aged respondents, and husbands were rated higher in providing autonomy than were wives. Intimacy and avoidance of hostile control were more important than autonomy to long term married couples. Social workers can draw upon a number of approaches to marital therapy that enhance couple intimacy.     

Perceived Power and Physical Violence in Marital Conflict

Relations among perceived marital power, the demand/withdraw interaction pattern, and self-reports of the use of verbal aggression and physical violence were examined in a sample of 42 married couples. Couples completed several self-report questionnaires and discussed two areas of marital dissatisfaction, one identified by the wife and one identified by the husband. These interactions were rated for the use of the demand/withdraw interaction pattern. Regression analyses revealed that lower levels of perceived power by the husbands and higher levels of perceived power by the wives were associated with the use of verbal aggression and violence by husbands and wives, the husband demand/wife withdraw interaction pattern was associated with husband's use of verbal aggression, and the wife demand/husband withdraw pattern was associated with husband's verbal aggression and violence and with wife's violence.     

Depressive Symptoms among Former Spousal Caregivers: Comparing Stressors,Resources, and Circumstances of Caregiving Cessation among Older Husbands and Wives

Little research focuses on the mental health of caregivers (CGs) who stop providing care to their community-dwelling spouse. We examine depressive symptoms of former primary CG spouses who stopped caregiving over a two-year follow-up period when the care recipient (CR): (1) no longer has functional problems; (2) continues having functional problems; or (3) dies. Using data from the Health and Retirement Study (2000–2014), we located 2,370 couples who were both 50+ at baseline and where one partner provided help with ADL and/or IADL limitations but did not do so two years later. OLS regressions stratified by gender indicated that both male and female former spousal CGs whose CR died had significantly more depressive symptoms than those who ceased caregiving when their spouse did or did not still have functional problems. Former wife CGs who were older and whose husbands had more baseline ADLs had fewer follow-up depressive symptoms; wife CGs whose husbands had a nursing home stay had more depressive symptoms. Former husband CGs who had provided longer monthly hours of care had fewer follow-up symptoms. Findings underscore the importance of targeting mental and physical health services to both former caregiving husbands and wives, especially after spousal death.     

The emotional terrain of parenting and marriage: Emotion work and marital satisfaction

This study examines how the division of labor surrounding emotion work relates to the marital satisfaction of husbands and wives. The analysis is performed on data from a random sample of couples with at least one child from a northern city in a western state (N = 96 couples). Results suggest that for both husbands and wives the emotion work received from and performed for their spouse is significantly and positively related to marital satisfaction. Results also suggest that the marital satisfaction of husbands is enhanced when they are involved in performing emotion work for children, but if their levels of emotion work for children begin to approach or exceed that of their wives then their marital satisfaction tends to decline. Implications of the study are discussed.     

Migration and Employment Among the Civilian Spouses of Military Personnel*

Objectives. This article attempts to directly observe the effect of being a tied migrant on the economic status of the civilian husbands and wives of military personnel in order to confirm whether previously observed trailing‐wife effects are consistent with being a tied migrant. Methods. A sample of the civilian husbands of women in the military and the civilian wives of men in the military are drawn from the Public Use Microdata Sample of the 1990 U.S. Census. Ordinal logit models of labor‐market status and tobit models of hours worked are estimated, which include a migrant status variable. Results. Migration is associated with a 10 percent decline in employment among all civilian wives and a four‐hour decline in hours worked per week among civilian wives who remain employed. Migration is associated with a statistically insignificant but very similar 6 percent drop in employment among all civilian men and a five‐hour decline in hours worked per week among civilian men who remain employed. Conclusions. The results provide solid evidence that being a tied migrant, irrespective of gender, is disruptive to both labor‐market status and hours worked. Thus, the assumption that wives are harmed because of their disproportionate status as tied migrants is supported.     

The Public Perception of Female and Male Violence in Marital Relationships

Most studies dealing with intimate partner violence (IPV) investigate situations where the man is the aggressor. The present study examines the participants’ social perception of IPV and the connection between social perception and the severity of the violent act and its justification when carried out by men against women and vice versa. The research is based on a structured, self-reported anonymous questionnaire answered by 240 participants. The questionnaire examined demographic variables, attitudes toward IPV, the severity of the violent act, and its justification. Findings indicate that violent behavior of women is perceived as more justified than that of men and that men’s violent behavior is perceived as more severe by women than by men, but women’s violent behavior is perceived to be equally severe by men and women. The study raises awareness of the lack of gender boundaries in violence and of gender discrimination against males.     

