When practices, promises, profits, and policies outpace hard evidence: the post-menopausal hormone debate

Currently, there is widespread controversy regarding the risks and benefits of hormone therapy for women over 50. The history of hormone therapy provides an excellent example of how different constituencies with competing objectives can produce health practices and policies of questionable benefit. We examine this history from the perspectives of women who now live longer, expecting higher quality of life throughout their later years, healthcare providers who are influenced by the real and perceived needs of their patients as well as information provided by drug manufacturers, the pharmaceutical industry which seeks to identify and promote drugs that offer the most promise for both patients and shareholders, and medical researchers —including the National Institutes of Health and the Federal Drug Administration .     

Theoretical and Methodological Perspectives on Domestic Violence: Implications for Social Action

Theoretical and methodological paradigms used by researchers and applied workers to conceptualise domestic violence are examined, with particular emphasis on the implications for social action. It is argued that the gender assumptions underlying the theoretical framework adopted are often implicit, unacknowledged, and that when they assume equal power between men and women may do a disservice to female victims. We maintain that the consequence of discrepant approaches of professionals encountering domestic violence is insufficient dialogue between researchers and applied workers, reducing the potential for effective social remedy. Some resolutions of this dilemma are proposed; specifically, these concern the adoption of feminist paradigms, the importance of making victims more visible, and empowering women to overcome violent oppression.     

Marginalized Mothers: Parenting Without a Home

The authors of this study used participatory and interpretive methods to capture the lived experience, strengths, and needs of homeless mothers. The interview data obtained challenge unfounded stereotypes and provide information about women's coping behaviors and resilience. The findings were developed in collaboration with shelter guests and staff and have important implications for public and university policy and shelter programs. For example, researchers need to become more aware of the limitations of current psychological theories and assessment tools designed to measure "effective coping" in disenfranchised individuals. To accomplish this goal, increased collaboration among researchers, activists, policy makers, and homeless families is recommended (e.g., by instituting roundtable discussions as a standard part of shelter programs). It is also suggested that professional staff who work with women living in poverty avoid using deficit-oriented, victim-based models of intervention, and that staff provide women with opportunities to participate in the development of the curriculum for parenting classes.     

Evidence-based intervention and services for high-risk youth: a North American perspective on the challenges of integration for policy, practice and research

This paper explores the cross-national challenges of integrating evidence-based interventions into existing services for high-resource-using children and youth. Using several North American model programme exemplars that have demonstrated efficacy, the paper explores multiple challenges confronting policy-makers, evaluation researchers and practitioners who seek to enhance outcomes for troubled children and youth and improve overall service effectiveness. The paper concludes with practical implications for youth and family professionals, researchers, service agencies and policy–makers, with particular emphasis on possibilities for cross-national collaboration.     

Qualitative Approaches to the Study of Thriving: What Can Be Learned?

Using the data from two ongoing studies of resilience and thriving, one of gay men growing up in heterosexist environments, the other of women living with AIDS, we review how qualitative approaches have enabled researchers to grapple with conceptual, methodological, and ethical dilemmas related to the study of resilience and thriving. We discuss the implications our values as researchers have on determining who is thriving; the powerful social, cultural, and political contexts that must be considered when investigating the effects of and resistance to adversity; and the implications of conceptualizing thriving as a process. Finally, we consider the opportunities opened up by qualitative analysis and suggest some avenues for future research.     

‘Undeserving’ mothers? Practitioners’ experiences working with young mothers in/from care

Although teen pregnancy is on the rise in Canada, and while adolescent mothering in general has received considerable recent attention from researchers, there is a paucity of information about the particular experiences of young women who become mothers while in government care. Emerging out of a study guided by a grounded theory methodology to address this knowledge gap, this paper examines the experiences and perspectives of government‐based social workers who work with young mothers in/from care. Our findings indicated that social workers reflect prevailing middle class values, including norms about ‘good’ and ‘bad’ parenting, and centred around the belief that adolescent pregnancy is, in and of itself, bad. One of the most significant ramifications of workers’ values was their belief about the inevitability of ‘the cycle’: of children in care begetting children who ultimately came into care. Ironically, though workers and young mothers were both preoccupied by the concept of ‘the cycle’, and each were determined to break it, the two groups had very different ideas about what the cycle was all about and what perpetuated it. Unfortunately, this disjunction in perspectives, along with major recent shifts in the direction of child welfare policy and practice and related constraints in the resources at workers’ disposal, conjoined to create significant barriers to what workers and young women both recognized as supportive practice with youth in care.     

