Young Mother (in the) Hood: Gang Girls' Negotiation of New Identities

This article examines the experiences of young women in street gangs who become mothers. Drawing on qualitative interviews with 65 young women in the San Francisco, CA, Bay Area, we examine their narratives about the transition to motherhood. In particular, we focus on the ways these young women negotiate femininities and attempt to reconcile their identities as young mothers and gang girls-both stigmatized identities. For many of the young women, motherhood entails a retreat from the street and a renewed emphasis on time spent in the home. While many receive (financial and childcare) support from their families, this also often means a diminution of the autonomy they experienced while more heavily involved in the gang. Issues of respect and respectability remain important for the young women, but the dimensions on which these are based change.     

Risky Sexual Behaviors and Pregnancy Outcomes in Young Adulthood Following Substantiated Childhood Maltreatment: Findings From a Prospective Birth Cohort Study

Childhood maltreatment is associated with a range of adverse mental and physical health outcomes, including increased rates of sexually transmitted infections (STIs) later in life. However, the impact on risky sexual behaviors and pregnancy outcomes has not been adequately studied. This is particularly true for physical abuse, emotional abuse, and neglect. We examined associations between prospectively substantiated childhood maltreatment and reports of risky sexual behaviors by men and women, as well as selected pregnancy outcomes in women. We followed up 3,081 (45.7% female) participants from the Mater-University of Queensland Study of Pregnancy, a prospective Australian birth cohort study. Using logistic regression, we examined the association between substantiated childhood maltreatment from birth to 14 years, and self-reported risky sexual behaviors and youth pregnancy outcomes at the 21-year follow-up. In adjusted analyses, children who had experienced multiple childhood maltreatment exhibited more risky sexual behaviors than their nonmaltreated counterparts. In specific models, those exposed to each form of childhood maltreatment, independent of co-occurring forms of childhood maltreatment, had an increased likelihood of risky sexual behaviors, particularly an early sexual debut and, for women, youth pregnancy. Neglect was also associated with multiple sexual partners, and emotional abuse with higher rates of miscarriage. There was no difference between men and women in how different forms of childhood maltreatment predicted risky sexual behaviors in young adulthood. All forms of substantiated childhood maltreatment, including multiple substantiations, were associated with risky sexual behavior in both sexes as well as higher rates of youth pregnancy in women. Moreover, emotional abuse persistently predicted miscarriages in young adult women. Understanding the association between childhood maltreatment and risky sexual behaviors and youth pregnancy outcomes may help suggest preventive strategies.     

Screening for depression after cardiac events using the Beck Depression Inventory-II and the Geriatric Depression Scale

Despite findings that depression is a risk factor for heart disease and for death following cardiac events and that depressed cardiac patients experience significantly reduced quality of life and are less likely to follow treatment regimens, depression is neither adequately identified nor treated in cardiac patients. Recent calls in the literature for the use of standardized screening measures and sensitivity/specificity studies to identify useful measures compelled us to examine the sensitivity and specificity of the Beck Depression Inventory-II (BDI-II) and Geriatric Depression Scale (GDS) and recommend appropriate cut-scores for identifying depression in post-myocardial infarction or unstable angina patients. A total of 119 patients who met criteria for either acute myocardial infarction or unstable angina pectoris were recruited from coronary care units at three hospitals and interviewed in their homes approximately 2 weeks post-admission. The criterion used in the study was the Structured Clinical Interview for DSM-IV-TR Axis I Disorders (SCID-I/NP). Administration of the SCID-I/NP, BDI-II, and GDS was counterbalanced using a digram-balanced approach and blinded comparison was used. Alphas were .89 for BDI-II and .88 for GDS. For major depression, a BDI-II cut-score of 10 produced a sensitivity = 100%, specificity = 75%, and PPV = 18% whereas a GDS cut-score of 14 produced sensitivity = 100%, specificity = 94%, and PPV = 50%. For major/double depression, a BDI-II cut-score of 10 produced sensitivity = 100%, specificity = 75%, and PPV = 21% whereas a GDS cut-score of 13 produced sensitivity = 100%, specificity = 91%, and PPV = 41%. Although both measures demonstrated excellent reliability and sensitivity, the GDS showed better specificity and PPV and is recommended as the better screen for major depression or double depression with cardiac patients.     

