The Uphill Struggle: services for Deaf and hard of hearing people - issues of equality, participation and access

This article focuses upon the ways in which Deaf and hard of hearing people are excluded from participation in society. In particular, the focus is upon the ordinary expectations that members of society have in terms of participating as citizens and performing socially sanctioned, adult roles. The roles of 'citizen', 'employee', 'parent' and 'patient' are discussed. The data illustrate how the organisation and delivery of services can undermine, rather than facilitate, the performance of these roles. Despite policy emphasis on social inclusion, current services and legislation fail to provide a firm basis for the full participation of Deaf and hard of hearing people in British society.     

Theory of Mind, Self-worth and the Mother–Child Relationship

We tested the hypothesis that mother–child warmth and responsiveness would moderate the link between young children's theory of mind skills and self‐worth. Participants included 125 same‐sex pairs of 3.5 year‐old twins and their mothers. A battery of tests was individually administered to measure the children's theory of mind skills and verbal intelligence, and their self‐reported self‐worth was assessed using a puppet interview. Following visits to the families' homes, the observers completed ratings of warm responsive mother–child behavior based on videotaped unstructured and structured observations. As expected, warm responsive behavior moderated the relation between their theory of mind and the child's self‐worth. Their theory of mind was positively associated with self‐worth in warm responsive mother–child dyads, and there was weaker evidence that their theory of mind may be negatively associated with self‐worth in less warm, unresponsive mother–child dyads.     

Expressive Strategies in Drawing are Related to Age and Topic

In drawing, psychological mood can be denoted in a direct way (i.e., “literally”) through facial expression cues (e.g., a frowning face denotes sadness in a direct way), but it can also be connoted in an indirect way (i.e., “non-literally”) through figurative or non-figurative cues. This study examines how child and adult drawers selectively use literal and non-literal expressive strategies in accordance with the nature of the topic being depicted. In a between-subject design, 120 participants produced drawings of either a person or a house, in one of three versions: baseline, happy, and sad. The results indicated that drawers preferentially used literal expressive strategies for the person and non-literal strategies for the house. There was an increasing tendency between 7 and 11 years of age to express the drawn person’s mood non-literally in addition to literally. The positive correlation obtained between representational and expressive drawing ability suggests that enrichment of drawers’ graphic repertoire enhances their ability to draw expressively. Implications for clinical and educational practitioners are discussed.     

The Relationship Between Cohabitation and Marital Quality and Stability: Change Across Cohorts?

The relationship between premarital cohabitation and marital dysfunction was examined with a total sample of 1,425 spouses in two U.S. marriage cohorts: those married between 1964 and 1980 (when cohabitation was less common) and those married between 1981 and 1997 (when cohabitation was more common). Spouses in both cohorts who cohabited prior to marriage reported poorer marital quality and greater marital instability. When selection factors for cohabitation and subsequent marital instability were included in the statistical model, cohabitors in both cohorts continued to exhibit poorer marital quality and greater marital instability. These findings lend stronger support to an experience of cohabitation perspective than to a selection perspective as an explanation for why couples who cohabit before marriage tend to have more troubled relationships.     

Exploring the "Psychometric Paradigm": Comparisons Between Aggregate and Individual Analyses

The "psychometric paradigm" developed by Slovic, Fischhoff, and Lichtenstein was a landmark in research about public attitudes toward risks. One problem with this work, however, was that (at least initially) it did not attempt to distinguish between individuals or groups of people, except "experts" vs. "lay people." This paradigm produced a "cognitive map" of hazards, and the assumption seemed to be that the characteristics identified were inherent attributes of risk. This paper examines the validity of this assumption. A questionnaire survey similar to those designed by Slovic et al. was conducted, but the data were analyzed at both the aggregate level, using mean scores, and at the level of individuals ( N = 131 Norwich residents). The results reported here demonstrate that (1) individuals vary in their perception of the same risk issue; (2) individuals vary in their rating of the same risk characteristics on the same risk issue; and (3) some of the strong intercorrelations observed between risk characteristics at the aggregate level are not supported when the same data are analysed at the level of individuals. Despite these findings, the relationship between risk characteristics and risk perceptions inferred by the psychometric paradigm did hold true at the level of individuals, for most—but not all—of the characteristics. In particular, the relationship between "lack of knowledge to those exposed" and risk perceptions appears to be a complex one, a finding which has important implications for risk communication strategies.     

The Gender Structure of the Nursing Hierarchy: The Role of Human Capital

This study investigated the factors contributing to the over‐representation of men in senior positions in nursing. A questionnaire was distributed to a stratified random sample of 1536 registered nurses in New South Wales, Australia. The data were analysed using multiple logistic regression and showed that women's greater likelihood of taking breaks from full‐time employment was the major variable contributing to the gender segmentation of the nursing workforce. This has implications for those working towards ‘family friendly’ workplaces.     

Investigation of mixed model repeated measures analyses and non‐linear random coefficient models in the context of long‐term efficacy data

The longitudinal data from 2 published clinical trials in adult subjects with upper limb spasticity (a randomized placebo‐controlled study [NCT01313299] and its long‐term open‐label extension [NCT01313312]) were combined. Their study designs involved repeat intramuscular injections of abobotulinumtoxinA (Dysport®), and efficacy endpoints were collected accordingly. With the objective of characterizing the pattern of response across cycles, Mixed Model Repeated Measures analyses and Non‐Linear Random Coefficient (NLRC) analyses were performed and their results compared. The Mixed Model Repeated Measures analyses, commonly used in the context of repeated measures with missing dependent data, did not involve any parametric shape for the curve of changes over time. Based on clinical expectations, the NLRC included a negative exponential function of the number of treatment cycles, with its asymptote and rate included as random coefficients in the model. Our analysis focused on 2 specific efficacy parameters reflecting complementary aspects of efficacy in the study population. A simulation study based on a similar study design was also performed to further assess the performance of each method under different patterns of response over time. This highlighted a gain of precision with the NLRC model, and most importantly the need for its assumptions to be verified to avoid potentially biased estimates. These analyses describe a typical situation and the conditions under which non‐linear mixed modeling can provide additional insights on the behavior of efficacy parameters over time. Indeed, the resulting estimates from the negative exponential NLRC can help determine the expected maximal effect and the treatment duration required to reach it.