Long‐Term Physical Health Consequences of Adverse Childhood Experiences

This study examined associations between adverse childhood family experiences and adult physical health using data from 52,250 U.S. adults aged 18 to 64 from the 2009 to 2012 Behavioral Risk Factor Surveillance System. We found that experiencing childhood physical, verbal, or sexual abuse, witnessing parental domestic violence, experiencing parental divorce, and living with someone who was depressed, abused drugs or alcohol, or who had been incarcerated were associated with one or more of the following health outcomes: self‐rated health, functional limitations, diabetes, and heart attack. Adult socioeconomic status and poor mental health and health behaviors significantly mediated several of these associations. The results of this study highlight the importance of family‐based adverse childhood experiences on adult health outcomes and suggest that adult socioeconomic status (SES) and stress‐related coping behaviors may be crucial links between trauma in the childhood home and adult health.     

Project Re•Vision: disability at the edges of representation

The representational history of disabled people can largely be characterized as one of being put on display or hidden away. Self-representations have been a powerful part of the disability rights and culture movement, but recently scholars have analysed the ways in which these run the risk of creating a ‘single story’ that centres the experiences of white, western, physically disabled men. Here we introduce and theorize with Project Re?Vision, our arts-based research project that resists this singularity by creating and centring, without normalizing, representations that have previously been relegated to the margins. We draw from body becoming and new materialist theory to explore the dynamic ways in which positionality illuminates bodies of difference and open into a discussion about what is at stake when these stories are let loose into the world.     

Acceptance of Global Positioning System (GPS) Technology Among Dementia Clients and Family Caregivers

The purpose of this study was to examine the acceptance of Global Positioning System (GPS) used to help people with dementia, who are at risk for wandering in their communities. We used a mixed methods research approach that included use logs, pre and post paper-based questionnaires, and focus groups. Forty-five client-caregiver pairs (dyads) were included to use one of the GPS devices for an average of 5.8 months over a 1-year period. GPS acceptance was high; dyads were likely to continue using the GPS. According to the participants, the GPS provided caregivers peace of mind and reduced anxiety in dyads when clients got lost.     

Trouble with Gender

This paper is a critical engagement with some of the writings of Judith Butler who is perhaps best known for popularising the idea of gender as performative. Here we trace origins of the notion of performatives in the work of J. L. Austin. We outline Butler's extended definition of performative gender and comment on its relationship to earlier sociological accounts. We follow her development of the idea through the later deployment of Derrida's notion of citationality. We draw attention to potential problems of this usage and to the difficulties of linking it to a psychoanalytic account of subjectivity. We consider her extended example of drag as sharing the impersonatory character of gender and as allegorizing the melancholic character of heterosexual gender identity. We comment on her interest in a theatrical politics that may make trouble for gender. Finally we consider the theoretical burden that these ideas attempt to carry.     

Not Necessarily Solidarity

Since the idea of “women's rights as human rights” emerged, there has been a wave of international donors, organizations and transnational feminist activists successfully delivering pressure and resources in the struggle to mitigate violence against women worldwide. Through these transnational networks, decisions regarding which local problems to address and how to manage them are often made at the international level. Most scholarship has rightly celebrated the advances for women's rights that have been made possible due to the impact of international organizations and transnational advocacy networks. However, there are many dilemmas that arise from this North-centric approach to assigning and managing priorities – especially among development aid organizations. Coordination with international donors is often necessary and has been a major source of advances. However, there are still some potentially harmful impacts of having to engage in these networks in order to address violence against women – including a disproportionate focus on short-term results while neglecting long-term goals. This article articulates these dilemmas and explains how international feminist human rights norms can be more successfully translated into a stronger sense of solidarity across borders and more sustainable advances for women. Examples are drawn from the Central American countries of Costa Rica, El Salvador, Guatemala and Nicaragua.     

