A screening tool for detecting eating disorder risk and diagnostic symptoms among college-age women

Objective: As eating disorders (EDs) often emerge during college, managing EDs would ideally integrate prevention and treatment. To achieve this goal, an efficient tool is needed that detects clinical symptoms and level of risk. This study evaluated the performance of a screen designed to identify individuals at risk for or with an ED. Participants: Five hundred forty-nine college-age women. Methods: Participants completed a screen and diagnostic interview. Results: Using parsimonious thresholds for ED diagnoses, screen sensitivity ranged from 0.90 (anorexia nervosa) to 0.55 (purging disorder). Specificity ranged from 0.99 (anorexia nervosa) to 0.78 (subthreshold binge eating disorder) compared to diagnostic interview. Moderate to high area under the curve values were observed. The screen had high sensitivity for detecting high risk. Conclusions: The screen identifies students at risk and has acceptable sensitivity and specificity for identifying most ED diagnoses. This tool is critical for establishing stepped care models for ED intervention.     

The Introduction of Capitalism in Russian Agriculture: Popular Response to Neo-Liberal Reforms1

Abstract This work analyzes the reactions of rural residents to the introduction of market-oriented economic reforms in the Russian agricultural sector. Employing primary data collected in a 1995 survey of three villages in the Russian Republic, we argue that strong resistance to the introduction of Neo-liberal market-oriented reforms exists, often based on the respondents' awareness of the importance of social interdependence. Rural residents feel harmed by government reforms, reject further reforms in agriculture, and would prefer a return to pre-1991 conditions. Although most have experienced a decline in village solidarity, they also believe that some forms of collective life will persist in rural communities. Respondents also question the fairness of economic markets given their observation that many have gotten ahead by illegal activities. In general, those with more resources are slightly less negative in their responses. Still, we argue that these results do not necessarily indicate that rural Russians totally reject the move toward a market-based economy. Rather, the results taken together suggest that points of strain and resistance emerge from the rapid introduction of market-oriented reforms, with little protection from unwanted consequences and the uncertainties of capitalism, in a context characterized by a long tradition of collective social relations.     

Sending or Receiving Stations? The Dual Influence of Railroads in Early 20th-Century Great Plains Settlement

This study investigates how railroads shaped settlement patterns in the twentieth century US Great Plains using railroad, population census, and environmental data. The substantive question speaks to recent theoretical and methodological interests in contextual and ecological issues. Drawing from theories of transportation and development, I use spatially-oriented techniques to empirically test long-held claims about the relationship of railroads to population development. The Great Plains is a region where settlement is commonly attributed to railroad expansion. Study results show a complex relationship between county population growth and the presence of railroads during the period after the railroad heyday and before the widespread adoption of the automobile, 1900–1930. Counter to the nineteenth century pattern, the association between population change and railroads is negative. Yet the relationship is conditioned by the stage of county development; in the first decade, railroads are receiving stations for counties with smaller population density and sending agents for more settled places; the reverse is observed during the 1920s; and no significant relationship exists during the 1910s. Spatial effects are addressed in the analysis, and theoretical and statistical implications for scholarship concerning transportation and spatial units of analysis are discussed.

Utilization of health care among female-to-male transgender individuals in the United States

Female-To-Male (FTM) transgender individuals were approached at a conference and several peer support groups in the United States and asked to complete a short questionnaire regarding their medical care. Results from the 122 completed questionnaires indicated that a high number of respondents were taking testosterone (n = 106) and had some gender-confirming surgery (n = 68). Seventy percent of respondents rated their overall quality of health care "good" or "excellent." A surprising finding was the low number (7%) reporting diagnoses of polycystic ovarian syndrome--the incidence of which has been reported elsewhere as high as 50%. Also notable were the high levels of employment, insurance, knowledge of standards of care, and access to providers, contrasting with reports from studies involving predominantly Male-To-Female (MTF) individuals. Finally, FTM's usage of transition-related medical resources can vary, but many within this study are foregoing genital surgery.     

