Re-inscribing Gender in New Modes of Medical Expertise: The Investigator-Coordinator Relationship in the Clinical Trials Industry

This article analyses the ways in which research coordinators forge professional identities in the highly gendered organizational context of the clinic. Drawing upon qualitative research on the organization of the clinical trials industry (that is, the private sector, for profit auxiliary companies that support pharmaceutical drug studies), this article explores the relationships between predominantly male physician-investigators and female research coordinators and the constitution of medical expertise in pharmaceutical drug development. One finding is that coordinators actively seek to establish relationships with investigators that mirror traditional doctor-nurse relationships, in which the feminized role is subordinated and devalued. Another finding is that the coordinators do, in fact, have profound research expertise that is frequently greater than that of the investigators. The coordinators develop expertise on pharmaceutical products and diseases through their observations of the patterns that occur in patient-participants' responses to investigational drugs. The article argues, however, that the nature of the relationships between coordinators and investigators renders invisible the coordinators' expertise. In this context, gender acts as a persistent social structure shaping both coordinators' and investigators' perceptions of who can be recognized as having authority and power in the workplace.     

A Pilot for Improving Depression Care on College Campuses: Results of the College Breakthrough Series–Depression (CBS-D) Project

Abstract

Objective: To implement a pilot quality improvement project for depression identification and treatment in college health. Participants: Eight college health center teams composed primarily of primary care and counseling service directors and clinicians. Methods: Chronic (Collaborative) Care Model (CCM) used with standardized screening to identify, treat, and track depressed students for 12 weeks to monitor predetermined process and clinical outcomes. Results: Of all students receiving primary medical care services between January 2007 and May 2008, 69% (n = 71,908) were screened for depression. A total of 801 depressed students were treated and tracked; most predetermined treatment process and clinical outcome targets were achieved. Conclusion: The CCM for depression shows promise for improving depression identification and care for college students.     

The Placement History Chart: A Tool for Understanding the Longitudinal Pattern of Foster Children's Placements

Despite growing concerns about foster placement instability, little information is available regarding the longitudinal patterns of placement histories among foster children. The purpose of the present study was to develop a charting system using child welfare records to facilitate a better understanding of longitudinal patterns of placement history for 117 foster children. The resulting Placement History Chart included all placements that occurred during the observed time period and accounted for various dimensions: number, length, type, and sequence of placements; timing of transitions; and total time in out-of-home care. The Placement History Chart is an effective tool for placing foster care experiences within a broader developmental context. As such, the Placement History Chart can be a valuable research tool for understanding various dimensions and variations of placement transitions among foster children by capturing sequences and cumulative risks over time. Furthermore, this chart can facilitate the development of intervention programs that are developmentally sensitive and effectively address particularly vulnerable subpopulations of foster children.     

Effects of a school readiness intervention for children in foster care on oppositional and aggressive behaviors in kindergarten

One hundred ninety-two children in foster care participated in a randomized efficacy trial of a school readiness intervention, the Kids In Transition to School (KITS) Program, designed to increase literacy, social, and self-regulation skills in children before kindergarten entry. One hundred two children were randomly assigned to the KITS intervention and 90 were randomly assigned to the foster care services as usual comparison group. At the end of the kindergarten year, teachers were asked to report on the children's oppositional and aggressive behaviors in the classroom. Controlling for gender, baseline levels of parent-reported oppositional and aggressive behaviors, and level of disruptiveness in the classroom, children who had received the intervention had significantly lower levels of oppositional and aggressive behaviors in the classroom. Findings suggest that an intervention designed to increase school readiness in children in foster care can have positive effects on kindergarten classroom behavior.     

Towards cosmopolitan citizenship? Women’s rights in divided Turkey

Identity politics and citizenship are often envisaged in dichotomous terms, but cosmopolitan theorists believe commitments to ??thin?? universal values can be generated from divergent ??thick?? positions. Yet, they often gloss over the ways in which the nexus of thick and thin is negotiated in practice??a weak link in the cosmopolitan argument. To understand this nexus better, we turn to women??s rights organizations (WROs) in polarized Turkey to show that women affiliated with rival camps (e.g., pro-religious/pro-secular, Turkish/Kurdish, liberal/leftist) can mobilize over issues like empowerment, violence against women, and education. However, thick readings of these issues inflect upon collaboration. This has spurred pro-religious and Kurdish women to develop strategies that flag their specific concerns. As such, mutual recognition along cosmopolitan lines appears possible??and is reinforced through iterative encounters??but is not necessarily negotiated between equally empowered agents and entails complex processes of contestation and concession-making.     

