Decisional conflict among Chinese family caregivers regarding nursing home placement of older adults with dementia

Purpose: To describe factors influencing decisional conflict among Chinese family caregivers regarding nursing home placement of older adults with dementia. Design and Methods: Individual interviews were used to collect data with 30 Chinese family caregivers of older adults with dementia in Taiwan. Data were analyzed using thematic analysis. Results: Factors influencing caregivers' decisional conflict included the Chinese value of filial piety, limited financial resources and information, placement willingness of the older adult, family disagreement, distrust of nursing home care quality, and limited nursing home availability. Factors influencing caregivers' decisional conflict post placement included disappointment with nursing home care quality and self-blame for the placement decision. Implications: Findings resulting from this study indicate that Chinese family caregivers experience decisional conflict during the nursing home decision making process as well as after the placement decision. It is important to provide appropriate decision support beginning before admission and across the trajectory of the older person's nursing home stay in order to decrease decisional conflict and facilitate a more positive decision making process for caregivers, family members, and older adults with dementia.     

Reconciling Traditional Morality and the Morality of Competition

It is commonly believed that the moral norms of “everyday” or “traditional” morality apply uniformly in all business contexts. However, Joseph Heath has recently argued that this is not the case. According to Heath, the norms of everyday morality apply with respect to “administered” transactions but not “market” transactions. Market transactions are, he argues, governed by a distinct, “adversarial” morality. In this article, I argue that Heath's attempt to show that competitive contexts are governed by a distinct, adversarial morality does not succeed. I then undertake the task of showing that, contrary to what is commonly thought, competitive actions can be reconciled with the norms of traditional morality.     

Through the touch of god: child death and spiritual sustenance in a Hutterian colony

Nestled in more than 5,000 acres of farmland in rural South Dakota, one Hutterian colony flourishes with more than 23 families and a population of 115 people. Very little is known about the ways in which Hutterites experience traumatic infant and child death on the colony. No research studies to date have explored this topic. This is an ethnographic study that utilized extended observations of the group and both individual and group interviewing in order to create a cultural portrait specifically focusing on Hutterites experiencing traumatic child death. Observations were organized into five thematic categories: 1) details of the actual death experience; 2) emotional and physical reactions to the loss; 3) familial and communal response; 4) coping and rituals; and 5) spirituality. The role of communal mourning, ritualization, and spirituality in creating a healing milieu for bereaved families is discussed.     

Racial Quotas and the Culture War in Brazilian Academia

Dozens of Brazilian universities recently adopted racial quotas for negros, read Afro-Brazilians, in higher education. Anyone familiar with the Brazilian context will recognize this step as a paradigm shift in the state’s approach to ‘race’. State discourse in past decades touted a mixed-race population not beset by overt discriminatory practices. In response to this new approach, two well-defined clusters of professors in Brazil’s universities authored several dueling manifestos supporting and opposing race-based affirmative action. This article suggests a ‘culture war’ framing of the debate and delineates the contrasting historic ideologies of racialism and antiracialism that inform the divergent racial worldviews of each academic camp. It then explores four points of contention from the manifestos that characterize their conflicting perspectives. They differ in terms of (1) their images of the Brazilian nation, (2) their diagnoses of the mechanisms behind non-white underrepresentation in Brazilian universities, (3) their prognoses for a remedy via racial quotas, and (4) their motivations for entering the debate. At the same time, the article locates some possible common ground.     

VALID RANDOMISATION FOR THE FIRST-DIFFERENCE ANALYSIS

A general method is presented for randomising a block design while preserving the neighbour relationships between treatments. The randomisation possesses validity properties for the first-difference analysis introduced by Besag & Kempton (1986). The estimators of treatment differences are unbiased, and the paper shows how to calculate quadratic estimators of their variance, which are unbiased if treatment effects and plot effects are additive. Simplifications, which appear when the design is neighbour-balanced, are described and illustrated.     

Impact of urbanisation and agriculture on the diet of fruit bats

The expansion of cities and agricultural plantations have unpredictable impacts on biodiversity and ecosystem services. Yet some species are capable of tolerating anthropogenic impacts and continue to provide ecological services in highly disturbed landscapes. The objective of this study was to use DNA barcoding to identify digested plant materials and seeds in the faeces of frugivorous bats (Cynopterus brachyotis) and investigate whether (1) C. brachyotis in urban and agricultural areas exploit cultivated and exotic plants as a novel food resource and as a consequence, potentially facilitate the invasion of cultivated and exotic plants, or whether (2) C. brachyotis exploit native plants and as a consequence, potentially promote forest regeneration. A native species, Ficus fistulosa, was the most frequently detected plant and the seeds were found in bat faeces from all sampling sites suggesting the potential of fruit bats in dispersing seeds. However, we also detected several exotic plants in the faeces of C. brachyotis which suggests that the fruit bats exploit novel food resources at all sites. We recorded a diverse diet of C. brachyotis at an oil palm plantation which indicated that the fruit bats are not predominantly feeding on oil palm fruits. By using DNA barcoding, we detected plants that have not been reported in previous studies of the diet of C. brachyotis, although we could not identify which part of the plant was being consumed by the fruit bats. Given the varied diet of C. brachyotis, the potential of this bat to adapt to changing landscapes is high and they are likely dispersing seeds of native pioneer plants (Ficus).

     

Stakeholder Views on Flood Risk Management in Hungary''s Upper Tisza Basin

With escalating costs of flood mitigation and relief, a challenge for the Hungarian government is to develop a flood mitigation and insurance/relief system that is viewed as efficient and fair by the many stakeholders involved. To aid policymakers in this task, this article reports on a recent study to elicit stakeholder views on flood risk management in the Upper Tisza Basin, including views on appropriate means of reducing losses and for transferring the residual losses from the direct victims to taxpayers or an insurance pool. This study is part of a project to develop an integrated approach to flood risk management coordinated by the International Institute of Applied Systems Analysis (IIASA) in collaboration with Swedish and Hungarian researchers. The discussion begins by describing the background of flood risk management problems in the Upper Tisza Basin. The results of interviews carried out with selected key stakeholders and the results of a public survey eliciting views on flood risk management are reported. The final section draws conclusions on incorporating stakeholder views into a flood risk management model, which will be used to illustrate policy paths at an upcoming stakeholder workshop. The conclusions are also of direct interest to Hungarian policymakers.     

Emotion Socialization as a Framework for Understanding the Development of Disorganized Attachment

Recent years have seen the emergence of accounts of the origins of the Disorganized attachment relationship in early mother–infant interaction, each building on the pioneering work of Main and Hesse—dysfunctional emotional processes figure prominently in all these accounts. This paper applies a framework based on two complementary theories of emotion socialization, Gianino and Tronick's (1992 ) Mutual Regulation Model and Gergely and Watson's (1996 ) Social Biofeedback Theory, to suggest an emotion‐based mechanism consistent with recently proposed models of the development of Disorganized attachment. The framework is used to generate hypothetical accounts of the role of dysfunctional emotional processes and maladaptive emotion socialization in early mother–infant interaction in the development of Disorganized attachment along two distinct pathways, one associated with actual abuse of the infant and the other associated with maternal unresolved trauma.