Sarah's birth. How the medicalisation of childbirth may be shaped in different settings: Vignette from a study of routine intervention in Jeddah,Saudi Arabia

Background

The expansion of the medicalisation of childbirth has been described in the literature as being a global phenomenon. The vignette described in this paper, selected from an ethnographic study of routine intervention in Saudi Arabian hospitals illustrates how the worldwide spread of the bio-medical model does not take place within a cultural vacuum.

Birth preference in women undergoing treatment for childbirth fear: A randomised controlled trial

Background

Childbirth fear is the most common underlying reason for requesting a caesarean section without medical reason. The aim of this randomised controlled study was to investigate birth preferences in women undergoing treatment for childbirth fear, and to investigate birth experience and satisfaction with the allocated treatment.

On the Road to Resilience: The Help‐Seeking Experiences of Irish Emigrant Survivors of Institutional Abuse

Understanding how survivors of complex trauma navigate towards resources can inform the design of interventions and health promotion strategies. However, there are little data on the resilience and help‐seeking experiences of this group or others who have experienced institutional abuse in childhood. This empirical study sets out to illustrate the help‐seeking experiences of Irish emigrant survivors of institutional childhood abuse (ICA). Twenty‐two survivors of ICA were purposefully recruited from community organisations in the UK and data were collected via semi‐structured interviews. As a result of negative initial help‐seeking experiences in Ireland, most participants engaged in long periods of self‐management and disclosed information about their childhood as part of a redress scheme in later life. Outside of this scheme, turning points, such as illness or family problems, and the needs of children were influential in seeking help. Peer support networks played an important role as a trusted signposting pathway towards formal interventions. Participants identified interpersonal barriers to formal help‐seeking as helping professionals' failure to share control, insensitivity to identity loss and literacy issues, and the lack of explicit boundaries. The paper concludes with a discussion about the implications for research and future practice.

‘This empirical study sets out to illustrate the help‐seeking experiences of Irish emigrant survivors of institutional childhood abuse’

Key Practitioner Messages:

• Turning points, such as illness and bereavement, and the desire to provide for children, influence the help‐seeking of survivors of ICA.
• Irish emigrant survivors of ICA cite failure to share control, insensitivity to identity loss, literacy issues and the lack of explicit boundaries as barriers to help‐seeking.
• General awareness of ICA can help practitioners in low‐threshold services prevent against culturally insensitive practice.
• Peer support networks can provide uniquely trusted signposting towards formal interventions.

     

Communicative Correlates of Satisfaction,Family Identity,and Group Salience in Multiracial/Ethnic Families

Guided by the Common Ingroup Identity Model ( S. L. Gaertner & J. F. Dovidio, 2000 ) and Communication Accommodation Theory ( C. Shepard, H. Giles, & B. A. LePoire, 2001 ), we examined the role of identity accommodation, supportive communication, and self‐disclosure in predicting relational satisfaction, shared family identity, and group salience in multiracial/ethnic families. Additionally, we analyzed the association between group salience and relational outcomes as well as the moderating roles of multiracial/ethnic identity and marital status. Individuals who have parents from different racial/ethnic groups were invited to complete questionnaires on their family experiences. Participants (N = 139) answered questions about relationships with mothers, fathers, and grandparents. The results of the multilevel modeling analyses are discussed in terms of implications for understanding multiracial/ethnic families and family functioning.     

A movement of ‘subsidized capitalists’? The multi-level influence of the Bharatiya Kisan Union in India

This paper investigates the relationship between the state and India's rural informal sector by focusing on the collective mobilizations of middle-sized agricultural producers in Western Uttar Pradesh. These cultivators are involved in an economic sector which is at the same time capitalist, largely informal but also, to some extent, state-regulated. Through their mobilizations organized by the Bharatiya Kisan Union (BKU), they have attempted to influence state regulation of agricultural markets, obtaining increased input subsidies and better procurement prices for their produce, and thus an increase in the rates of return and profitability of their farming activity. The paper conceptualizes the modality of production of these farmers as ‘subsidized capitalism’, alluding to the self-employed and self-funded producers with holdings large enough to support a pair of bullocks defined as ‘bullock capitalists’ by Lloyd and Susanne Rudolph (1987), while denoting the crucial role of public subsidies in preserving this faction of informal agrarian capitalism. The paper also points to the ambivalent relationship between the ‘subsidized capitalists’ of Western Uttar Pradesh and the state: although they seek protection from the central government in the context of globalization, they confront and contest local state institutions by deploying collective strategies to distort local regulations of agricultural markets.