Cosmetic Surgery: Beauty as Commodity

Cosmetic surgery stands, for many theorists and social critics, as the ultimate symbol of invasion of the human body for the sake of physical beauty. Interpreted as somehow qualitatively different from other efforts at altering the body, plastic surgery is considered to be so extreme, so dangerous, that it leaves no space for interpretation as anything but subjugation. While such criticisms are compelling, they tend to operate at either the grand level of cultural discourse or the highly grounded level of physiological effect. As a result, they leave out almost altogether the experience of the women who themselves have plastic surgery. This article draws from qualitative interviews with 20 female clients of a Long Island, NY plastic surgeon to explore cosmetic surgery as an occasion for autobiographical accounting and a particular kind of account of the self. Interview data suggest that plastic surgery allows women who undergo these procedures to successfully reposition their bodies as normal bodies. At the same time, it also requires them to create accounts that reattach the self to the surgically-corrected—but potentially inauthentic—body by invoking both essentialist notions of the self and corresponding notions of the body as accidental, inessential, or degenerated from a younger body that better represented who they truly are.     

Effects of group therapy on female adolescent survivors of sexual abuse: a pilot study

Treatment interventions for female sexual abuse survivors was explored through a pilot study examining the relationship between group treatment and adolescent self-image. Self-image was defined as body image, self-reliance, self-control, and impulse-control. An experimental pre-post design was utilized. Participants were 13 female adolescent high school drop-outs with a history of sexual abuse who participated in the National Guard Youth Challenge Program at Camp Shelby in Mississippi. Participants completed the Offer Self- Image Questionnaire for Adolescents. The hypothesis that group therapy was an effective intervention for sexual abuse survivors was not supported; however, this is likely due to the small sample size. Because this was a pilot study, mean trends were observed to see directional changes that may assist future researchers. Observation of mean trends revealed that participants who received group therapy increased in levels of impulse control while the group that did not receive group therapy remained the same. Mean trends also revealed that the experimental group had a decrease in self-reliance whereas the control group maintained their levels of self-reliance.     

The Reported Influence of Research Participation on Premarital Relationships

We examined the reported influence of participation in research on individuals in premarital relationships. Data were from a larger longitudinal study of 60 dating couples. We designed a questionnaire to evaluate the effects of participation. Responses to open‐ended questions revealed 3 major sources of influence: attention to relationship evaluation, effects on relationship activities, and indirect or no influence. Closed‐ended items yielded 2 dimensions: relationship‐defining influence and relationship‐evaluating influence. Relationship‐evaluating influence was greater the more respondents participated in the study. The higher were respondents' scores on relationship‐evaluating influence, the more their relationship satisfaction increased over the year long study. We conclude that the effects of participating in the research are primarily educational and enriching in nature, rather than therapeutic as suggested in previous research ( Rubin & Mitchell, 1976 ).     

Regional mobility of economists

We find that nearly two- thirds of economists move to a different region of the U.S. or to a foreign country to accept their first job after receiving the Ph.D., that the South is the only net importer of economists among regions of the U.S., that the Midwest is the major net exporter, and that the proportion of graduates accepting foreign employment doubled during the 1980s. Gender and field of specialization do not affect mobility; however, doctorates from the top graduate schools and those accepting academic and government jobs are more likely to change regions than are graduates of lower ranked schools or those who are employed in the private sector.     

Race Matters: Child Protection and the Communication Process

It is well-known that, in the United States, African-American children are disproportionately represented in the child welfare system and that disparities in the provision of services exist. The debate over contributing factors to this overrepresentation and these disparities is ongoing as researchers seek explanations and practitioners pursue solutions. This qualitative inquiry finds that within the context of the child protection system and the juvenile court process, racial dynamics emerge between respondent parents and system representatives that may affect the process and, in turn, the outcomes for the thousands of children of color in the foster care system.     

Young-onset dementia: a review of the literature and what it means for clinicians

It is estimated that more than a half million people in the United States are living with young-onset dementia and another half million with mild cognitive impairment, a precursor of dementia. Relatively little has been written about the psychosocial needs of these people, but information can be extrapolated from the literature on dementia in older adults and the developmental tasks and roles of middle age. This article synthesizes this literature and provides information to help psychiatric nurses and other health care professionals better understand individuals living with young-onset dementia.     

Prevention of child maltreatment in high-risk rural families: A randomized clinical trial with child welfare outcomes

Few studies have specifically examined prevention of child maltreatment among higher-risk populations in rural communities. The overarching goal of this study was to conduct a randomized clinical trial of SafeCare augmented for rural high-risk population (SC+) compared to standard home-based mental health services (SAU) to examine reductions in future child maltreatment reports, as well as risk factors and factors proximal to child maltreatment. Parents (N = 105) of young children (5 years or less) who had identifiable risk of depression, intimate partner violence, or substance abuse were randomized to SC+ or SAU. Participants randomized to SC+ were more likely to enroll (83% vs. 35% for SAU) and remain in services (35 h vs. 8 h for SAU). SC+ (for participants who successfully completed services) may have had limited impact on child welfare reports during service provision. Further, SC+ had fewer child welfare reports related to DV than SAU. Parent self-reports of parenting behaviors, risk factors, and protective factors did not demonstrate significant sustained program impact. Limitations include power constraints related to sample size. Promising next steps entail future trials with larger sample sizes examining service compliance and further augmentation of SafeCare to bolster service impact and address risk and protective factors.     

Mental disorders among non-elderly nursing home residents

Many Medicaid beneficiaries aged 22 to 64 with serious mental illness may be admitted to nursing facilities rather than psychiatric facilities as a result of Medicaid policies prohibiting coverage of inpatient psychiatric care in institutions of mental disease while requiring states to cover nursing facility care. Using nationwide Medicaid Analytic Extract claims from 2002, we found that nearly 16% of nursing home residents aged 22 to 64 had a diagnosed mental disorder, while 45.5% received antipsychotic medication, but these rates varied widely across states. Further research is necessary to determine whether, among the nation's youngest nursing home residents, care in nursing homes is potentially substituting for care in institutions for mental disease or community-based settings.