WHEN THE DOCTOR IS A “LADY”: POWER,STATUS AND GENDER IN PHYSICIAN-PATIENT ENCOUNTERS*

An extensive body of research indicates that men interrupt women much more often than the reverse, across a variety of situations. Some conclude that men's interruptions of women in cross-sex conversations constitute an exercise of power and dominance over their conversational partners. To be sure, power is an important facet of many other social relationships, such as those between whites and Blacks, bosses and employees, and—of immediate interest—doctors and patients. Moreover, much of our existing knowledge of sex differences in behavior confounds gender with status. This paper reports results of an exploratory study of interruptions between physicians and patients during actual “visits to the doctor.” Findings based on detailed analyses of videotaped encounters offer empirical support for an asymmetrical view of the physician-patient relationship: physicians interrupt patients disproportionately—except when the doctor is a “lady.” Then, patients interrupt as much or more than physicians, and their interruptions seem to subvert physicians' authority. Discussion focuses on the respective roles of power, status and gender in face-to-face interaction.     

DECOMPOSING TRENDS IN INCOME VOLATILITY: THE “WILD RIDE” AT THE TOP AND BOTTOM

We use 2‐year panels from the Current Population Survey to provide a detailed accounting of family income volatility from 1980 to 2009. Volatility doubled overall, and the increase was most pronounced among the top 1% of the income distribution, but in any given year the level of volatility among the bottom 10% exceeds that of the top. The increased volatility comes from higher instability of head and spouse earnings, other nonlabor income, and from reduced covariance between these income sources with the tax system. This suggests that current tax policy is less effective in mitigating income shocks than previous decades. (JEL J31, I30)     

“WHAT DOES SHE SEE IN HIM?”: THE EFFECT OF SHARING ON THE CHOICE OF SPOUSE

All husbands and wives share in the spoils of marriage. Sharing makes each partner a residual claimant and encourages spouses to provide marital inputs. However, because each spouse is only a partial residual claimant, each may be inclined to provide a "suboptimal" level of marital inputs. The choice of spouse influences the level of distortion, and under some circumstances the efficient mating is between individuals of equal value     

FAMILY THERAPY RESEARCH AND THE “NEW EPISTEMOLOGY”*

Epistemological critiques of the theory and practice of family therapy recently have also been brought to bear on mainstream strategies and methods of research in family therapy. In this paper, it is argued that standard research methods are the only ethically responsible means presently available by which we can assess the efficacy of family therapy. It is also argued that standard research models have already provided data of practical relevance to clinicians, patients and public policy makers and should not be abandoned in haste. Finally, it is argued that there are insufficient grounds for divorce between the “new epistemology” and standard research, since commonplace research designs and methods are far more compatible with systemic thinking than some observers have suggested.     

THE ECONOMIC ROOTS OF THE AMERICAN “ZIGZAG”: KNIVES,FORKS, AND BRITISH MERCANTILISM

Relative prices that prevail at critical times can shape culture in precise ways. Building on the work of the renowned archeologist James Deetz, this essay argues that the difference between Europeans’ and Americans’ use of knives and forks at the dinner table is an artifact of British mercantilism, which inflated the price of tableware in the American colonies and preserved the table fork as a colonial luxury long after it was an ordinary utensil in England. Pressures of conformity at the table have locked in these manners, which persist as an enduring effect of the British Navigation Acts. (JEL A10, D02, F13, N00)     

THE FAMILY CRISIS INTERVENTION LITERATURE: WHAT IS MEANT BY “FAMILY”?*

Family crisis intervention is a rapidly growing area of clinical care in family therapy which lacks clear conceptualization, especially with respect to how “family” fits into crisis intervention theory. This paper integrates recent concepts from the family therapy literature into three views: family as background, family as context, and family as a unit. The family crisis intervention literature (56 publications) is reviewed and categorized according to these three views. Clarity in how “family” is viewed and consistency between theory and practice are examined. Recommendations for improving the conceptualization of “family” in family crisis intervention theory and practice are made.     

