Detection and prevalence of abuse of older males: perspectives from family practice

Family doctors' frequent contact with seniors put them in reasonable positions to detect elder abuse and initiate referral to adult protective services. Since doctor reporting is low, however, this paper explores whether the gender of patient and/or doctor impacts on identification of elder mistreatment, or creates differential detection of one gender over the other. Use of the validated Elder Abuse Suspicion Index (EASI), and a structured social work evaluation, is described to provide some gender-based data from Canadian family practice. Specifically, while the prevalence of elder abuse is estimated to range from 12.0% to 13.3%, the specific prevalence was found for females to be 13.6% to 15.2% and for males 9.1% to 9.7%.     

Putting spiritual development of young people on the map: an English perspective

Youth work in the United Kingdom is a profession requiring three years of training, and its beginnings are strongly rooted in a spiritual (often specifically Christian) context. Until the past few decades, spirituality was also integrated within the educational system. The author argues that intentionally bringing spirituality to the center of youth work is a return to the historical and philosophical roots of youth work, with its value on the whole person, including beliefs and values. Yet there are obstacles. For example, rising concerns to protect children from abuse eclipse efforts to extend young people's development. Youth workers also report a reluctance to address spiritual questions with young people either because of their own lack of knowledge or because they fear offending someone. Two areas that would benefit from further research and reflection in the field are how spirituality can be measured, and how a youth worker's own spiritual journey shapes and is shaped by her or his work with youth. Green reminds readers that lighthearted and playful but deeply meaningful approaches are common in many traditions.     

Learning from mistakes: What do inconsistent choices over risk tell us?

We implement a risk experiment that allows for judgment errors to investigate who makes mistakes and whether it matters. The experiments are conducted with a random sample of the adult population in Rwanda, and data on financial decisions are collected. We find a high proportion of inconsistent choices, with over 50% of the participants making at least one mistake. Importantly, errors are informative. While risk aversion alone does not explain financial decisions, risk aversion and inconsistent choices interact in significant and sensible ways. As we would expect, risk-averse individuals are more likely to belong to a savings group and less likely to take out an informal loan. For those more likely to make mistakes, however, as they become more risk averse, they are less likely to belong to a savings group and more likely to take up informal credit, suggesting that mistakes correlate with less than optimal behavior.

What's the point? Infants' and adults' perception of different pointing gestures

Adults and infants as young as 4 months old orient to pointing gestures. Although adults are shown to orient faster to index-finger pointing than other hand shapes, it is unknown whether hand shapes influence infants' perception of pointing. In this study, we used a spatial cueing paradigm on an eye tracker to investigate whether and to what extent adults and 12-month-old infants orient their attention in the direction of pointing gestures with different hand shapes: index finger, whole hand, and pinky finger. Furthermore, we assessed infants' and their parents' pointing production. Results revealed that adults showed a reliable cueing effect: shorter saccadic reaction times (SRTs) to congruent than incongruent targets, for all hand shapes. However, they did not show a larger cueing effect triggered by the index or any other finger. This contradicts previous findings and is discussed with respect to the differences in methodology. Infants showed a cueing effect only for the whole hand but not for the index or pinky fingers. The current results suggest that infants' orienting to pointing may be more robust for the whole hand shape in the first year, and tuning in to the social-communicative relevance of the canonical index finger shape may develop later or require additional social-communicative cues.     

Experiences of internal and hybrid employee assistance program managers: Factors associated with successful,at-risk,and eliminated programs

Employee Assistance Programs (EAPs) originated as workplace-focused programs delivered largely by peer employees. Over the past 25 years, the once standard internal EAP has largely been replaced by internal/external hybrid programs or outsourced EAP vendors. Many long-standing internal programs have been downsized or eliminated, along with their internal program manager positions. This qualitative study examined the organizational, leadership, and programmatic characteristics associated with the internal and internal/hybrid EAPs from the perspectives of EAP managers working in programs that have thrived and those that have depreciated. Twenty-four current and former internal or internal/hybrid EAP managers were interviewed using a semistructured interview schedule. Qualitative methods were used to identify patterns and themes within the data to describe the experience of internal and internal/hybrid EAP managers and the critical success and risk factors associated with their positions and programs. Five final themes, with 15 subthemes emerged from the data, suggesting that both individual and organizational characteristics of EAP internal and hybrid programs are important to the program’s sustainability. These findings offer insights regarding best practices and critical success factors to EAP professionals, EAP purchasers, and the EAP industry.     

