‘Unnatural’, ‘Unwomanly’, ‘Uncreditable’ and ‘Undervalued’: The Significance of Being a Childless Woman in Australian Society

Childlessness is an increasing trend, internationally and in Australia. The few studies exploring the lived experiences of childless women have been conducted in America, Canada and the United Kingdom; predominantly during the 1980s and 1990s. The experiences of childless women in contemporary Australia remain under-researched. This hermeneutic phenomenological study sought to enhance understanding of the lived experience of being a childless woman in contemporary Australia. In-depth interviews with five childless women revealed five key themes as significant facets of the experiences of childless women: notions of ‘natural’ and ‘unnatural’; woman = mother; childlessness as a discrediting attribute; feeling undervalued; and the significance of being childless. By privileging the experiences of childless women in a pronatalist society, it is apparent that misconceptions and stereotypes about childlessness continue to pervade. This study contributes to understanding this growing population group; highlighting that while childlessness is increasingly acknowledged, it is still not completely understood.     

Review and Assessment of Poliovirus Immunity and Transmission: Synthesis of Knowledge Gaps and Identification of Research Needs

With the intensifying global efforts to eradicate wild polioviruses, policymakers face complex decisions related to achieving eradication and managing posteradication risks. These decisions and the expanding use of inactivated poliovirus vaccine (IPV) trigger renewed interest in poliovirus immunity, particularly the role of mucosal immunity in the transmission of polioviruses. Sustained high population immunity to poliovirus transmission represents a key prerequisite to eradication, but poliovirus immunity and transmission remain poorly understood despite decades of studies. In April 2010, the U.S. Centers for Disease Control and Prevention convened an international group of experts on poliovirus immunology and virology to review the literature relevant for modeling poliovirus transmission, develop a consensus about related uncertainties, and identify research needs. This article synthesizes the quantitative assessments and research needs identified during the process. Limitations in the evidence from oral poliovirus vaccine (OPV) challenge studies and other relevant data led to differences in expert assessments, indicating the need for additional data, particularly in several priority areas for research: (1) the ability of IPV‐induced immunity to prevent or reduce excretion and affect transmission, (2) the impact of waning immunity on the probability and extent of poliovirus excretion, (3) the relationship between the concentration of poliovirus excreted and infectiousness to others in different settings, and (4) the relative role of fecal‐oral versus oropharyngeal transmission. This assessment of current knowledge supports the immediate conduct of additional studies to address the gaps.     

“SOCIOECONOMIC DIVERSITY IS OVERRATED”: WHITE ATTITUDES ON RACE AND CLASS IN A RACIALLY INTEGRATED NEIGHBORHOOD

This article investigates homeowners' perceptions of race and class within a racially integrated neighborhood in Baltimore, Maryland. Forty-two semi-structured interviews were completed with 59 white homeowners between September 2005 and September 2006. Adding a social class component to Bonilla-Silva's (2006 ——— . 2006 . Racism Without Racists: Color-Blind Racism and the Persistence of Racial Inequality in the United States, , 2nd edition . Lanham , MD : Rowman & Littlefield . [Google Scholar]) color-blind racism perspective, I ask if white homeowners in a racially-integrated neighborhood accept a color-blind worldview, or if they have an alternate framework for understanding race. Akin to O'Brien's antiracists (2001 Bonilla-Silva , Eduardo. 2001 . White Supremacy and Racism in the Post-Civil Rights Era . Boulder , CO : Lynne Rienner Publishers . [Google Scholar]), there was a range of rejection of color-blindness, from selective to reflexive race cognizance. Most homeowners recognized the institutional basis of racial inequality and their own white privilege. However, many conflated race and class and argued that it was really class differences that caused racial differences. While many supported more racial integration, most rejected class integration in the neighborhood. This paradoxical set of attitudes will most likely continue to be an obstacle to the maintenance of racially integrated neighborhoods.     