Preventing Homelessness due to Domestic Violence: Providing a Safe Space or Closing the Door to New Possibilities?

Domestic violence has been recognized as a major contributory factor to homelessness in the UK and elsewhere, with women more likely to be affected. In the UK and other countries undergoing welfare reform, moves toward 'active citizenship' increase the complexity of the relationship between states and citizens and open up new strategies for both. However, analysts have noted some strategies can create new forms of inequality, including gender-based ones. This article considers the impact of prevention-centred homelessness policy responses to domestic violence, with specific reference to the 'Sanctuary' model. Sanctuary schemes support women facing homelessness due to domestic violence to remain in their current residence, protected against attack from outside the home. Drawing on analysis of the literature and empirical work, we compare the experiences of women who have used traditional forms of support and Sanctuary services. We argue that while the model has the potential to provide greater autonomy to some women in these circumstances, it is not appropriate for all. Increased emphasis on Sanctuary schemes could make it more difficult for women who might prefer to move. We conclude that more attention needs to be paid to addressing the origin of women's homelessness due to domestic violence.     

Physical and Sexual Abuse,Battering, and Substance Abuse

Abstract

Women born before 1945 are the older women of today. Many of these women were subjected to childhood physical and sexual abuse and spouse battering at a time where there were no laws to protect them and few people discussed such subjects. Some of these women became substance abusers or lived with substance abusers. While there are retrospective studies on the experiences of adult women who suffered abuse in the family, little is known about the experiences of women over the age of 60 years.

Similarly, there is information on substance abuse among young and middle-aged women, but very little information on or about older womens' experiences with substance abuse. In this study, we review the literature on abuse and substance abuse. We present three clinical cases of older women who have experienced various forms of abuse and who in turn abuse substances. The cases are analyzed. Assessment, treatment, and evaluation methods for social workers are discussed.     

Understanding Women's Sexualities and Sexual Orientations: An Introduction

Researchers and theorists who attempt to generalize about sexuality and sexual orientation in both men and women simultaneously often take male experiences as the norm and ignore unique aspects of women's lives. The purpose of this issue is to focus attention on scientific research and theory about aspects of women's sexualities, with special emphasis on sexual orientation. A new paradigm is presented that recognizes the great diversity of women's erotic experiences and the many sociocultural factors that shape women's sexuality and sexual orientation across the lifespan. This introductory article highlights major themes and provides a brief summary of the articles in the issue. Four central topics are discussed: (1) the complexnature of women's sexualities and sexual orientations; (2) the importance of historical, social, and cultural contexts for adequately understanding women's sexualities; (3) the development of sexual orientation in women; and (4) implications for research and policy.     

Defamilization/familization measures and women's pension income—The case of Taiwan

This paper examines how defamilization and familization measures can affect women's capacity to accumulate pension income and their subsequent standard of living after retirement. Firstly, it highlights the concepts of defamilization and familization and discusses the potential of these measures in assisting women to save pension income through the “commodification” and “decommodification” of labor. Secondly, it examines the major pension policies and examples of defamilization and familization measures in Taiwan. It shows how the current limited provision of such measures could create “double jeopardy” for women, affecting access to paid employment or resources to enable women who wish to undertake caring responsibilities to do so, ultimately impacting their capacity to accumulate pension income. Thirdly, it suggests ways to strengthen defamilization and familization measures in order to enable women to accumulate sufficient retirement income on the basis of three preconditions: policy attention to the reciprocal relationship between familization/defamilization measures and pension schemes for women; a recognition of differences between women in their preferred strategies to accumulate pension income; and an emphasis on a life course perspective to understand the double jeopardies faced by women in saving for retirement.     

Who Institutionalizes Institutions? The Case of Paternity Establishment in the United States

Objective . Many researchers have cited the importance of institutional legacies to explain why legislators resist transferring tasks from one agency to another but leave undefined exactly what constitutes these legacies. This analysis concretely defines institutional legacies as organized interests who shape the range of options available for programmatic implementation. Methods . Using a pooled, time-series ordered probit model for the U.S. states from 1988 to 1995, this article focuses on the transition from court-based systems to administrative agencies in making paternity determinations. Results . Lawmakers are less likely to move to administrative systems in states where there are family courts, elected judges, and a large number of lawyers organized into the American Bar Association. The presence of women legislators, however, can mitigate these legacy effects and move the process of innovation onward. Conclusions . Institutional legacies are best conceptualized as strong, organized interests who resist relinquishing any part of their authority, even when confronted with more effective ways of achieving policy goals.     

