A Cost–Benefit Analysis of a Family Systems Intervention for Managing Pediatric Chronic Illness

Despite recent increases of psychosocial programs for pediatric chronic illness, few studies have explored their economic benefits. This study investigated the costs–benefits of a family systems‐based, psychosocial intervention for pediatric chronic illness (MEND: Mastering Each New Direction). A quasi‐prospective study compared the 12‐month pre–post direct and indirect costs of 20 families. The total cost for program was estimated to $5,320. Families incurred $15,249 less in direct and $15,627 less in indirect costs after MEND. On average, medical expenses reduced by 86% in direct and indirect costs, for a cost–benefit ratio of 0.17. Therefore, for every dollar spent on the program, families and their third payers saved approximately $5.74. Implications for healthcare policy and reimbursements are discussed.     

Wiki-worthy: collective judgment of candidate notability

The use of socio-technical data to predict elections is a growing research area. We argue that election prediction research suffers from under-specified theoretical models that do not properly distinguish between ‘poll-like’ and ‘prediction market-like’ mechanisms understand findings. More specifically, we argue that, in systems with strong norms and reputational feedback mechanisms, individuals have market-like incentives to bias content creation toward candidates they expect will win. We provide evidence for the merits of this approach using the creation of Wikipedia pages for candidates in the 2010 US and UK national legislative elections. We find that Wikipedia editors are more likely to create Wikipedia pages for challengers who have a better chance of defeating their incumbent opponent and that the timing of these page creations coincides with periods when collective expectations for the candidate's success are relatively high.     

Doing it from your heart: the role of older women as informal volunteers

This paper explores the contributions made by older women to the community as informal volunteers. It argues that ageing policy is not gender neutral and tends to ignore the contributions made by women outside paid work. As well as being ignored in policy, women's unpaid roles have been denigrated by some feminist commentators, who suggest that these roles subordinate the position of women. The aim of the present paper is to explore the lived experiences of older women in relation to their informal volunteer roles, using role identity theory as a framework. The study utilizes data from a qualitative study using focus group methodology. Findings demonstrate that informal volunteering contributes to the women's identity and gives their lives meaning. These findings suggest that a more positive policy framework around ageing is needed to ensure that the worth of these contributions is recognised.     

Reading the Feedback; An Interview with Doug Breunlin

Doug Breunlin is Vice President and Chief Operating Officer of The Family Institute, Chicago and an Associate Professor at Northwestern University. He was formerly the Director of the Family Systems Program at the Institute for Juvenile Research in Chicago, and he is Associate Editor of the Journal of Family Therapy (UK), and an editorial member of the Journal of Marital and Family Therapy. I first met him in 1975 when he joined the staff of The Family Institute, Cardiff, Wales for a period of three years. I remember those years as the most creative during my time at the Institute (and we also had a lot of fun). At one point, we were joined by a certain social work lecturer on sabbatical from the University of NSW by the name of Max Cornwell, who also contributed much to the creativity and the fun. Doug has published widely and, in 1992, was the joint author of a seminal work entitled Metaframeworks: Transcending the Models of Family Therapy. Doug recently visited New Zealand and also made his second trip to Australia to present workshops on dealing with complex cases using the metaframeworks. While in Melbourne, he gave the second biennial memorial lecture in honour of Geoff Goding. I interviewed Doug while he was in Sydney.     

