Premature menopause and self-concept disjunctions. A case for crisis management

1. Surgically or chemically induced premature menopause is a life transition characterized by a situational crisis superimposed on a developmental crisis. 2. After surgically or chemically induced premature menopause, women's self-concept shifts and evolves through an interactive or relational process. 3. Nurses can use crisis management to increase women's understanding of the physiological and psychological dimensions of premature menopause, facilitate their links with community support systems, and strengthen their existing social networks. 4. Effective crisis intervention approaches include structuring, verbalizing, clarifying, normalizing, and supporting.     

The effects of domestic violence during pregnancy on maternal and infant health

The present study examined the impact of domestic violence on maternal and infant health by assessing maternal health during pregnancy and infant health at two months postpartum. Two hundred and two women (68 battered and 134 non-battered) were recruited from the community and completed both pregnancy and 2-month postpartum interviews. Results revealed that domestic violence during pregnancy was associated with numerous health problems for mothers and infants including more health problems during pregnancy, more likelihood of premature labor, later entrance into prenatal care, lower infant birth weight, greater utilization of health care resources, and more prenatal substance use. After income was controlled, the relationship between violence and timing of prenatal care and infant birth weight became nonsignificant. Maternal social support was found to protect against the effects of violence for several health outcomes. The current findings suggest the need for domestic violence screening during pregnancy, as well as clinical interventions for battered, pregnant women in order to prevent serious physical and emotional problems for both mothers and their infants.     

Individual and crossover effects of stress on adjustment in medical student marriages

High-stress individuals may benefit from social support, although their support providers may be adversely affected via stress crossover effects. Individual and crossover effects of perceived stress within medical student marriages (n = 30) were investigated. Perceived spousal support was positively associated with individuals' own marital and emotional adjustment, attenuating stress effects. With regard to crossover effects, medical students' perceived stress was significantly associated with their spouses' emotional adjustment. Further, medical students' own emotional adjustment fully mediated this crossover effect. Results suggest that the contagion of negative affect may serve as a key mechanism through which stress crossover effects operate in marriage.     

Parental altruism and nest leaving in Europe: evidence from a retrospective survey

We use retrospective life-history data from the Survey of Health, Ageing and Retirement in Europe to assess parental altruism through the effect of parental resources and home characteristics on the age at which individuals now aged 50 or more left the nest in 13 countries. We show that the nest leaving age has declined from one cohort to the next and that the tendency has been of a relative decline in leaving one’s parents to start a family and an increase in leaving home to pursue higher education, even if the first pattern was still the most common for the baby-boomers. We test an altruistic model where constrained parents push the child out, where less constrained “proximity altruistic” parents can help the child by providing a home or even, for the richest “active altruists”, help the child leave the nest. Taking into account the endogenous child’s choices of education, we find that most parents helped by being proximity altruists, while some helped their children move out and that the quality of the home had an important influence on the nest leaving age.     

FAMILY SYSTEMS THERAPY AFTER OPERATIONS DESERT STORM WITH EUROPEAN-THEATER VETERANS

We describe a quasi-experimental trial of time-limited family therapy with veterans and families of veterans who served in Europe, outside the war zone, during Operation Desert Storm (ODS). Family systems therapy was provided both to individuals and conjointly to couples or families during the acute postwar readjustment period. The intervention adapted strategies from structural, strategic, intergenerational, and behavioral family therapies in a brief-treatment protocol for systemic stressor resolution. Veterans given family system therapy were able to resume functional levels of psychosocial adjustment and reduce the risk of long-term (Chronic or delayed) psychosocial impairment. Based on these preliminary findings, controlled evaluation of family systems therapy appears warranted for indi-     

Sociology and Studies of Gender,Caregiving, and Inequality

This review focuses on scholarship that illuminates the ties between gendered care and persistent gender inequality. After an overview of work on gender and care across the disciplines, it examines sociologies of care and suggests how sociology might further enrich research and theory in this area. I explore the areas of work–family intersection, state care policy, and the organization of paid care work. I argue that the sociology of caregiving needs to better understand institutional effects on care and the interactions that transmit and resist them, organizational influences on paid care work, and how care policies relate to gender equality.     

Telling a Good Story: Using Narratives in Vocational Rehabilitation With Veterans

Because of the high chronicity of work-related problems in a Veterans Administration Medical Center population, many of the traditional methods of career assessment, counseling, and placement have proven ineffectual. In this article the authors detail the development of an intervention based on narrative or storytelling principles. They describe efforts to introduce this model to patients as well as to relate patients' stories to vocational outcomes. The usefulness of stories as an organizing principle for counselors and clients is discussed, and suggestions are offered for further uses of storytelling interventions.     

WOMEN AND THE INTERNET The natural history of a research project

This article represents a narrative, 'women and the internet', as a women and technology origin story with a fixed beginning, a contested centre, and an open ending. This article analyses our engagement with this narrative as a pilot study was conducted to look at women's perceptions of, and relationships to, the internet. Although this story felt like a coherent and persuasive narrative, this was questioned as the outcomes of the pilot study were reflected upon. Women coming to the 'net' led to a reconstruction of the questions that need to be addressed in researching gender and information technology. This article begins by describing and deconstructing the motivating story which was brought to this research project. Three genres are introduced-'the webbed utopia', 'flamed out' and 'locked into locality'-which are seen as forming the contested centre of this narrative. While each genre has its own narrative logic, all of them draw on a common tale of historical origins. From each of these perspectives 'Women and the internet' has an ending which is still open, but is rapidly closing. Three questions are then identified which have been raised by analysis: what do we mean by 'access'?; what do we mean by 'the internet'? and 'which women'? The seeming simplicity of these questions disguises serious difficulties which research in this area must address.     

Meeting the parenting skills needs of neglectful families by training child welfare workers as educators

A training program was devised for selected child welfare workers to conduct parent groups in the Missouri Neglect Demonstration Project. Welfare workers were trained to conduct parent groups that focused on parenting skills, self-advocacy, and social and economic resources. In contrast to case manager referrals, the workshops provided education directly and helped parents to develop resources. One of the goals was to have staff and parents collaborate to improve referral services and resources. The importance of this type of program was demonstrated by a literature review of parent trainings which found that: (a) few programs specifically addressed child neglect; (b) outcome evaluations of programs were scarce; and (c) a national extension study supported topics chosen.