Searching for self in a world of labels

Searching for Self is a performance poetry piece that demonstrates the difficulties of identity construction in contemporary life. The author challenges the ‘self’ and ‘other’ dichotomy, and in so doing she attempts to reduce the distance between the ‘client’ and ‘expert’; the researcher and researched; the service provider and service user; and theory and practice. The poems are linked to the authors’ experiences of being labeled with a disability.     

AN EGALITARIAN SYSTEM BREEDS GENEROSITY: THE IMPACT OF REDISTRIBUTION PROCEDURES ON PRO‐SOCIAL BEHAVIOR

In a meritocratic system, people are compensated on the basis of their individual ability, whereas in an egalitarian system people are equally compensated. Essentially, in the latter system high performers are taxed and subsidize underperformers. Would differences in income redistribution procedures affect people's pro‐social behavior? In experiments, we found that people are more generous toward strangers in an egalitarian treatment than in a meritocratic treatment. Interestingly, being taxed does not reduce the generosity of high performers, whereas being subsidized significantly increases the generosity of low performers. (JEL C91, D63, D64)     

Nationalism,gender and sexuality in the autobiographical writing of two Afrikaner women

This article makes the point that autobiography, a genre often considered marginal to the literary canon, can be regarded as a site for examining the impact of nationalism on the construction of gendered and sexual identity. It investigates questions of nationalism, gender and sexuality in the autobiographical texts of Petronella van Heerden and Elsa Joubert. Petronella van Heerden (1887–1975) became the first Afrikaner woman to qualify as a medical doctor and published two short autobiographical texts, Kerssnuitsels (‘Candle Snuffings’) and Die sestiende koppie (‘the Sixteenth Cup’), in the early 1960s. Elsa Joubert (1922–) established herself as one of the most important novelists in Afrikaans literature and published the first part of her autobiography, titled ’n Wonderlike geweld (‘A Wonderful Violence’), in 2005. The article argues that van Heerden’s omission of overt references to her lesbianism can be attributed to the strong, though embattled, position of Afrikaner nationalism at the time her texts were published. With regard to Joubert’s autobiography, the article makes the point that the text demonstrates the erotic appeal of the nationalist spectacle, constituted by events surrounding the Second Trek in 1938.     

Making and Treating Trans Problems: The Ontological Politics of Clinical Practices

This essay investigates a divergence between medical and autobiographical accounts of transexuality. By analyzing a letter to the editor in the journal Aesthetic Plastic Surgery that defends trans patients as a “special case” (Selvaggi and Giordano, 2014), I examine how medicine produces trans patients as a separate category of patients. The differential treatment paths of trans and nontrans people who pursue “gender-enhancing” medical interventions demonstrate a double standard that undermines claims to act in the best interest of the patient. Using the evidence of trans men’s accounts of themselves as well as research into the experiences of trans people from across the United Kingdom, Australia, and North America, I critique the medical management of transexuality and call on clinicians to rethink the treatment practices of trans medicine.     

Discourse marker ‘oh’ as a means for realizing the identity potential of constructed dialogue in interaction1

This research explores how discourse marker oh works with constructed dialogue (quoted speech), identifying a use of oh not discussed in previous research in which it can serve to signal speaker stance towards quoted material. While both discourse markers and constructed dialogue have been widely discussed as identity resources in the discourse analytic and interactional‐sociolinguistic tradition, there has been little work considering how these linguistic features may work together. In this paper, I address this gap by illustrating how Bakhtin's (1984) notions of uni‐directional and vari‐directional double voicing articulate with information display and evaluation functions of oh identified by Schiffrin (1987) , suggesting that oh (when occurring as a preface to constructed dialogue), works both to display and evaluate quoted material for the purposes of identity construction in interaction. Such uses of this discourse marker provide illustration of how footing works together with related concepts of evaluation, positioning, and alignment as part of a process of stancetaking in interaction ( Du Bois 2007 ). Examples are taken from ethnographic interviews collected as part of a larger study of the linguistic style of a community of improv performers in Washington, D.C. focusing primarily on examples contributed by one speaker, Josh.     

