Abuse of children in day care centres: Characteristics and consequences

While day care sexual abuse cases share features in common with sexual abuse in other settings, many characteristics of abuse in day care settings merit special attention. These factors include the young age of the child victims, the involvement of multiple victims and multiple perpetrators, females as perpetrators, use of extreme threats, severity of the abuse, and in some instances ritualistic activities. Research findings support clinical impressions that children are negatively impacted by sexual abuse in day care. Consequences of abuse in day care include anxiety, excessive fearfulness, behavioural disturbances, sexual acting out and sleep disorders. Parents whose children are abused in day care centres also experience psychological distress with symptom profiles consistent with post-traumatic stress disorder. Abuse of children in day care settings warrants a specialized treatment approach. A major goal of treatment is to decrease symptomatology among all family members.     

TOWARD A SYNTHESIS OF FEMINIST AND DEMOGRAPHIC PERSPECTIVES ON FERTILITY

In explaining fertility and reproduction and emerging patterns of childbearing, both demographers and feminists have centered their thinking on women's status (economic and social), women's changing roles and life experiences (increased labor force participation, increased availability of reproductive options, declining marriage rates in many parts of the industrialized world, and the centrality of women to development), and women as agents in micro- and macrolevel changes in family, fertility, and economic change. Although demography has recently begun to integrate feminist perspectives into fertility explanations, there is not yet a synthesis of feminist theoretical insights with demographic questions. Drawing from recent thinking on global and national political and policy challenges in the less and more developed worlds, to the epistemological shifts in knowledge of reproduction/mothering, to changes in the technologies of reproduction, this article moves toward an integration of feminist and demographic perspectives on fertility.
…far from the economic dependence of women working in the interests of motherhood, it is the steadily acting cause of a pathological maternity and a declining birthrate.
Charlotte Perkins Stetson, Women and Economics , 1899     

Health care futures. Part 2: The future of physician executives? Panel discussion

What is the future of health care in America? This is Part 2 of The Physician Executive panel discussion that explores the future of health care in America. To narrow this ambitious focus somewhat, the future is defined as five to 10 years hence. In Part 1, which was published in the May/June issue, Russell C. Coile, Jr., Barbara LeTourneau, MD, MBA, FACPE, James Reinertsen, MD, Uwe Reinhardt, PhD, Marshall Ruffin, MD, MPH, MBA, FACPE, and David Vogel, MS, shared their opinions about what the future holds in managed care, information technology, and biotechnology. In Part 2, Susan Cejka, Barbara LeTourneau, MD, MBA, FACPE, John Henry Pfifferling, PhD, Uwe Reinhardt, PhD, and James Todd, MD, share their views on the future of medical education and physician executives.     

Contextualizing the Employment Decisions of New Mothers

This paper suggests that the employment behavior and stated preferences of new mothers are not simply a product of choices that individual women make or characteristics that they have. Rather, using qualitative interview data from a sample of new parents, this paper illustrates some of the interactional and institutional contexts in which new mothers' approaches to paid work are embedded, with a particular focus on gender. Among the themes explored are the influence of husbands' preferences on women's decisions, the role of economic processes in structuring parenting arrangements, as well as the prominence of gendered cultural imagery in new parents' accounts about their work and family arrangements.     

Blacks, whites, and attitudes towards abortion

This article examines patterns of black and white support forabortion from 1972 to 1980. The findings reveal that black-whitedifferences are present on the abortion issue. Many of the differencesare due to the different demographic characteristics of blacksand whites and the greater degree of religiosity of blacks.     

