“Let's Talk about the Institution”: Same‐Sex Common‐Law Partners Negotiating Marriage Equality and Relationship Legitimacy

The 2005 Canada‐wide legalization of same‐sex marriage provided same‐sex couples with access to an institution they had previous been excluded from. Yet not all couples choose to marry. In this paper, we examine why this is the case, considering the role of personal, political, and historical factors. We draw on 22 interviews with people in common‐law same‐sex relationships in Toronto to examine how they understand their relationship within the new context of marriage equality. We find that participants feel they are held accountable to marriage as a default relationship legitimacy norm, indicating that this new institutional access is accompanied by a set of social expectations. Despite their awareness of the need to navigate a social context favoring marriage, participants individualize their relationship decisions as personal rather than political. Participants often contradict themselves as they articulate what marriage means to them, suggesting that, in this period of legal and social transition, people are negotiating multiple meanings, societal messages, and traditions when it comes to making sense of their relationship. We discuss the implications of these findings for LGBQ activism and the framing of sexuality‐based inequalities in Canadian society.     

Frequentist and Bayesian approaches for a joint model for prostate cancer risk and longitudinal prostate-specific antigen data

The paper describes the use of frequentist and Bayesian shared-parameter joint models of longitudinal measurements of prostate-specific antigen (PSA) and the risk of prostate cancer (PCa). The motivating dataset corresponds to the screening arm of the Spanish branch of the European Randomized Screening for Prostate Cancer study. The results show that PSA is highly associated with the risk of being diagnosed with PCa and that there is an age-varying effect of PSA on PCa risk. Both the frequentist and Bayesian paradigms produced very close parameter estimates and subsequent 95% confidence and credibility intervals. Dynamic estimations of disease-free probabilities obtained using Bayesian inference highlight the potential of joint models to guide personalized risk-based screening strategies.     

Families' values and attitudes regarding responsibility for the frail elderly: implications for aging policy

This study examines the norms and values associated with care to disabled and frail aging parents, in particular those with regard to the sharing of responsibilities for care between families and formal services, and this within three age cohorts in Quebec, Canada. It is based on a telephone interview of 1,315 people. Factor analysis yielded four factors: (1) family responsibility; (2) uncompromising family obligations; (3) acceptance of services; (4) distrust of services. Analyses of the data indicate that all three age cohorts consider that families have responsibilities for their aging family members, at the same time that they score very high on the acceptance of service scale. This article discusses these seemingly paradoxical results and their implications for aging policy.     

Affection and conflict in marital and parent-child relationships

In this study, we examined affection and conflict in marital and parent-child relationships, as reported by mothers, fathers, and 9- and 10-year-old children in a community sample of 87 families. Affection and conflict were inversely related within relationships, with mixed findings across relationships. Most reports showed an association between marital and parent-child conflict as well as between marital and parent-child affection. According to fathers, however, the association between marital affection and father-child affection is moderated by marital conflict. Clinical implications of the associations between positive and negative dimensions of family interaction and of the links between marital and parent-child relations are discussed.     

Are game theoretic concepts suitable negotiation support tools? From Nash equilibrium refinements toward a cognitive concept of rationality

If game theory is to be used as a negotiation support tool, it should be able to provide unambiguous recommendations for a target to aim at and for actions to reach this target. This need cannot be satisfied with the Nash equilibrium concept, based on the standard instrumental concept of rationality. These equilibria, as is well known, are generally multiple in a game. The concept of substantive or instrumental rationality has proved to be so pregnant, however, that researchers, instead of re-evaluating its use in game theory, have simply tried to design concepts related to the Nash equilibrium, but with the property of being unique in a game — i.e., they have devised ways ofselecting among Nash equilibria. These concepts have been labeledrefined Nash equilibria. The purpose of this paper is to show the following.

1. The different types of refined Nash equilibria, based on the principle of backward induction, can lead to severe contradictions within the framework itself. This makes these concepts utterly unsatisfactory and calls for a new appraisal of the reasoning process of the players.
2. The degree of confidence in the principle of backward induction depends upon the evaluation of potential deviations with respect to the extended Nash equilibrium concept used and upon the possible interpretations of such deviations by the different players. Our goal is to show that the nature of these possible interpretations reinforces the argument that a serious conceptual reappraisal is necessary.
3. Some form of forward induction should then become the real yardstick of rationality, extending Simonianprocedural rationality towards the concept ofcognitive rationality. This could open the way to a renewed game theoretic approach to negotiation support systems. Such a research program, which would be a revision of the basic game theoretic concepts, is dealt with in the end of the paper.