The Process of Change in Complicated Grief Group Therapy for Bereaved Dementia Caregivers: An Evaluation Using the Meaning of Loss Codebook

ABSTRACT

Caring for a person with dementia has adverse health and mental health effects that, for 9–25% of caregivers, persist as complicated grief (CG). For bereaved dementia caregivers unable to satisfactorily grieve, specialized Complicated Grief Group Therapy (CGGT) can restore healthy grief. We investigated therapeutic change in CGGT participants, using an adapted version of the Gillies’ Meaning of Loss Codebook. Participants demonstrated positive gains in 16 thematic areas, notably in moving on with life, summoning pleasant memories, and ascribing bad memories to disease rather than decedent. Meaning transitioned from negative to positive interpretations of the death over the course of treatment.     

Getting Under the Skin: Children’s Health Disparities as Embodiment of Social Class

Social class gradients in children’s health and development are ubiquitous across time and geography. The authors develop a conceptual framework relating three actions of class—material allocation, salient group identity, and inter-group conflict—to the reproduction of class-based disparities in child health. A core proposition is that the actions of class stratification create variation in children’s mesosystems and microsystems in distinct locations in the ecology of everyday life. Variation in mesosystems (e.g., health care, neighborhoods) and microsystems (e.g., family structure, housing) become manifest in a wide variety of specific experiences and environments that produce the behavioral and biological antecedents to health and disease among children. The framework is explored via a review of theoretical and empirical contributions from multiple disciplines, and high-priority areas for future research are highlighted.     

Sexual Fantasies and Gender/Sex: A Multimethod Approach with Quantitative Content Analysis and Hormonal Responses

Research links explicit sexuality (e.g., physical attraction and pleasure) to high testosterone (T) and nurturance (loving contact) to low T. Engaging in sexual fantasy, which can include explicit sexual and nurturant elements, increases T in women but not in men. We examined whether individual differences in the explicit sexual and nurturant content of fantasy were linked with T or with estradiol (E₂). In addition, we explored whether fantasy content differed or overlapped by gender/sex. Participants (26 women, 23 men) provided saliva samples for hormones before and after imagining a self-defined positive sexual encounter and responding to open-ended questions about the situation they imagined. We systematically content-coded responses for explicit sexual and nurturant content. In men, lower inclusion of nurturant content predicted larger T responses to fantasy. Fantasy content was not linked with T in women or with E₂ in women or men. Women and men did not differ significantly in explicit sexual and nurturant content. Our findings suggest that individual experiences of fantasy as more or less nurturant affect T in men, provide support for the Steroid/Peptide Theory of Social Bonds, and highlight the value of integrating hormones and content analysis to investigate research questions relevant to sexuality and gender/sex.     

Dis/ability and austerity: beyond work and slow death

The forthcoming book Dis/ability Studies: Theorising Disablism and Ableism argues that we are living in an historical epoch which might be described as neoliberal-ableism, in which we are all subjected to slow death, increased precarity and growing debility. In this paper we apply this analysis to a consideration of austerity with further reference to disability studies and politics.     

How Many Bytes Does It Take? A Content Analysis of Cyber Issues in Couple and Family Therapy Journals

In the fifteen years since the explosion of the Internet, using cyber technology for work and social functions has exponentially increased. Yet, questions around how to manage such changes remain elusive in family therapy literature. In this investigation, we conducted a content analysis to determine to what extent marriage/couple and family therapy (M/CFT) journals have responded to the integration of the Internet in couple and family life. We found 79 of 13,274 articles across seventeen journals focused on the Internet in some capacity. Implications for clinical practice, training, and future research are discussed. Video Abstract     

Reclaiming and Reimagining Macro Social Work Education: A Collective Biography

The authors focus on a collective biography of 12 women social work educators, all either tenured or in tenure lines, from five different universities at the time of the study. The participants represent several aspects of macro practice including administration, planning, community practice, and policy. Beginning with reflections about coming into macro practice, we highlight memories about first teaching experiences and examine cultural shifts discovered in our academic journeys. We feature students who inspired us and perceptions of challenges in curricular development affecting the preparation of students. This article includes comments that emphasize the themes and focus of our collective reflections. Finally, we place what we learned in the context of a report from the Association for Community Organization and Social Administration calling for the visibility of and advocacy for macro social work education.