Exploring the Emergence of Side Biases and Familiarity–Novelty Preferences from the Real‐Time Dynamics of Infant Looking

This study examined how look dynamics contribute to infants’ emerging novelty preferences. Time‐series analyses were used to study the temporal nature of looking displayed by 3‐ to 5‐month‐old infants during a serial paired‐comparison task. Evidence was found only for short‐term stability: Novelty preferences and side biases were not stable from one visit to the next, but looking was consistent from one moment to the next producing stability within trials and temporarily across trials leading to the formation of behavioral runs. Persistence in looking left or right across multiple trials did not change from one visit to the next, but persistence in looking at familiar stimuli declined with age. By Visit 3, familiarity runs occurred less often than did novelty runs. Frequent but highly variable runs, including surprisingly late familiarity preferences, suggest that overall side biases and novelty preferences found during visual preference tasks are emergent phenomena affected by moment‐to‐moment changes in looking.     

Perceptions of efficacy in the use of contemporary film in social work education: An exploratory study

This article discusses the use of contemporary film in social work education, including the theoretical rationale for the inclusion of film from the perspective of narrative and adult learning theory as well as the application of the case method to the use of film. The student viewpoint and perspective is provided through the results of an exploratory research study with 109 Baccalaureate social work students who completed a survey questionnaire following a classroom activity involving a contemporary film. Analysis of the quantitative data and qualitative comments indicates that students believe that film is a beneficial adjunct to textbook and lecture content.     

The Role of a Bio-Ecological Assessment System in Writing a Culturally Sensitive Report: The Importance of Assessing Other Intelligences

This article shows how the bio-ecological assessment system is applied in assessing a child’s cognitive intelligence beyond a psychometric intelligence test. The authors conceive of intellectual behavior as an inextricable bio-ecological phenomenon and argue for an assessment system consistent with this conception. The recognition that there are many types of intelligences (such as musical and bodily kinesthetic) is discussed. The article presents a cursory review ofhow to assess the other intelligences ofa child and how to incorporate this into a culturally sensitive report. A case sample via a psychological report demonstrating this model is presented with the goal of showing how the psychological status of minority children can be enhanced if ,psychologists adopt an integrated approach to assessment by way of a bio-ecological model. The case presented is that of a child with deficient cognitive functioning on the psychometric tests, but advanced functioning on the “Other Intelligence Assessment Measure.” Diagnostic impressions are given and implications for report writing and intelVentions are suggested.     

The Relationship Between Sexual Minority Verbal Harassment and Utilization of Health Services: Results from Countywide Risk Assessment Survey (CRAS) 2004

In this article we examine the prevalence of and associations between sexual orientation–based verbal harassment and reported utilization of health services across levels of sexual orientation in a diverse sample of adult recipients of Los Angeles County–funded HIV-related health and social services. Thirty-two percent reported they had experienced verbal harassment, the majority (80.3%) of whom identified as lesbian, gay, or bisexual (LGB). Those who reported being verbally harassed received significantly more services overall than those who were not verbally harassed, and service utilization varied by sexual orientation. These findings inform future efforts to identify and assess social discrimination in health and social service settings.     

The social stratification of tongue shape for postvocalic /r/ in Scottish English1

The sociolinguistic modelling of phonological variation and change is almost exclusively based on auditory and acoustic analyses of speech. One phenomenon which has proved elusive when considered in these ways is the variation in postvocalic /r/ in Scottish English. This study therefore shifts to speech production: we present a socioarticulatory study of variation of postvocalic /r/ in CVr (e.g. car) words, using a socially‐stratified ultrasound tongue imaging corpus of speech collected in eastern central Scotland in 2008. Our results show social stratification of /r/ at the articulatory level, with middle‐class speakers using bunched articulations, while working‐class speakers use greater proportions of tongue‐tip and tongue‐front raised variants. Unlike articulatory variation of /r/ in American English, the articulatory variants in our Scottish English corpus are both auditorily distinct from one another, and correlate with strong and weak ends of an auditory rhotic continuum, which also shows clear social stratification.