Deciding Not to Un–Do the “I Do:” Therapy Experiences of Women Who Consider Divorce But Decide to Remain Married

This study explores women's experience of marital therapy while they navigated decision making around divorce. A qualitative method was used to gain a deeper understanding of the participants' therapy and relationship decision‐making experiences. How are women's decisions whether or not to exit their marriage affected by therapy? The researchers interviewed 15 women who had considered initiating divorce before they turned 40 and had attended at least five marital therapy sessions but ultimately decided not to divorce. In general, participants reported that the therapy was helpful to them, their decision‐making process and their marriages. Five main themes emerged from the interviews: Women Initiated Therapy, Therapist Was Experienced as Unbiased, Therapy was Helpful, Importance of Extra‐therapeutic Factors, and Gradual Process.     

Salience,Valence, Context,and Integration: Conceptualizing the Needs of Sexually and Gender Diverse Youth in P–12 Schools

A framework for conceptualizing the needs of lesbian, gay male, bisexual, transgender, questioning, and other sexually and gender diverse youth is essential for guiding service delivery throughout educational settings. Review and synthesis of the literature reveals that integrating assessment of the salience, valence, and context of issues related to sexual and gender diversity facilitates affirmative practice at the individual student, group, and school-wide levels. The authors describe the components of the salience, valence, context, and integration (SVCI) model with emphasis on practical application. The theoretical and empirical support for each component of the model is also discussed.     

The Association Between Gay Men's Stereotypic Beliefs About Drag Queens and Their Endorsement of Hypermasculinity

To date, few researchers have investigated gay men's stereotypic beliefs about drag queens and the association between these beliefs and individual difference variables such as hypermasculinity. To address this omission, 118 men self-identifying as non-heterosexual completed an online survey consisting of an adjective checklist about drag queens and a psychometrically sound indicant of hypermasculinity. As predicted, participants who were more likely to endorse hypermasculine belief statements tended to perceive negatively valenced attributes as more characteristic of drag queens. Possible explanations for this relationship, limitations associated with the current study, and directions for future research are delineated.     

The importance of preservation of the ethical principle of equipoise in the design of clinical trials: relative impact of the methodological quality domains on the treatment effect in randomized controlled trials

Previous research has identified methodological problems in the design and conduct of randomized trials that could, if left unaddressed, lead to biased results. In this report we discuss one such problem, inadequate control intervention, and argue that it can be by far the most important design characteristic of randomized trials in overestimating the effect of new treatments. Current guidelines for the design and reporting of randomized trials, such as the Consolidated Standards of Reporting Trials (CONSORT) statement, do not address the choice of the comparator intervention. We argue that an adequate control intervention can be selected if people designing a trial explicitly take into consideration the ethical principle of equipoise, also known as "the uncertainty principle."     

出生性别比综合治理:有所为,有所不为

从1980年我国出生性别比越过正常值域至今,党和各级政府制订了种种措施进行综合治理,但取得的成效甚微。这一时期我国治理工作的特点有:重视禁止性法律法规的制定,但与之相配套的规章制度比较缺乏;重视目标任务的提出,但落实目标的措施比较缺乏;部门性、专项性规章制度较多,综合性规章制度比较缺乏。今后一段时期内综合治理工作,可以按照避实就虚、避难就易的原则,在大力发展社会经济、建立健全社会养老制度、相关法律法规的制定与完善、加大对两非行为的打击力度等方面有所作为;而在人口生育政策的调整、传统文化的改变等方面有所不为。     

Paternity Establishment for Men’s Nonmarital Births

This paper uses the 2002 National Survey of Family Growth to examine paternity establishment among men’s nonmarital births. Using births as the unit of analysis, I find that paternity establishment for first births (n = 661) is linked to race/ethnicity and relationship status at birth, and these characteristics are associated differently with the timing and location of paternity establishment (in-hospital or at some later point). For higher-parity births (n = 429), paternity establishment for a particular birth is strongly related to prior paternity and fertility behaviors. Paternity is less likely to be established for a higher-parity birth if the father failed to establish paternity for at least one earlier birth, and third or higher-parity births are far more likely to have paternity established at a subsequent point than at the hospital.     

The urban background to public health changes in England and Wales, 1900–50

The history of public health changes is taken forward from 1900 to 1950. This was a period of important development in a population in which most ofthe adult members had at the outset of the period experienced compulsory primary education; when the full effects of industrial development had made their mark on the nation's health and, at last, on the public conscience; when the force of social and economic factors in producing and perpetuating disease was becoming appreciated; and when community responsibility for the health and welfare ofthe individual was becoming accepted. Not surprisingly, great improvements were made in the scope of preventive and curative services and in their accessibility. But the most important factor in the improvement of the national health was the steady rise in the level of living of the population, especially during the last two decades of the period.