WORKING IN “HIGH-TECH”: RESEARCH ISSUES AND OPPORTUNITIES FOR THE INDUSTRIAL SOCIOLOGIST*

This article outlines some issues concerning the organization of work in the new “high technology” industries. High technology industries are defined as industries involved in the manufacture of electronic information processing machinery and related products. Two central tensions are key to understanding work in the new high technology industries. First, a limited reduction in the prevalance of repetitive tasks is counterbalanced by increasing isolation of workers due to semi-automated production processes. This tension may be mediated by intentional efforts on the part of unions and/or management to recreate meaningful work environments. Second, potential empowerment arising from the creation of new job related skills is frequently offset by continuing high unemployment in the broader labor market that is to some extent a result of the very success of high technology production tcchniques. Difficulties in realizing potential aspects of empowerment may be further amplified by large-scale utilization of female and minority labor in high technology industries in the West and Southwest. Research techniques of addressing these issues are also surveyed and evaluated.     

“ZA DUSHA”: AN INTERPRETATION OF FUNERAL PRACTICES IN MACEDONIA*

Anthropologists and sociologists have generally approached an understanding of funeral rituals in terms of their psychological or social consequences. Such functional analyses have typically depended on regarding ritual behaviors as learned reponses that symbolically create or affirm the society's organizational “rules”. An alternative or supplemental approach is the view that ritual behavior, and thus ritual content, results from purposive interactions between individuals determined by their interpretations of the ritual's interactive situation. An elaboration of this view is offered in an examination of funeral practices in the developing city of Skopje in Yugoslav Macedonia where the many commemoratives for the dead typically result in great costs of time, money and effort. Variations and changes in funeral rituals are related to different strategies of adjustment to the city, and, in particular, to the creation and maintenance of relationships within a network of specific others that is essential to urban adaptation. Ritual is also described as providing a means of social boundary maintenance, in addition to the creation of these social networks, thus limiting obligations and claims on resources.     

SCIENTOLOGY “ETHICS”: DEVIANCE,IDENTITY AND SOCIAL CONTROL IN A CULT-LIKE SOCIAL WORLD

Qualitative research at the macrosocial level can be facilitated by examining the more fully articulated social worlds existing within advanced societies. Based on the author's field research, Scientology's structure, culture, and comparability to American capitalist society are discussed and “Ethics,” its institution of social control, is shown to involve a paradigm in which conduct flows from social identity and deviance is defined in terms of a progression of stages of identity loss through reference group confusion. A hypothetical case shows how each stage is treated through specific intervention formula designed to reverse the process. “Ethics” is shown to closely parallel symbolic interactionist theories of deviance. Its differences from symbolic interactionism are ascribed to the inherent contradiction between the individualistic and system-centered orientations permeating American capitalist society.     

YOUNG “STARS” IN ECONOMICS: WHAT THEY DO AND WHERE THEY GO

We construct a data set of job flyouts for junior economists between 2013 and 2018 to investigate three aspects of the market for “stars.” First, what is the background of students who become stars? Second, what type of research does the top of the market demand? Third, where do these students take jobs? Among other results, we show that stars are more likely to be international and male than PhDs overall, that theoretical and semi‐theoretical approaches remain dominant, that American programs both produce the most stars and hire even more, that almost none are hired by the private sector, and that there is a strong shift toward having pre‐PhD full‐time academic research jobs. (JEL A11, A12, A23, J24)     

INTERPRETING THE SOCIOLOGICAL CLASSICS: CAN THERE BE A “TRUE” MEANING OF MEAD?

Many sociologists have tried in vain to find the “true” meaning of the classic works in the discipline. An interactionist perspective suggests that this search is not a valid one for sociologists, especially symbolic interactionists. Although there can be no “true” meaning, some authors use conventions of writing that make their work more or less clear. Using Mead's Mind, Self and Society as an example, we discuss the dimensions of clarity. We then argue that the sociological classics should be read to (I) simulate new theories and research (pragmatic analysis), (2) determine how sociologists have used that classic to support or refute particular theories or perspectives (rhetorical analysis), and (3) provide information about the sociological concerns of the author and his/her contemporaries (historical analysis).     

