Health care for older persons in Singapore: integrating state and community provisions with individual support

Health care policy in Singapore is similar to that in the United States and the United Kingdom, where a residualist strategy is used to pass health care costs to individuals and their families, the rationale being that this enables the state to concentrate on devolution of care to the community and ensure efficient and affordable service to all Singaporeans. The services include public restructured hospitals and outpatient poly-clinics as well as community services such as community hospitals and hospitals for the chronically ill, nursing homes, day care centers, and home help services. Availability does not translate into optimum usage because current and potential users and their families are not able to match their financial and social resources with the services. Instead, the state acts as the case manager and places parameters on what individuals can access.     

Contraceptive self-efficacy: does it influence adolescents' contraceptive use?

This research investigates the relationship between contraceptive self-efficacy and contraceptive use, measured one year later, among adolescent boys and girls. Data are obtained from the two waves of the restricted use sample of the National Longitudinal Study of Adolescent Health (n = 3,577). Employing multiple regression and logistic regression strategies, we examine whether demographic and background characteristics influence contraceptive self-efficacy, and whether contraceptive self-efficacy increases the likelihood of contraceptive use. We find that adolescents who are female, older, live with step-parents, and whose mothers approve of contraceptive use report higher contraceptive self-efficacy, while adolescents whose mothers did not complete high school report lower contraceptive self-efficacy. Results partially support the expectation that adolescents with higher contraceptive self-efficacy act accordingly by using contraceptives.     

AIDS: A case management approach. The illinois experience

The Illinois Department of Children and Family Services provides through their Medical Foster Care Program substitute living arrangements for wards of the state with positive antibody tests, ARC, and AIDS. At present there are ten children (eight in Cook County) that fall into one of these categories. Half (5) of these children are infants under the age of one year. Three (3) are adolescents who were exposed through intravenous drug abuse and/or prostitution. Case illustrations and discussion together with case planning and management techniques are presented for two of the cases: an adolescent with a positive antibody test, and a three-year-old with AIDS. Current trends and future issues for investigation are also presented.     

Decontextualizing disability in the crime mystery genre: the case of the invisible handicap

The depiction of physical impairments in popular culture reflects as well as shapes public attitudes towards persons with disabilities. Scholars have begun to document images of disabilities (the 'what') in venues such as literary fiction, motion pictures, advertisements, and television programming but there has been less attention directed toward exploring the techniques through which images are delivered (the 'how'). In this paper we explore how the story telling devices of disability—in-dialogue versus disability-in-action and the endowment of characters with compensating characteristics are employed in one segment of popular culture—literary fiction, one genre within this class—the detective novel, and one type of physical impairment—the deaf detective. Our findings suggest that the use of these devices is historically rooted and how they transform handicaps and disabilities into physical impairments thus decontextualizing what is essentially a social issue into one that is ascribed to individuals.     

Menstrual time: The sociocognitive mapping of “the menstrual cycle”

Despite the many angles from which the biological phenomenon now known as “the menstrual cycle” has been addressed, no work explicitly focuses on how social groups actually draw lines around and mentally partition these complex biological processes into discrete temporal units. This paper examines not the meaning of “the menstrual cycle,” per se, but hegemonic Western culture's intersubjective notions of how to carve up this inherently unstructured phenomenon in the first place. Although sociologists of cognition have still to consider this sociomental structuring of “the menstrual cycle” as a case of mental cartography, and sociologists of time have still to consider “menstrual time” as a case of sociotemporality, I conclude that the mental mapping out of what constitutes the elements of this rhythm is a highly social act with serious implications for women's lives.     

Female domestic violence offenders: their attachment security, trauma symptoms, and personality organization

Unlike male domestic violence offenders, female domestic violence offenders have traditionally been overlooked in research and theory, despite the fact that females also have high rates of domestic violence perpetration. Towards the aim of extending extant research on male and female pepetrators of domestic violence, we examined attachment style, trauma symptoms, and personality organization in 33 female offenders receiving mandated treatment for domestic violence. These offenders were compared to 32 nonoffending women receiving psychological treatment. The Experiences in Close Relationships Revised (ECR-Revised) was used to examine adult attachment, the Trauma Symptom Inventory (TSI) was used to examine trauma symptomology, and finally, the Millon Clinical Multiaxial Inventory III (MCMI-III) was used to examine cluster B personality traits. Analyses indicated that female domestic violence offenders reported less attachment security, more trauma-related symptoms, and more personality psychopathology (Antisocial, Borderline, and Dependent Subscales) than did nonoffender clinical comparison women.     

Representational Projects and Interacting Forms of Knowledge

This paper focuses on the concept of the reified and consensual universes in the theory of social representations, and the relationship between them. Having examined the different ways in which Moscovici discusses this concept, and the different ways in which these discussions have been interpreted, I will suggest that many of the criticisms levelled at this facet of social representations theory appear somewhat misplaced. However, it does seem that some aspects of the concept of the consensual and the reified universes are rather under-developed within the theory as a whole. It will be suggested that the recent addition of the notion of the representational project to the theory of social representations goes some way towards addressing some of these emergent issues, most notably with regards to the relationship between knowledges from different spheres. As an example, the area of representations of health and illness will be considered: drawing on work that takes the perspective of the sociology of scientific knowledge, it will be suggested that the theory of social representations needs to make the possibility of a bi-directional relationship between knowledge from the fields of scientific and common sense understanding more explicit.