The Couples Life Story Approach: A Dyadic Intervention for Dementia

This article describes an approach for working with individuals who have dementia, along with their spouses or partners. The 5-week intervention focuses on helping couples communicate, reminisce about the story of their relationship, find photographs and mementoes from their past, and develop a book that incorporates these mementoes. This clinical approach highlights the strengths and the resilience of couples and adds to the limited repertoire of dyadic interventions for dementia care which are currently available. Preliminary findings from 24 couples are presented, including the intervention's feasibility and acceptability.     

Adolescent males' willingness to report masturbation

This paper compares contemporaneous and retrospective reports of adolescent masturbation experience, partnered sexual behavior, and nonsexual problem behavior. Analyses are based on data from 59 White males who were followed for 3 years in early adolescence and later reinterviewed as young adults. Comparisons of adolescent and adult reports about adolescent behavior indicated that adolescent masturbation, but not coitus and wet dreams, was more likely to be reported in young adulthood than in adolescence, even when confidential reporting techniques were used. In contrast, nonsexual problem behavior occurring during adolescence was more likely to be reported in adolescence than in early adulthood. These findings are consistent with other literature indicating that masturbation is a distinctly sensitive behavior that adolescent respondents may be particularly reluctant to report. These results suggest that adult retrospective reports may more accurately represent adolescent masturbation activity, but may underrepresent adolescent nonsexual problem behavior.     

Men Sexually Interested in Transwomen (MSTW): Gendered Embodiment and the Construction of Sexual Desire

Unreliable self‐reporting of sexual behavior has been suggested as a major cause of variance in survey research. In addition, differing gender‐related biases are thought to account for discrepancies in reports of oral and anal sex. Insufficient attention, however, has been given to assessing the reliability of the sexual partner's reports. Data obtained from 70 couples concerning 68 sexual behaviors was reviewed. Four different reliability indices yielded moderate to substantial agreement. These included a simple percentage criterion of 87%, a Kappa of .67, and conditional probabilities of .77 and.91. Previously reported discrepancies in the reporting of oral and anal sex were not found. Kappa was found to be superior to simple percentage agreement, but produced overly conservative reliability estimates when derived from behaviors that occur at either high or low base‐rates. The two conditional probability indices are proposed for use in conjunction with Kappa to evaluate the reliability of partner data.     

Sexual Prejudice Among Barbadian University Students

The level of sexual prejudice on university campuses has implications for the health and well-being of gay and lesbian students, and research on sexual prejudice in the Eastern Caribbean is extremely limited. This study assesses the individual attitudes of 251 Barbadian students toward lesbian and gay people using two psychometric inventories. It also examines differences in attitudes as a function of demographic variables including gender, religiosity, and personal acquaintance with lesbian or gay people. The Barbadian students evidenced diverse attitudes, with the average student displaying a moderate amount of sexual prejudice toward lesbian and gay people. Religiosity predicted more negative attitudes toward both lesbians and gay men. Being male predicted more sexual prejudice against gay men, but not against lesbians. Finally, personal acquaintance with a gay or lesbian person did not have a statistically significant relationship with sexual prejudice. This study is among the first of its kind and may serve as a guide to other researchers seeking to further explore attitudes toward lesbian and gay people among Eastern Caribbean students or among Barbadians in general.     

Jabotinsky and Ukrainian nationalism: A reinterpretation

Israel Kleiner, From Nationalism to Universalism: Vladimir Ze'ev Jabotinsky and the Ukrainian Question (Edmonton and Toronto: Canadian Institute of Ukrainian Studies Press, 2000). 199pp. Foreword by Wolf Moskovich. Bibliography. Index. ISBN 1–895571–33–2 (paper)     

Report on a workshop on early South Sulawesi, 18-19 August, 2000

In this article, I explore the new forms of people's mobility in the borderlands of the upper Mekong, where China meets Myanmar and Laos. In particular, I examine a way in which returned exiles, restoring their senses of place, focused on their life stories after returning to their motherland in southwest China. Ethnographically, I investigate a Thai restaurant run by a returned exile family and the daily activities in and through this social space, read as ‘a transnational place’. Situating these returned exiles, the Chinese Dai minority, as members of the Tai-speaking peoples of the upper Mekong, who have dispersed across the national borders of China, Myanmar, Laos and Thailand, I show that transnational mobility and connectivity, old and new, can be utilised by them to mobilise themselves into the contexts of modernisation, dislocation and regionalisation, re-emplacing their homeland, making their locality visible and sensible.     