Longitudinal Event-Level Analysis of Gay and Bisexual Men’s Anal Sex Versatility: Behavior,Roles, and Substance Use

Gay and bisexual Men Who Have Sex with Men (GBM) are sexually unique in that they can practice penile-anal sex versatility, i.e. engage in insertive and receptive anal sex. Individual-level versatility is extensively researched both as a sexual behavior linked to HIV/STI transmission, and as a GBM identity that can change over time. However, there is a dearth of research on event-level versatility (ELV), defined as taking the receptive and insertive role in the same sexual encounter. We analyzed event-level data from 644 GBM in the Momentum Health Study from February 2012-February 2017 to identify factors associated with ELV prevalence, the relationship between ELV and anal sex role preference, and sero-adaptive and sexualized drug use strategies. Univariate analysis revealed ELV prevalence rates between 15% and 20%. A multivariate generalized linear mixed model indicated ELV significantly (p < .05) associated with versatile role preference and condomless sex. However, the majority of ELV came from GBM reporting insertive or receptive role preferences, and there was significantly higher condom use among sero-discordant partners, indicating sero-adaptation. Multivariate log-linear modeling identified multiple polysubstance combinations significantly associated with ELV. Results provide insights into GBM sexual behavior and constitute empirical data useful for future HIV/STI transmission pattern modeling.     

Bridging the Gap Between Micro and Macro Practice

The bifurcated structure of social work education, micro and macro, is often unwarranted and restrictive. This split forces a premature and unnecessarily narrow focus in study and practice. In order to adequately pursue social justice and deal with issues of power and oppression in a clinical context, this bifurcated structure of social work must somehow be unified. A narrative–deconstructive model of practice, nested in the postmodern–poststructuralist paradigm and embodied in the work of White and Epston offers a resolution to this dilemma. The authors provide a conceptual base for understanding this model, highlight those socio-political elements of the model that integrate clinical practice with social change, present examples, and discuss implications for social work education.     

Using Social Work Theory for the Facilitation of Friendships

Positive friendships are essential to human development and resilience. In spite of the importance of friendships, few social work models have been developed to help clients establish or maintain friendships. This article explores how clinical theories of social work, and their associated practice interventions, can guide social workers in helping their clients improve their friendship relationships.     

Return to work: A comparison of two cognitive behavioural interventions in cases of work-related psychological complaints among the self-employed

Abstract

We investigated the effectiveness of cognitive behavioural therapy (CBT) and a combined intervention of workplace- and individual-focused techniques among self-employed people on sick leave owing to work-related psychological complaints (such as anxiety, depression, and burnout). Both interventions were based on CBT; however, one was conducted by psychotherapists and involved extensive CBT, while the other was delivered by “labour experts” and consisted of a brief CBT-derived intervention combined with both individual-focused and workplace interventions. One hundred and twenty-two self-employed people who had applied for sickness benefit from an insurance company enrolled in a randomized controlled design. These individuals were assessed before the intervention and then at 4 months and 10 months after the onset of the intervention. The outcome was assessed based on duration of sick leave until partial and full return to work and on psychological complaints. Significant effects on partial and full return were found in favour of the combined intervention: partial return occurred 17 and 30 days earlier in this group than in the CBT group and the control group, respectively. For full return to work, the difference was approximately 200 days. A decrease in psychological complaints was present in each condition but we found no significant interaction effects. The results suggest that work resumption should be addressed earlier in individuals receiving CBT. This insight is of value for the (scarce) literature concerning interventions for individuals who are on sick leave owing to work-related psychological complaints.     

Analysis and evaluation of moderator effects in regression models: state of art, alternatives and empirical example

The identification and analysis of moderator relationships regularly confronts the empirical research with statistical and methodical challenges. Which misinterpretations and false conclusions result from different methodical procedures for the identification of moderator effects shall be demonstrated by means of the present contribution. Thereby, the moderated regression analysis represents the most popular procedure in this context.