Income Inequality across the Rural-Urban Continuum in the United States, 1970–2016*

The growth in macro-level income inequality in the United States is well established, but less is known about patterns of inequality at subnational scales and how they vary between and within rural and urban localities. Using data from the Decennial Census and American Community Survey, we produce estimates of within-county income inequality from 1970 to 2016 and analyze differences in inequality levels, the persistence of high (low) inequality, and populations' exposure to high (low) inequality across the rural-urban continuum. We find that income inequality has historically been higher in non-metropolitan than metropolitan counties, but inequality levels converged by 2016 due to growing inequality in metropolitan counties. Additionally, levels of inequality were generally persistent within counties over time, except that counties characterized by low inequality in 1970 were unlikely to remain as such in 2016. Third, non-trivial shares of the metropolitan population resided in low-inequality contexts in 1970, but virtually none of the U.S. population resided in such places by 2016. Residence in high-inequality counties is normative in rural and urban America. This statistical analysis provides an updated portrait of income inequality across the rural-urban continuum, and should spur additional research on stratification in rural America during an era of growing inequality.     

Pediatric Chronic Illness Management: A Qualitative Dyadic Analysis of Adolescent Patient and Parent Illness Narratives

In pediatric chronic illness, little is known about the relational interactions between adolescent patients, parents, and illnesses and how they influence self-management of illness. We conducted interviews with 32 individuals (16 dyads) representing adolescents diagnosed with a chronic illness and their primary parent who had been referred to a psychosocial treatment program for challenges with illness management. Interviews were conducted individually and analyzed dyadically using grounded theory to better understand the relational processes that may be contributing to illness management difficulties. Results include a theory of patient–parent illness responses and how parental illness meanings play a role in adolescent self-management. Results can be used to better understand and treat family relational patterns that may be influencing pediatric illness management challenges.     

A Troubling Presence: Indigeneity in English‐Language Canadian Sociology

Over the past decade Canadian sociology has engaged in spirited debates on the sociology of sociological research, but it has barely begun to address its relation to Indigenous theorizing, scholarship, and politics. How does the discipline deal with the settler colonial history and current realities of Indigenous social lives, and where is the place in our field for Indigenous voices and perspectives? Drawing on Coulthard's politics of recognition and Tuck's damage‐centered research, we present here the first systematic empirical analysis of the place of Indigeneity in the Canadian Review of Sociology and the Canadian Journal of Sociology. We situate the presence of Indigeneity in Canadian sociology journals in the sociopolitical context of the time, and examine how imperialism, statism, and damage are oriented within the two journals. Most importantly, we challenge the silence in the discipline's intellectual frames and research programs with respect to Indigenous theorizing about the social world.     

Back to Hegel? On Gillian Rose's critique of sociological reason

Thirty‐five years ago, Gillian Rose articulated a significant critique of classical sociological reason, emphasizing its relationship to its philosophical forebears. In a series of works, but most significantly in her Hegel contra Sociology, Rose worked to specify the implications of sociology's failure, both in its critical Marxist and its ‘scientific’ forms, to move beyond Kant and to fully come to terms with the thought of Hegel. In this article, I unpack and explain the substance of her criticisms, developing the necessary Hegelian philosophical background on which she founded them. I argue that Rose's attempted recuperation of ‘speculative reason’ for social theory remains little understood, despite its continued relevance to contemporary debates concerning the nature and scope of sociological reason. As an illustration, I employ Rose to critique Chernilo's recent call for a more philosophically sophisticated sociology. From the vantage point of Rose, this particular account of a ‘philosophical sociology’ remains abstract and rooted in the neo‐Kantian contradictions that continue to characterize sociology.     

Multidimensional Resilience: Predictive and Construct Validity of the Individual,Family, and Community Resilience Profile

Few measures parallel the robust depth offered in the existing multidimensional and ecologically informed theories of resilience. This study sought to evaluate the test–retest reliability, construct, and predictive validity of the individual, family, and community resilience resource profile (IFCR-R). The IFCR-R measures a family’s access to resilience resources and protective factors across multiple ecological levels. Confirmatory factor analysis was used with a sample of n?=?810 low-income families. And 159 families completed multiple time point measures for test–retest reliability and predictive validity evaluation. Results of this study support the proposed multidimensional ecological structure of the IFCR-R and found that the IFCR-R offers an acceptable test–retest reliability and predictive validity for outcomes of mental and physical health.