The Oil Depletion Protocol: A Response to Peak Oil

ABSTRACT

After the two-fold crises of the liberal world order in the first decade of the twenty-first century, including the debacle of the Global War on Terror and the global financial crisis around 2008, we are witnessing a combined crisis of US hegemony and the transnational moment, along with the explosion of populism across the Atlantic world. In this context, this research not only analyses how the United States has designed and maintained the liberal interstate order and globalization but also the way the hegemon proactively starts to destroy its cross-national project today. Therefore, I aim to fathom the future of globalization by interrogating the current US state's key strategies that express America's changing national identity and self-role conception under shifting structural imperatives from unipolarity to the emerging multipolar world.     

Textual accounts,ruling action: the intersection of knowledge and power in the routine conduct of community nursing work

This paper reflects critically on nursing knowledge-based action, its increasingly scientific and text-based manifestations, and the relevance of these practices for power and powerlessness in nursing. Smith's concept of text-mediated relations of ruling (1990. 1999) provides the analytic frame to investigate how nursing case managers articulate public health services and home support for people with disabilities to specific policies, including fiscal policy. An institutional ethnography shows how a nurse's routine text-mediated assessment and exercise of professional judgement establishes a ruling relation with a client (against her intention), as he is “written up” in organizational texts. The analysis of assessment texts spells out how a local perspective is subdued to the ruling discourse. A general argument is made on the basis of this analysis: nurses participate in ruling through the textualization of their knowledge and in the process it dominates their knowing and acting. An ideological construction of nursing knowledge results. The paper suggests what this means for the profession, nurses themselves, and their clients.     

The Use of Computerized Self-Help Packages to Treat Adolescent Depression and Anxiety

Despite the efficacy of cognitive-behavioral therapy (CBT) in treating adolescent anxiety, few sufferers seek treatment. Barriers to accessing psychologists include a shortage of skilled therapists, long waiting lists, and affordability. The Internet is a medium possibly able to address issues of accessibility and affordability. This study aimed to assess the efficacy of online therapy in the treatment and prevention of adolescent anxiety and depression. Participants (N = 38) were randomly allocated to one of four conditions: online CBT, face-to-face CBT, combined face-to-face/online CBT, and control. Combined face-to-face/online CBT is more effective in treating symptoms of depression and anxiety compared to stand-alone online or face-to-face therapy. The present study suggests that for those who are unable to access face-to-face therapy, computerized therapy may be a viable option. This is an important finding, especially in light of current capacity to treat and accessibility problems faced in the treatment of adolescent depression and anxiety.     

International Perspectives on the Use of Community Treatment Orders: Implications for Mental Health Social Workers

Substantial changes to mental health law and policy have occurredthroughout the Western world during the last decade. The drifttowards control, particularly in the form of Community TreatmentOrders (CTOs), has profound implications for the role of mentalhealth social workers, yet this issue is rarely discussed inacademic literature. This paper seeks to redress this gap inknowledge by examining aspects of law, policy and practice usingthree case studies: Victoria, Australia; Ontario, Canada; andregions of the UK. The paper begins by critically reviewingselected literature on CTOs, revealing competing claims aboutefficacy and their impact upon service users¹ and practitioners.A discussion of policy and practice contexts in the three jurisdictionsis then presented and supported with a typology, to illustratecontrasts and comparisons. In their conclusions, the authorsassert that mental health social workers often have a crucialpart to play in the implementation of CTOs but that this isnot always acknowledged in law and organizational policy. Socialworkers’ roles and responsibilities need to be more explicitlyidentified in mental health law. At the same time, there shouldbe a continuing debate about how such coercive powers fit withcodes of ethics and practice standards, at national and internationallevels.