Policy, Preferences, and Patriarchy: The Division of Domestic Labor in East Germany, West Germany, and the United States

Individual agency observed in the gendered division of laboris shaped by structural factors, but only recently has evidenceemerged that the effect of women’s resources varies systematicallyin its sociopolitical context. Here we use the 1994 InternationalSocial Survey Program to assess whether the relative effectof a proxy for women’s and men’s preferences—hallmarkof individual choice—varies as well across three countrieswith divergent historical policy approaches regarding the privatesphere. East German socialist policies required and supportedwomen’s employment; West German policy promulgated a malebreadwinner model, and U.S. policy primarily remains silenton the private sphere. The division of domestic tasks and relativestrength of individual preferences on shifting it vary by region.In the former East Germany the division of domestic labor ismore egalitarian and the effect of preferences is small butequal for the genders. In West Germany the division is moretraditional and preference effects are greater, but gender differencesin these are insignificant. The U.S. division of domestic taskfalls between the two German regions, and the gender differencein preference effects is the greatest, with U.S. men’spreferences predicting significantly more variance than do U.S.women’s. Consequently, allowing the market to dominatedoes not yield equal strength of preferences in the individual-levelmodels used to predict the division of domestic tasks. Thissupports the dual-system feminist claims that capitalism canexacerbate nonmarket patriarchal hierarchies.     

The development of friendship in childhood: A clinical conversation

Our friendships are a way to think about meaning in life. Friendships are like protein, a psychological essential for growth and development. When we see two three-year-olds playing together at the park running, holding hands, laughing, we cannot help but be filled with a sense of joy and warmth We can view making friendships as a developmental process in itself. In this discussion, I will explore the use of toys as a means of making friends. I will also explore the psychological meaning of toys and how they are a developmental precursor to friendship. Two clinical examples will be given in which friendship was the predominant theme in the therapy.The author would like to thank the late Gary Davis for his enthusiasm and friendship. Also: Mary Louise Denardo, Emily Halstead and Marilyn Silin.Lynn Borenstein MSW is on the faculty of the Institute for Clinical Social Work, and the faculty of the Child and Adolescent Psychotherapy Training Program, Institute for Psychoanalysis.     

OBJECT RELATIONS AND THE FAMILY SYSTEM IN BULIMIA: A THEORETICAL INTEGRATION

This paper presents an integration of object relations theory and family systems theory in the conceptualization of bulimia. It is based primarily on Winnicott's construct of the maternal "holding environment," and Klein's formulation of ego deficits at the level of part-object relations, as they apply to the family as a whole. We propose that in bulimic families there are transgenerational developmental deficits and adaptations which determine the level and quality of intrapsychic experience within individuals, as well as the interpersonal relationships and dynamic functioning of the larger family system.     

Legal Disposition of Inter-Group and Intra-Group Homicides

A study of the legal treatment of inter-group and intra-group homicides reveals that dispositional decisions are made on the basis of the sex and occupational prestige combinations of offender-victim pairs. Discriminant analysis of data concerning 444 defendants and 432 victims indicates that males accused of slaying females receive the most severe dispositions, while females held in the death of males are noticeably underpenalized. Final convictions are most severe for low status defendants alleged to have murdered high status victims. Contrary to earlier studies, there are no significant differences in legal treatment in terms of the racial combinations of the offender-victim pair. An interpretive approach to the legal process may explain these results: differential processing of homicides depends on the extent to which defendants and victims conform to the popular conception of violent criminality.     

The Simple Bind and Discontinuous Change

The author argues that families usually respond to internal and external demands for change in terms of leaps or transformations to new and different adaptive structural arrangements. Such transformations unavoidably have stress and disruption as a prelude. Transformations are precipitated by paradoxical injunctions called “simple binds”. The presence of “double binds” lead to the disqualification of, and failure of transformations. Symptomatic behaviour of family members can be seen as a product of failed transformations.     

