Overseas Field Placement: An Educational Experiment

This paper describes an educational experiment with the placement of second-year students in field settings in the United Kingdom. The practicum assignments were in a rural area of Northern Scotland and in London. The paper also includes a preliminary analysis of the educational goals and the unique personal and professional gains for faculty and students.     

Lesbian Parent Activism and Meaning-Making in the Current Political Environment

This article discusses the impact of lesbian mothers' activism on legislation and personal well-being. Using a meaning reconstruction framework, the activism of lesbian parents is evaluated as a source of resilience and strength in the current political climate. A case history of one community where lesbian mothers formed a local coalition in response to a statewide proposition to ban same-sex marriage in Texas is described. This community example shows how the activism of lesbian parents can transform both community and activists. Implications for community organizers, therapists and LGBT parents/allies are discussed.     

“Anchoring” white community: White women activists and the politics of public schools

This article discusses the political clout wielded by a group of white women who participate in “Presidents’ Committee,” an organization of Parents Association presidents in a New York City Community School District. The school district, like many urban areas, is experiencing an exodus of white families to the suburbs, which are seen as offering better resources and a safe social distance from blacks and other non‐whites. In this context of social change, white mothers who participate in Presidents’ Committee push at gender boundaries in the public sphere by professionalizing motherhood and watching over potentially corrupt political practices. At the same time, their activism can be understood as a key component of local efforts to reproduce “white” community. Through this ethnographic analysis, “whiteness” is unpacked as a construct that is fractured by gender, class, and place of origin, while remaining a resilient idealized resource with which to reproduce a black/white racial binary.     

Emotional Triggers: Listening Barriers to Effective Interactions in Senior Populations

Given the scarcity of scholarly studies on the impact of effective listening and senior populations, this study sought to explore senior participants' interactions especially as they related to emotional triggers and listening effectiveness. Participants with a mean age of 84 participated in one of four focus groups. Results suggest that emotional reactions inhibiting effective listening can be language or behaviorally based. The four primary language triggers gleaned from the data included words that implied false familiarity, made assumptions, indicated poor topic choice, or demonstrated poor grammar. Behavioral triggers included use of pause fillers, repetition, ineffective vocal cues, and poor turn-taking skills.     

Understanding Responses to Foster Care: Theoretical Approaches

Foster children making the transition from birth to foster homes or from foster homes to foster homes often present problematic behaviors. Limitations of attachment theory and reactive attachment disorder are presented, and three alternative approaches for understanding behaviors exhibited in foster settings are presented: conservation of resources, child alienation model, and developmental trauma disorder.     

Breaking free from siloes: intersectionality as a collective action frame to address toxic exposures and reproductive health

ABSTRACT

There has been increasing interest in collaborative approaches between the environmental justice (EJ) and reproductive justice (RJ) movements to address the higher burden of toxic exposures and associated reproductive health outcomes in vulnerable communities. This study examined the collective action frames (CAFs) of advocates at the EJ/RJ nexus. CAFs highlight how advocates identify problems and solutions, and motivate action. The use of intersectionality was identified as a main CAF used in three key ways: breaking free from identity-based, issue-based, and movement-based siloes. First, interviewees described breaking free from identity-based siloes by identifying risks of toxic exposures that result from intersecting social locations (e.g. gender, race/ethnicity, income, immigration status) and by equally prioritizing multiple aspects of their identities as they engage in advocacy. Second, they described breaking free from issue-based siloes by developing multi-issue agendas that address a complex web of interrelated problems impacting health. Third, they described breaking free from movement-based siloes by developing cross-movement collaborations to address issues of mutual concern. Among multiple reasons given for cross-movement collaborations, advocates perceived them as valuable in order to disrupt social, political, and economic power imbalances that shape environmental reproductive health inequities, as well as other health and social inequities. Based on these findings, we suggest that intersectionality is a master frame, and thus may be useful to advocates in other social movements addressing intersectional issues. Understanding an intersectionality frame can help to inform advocacy approaches to promote health and health equity, particularly those focused on policies and structural drivers of health.     

Perceived Economic Uncertainty and Fertility: Evidence From a Labor Market Reform

Whereas in theory individuals tend to postpone fertility decisions in times of economic uncertainty, empirical evidence on that question is scarce. Using data from the German Socio‐Economic Panel (N = 4,548), the authors estimated the effect of economic concerns on the probability of becoming pregnant in the next year. They exploited exogenous variation in economic concerns induced by the announcement of a major German unemployment benefit reform as an instrumental variable and found that strong economic concerns were significantly related to lower fertility of women between ages 26 and 44 years cohabiting with a male partner. Jointly estimating the impact of male and female concerns in a model that allows for endogeneity of perceived economic uncertainty revealed that it was strong economic concerns perceived by the women that reduced fertility. The effect was driven by male main breadwinner couples, by couples with a medium household income, and by couples who already had children.     

Female Sexual Pain Disorders and Cognitive Behavioral Therapy

Female sexual pain disorders are prevalent and have a deleterious effect on women's well-being. Because there are psychological elements to this pain, cognitive–behavioral therapy (CBT) may be a viable treatment alternative, particularly when compared to more physically invasive treatments such as surgery or medication. This article provides a critical analysis of research studies in this area by evaluating each study in detail, identifying gaps in the research base, and providing directions for future study. For the most part, all of the studies reviewed in this article found CBT to be effective. However, CBT modalities with minimal therapist direction or interaction were found to be problematic. In addition, there may be other noninvasive treatment types that are equally or more effective, such as biofeedback or supportive psychotherapy.     

Conceptual Framework for Integrating Holistic Perspectives and Approaches to Problems of Safe Motherhood

ABSTRACT

This article provides a conceptual framework for incorporating the array of variables defined in maternal health research in order to explicate their influence on problems of safe motherhood. Focusing an overview of the articles in this collection, in addition to strategies and policies needed from practitioners' perspectives and finding from case studies, research findings from a variety of countries are provided. Factors influencing positive outcomes such as age of mother, skilled attendants at delivery, and prenatal care are considered. The importance of the political and economic structure and stability of the country which plays an important role is discussed.