Anticipated and experienced changes in activities after husbands retire

As an element of anticipatory socialization, ability to predict future roles accurately may impact subsequent adaptation. Part of a larger study of retirement and marital quality, this longitudinal research examined husbands' and wives' (n = 61 couples) anticipations of change (more/less/same) in six individual and joint activities following husbands' retirement, and compared them with couples' reported experiences a year after husbands had retired. With the exception of household tasks, continuity in levels of activity from pre-to post-retirement was greater than couples had anticipated. Cross-classification of responses at baseline and Time 2 indicated only modest congruence between anticipated and experienced change in activities. Accuracy of anticipation was not related significantly to retirement satisfaction as hypothesized, but direction of retirement-satisfaction mean scores, especially among wives, suggest that future testing would be warranted.     

Caring for my wife: voices from Malay older husbands in Singapore

This study explores how Malay older husbands giving care to their wives in Singapore respond to these roles through coping strategies and social support. This study uses in-depth interviews with five Malay older husbands whose wives are homebound because of dementia and kidney problems. Key findings suggest that husbands report low caregiver burden or strain. However, all the participants report that they do not take time off from their caregiving roles because they have no other immediate sources of support. Services relieving their caregiving responsibilities would be helpful to reduce stress and prevent future burnout.     

Anticipated and Experienced Changes in Activities After Husbands Retire

Abstract

As an element of anticipatory socialization, ability to predict future roles accurately may impact subsequent adaptation. Part of a larger study of retirement and marital quality, this longitudinal research examined husbands' and wives' (n = 61 couples) anticipations of change (more/less/same) in six individual and joint activities following husbands' retirement, and compared them with couples' reported experiences a year after husbands had retired. With the exception of household tasks, continuity in levels of activity from pre- to post-retirement was greater than couples had anticipated. Cross-classification of responses at baseline and Time 2 indicated only modest congruence between anticipated and experienced change in activities. Accuracy of anticipation was not related significantly to retirement satisfaction as hypothesized, but direction of retirement-satisfaction mean scores, especially among wives, suggest that future testing would be warranted.     

The Attitude of Husbands to Working Wives

This study examines the attitude of 256 men whose wives had been surveyed in relation to their workforce experience. Husbands with working wives and non-working wives were surveyed, and their different responses analysed. Variables which could affect responses, such as ages of children, full-time or part-time work, and impact on husbands' own jobs were all considered. In this survey, it was found that neither the level of education of the husband, nor his age were statistically significant indicators of his attitude towards working women.     

Social Policy for Poor Rural People in Colombia: Reinforcing Traditional Gender Roles and Identities?

This article provides a 'situated' gender analysis of the Colombian conditional cash transfer programme, Familias en Acción, offering empirical evidence from a specific rural setting. This 'located' approach shows that generalizations about gender implications of conditional cash transfer programmes in Latin America do not always fit neatly with realities. The article shows how the implementation of these programmes in a specific rural context, the municipality of Paipa, reflects a reinforcement of traditional gender allocations and responsibilities. At the same time, the local authorities, official workers and the mothers adapt the social programmes to recent gender trends. For example, men may carry out some domestic activities single-handedly, take care of children without their wives, women may leave men, and women and men may work together in off-farm activities, with husbands and wives taking joint decisions about domestic issues. In other words, the gender effects of the Familias en Acción programme in rural settings currently move between old gender customs and practices and changeable gender conditions. In Latin-American terms, it is possible to say that these conditions range between 'machismo' and 'feminist liberalization'.     

Just like a ‘modern’ wife? Concubines on the public stage in early Republican China

Whilst scholars have highlighted a variety of women who became active in the public arena in early Republican China (1912–28), little attention has been given to concubines. Beyond reformers’ social and legal efforts to abolish the custom of concubinage, we know little about the public activities of concubines and social reactions to them. This article investigates how, under the influence of the Western practice of wives accompanying their official husbands for formal functions, Chinese officials were obliged to bring their wives out of domestic seclusion to appear with them in public. Many wives, however, did not feel comfortable doing so. Consequently, a unique opportunity opened up for the concubines of Chinese officials to play the role of a ‘modern’ wife on various social and diplomatic occasions both domestic and abroad, which brought an unprecedented degree of visibility and respectability to a category of women of traditionally low-status origin. Nevertheless, these women suffered and endured discrimination and stigmatization for a variety of reasons. Their public presence was full of tensions and contradictions, which reveal the social reality of a China caught between the legacies of custom and tradition and new ideals of gender and nation inspired by Western definitions of modernity.     

Why do young women marry old men?

