Gendering the Management of Change in Higher Education: A Case Study

This article reports an investigation into the influence of gender at a pre-1992 UK university. Interviews with Heads of Departments and others defined as occupying ‘middle management’ positions reveal three distinct stances to the new higher education, of ‘collaboration’, ‘resistance’ and ‘transformation’ and the article explores how gender influences these stances. It attempts to move beyond a simple focus on gender differences, towards answering Bacchi's (1990) call for ‘a more useful political analysis (which) would draw attention to the way in which the current economic system encourages certain behaviours and discourages others’. It shows that women academics are taking a transformational stance, but that the stances are not gender-specific. Gender is institutionally embedded with other organizational characteristics, such as academic discipline, departmental size, compatibility with external commercial activity, and the ability or otherwise to generate funds. Questions are raised about the contribution of such stances to the future of the new educational order.     

Formative research methods to understand patient and provider responses to heart attack symptoms

Formative research is often required for program planning, and for reducing uncertainty about generalizability of program effects. This article describes and justifies methods of formative research conducted for the REACT study (Rapid Early Action for Coronary Treatment), a multi-center collaborative randomized community trial aimed at reducing patient delay in seeking care for acute myocardial infarction (AMI). Formative research cast light on patient and community members’ decision-making process in seeking help for AMI, as well as barriers and facilitators of this process. Investigators at all five REACT Field Centers participated in the formative research. The process consisted of: (1) developing a common theoretical framework for the study intervention; (2) conducting a literature review and qualitative research to identify and address gaps in knowledge; and (3) developing a common protocol for the REACT study that accommodated the diversity of the target communities in terms of services, resources, history, and ethnicity. Analysis employed triangulation, defined as an explicit search for heterogeneous data sources to reduce uncertainty about forces at work and opportunities for intervention across settings and populations. Because the collection and interpretation of data went in stages, staff of several REACT Field Centers had independent input to the overall synthesis, then shared and revised the results. Advantages and limitations of this approach are discussed.     

Impact of Parenting Behaviors on Recent Alcohol Use Among African American Students

Parenting is a critical factor in substance abuse prevention. Positive parenting behaviors are identified as a protective factor for substance abuse among youth. Limited research exists that investigates the role of parenting practices on minority youth substance use. The present study seeks to examine correlates between parenting and recent alcohol use among African American youth. Specifically, to what extent do African American students report experiencing specific parenting behaviors that are measured by the National Household Survey on Drug Use and Health?, do specific parenting behaviors increase the risk of recent alcohol use among African American youth?, does the impact of parenting behaviors on recent alcohol use among African American youth differ based on sex (males and females) and age category (12–13, 14–15, and 16–17 years old) were examined in this study? Logistic regression analysis of the National Household Survey on Drug Use and Health was conducted to examine the research questions. Findings indicated that parenting behaviors was associated with recent alcohol among youth. Significant differences were found for males, females, 12–13, 14–15, and 16–17 years olds. Study findings demonstrate the importance of positive parenting behaviors in youth alcohol prevention. Program specialists may target parenting as a means of preventing and reducing youth alcohol use among African American youth.     

War Leaves an Enduring Legacy in Combatants’ Lives

The memory of combat experience endures in World War II veterans. As veterans age, traumatic memory that previously may have been suppressed in the busyness of family and everyday life can re-emerge. Combat stress may affect not only the veterans, but also those people closely associated with them. Interviews were conducted with World War II veteran aircrew, wives, children, grandchildren, siblings, and friends to examine the impact of combat experience on the veterans and the family across the life course from the perspectives of the various participants. The combat experience significantly affected the life course of most.     

Book Review: The Really Hard Questions

Book reviewed in this article:
E. E. Maccoby (1998), The Two Sexes: Growing Up Apart, Coming Together     

An Examination of the Relationship Between Labelling and Stigmatisation with Special Reference to Dyslexia

In this paper it is argued that although labelling can lead to stigmatisation, this is not always the case. Evidence is presented to demonstrate that stigmatisation can take place in the absence of formal labelling or stigmatisation can precede labelling. Most of the evidence presented is from two interview studies one with 27 children and the other with 16 adults. It is suggested that further deconstruction of the labelling process is necessary, and that factors such as whether labels are formal or informal, private or public need to be taken into account. Finally, it is proposed that labelling can be considered at many levels of analysis from the personal to the political and that a coherent framework that integrates these different levels of analysis is needed.     

Culture and Co‐residence: An Exploration of Variation in Home‐Returning among Canadian Young Adults*

Cet article s'inscrit dans la lignée des études sur les dimensions culturelles de la cohabitation entre générations en examinant de près le comportement des jeunes adultes canadiens qui retournent vivre chez leurs parents. Nous explorons les rapports mutuels entre la famille et la diversité culturelle, entre le capital financier et le capital social, et entre le rythme et les mécanismes de transitions précoces qui se manifestent au cours d'une vie. Les modéles de hasards proportionnels sont appliqués à un sous‐échantillon de 2 549 jeunes adultes, àgés de 19 á 34 ans, en tenant compte des données de l'Enquete sociale générale, cycle 10, de 1995. L'une des principales conclusions tirées ici indique que les jeunes qui sont de langue maternelle anglaise sont beaucoup plus susceptibles de retourner chez leurs parents après un premier départ que ceux dont la langue maternelle est le français ou une autre langue. Les autres variables qui entrent en jeu sont le niveau d'education du père, le nombre de frères et de soeurs, le sexe, l'âge au moment du depart de la maison et la raison de ce départ. L'article aborde aussi les questions des responsabilités et des rôles des parents autour de la cinquantaine, et de la socialisation au sein de la famille au cours de la vie. This article offers a focussed examination of variation in home‐returning behaviour among Canadian young adults. Framed within the life course perspective, we explore the interrelationships among family and cultural diversity, financial and social capital, and the timing and pathways of early transitions. Proportional hazards analyses are performed on a subsample of 2,549 young adults aged 19–34, using data from the 1995 General Social Survey, Cycle 10. A major finding is that those whose mother tongue is English are significantly more likely to return to the parental home than those with French or “other” mother tongues. Other variables include: father's education, number of siblings, gender, age at home‐leaving, and initial reason for home‐leaving. Implications for midlife parental roles and responsibilities, and for family socialization are discussed.     

Heterogeneity in treatment effects across diverse populations

Differences in patient characteristics, including age, sex, and race influence the safety and effectiveness of drugs, biologic products, and medical devices. Here we provide a summary of the topics discussed during the opening panel at the 2018 Johns Hopkins Center for Excellence in Regulatory Science and Innovation symposium on Assessing and Communicating Heterogeneity of Treatment Effects for Patient Subpopulations: Challenges and Opportunities. The goal of this session was to provide a brief overview of FDA-regulated therapeutics, including drugs, biologics and medical devices, and some of the major sources of heterogeneity of treatment effects (HTE) related to patient demographics, such as age, sex and race. The panel discussed the US Food and Drug Administration's role in reviewing and regulating drugs, devices, and biologic products and the challenges associated with ensuring that diverse patient populations benefit from these therapeutics. Ultimately, ensuring diverse demographic inclusion in clinical trials, and designing basic and clinical research studies to account for the intended patient population's age, sex, race, and genetic factors among other characteristics, will lead to better, safer therapies for diverse patient populations.