Pathologizing behavior: Meanings of behaviors in dementia care

Deficit and problem-based approaches to behavior stigmatize persons with dementia and cause great unnecessary suffering. In order to reduce the harm caused to persons misunderstood, it is important to understand the process by which staff attach meaning to behaviors and how those meanings ultimately influence how staff respond to behaviors. To this end, this research sought to examine the perceptions and meanings that staff attach to behaviors, how staff experience these behaviors, and the role that meanings and experiences have in staff actions and responses to specific behaviors. This paper focuses on one sensitizing concept that emerged from our study — pathologizing behavior — that reflects how behaviors become pathologized and problematized in the long-term care context. Conducted as part of a larger interpretive grounded theory study, active interviews were conducted with 48 staff members working in a range of positions in long-term care homes in Ontario, Canada. All staff interpreted and placed residents' behaviors in context through a complex process that started with the process of filtering behavior through the lens of pathology, and guided how staff then assigned meaning to the behaviors, how they characterized behaviors as “challenging”, and ultimately reacted through crisis management. The findings demonstrate the impact biomedical discourses have on meanings attached to behaviors and responses to behaviors and point to the need for alternative discourses that emphasize understanding meanings of actions using multidimensional lenses.     

Can we,should we,measure ethnicity?

Feminist social science is marked by its diversity, its ethos of inclusiveness and its critical power. These qualities are best exemplified in feminisms' acknowledgement, at the epistemological level, that men as well as women are crucial participants in the feminist enterprise. Moreover, epistemological justifications for positioning men within feminism is matched by a commitment to think through the methodological implications of men's involvement as both researchers and researched. In particular, inclusiveness pushes at the boundary of what counts as feminist methodology, and it forces us to rethink the underlying principles of feminist research work. In this article, two key feminist methodological principles—rapport and empathy, and democracy—are interrogated in the light of a series of in-depth interviews with a group of powerful, authoritative and uniformed men (senior police officers). It is suggested that while there may be a temptation to dismiss the interviewing relations which evolved as ‘non-feminist’, they are also indicative of feminist methodological vitality and strength as well as its capacity to accommodate the fractured subjectivities of research participants. The paper concludes by positing a re-conceptualization of interviewing principles which not only appreciate diversity in feminist epistemological and methodological commitments, but also variability and difference in feminist research relationships.     

The retrenchment of second‐tier pensions in Hungary and Poland: A precautionary tale

In 1997, Hungary and Poland led Central Europe in partially privatizing their national pension systems, diverting a portion of public pension contributions to privately‐managed individual investment accounts. In the aftermath of the global economic crisis, both governments retrenched these second‐tier schemes: Hungary (December 2010), by ceasing to fund the accounts and recouping most workers' existing balances; and Poland (April 2011), by reducing the diversion of contributions to the second tier. The factors that drove these retrenchments are traced to the original 1997 second‐tier designs, which omitted key specifications related to financing the accounts, private benefit design, and the regulation of private management fees. While both governments tried to compensate for the missing design specifications during implementation, the results were limited. By reducing investment returns and raising borrowing costs, the global economic crisis brought the problems to a head. The conclusion highlights some outstanding issues whose resolution will shape the retrenchments' long‐term impacts.     

The importance of fairness and equity for the marital satisfaction of older women

In all societies, people are concerned with social justice. "It's just not right" is a fairly common lament. In these two studies, we interviewed 240 older women, who ranged in age from 50 to 82. We found that most older women (85%) considered their marriages to be fair and equitable. Older women were less concerned about existing inequities than their younger peers. Nonetheless, they were somewhat concerned with how rewarding and how fair and equitable their relationships were perceived to be. Those who felt over-benefited, for example, felt more guilty than did their less advantaged peers; those who felt under-benefited felt far more angry than did their privileged peers. Stressful life events--such as the arrival of children, retirement, serious illness, or the awareness impending death--often brought to awareness long simmering resentments over issues of fairness.     

On the learning journey: what helps and hinders the development of social work students’ core pre-placement skills?

