Coerced Care: Thomas Thistlewood's Account of Medical Practice on Enslaved Populations in Colonial Jamaica, 1751–1786

This essay uses the Thistlewood family papers as a health record for the enslaved population in Jamaica. It examines the medical aspects of Thistlewood's journals, contextualising them in the social, political and cultural environment in the latter half of the eighteenth century. Examples of his provisions for medical care throughout his life are investigated systematically. Through counts from the original documents, the author identifies a seasonal pattern of disease and mortality on large and small Jamaican plantations and estimates an infant mortality rate of approximately 420 per 1000 births for Jamaican infants born into slavery.     

The study of political tolerance in the South African context

South Africa with its heart transplants uses some of the most sophisticated medical technology in the world. At the same time, with 250 per thousand babies dying in their first year of life in some rural areas the Republic's infant mortality rate ranks it far down in the world scale. South Africa is one of the few countries exporting food yet within her borders malnutrition is rife. For those concerned with the health of people it is clear that the allocation of resources needs to be investigated. A recent conference in Cape Town on the economics of health care attempted to do just that when some 150 doctors, nurses, social scientists and others from different parts of Southern Africa met for a week to discuss some of the issues. This article is a summary of the main points in the 75 papers presented at the conference.     

Peer Behaviors and Co-occurring Disorders Among Adolescents

The complexity of co-occurring substance use disorders and mental health problems among adolescents challenges both researchers and practitioners. The purpose of this study was to further disentangle those relationships and examine the role that peers who engage in deviant activities plays in that relationship. A subset of variables from a larger study of adolescents referred for substance use assessment was analyzed in this study. The results suggest that as the severity of substance use and mental health problems increases so does the number of peers who engage in deviant activities; peers partially mediates the relationship between those two variables. Implications for social work practice and other professionals are discussed.     

Effects of a Differential Observing Response on Intraverbal Performance of Preschool Children: A Preliminary Investigation

Axe (2008) speculated that some instances of intraverbal responding might be associated with limited or delayed acquisition because they require discrimination of multiple components of verbal stimuli. Past studies suggest that acquisition of responses under control of complex, multicomponent antecedent stimuli (e.g., conditional or compound stimulus control) can be facilitated with the introduction of a differential observing response (DOR; Dube & McIlvane, 1999; Gutowski, Geren, Stromer, & Mackay, 1995). The purpose of the current study was to evaluate the effects of a DOR (i.e., repeating the question) on intraverbal responding with six neurotypical preschool children. Findings included that (a) accuracy of intraverbal performance increased when the experimenter prompted a DOR; (b) 1 of 6 participants overtly emitted the DOR for a second relation in the absence of prompts, which was correlated with increased accuracy; and (c) following mastery, response accuracy was variable for 3 participants. Based on these findings, prompted DORs may offer an effective, if temporary, aid to intraverbal instruction for neurotypical preschool children.     

Elder Abuse: A Review of Progress in Ireland

Until recent years, Ireland has not formally responded to elder abuse. This article considers the recent developments in Ireland through an ecological framework, which focuses on the multidimensional progress of Irish policy, practice, and legislation related to protecting older people. Although significant progress has been made, the discussion highlights areas for continued development and improvement.     

Still in the Ghetto? Experiences of Secretarial Work in the 21st Century

Secretarial work has been described as one of the most persistently gendered of all occupations. Historically, it has been characterized as a ghetto occupation with three key features: low status and poor pay, narrow and feminized job content and poor promotion prospects. Twenty years ago, when a major study last took place in the UK, it was thought that new office technologies might transform the role, leading to a newly defined occupation equally appealing to both men and women. In this article, we report on the findings of a questionnaire survey involving 1011 secretaries. We found evidence of continuity and change. Secretaries are now better qualified and generally well‐paid. A minority is undertaking complex managerial tasks. However, most secretaries continue to perform traditional tasks and career prospects for all remain bleak. We conclude that processes of role gender‐typing are deeply entrenched and that secretarial work remains largely a ghetto occupation.     

From the Editor

No abstract available for this article.     

Conceptualizing Age-Friendly Community Characteristics in a Sample of Urban Elders: An Exploratory Factor Analysis

Accurate conceptualization and measurement of age-friendly community characteristics would help to reduce barriers to documenting the effects on elders of interventions to create such communities. This article contributes to the measurement of age-friendly communities through an exploratory factor analysis of items reflecting an existing US Environmental Protection Agency policy framework. From a sample of urban elders (n?=?1,376), we identified 6 factors associated with demographic and health characteristics: access to business and leisure, social interaction, access to health care, neighborhood problems, social support, and community engagement. Future research should explore the effects of these factors across contexts and populations.