Discussion: Case of Colette

The case of Colette is discussed with “reading” considered as a metaphor for the process of thinking about the traumatic experiences to which Colette has been subject. From this perspective, there is a parallel between her work with Dr. Ganzer and her struggles around attending her program’s reading class. Consideration is given to issues around termination in public sector clinical work.     

Migrant Selection and the Health of U.S. Immigrants From the Former Soviet Union

Few prior studies have investigated the health of U.S. immigrants from the former Soviet Union (FSU). Utilizing data from the 2000 U.S. census and the 2000–2007 National Health Interview Survey (NIHS), we compare levels of disability of FSU immigrants with U.S.-born whites (ages 50–84). Our findings suggest an “epidemiologic paradox” in that FSU immigrants possess higher levels of education compared with U.S.-born whites, but report considerably higher disability with and without adjustment for education. Nonetheless, FSU immigrants report lower levels of smoking and heavy alcohol use compared with U.S.-born whites. We further investigate disability by period of arrival among FSU immigrants. Changes in Soviet emigration policies conceivably altered the level of health selectivity among émigrés. We find evidence that FSU immigrants who emigrated during a period when a permission to emigrate was hard to obtain (1970–1986) displayed less disability compared with those who emigrated when these restrictions were less stringent (1987–2000). Finally, we compare disability among Russian-born U.S. immigrants with that of those residing in Russia as a direct test of health selectivity. We find that Russian immigrants report lower levels of disability compared with Russians in Russia, suggesting that they are positively selected for health despite their poor health relative to U.S.-born whites.     

From after-school to expanded learning: a decade of progress

Following a decade of rapid expansion of afterschool enrichment programs, leaders in the field are rethinking how those programs can be designed to play a larger role in supporting student achievement and development and in strengthening school reform initiatives.     

Comparing child protective investigation performance between law enforcement agencies and child welfare agencies

This study examines the comparative effectiveness of using law enforcement agencies for child protective investigation (CPI), in contrast with the traditional approach of CPI conducted by the public child welfare agency. The analysis uses 2006-2007 data from a natural experiment conducted in Florida to show modest differences in performance and cost-efficiency between the two approaches to CPI. These findings may have implications for other states considering outsourcing CPI to law enforcement.     

Charles Tilly and American Pragmatism

Charles Tilly’s work on repertoires of contention and social mechanisms was pathbreaking. In this article, I argue that his understanding of both concepts overlaps with social-theoretical work informed by the philosophical tradition of classical American pragmatism. There is no evidence that Tilly was influenced by pragmatism, but I argue that the overlap is substantial enough that large portions of his oeuvre can serve as illustrations of the explanatory power of pragmatist social science—and that Tilly’s theorization of mechanisms in particular would have been even stronger had he engaged pragmatism directly.     

Changes in health-related quality of life in elderly men after 12 weeks of strength training

Background

Muscular strength is associated with functional ability in elderly, and older adults are recommended to perform muscle-strengthening exercise. Understanding how improved muscle strength and -mass influence general and specific domains of quality of life is important when planning health promotion efforts targeting older adults. The aims of the present study were to describe changes in health-related quality of life (HRQOL) in older men participating in 12 weeks of systematic strength training, and to investigate whether improvements in muscle strength and muscle mass are associated with enhancements in HRQOL.

Methods

We recruited 49 men aged 60–81 years to participate in an intervention study with pre-post assessment. The participants completed a 12-week strength training program consisting of three sessions per week. Tests and measurements aimed at assessing change in HRQOL, and changes in physical performance (maximal strength) and physiological characteristics. HRQOL was measured using the 12-item short-form survey (SF-12). Muscle mass was assessed based on changes in lean mass (leg, trunk, arm, and total), and strength was measured as one-repetition maximum in leg extension, leg press, and biceps curl.

Results

Two of the eight HRQOL SF-12 scores, role physical and general health, and the physical component summary scores, increased significantly during the intervention period. Small significant positive correlations were identified between improvements in muscle strength, and better physical and social function. Moreover, a significant increase in total muscle mass was seen during the intervention period.

Conclusions

The positive, findings from this study would suggest that systematic strength training seems to be a beneficial intervention to improve HRQOL, muscle strength and muscle mass in older men.

     

Pragmatism and the study of large-scale social phenomena

Pragmatism has recently gained ground as a theoretical perspective in sociology. The approach is not without its critics, however. One common charge is that pragmatism is oriented toward the micro and not well suited for the explanation of meso- or macro-level events, processes, or outcomes. In this paper—a review essay—I consider whether the charge has merit. I examine four studies that draw heavily on pragmatism and give some indication of its explanatory potential. Taken together, these studies suggest that pragmatism has much to offer analysts of large-scale social phenomena. At the same time, key issues remain to be worked out.