The impact of revolution on social welfare in Latin America

Conclusion The foregoing analysis assessed ways that revolutions affected the social welfare of Latin Americans. It compared differences between societies of roughly similar levels of economic development that did and did not have revolutions, revolutions ushered in by different class alliances, revolutions instituting different modes of production, and revolutions occurring in countries differently situated within the world economy. The class transformations in Mexico, Bolivia, Cuba, and Peru gave rise to more egalitarian societies than they displaced, but low income groups in each country gained most during the new regimes' consolidation of power. Subsequently, the interests of the popular sectors were sacrificed to those of middle and upper income groups. The rural masses benefited from revolution mainly in conjunction with agrarian reforms.Agrarian reforms have been promulgated in all the countries under study, but a much larger proportion of the agrarian population and a much larger proportion of the farmland has been redistributed in the four countries that had political upheavals than in the paired countries that did not. Whereas all the land reforms perpetuate minifundismo, recipients of land titles enjoy a modicum of security and the opportunity to appropriate the full product of their labor, which rural wage workers and peasants dependent on usufruct arrangements do not.Examining the countries that have had revolutions shows that peasants and workers do not necessarily benefit most when they participate in the destruction of the old order. Peasants and rural farm laborers gained land where they were disruptive, but in Mexico only after a global Depression weakened the ability of large landowners to resist expropriation. The Peruvian experience demonstrates that rural laborers may benefit even if they are politically quiescent at the time of the extralegal takeover of power, and that they may, under certain conditions, gain benefits sooner after revolutions from above than after revolutions from below. The level of development of the economy and the way the societies have been integrated into the world economy historically limit what Third World revolutions can accomplish, quite independently of how the upheavals originated. The four revolutionary governments adapted land policies to property relations under the anciens régimes, and they reorganized agriculture to profit from trade. Global constraints have also been one factor restricting labor's ability to improve its earning power and influence over the organization of production. Labor did benefit from the upheavals, but as the postrevolutionary governments became concerned with attracting foreign investment and foreign financial assistance, and with improving profits from trade, labor was marginalized. The Mexican-Brazilian comparison, however, suggests that the middle class and the small proportion of workers employed in the oligopolistic sector benefit more and the richest 5% less in societies where civilian groups have been incorporated into the political apparatus as a result of revolution than in equally industrialized societies where they have been excluded, in the absence of revolution.Revolutionary-linked forces may modify the income generating effect of capitalist industrial dynamics, though not to the advantage of the lowest income earners.The dominant mode of production instituted under the new order is the aspect of revolution most affecting patterns of land and income distribution and health care. To the extent that ownership of the economy is socialized the state has direct access to the surplus generated. Although the Cuban state has not consistently allocated the resources it controls to low income groups, because the Castro regime need not provide a favorable investment climate, it can more readily redistribute wealth downward than can the capitalist regimes. It accordingly has also been freer to redesign the health care delivery system in accordance with societal needs rather than business interests and market power. But the Cuban experience suggests that the distributive effects even of socialist revolutions can be limited. Although socialism allows certain allocative options that capitalism does not, the capacity to improve the welfare of Third World people by any revolutionary means is constricted by the weak position of less developed nations within the global economy, by investment-consumption tradeoffs, and by internal political and economic pressures.     

Are sex differences in nonverbal and verbal behavior generalizable to mentally retarded persons?

Sex differences in three communication behaviors consistently found to be more common among females than males — smiling, gazing at one's partner, and sentence complexity — were examined through analysis of interviews with 78 institutionalized mentally retarded adults. While females were significantly more likely than males to smile or laugh, and tended to use longer, more complex sentences, the commonly observed sex difference in gazing failed to generalize to a retarded sample. These findings clarify limits on the generalizability of sex differences beyond college students and other normal populations.This research was partially supported by a grant to the Texas Tech University Research and Training Center in Mental Retardation from the Rehabilitation Services Administration, Department of Health Education, and Welfare.     

The Big Five personality factors and team performance: implications for selecting successful product design teams

In the pursuit of faster product development, product design teams are a growing phenomenon in many organizations. In order to be successful, these teams must be composed of people who work well together. However, despite the benefit of selecting the optimal combination of team members, this topic has received little attention. Personality has been identified as a potentially helpful selection variable in the determination of optimal team composition. This study examines the relationships between the ‘Big Five’ personality factors (Conscientiousness, Extraversion, Neuroticism, Agreeableness, and Openness to Experience) and objective team performance for three-member product design teams. In addition to this, the potential incremental contribution of personality to the variance in team performance over that accounted for by established selection measures such as general cognitive ability was investigated. In the short duration of the study, it became apparent that some teams were capable of success, and some were not. Successful teams were characterized by higher levels of general cognitive ability, higher extraversion, higher agreeableness, and lower neuroticism than their unsuccessful counterparts. In successful teams, the heterogeneity of conscientiousness was negatively related to increments in product performance. Implications for the selection of product design teams and future directions for research are discussed.