An Essential Component in Promoting Sexual Health in Europe is Training in Sexology

ABSTRACT

Training programs for sexologists are core activities to promote higher professional standards in sexology and to educate a new generation of sexologists. The summary information from 25 European countries provides evidence that training in sexology consists today of different models. The existing different national training models in sexology in Europe are: (1) a medical model, (2) a clinical model integrating medical and psychological approaches, (3) separated education in clinical sexology and human sexology, (4) sex therapy model, (5) human sexuality model, and (6) the Nordic human sexology model. This information provides basis for future collaboration between training institutes in Europe.     

Intercultural content and perspectives in school textbooks in Georgia

ABSTRACT

This study used content analysis to explore the way in which primary grade school textbooks in Georgia cover multicultural content. Seventeen primary grade textbooks for all subjects were assessed with Relational Qualitative Content Analysis, which included five subcomponents: (1) ethnocentric approaches; (2) promoting intolerance; (3) stereotyping; (4) classification of different groups (invalid, enemies, others, etc.), and (5) accuracy and scope of information. The research revealed important shortcomings in each of the components mentioned above and makes important suggestions for National Curriculum and school textbook reforms in Georgia     

Factors affecting mosquito populations in created wetlands in urban landscapes

Constructed, created and restored wetlands are gaining popularity in urban areas due to many ecosystem services they provide. However, there is a concern over mosquito breeding in such wetlands. We studied factors affecting mosquito populations in two experimental flow-through created wetlands, a stormwater wetland, a pond and 40 mono-specific and mixed plant mesocosms (1?m²) at the Olentangy River Wetland Research Park (ORWRP) in Columbus, Ohio. The flow-through created wetlands had less mosquito larval density (2 to 4/dip) compared to the pond (36.2?±?8.4/dip) (p?<?0.00001) and stormwater wetland (24.9?±?10.2/dip) (p?=?0.002). Sites with higher larval density in the flow-through wetlands were outflow regions (p?=?0.009) and emergent vegetation sites (p?=?0.023). Mixed vegetation communities consisting of Sparganium eurycarpum, Juncus effusus, and Schoenoplectus tabernaemontani rather than mono specific Typha communities provided most conducive environment for mosquito breeding (p?<?0.0001). Mesocosm plots with steady inflow (10?cm depth) and deep water (20?cm) in summer and shallow water (5?cm) in spring had higher mosquito densities than mesocosm plots with other hydrological conditions. Among water quality parameters, conductivity (p?=?0.004) positively and dissolved oxygen (p?=?0.052) negatively correlated with mosquito larval density. Six mosquito species identified in all water bodies were Culex pipiens, Culex salinarius, Culex restuans, Uranotaenia sapphirina, Anopheles quadrimaculatus, and Anopheles punctipennis some of which may transmit deadly human pathogens. This information will be useful for targeting mosquito populations in specific sections of urban created wetlands and to develop improved designs for urban wetlands.     

Monsters in cyberspace cyberphobia and cultural panic in the information age

This paper explores popular attitudes toward the Internet (and computer-mediated communication more generally) by mapping some of the more threatening, transgressive and 'monstrous' images associated with cyberspace. An account of risk consciousness is developed in three parts: (1) comparisons with earlier information technologies reveals similarities and differences with regard to public attitudes toward cyberspace and its risks; (2) the development of a model of contemporary teratological space derived from images of boundary-dissolving threats, intrusive alterities and existential ambivalences created by the erosion of binary distinctions and hierarchies; and (3) possible historical and sociological explanations of cyberpanic drawing on recent theorizations of globalization (capitalism/information society theory, risk society theory, reflexive modernization theory, and alterity theory).     

