Neo-natal mortality in South Asia: The special role of tetanus

Summary First-year mortality in rural Uttar Pradesh is characterized by a predominance (60 per cent) of deaths during the first month of life, of which 66 per cent are reported to be due to tetanus. This pattern is not typical of the historical experience of many developed countries and the current experience of some less developed countries where post-neo-natal mortality predominates. To examine this phenomenon, two causal models of neo-natal mortality (one for tetanus and one for all other diseases) are developed and tested using retrospective survey data from 2000 couples living in rural Uttar Pradesh. Neo-natal tetanus mortality is found to be primarily a function of opportunities for exposure to the disease (e.g. lack of antiseptic birth practices, ownership of large animals) rather than of socio-economic status or demographic variables. The importance of examining neo-natal mortality by cause, and the shortcomings inherent in making inferences from the historical experiences of Western nations are emphasized.     

Response to the Dialogue Between Adrienne Harris and David Lichtenstein

In this discussion, the author clarifies the different positions held by Adrienne Harris and David Liechtenstein in a frank and open dialogue about the Lacanian and relational viewpoints in the field of psychoanalysis. The author proposes in the end a new integration of the process of projective identification to narrow the divergence between the two schools of thought.     

How the Right Usurped the Queer Agenda: Frame Co‐optation in Political Discourse

This article draws on a case study of lesbian, gay, bisexual, and transgender (LGBT) and queer politics in Vermont to explain the conditions under which radical discourse gains and loses a public voice. In contrast to claims that the marginalization of queer discourse is due to silencing by LGBT rights activists or to litigation strategies, we argue that variation in queer discourse over time is the result of the co‐optation of queer discourse and goals by opponents. Extending the social movement literature on frame variation, we argue that opponents co‐opt discourse when they adopt aspects of the content of a movement's discourse, while subverting its intent. We show that conservative LGBT rights opponents co‐opted queer discourse. As a result, queer positions lost their viability as the discursive field in which those arguments were made was fundamentally altered. Because queer positions became less tenable, we see the withdrawal of queer discourse from the mainstream and alternative LGBT media. Our work both supports and builds on research on frame variation by demonstrating how discourse can change over time in response to the interplay between changing aspects of the political and cultural landscape and the discourse of opponents.     

Beyond Social Constructionism: Critical Realism and Social Work

Summary Theories within the social and psychological sciences continueto shape social work practice. However, recent debates withinthese sciences on the shortcomings of ‘social constructionism’,and the attempt to overcome them through a critical realistposition, have so far failed to capture social work's attention.This paper provides a critical overview of these theoreticaldebates, highlighting the shortcomings of social constructionismfor social work. The critical realist challenge to social constructionism,as articulated by the British philosopher Roy Bhaskar, is consideredand its relevance to social work formulated in terms of a returnto ‘depth’ in practice.     

Stability analysis using mixed models: A critique of tolerance interval methods and a probabilistic solution

Recently, tolerance interval approaches to the calculation of a shelf life of a drug product have been proposed in the literature. These address the belief that shelf life should be related to control of a certain proportion of batches being out of specification. We question the appropriateness of the tolerance interval approach. Our concerns relate to the computational challenges and practical interpretations of the method. We provide an alternative Bayesian approach, which directly controls the desired proportion of batches falling out of specification assuming a controlled manufacturing process. The approach has an intuitive interpretation and posterior distributions are straightforward to compute. If prior information on the fixed and random parameters is available, a Bayesian approach can provide additional benefits both to the company and the consumer. It also avoids many of the computational challenges with the tolerance interval methodology.     

The Job Demand-Control (-Support) Model and psychological well-being: a review of 20 years of empirical research

