Healthcare Providers’ Nonverbal Behavior can Lead Patients to Show Their Pain More Accurately: An Analogue Study

Accurate pain assessment is a joint function of both the judge perceiving correct (valid) cues of pain and targets displaying valid indicators of pain. The present research examined whether the judgeability of pain expressions could be altered by manipulating the nonverbal supportiveness of a videotaped physician who guided targets through an experimentally induced pain experience in the laboratory. Ten-s video clips of these targets during their pain experience were viewed by 95 naïve judges who assessed each target’s pain on an 11-point numeric rating scale. In addition, the video clips were rated by independent coders on 9-point scales (focused, calm, tense, distressed, composed, fidgety, determined, bored, and nervous). Judges’ pain assessment accuracy was calculated by correlating their inferred pain rating for each target with targets’ self-reported pain. Pain targets assigned to interact with the nonverbally supportive physician displayed more valid impressions of their pain and judges had higher pain assessment accuracy when viewing these targets compared to targets assigned to interact with the nonverbally unsupportive physician. Interventions for caregivers and healthcare providers that emphasize the importance of nonverbal behavior when interacting with pain sufferers are discussed.     

Du Bois and Diasporic Identity: The Veil and the Unveiling Project

Positioning Du Bois's arguments in The Souls of Black Folk (1903) within social theory enhances our understanding of the phenomenological dimensions of racial oppression and of how oppressed groups build on members' differences, as well as on what they share, to construct a cosmopolitan and richly textured community. Du Bois wrote Souls just at the beginning of the Great Migration but indicated that geographical dispersion would deepen racial solidarity, enhance the meaningfulness of community, and emancipate individual group members through participation in mainstream society while maintaining their black identity. Du Bois's writings have powerful implications for understanding how to promote racial justice, and contemporary readers might consider that they have implications for social justice more generally. An analysis of black newspapers that were published during the period of 1900 to 1935 illustrates how Du Bois's conceptions were woven into discourse and everyday practices.     

Mortality in China 1964-2000

This paper uses data from censuses and surveys to re-estimate mortality levels and trends in China from the 1960s to 2000. We use the General Growth Balance method to evaluate the completeness of death reporting above the youngest ages in three censuses of the People's Republic of China from 1982 to 2000, concluding that reporting quality is quite high, and revisit the completeness of death recording in the 1973-75 Cancer Epidemiology Survey. Estimates of child mortality from a variety of direct and indirect sources are reviewed, and best estimates arrived at. Our estimates show a spectacular improvement in life expectancy in China: from about 60 years in the period 1964-82 to nearly 70 years in the period 1990-2000, with a further improvement to over 71 years by 2000. We discuss why survival rates continue improving in China despite reduced government involvement in and increasing privatization of health services, with little insurance coverage.     

The More Things Change,the More They Stay the Same? Reflections on the State of Sexism

Sociological Forum -     

AUDIO AND VIDEO COMPUTER-ASSISTED SELF INTERVIEWING: Preliminary Tests of New Technologies for Data Collection

Results are reported from a preliminary study testing a new technology for survey data collection: audio computer-assisted self interviewing. This technology has the theoretical potential of providing privacy (or anonymity) of response equivalent to that of paper self-administered questionnaires (SAQs). In addition, it could offer the advantages common to all computer-assisted methods such as the ability to implement complex questionnaire logic, consistency checking, etc.. In contrast to Video-CASI, Audio-CASI proffers these potential advantages without limiting data collection to the literate segment of the population. In this preliminary study, results obtained using RTI's Audio-CASI system were compared to those for paper SAQs and for Video-CASI. Survey questionnaires asking about drug use, sexual behavior, income, and demographic characteristics were administered to a small sample (N = 40) of subjects of average and below-average reading abilities using each method of data collection. While the small sample size renders many results suggestive rather than definitive, the study did demonstrate that both Audio- and Video-CASI systems work well even with subjects who do not have extensive familiarity with computers. Indeed, respondents preferred the Audio- and Video-CASI to paper SAQs. The computerized systems also eliminated errors in execution of "skip" instructions that occurred when subjects completed paper SAQs. In a number of instances, the computerized systems also appeared to encourage more complete reporting of sensitive behaviors such as use of illicit drugs. Among the two CASI systems, respondents rated Audio-CASI more favorably than Video-CASI in terms of interest, ease of use, and overall preference.     

Figuring It Out: How Late Adolescent and Young Adult Men and Women Perceive and Address Problems in Sexual Functioning

Although there are high rates of sexual problems and sexual dysfunction in adulthood (Mitchell et al., 2013), little is known about the circumstances under which problems are first experienced. A growing body of research addresses prevalence of problems in sexual functioning among adolescents and young adults, yet little is known about the meanings that young people give to these experiences or how they deal with them. We used content analysis of qualitative interviews with 53 heterosexual, sexually active Canadian adolescents (ages 18 to 21) to explore their perceptions of the sexual problems in functioning they had experienced and the strategies (if any) they used to address them over time. Problems among most young people originated early in their partnered sexual life. Figuring it out emerged as an intentional process directed toward improving sexual experiences, although certainly not all young people were successful. Strategies for figuring it out included informational or material help seeking, experimentation to inform future actions, mutual sharing and problem solving, and building emotional connection to improve sexual functioning. Implications for understanding the development of sexual dysfunctions in adulthood are discussed.     

Institutional abuse of older adults: what we know, what we need to know

Although Canadian policies support "aging in place," there still will be a number of older adults who will require institutional care in the future. Most research on elder abuse, however, has focused on domestic abuse and has paid less attention to institutional abuse. The purpose of this article is to comprehensively review current research to identify gaps in knowledge and methodological issues in the study of institutional abuse. Overall, 49 studies in English and 20 studies in French were reviewed, and 11 key-informant interviews were conducted with methodological experts. Methodological challenges are addressed in light of the review and interviews.     

Access to education in Africa: responding to the United Nations Convention on the Rights of Persons with Disabilities

Article 24 of the United Nations Convention on the Rights of Persons with Disabilities mandates that disabled people should have full rights to education in inclusive settings. However, to ensure that educational polices and settings are designed to meet this criterion seems challenging to African countries that have ratified this Convention. This article arises from the 2nd African Network of Evidence-to-Action on Disability Symposium. This fluid network was established to address the gap between research and practice in the region. The article reports proceedings and the emerging themes from the Education, Training and Work Commission; one of the six commissions of this Symposium, focusing specifically on the education aspect. It also challenges various stakeholders to move from evidence to action to ensure the educational rights of disabled people in inclusive settings.     

Was bewegt weibliche Führungsnachwuchskr?fte? – Typische berufliche Anliegen aus der Mentoringpraxis anhand von Fallgeschichten

The present work aims to illustrate mentoring processes for future women executives. Typical concerns of future women executives and how female mentors provide support in coping with these concerns are presented. Based on qualitative interviews with 5 female mentors, 18 mentoring cases were reconstructed. The analysis led to the identification of four categories of concerns: 1) job starting, job changing or career advancement 2) compatibility of job and family 3) acquisition of leadership skills 4) handling a disadvantage in the career evolution due to the gender. Nine functions were observed, which the female mentors take into consideration by handling such a case. At this juncture, it became clear that they support the mentees primarily with concrete and direct advice.