Exploring personhood in dining experiences of residents with dementia in long-term care facilities

Despite the shift toward using person-centered approaches in dementia care, the relevance and applicability of the concept “personhood” remains unclear in everyday practice and activities, such as mealtime experience for residents with dementia. Based on a qualitative study, this paper presents emergent themes at mealtimes that support or undermine personhood of twenty residents with dementia in two long-term care facilities. Methods of data collection included conversational interviews with residents with dementia, participant observations, focus groups with staff and examination of available documents. Data analysis identified eight themes: (1) outpacing/relaxed pace, (2) withholding/holding, (3) stimulation, (4) disrespect/respect, (5) invalidation/validation, (6) distancing/connecting, (7) disempowerment/empowerment, and (8) ignoring/inclusion. These findings raised questions about current practice and identified areas for improvement. Although staff approaches seemed to have the greatest impact on residents' experiences, the physical environment and organizational milieu were also responsible for hindering and facilitating staff to provide the best possible care and interaction.     

Size in Residential Service Organizations*

Data from 23 alcoholism halfway houses are analyzed to assess the relationship of four aspects of organizational size to three levels of organizational functioning. As identified by Kimberly (1976), the dimensions of size are (1) personnel, (2) inputs/outputs, (3) physical capacity, and (4) amount of discretionary resources. The three levels of organizational analysis are (1) internal (reflecting social control issues), (2) external (organization-environment relations), and (3) socio-technical (core technology issues). The amount of discretionary resources, followed closely by personnel size, is the dimension of size most relevant to all three aspects of organizational opcrations. Contrary to expectations, input-volume (or number of residential clients) was related negatively both to a more differentiated internal structure and to supportive organization-environment relations. Also unexpected, client-size had little relationship to the programming or staffing aspects of the core technology. Physical capacity (number of client beds) was the least significant aspect of size for this sample of organizations. Additional analyses of size as a multi-dimensional concept and refinement in theories relating size to the structure and operations of residential service organizations are needed.     

Toward Negating Authoritarianism in Appraisals of Performance in Social Work Education

In a national study of admissions practices at the undergraduate level, the author sought to ascertain, (1) degree of program control over admission, (2) time of entry, (3) methods utilized, and (4) anticipated future changes. A majority of programs controlled the screening of all or a portion of their student population. No association of degree of control with public or private sponsorship was noted. Programs with complete control predominantly delayed entry. Methods of admission showed much innovation and use of preadmission field experiences and courses to determine entry, in addition to more traditional approaches.     

Problems of Research in Male Child Sexual Abuse

The focus of the present paper is the main problems found in the study of male child sexual abuse. Aspects of child sexual abuse of males reviewed here include (a) definitions, (b) prevalence rates and under-reporting, (c) effects, (d) possible mechanisms of how sexual abuse affects male victims, (e) gender related risks, (f) types of abuse, (g) perpetrators of abuse, and (h) the victim/perpetrator cycle. We conclude that while much research is urgently required in this area, some tentative conclusions are warranted and some important trends are beginning to emerge for future research directions.     

Artifact in client satisfaction assessment: experience in community mental health settings

Artifact in client satisfaction assessment is discussed and the results of a study of three factors thought to mediate client satisfaction ratings; (a) general life satisfaction, (b) mode of administration, and (c) psychological symptomatology, are reported. A standard client satisfaction questionnaire (CSQ) was modified to yield parallel forms and was administered orally and in writing to 92 clients in two mental health day treatment programs. Satisfaction ratings obtained from these clients were quite similar to out-patient ratings obtained in previous studies conducted in this setting and using the same measures. Oral administration of the CSQ produced 10% higher satisfaction ratings than written administration (p less than .05) and less missing data (p less than .01). Satisfaction ratings were also obtained using a simple graphic instrument. Graphic ratings were comparable to CSQ ratings. Satisfaction with life in general and level of psychiatric symptoms together accounted for 25% of CSQ variance. The implication of these findings for future client satisfaction research is discussed.     

Adolescent Career Development in Urban‐Residing Aboriginal Families in Canada

The purpose of this study was to understand how urban‐residing Aboriginal adolescent–parent dyads (n = 11) jointly constructed and acted on goals and strategies with their social supports (n = 17) to facilitate the adolescents' career development. A modified protocol following the qualitative action‐project method was used. A discrete joint project was identified for each family. These joint projects can be clustered into 3 joint career development projects: (a) navigating toward a safe future, (b) negotiating school continuance, and (c) intergenerational continuity through tradition of care. A 4th project emerging from the data was family survival. Family survival projects supplanted participants' efforts to engage in career development projects.     

