Schizophrenia in older adults

Although the number of people older than 55 with schizophrenia is expected to double during the next 20 years, the research data on older adults with schizophrenia are limited. This appears to be because until the middle of the 20th century, it was assumed that mental illness in older adults was a part of the aging process and because older adults are often excluded from research investigations. Nursing research is needed to explore how people with schizophrenia learn to manage their problems as they age, as well as how those who are first diagnosed with schizophrenia in later life adapt to their illness. Mental health nurses need to be cautious in assigning premature labels to older adults with mental illness that may lead to unsubstantiated assumptions about levels of disability. Instead, nurses should realize individual potential regarding undiscovered strengths and should attempt to create interventions that recognize and foster personal development for older adults with schizophrenia.     

What Can I Do? Applying Classroom Knowledge to Service Work, or Doing Practice Sociology

Faculty members are frequently asked by students and parents, “what can I do with a Sociology degree?” This paper suggests ways to address the question and take action to insure that majors have the knowledge and skills to be successful in the job search and the work world. In addition, the paper indicates ways that combining service learning and applied sociology serves goals of students, faculty, universities, and communities. Approaches to teaching applied (practice) sociology in departments and to integrating service learning and course content show the “natural synergy” between the two types of learning. Finally, the article discusses practical issues related to service learning in applied settings: getting the support of faculty and administrators; convincing students of the benefits of service learning; revising curricula; and setting up the service learning experiences. The conclusion is that combining service learning and applied sociology courses has positive results for all involved.     

Parents' searches for child care and the design of information services

This article reports selected findings from a study of the process by which urban parents search for child care. Analyses of interview data indicate that (a) parents used informal sources of information to a considerably greater extent than formal sources, (b) the general pattern was to begin the search with relatives and close friends and gradually move out to more peripheral ties, (c) there does not appear to be an effective informal system of neighbors or community persons who matched parents with child care providers, and (d) there was no single or several sources that were outstanding in effectiveness for a large proportion of parents. The article sets forth implications of these data for the design of child care information and referral services in urban settings.     

As good as it gets? Rethinking old age

Although approximately half of aging Americans will probably not be able to live independently after retirement age, there is a greater focus on end-of-life matters, such as living wills, than on exploring creative long-term care models that promote healthy aging. With more Americans aging healthfully, now is the time to look at innovations in long-term care that will not only provide safe housing, but will also focus on the trajectory from healthy aging to end-of-life care, including health promotion and even reversal of disabilities incurred in the aging process. Nurses and other health care professionals need to rethink how those they care for will live out their later years and explore creative approaches for extending living options that foster autonomy.     

The transparency of aging

This article is not meant to provide answers but to provoke thinking related to the questions we should be asking about the ethical personhood of aging adults. Are we covering over the rich opportunities to learn from their stories with an invisible cloak of transparency? Health care professionals have a moral obligation to rethink the assumptions that underlie their definitions of quality of life in aging. We cannot know what should be done unless we learn to listen to the life stories of aging people. This may even help us to see what is most real.     

Gender as a differential indicator of the employment discrimination experiences of Americans with multiple sclerosis

Information from the Integrated Mission System of the United States Equal Employment Opportunity Commission (EEOC) was used to investigate the employment discrimination experiences of women and men with multiple sclerosis (MS). Spanning the years 1992 to 2003, the EEOC database included 3,663 allegations of discrimination filed by 2,167 adults with MS. With respect to women and men with MS, the researchers examined the comparability of a) demographic characteristics; b) industry designations, locations, and size of employers; c) the nature of discrimination alleged; and d) the legal outcome or resolution of those allegations. On average, women and men with MS were in their early forties, with the majority of both groups being Caucasian. Both women and men were most likely to allege discrimination related to discharge and reasonable accommodations, although women were more likely to file harassment charges than men. Men with MS were more likely to allege discrimination regarding hiring and reinstatement. Women with MS were more likely to file allegations against employers in the service industries, and men were more likely to file allegations against employers in the construction, manufacturing, and wholesale industries. No gender differences were found in the geographic distribution of allegations. Both groups had comparable rates of merit closures (23% vs. 27%) as a result of the EEOC's investigatory process. Implications for rehabilitation counseling and employer-oriented interventions are discussed.     

Characteristics of Women With Children Who Divorce in Midlife Compared to Those Who Remain Married

This study evaluated characteristics that distinguish women who end a first marriage in midlife from those who remain married. The sample consisted of 459 married and 180 divorced women who had participated in 3 waves of the National Survey of Families and Households (NSFH). Discriminant analyses were used to assess differences that occurred between the two groups in financial and psychological well-being in the 10 years between NSFH Waves 2 and 3. The major finding was that midlife divorce appears to have long-term financial consequences for women, especially in regard to wealth accumulation. The findings provide some initial information about the long-term effects of midlife divorce that will be useful to professionals working with women who are considering divorce at this stage of life.     

Land Rover and colonial-style adventure

This article examines the infamous Land Rover ‘Himba’ advertisement (2000) that shocked South Africans because of its racism and sexism. The South African Advertising Standards Authority ruled that the advertisement constituted a violation of human dignity that perpetuated gender and cultural inequality. This article takes the position that the Himba advertisement builds on the colonial notions of adventure, exploration and discovery of the African continent by the western male. The mystique of travel and discovery during the nineteenth century inscribed the control of the African landscape and its people; colonial explorers and travellers consequently feminized Africa to signify conquest and control. It is proposed that these ideas are re-inscribed in the deeply embedded cultural connotations attached to the Land Rover and Africa as its so-called spiritual home. An investigation into some of the myths and ideologies in the Himba advertisement reveals that a set of binary oppositions operates that draw attention to the distinctions between culture/nature, power/powerlessness, male/female, technology/primitivism and West/Africa. An interrogation of this advertisement is important because of the contentious nature of its content, and because fantasy adventure is a significant tendency in tourism and leisure activities in South Africa.