They tell us “we don’t belong in the world and we shouldn’t take up a place”: HIV discourse within two-spirit communities

Objectives: We investigated how HIV discourse is negotiated and given meaning in the lives of young, male two-spirit leaders, when considering their communities’ and their own health and wellness. These men are also unique in that they have always lived under the specter and dominant discourse of HIV; that is, they are part of a second generation since the time of HIV/AIDS. Methods: We conducted a discourse analysis of six qualitative interviews from the HONOR Project, a multi-site, mixed-methods study of the two-spirit community across the United States, foregrounding the relationships among trauma, coping, and health. Results: HIV functions discursively in four ways: as a shadow presence, professionalized identity, health sub-/priority, and vehicle for belonging and (re)claiming. Conclusions: This study is important to social work as well as HIV prevention and care as it affords voice to two-spirit men, a highly marginalized community and one often silenced in scientific discourse. And, it centralizes language and context, complicating social epidemiological characterizations of HIV/AIDS, risk, and historically traumatized populations.     

Unmarried Coparenting in the Context of Poverty: Understanding the Relationship Between Stress,Family Resource Management,and Resilience

Due to rising rates of non-marital birth in the United States, unmarried families have been the subject of extensive research and the target of government funded interventions over the last 15 years. Despite a growing literature on this population, few studies have addressed how unmarried couples coparent in the context of poverty. In the present study we used in-depth interviews with paired mothers and fathers to explore resilience processes in unmarried coparenting. We found that unmarried couples aspired to be good coparents, but the stress of living in poverty and the challenges of parenting young children led some to experience family strain or crisis. Using family stress theory as a framework for organizing the findings, we concluded that family resource management distinguished couples that adapted successfully to the task of coparenting from those that struggled to do so. Implications for theory, future research, and practice are discussed.     

Qualitative Evaluation Methods in Ethics Education: A Systematic Review and Analysis of Best Practices

Although qualitative research offers some unique advantages over quantitative research, qualitative methods are rarely employed in the evaluation of ethics education programs and are often criticized for a lack of rigor. This systematic review investigated the use of qualitative methods in studies of ethics education. Following a review of the literature in which 24 studies were identified, each study was coded based on 16 best practices characteristics in qualitative research. General thematic analysis and grounded theory were found to be the dominant approaches used. Researchers are effectively executing a number of best practices, such as using direct data sources, structured data collection instruments, non-leading questioning, and expert raters. However, other best practices were rarely present in the courses reviewed, such as collecting data using multiple sources, methods, raters, and timepoints, evaluating reliability, and employing triangulation analyses to assess convergence. Recommendations are presented for improving future qualitative research studies in ethics education.     

The suburban paradox of conviviality and racism in postcolonial Britain

Taking my cue from work on relations of interethnic conviviality in super-diverse cities across the globe, this paper examines the ways in which conviviality co-exists with racism as found in a suburban British town. My argument is that ethnographic attention to the proximity of interethnic relations of conviviality to racism is necessary to guard against overly celebratory accounts of conviviality that downplay everyday manifestations of racism. By situating my study of conviviality in a suburban town, my account begins to unpack the characteristics of convivial relations formed in suburban neighbourhoods as opposed to super-diverse cities often studied by ethnographers in this area of inquiry. I examine manifestations of interethnic relations between British Asian Muslims and white British residents of this town. In contrast to the mainstream images that depict British Asian Muslims as a potential threat to neighbourhood stability and national security, some white and British Asian Muslim residents formed neighbourly relationships of trust, care and mutual recognition with each other across ethnic, racial, religious, gender, class and generational differences. Yet, my analysis of these convivial relations reveals some paradoxical ways in which individuals’ experiences of interethnic relations co-exist with their xenophobic, racist and Islamophobic attitudes.     