Social Work in Academia

Social work has long attempted to gain public recognition and support as a profession and as a “legitimate” university program. Although efforts to improve the image of social work as a profession have been moderately successful, attempts to solve the problems within the university setting are yielding less than satisfactory results. This article carefully considers the dual roles of social work within the university as both an academic discipline and as a profession. Eight criteria are identified that clearly differentiate professional disciplines from academic disciplines. These criteria are presented in an attempt to help identify the problems with which social work educators struggle. Five guiding principles—(1) cooperation, (2) identity, (3) education, (4) leadership, and (5) fact-finding—are offered for consideration as strategies and solutions for developing a plan of action.     

Economic Hardship and Psychological Distress in Custodial Mothers

The present research examined the relationship between economic hardship and post-divorce psychological distress of custodial mothers. Economic hardship was measured in terms of: (1)current income level; (2) drop in income; and (3) negative economic events. Drop in income was further subdivided into (a) actual amount of drop; (b) ratio of income post-to pre-separation; (c) per person ration of income; and (d) ratio of income per person corrected for reduced financial needs. The HSCL (Derogatis, 1974) measured psychological distress, while four items from the Divorce Events Schedule for Adults (Braver et al., 1987) measured negative economic events. The subjects were 77 custodial mothers, recently separated and either divorced or seeking a divorce. Results documented both an increase in psychological suffering relative to a random sampleand substantial economic declines (about 30%). Further, there were significant unique relationships between the HSCL and both drop in income and the experience of negative economic events (but not current income).     

Reassessing Differences in Work and Income in Cohabitation and Marriage

Are cohabiters different than married couples who cohabited before marriage? This study used the 2002 wave of the National Survey of Families and Households to determine how work behavior might differ for 4 relationship types: (a) cohabiters with uncertain marriage plans, (b) cohabiters with definite marriage plans, (c) premarital cohabiters who recently married, and (d) premarital cohabiters married 5 or more years (n = 638). The results are compared with differences found in overall comparisons of all cohabiters and married couples (N = 916) and were markedly different, indicating that overall comparisons do not adequately capture the range of behavior across cohabitation and marriage. Evidence of increased specialization was found in marriage, yet steep behavioral differences were not found between cohabiters with definite marriage plans and recently married couples but instead were associated with longevity in marriage. This implies that any possible causal effect of marriage on behavior may accrue with time spent married.     

Contentious issues in research on trafficked women working in the sex industry: Study design,ethics, and methodology

The trafficking of women and children for work in the globalized sex industry is a global social problem. Quality data is needed to provide a basis for legislation, policy, and programs, but first, numerous research design, ethical, and methodological problems must be addressed. Research design issues in studying women trafficked for sex work (WTSW) include how to (a) develop coalitions to fund and support research, (b) maintain a critical stance on prostitution, and therefore WTSW, (c) use multiple paradigms and methods to accurately reflect WTSW's reality, (d) present the purpose of the study, and (e) protect respondents’ identities. Ethical issues include (a) complications with informed consent procedures, (b) problematic access to WTSW, (c) loss of WTSW to follow‐up, (d) inability to intervene in illegal acts or human rights violations, and (e) the need to maintain trustworthiness as researchers. Methodological issues include (a) constructing representative samples, (b) managing media interest, and (c) handling incriminating materials about law enforcement and immigration.     

Birth Cohort Differences in Sexual Identity Development Milestones Among HIV-Negative Gay and Bisexual Men in the United States

The coming-out process for gay and bisexual men (GBM) involves crossing sexual identity development (SID) milestones: (1) self-awareness of sexual attraction to the same sex, (2) self-acceptance of an identity as gay or bisexual, (3) disclosure of this sexual identity to others, and (4) having sex with someone of the same sex. We examined trends in SID milestones by birth cohort in a 2015 U.S. national sample of GBM (n = 1,023). Birth cohort was independent of when men first felt sexually attracted to someone of the same sex (median age 11 to 12). However, with the exception of age of first same-sex attraction, older cohorts tended to pass other milestones at later ages than younger cohorts. Latent class analysis (LCA) of SID milestone patterns identified three subgroups. The majority (84%) began sexual identity development with same-sex attraction around the onset of puberty (i.e., around age 10) and progressed to self-identification, same-sex sexual activity, and coming out—in that order. The other two classes felt same-sex attraction during teen years (ages 12.5 to 18.0) but achieved the remaining SID milestones later in life. For 13% of men, this was during early adulthood; for 3% of men, this was in middle adulthood. Findings highlight the need to monitor ongoing generational differences in passing SID milestones.     