The association between mood states and physical activity in postmenopausal, obese, sedentary women

Mood states influence evaluative judgments that can affect the decision to exercise or to continue to exercise. This study examined how mood associated with graded exercise testing (GXT) in sedentary, obese, postmenopausal women (N = 25) was associated with physical activity and predicted VO2max during and after a behavioral weight-loss program (BWLP). Measures of physical activity included planned exercise, calories from physical activity, leisure-time physical activity, and predicted VO2max. Mood before and after pre-BWLP GXT was assessed using the Profile of Mood States. Mood before and after the GXT was more strongly associated with planned exercise than other forms of physical activity, and this effect became stronger over time. Mood enhancement in response to exercise was not related to physical activity. Mood before and after exercise might yield important clinical information that can be used to promote physical activity in sedentary adults.     

THE CARING DILEMMA IN MIDWIFERY

The caring dilemma, first described by Reverby in 1987, denotes the tension caused by being obliged to provide care without the right to determine how that care is to be provided. Such a dilemma is salient in the practice of midwifery based on a continuity of care model that has recently emerged or been implemented in various jurisdictions. Briefly, this model involves the provision of care by a single midwife or pair of midwives to a woman throughout her pregnancy, birth and post-natal period. Continuity of care necessitates that midwives be on call for significant lengths of time to ensure attendance at the woman's birth. It is the on-call nature of this form of midwifery work that most significantly poses a caring dilemma for midwives. In this paper, we trace both the structural and experiential aspects of the caring dilemma through an examination of midwifery in the Canadian province of Ontario. Our analysis reveals that despite being a salient feature of midwifery practice, some work structures can be created to mediate the caring dilemma experienced by midwives.

Le dilemme de la prise en charge, que Reverby a évoqué la première fois en 1987, dénote la tension que cause le fait d’être tenu d'offrir une prise en charge sans avoir le droit d’établir de quelle manière l'offrir. L'exemple des sages-femmes, dont la pratique repose sur un type de soin continu qui est récemment apparu ou qu'on vient de mettre sur pied dans diverses administrations, illustre très clairement ce dilemme. Pour résumer, ce modèle veut qu'une femme enceinte soit prise en charge pendant sa grossesse, à son accouchement et durant sa période postnatale par une ou deux sages-femmes. La continuité de la prise en charge oblige les sages-femmes à être sur appel durant des périodes prolongées pour que la femme qui accouche bénéficie de leur présence. Pour les sages-femmes, c'est la nature même de leur travail effectué sur appel qui engendre, de façon cruciale, le dilemme de la prise en charge. Dans cet article, nous abordons les aspects structurels et expérimentaux que représente le dilemme de la prise en charge par le biais d'une étude sur la pratique du métier de sage-femme dans la province canadienne de l'Ontario. Notre analyse révèle que, si le dilemme de la prise en charge est inhérent à la profession de sage-femme, il n'empêche que des structures professionnelles peuvent être mises en place pour en atténuer les aspects négatifs.     

THE PARENTING EXPERIENCES OF MOTHERS WITH DISSOCIATIVE DISORDERS

This article presents a qualitative analysis of the experience of parenting of mothers with dissociative disorders. This analysis was performed to complement the quantitative analysis of problems of mothers with dissociative disorders that Benjamin, Benjamin, and Rind (1996) presented previously. They found that the functioning of these mothers, as well as their subjective experience of mothering, was poorer that that of either clinical or nonclinical control mothers. Our goal was to provide a clearer, richer picture of their problems in parenting. Using the mothers' own words, we describe how the five symptom areas of dissociation (amnesia, depersonalization, derealization, identity confusion, and identity alteration) impeded their parenting efforts. We conclude with a discussion of the necessity of addressing parenting in the treatment of client-mothers with dissociative disorders.     

THE INTERACTION BETWEEN MARITAL STANDARDS AND COMMUNICATION PATTERNS: HOW DOES IT CONTRIBUTE TO MARITAL ADJUSTMENT?

Couples' cognitions about marriage and their communication patterns have both been found to be highly associated with marital distress. To examine the relationships among marital cognitions, communication, and marital adjustment, we had a sample of 387 community couples complete three self-report measures: the Dyadic Adjustment Scale, the Inventory of Specific Relationship Standards, and the Communication Patterns Questionnaire. Results indicated that the correlation of communication with marital adjustment is higher for women with more relationship-focused standards than for women with less relationship-focused standards; this interaction does not occur for men. The implications of the interaction and the gender difference as well as the importance of teaching communication skills, and working with associated cognitions are discussed.