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101.
Talk and ‘telling’ have assumed prominent roles in preventing HIV and promoting life with the disease at the start of the twenty-first century. Our concern in this paper is to show how social structures and circumstances shape the narrative productions of HIV positive patients whose lives are institutionally managed. We consider what ‘telling’ means when young women with few economic resources are encouraged or mandated to talk about themselves by case managers, researchers, therapists, welfare workers, and clinic staff. We organize our analysis around three such ‘autobiographical occasions’: disclosures to intimate partners prompted by agents of the state; employment opportunities in which women are hired to tell others about living with HIV as peer educators or outreach health workers; and research interviews. We argue that storylines about living with HIV have been laid down by powerful social actors whose illness experiences do not reflect those of many poor patients. These formulations constitute an ‘archive’ which organizes institutional practices and discourses. These matter not only because they provide patients with a language through which to render their actions meaningful, but because they shape the everyday experience of HIV outside the clinic, the welfare office, and the therapy session.
Jonathan M. EllenEmail:

Lori Leonard   is an Associate Professor in the Department of Health, Behavior and Society at the Johns Hopkins School of Public Health. Part of her research focuses on how young women with few resources experience HIV and AIDS in the USA at a time when HIV and AIDS are beginning to be thought of as chronic but manageable conditions. Jonathan M. Ellen   is a Professor of Pediatrics at the Johns Hopkins School of Medicine and is a practicing adolescent medicine physician. His research interests are focused on HIV and STD prevention and treatment for adolescents.  相似文献   
102.
What determines how many adults live in a house? How do people divide themselves up among households? Average household sizes vary substantially, both over time and in the cross-section. In this paper, we describe how a variety of government policies affect living arrangements, intentionally or not. Using data from a survey of households in New York City, we find that these incentives appear to have an impact. Specifically, households receiving these housing and income subsidies are smaller on average (measured by number of adults). The impacts appear to be considerably larger than those that would occur if the programs were lump-sum transfers. Small average household size can be extremely expensive in terms of physical and environmental resources, higher rents, and possibly homelessness. Thus, we encourage policymakers to pay greater heed to the provisions built into various social policies that favor smaller households.  相似文献   
103.
This study presents empirical findings about the association between childhood neglect and adolescents’ subsequent involvement with drug and alcohol related offense from a sample of 251 neglected children and their community matched control (N = 502) from a 17-year period longitudinal data set. Findings confirmed that neglected children were at greater risk to be arrested for later juvenile drug and alcohol offenses than non-neglected children. Being male, White and the presence of domestic violence also significantly contributed to elevated risks of being arrested for juvenile drug and alcohol violations for neglected children. Implications for practice and future research are discussed.  相似文献   
104.
105.
This article examines the pervasive nature and extent of the debilitating sense of shame associated with disability. It then explores the emergence of disability identity, pride, and culture to challenge such shame—illustrated in personal narrative accounts of the individual and collective journeys of people coping with severe mental illness.  相似文献   
106.
重新思考中国食品安全监管时可以借鉴的欧盟经验   总被引:2,自引:0,他引:2  
最近在中国发生的一些食品和饲料的恐慌使得中国开始重新思考有关饲料和食品安全的法律规范和监管模式.欧盟在经历了1996年的疯牛病危机后,其如何改革食品安全的监管模式对中国有借鉴作用.欧盟在面对不确定的风险时采取了一些有效的措施,但仍需面对诸多挑战.以此为中国的食品安全监管改革提供一些借鉴.  相似文献   
107.
108.
The central focus of the debate over incineration of municipal solid waste (MSW) has shifted from its apparent management advantages to unresolved risk issues. This shift is a result of the lack of comprehensive consideration of risks associated with incineration. We discuss the need to expand incinerator risk assessment beyond the limited view of incinerators as stationary air pollution sources to encompass the following: other products of incineration, ash in particular, and pollutants other than dioxins, metals in particular; routes of exposure in addition to direct inhalation; health effects in addition to cancer; and the cumulative nature of exposure and health effects induced by many incinerator-associated pollutants. Rational MSW management planning requires that the limitations as well as advantages of incineration be recognized. Incineration is a waste-processing--not a waste disposal--technology, and its products pose substantial management and disposal problems of their own. Consideration of the nature of these products suggests that incineration is ill-suited to manage the municipal wastestream in its entirety. In particular, incineration greatly enhances the mobility and bioavailability of toxic metals present in MSW. These factors suggest that incineration must be viewed as only one component in an integrated MSW management system. The potential for source reduction, separation, and recycling to increase the safety and efficiency of incineration should be counted among their many benefits. Risk considerations dictate that alternatives to the use of toxic metals at the production stage also be examined in designing an effective, long-term MSW management strategy.  相似文献   
109.
Historically, the life course has been constructed as an organized and linear temporal progression. This holds true in various disciplines from education, to psychology, to counseling. The foundation of a life unfolding through temporal categorizations is documented in textbooks and theories that straddle these disciplines as well as many others, including the sociology of health and illness, which has often conceptualized the illness experience as embedded in a recovery trajectory.Here, we take this to task. Using Gubrium and Holstein's [Sociol. Inq. 65 (1995) 207; Gubrium, J., & Holstein, J., (1997). The new language of qualitative method. New York: Oxford University Press] analytic vocabulary of biographical work, we analyze narratives of stroke survivors by emphasizing the ordinary resources used as discursive foundations for the narrative production of the future in illness. Ordinary resources focused on include God and spirituality, comorbidities, and activity and leisure. The discussion is embedded in overarching concerns with “healthy aging” in gerontology and geriatrics.  相似文献   
110.
A conceptualization of financial management behavior in remarriage forwarded by Fishman (1983) is refined and used to study 91 remarried couples. Couples are categorized into three financial management strategy groups: those having only joint accounts, only separate accounts, and a combination of joint and separate accounts. The different groups' demographic characteristics and satisfaction and happiness regarding family life are compared. Overall few differences between groups are found on the demographic characteristics, and no differences are found on satisfaction or happiness. Her research interests are in remarriage and stepfamily relationships, fathering postdivorce, and stress and coping in adolescents. She received her Ed.D. from Indiana University. He received his M.S. degree in Human Development and Family Studies at Colorado State University, Ft. Collins, CO 80523. His research interests include factors affecting adjustment in remarriage and multiple remarriages and problem solving and creativity in families. before her death in December 1993. Her research interests were financial management and families in transition. She received her Ph.D. from the University of Tennessee at Knoxville.  相似文献   
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