The Gendered Implications of Corporate Value Change

Using case study evidence of a local authority and a building society this article explores the gendered implications of corporate value change programmes and how these are mediated by the types of equality agendas in place at the organizational level. The article explores the gendered impact of new corporate values by identifying how the organizations' changing approach to selection and career development has unintended gendered consequences, affecting different groups in the organization depending on the specific department they are working in and their seniority. As the two organizations follow different equality agendas the data allow us to show the ways in which specific approaches to equality in organizations both shape and are shaped by corporate value change programmes. It is argued that corporate value change programmes have uneven gendered implications, depending on the specific context in which they are introduced and in particular, the ways in which managers and employees make sense of these by both rejecting and reinforcing existing equality agendas already in place.     

Co-Production and Self-Care: New Approaches to Managing Community Care Services for Older People1

A lack of management theory which is relevant to human service agencies, combined with a failure to recognize the very large contribution which older people make to their own care, makes it difficult to deliver supportive services effectively. Self care by elders is divided, in this preliminary classification, into new strategies for everyday living, the reallocation of time and the avoidance of risk. Managers who understand that service users are co-producers of care and recognize the need to manage the users, as well as their own staff and relations with other agencies, are more likely to be able to deliver good services. However the management of co-production is at present only theorized for the private sector where ethical issues are less pressing and users are customers. In future a greater understanding of co-production and the development of theory and practice which will combine the management of co-production with the empowerment of users within the public sector will be essential.     

“Getting even”: Clinical considerations of adaptive and maladaptive vengeance

This article is intended to acquaint the reader with the concept of vengeance. Conceptualized as the intense, compelling wish or intention to get even, right a wrong, or avenge an injury, vengeance is best understood on a continuum from innocuous retaliatory fantasies/actions on one end of the continuum to meeting out of death and destruction on the other end. This article identifies various manifestations of vengeance, discusses theoretical formulations related to affects in general and vengeance, in particular, and presents a series of case vignettes which highlight the adaptive and maladaptive function of this psychological phenomenon.     

Matching to prevent adoption disruption

The number of children being freed for adoption placement is increasing due to legislation. These children are frequently the victims of chaotic environments. Their exposure to adversity makes it more difficult for them to maintain long term placements. Suggestions are made toward the utilization of standardized instruments in the matching of adoptive parents and children to prevent adoption disruption.     

Student and Institutional Characteristics as Determinants of the Prompt and Subsequent Four-Year College Graduation of Race and Sex Groups*

Recent national data were used to examine the impact of individual and institutional level variables on the ability of race and sex groups to complete a four-year college promptly (i.e., within three to four consecutive years) versus six to seven years after having entered college in 1972 or 1973. The results showed that black students were less successful than whites in prompt and in subsequent four-year college completion. In addition, males were far less successful than females in completing college on schedule. Initial race and sex differences favoring whites and females remained when examining subsequent college graduation rates. The magnitude of the race and sex disparities was reduced, however, when taking these rates into consideration. In addition, the proportion of blacks and males completing their B.A. degree increased substantially when college re-entry rates were examined. This finding indicates the importance of including college re-entry rates when describing the educational attainment of students. College grade performance was a major determinant of prompt and subsequent college completion for all race and sex groups. In addition, high school rank was an important determinant of prompt graduation for white males and prompt and subsequent graduation for black females. Attending a private college had a significant positive effect on prompt college graduation for white and black males but no significant effect for females; however, attending a selective college did not have a significant effect on prompt or subsequent graduation for any of the four race/sex groups examined.     

The multitype branching random walk,I

The limiting behaviour of the multitype branching random walk is studied. A limit theorem is proven for the supercritical process. Steady-state distributions are shown to exist for the subcritical process with immigration, and for the critical transient process beginning with Poisson random fields. An analogue of the exponential limit law is proven for the critical process whose migration process is Brownian motion in two dimensions.