The development and assessment of core skills, including communication skills, are essential prerequisites before social work students are judged ready for practice placement. This paper presents qualitative data from the first year of a three-year study of an undergraduate module taught jointly to undergraduate and postgraduate students on two qualifying programmes at a university in England. The study considers the impact of video recording in a ‘skills laboratory’ on social work students’ skills development, and compares this with other feedback mechanisms at the pre-placement ‘Readiness for Direct Practice’ threshold for the different student groups. Responses from 88 students to two questions on factors they identified as the most helpful/least useful for core skills development were collected, using the same questionnaire at three stages of the module. These were analysed using a grounded theory approach. A separate, quantitative analysis showed that assessment outcomes for undergraduate and postgraduate students were not statistically different. In contrast, this qualitative analysis showed that while there was common value for students from self-observation using video, there were key differences in learning preferences between undergraduates and postgraduates in relation to feedback. While undergraduates valued peer support in group work, postgraduates preferred feedback from authoritative, independent and credible sources.     

Vocal and Facial Emotion Decoding Difficulties Relating to Social and Thought Problems: Highlighting Schizotypal Personality Disorder

Successful social interaction depends on the ability to decode emotion in the nonverbal behaviors of others. Because relationship difficulties are paramount in adolescents with schizotypal personality disorder (SPD), we predicted that adolescents with SPD would (1) make more emotion decoding errors than adolescents with other personality disorders (OPD) or non-psychiatric controls (NPC); and (2) exhibit more social and thought problems than OPD or NPC adolescents. Further, we predicted greater emotion decoding errors for all adolescents would relate to concurrent and future social problems, thought problems, and social reasoning deficits. SPD adolescents made more errors than OPD and NPC adolescents in decoding voices but not faces (except in specific emotion categories). For all adolescents, vocal errors correlated with greater social problems, and facial and vocal errors correlated with greater thought difficulties concurrently and a year later.     

Job satisfaction among control room operators of electrical systems

Shift workers from control centers of electrical systems are a group that has received little attention in Brazil. This study aimed to compare workers' job satisfaction at five control centers of a Brazilian company electrical system, and according to their job titles. Method: The Organization Satisfaction Index (OSI) questionnaire to assess job satisfaction was used. ANOVA was used to compare OSI means, according to job title and control center. The results showed that there is no difference in job satisfaction among job titles, but a significant difference was found according to the control center. A single organizational culture cannot be applied to several branches. It is required to implement actions that would result in job satisfaction improvements among workers of all studied control rooms centers. The high level of education of operators working in all centers might have contributed to the similar values of perceived satisfaction among distinct job titles.     

The regulation of work activity and the new labor and production contexts

In recent decades, there has been a rise in the use o lean production model techniques. Through this approach, companies become more flexible, a fact that increases the interest in studies regarding the introduction of this model in businesses and its impacts on working conditions. Important observations concerning ergonomics, such as the theme of work activity regulation, have been highlighted in such studies. This article aims to discuss strategies and regulations adopted by the workers on assembly lines that are considered flexible. The article presents the results of a study in a company that adopts some lean production techniques. The study was analyzed using the activity analysis as one of the premises of the Ergonomic Work Analysis (EWA). Many aspects of the traditional assembly line remain present in the scenario that was studied, however a new language was employed and aspects in the nature of regulations demonstrate that the relation with lean production techniques influence the operators' operational modes.     

Perceived stigma and self-stigma of problem gambling: perspectives of people with gambling problems

Minimal research has investigated the stigma associated with problem gambling, despite its major hindrance to help-seeking and recovery. This study explored perceived stigma and self-stigma to examine stigmatizing beliefs held, how they may be internalized, coping mechanisms, and effects on help-seeking. In-depth interviews with 44 people experiencing gambling problems were analysed using interpretive phenomenology. Results revealed an overwhelming perception that problem gambling attracts acute public stigma and is publicly viewed as caused by personal failings. Participants had serious concerns about being viewed as ‘a problem gambler’, fearing demeaning stereotypes, social rejection, hostile responses and devaluing behaviours. Many participants internalized perceived stigma as self-stigma, with deleterious reported effects on self-esteem, self-efficacy, perceived social worth, and mental and physical health. Deep shame was a near universal emotion and exacerbated by relapse. Secrecy was the main coping mechanism used, with perceived and self-stigma found to act as major barriers to disclosure and help-seeking. The findings can inform the development of a valid understanding and conceptualization of problem gambling stigma. This is a prerequisite for effective stigma-reduction strategies to reduce public stigma and discrimination, and to lower perceived and self-stigma and increase the use of treatment services and other interventions by people with gambling problems.