Is obesity stigmatizing? Body weight, perceived discrimination, and psychological well-being in the United States

We investigate the frequency and psychological correlates of institutional and interpersonal discrimination reported by underweight, normal weight, overweight, obese I, and obese II/III Americans. Analyses use data from the Midlife Development in the United States study, a national survey of more than 3,000 adults ages 25 to 74 in 1995. Compared to normal weight persons, obese II/III persons (body mass index of 35 or higher) are more likely to report institutional and day-to-day interpersonal discrimination. Among obese II/III persons, professional workers are more likely than nonprofessionals to report employment discrimination and interpersonal mistreatment. Obese II/III persons report lower levels of self-acceptance than normal weight persons, yet this relationship is fully mediated by the perception that one has been discriminated against due to body weight or physical appearance. Our findings offer further support for the pervasive stigma of obesity and the negative implications of stigmatized identities for life chances.     

Family attachment narrative therapy: healing the experience of early childhood maltreatment

Based on attachment theory and research, Family Attachment Narrative Therapy is introduced as a new family therapy modality developed to heal the experience of early childhood maltreatment. Unresolved childhood trauma has been correlated with impaired and delayed cognitive, behavioral and emotional functioning. Gentle, soothing, nonprovocative and nonintrusive narratives told by parents provide an alternative restorative experience designed to shift and change the child's destructive internal working model. The result is improved functioning and the ability to accept nurturing and care in relationships that offer love and safety. A representative case example is used to illustrate theory, practice and outcome. Pre- and posttherapy assessment supports the claim of improved functioning.     

Predicting Maternal Resolution of Preterm Birth at One Month Corrected Age

Early maternal resolution with preterm birth was assessed at one month corrected age (CA), and potential maternal and infant characteristics that may be associated with early resolution were examined. Fifty‐five mothers of preterm infants (≤34 weeks) participated. Data regarding pregnancy, prenatal risk, delivery, infant's medical risk, maternal well‐being status, and infant's early developmental status were collected. Resolution was examined using the Reaction to Diagnosis Interview (RDI). A total of 38.2% of the mothers were classified as resolved. Only completion of antenatal corticosteroids (ACS) treatment and high prenatal risk significantly predicted maternal resolution. Early maternal resolution of preterm birth is associated with early knowledge regarding the preterm birth.     

The use of client surrogates in determining the reliability of a standardized assessment instrument in multiple, diverse settings

Since its introduction in 1980, the widely-used Addiction Severity Index has been subjected to extensive validity and reliability studies. Reliability procedures have commonly entailed test–retest and multiple judge video reviews, all within controlled environments. The following study uses a method that differs substantially from conventional reliability assessment by employing trained, professional actors as client surrogates to examine the reliability of the instrument when administered in the field, in naturalistic, diverse agency settings. This article details this method, addressing the question, to what extent did this method produce consistent stimuli to enable the measurement of reliability?     

The Surgical Scheduling Problem: Current Research and Future Opportunities

This paper reviews the general problem of surgical scheduling. We organize the literature based on the time frame or planning horizon of the schedule into six categories: capacity planning, process reengineering/redesign, the surgical services portfolio, procedure duration estimation, schedule construction, and schedule execution, monitoring, and control. We survey past work and suggest topics for potential future research in each of those areas.     

Book Review

Abstract

Kim Witte, Gary Meyer, and Dennis Martell. Effective Health Risk Messages: A Step-by-Step Guide: Thousand Oaks, CA: Sage; 2000. 216 pps; paper, $24.95, cloth, $64.95.     

Reflexivity in the age of reconstructive social science

Calls to reflexivity in social science have a long history. This article, after defining the terms endogenous and referential reflexivity, examines that history within several traditions. It argues that this history has tended to prioritize endogenous over referential reflexivity through an over-emphasis on the process of social research compared to what is learnt about social relations. As a result, interactions within the social world and the potential for transformations are not adequately understood, nor are the relations between the social sciences and social life.     

Acculturation Gap,Intergenerational Conflict,Parenting Style,and Youth Distress in Immigrant Chinese American Families

This study examined mother–child acculturation gaps in relationship to youth distress and the possible mediating role of parent–child conflict and parenting style in a sample of 81 Chinese American families. Hierarchical multiple regression analyses provided partial support for a relationship between acculturation gaps and youth distress. No mediators of this relationship were found; however, post-hoc analyses indicated that intergenerational conflict and parenting style were associated with youth distress above and beyond acculturation gaps. These results suggest that interventions developed to reduce parent–child conflict and increase parental bonding (increase parental warmth and decrease parental overprotection) may be valuable for Chinese American adolescents, regardless of acculturation gap status.