Why do women continue to smoke in pregnancy?

Smoking during pregnancy not only impacts on the woman's health but that of her unborn child. Women most likely to continue smoking throughout pregnancy are generally of lower age, socio-economic status, level of education and occupational status. Women who continue to smoke during pregnancy often feel criticized by society. They feel guilt and personal conflict at not quitting. Lack of long-term positive outcomes from anti-smoking campaigns may result form ignorance surrounding socio-economically disadvantaged women's life circumstances. Current interventions often ignore the emotional and psychological stressors associated with pregnancy; they do not address the altered physiological processes that occur during pregnancy. A review of the literature pertaining to women who smoke throughout pregnancy is presented. Women want an individualised approach to smoking cessation advice, with health care workers having knowledge of the woman's social situation and viewpoints. This paper reveals that the woman's perspective has largely been ignored. Indeed health care professionals have attempted to manipulate women to stop smoking rather than engage in mutually respectful dialogue.     

Growth Mixture Modeling of Adolescent Body Mass Index Development: Longitudinal Patterns of Internalizing Symptoms and Physical Activity

Growth mixture modeling was used to identify different trajectories of body mass index (BMI) among adolescents ages 10–15 from a national sample. Three distinct classes were found for both boys and girls: “normative” (90.9% and 89.7%), “high increasing” (6.3% and 7.4%), and “decreasing” (2.8% and 2.9%). Multinomial logistic regression identified family income as predictive of class membership for boys and pubertal status and being rural as predictive for girls. Parent‐reported health was a common predictor across gender. Growth curves of internalizing symptoms and physical activity were modeled to explore trends across classes. Findings highlight complexities in the relations between BMI, internalizing symptoms, and physical activity in this developmental period.     

Open media or echo chamber: the use of links in audience discussions on the Facebook Pages of partisan news organizations

This study evaluates the use of hyperlinks in audience discussions on the Facebook Pages of two partisan cable news organizations: the liberal-leaning Rachel Maddow Show and the conservative O'Reilly Factor, to investigate to what extent linking might intensify partisan political discussion or infuse a variety of perspectives into online communication. The results suggest that these Facebook audiences show a preference for a small group of information resources; furthermore, the two audiences shared an even smaller number of information resources in common. The findings support previous research that suggests a relatively small number of information resources receive most of the news audience traffic, and provide some support for other studies that indicate that partisan political discussions on social media are segregated by political orientation.     

Self-Reported Gender Identity and Sexuality in an Online Sample of Cisgender,Transgender, and Gender-Diverse Individuals: An Exploratory Study

The relations between self-reported aspects of gender identity and sexuality were studied in an online sample of cisgender (n = 4,954), transgender (n = 406), and gender-diverse (n = 744) groups. Aspects of gender identity and sexual fantasies, attraction, behavior, and romantic relations were assessed using the Multi-gender Identity Questionnaire (Multi-GIQ) and a sexuality questionnaire. Results show a wide spectrum of gender experiences and sexual attractions within each group, an overlap among the groups, and very weak relations between atypical gender identity and atypical sexuality. At the group level, aspects of gender identity and sexuality were mainly predicted by gender and sex-gender configuration, with little contribution of sex assigned at birth. A principal component analysis (PCA) revealed that measures of gender identity and of sexuality were independent, the structure of sexuality was mostly related to gender, whereas the structure of gender identity was mostly related to sex-gender configuration. The results of both approaches suggest that measures of gender identity could roughly be divided into three classes: one including feeling as a man and feeling as a woman; a second including measures of nonbinary and “trans” feelings; and a third including feeling as a “real” woman and feeling as a “real” man. Our study adds to current scientific data that challenge dichotomous conventions within gender identity and sexuality research. Possible social and clinical implications are discussed.