“I Amn Not a Utistivc on Thje Typ” (“I'm Not Autistic on the Typewriter”)

Facilitated communication involves hand-over-hand or hand-on-forearm support of students as they communicate through pointing at pictures, letters or other objects. Over time, it is expected that the hand and arm support can be faded back. This observational study describes an effort to introduce facilitated communication to 22 students, ranging in age from 3 years 10 months to 21 years, in several US public schools. The students are all labeled autistic and do not speak or speak only with echolalic phrases. The findings include observations of the students communicating with facilitation, language samples, and conversations by the students. The students reveal unexpected literacy and numeracy skills. The appearance of these abilities raises a number of questions concerning prior assumptions about autism, communication, independence and interdependence, and the education of students with and without disabilities.     

“A DIAMOND IS FOREVER” AND OTHER FAIRY TALES: THE RELATIONSHIP BETWEEN WEDDING EXPENSES AND MARRIAGE DURATION

In this study, we evaluate the association between wedding spending and marriage duration using data from a survey of more than 3,000 ever‐married persons in the United States. Controlling for a number of demographic and relationship characteristics, we find evidence that marriage duration is inversely associated with spending on the engagement ring and wedding ceremony. (JEL J12, Z1, D1)     

DO MEN “NEED” A SPOUSE MORE THAN WOMEN?: PERCEPTIONS OF THE IMPORTANCE OF MARRIAGE FOR MEN AND WOMEN

This study examines how important men and women feel marriage is for men and for women. Using data from the National Survey of Families and Households, we find that both men and women feel that men need to be married more than women do. Women are more likely than men to think that both men and women can have satisfying lives without marriage, but they are also more likely to think that only women can have satisfying lives without marriage. Younger, more educated people are less likely to emphasize marriage. On the other hand, religious people and those who are married with children are particularly likely to think that neither men nor women can have satisfying lives without marriage.     

THE TIME LINE AND THE “WHY NOW?” QUESTION: A TECHNIQUE AND RATIONALE FOR THERAPY,TRAINING, ORGANIZATION CONSULTATIONS AND RESEARCH

A method is presented for quickly and graphically clarfying the relationships between life cyle evnts and the onset of probles Its basic from involves laterally organizing events in terms of the points in time at which they ocurred. A structural version-expressed in two formate-elucidates the interaction between nodal events and changes in family/organization structure. The device can both tease out hypotheses and identify directoins for treatment. It addreses the “Why now?” question for therapists and trainees and can provide a normalizing, edifying, and encouraging experience for families. It is also adaptable for research and for use in organizational development and consultation with agencies and businesses.     

“Embodying” dirty work: A review of the literature

This article reviews the growing literature on dirty work, i.e., work that is seen as disgusting or degrading and argues for a more “embodied” understanding of such work. It points to a tendency in the literature to focus on the nature of the task or role and on social and moral dimensions of the work at the expense of its material and embodied aspects. The latter are discussed through three, interrelated themes: “embodied suitability” whereby forms of dirty work are seen as suitable for some “working bodies” and not for others; “staining” which is presented as both a material and a symbolic process; and the role of work practices in both supporting and undermining ideological constructions around the work. The article concludes by arguing for a more comprehensive approach which includes both the material and the symbolic into accounts of such work.     

Measuring Social “Informatization”: A Factor Analytic Approach*

Some scholars have argued that we are witnessing a new social revolution—social “informatization”—that is comparable in scope and impact to that of the Industrial Revolu‐tion of the eighteenth century. Others have argued that it is a much more modest phase in the ongoing development of communication and information‐processing technology. While there are a number of reasons for disagreement about what exactly “informatization” is, and what its impact will be, two are paramount: (1) conceptual imprecision, and (2) issues of measurement. Using factor analysis, this study aims to clarify its conceptualization, and, then, rather than focusing on a single dimension (e.g., technological or economic), it will develop a comprehensive multiple‐indicator measure that captures the economic, technological, and size (stock) dimensions of social informatization. We find that this measure of social informatization strongly correlates with the general level of socioeconomic development. This result implies that social informatization may be a more continuous and cumulative process than a disjunctive or discontinuous “revolution.”