The Job Demand-Control (JDC) model (Karasek, 1979) and the Job Demand-Control-Support (JDCS) model (Johnson, and Hall, 1988) have dominated research on occupational stress in the last 20 years. This detailed narrative review focuses on the JDC(S) model in relation to psychological well-being. It covers research from 63 samples, published in the period 1979-1997. In the review a distinction is drawn between two different hypotheses prevailing in research on the models. According to the strain hypothesis of the JDC model, employees working in a high-strain job (high demands-low control) experience the lowest well-being. The buffer hypothesis states that control can moderate the negative effects of high demands on well-being. Translating these hypotheses to the expanded JDCS model, the iso-strain hypothesis predicts the most negative outcomes among workers in an iso-strain job (high demands-low control-low social support/isolation), whereas the buffer hypothesis states that social support can moderate the negative impact of high strain on well-being. Although the literature gives considerable support for the strain and iso-strain hypotheses, support for the moderating influence of job control and social support is less consistent. The conceptualization of demands and control is a key factor in discriminating supportive from nonsupportive studies. Only aspects of job control that correspond to the specific demands of a given job moderate the impact of high demands on well-being. Furthermore, certain subpopulations appear to be more vulnerable to high (iso)strain, whereas others benefit more from high control. On the basis of the results of this review, suggestions for future research and theoretical development are formulated.     

Estimating the completeness of under-5 death registration in Egypt

To evaluate the completeness of registration of infant and child deaths in Egypt, reinterviews were conducted with families who had reported a death of a child under age 5 in the five years before the survey for two national surveys recently conducted in Egypt: the United Nations PAPCHILD survey of1990-1991 and the Egyptian Demographic and Health Survey (EDHS) of 1992. The survey instrument included questions regarding notification of the death at the local health bureau. If the family said the death had been notified, separate employees searched the health bureau records for the registration. Overall 57% of infant deaths were reported as notified and 68% of those death reports were found; the corresponding figuresfor child deaths were 89% and 74%. Using the percentage reported as notified as an estimate for completeness of registration, we adjusted upward the national infant and child mortality rates from registration data, giving values of 73 per 1,000 for infant mortality and 99 for ₅q₀ for the period 1987-1990. These values are approximately 20% above the corresponding direct estimates from the PAPCHILD and EDHS surveys.     

Carceral politics as gender justice? The “traffic in women” and neoliberal circuits of crime,sex, and rights

This article draws upon recent works in sociology, jurisprudence, and feminist theory in order to assess the ways in which feminism, and sex and gender more generally, have become intricately interwoven with punitive agendas in contemporary US politics. Melding existing theoretical discussions of penal trends with insights drawn from my own ethnographic research on the contemporary anti-trafficking movement in the United States—the most recent domain of feminist activism in which a crime frame has prevailed against competing models of social justice—I elaborate upon the ways that neoliberalism and the politics of sex and gender have intertwined to produce a carceral turn in feminist advocacy movements previously organized around struggles for economic justice and liberation. Taking the anti-trafficking movement as a case study, I further demonstrate how human rights discourse has become a key vehicle both for the transnationalization of carceral politics and for the reincorporation of these policies into the domestic terrain in a benevolent, feminist guise. I conclude by urging greater and more nuanced attention to the operations of gender and sexual politics within mainstream analyses of contemporary modes of punishment, as well as a careful consideration of the neoliberal carceral state within feminist discussions of gender, sexuality, and the law.     

Developing creative solutions to the problems of children and their families: communicative reason and the use of forum theatre

The paper represents a further development of work previously reported in this journal by Spratt & Houston (1999) and Spratt et al. (2000) . The authors have sought to develop ways of understanding current social work with children and families in line with the critical theory of Jurgen Habermas. This analysis has been complemented by an adoption of the methodology of the radical dramatist, Augusto Boal. In synthesizing Habermas's analysis of communicative discourses with the consciousness raising methodology of Boal, the authors have already demonstrated the effectiveness of this hybrid in problem‐solving exercises with social workers. The present paper reports on an application of this developing theory to practice, utilizing the centrepiece of Boal's method, forum theatre. A forum theatre project, concerned with the issue of bullying, is described and evaluated. It is argued that the project provides an exemplar of an innovative, democratizing and effective methodology that might profitably be utilized in social work with children and families. Finally, suggestions are made as to how these ideas could be developed in practice.     

Discount rates and risky sexual behaviors among teenagers and young adults

This article examines the relationship between personal discount rates and sexual behaviors in a sample of teenagers and young adults. We find that higher discount rates (an indication of less willingness to forego current consumption for future consumption) are significantly associated with a range of sexual behaviors, including ever having sex, having sex before age 16 years, and past or current pregnancy. These associations are consistent with previous studies showing a link between discounting and other, non-sexual health behaviors. JEL Classification D80 · D90 · I10