Living and loving with dementia: Negotiating spousal and caregiver identity through narrative

In this paper, we examine how Alzheimer's disease and related disorders (ADRD) affect caregivers' perceptions of change in the identity of their afflicted spouse and the ways in which accompanying changes in caregiver identity influence intimate relations. We also explore how gender shapes the ADRD caregiving experience among married couples, specifically, the extent to which intimate relations are also gendered relations. The study group was comprised of spousal caregivers recruited from support groups in the two Midwestern states and from the Alzheimer's Disease Center (ADC) at a large Midwestern university hospital. In-depth interviews were conducted with 13 men and 15 women whose spouses had ADRD. The intensive interviews confirmed that identity change on the part of sick spouses had important implications for intimacy, although not always in adverse ways. The majority of caregiver husbands and wives reported diminished intimacy as a result of the ADRD. Many men and women believed they would retain feelings of closeness to their afflicted spouses as long as they were alive. Wives were more likely than husbands to report that changes in their spouses' identity altered how they identified themselves within their marriage. This has important implications for intimate relations between people with ADRD and those who care for them. Our findings suggest that caregiving and intimacy are very different experiences for men and women, and point to the need for caregiver education and support.     

The impact of migration on the well-being of transnational families: new data from sending communities in Mexico

We present results from a new study of the effects of migration to the USA on the well-being of transnational families in high emigration communities within Mexico. Our survey measured the well-being of family members in a variety of domains: economic, health, education, and child development for a representative sample drawn from high migration municipalities. Compared to those with no recent emigrants to the USA, Mexican households sending non-caregivers to the USA appear to gain economically without contributing to problems faced by children. However, when family caregivers migrate to the USA, the remaining members in Mexico struggle to meet the family's needs and children are more vulnerable to educational, emotional, and health problems. Children in households where a caregiver migrated were more likely to have frequent illnesses (10% vs. 3%, p<0.0001), chronic illness (7% vs. 3%, p=0.011), emotional problems (10% vs. 4%, p=0.006), and behavioral problems (17% vs. 10%, p=0.018) compared with children in households where the migrant was not a caregiver. Research, policy, and program implications of these findings are discussed.     

Care in a Time of Austerity: the Electronic Monitoring of Homecare Workers’ Time

Austerity places intense pressures on labour costs in paid care. In the UK, electronic monitoring technology has been introduced to record (and materially reduce) the working time and wages of homecare workers. Based on empirical findings, we show that, in a ‘time of austerity’, care is reductively constructed as a consumption of time. Service users are constructed as needy, greedy, time‐consumers and homecare workers as resource‐wasting time‐takers. We point to austerity as a temporal ideology aimed at persuading populations that individual deprivation in the present moment, self‐sacrifice and the suppression of personal need in the here and now is a necessary requirement to underpin a more secure national future. Accordingly, women in low‐waged care work are required to eschew a rights‐bearing, present‐tense identity and are assumed willing to suppress their entitlements to lawful wages as a sacrifice to the future. By transforming our understandings of ‘care’ into those of ‘time consumption’, and by emphasizing the virtue of present‐tense deprivation, a politics of austerity appears to justify time‐monitoring in care provision and the rationing of homecare workers’ pay.     

Influence of Perceived Economic Strain on the Relationship Between Caregiver BMI and Child BMI

As maternal BMI is a risk factor for higher child BMI, this exploratory study investigated perceived economic strain as a protective factor modifying this well-established relationship. Primary low-income female caregivers (n = 432) of preschoolers ages 3–5 years were interviewed using the Family Economic Strain Scale. Caregiver and child heights and weights were measured. Significant differences were found in perceived economic strain between normal versus underweight, overweight, and obese caregivers. A moderating effect approaching significance was noted such that at low levels of reported economic strain, caregiver BMI classification had no effect on child BMI z-score for normal weight, overweight, or obese caregivers. This study is the first to demonstrate that reduced perception of economic strain may act to buffer the impact of maternal overweight/obesity on child weight status. Given this biologically strong relationship, the potential for any modifiable factor to be detected is encouraging. Further collaborative research between economists and family resiliency researchers is suggested.     

