Black and White Families: Factors Affecting the Wife's Contribution to the Family Income Where the Husband's Income Is Low to Moderate*

The economic role of the black wife in contrast to her husband's weak economic position is a key assumption in Moynihan's thesis of a black matriarchy. Using the National Longitudinal Survey of women, aged 30 to 44, in 1967, this paper examines the factors affecting the wife's contribution to the family income for both black and white families where the husband's income is below the median of all male-headed families. The results suggest that black wives and white wives respond similarly with respect to their overall contribution, the demand for female labor, and the effect of children. There is no support, moreover, for Moynihan's assumption that black wives are compensating for their husband's weak economic position. It appears, however, that the definition of the provider may differ among black families and white families.     

The utilization of geographic information systems to create a site selection strategy to disseminate an older adult fall prevention program

Public health programmatic interventions are increasingly required to address the prevention needs of aging populations. Falls in adults age 65 and older are the leading cause of injury hospitalization in the U.S., and a leading cause of international fatal injuries in older adults. This project used geographic information systems (GIS) to create a site selection strategy for the dissemination and pilot evaluation of a community-based fall prevention program for older adults in Pierce County, Washington. Potential site addresses (n = 84), 2000 U.S. census data for adults ≥65 years of age, and local road networks, which were converted into service areas using actual travel time, were entered in a GIS. Potential sites were then ranked by census densities of older adults who lived within 10 min travel time. Nine sites launched the program, with the goal recruiting 20 older adult program participants at each site (n = 180). At the end of 12 months, participation exceeded program goals (n = 331). GIS can be used to determine actual travel time, and may facilitate the selection of community-based prevention program sites to maximize accessibility and utilization by targeted populations.     

'Everyone Started Shouting': Making Connections between the Process of Family Group Conferences and Family Therapy Practice

This article presents findings from a qualitative study of familygroup conferences (FGCs) in Wales, UK. The study examined theprocess of seventeen FGCs involving twenty-five young people,using semi-structured interviews, analysis of documents andcollection of data on welfare outcomes. Young people were re-interviewedafter six months. The article focuses on the data concerningreported communications between family members during the familymeetings. These data are discussed in relation to similaritiesand differences between FGCs and family therapy sessions. Theauthors conclude that each method of intervention presents potentiallessons and challenges to the other. FGC co-ordinators mightwish to reflect on how to manage and prepare family membersfor the potential for expressions of emotion and disclosuresof confidential information that might arise in a family meeting.Family therapy has a long history of successfully working withsuch processes. Additionally, family therapists may wish toreflect on the successful management of intra-familiar conflictand disclosure by many families acting without a therapist orother professional present in a FGC.     

Bereavement, gender, and cyberspace: a content analysis of parents' memorials to their children

The study investigated how two distinct perspectives apply to the role of gender in parents' memorials on The Compassionate Friends (TCF) electronic bulletin board; cyberspace as merely a mirror of societal gendered patterns of bereavement, and cyberspace as a medium or context in which societal gendered patterns of bereavement are neutralized. Data were evaluated to determine to what extent gender differences exist concerning instrumental versus intuitive styles of bereavement. Analytic categories used in assessing gender differences in parental bereavement style included the following: invoking spirituality, directing messages to the deceased, artistic expressions, and special powers accorded to the deceased. With some exceptions, the findings supported the perspective emphasizing the gender neutralizing aspects of cyberspace parental bereavement for the population studied.     

From social to surgical: historical perspectives on perineal care during labour and birth

A review of key historical texts that mentioned perineal care was undertaken from the time of Soranus (98–138 A.D.) to modern times as part of a PhD into perineal care. Historically, perineal protection and comfort were key priorities for midwives, most of whom traditionally practised under a social model of care. With the advent of the Man-Midwife in the seventeenth and eighteenth century, the perineum became pathologised and eventually a site for routine surgical intervention – most notably seen in the widespread use of episiotomy. There were several key factors that led to the development of a surgical rather than a social model in perineal care. These factors included a move from upright to supine birth positions, the preparation of the perineum as a surgical site through perineal shaving and elaborate aseptic procedures; and the distancing of the woman from her support people, and most notably from her own perineum. In the last 30 years, in much of the developed world, there has been a re-emergence of care aimed at preserving and protecting the perineum. A dichotomy now exists with a dominant surgical model competing with the re-emerging social model of perineal care. Historical perspectives on perineal care can help us gain useful insights into past practices that could be beneficial for childbearing women today. These perspectives also inform future practice and research into perineal care, whilst making us cautious about political influences that could lead to harmful trends in clinical practice.