     

The Norwegian state railways—Profit-motivated enterprise or a community service?

In Norway there is increasing realization among politicians and the general public that it will be to the advantage of the community to make better use of the transport facilities offered by the railways. There is extensive agreement, across party lines, that the railways should not be operated on purely business principles and that railway policy must be formulated to contribute to the overall aims of social policy.However, general views and political claims of this kind are far removed from the problems encountered in putting theory into practice. Where is the boundary line between the proper extent of railway facilities to be provided for the community and the facilities to be provided by other forms of transport?Assuming that we were able to draw such a line, what measures would we have to take in our endeavour to approach the proper economic balance of transport work between the railways and other forms of transport?The political parties are sharply divided in their views as to what measures are acceptable. Controversial measures include economic sanctions or support and regulatory legislation. There is no reason to suppose that these problems are peculiar to Norway. They are no doubt shared by many other countries.     

Effects of the physical accessibility of maternal health services on their use in rural Haiti

An analysis of data from the 2000 Demographic and Health Survey shows that little use is made of antenatal and delivery-care services in rural Haiti. After adjusting for individual-level factors, poor road conditions significantly reduce the likelihood of timely receipt of antenatal care and of four or more antenatal care visits, while the availability of a health centre within 5 kilometres significantly increases the odds of each outcome. The odds of being attended at delivery by trained medical personnel and of institutional delivery are significantly reduced by mountainous terrain and distance from the nearest hospital, and are increased if a health worker providing antenatal care is present in the neighbourhood. Neighbourhood poverty reduces the likelihood of safe delivery care. The findings suggest that improving the use made of maternal healthcare services would require, among other things, improvement of the availability of services and road conditions, and the reduction of poverty.     

Body image,satisfaction with sexual life,self-esteem,and anxiodepressive symptoms: A comparative study between premenopausal,perimenopausal, and postmenopausal women

Menopause is an important life transition in women, and it is associated with significant physical and psychological changes. This study aimed at examining how the menopausal transition influences body image and satisfaction with sexual life. To this aim, body image dissatisfaction, sexual dissatisfaction, and self-esteem were compared in three groups of women with distinct menopausal status (premenopausal n = 142, perimenopausal n = 66, or postmenopausal n = 149), while controlling for depressive and anxiety symptoms and BMI. Using ANOVA between these three groups, we observed that dissatisfaction with body image was significantly higher in the perimenopausal sample compared with its premenopausal counterpart. In the postmenopausal sample, body image improved, as this group displayed body image scores close to the premenopausal level. In addition, sexual dissatisfaction was significantly increased in the perimenopausal and postmenopausal samples, which is compatible with the concept that higher body appreciation positively predicted sexual function. We conclude that body image dissatisfaction reaches a maximum during the perimenopausal phase, before returning to a level nearly identical between the premenopausal and the postmenopausal phases.     

Being a Foster-to-Adopt Parent: Experiences of (Un)certainty and Their Influence on the Sense of Being the Parent

The Mixed-Bank Program (Quebec, Canada) is based on concurrent planning principles. While the primary goal of this placement is reunification of the child with their birth parents, the low probability of this happening calls for simultaneously planning for an alternative solution, such as adoption. As a result, foster-to-adopt families have to deal with the uncertainty of the adoptability of the child and having no legal status nor control over the situation. In a qualitative study focusing on understanding how foster families from the Mixed-Bank Program develop the sense of being the parent of the child they care for, 25 semi-structured interviews with foster parents from 20 different families were conducted. As part of grounded theory methodology, a typology of profiles according to the level of uncertainty was constructed: (1) experience of certainty, (2) experience of momentary uncertainty, and (3) chronic uncertainty. This article presents these profiles and discusses the following challenges: the willingness to settle for permanence without adoption in all profiles, the link between the level of uncertainty and the assiduity of birth parents to supervised visits with the child, and the lack of power and control over the fulfillment of the goal of having or completing a family.