Zombies and a Decaying American Ontology

What would it mean to take zombies seriously? Cultural savants have noted the rise of the zombie in American popular culture in the twenty‐first century. And many scholars have found the zombie useful as a lumbering, empty‐headed metaphor that could signify just about anything. The zombie might look like a loved ovne, but their flesh is rotting and their individualism has tragically withered away. Before I came to zombology, I was already fascinated by an American obsession with preventing the decay of the corpse through an exceptional devotion to embalming. I argue that the intersection of the new zombie‐ism, the rapid decline of embalming, and the mass trauma of 9/11 is significant. Playing with zombies along a spectrum from fright to humor allows Americans to work through not a crisis of meaning, but a crisis of being. The cult of individualism no longer needs a perfect biological body.     

Aging male symptomatology and eating behavior

Objective: The literature on eating disorders in older males is still very limited. We assessed the relationship between aging male symptomatology and eating behavior in middle-aged and older men.

Method: We distributed anonymous questionnaires to men aged 40–75?years living in or near Innsbruck, Austria, covering demographic items, current eating disorder symptoms (as defined by DSM-5), and associated measures of eating pathology, body image, and sports activity (including exercise addiction). We also administered the Aging Males’ Symptoms scale (AMS), and classified respondents as “high-AMS” (AMS score ≥37; N?=?82) or “low-AMS” (AMS score <37; N?=?386).

Results: High-AMS men reported a significantly higher mean current BMI, a greater prevalence of eating disorder symptoms, higher scores on the Eating Disorder Examination Questionnaire, greater risk of exercise addiction, and more negative body image than low-AMS men.

Discussion: We found a marked association between aging-male symptomatology and eating-disorder symptomatology in aging men. Our findings suggest that clinicians should carefully inquire about eating disorder symptoms in men aged 40 and above reporting aging-male symptomatology. Importantly, several men in the study reported “purging” via excessive exercise (as opposed to the more common methods of vomiting or use of laxatives or diuretics), and therefore this should be a subject of inquiry in clinical evaluations. To pursue these findings, subsequent studies of eating disorders in older men should consider assessing endocrinological measures, particularly testosterone levels, and should use longitudinal designs.     

Measuring What Matters: Achieving Consensus on a Positive Aging Indicator Set For Ireland

The objective of this study was to measure consensus among expert stakeholders on a set of positive aging outcome indicators in Ireland. Stakeholders from academic, public, and voluntary sectors and older people participated in a 3-round, online Delphi study to evaluate indicators for participation, security, healthy aging, attitudes to aging, and information access. Evaluation criteria included: acceptability, utility, accessibility, ranking, and balance and coherence. Consensus was achieved on 56 key indicators that are aligned with action areas in the National Positive Ageing Strategy. These indicators will be reported on a biannual basis to monitor progress in positive aging in Ireland.     

Toward a dimensional model of risk and protective factors influencing children's early cognitive,social, and emotional development during the COVID-19 pandemic

Variation in infants’ home environment is implicated in their cognitive and psycho-social development. The pandemic has intensified variations in home environments through exacerbating socioeconomic inequalities, and increasing psychological stressors for some families. This study investigates the effects of parental (predominantly maternal) mental health, enriching activities and screen use on 280 24- to 52-month-olds’ executive functions, internalising and externalising problems, and pro-social behaviour; with socioeconomic status and social support as contextual factors. Our results indicate that aspects of the home environment are differentially associated with children’s cognitive and psycho-social development. Parents who experienced sustained mental distress during the pandemic tended to report higher child externalising and internalising problems, and executive function difficulties at follow-up. Children who spent more time engaged in enriching activities with their parents showed stronger executive functions and social competence six months later. Screen use levels during the first year of the pandemic were not associated with outcomes. To mitigate the risk of persistent negative effects for this ‘pandemic generation’ of infants, our study highlights the importance of supporting parents’ mental health. As our results demonstrate the impact of social support on mental health, investing in support services and interventions promoting building support networks are likely to be beneficial.