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.     

De Beers,Anglo American and Optima Magazine

We consider in this article how the largest corporations in Apartheid South Africa used an in‐house magazine to manipulate their shareholders' perceptions of the current political scenario. We argue that in that era, business felt compelled to respond to the portrayal of events in South Africa presented by the international media. Furthermore, we examine the motivation of business for doing so and why that motivation does not exist in post‐apartheid South Africa.     

The Effect of Social Class on the Adjudication of Criminal Cases: Class-linked Behavior Tendencies,Common Sense,and the Interpretive Procedures of Court-appointed Defense Attorneys

This article addresses some important issues concerning the effect of social class on criminal case outcomes. Although the findings reported here support Donald Black's (1989) argument that a defendant's relative social class effects the quantity of law applied to a criminal case, they also indicate that this influence occurs through actors' interpretive procedures. Specifically, one group of court-appointed defense attorneys link behavior tendencies to court actors characterized as different social class types. These behavior tendencies are expressed through the grammar and rhetoric of “common sense”—a knowledge system which is evoked throughout all types of judicial proceedings. The attorneys' expectations of court actors shape their behavior such that lower-class defendants are likely to endure a greater quantity of law. The article concludes with some suggestions on how researchers might reconsider studying the effect of social class on criminal case outcomes.     

Using the Self‐Directed Search: Career Explorer With High‐Risk Middle School Students

The Self‐Directed Search: Career Explorer was used with 98 (95% African American) high‐risk middle school students as part of 14 structured career groups based on Cognitive Information Processing theory. Results and implications are presented on the outcomes of this program.     

Home-to-Work Conflict,Work Qualities,and Emotional Distress

Among a representative sample of employed men and women in Toronto, Canada, home-to-work conflict is associated positively with anxiety and depression. Two hypotheses propose work qualities as moderators. The double disadvantage hypothesis predicts that home-to-work conflict is more distressing when work is nonautonomous, routine, or noxious. The intrusion on job status/rewards hypothesis predicts that conflict is more distressing when work is autonomous, nonroutine, or nonnoxious. Results show that the association between home-to-work conflict and distress is stronger (1) among people in more autonomous jobs; (2) among women in routinized jobs; and (3) among men in noxious environments.     

REVIEWS

Anderson, S., & Middleton, V. (2005). Explorations in privilege, oppression, and diversity .
Catherall, D. R., (Ed.). (2004). Handbook of stress, trauma and the family .
Sprenkle, D. H., & Piercy, F. P. (Eds.). (2005). Research methods in family therapy     

The Performance of Desire: Gender and Sexual Negotiation in Long-Term Marriages

We integrate theoretical traditions on the social construction of gender, heterosexuality, and marriage with research and theory on emotion work to guide a qualitative investigation of how married people understand and experience sex in marriage. Results, based on 62 in-depth interviews, indicate that married men and women tend to believe that sex is integral to a good marriage and that men are more sexual than women. Moreover, husbands and wives commonly experience conflict around sex and undertake emotion work to manage their own and their spouse's feelings about sex. We refer to this emotion work as "performing desire" and show how it is linked to gendered experiences in marriage and to competing cultural discourses around gender, heterosexuality, and marriage.     

The times they are a changin': marital status and health differentials from 1972 to 2003

Although the meanings and rates of being married, divorced, separated, never-married, and widowed have changed significantly over the past several decades, we know very little about historical trends in the relationship between marital status and health. Our analysis of pooled data from the National Health Interview Survey from 1972 to 2003 shows that the self-rated health of the never-married has improved over the past three decades. Moreover, the gap between the married and the never married has steadily converged over time for men but not for women. In contrast, the self-rated health of the widowed, divorced, and separated worsened over time relative to the married, and the adverse effects of marital dissolution have increased more for women than for men. Our findings highlight the importance of social change in shaping the impact of marital status on self-reported health and challenge long-held assumptions about gender, marital status, and health.