Gender Bias in the Allocation of Curative Health Care in Minia,Egypt

Research indicates that girls' disadvantage in 1–4 mortality is unusually high inEgypt, yet the relevance of intra-family differences in power for the distributionof health resources is debated. This analysis compares effects of the involvementof various family members on choice of provider, place of care, and total expendituresfor curative care among 129 girls and boys with diarrhea in Minia, Egypt. Girlshave lower odds than boys of visiting doctors versus lay providers and privateversus informal facilities, and the involvement of fathers in prior discussionsabout care may be important to reduce this disparity. Median expenditures forcurative care also are lower for girls than boys, particularly when fathers arenever involved in choice of care. Future research should examine the extent towhich these disparities in care reflect differences in the quality of care received.     

Toward a scheduling congruity theory of family resource management

This article presents the elements of a theory to explain the dynamic construction and execution of production processes. The theory takes into account both the cognitive underpinnings and observable streams of purposive action necessary for managerial behavior. It attempts to explain both the consciously planned and executed action of individuals and the more routine, repetitive activities which dominate most resource allocation behavior. Further, it provides a framework within which goal directed actions of individuals may be translated into goal directed actions of groups of individuals.The authors wish to thank two anonymous reviewers for their helpful comments on an earlier draft of this article.Rosemary J. Avery is an Assistant Professor in the Department of Consumer Economics and Housing at Cornell University, 103 Martha Van Rensselaer Hall, Ithaca, NY 14853. She received her Ph.D. from The Ohio State University in 1988. Her research areas include family management and time use, family decision making, and family formation via adoption.Kathryn Stafford is an Associate Professor in the Department of Family Resource Management at The Ohio State University, Campbell Hall, Neil Avenue, Columbus, OH 43210. Her research focuses upon management by families who generate income at home, and she has also done work in the areas of family time use and household production. She received her Ph.D. from Cornell University in 1978.     

From delusion to play

Winnicott suggested that delusions are a failed form of play. Using Winnicott's theories of the play space, this paper illustrates through clinical material how the therapist can join a delusion and convert it into an area of play. Discussion includes an analysis of the use of play in working with the transference and countertransference as well as the therapist's resistances to engaging in play.     

The complexity of roles in community action projects: The example of the evaluation of ‘alternatives’

Evaluation of community interventions is a special form of evaluation involving many roles that are key to accomplishing both the intervention and the accompanying research. The present paper describes the roles involved in the evaluation of a community intervention (‘Alternatives’) aimed at safer use of alcohol and depressant medications by seniors.The three core roles were the community developer who provided leadership in the implementation of the project, the researcher/evaluator, and the community committee that sanctioned and facilitated the project. Other roles on the project included: the project coordinator, the nurse-interviewers who collected the survey data for the evaluation, volunteers from seniors groups, local health service providers, the media, the funders, and others on the project team who provided specific technical expertise.The paper describes the competing interests among these roles as well as conflicts that arose and how these conflicts were handled. Although specific roles are described, the types of roles and the potential for competing interests and conflict are generally relevant to community level evaluations.     

Re-Framing and de-Pathologizing Behavior in Therapy for Children Diagnosed with Psychosocial Disorders

The increasing number of children diagnosed with psychosocial disorders reflects a trend toward pathologizing behavior that is unusual, challenging or extreme. Although these behaviors may match items on the symptom lists for various disorders, a therapist must first consider the origin and context of those behaviors for an individual child through a non-pathological lens. This paper proposes a framework for understanding the behavior of difficult children based on core issues rather than diagnostic symptoms: arousal/excitability, range of focus, perfectionism, intensity, interpersonal sensitivity, sensory sensitivity, cognitive/perceptual style, perception of time, reaction style, and affiliation/integrity. Each trait is examined from two perspectives: how it can lead to or be interpreted as a problem, and how a therapist can re-frame the trait and build on it to identify effective interventions. This approach affirms children’s strengths and upholds social work values.Barbara Probst, Adjunct Professor is affiliated with Graduate School of Social Service, Fordham University, NY, USA.Address correspondence to Barbara Probst, MSW, LCSW, Graduate School of Social Service, Fordham University, Neperan Road, Tarrytown, NY 10591, USA; e-mail: barbprobst@aol.com     

Thinking empathically: The video laboratory as an integrative resource

The use of video taped, simulated interviews is an effective means of addressing the dynamics of affect in clinical practice. This mode of training, grounded in ego and self psychological concepts, is instrumental in identifying, understanding and integrating feelings—the goal of which is to help trainees think empathically. The theoretical framework and structure of the laboratory mode are presented; examples of the teaching/learning process are also discussed.     

Resources,Family Organization,and Domestic Violence Against Married Women in Minya,Egypt

I evaluate the influence of household wealth, women's socioeconomic dependence, status inconsistency, and family organization on physical abuse in the prior year and attitudes about wife abuse and divorce among 2,522 married women in Minya, Egypt. Household wealth is negatively associated with physical abuse. Women who are dependent on marriage because they have sons and less schooling than their husbands are more likely to have experienced physical abuse and to report marginally more tolerance for such abuse. Women who are isolated from natal or biological kin and living with marital relatives are more likely to have experienced physical abuse. Findings underscore the role of women's dependence and social isolation in enabling physical abuse among women of all economic classes.     

Patterns of Childlessness among Catholic and Non-Catholic Women in the U.S.: A Log-Linear Analysis*

The principal objective of this paper is to conduct a log-linear analysis of patterns of childlessness among Catholic and non-Catholic women in the United States. We address this issue by examining white women between the ages of thirty-five and forty-four, ascertaining whether they are voluntarily, involuntarily, or temporarily childless or childed. Given the long-standing emphasis of the Catholic Church regarding the importance of children in marriage and the family, an emphasis which was not reversed during the Second Vatican Council, we suggest that even after controlling for religious activity and educational attainment, Catholic women should be less disposed than non-Catholic women to choose voluntarily to have no children. We review various aspects of Church doctrine leading to such an hypothesis. Our results do not suggest an “end” to Catholic-non-Catholic differentials in childlessness. Catholic women between the ages of thirty-five and forty-four in 1976 were very far apart from non-Catholic women with respect to the voluntary decision to have no children. And they are also very different from non-Catholic women regarding patterns of involuntary childlessness. These differential patterns of voluntary and involuntary childlessness are discussed and analyzed.