Ethnic differences in intergenerational solidarity in the Netherlands

Using data from the 2002–2003 Netherlands Kinship Panel Study and the Social Position and Provisions Ethnic Minorities Survey (N = 2833) we describe patterns of intergenerational solidarity among five different ethnic groups in the Netherlands. We compare patterns of normative, associational and functional solidarity between various immigrant groups and the native Dutch, and question how and to what extent behavior is determined by filial norms, socio-demographic position or ethnic background. Results show that immigrant adult children show higher levels of normative (filial obligations) and associational (contact) solidarity. Functional solidarity (providing support) shows a more complex pattern. Immigrants are no more likely to provide counsel or advice than the Dutch but immigrant women are more likely to provide practical support than Dutch women.     

Multivariate methods in rehabilitation

The complexity of relationships between variables in a variety of rehabilitation settings can be appropriately addressed by the use of multivariate methods of statistical analysis. The purpose of this article is to describe (a) some basic concepts and principles of multivariate methods as well as (b) common misconceptions in the application of such methods. Specifically, the authors focus on the use of multivariate analysis of variance (MANOVA) in rehabilitation research and some pitfalls that rehabilitation researchers face when choosing between MANOVA for a set of outcome variables versus separate analyses of variance (ANOVAs) for each outcome variable. Examples of the use of MANOVA in rehabilitation research, as well as references to other multivariate methods, are also provided.     

Field education in crisis: experiences of field education coordinators in Canada

Significant multi-layered challenges with delivering quality practicum experiences to social work students have led field education coordinators to release a joint statement that social work field education in Canada is in a state of crisis. This article presents the results of a two-year mixed methods study that sought to investigate and describe the challenges in order to enhance understanding of the crisis from the perspective of Canadian social work field education coordinators. The results indicate that social work education programs in Canada face four key challenges in regard to field education that can be further divided into two sections: (a) the social work practice field and (b) social work field education administration. The two key challenges associated with the social work practice field are: (a) social work practice contexts and realities and (b) practicum shortages and saturation. The two key challenges associated with social work field education administration are: (a) practicum procurement and field instructor recruitment and retention; and (b) expectations and workloads of field education coordinators. To address these challenges, collaborative development of a multi-level strategy aimed at moving beyond the current state of crisis toward a sustainable model of social work field education in Canada is recommended.     

Contributions of Qualitative Research in Informing HIV/AIDS Interventions Targeting Black MSM in the United States

This article presents a systematic review of qualitative studies focusing on human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) among Black men who have sex with men (BMSM) in the United States. We reviewed studies that were published between 1980 and 2014. Qualitative methods employed in the studies reviewed include in-depth interviews, focus groups, participant observation, and ethnography. We searched several databases (PubMed, PsychINFO, JSTOR, ERIC, Sociological Abstracts, and Google Scholar) for relevant articles using the following broad terms: “Black men” “Black gay/bisexual” or “Black men who have sex with men,” and “qualitative” and/or “ethnography.” We include 70 studies in this review. The key themes observed across studies were (1) heterogeneity, (2) layered stigma and intersectionality, (3) risk behaviors, (4) mental health, (5) resilience, and (6) community engagement. The review suggests that sexual behavior and HIV-status disclosure, sexual risk taking, substance use, and psychological well-being were contextually situated. Interventions occurring at multiple levels and within multiple contexts are needed to reduce stigma within the Black community. Similarly, structural interventions targeting religious groups, schools, and health care systems are needed to improve the health outcomes among BMSM. Community engagement and using community-based participatory research methods may facilitate the development and implementation of culturally appropriate HIV/AIDS interventions targeting BMSM.