Beyond attribution: Building new measures to explain the reputation threat posed by crisis

Situational Crisis Communication Theory (SCCT) suggests attributed responsibility is the key factor explaining the reputation threat posed by crisis situations. However, studies on SCCT have found using its prescribed responses has a small effect. This research uses image repair theory’s conception of crisis to suggest that offensiveness is another factor that should be measured in order to explain the reputation threat posed by crisis. Using the literature of moral foundations theory, interviews with 20 people with expertise in public relations, and 338 participants from mTurk in a 2 (attributed responsibility)?×?10 (crisis offensiveness) experiment, this research develops valid, reliable measures of attributed responsibility for crisis offensiveness, and mitigating virtuousness, that explain 73.7% of the reputation threat posed by crisis in the sample, as opposed to 24.8% explained by attributed responsibility alone in the same sample. Implications for public relations scholars and practitioners are discussed.     

Are fire services ‘extremely gendered’ organizations? Examining the Country Fire Authority (CFA) in Australia

Emergency management organizations often have military‐based histories and continue to maintain militaristic styles of operation. Similar to the military, these organizations tend to be male dominated and culturally masculinized. The militarization and masculinization of rural fire services in Australia are generally unrecognized but highly important elements defining these organizations, and the example of the Country Fire Authority (CFA) is considered here. Using a cultural artefacts approach, historical and contemporary elements of the CFA's structure and practice are analysed using the concept of an ‘extremely gendered’ organization, with a focus on how the CFA is structurally and culturally gendered. We argue there is value in expanding the notion of ‘extremely gendered’ institutions beyond the military, to include other militarized organizations. Doing so not only helps to better understand and address resistance to change and gender equality measures, it also draws attention to the important role that such organizations play in the greater patriarchal order.     

Falling from the top: the fired physician executive

Today's health care market is volatile, and the job of a physician executive is becoming more risky. Recognizing signs of trouble and taking immediate action is essential. Ten early warning signs that you could be fired are: (1) Net profits dip unexpectedly; (2) investment income can't cover operating losses; (3) bond rating is downgraded; (4) revenues are not rising as fast as costs; (5) senior executives leave the team; (6) wage increases don't improve nursing vacancy rate; (7) unions begin whisper campaign; (8) medical staff elect an SOB; (9) hospital is slapped with a costly lawsuit; and (10) recruiters call to check on your status. Physician executives are quickly learning what it takes to overcome tough challenges and prevent premature job termination: Communication; no-surprise performance; continuous monitoring of key indicators; openness and plain talk; and no-more-business-as-usual attitude. What can you do to make your job loss as painless as possible? (1) Negotiate a contract upfront; (2) don't lose your temper; (3) ask for your wish list quickly; (4) be reluctant to sue your former employer; (5) tell your family as soon as possible; (6) take only a brief vacation; (7) consider a temporary assignment; (8) be prepared to be re-employed by your former employer; and (9) keep a positive attitude.     

Continued childbearing among women who were pregnant as adolescents

Conclusions The data presented in this paper and the earlier one in this series suggest that the effects of special comprehensive programs for school age mothers are seen most clearly in delay of the first pregnancy subsequent to the programs, as originally indicated by Klerman and Jekel (1973). Rather than terminating childbearing after the second pregnancy, those young mothers who had one subsequent pregnancy usually went on to become pregnant again rather quickly.A question can be raised about the generalizability of the finding from this study which is based on a rather small, black, poverty-lever sample. Although Furstenberg's (1976) results support those of this report in a population with similar characteristics, additional studies of white and non-poverty populations receiving a variety of services are critically needed if the country is to understand the phenomenon of adolescent pregnancy and find effective ways of minimizing its consequences.This study was supported by Grant #MC-R-090357 from the Maternal and Child Health Service, Public Health Service, Dept. of Health, Education and Welfare.     

The effects of a high-risk environment on the sexual victimization of homeless and runaway youth

Based on the structural-choice theory of victimization, the current study examines the effects of a high-risk environment on the sexual victimization of 311 homeless and runaway youth. Results from logistic regression revealed that survival sex, gender, and physical appearance were significantly associated with sexual victimization. Results from a series of interactions also revealed that the effects of deviant behaviors on sexual victimization varied by gender and age. Although males and females engaged in similar activities, young women were more likely to be victims of sexual assault. These findings suggest that engaging in high-risk behaviors predispose some people to greater risks but it is the combination of these behaviors with gender and/or age that determines who will become victimized.