Giving Voice to Rural and Urban Social Service Providers: Recessionary Effects on the Provision of Services in Hawai'i

Utilizing an Internet-based survey, 98 administrators, managers, and supervisors in social service settings answered quantitative and qualitative questions about recessionary effects on services and strategies employed to cope with budget shortfalls. Respondents reported making reductions in personnel and programs, with private providers suffering more reductions, and rural counties cutting programs and personnel at higher rates than urban counterparts. Respondents also related concerns about program sustainability, caseload sizes, personnel burnout, impacts to quality, and long-term impacts to clients. Providers utilized a variety of strategies in an attempt to preserve services for vulnerable individuals and their families.     

Issues of Psychoanalytic Technique With Adoptees

Treatment issues relevant to the psychoanalytic treatment of the adoptee are presented; clinical formulation is encouraged within broad ego-diagnostic parameters. The adoptee's internal cathexis of the biological mother is identified as a core dynamic and the binary transference involving the adoptee's displaced relation to a dual set of parental representations is described. A metapsychological bias, predicated upon differential perceptions of the status of self and object representations is described and related to the adoptee's treatment. Various transference/countertransference dyads are discussed, as are corresponding technical considerations.     

Biracial Americans' Experience with Identity,Gender Roles,and Anxiety

The current study aims to shed light on the experiences of a small but growing group, biracial Americans with one African American and one European American birth parent. Prior results suggest that it would be useful to study ethnic identity and its correlates among members of this group. Additionally, although research to date suggests different gender role norms for African Americans and European Americans, and that anxiety level differs across gender role categories, apparently no research so far has looked at these factors among biracial Americans. The measures used in the study were the Revised Multigroup Ethnic Identity Measure (R-MEIM), the Personal Attributes Questionnaire (PAQ), and the Inventory of Depression and Anxiety Scale (IDAS). Results from the Well-being scale of the IDAS show low levels for biracial participants with feminine/undifferentiated gender roles and high levels for those with masculine/androgynous roles. Additional findings, implications, and study limitations are further discussed.     

Exploring the association between alcohol,marijuana, and secondhand effects with rural college students

ABSTRACT

The current study investigated the association between secondhand effects and personal consequences with substance use in a sample of rural college students (N = 412; 55.1% women; 92.2% white/non-Hispanic). The study extends the body of secondhand effects research by (a) investigating the association of marijuana use with the experience of secondhand effects; (b) examining the association of onset risk of substance use (< 18 years old) with the experience of secondhand effects; (c) exploring the multiplicity of experienced effects associated with substance use by employing a four-category typology that exhaustively represents exposure to secondhand effects and personal consequences. Bivariate and multiple regression analyses were used to evaluate the data. The majority of students (90.3%) experienced undesirable effects from substance use, with 15% reporting only secondhand effects, 28.5% only personal consequences, and 46.8% reporting both secondhand effects and personal consequences. Residing on-campus, onset risk, and past 30-day alcohol or marijuana use increased risk for experiencing personal consequences and the combination of secondhand effects and personal consequences. Secondhand effects are likely to compound the harm for substance users because they often experience both secondhand effects and personal consequences.     

The state of qualitative research in health and social science literature: a focused mapping review and synthesis

Abstract

Pluralism and creativity are inherent and important parts of the qualitative endeavour. The multiplicity of approaches and methods can, however, be confusing. We undertook a focused mapping review and synthesis to obtain a snap-shot profile of the state of qualitative research in health and social science literature. We retrieved 102 qualitative articles published between January and March 2015 from six leading health and social science journals. Articles were scrutinised for alignment between researchers’ reported orientation (methodological or philosophical positioning) and the techniques used (methods). In the sampled articles level of alignment was generally high, with considerable mastery of qualitative approaches evident. However, the complexity of the qualitative landscape highlighted in our review, led us to develop a diagrammatic representation: The Qualitative Research Level of Alignment Wheel?. This educational resource/teaching aid is designed to assist qualitative researchers (particularly those more novice) and research students to locate the orientation and techniques of their studies. As an important contribution to the international field of qualitative inquiry, it will assist in understanding and accounting for points at which techniques are melded and orientations blended. In turn this will lead to the individual and collective qualitative endeavour as being a coherent one.     

Possessed by Poe: Reading Poe in an age of intellectual guilt

Abstract

This essay enters the debate over the French appropriation of Poe not by seeking redress for the supposed political misdeeds of either Poe or the French, but rather, by addressing itself to the American response to the French reception of Poe. While American cultural studies critics in particular have sought to hold the French accountable for ignoring Poe's troubling biography — one in which the question of Poe's relationship to, and possible support of, antebellum slavery remains unanswered to this day — I argue that the important question of how we as critics situate ourselves in relation to material history is too often buried under a moralizing rhetoric of accountability. Following from, and extending, Jacques Derrida's notion of ‘speciality,’ I maintain that material history is itself a kind of conjuration that belies any strict distinction between the material and the immaterial. Against the demand for accountability, the notion of history‐as‐conjuration allows us to address questions of historical responsibility in a manner that circumvents the impulse to hold Poe accountable for his crimes’.     

Palliative Healthcare: Cost Reduction and Quality Enhancement Using End-of-Life Survey Methodology

ABSTRACT

American medical institutions throughout the 20th century prescribed high customer satisfaction, but when it came to death, largely ignored it. An accelerated accumulation of esoteric medical information and the application of this knowledge to affect new cures and longer lives instilled an unquestioning reverence for the medical community among the patient population. Diminishing marginal gains in life expectancy, escalating costs related to life sustaining technologies, and a psychographic shift in the dominant consumer base have challenged this traditional reverence. Armed with unprecedented access to medical information, a more knowledgeable and assertive patient population has emerged in the 21st century to institute its own standards of what constitutes quality health care. In terms of end of life care, this has meant recognition that the emotional needs of the dying have been largely underserved by the current American medical model. Patients and their families are no longer willing to accept the traditional medical perspective of death as failure and have numerous international palliative care models that serve as benchmarks of success when it comes to quality of dying. When cure is a possibility, Americans will pursue it at all costs, but when it is not a possibility, they want honest communication and the opportunity to say good-bye to their loved ones. In the context of these emergent needs, life review is offered as a solution. The value proposition targets not only dying patients and their families, but also society as a whole.     

Risk for a Price: Sexual Activity Solicitations in Online Male Sex Worker Profiles

ABSTRACT

The use of social- and sexual networking-based Web sites designed to provide easy and more anonymous access to sexual partners is rising. The popularity of the use of Web sites by male sex workers to promote their services and find clients is also rising. To date, very little inquiry has been devoted to studying the sexual behaviors solicited within online advertisement profiles of male sex workers and men who have sex with men. This study utilized a widely used popular Internet site designed to advertise to clients and gathered demographic, advertised sexual and nonsexual behaviors, pricing, and safety risk category data from profiles within the state of Florida (n = 163). Pearson chi-square analyses indicated that location and several sexual behaviors were significantly related to how often the men reported the degree to which they had safer sex with clients. These findings suggest some male sex workers do not consistently maintain safer-sex behaviors and that some of these men are engaging in sexual activity while under the influence of drugs. Future recommendations support the need for effective public health outreach that emphasizes the importance of safer sexual decision making.