A sea change on the island continent: frameworks for risk assessment,prevention and intervention in child health in Australia

This article overviews prevention and early intervention approaches focusing specifically on their relevance to the health of children and young people in Australia. Australian public health has a sound track record although concealed within the aggregate profile are a number of sub-populations with poorer health indicators. Recognition of this has increased efforts to improve the health of children and young people especially in exploring the impact of social environments within the communities where children are raised. This paper examines emerging research in this area drawing out key lessons and learning from Australian experience in the field of early intervention and prevention in community settings.     

Pathways between education and health: a causal modelling approach

Summary.  The association of poor education and poor health has been consistently observed in many studies and in various countries. Thus far, studies examining the mechanisms underlying this association have looked at only a limited set of potential pathways. This study simultaneously examines six distinctive pathways, which have been hypothesized to link education and health and found support from previous studies. A causal analysis of education and health was performed using structural equation models. Data were used from six phases of the National Child Development Study, which is based on following up an initial sample of 17416 children who were born in 1958. The association between education and health appears to be explained by a combination of mechanisms: adolescent health and adult health behaviours for men and women, adult social class among men and parental social class among women. We conclude that improvements in population educational attainment may not automatically lead to improvements in population health, and that health policies for improving health and reducing health inequalities need to target specific causal pathways.     

Reclaiming the spirit: The journeys of gay men and lesbian women toward integration

The goal of this study is to understand and describe the way gay men and lesbian women see and interpret their spiritual journeys. Its intent is to open up the variety of experiences that gay men and lesbians encounter and is, therefore, not based on a single religious tradition or path, such as through crisis or AIDS. The findings included a model which interweaves the coming out process and the spiritual journey for this group of gay men and lesbian women, highlighting the period of questioning, reclaiming, and reintegration that happens for many as they resolve their sense of themselves as sexual and spiritual. Also addressed is the choice of mainstream and non-mainstream spiritual identification. The research discussed in this report was supported in part by the University Research Council, DePaul University.     

TOWARD A SYNTHESIS OF FEMINIST AND DEMOGRAPHIC PERSPECTIVES ON FERTILITY

In explaining fertility and reproduction and emerging patterns of childbearing, both demographers and feminists have centered their thinking on women's status (economic and social), women's changing roles and life experiences (increased labor force participation, increased availability of reproductive options, declining marriage rates in many parts of the industrialized world, and the centrality of women to development), and women as agents in micro- and macrolevel changes in family, fertility, and economic change. Although demography has recently begun to integrate feminist perspectives into fertility explanations, there is not yet a synthesis of feminist theoretical insights with demographic questions. Drawing from recent thinking on global and national political and policy challenges in the less and more developed worlds, to the epistemological shifts in knowledge of reproduction/mothering, to changes in the technologies of reproduction, this article moves toward an integration of feminist and demographic perspectives on fertility.
…far from the economic dependence of women working in the interests of motherhood, it is the steadily acting cause of a pathological maternity and a declining birthrate.
Charlotte Perkins Stetson, Women and Economics , 1899     

The prediction of learning in family therapy training programs*

Research on family therapy training has produced very little data regarding the kinds of trainees that do best in family therapy training programs. This study attempts to provide some rough and preliminary data on that issue. One hundred and seventy trainees, drawn from seven different structural!strategic training experiences, were evaluated as to how much they learned by taking the Family Therapy Assessment Exercise pre- and posttraining. Their performance was correlated using a hierarchical regression analysis with a number of trainee variables such as amount of conjugal family experience, amount of experience doing family or individual therapy, or prior knowledge of family therapy. The results indicate that, as predicted, conjugal family experience was positively related, and prior knowledge was negatively related to performance. Prior experience doing individual therapy was also positively related to performance.     

Training with o (observing) and T (treatment) teams in live supervision: reflections in the looking glass*

Working with a treatment and observing team at the same time, behind the oneway mirror, offers a variety of ways to: (a) generate multiple realities; (b) work with two different models of family therapy simultaneously; and (c) provide feedback on the teams' own roles, rules and group process. The process that 6 trainees and two supervisors used with T and O teams to examine their own coevolution as a therapeutic system using the Milan model of family therapy and Ericksonian hypnotherapy is described. The article concludes with a discussion of the advantages and pitfalls of this type of dual supervision.     

AIDS as a political issue: working with the sexually prostituted in the Philippines

An estimated 200,000-500,000 men, women, and children work in prostitution in the Philippines in a variety of venues, including brothels, nightclubs, pubs, massage parlors, and other legitimate entertainment establishments. Few, however, are voluntary prostitutes. Many people who work as prostitutes have been recruited from the provinces, kept in conditions similar to slavery, and forced to earn money from prostitution to pay for their transportation, board, and lodging. Many prostitutes work in urban centers and tourist resorts in the countryside. During the 1970s, then President Ferdinand Marcos promoted tourism as a major industry, effectively marketing attractive Filipinas to tourists. Sex tourism has flourished in the country ever since. Thousands of prostitutes are also located in Olongapo and Angeles, 2 cities north of Manila, from where they serve the sexual desires of US military personnel. The presence of US military personnel in the Philippines has always been associated with prostitution. The country's social hygiene centers, prostitutes in Manila and Davao, and AIDS education are briefly discussed.     

Contemporary immigration: theoretical perspectives on its determinants and modes of incorporation

This article reviews conventional theories about different aspects of labor migration: its origins, stability over time, and patterns of migrant settlement. For each of these aspects, the authors provide alternative explanatory hypotheses derived from the notions of increasing articulation of the international system and the social embeddedness of its various subprocesses, including labor flows. A typology of sources and outcomes of contemporary immigration is presented as a heuristic device to organize the diversity of such movements as described in the empirical literature.