ISSUES AFFECTING WOMEN'S RETIREMENT PLANNING

There has been a steep rise over the past 20 years in the proportion of women who enter the workforce, with a concomitant increase in the number of women who will be retiring in the next 20 years. In the past, the majority of women over 60 have either been supported by their husbands superannuation benefits, or have been dependent on a government pension. This situation is unlikely to continue; it is becoming increasingly essential for women to make provision for their own post-retirement income. However available evidence suggests that women are not effectively planning for their retirement and are increasingly at risk of facing a life of poverty in their old age. This research project examines some of the factors that impact on women's capacity to effectively plan their retirement. In particular, the research explores the attitudes of women to retirement planning, access to information, and external impediments particularly labour market conditions.     

Working with managers to improve services: changes in the role of research in social care

The setting of specific objectives for children's services and the identification of key outcome indicators, together with the development of a core information specification for children's services with its practical application in the implementation of the Integrated Children's System, all mean that substantially more data are now available to child welfare agencies. Not so long ago in the UK it was the role of research teams to collect and analyse such data. Now that so much of it is already available to agencies, are researchers who work in this area of applied social policy research becoming redundant? Using data from the cohorts of looked after children being studied at the Centre for Child and Family Research, Loughborough University, the paper demonstrates how researchers can work in consultation with the managers of child welfare agencies to make better sense of the data at their disposal. It considers three issues: what additional variables need to be explored to help agencies better understand their performance; how groups of children could be identified who follow predictable pathways through social care; and how qualitative information is necessary to gain a true picture of what is happening. All of these examples demonstrate a fundamental role for researchers in working with social services personnel to identify how services can be improved.     

The therapeutic misconception,beneficence, and respect

In order to provide benefits to society, human medical trials must place subjects at risk of harm. This activity is thought to be justified in part by the consent of the subjects involved. But, studies have shown that most such consents are based on a therapeutic misconception (TM); the false belief of subjects that their researchers will act as their personal physicians (seeking their benefit and protecting them from harm), rather than placing them at risk of harm for the good of others. Toleration by researchers of the TM in their subjects is a form of “informational manipulation”; that renders consent procedures disrespectful to subject autonomy. Consent obtained from subjects who labor under a TM is neither voluntary nor informed; as long as they have not been disabused of the TM, the action they take in enrolling in a trial is not the one they intend nor is it autonomously chosen. Changes in consent procedures should be adopted to ensure that all subjects are aware inter alia that (a) the health interests of future patients (as well as the researchers’ and their sponsors’ financial interests) may be more important to researchers than the interest of a subject in his or her health, and (b) normal subjects neither understand nor believe this when told. Close attention to the response of prospective subjects to this information should allow for the exclusion of all but the truly altruistic. However, the result of conscientious implementation of such policies would likely be that human medical research could no longer be conducted on more than a minimal level.     

Microfinance Participation and Women's Decision-Making Power in the Household in Bangladesh

ABSTRACT

This study draws from bargaining theory to examine whether microfinance, a range of financial instruments such as micro-loans to support micro-enterprises, affects women's participation in household decision-making operationalized by whether women play a role in household decisions about large purchases, small purchases, going out to meet friends and family, and health care among a nationally representative sample of 6,150 women between the ages of 15 and 49 years in Bangladesh. Bargaining theory suggests that decision-making in households is conflictual but conflict can be mitigated through bargaining. Central to bargaining power of women is control over resources, assuming that household decision-making involves making economic decisions. Logistic regression analysis was used to test the interaction effect of microfinance and control over resources on decision-making power in the household utilizing the nationally representative Bangladesh Demographic and Health Survey 2011. Results revealed that microfinance participants with control over resources reported higher odds of decision-making power (OR = 4.3, p < 0.05) when compared to microfinance participants without control over resources (OR = 1.22, p < 0.05) but less than women who did not participate in microfinance but had control over resources (OR = 5.2; p < 0.05). In conclusion, control over resources play an important role in bargaining that increases odds of having decision-making power in the household, even for women who do not participate in microfinance. The study findings contribute to both social work practice and research on low-income populations as it allows an understanding of the importance financial access and financial know-how while it sheds light on how precarious women's lives can be as they navigate income-generating financial systems that interfere with gender norms, which may have negative consequences. These findings are particularly important for practitioners working in the area of women's empowerment who would do well to emphasize the need for building financial capability so that women are able to garner control over their own and familial resources, whether or not they participate in empowerment programs like microfinance, which in turn gives women voice and agency. Meanwhile, future researchers are well positioned to examine the kinds of specific skills that best predict increases in women's decision-making power in the household as well how gender dynamics play into the decision-making process.     

