Complex Intersections: Reproductive Justice and Native American Women

This article presents an overview of reproductive justice as a theoretical and activist paradigm developed in response to reproductive oppression in the United States, and focuses on the reproductive justice needs of Native American women, as well as the responses developed by Native American women and their allies to these needs. I make explicit the links between reproductive justice, environmental justice and human rights for Native American communities, and articulate the ways in which reproductive healthcare for Native American women as it is provided by the Indian Health Service (IHS) acts as a fulcrum for these links. Ultimately, the failure of the IHS to meet the reproductive healthcare needs of Native American women reflects the failure of the federal government to meet its obligations to Tribal nations; further, these failures produce structures of reproductive oppression in Native communities which scholars and activists seek to redress utilizing the rubric of women’s reproductive health.     

Spouses in mixed-orientation marriage: a 20-year review of empirical studies

Empirical studies on mixed-orientation marriage in social science journals from 1988 to 2008 were reviewed. Fifteen articles published in eight peer-reviewed journals were identified and discussed in terms of sampling, design, measures, rigor, theoretical framework, and literature review. An overview of each study is provided along with a summary of critical findings. Implications and recommendations for future research and education are offered.     

Two sides of the coin: the bully and the bullied

Bullying has become a worldwide phenomenon that produces serious individual and societal consequences when it is ignored. There are two sides of the coin that require consideration when psychiatric-mental health (PMH) nurses conduct assessments of situations that involve bullying behaviors. Both the bully and the bullied can incur serious, negative, and debilitating psychological effects. In some cases, physical injury and/or death occurs as a result of bullying. Deciphering the biopsychosocial mental health issues associated with bullying is challenging. PMH nurses have the clinical expertise to develop coping interventions and strategies that stop bullying, as well as enhance the mental health and wellness of both those who bully and who are bullied. This article presents PMH nursing biopsychosocial strategies for both sides of the bullying coin. Exemplars are provided to aid implementation of the strategies.     

Assault on Self: Intimate Partner Abuse and the Contestation of Identity

The complexities of intimate partner abuse and violence have been studied from a range of theoretical, conceptual, and methodological perspectives. It is argued here that symbolic interactionist analyses offer specific and powerful insights into this particular interactional domain. This article is based on data generated by a topical life‐history case study of a well‐educated, middle‐class, middle‐aged man, whose wife subjected him to sustained unilateral violence and abuse, resulting in deleterious consequences for his health and well‐being. Data were gathered via a series of in‐depth interviews and a personal diary. The analysis draws on Goffman's conceptualization of “possessional territory” as one of the “territories of the self,” in order to examine the role of possessions in the interactional routines of intimate partner abuse.     

Bring back orphanages—An alternative to foster care?

The current foster care system in America has not been successful in transitioning youth who are in the system to become productive, independent adults in today's society. Study after study cites the poor adjustment of foster care youth in school settings because of constant change in foster care placements and the corresponding poor achievement of these students. We find many of the youth needing public aide, working at low-paying jobs (if working at all), often caught up in the criminal corrections system, and homeless. Having had no permanent home and very often lacking positive role models, these children have little opportunity to build a solid foundation that might give them the chance to succeed.In addition, the current foster care system has in place short-term home placements, and this system is failing. What is needed are long-term placements for these children-placements that last until adulthood. What we are suggesting is that we as a society consider bringing back orphanages-wellrun facilities that provide a stable environment over time, good educational opportunities, and the chance for the children to develop emotionally in a secure, nurturing environment such as those found at Boys Town, the Hershey School, Kinderhaus and The SEED Foundation.     

Determinants of maltreatment substantiation in a sample of infants involved with the child welfare system

Children under one year of age are highly vulnerable to child maltreatment, which can lead to serious immediate and long-term physical and mental health consequences. Child welfare workers encounter unique challenges when assessing allegations of maltreatment involving infants. This study identifies correlates of maltreatment substantiation in a sample of 793 infants less than one year of age investigated by child welfare. It is based on data from the 2003 Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2003), a national study of reports of child maltreatment. The analysis consisted of two stages. First, bivariate analyses were conducted using unadjusted odds ratios and chi-square tests on variables known to be associated with substantiation. In the second stage, a logistic regression was performed to examine these associations in a multivariate model.Multivariate findings suggest that certain vulnerabilities present in the primary caregiver, such as substance abuse and few social supports, as well as the child's positive toxicology at birth are associated with substantiated infant maltreatment. Exposure to domestic violence, which is reported mostly by the police, and physical harm stemming from maltreatment are strongly associated with substantiation, whereas reports of physical abuse and neglect have an inverse relationship. The authors discuss these results and implications for policy and programs.     

Tobacco prevention education in schools for the deaf: the faculty perspective

We report results of a survey of tobacco education practices and perspectives among faculty at four Schools for the Deaf participating in the trial of a tailored tobacco prevention curriculum. Few faculty (20.4%) included tobacco use among the three most important health problems facing their students, although 88.8% considered tobacco education to be worthwhile. Despite perceived unmet needs among their students, classroom or school-wide attention to tobacco prevention was limited. Only 13.9% reported delivering tobacco programming in the prior year, most often reporting lack of deaf-friendly curriculum and materials (60.9%), time (47.8%), and training (43.5%) as barriers to program delivery. Perceptions, attitudes, and institutional issues, including lack of tailored curriculum, were seen as contributing to the limited focus on this important health problem.     

U.S. student-run agencies: Organization, attributes and adviser perceptions of student learning outcomes

Student-run communications agencies mimic professional public relations and advertising agencies by providing students with a professional environment in which to work on real projects for real clients. This study involved a survey of agency advisers at AEJMC universities and ACEJMC-accredited universities to evaluate the attributes, structure, and perceived student learning outcomes of agencies in the U.S. Though agencies vary greatly in how they are structured and managed, this study suggests student agencies in general are indeed beneficial to student learning, particularly in the areas of skills application and professionalism. Despite the benefit to students, agencies receive little funding relative to other campus media and agency advisers often receive limited support for the required time commitment. Agency organization, adviser time commitment, and agency facilities are examined in regard to their impact on agency protocols and perceptions of student learning.