A conversation on madness: Foucault and Ripa

Written as a fictitious dialogue between two of this generation’s most prolific social theorists, this unique analysis explores the similarities and divergences of Michel Foucault’s and Yannick Ripa’s scholarship on madness. During an imagined meeting at a local café, a spirited dialogue emerges addressing mutual agreement and unwavering criticism of each author’s perspective of how madness was constructed and managed throughout the classical and Victorian eras. Ripa’s primary motive is to challenge Foucault for ignoring the feminine critique within his over-arching theories of social and patriarchal systems of control. On the other hand, Foucault’s vested interest is to explore Ripa’s narrowed historical scope that he feels was essentially built upon his own scholarship without acknowledgement. Drawing upon a comparative study of Foucault’s History of Madness and Ripa’s Women and Madness, the two theorists engage in a revealing conversation about aspects of political economy, shifting roles of religious ideology, gender effects, the social construction of insanity, and the historical methods of incarceration.     

Physician’s Listening and Adherence to Medical Recommendations among Persons with Diabetes

Every year, millions of people die of diabetes-related complications. Despite this risk, patients’ nonadherence to lifesaving medical recommendations remains a persistent crisis. One factor that could increase adherence is the formation of an alliance with the medical staff. This alliance, in turn, may increase when the patient perceives that the health care staff is willing to listen. To test this model, we asked people with diabetes, N = 76, to report (a) perceptions of listening by their nurse and physician, (b) their working alliance with the medical-staff members, and (c) several indicators of adherence with medical recommendations. The results suggested that listening is highly correlated with working alliance, r = .84, both with the nurse and the physician. Furthermore, both listening by the physician, r = .27, and alliance with the physician, r = .44, were associated with medication adherence. Listening by the physician, and alliance with the physician were not associated with adherence to life-style recommendations, but hinted at possible associations with glycemic control, r’s = .19, and .22, respectively. Our findings suggest that listening is an important facet of a working alliance, which in turn appears to positively affect the health of patients with diabetes.     

Interpellation in the late Soviet period: contesting the de-ideologization narrative

Most literature on ideology in the late Soviet period notes the progressive de-ideologization of Communist Party of the Soviet Union (CPSU) politics under Mikhail Gorbachev. Looking specifically at the legitimating functions of ideology, the article contests this generalization. In doing so, it proposes the concept of ideological interpellation to clarify the relationship between doctrine and regime legitimation. The author argues that interpellation – the construction of the ideal Soviet subject, in a way that sustained the relations of domination and production – was a consistent goal throughout the last decade of communist rule. However, while the party approached interpellation in different ways, it was unable to resolve official ideology’s rigidity and narrowness of appeal. These conclusions are supported by a discourse analysis of the 26th, 27th, and 28th CPSU congress proceedings.     

Voice,place and genre in popular song performance1

Earlier sociolinguistic studies have conceptualised popular song as a field of phonological variation where singers do or do not maintain features of their national or regional accents in singing. The present paper explores a wider agenda for the sociolinguistics of popular song, theorised as a diverse field of performance organised according to genre. Following initiatives in the sociology of popular music (particularly Simon Frith's research), voice is interpreted as the repertoire of meaning‐making options available to performers. Voice subsumes dialect indexicality, but also the management of singer identity and singer‐audience relations through the performance of lyrics, rhythmic and bodily modalities. Place is understood as the specific socio‐cultural contexts that are explicitly or implicitly voiced, including contexts of performance and reception. By performing within or against generically structured stylistic norms, performers construct and disseminate different vernacular values and identities. Live tracks from three different, broadly‐defined genres are considered in detail – classic rock and roll (Chuck Berry's Maybellene), folk/country (James Taylor's Copperline), and punk rock (the Sex Pistols’Johnny B. Goode).     

Medical decision-making: Whose values?

Abstract

Bioethical debates contribute to discussions about the direction of healthcare funding as we enter the twenty - first century. The funding of healthcare is debated by economists, bioethicists and clinicians. Because of their practice experience and knowledge base social workers are also well-placed to contribute to such issues. The debate has taken place at the ‘macro’ rather than the ‘micro’ level. Yet many ethical decisions about healthcare are made at the patient's bedside. Are they procedural or clinical decisions? Are decisions made for a group or class of patient or on an individual basis? Answers for these questions are sought in a study of medical decision-making for head-injured patients admitted to the Intensive Care Unit of a major teaching hospital.

This paper attempts to draw out ethical principles which are part of medical decision-making. The notion of contextual ethics is likened to the ecological approach of Carel Germain which provides a useful framework for ethnomethodological research.     

Enablers and barriers affecting medication-taking behaviour in aging men with benign prostatic hyperplasia

Abstract

Objectives: To identify the enablers and barriers affecting medication-taking behaviour in aging men with benign prostatic hyperplasia.

