Prospective study of birth interval dynamics in rural Bangladesh

A group of 209 married, fecund women in rural Bangladesh were studied prospectively for 24 months from 1969 to 1971 to define some of the biological and sociological factors relating to fertility performance. These women were selected from a larger study population of 112,000 that had been followed with a daily house-to-house vital registration programme since 1966. The selected women were interviewed bi-weekly and were asked questions about menstruation, pregnancy, lactation, husband's occupational absences, and monthly urine tests for pregnancy were taken. The results for 193 non-contracepting women revealed that the seasonal pattern of births previously observed in this population could be associated with a corresponding seasonal pattern of conceptions and that this was due to a seasonal trend in fecundability. The highest conception rates were in the coolest months of the year. Post-partum lactational amenorrhoea was very prolonged, averaging 17 months for women with a surviving child. The appearance of the first post-partum menstrual flow (onset of ovulation) also had a seasonal trend which could not be adequately explained. The median waiting time to conception, once menstruation had resumed was eight months. This interval was influenced by seasonal fluctuations, as well as by the age of women and by husbands' absences. The foetal wastage rate was 15·0 per 100 conceptions, with 62 per cent of the foetal losses occurring during the second month of gestation. Overall, the average birth interval was 33 months, with the prolonged lactational amenorrhoea accounting for almost 45 per cent of this interval.      

Use of Self-Disclosure for the Gay Male Therapist: The Impact on Gay Males in Therapy

ABSTRACT

Homophobia and heterosexism often can negatively affect a gay male's development, and developing internalized homophobia can challenge connecting with others. Using a sample of eight therapist–patient pairs (16 participants), each participant responded to how often the therapist self-disclosed. In addition, each participant completed a measurement inventory to determine how connected each was to the other (patient to therapist or therapist to patient). Findings indicated that self-disclosure occurred often during therapy, and there was a fairly high level of connection between patients and therapists. Patients who perceived that their therapists self-disclosed more often also reported higher levels of connection when compared with those who perceived a lower level of therapist self-disclosure. Recommendations for future research are made along with practice implications designed to help therapists effectively use self-disclosure when working with gay male clients.     

Integrating institutional, relational and embodied structure: an emergentist perspective

This paper begins to develop an emergentist and realist account of normative social institutions. The argument is developed as a response to Lopez and Scott's historical portrait of the debate on social structure as a dialogue between two different concepts of structure: institutional structure and relational structure, integrated more recently through the concept of embodied structure. The paper argues that all these approaches tend to neglect the idea of structure as a whole and suggests that we cannot understand social structures without recognizing the nature of the corresponding wholes, and how they relate to the human individuals that comprise them. Such a perspective makes clear that embodiment alone is inadequate as a means of integrating institutional and relational conceptions of structure. For a fuller resolution, we must set social structure in an emergentist framework, which can reconcile the complementary roles of institutional structure, relational structure, and indeed embodiment, as aspects of the production of social structures as wholes.     

Life Satisfaction Among University Students in a Canadian Prairie City: a Multivariate Analysis

This article reports the findings from a questionnaire survey of university students’ life satisfaction in Regina. The results demonstrated that a significant proportion of the 315 respondents were satisfied with their lives (N = 240, 76.2%). With regard to degree of satisfaction with different aspects of life, respondents expressed that they were most satisfied with relationship with mother, living environment, relationships with close friends, relationships with siblings, and living arrangement. Multiple ordinary least-squares regression analyses revealed that respondents who indicated a higher socio-economic status, achieveda higher grade point average, and were more satisfied with their academic experience, self-esteem, relationship with significant other, and living conditions, expressed a markedly higher level of satisfaction with life.     

A grassroots prototype for trauma-informed child welfare system change

The development of trauma-informed child welfare systems (TICWSs) that advance individual agency practice to target transformation of the system as a whole has been conceptualized but not documented. A grassroots effort to build a TICWS with key participants (e.g., Department of Human Services, Community Mental Health, Family Court, schools) in nine Michigan communities provides a field tested model for implementation. This article described what emerged as the core elements for a TICWS, which includes (1) development and support of a project champion, (2) trauma identification, (3) comprehensive assessment of traumatic impact, (4) evidence based trauma treatment, (5) establishing a common trauma language, and (6) trauma-informed decision-making. Several new instruments for assessing aTICWS are identified. Lessons learned are highlighted for consideration of communities seeking to develop TICWSs.     

Teacher and center stability and school readiness among low-income, ethnically diverse children in subsidized, center-based child care

Given large numbers of children attending center-based child care and considerable teacher and child mobility, it is important to study correlates and outcomes of children experiencing a change in their primary teacher/caregiver and/or a change to a different child care center. The present study investigated teacher and center stability in a group of 3238 urban, ethnically diverse, low-income, four-year-olds receiving subsidies to attend center-based child care. Children were individually assessed for cognitive and language development at the beginning and end of the pre-kindergarten year. Parents and teachers rated children on their socio-emotional skills and behavior at both time points. Children who experienced a change in their primary caregiver from the beginning to the end of the school year (41% of the sample) showed less growth in initiative for learning and attachment/closeness with adults over time, and scored lower on most indices of school readiness compared to those that had a stable caregiver. Children who moved to a different center during the year scored lower on teacher-reported initiative and attachment. African American children who switched centers were particularly at-risk for poorer outcomes, and boys who experienced a change in primary teacher, in particular, showed slower growth in cognitive development.     

Empirical geodesic graphs and CAT(k) metrics for data analysis

Statistics and Computing - A methodology is developed for data analysis based on empirically constructed geodesic metric spaces. For a probability distribution, the length along a path between two...