Negotiating Partnerships in Research on Poverty With Community-Based Agencies

This article argues that researchers must negotiate true partnerships with poor women, maintain mutual support systems, and build mutual respect, if they are to have success in challenging poverty through research. The experience of establishing partnerships with community-based agencies is discussed and the rationale for including poor women in partnerships is considered in terms of the benefits and the challenges for researchers. Among the critical issues are problems of difference, including ethnicity, social class, and gender and relationships between researchers and participants. These issues are highlighted using two examples. A negative outcome from noncollaboration is represented by the case of an after-school program in an inner-city school. The failure to establish collaboration leads to disappointing results. A successful case is described by the cooperative efforts between researchers and poor women in a program for substance abuse. Several strategies and recommendations are offered in conclusion.     

Strategies for the Study of Individual Development within Naturally-Existing Peer Groups*

The investigation of peer influences on children's development in natural settings rests squarely on appropriate methods to identify those individuals who are influential for a given child. Traditional methods of sociometric ratings or assessments of friendship choices are not intended to identify reciprocal influences in children's peer groups of social interrelationships. In the study of networks within sociology, researchers have focused on the structural properties of children's networks, instead of the psychologically meaningful characteristics of the children who comprise a target child's network. To complement these strategies, a method is presented that can reliably identify those individuals who constitute children's natural peer groups in a setting. This information is used to form composite maps that represent the psychological peer context of a given child. Strategies are outlined for analyzing processes of group selection and socialization among developing individuals and their changing peer contexts.     

Gender and the credit rationing of small businesses

Rapid small business ownership growth rates among women have motivated research on issues related to gender and small business performance. The importance of credit access for the success of small businesses, as well as evidence that women have less access to credit than male business owners, has led researchers to explore the reasons for this. In this paper, we estimate a model of credit rationing by gender of the business owner. Our results are consistent with previous studies that find higher loan denial rates and lower loan application rates among women compared with men. Testing the robustness of the results we find that women seem to be rationing themselves in the credit market rather than being discriminated against by banks. Reasons for this self-rationing behavior are an important topic for further research.     

Academics versus athletics: An examination of the effects of background and socialization on African American male student athletes

It has been stated that popular culture's deluging society with images of African American males as athletes and entertainers is detrimental to the academic and social growth of this group. African American males are over-represented in the sports world, which has recently been attributed to the intentional and intensive socialization of African American into sports. The consequences that have emerged from this phenomena include an over identification with athletic achievement to the detriment of academic achievement. This study addresses the socialization process as an indicator of the overall success or failure of student athletes. This research is a case study of an entire football team at a major Division I University. The research questions were addressed by data collected through a questionnaire designed by the researchers. Several scales, tested for reliability and validity, were utilized to tap the relevant dimensions of the socialization process. Several interesting findings were yielded concerning the parental emphasis on athletics and the effects that emphasis has on academics.     

The therapeutic misconception,beneficence, and respect

In order to provide benefits to society, human medical trials must place subjects at risk of harm. This activity is thought to be justified in part by the consent of the subjects involved. But, studies have shown that most such consents are based on a therapeutic misconception (TM); the false belief of subjects that their researchers will act as their personal physicians (seeking their benefit and protecting them from harm), rather than placing them at risk of harm for the good of others. Toleration by researchers of the TM in their subjects is a form of "informational manipulation" that renders consent procedures disrespectful to subject autonomy. Consent obtained from subjects who labor under a TM is neither voluntary nor informed; as long as they have not been disabused of the TM, the action they take in enrolling in a trial is not the one they intend nor is it autonomously chosen. Changes in consent procedures should be adopted to ensure that all subjects are aware inter alia that (a) the health interests of future patients (as well as the researchers' and their sponsors' financial interests) may be more important to researchers than the interest of a subject in his or her health, and (b) normal subjects neither understand nor believe this when told. Close attention to the response of prospective subjects to this information should allow for the exclusion of all but the truly altruistic. However, the result of conscientious implementation of such policies would likely be that human medical research could no longer be conducted on more than a minimal level.