Methods: A total of 40 patients attending the urology outpatient clinic in Melbourne in 2012 were screened. Patients who successfully met the inclusion criteria were interviewed using a structured interview schedule. Information regarding the patient’s medication, demographic data and presence of co-morbidities was collected. Content analysis was compared with patient demographic and medical data, contributing to the analysis.

Results: Problems with medication-taking were reported in 58% of patients. All patients without co-morbidities reported issues regarding their medications, whereas only 27% of patients with co-morbidities reported concerns regarding their medications. Statistical analysis revealed that patients without co-morbidities were significantly more likely (p?=?0.002) to have complaints with their medications compared to those with co-morbidities. Furthermore, patients with co-morbidities who required help of caregivers to assist with their medication-taking were significantly less likely (p?=?0.05) to have complaints with their medications compared to patients who self-managed.

Conclusions: Older patients with caregivers who assisted managing their medication-taking had better adherence. Those receiving aid from their caregivers were significantly less likely to have complaints regarding their medications as opposed to those not requiring a caregiver. This highlights the importance of having support for medication-taking in patients with co-morbidities to assist with better adherence.     

HIV/AIDS stigma manifestations during clinical interactions with MSM in Puerto Rico

HIV/AIDS stigma can have detrimental effects on physician/patient interactions when manifested by health professionals. Unfortunately, HIV/AIDS stigma is usually manifested in an intersectional manner with other preexisting stigmas, including stigma toward men who have sex with men (MSM). Therefore, our study aimed to examine the behavioral manifestations of HIV/AIDS stigma among physicians in training during simulated clinical interactions with MSM, and explore the interrelation between HIV/AIDS stigma attitudes and behaviors. We implemented an experimental design using Standardized Patient simulations with a sample of 100 physicians in training in Puerto Rico. Results show a significant difference in the two groups’ means (p?<?.001), with a higher number of stigma behaviors in the HIV MSM patient condition (M?=?6.39) than the common cold control condition (M?=?5.20). Results evidence that stigma manifestations toward MSM with HIV may continue to be an obstacle for public health in Puerto Rico, and that medical training to prevent stigma is still needed.     

Foucault,plague, Defoe

For Foucault, the experience of plague is a vital moment in the development of new techniques of power and ways of thinking about the social world. Plague compels city or state authorities to take extreme measures to control disease. Quarantine, of the home, the city, and the nation forces assessments of issues of state power, individual liberty and medical knowledge. The most important study of plague during this period was provided by Daniel Defoe’s (1722 Defoe, Daniel. 1722. Due preparations for the plague as well for soul as body London [Google Scholar]) A journal of the plague year. Defoe’s narrative style blurred the line between ‘fact’ and ‘fiction’, an authorial strategy similar to Foucault’s. If quarantine marks the turn towards disciplinary power and knowledge in the seventeenth and eighteenth centuries, then its failure to check the cholera epidemic of 1832 signalled the shift toward ‘biopower’, the assumption by the state of pastoral as well as disciplinary roles to public health. The state’s new role in preserving or improving the health of the population relied upon the steady accumulation of detailed empirical data. The administrator gradually displaced the author as the chronicler of disease, health and normality.     

More than half of the men in a Swedish population of men aged 55, 65 and 75 believe in ‘a male climacteric’

Aim.?Symptoms of late-onset hypogonadism (LOH) are often unspecific, and the existence of a male climacteric has been much debated. In this study, we investigate aging men's thoughts about, and beliefs, in a ‘male climacteric’.

Methods.?A questionnaire was developed including background demographic data, symptoms possibly related to LOH and questions about men's thoughts and beliefs in a ‘male climacteric’. All men, 55-, 65- and 75-years old, living in Linkoping, Sweden (n?=?1885) received the questionnaire.

Results.?One thousand three hundred fifty-six (72%) questionnaires were eligible for evaluation, 65.4% of the responders had heard of a ‘male climacteric’, and 42.2% believed it existed but only 3% had sought medical advice for these symptoms. More than half believed that a ‘male climacteric’ was related to decreased libido and less strong erections. Almost half of the men thought that decreased memory and/or dystymia and anxiousness were related to a male climacteric.

Conclusions.?The majority of men have heard of a male climacteric, but only a minority had consulted a practitioner about their symptoms. More information and knowledge are needed, for the general population to better motivate men to seek medical advice and also for the health care professionals to better deal with the symptoms of LOH.     

