Children and psychotropic medication: a cautionary note

This report addresses how the mental health field is organized in terms of the use of psychotropic medications with children and adolescents, and the ethical challenge this presents to marriage and family therapists.     

Practical ways psychotherapy can support physical healthcare experiences for male survivors of childhood sexual abuse

Many survivors of child sexual abuse who engage in psychotherapy also experience physical health problems. This article summarizes the findings of a multiphased qualitative study about survivors' experiences in healthcare settings. The study informed the development of the Handbook on Sensitive Practice for Health Care Practitioners: Lessons from Adult Survivors of Childhood Sexual Abuse (Schachter, Stalker, Teram, Lasiuk, & Danilkewich, 2009), which is intended to help healthcare providers from all disciplines understand the effect of child sexual abuse on some survivors' abilities to access and benefit from health care. This paper discusses what psychotherapists can learn from the healthcare experiences of the male survivors who participated in this project. It also offers practical suggestions for supporting male clients who experience difficulty seeking treatment for physical health concerns.     

Self-Exclusion as a Harm Minimization Strategy: Evidence for the Casino Sector from Selected European Countries

As the international gambling market continues to expand, determining effective approaches to prevent gambling-related problems becomes increasingly important. Despite a lack of in-depth research into its benefits, self-exclusion is one such measure already in use around the world in various sectors of the gambling industry. The present study is the first of its kind to examine the effectiveness of self-exclusion schemes in the casino sector in selected European countries. A written survey yielded a sample of N = 152 (self)-excluded gamblers. In addition to this cross-section analysis, a small sub-group (n = 31) was monitored over time by means of follow-up surveys carried out 1, 6, and 12 month(s) after the exclusion agreement came into force. The results reveal that the self-excluded individuals are typically under a great deal of strain and show a relatively pronounced willingness to change. However, this largely reaches its peak at the time the decision to self-exclude is made. From a longitudinal perspective, various parameters indicate a clear improvement in psychosocial functioning; a favorable effect that also starts directly after the exclusion agreement was signed. Finally, considering theoretical and empirical findings, possibilities for optimizing (self-)exclusion schemes will be discussed.     

Socioeconomic marriage differentials in Australia and New Zealand

While marriage rates are relatively stable among better-educated men and women, they are rapidly declining among those with low educational attainment. This development has been recognized in the US as a new socioeconomic pattern of marriage. This article uses census data to show that socioeconomic marriage differentials are also increasing in Australia and New Zealand. These differentials have previously been noted independently of each other and of the international picture. In synthesizing the antipodean data, the article documents the new socioeconomic marriage pattern as an international phenomenon. This article further considers the extent to which the available explanations for the new marriage pattern fit the antipodean setting. In general, the factors identified as important in the North American setting are applicable to both Australia and New Zealand. In particular, the poor marriage prospects of men with low educational attainment appear to be common to these post-industrial economies with minimalist welfare states.     

Efficient Algorithms for Determining 3-D Bi-Plane Imaging Geometry

Biplane projection imaging is one of the primary methods for imaging and visualizing the cardiovascular system in medicine. A key problem in such a technique is to determine the imaging geometry (i.e., the relative rotation and translation) of two projections so that the 3-D structure can be accurately reconstructed. Based on interesting observations and efficient geometric techniques, we present in this paper new algorithmic solutions for this problem. Comparing with existing optimization-based approaches, our techniques yield better accuracy and have bounded execution time, thus is more suitable for on-line applications. Our techniques can easily detect outliers to further improve the accuracy.This research was supported in part by NIH under USPHS grant numbers HL52567.     

Labour-market status and first-time parenthood: the experience of immigrant women in Sweden, 1981-97

This paper investigates the impact of labour-market attachment on first births of foreign-born women in Sweden. The study uses a longitudinal, register-based dataset consisting of the entire population of immigrants from ten nations and a 5-per-cent random sample of natives. The effects of earned income are evident, with increased income levels increasing the probability of becoming a mother for all observed nationalities. The effects of various forms of participation and non-participation in the labour force do not vary greatly between immigrants and the Swedish-born. Among all subgroups, we find a higher propensity to begin childbearing among those who are established in the labour market. Contrary to popular belief, receiving welfare benefits clearly reduces first-birth intensity for immigrants but not for natives. The similarity in patterns across widely different national groups supports the notion that various institutional factors affecting all subgroups are crucial in influencing childbearing behaviour.     

The role of public health improvements in health advances: The twentieth-century United States

Mortality rates in the United States fell more rapidly during the late nineteenth and early twentieth centuries than in any other period in American history. This decline coincided with an epidemiological transition and the disappearance of a mortality "penalty" associated with living in urban areas. There is little empirical evidence and much unresolved debate about what caused these improvements, however. In this article, we report the causal influence of clean water technologies--filtration and chlorination--on mortality in major cities during the early twentieth century. Plausibly exogenous variation in the timing and location of technology adoption was used to identify these effects, and the validity of this identifying assumption is examined in detail. We found that clean water was responsible for nearly half the total mortality reduction in major cities, three quarters of the infant mortality reduction, and nearly two thirds of the child mortality reduction. Rough calculations suggest that the social rate of return to these technologies was greater than 23 to 1, with a cost per person-year saved by clean water of about dollar 500 in 2003 dollars. Implications for developing countries are briefly considered.     

Your picture is your bait: use and meaning of cyberspace among gay men

The Internet is seen by many as a form of cyberspace or environment in which to interact and socialise. This research project drew from the data of a quantitative and qualitative study of gay men in Perth, Western Australia. We examined gay men's usage patterns of chat rooms and other social aspects of the Internet to meet sexual partners. We then reviewed in detail the meanings gay men have for the various Internet environments, and the range of friendship, relationship, casual, or esoteric sex-seeking goals. We argue that gay men view and engage with the Internet differently from how they view and engage with other more traditional gay spaces. This different approach influences how interaction between the men, either online or face-to-face, progresses and how assumptions and expectations are built. This has implications for how sexual health promotion interventions determine the appropriate role and relationship they have with these online social spaces.