Echoes of the baby boom and bust: Recent and prospective changes in living alone among elderly widows in the united states

Today the great majority of noninstitutionalized elderly widows live alone, a striking increase from a quarter-century ago. A noticeable difference has occurred, however, in trends by age; the proportion of the young-old widows living alone is starting to decline. while that of the old-old continues to increase. We use a model suggested by earlier studies to explain the emergence of this difference, and assess the prospects of its continuing over the next three decades. We find that the recent differential change in the proportions of younger and older widows living alone is due primarily to a differential change in kin availability that has emerged as the baby boomers’ parents have begun to reach retirement age. Over the next decade, the same type of differential change by age in kin availability will continue; living alone is likely to become less common among young-old than among old-old widows, in a reversal of the pattern of the last quarter-century. In the first two decades of the next century, as the baby boom affects kin availability among the old-old, and as the subsequent baby bust affects that among the young-old, the age pattern of living arrangements among elderly widows will reverse once again.     

Environmental Refugees? Classifying Human Migrations Caused by Environmental Change

What distinguishes environmental refugees from other refugees—or other migrants? Are all environmental refugees alike? This essay develops a classification to begin to answer these questions and facilitate future policies and research on environmental refugees. Environmental refugees may have considerable control over the decision to migrate, but this varies by the type of environmental disruption. The origin, intention, and duration of environmental disruptions shape the type of refugee. Refugees from disasters and expropriations have limited control over whether environmental changes will produce migration. Gradual degradation allows “environmental emigrants” to determine how they will respond to environmental change.     

Managing the critical transition from volume to value

Experts say value-based health care delivery truly is the wave of the future. Learn what you need to do to get ready to embrace the change.     

eDiary and Female Sexual Distress Scale(©) in evaluating distress in hypoactive sexual desire disorder (HSDD)

Sex-related distress is integral to the diagnosis of hypoactive sexual desire disorder (HSDD). This article describes the results of three prospective, non-treatment validation studies (two North American and one European), each testing over 200 participants with HSDD, other types of female sexual dysfunction (FSD), or no FSD in which the 12-item Female Sexual Distress Scale(?) (FSDS(?)), the 13-item FSDS-Revised(?)(FSDS-R(?)), and a single question asked using a daily electronic diary (the eDiary For HSDD Trials(?); eDiary) were used to measure sex-related distress. FSDS results with 30- and seven-day recall were equivalent. The results observed with FSDS-R Item 13 (a single question assessing concern due to low sexual desire) were comparable to the FSDS. Mean eDiary monthly distress scores were closer to the minimum possible score (equivalent to "a little bit" of distress) and were about twice as variable as FSDS or FSDS-R Item 13 scores in participants with HSDD. All three measures confirmed that there is more distress in women with HSDD compared to women with no sexual dysfunction at all time points, demonstrating discriminant validity.     

Specifying links between infants' theory of mind,associative learning,and selective trust

The psychological mechanisms underlying infants' selective social learning are currently a subject of controversy. The main goal of the present study was to contribute data to this debate by investigating whether domain-specific or domain-general abilities guide infants' selectivity. Eighteen-month-olds observed a reliable and an unreliable speaker, and then completed a forced-choice word learning paradigm, two theory of mind tasks, and an associative learning task. Results revealed that infants showed sensitivity to the verbal competence of the speaker. Additionally, infants with superior knowledge inference abilities were less likely to learn from the unreliable speaker. No link was observed between selective social learning and associative learning skills. These results replicate and extend previous findings demonstrating that socio-cognitive abilities are linked to infants' selective social learning.     

Changing Signs: The Political Pragmatism of Poststructuralism

In a recent issue of The New Republic, Martha Nussbaum singled out Judith Butler for a particularly venomous attack. Nussbaum's criticism was very simple: good theory leads to practical political action, and Butler's theories do not. Nussbaum's criticism of Butler echoes a general criticism leveled against the emerging field of queer theory. Many advocates of sexual rights have suggested that poststructuralist approaches do not have practical political application. In this essay, the authors argue that Butler's work points to a new political pragmatism. In the past, many advocates of sexual rights have focused on essentialized notions of sexual identity. A politically pragmatic approach, informed by Butler's theories, can shift the debate so that the issue of homophobic discrimination, rather than sexual identity, becomes a primary focus of the sexual rights movement.     

Family councils in nursing facilities: strategies for effective participation

This article provides an overview of the role of family councils. The contributions of the three groups that play a significant role in the development and support of family councils, relatives and friends of the facility's residents, facility administration and staff, and local advocacy organizations, are discussed. The role of the staff advisor, generally the facility social worker, is a major key to a successful council. Barriers that impede family council success are identified, and strategies that improve effectiveness are presented. Family councils play an important part in improving the quality of lives of long-term care residents.     

Local Chapter Outposts: A Dilemma for Federated Social Movement Organizations*

Although there has been a significant shift toward decentralized forms of social movement organizations (SMOs), the federated form is still quite active and deserves further study. In particular, the role of the local chapter in relation to its national office can be explored from new angles for additional insights into federated SMOs. I address the specific issue of isolation that is problematic for some chapters of federated SMOs. I consider these chapters to be “outposts”; isolated from national headquarters geographically, socially, culturally, politically or due to communication barriers. This outpost status creates specific difficulties over control, autonomy, coordination, and resources. “SMO Outposts” are often not able or willing to carry out national goals, strategy or tactics in the prescribed manner expected from headquarters. However, SMO Outposts may also experience unexpected opportunities. My typology of SMO Outposts clarifies their characteristics and presents the challenges and opportunities they encounter under various modes of isolation. This provides for a fuller assessment of the success, organizing capability and adaptation of federated SMOs.