Family Experiences of Caring for Relatives Who Have Received Electroconvulsive Therapy (ECT)

The research literature on family members’ experiences of the use of electroconvulsive therapy (ECT) is limited. This article explores the perspectives of family members whose relatives had received ECT. Drawing on a social constructionist perspective, this qualitative study collected data using in-depth interviews with nine families in South Australia, to examine how family members constructed the supports and challenges they experienced. The research found that families experienced a range of social and service system barriers, including social stigma and isolation, and limited support from health professionals. They had to negotiate caring expectations within a social context that stigmatised both mental illness and ECT. A need for ECT-specific mental health support groups was identified.

IMPLICATIONS

• Social workers’ roles in Australian hospitals could be further expanded to accommodate supporting families whose relatives have received ECT, referring families to community support, and advocating for specialist support post-ECT treatment.

• Social workers can further articulate their unique contribution to community care post-ECT treatment and advocate for supporting families.

• Increased focus on ongoing and preventative care for supporting families is a potential growth area for social workers in mental health.

     

Beauty Work: Individual and Institutional Rewards, the Reproduction of Gender, and Questions of Agency

Physical attractiveness is associated with a number of positive outcomes, including employment benefits such as hiring, wages, and promotion, and is correlated with social and personal rewards such as work satisfaction, positive perceptions of others, and higher self-esteem. As a result, individuals perform various forms of beauty work, thus reproducing and strengthening a social system that privileges youth and attractiveness. In this article, we explore the beauty work practices that people perform. We begin with an examination of the cultural context in which beauty work occurs, including the individual, social, and institutional rewards accompanying physical attractiveness, and then review the practices themselves. Because these rewards and practices contribute in part to the reproduction of social relations and norms, we then turn to the gender dimensions of beauty work, along with its unique racial embodiment. Throughout, we raise the issue of individual agency in beauty work. Finally, we conclude with suggestions for future research.     

Australia's Individualised Disability Funding Packages: When Do They Provide Greater Choice and Opportunity?

Australia's new National Disability Insurance Scheme (NDIS) uses individualised funding packages instead of traditional block‐funded disability services to support people with disability. The NDIS works with the person and their family to assess the person's needs and develop a plan that determines their funding allocation. Funding can be used to purchase support from a disability service or from the open market. People can purchase support that suits their cultural and personal preferences. This paper examined whether individual funding packages met their aims in Western Australia, where they had been the primary mechanism of disability support for over 25 years. An exploratory case study was conducted consisting of face‐to‐face, in‐depth interviews with 11 key participants: people with disability, senior government administrators, service provider managers, and a support worker. Complex systems theory was used to review the data and findings showed that individualised funding packages did not automatically result in more choice and greater opportunities. People needed information to make informed decisions; supportive and creative support from social workers and other professionals; and welcoming communities. The findings can inform policies and assist social workers facilitate maximum choice and opportunities for people with disability and their families.     

The Who,Why, and How of Reinvention in Nonprofit Organizations

Although reinvention of government agencies is being extensively discussed, relatively little is known about the reinvention strategies of nonprofit organizations. This article reports survey results for a randomly selected group of nonprofit organizations from across the United States. We conclude that reinvention is being used as a management tool by nonprofit organizations and that it is affecting day‐to‐day operations. Regardless of how reinvention was implemented, these organizations generally view their reinvention activities as successful for increasing productivity, enhancing services, improving performance, and managing costs.     

Religion as Cultural Power: The Role of Religion in Influencing Americans’ Symbolic Boundaries around Gender and Sexuality

In this article, we describe recent research that explores the power of religion to influence understandings of gender and sexuality in the United States. We argue that sociologists of religion should draw from symbolic boundaries theory, a theoretical innovation in the sociology of culture. In particular, we discuss a rich body of research in the sociology of religion to show how Americans use religious tools to draw boundaries around ideal and stigmatized gender norms, family forms and sexual identification. We combine symbolic boundaries literature and this literature to show that religion is a source of cultural power that assigns meaning to, and draws boundaries around, certain cultural categories. We end by describing some productive directions for future research in this area.     

A Comparison of Affect Ratings Obtained with Ecological Momentary Assessment and the Day Reconstruction Method

Measurement of affective states in everyday life is of fundamental importance in many types of quality of life, health, and psychological research. Ecological momentary assessment (EMA) is the recognized method of choice, but the respondent burden can be high. The day reconstruction method (DRM) was developed by Kahneman and colleagues (Science, 2004, 306, 1776–1780) to assess affect, activities and time use in everyday life. We sought to validate DRM affect ratings by comparison with contemporaneous EMA ratings in a sample of 94 working women monitored over work and leisure days. Six EMA ratings of happiness, tiredness, stress, and anger/frustration were obtained over each 24 h period, and were compared with DRM ratings for the same hour, recorded retrospectively at the end of the day. Similar profiles of affect intensity were recorded with the two techniques. The between-person correlations adjusted for attenuation ranged from 0.58 (stress, working day) to 0.90 (happiness, leisure day). The strength of associations was not related to age, educational attainment, or depressed mood. We conclude that the DRM provides reasonably reliable estimates both of the intensity of affect and variations in affect over the day, so is a valuable instrument for the measurement of everyday experience in health and social research.     

How Do We Communicate About Pain? A Systematic Analysis of the Semantic Contribution of Co-speech Gestures in Pain-focused Conversations

The purpose of the present study was to investigate co-speech gesture use during communication about pain. Speakers described a recent pain experience and the data were analyzed using a ‘semantic feature approach’ to determine the distribution of information across gesture and speech. This analysis revealed that a considerable proportion of pain-focused talk was accompanied by gestures, and that these gestures often contained more information about pain than speech itself. Further, some gestures represented information that was hardly represented in speech at all. Overall, these results suggest that gestures are integral to the communication of pain and need to be attended to if recipients are to obtain a fuller understanding of the pain experience and provide help and support to pain sufferers.     

A CGE Framework for Modeling the Economics of Flooding and Recovery in a Major Urban Area

Coastal cities around the world have experienced large costs from major flooding events in recent years. Climate change is predicted to bring an increased likelihood of flooding due to sea level rise and more frequent severe storms. In order to plan future development and adaptation, cities must know the magnitude of losses associated with these events, and how they can be reduced. Often losses are calculated from insurance claims or surveying flood victims. However, this largely neglects the loss due to the disruption of economic activity. We use a forward‐looking dynamic computable general equilibrium model to study how a local economy responds to a flood, focusing on the subsequent recovery/reconstruction. Initial damage is modeled as a shock to the capital stock and recovery requires rebuilding that stock. We apply the model to Vancouver, British Columbia by considering a flood scenario causing total capital damage of $14.6 billion spread across five municipalities. GDP loss relative to a no‐flood scenario is relatively long‐lasting. It is 2.0% ($2.2 billion) in the first year after the flood, 1.7% ($1.9 billion) in the second year, and 1.2% ($1.4 billion) in the fifth year.     

The fanta-sy of global products: fizzy-drinks,differentiated ubiquity and the placing of globalization

ABSTRACT

If globalization is conceived as an outcome of negotiations between places and relational processes, how do researchers capture such amorphous complexity? Drawing upon the framework of assemblage theory this paper unpicks the plethora of processes and practices encompassed within the problematic term ‘globalization’. Focusing on the ‘banal’ object of a can of Fanta, we demonstrate how this exists in an assemblage which maintains coherence across space (i.e. is universally recognizable) yet is spatially differentiated in its components. Shedding light on how these processes coalesce in place we argue for the acknowledgement of the ‘ubiquitous’ in making place and the importance of difference in underpinning the ‘global’.