Couple and family interventions in health problems

Intervention research for couples and families managing chronic health problems is in an early developmental stage. We reviewed randomized clinical trials of family interventions for common neurological diseases, cardiovascular diseases, cancer, and diabetes, which is similar to the content of previous reviews discussed later. One overriding theme of these studies is that patients with chronic illnesses and their families face a variety of challenges to which researchers have responded with an array of treatment modalities. Very few of the interventions reviewed, with the exception of treatment for adolescents with diabetes, tested family psychotherapy models. Most interventions were time-limited therapeutic interventions that trained families to improve their communication and problem-solving skills, individual and family coping skills, and medical management. Researchers more clearly described mechanisms of change in intervention studies with cancer and diabetes than with other diseases, and not surprisingly, they found greater empirical support for their interventions. Family interventions show promise to help patients and family members manage chronic illnesses. To develop an empirical base for family approaches to managing chronic illnesses, interventions must be based on theories that delineate mechanisms of change in family processes and skills in medical management necessary to maintain patients' and family members' health.     

Comparing Social Work Students’ Perceptions of Risk Using Online Discussion Fora: Lessons Learned from a European Pilot Project

Comparisons of international child welfare systems have identified two basic orientations to practice; a ‘child protection’ orientation and a ‘child welfare’ orientation, which are founded upon fundamentally different values and assumptions regarding the family, the origins of childcare problems, and the proper role of the state in relation to the family. This paper describes a project which sought to compare how undergraduate social work students from three European Universities perceive risk in referrals about the welfare of children and to explore the impact of different cultural, ideological and educational contexts on the way in which risk is constructed by students. Students from Northern Ireland, Germany and Poland examined three vignettes via 10 online discussion fora each of which provided a narrative summary of their discussion. The paper presents some findings from the analysis of the qualitative data emerging from the student discussions and draws out the lessons learned in terms of how the project was designed and implemented using online discussion fora.     

“Hookups”: Characteristics and correlates of college students' spontaneous and anonymous sexual experiences

This study focused on a specific risky practice common among contemporary college students: the hookup. Hookups are defined as a sexual encounter which may or may not include sexual intercourse, usually occurring on only one occasion between two people who are strangers or brief acquaintances. The aim of this study was to determine the relative importance of a variety of social and psychological predictors in understanding differences among undergraduate students who had never hooked up, those who had hooked up without sexual intercourse, and those who had hooked up with sexual intercourse. Analyses revealed that, as predicted, social, individual, and relational psychological variables helped to explain the variance among college students' varied hookup experiences. By examining the full range of sexual involvement characteristic of the casual sexual phenomenon of hooking up within a multivariate model, we were able to achieve a more differentiated understanding of college students' casual sexual experimentation.     

The Implications of Learning Styles for Training and Development: A Discussion of the Matching Hypothesis

This review paper examines the effect of matching and mismatching learning style and learning activity and matching and mismatching trainer and trainee learning style on learning achievement. It also explores the possibility of creating a match by promoting learner adaptability or modifying the trainer's training style. The implications of this discussion for training and development are considered.     

How trade/GNP ratio decreases with country size

The ratio of a country's foreign trade (i.e., exports plus imports) to its GNP has a known tendency to decrease with country size. Previous studies have used a single year's data; but trade fluctuates greatly from year to year. This paper makes available a compilation of 1953–1972 export/GNP and import/GNP figures for 110 countries. The average import/GNP figure is found to correlate strongly with population size; the simple expression, Imports/GNP = 40 $\text{P}{}^{\mathrm{<mtext>?1</mtext><mtext>3</mtext>}}$, applies, within a factor of 2, in 94% of cases. No correlation with development level can be seen. The United States data throughout its history (1799–1972) follow the same inverse cube root pattern, but with a constant of 20 instead of 40. Correlation is much poorer in the case of export/GNP ration. Export and import figures are only marginally correlated to each other.