Engaging suffering: towards a mindful re-visioning of family therapy practice

The myth of problem-free living is easily identifiable in Western culture through its childhood fairy tales and modern love stories. Even if inadvertently, the field of mental health perpetuates this myth with the very concept of "mental health," which implies a state without suffering. Using mindfulness, Buddhists assume an alternative stance towards suffering: rather than eliminate it, they compassionately engage it. This article explores the potentials of mindfulness as an alternative approach to suffering within the context of marriage and family therapy. Family therapists can integrate mindfulness principles into their work to help clients shift how they relate to the unique forms of suffering that one encounters in intimate relationships, such as abuse, divorce, rejection, and loss.     

Caste,Religion, and Mental Health in India

Population Research and Policy Review - The relationship between mental health and social disadvantage in low- and middle-income countries is poorly understood. Our study contributes the first...     

Education and survival: Birth cohort,period, and age effects

Previous studies have found that educational differences in mortality are weaker among the elderly. In this study I examine whether either cohort or period effects may have influenced the interpretation of age effects. Six 10-year birth cohorts are followed over 30 years through decennial censuses. Differential survival is inferred from changes in the relative proportions of a cohort in each education category as the cohort ages. In cross-section, younger persons generally show stronger education effects on survival, although this pattern is clearer for women than for men. There is evidence of period effects. Within cohorts, relative survival tends to increase with age.     

The NIP graph of a social welfare function

We consider the fraction of pairs of m distinct alternatives on which a social welfare function f may be nondictatorially independent and Pareto when the domain of f satisfies the free k-tuple property. When k = 4 we improve the existing upper bound to . When there are at least 26 alternatives and we obtain an original upper bound, . To obtain these results we define and analyze the graph formed from the nondictatorial independent and Pareto pairs and combine the results of this analysis with known results from extremal graph theory. The authors extend special thanks to the two reviewers and the editor for their comments.     

Less than human: a qualitative study into the experience of parents involved in the child protection system

This paper reports on the findings from a qualitative study into the experiences of parents who were involved in the English child protection system in 2013. Seventeen in‐depth interviews were conducted involving 19 parents and/or partners, and a framework approach was used to analyse the data. There were positive experiences of individual social workers and some positive experiences of the child protection system. However, the overwhelming theme of the parents' experiences was that the system was uncaring, inflexible and for some harmful to both themselves and their children. Despite being included in the child protection process, parents felt they were not afforded the same rights as a participant, as a decision‐maker or as a partner in seeking to improve the situation. The threat of consequences silenced parents who felt unable to speak out or challenge the things they disagreed with or coerced others into signing agreements they did not agree to. Such experiences related to a sense that they were being treated as ‘less than human’. These findings are considered within the context of recent reforms within the English child protection system.     

Comparison of dichotomized and distributional approaches in rare event clinical trial design: a fixed Bayesian design

This research was motivated by our goal to design an efficient clinical trial to compare two doses of docosahexaenoic acid supplementation for reducing the rate of earliest preterm births (ePTB) and/or preterm births (PTB). Dichotomizing continuous gestational age (GA) data using a classic binomial distribution will result in a loss of information and reduced power. A distributional approach is an improved strategy to retain statistical power from the continuous distribution. However, appropriate distributions that fit the data properly, particularly in the tails, must be chosen, especially when the data are skewed. A recent study proposed a skew-normal method. We propose a three-component normal mixture model and introduce separate treatment effects at different components of GA. We evaluate operating characteristics of mixture model, beta-binomial model, and skew-normal model through simulation. We also apply these three methods to data from two completed clinical trials from the USA and Australia. Finite mixture models are shown to have favorable properties in PTB analysis but minimal benefit for ePTB analysis. Normal models on log-transformed data have the largest bias. Therefore we recommend finite mixture model for PTB study. Either finite mixture model or beta-binomial model is acceptable for ePTB study.     

The Epistemic Culture of Homebrewers and Microbrewers

Homebrewing and microbrewing have been growing in popularity during the last few decades. One way this phenomenon can be analyzed is through the culture of knowledge production. We use the subfield of science and technology studies (STS) to examine homebrewing and microbrewing in this light. Early STS was interested in the social construction of scientific facts within daily practices of scientists. Through these early studies, STS revealed not only the process of scientific fact creation but also existence of “epistemic cultures.” Our study investigates the epistemic culture of homebrewers and microbrewers. Analysis of this epistemic culture was accomplished through use of in-depth interviews with homebrewers and microbrewers at several regional sites. Three major themes emerged from the data: home space as lab; the art and science of beer brewing; and brewing as “friendship”. These themes establish a foundation for understanding the shared epistemic culture existing between homebrewers and microbrewers.     

Infant–Mother and Infant–Caregiver Emotional Relationships: Process Analyses of Interactions in Three Contemporary Childcare Arrangements

Emotional relationships in infant–mother dyads in families where mothers provided full‐time childcare were compared with those of families where mothers used in‐home childcare providers and family childcare providers (N = 245). Infant relationships with childcare providers were also studied. Emotional relationships were adequate in all three childcare arrangements, but infant–mother dyads in in‐home childcare arrangements displayed healthier emotional relationships than infant–mother dyads in mother care arrangements; no differences in the health of emotional relationships with infants emerged among the three types of childcare providers (mother care, in‐home childcare, family childcare). Infant–mother dyads in in‐home childcare arrangements also displayed healthier emotional relationships than infant–in‐home childcare caregiver dyads, but infant–mother and infant–caregiver dyads were comparable in family childcare families. Emotional relationships in infant–mother and infant–caregiver dyads were not correlated, regardless of the type of childcare.     

Baan Mankong participatory slum upgrading in Bangkok, Thailand: Community perceptions of outcomes and security of tenure

A key problem facing slum dwellers is tenure insecurity - as well as the threat of eviction, residents are excluded from many services extended to legal residents, from water connections to public schooling. Thailand’s Baan Mankong slum upgrading program adopts a people-driven approach to resolving problems of insecure housing and poor living conditions, putting slum residents at the core of the process. This paper explores, through interviews, how residents in four Bangkok communities perceive the outcomes of upgrading, particularly their new homes and tenure situation. Participant satisfaction is key to ensuring successful scaling up of Baan Mankong, as this is done through community-driven exchange and learning-by-doing. The results show that while the respondents appreciate their new houses and improved living environment, they are wary of the resulting debt burden. While tenure is regarded as secure in the short term, the long-term situation is not so clear. Homes cannot be sold on outside the community, and therefore Baan Mankong is valued more for improving shelter and strengthening community cohesiveness, rather than as a profit-driven financial investment.