Group Career Construction Counseling: A Mixed‐Methods Intervention Study With High School Students

This study investigated the value of group career construction counseling in a high school context. The author used purposive sampling to select participants who had sought career counseling. A mixed‐methods intervention study design was also used. Participants (N = 57) completed the Career Adapt‐Abilities Scale–South Africa (CAAS‐SA) before the 1st and after the 2nd intervention. The Career Interest Profile and the Maree Career Matrix were used to facilitate the intervention, and the CAAS‐SA was used to test the research hypotheses. The findings revealed that the boys’ and the girls’ career adaptability had improved meaningfully on all of the CAAS‐SA subscales. No gender‐based differences were found. However, differences were detected between both the boys’ and the girls’ pre‐ and posttest Control and Confidence subscale scores. The findings demonstrate the value of career construction counseling in group settings. More longitudinal research with diverse participants is needed.     

Jessica Joy Cameron,Reconsidering Radical Feminism: Affect and the Politics of Heterosexuality

ABSTRACT

The author reviews Jessica Joy Cameron’s recent book, Reconsidering Radical Feminism: Affect and the Politics of Heterosexuality (2018).     

A Challenge for Social Studies Educators: Teaching about Islam,Jihād,and Shari’ah Law

In this article, the author investigates the controversial curricular and instructional aspects of teaching about Islam in social studies courses. Specifically, the author discusses pedagogically sound approaches to teaching about jihād and Shari’ah law, two of the most important and controversial concepts in Islam that often generate intense debates among scholars, policy-makers, social studies teachers, and the general public. It is crucial that social studies teachers present all of the competing and complex definitions regarding jihād and Shari’ah law; this task is exacerbated by passionate disagreements among Islamic scholars, lawyers, and historians over the true nature of these concepts. Many K–12 textbooks omit or distort the multiple interpretations of jihād and Shari’ah law because of political pressures, space limitations, and efforts to avoid controversies inherent in discussing religion. Thus, many students are confused by competing views and ideological perspectives by experts regarding Islam; this situation is untenable, given the importance of Islam in contemporary American politics and international affairs.     

The ethics of urban and epic Russian fantasy

Moral paradigms are fundamental to most works of fantasy fiction. Two moral standpoints dominate recent Russian fantasy fiction and film: individualism and collectivism. Individualism believes in the superior value of personal experience, whereas collectivism prioritizes the benefit to the group. This article contrasts Sergei Luk'ianenko’s novella “Destiny” (Svoia sud'ba) with Timur Bekmambetov’s film adaptation Night Watch (Nochnoi dozor) to demonstrate that the moral paradigms of individualism and collectivism can be tied respectively to urban and epic subgenres of fantasy fiction. The author demonstrates that an inclination toward individualism in the urban “Destiny” and toward collectivism in the epic Night Watch leads to contrasting representations of alterity in the works. Individualist and collectivist orientations affect how the works comment on the human tendency to discriminate between oneself and others. The author uses examples from “Destiny” and Night Watch to argue that the narrative strategies associated with urban fantasy promote inclusive paradigms of alterity, whereas those associated with epic fantasy tend to advance confrontational mentalities.     

Chamber music and organization theory: some typical organizational phenomena seen under the microscope

In this paper I suggest, on the one hand, that organization theory offers an interpretation of the reality of arts producing organizations and, on the other, that the empirical analysis of these realities can supply new input for organization theory. As a practical example of artistic production I refer to an international chamber music festival. Close inspection of chamber music will reveal characteristics that apply to any type of organization. I begin by looking at the nature of arts management and the arts manager. I go on to analyse the characteristics of the production process in the performing arts, which can be seen as communication taking place on three levels: between audience and performers (concept of ‘prosumer’); within the performing group (‘listening ability’); between the author of the written text and the performer/interpreter (‘concept of value’). I finish by showing how in a symboliccultural framework the features identified in the paper can feed back into organization studies.

Time present and time past Are both perhaps present in time future, and time future contained in time past.

T.S. Eliot, Four Quartets     

Sex and Sexuality in the Shadow of Death: Reflections on the First Two Seasons of Six Feet Under

In this short article, arising out of the context of the author’s participation in an audience research study of spectatorial uses of the moving image, depictions of sex and sexuality in HBO’s Six Feet Under are explored, with particular reference to the way in which the show’s seeming awareness of unconscious processes is deployed in order to make the characters more whole.