This paper presents an overlapping generations household model with positive assortative matching (richer individuals marry richer partners), incomplete information about partner’s type (it takes time to reveal income-earning capabilities of individuals) and a gender pay gap on the labor market (men are more likely to end up with a high-paying job). In equilibrium, a gender pay gap creates an excess supply of desirable husbands and women marry early to increase their chance of being matched with an ideal partner, which results in a gender age gap on the marriage market. A modified model with asymmetric information yields a similar result. An extended model where individuals have an option to remain single (the marriage market does not necessarily clear in equilibrium) yields a similar result as well.     

How Appreciated Do Wives Feel for the Housework They Do?*

Objective. Sense of appreciation for the work one does contributes to subjective well‐being and relational satisfaction, but few studies examine the factors that may affect levels of recognition for household labor. We formulate and test hypotheses based on the effort‐reward imbalance model in occupational health research to investigate the extent to which married women feel that the work they do around the house is appreciated. Methods. We use data from a sample of married women from the 1987–1988 National Survey of Families and Households to test these hypotheses. Results. We find that wives' absolute time spent in housework and the share they do are both important in shaping their perception of appreciation for housework. Women who hold relatively liberal attitudes toward gender roles and those who have more options outside marriage are less likely to feel appreciated. Finally, wives who often share time with their husbands tend to report higher levels of gratitude for their work at home than those who do so rarely. Conclusions. This study suggests that the literature on psychological and relational outcomes of household labor should go beyond amounts and divisions of housework to include beliefs about roles, couples' dependency, and their relationship.     

20世纪50年代的妇女解放和男女义务平等：中国城市夫妻的经历与感受

毛泽东时代的妇女解放和男女平等实践在中外学术界引起很大争 议。一方面人们看到共产党运用法律、行政和舆论手段以确保妇女与 男子享有平等的权利和机会,大大缩小了妇女在婚姻、就业和受教育程 度等方面与男子的差距;另一方面也指出上述方面持续存在的种种不 平等以及平等措施后面隐藏的事实上的不平等。1令学者困惑的是,20 世纪50年代,男女在婚姻、就业和受教育程度等差距最大,但是中国妇 女,尤其是城市妇女对妇女解放的认同感却最强(Croll,1995;Rofel,     

Social policy and family relations: Choices for change

This article examines the relationship between social security policies and the trend toward greater equality in family life. The declining birth rate and increasing labour-force participation of women, among other factors, have altered the traditional division of labour in family life on which many social security policies were originally predicated. As the traditional guidelines dissolve, two schools of feminist thought suggest alternative ways that husbands and wives should divide their labour to fulfil domestic responsibilities. These perspectives on gender equality in family life are analysed in terms of their implications for social security policies. The merits of these approaches to policy are assessed in light of their impact on social choice, independence, self-realization, and family stability.     

Identity and Gender Roles of Orthodox Jewish Women

Abstract

The purpose of this study is to examine how ultra-Orthodox women's unique religious beliefs and values affect their gender roles and everyday life. The ultra-Orthodox community is one of several sub-groups within the Orthodox community that, overall, has a range of attitudes towards the women's roles. To date, little research has been conducted with this community. This study, therefore, aims to examine these women's roles as mothers, wives and community members, and to discuss the implications of those roles for clinical practice.     

On gender role violations and judgments made about euthanasia: a research note

The impact of perceived gender role violations on the willingness of evaluators to label a deadly act to "end suffering" as euthanasia was explored in two studies. It was predicted that "killing" (even mercy killing) would be perceived as more role contradictory for a female actor than for a male actor. Therefore, it was expected that the deadly actions of a female actor would be judged as less justified (i.e., less likely to be labeled as euthanasia) than the same action committed by a male actor. A total of 486 undergraduates participated in one of two studies. It was found that although perceptions of justification for a deadly act were clearly influenced by whether or not the method of action taken was direct and proactive (commission) vs. indirect and passive (omission), the gender of the actor did not impact differently on the judgments of the participants. Possible explanations and future research directions are discussed.     

Full Responsibility with Partial Citizenship: Immigrant Wives in Taiwan

The interrelationship between increased ageing and declining fertility is facing many developed countries with challenges, risks and policy debates around care, reproduction and women's rights. This article demonstrates the special case of cross‐border marriages and the lives of immigrant wives in Taiwan, with a view to identifying their social needs and hence their prospects for social inclusion. It considers the extent to which these immigrant wives have managed to fulfil the dreams of their own native families and/or satisfy the reproductive demands of their ‘in‐law’ families. Issues of women's social and reproductive role, gender discrimination and the unfulfilled rights and ‘partial citizenship’ of immigrant wives are discussed. The author argues that immigrant wives carry full responsibility but possess only partial citizenship. The ideology of the spousal sponsorship regime, which makes the application for naturalization extremely difficult, not only increases the vulnerability of immigrant women but violates their human rights.