The formation and outcomes of cohabiting and marital partnerships in early adulthood: the role of previous partnership experience

Summary.  We estimate a joint model of the formation and dissolution of cohabiting and marital unions among British women who were born in 1970. The focus of the analysis is the effect of previous cohabitation and marriage on subsequent partnership transitions. We use a multilevel simultaneous equations event history model to allow for residual correlation between the hazards of moving from an unpartnered state into cohabitation or marriage, converting a cohabiting union into marriage and dissolution of either form of union. A simultaneous modelling approach allows for the joint determination of these transitions, which may otherwise bias estimates of the effects of previous partnership outcomes on later transitions.     

A semiparametric multilevel survival model

Summary.  We propose a semiparametric multilevel survival model for clustered duration data in which the effect of a continuous covariate is represented by an unspecified, possibly non-linear, function. This model makes no distributional assumption about the cluster level random effects. The performance of the method is assessed via Monte Carlo simulations. The model is applied in an analysis of first-birth intervals in Bangladesh to examine period effects in the timing of first births, while allowing for clustering within communities; the analysis reveals a non-linear trend in the first-birth interval over time.     

The Purchaser/Provider Split in Social Care: Is It Working?

This paper reviews the ideas of public choice theory that provided the rationale for introducing the purchaser/provider split and suggests that the notion of provider self-interest is as undifferentiated a concept as its rival: public ethos or duty. Using data from eighteen months' observation and interviewing in five local authorities, it then goes on to address the huge amount of work involved in separating purchasing from providing. We trace the changing understanding of the purpose of the split, problems of defining who is a purchaser and who a providers, problems of working the new relationship between purchasers and providers, and difficulties in developing the purchasing function.
We then seek to examine what are believed to be the main benefits of the purchaser/provider split, asking whether there is evidence that purchasers are doing a better job of identifying needs than providers, and whether there is evidence of competition involving multiple providers and multiple suppliers. Finally, we investigate whether there has been an increase in responsiveness, taking home care as an example. The paper concludes that while increased competition among suppliers has been one important factor in two authorities in securing a more responsive service, the evidence is equivocal as to whether the purchaser/provider split has been the key to securing competition.     

‘Riding the Wave’: Working Systemically with Traumatised Families

This paper draws on the authors’ clinical experience as family therapists, working predominantly with families who have experienced trauma such as sexual abuse, physical abuse and neglect, to demonstrate that taking a systemic trauma‐informed approach is a powerful therapeutic modality that can facilitate positive outcomes for all family members. The paper discusses the impact of trauma on relationships, and then outlines a rationale for a trauma‐informed, systemic approach with those traumatised families who are, at times, challenged by excessively heightened behaviour and emotional dysregulation. Drawing from parenting research, it includes a discussion of the place of parent work and how this can be integrated with systemic family work. Key constraints and considerations are highlighted followed by a discussion of key interventions the authors have found useful in building a clinical framework for this work, including what is critical for the therapeutic process. While working with traumatised families is complex and challenging, offering a safe place for families to be in the presence of each other's pain and ‘ride the wave’ of emotions can be a powerful path to recovery.     

A menu for learning: a World Café approach for user involvement and inter-professional learning on mental health

Inter-professional learning (IPL) initiatives and service user involvement are well established in professional education programmes, but are seldom incorporated in the same teaching and learning project. In order to accomplish a combination of these approaches, an interactive learning format, styled as a World Café on mental health, was chosen to bring social work and mental health nursing students together with service users and carers. The project aimed to be participatory and inclusive from the outset, establishing a steering group with staff, students and user/carer volunteers to plan the day-long event. The event enabled all participants to engage in round table conversations to learn from each other's outlooks and roles, and for students to reflect on their future inter-professional practice and engagement with service users. Findings from this project indicate that the World Café as a teaching and learning method may have much to offer students engaged in IPL activities. We believe that the findings from this project can contribute to the advancement of existing knowledge regarding IPL and user involvement, and that a World Café approach may serve as a template for replication for other education providers, as part of a wider repertoire of inter-professional and service user involvement initiatives.     

Social identities, class identity and political perspectives

There has been considerable controversy over the extent to which class is a salient social identity, and the importance of other social identities Marshall and his colleagues (1988) argue that class identity remains a salient frame of reference in people's daily lives while Saunders (1989;1990) and Emmison and Western (1990) argue that class identity is not as strong as they claim, and the importance of other social identities cannot be denied. However, proponents and opponents in the debate are agreed that the salience of social identities depends upon the context in which they are found which cannot be fully explored in highly-structured interviews. Drawing on data from a ‘qualitative re-study’ of the Affluent Worker series, it will be argued that people have many different identities, including a strong class identity, which co-exist at the same time. That said, their class identity is the most important influence on the formation of political perspectives. This finding concurs with the Essex team and Saunders even though he has sought to distance himself from this conclusion.     

The Role of Dyadic Coordination in Organizing Visual Attention in 5‐Month‐Old Infants

In human infants, the ability to share attention with others is facilitated by increases in attentional selectivity and focus. Differences in early attention have been associated with socio‐cognitive outcomes including language, yet the social mechanisms of attention organization in early infancy have only recently been considered. Here, we examined how social coordination between 5‐month‐old infants and caregivers relate to differences in infant attention, including looking preferences, span, and reactivity to caregivers’ social cues. Using a naturalistic play paradigm, we found that 5‐month‐olds who received a high ratio of sensitive (jointly focused) contingent responses showed strong preferences for objects with which their caregivers were manually engaged. In contrast, infants whose caregivers exhibited high ratios of redirection (attempts to shift focus) showed no preferences for caregivers’ held objects. Such differences have implications for recent models of cognitive development, which rely on early looking preferences for adults’ manually engaged objects as a pathway toward joint attention and word learning. Further, sensitivity and redirectiveness predicted infant attention even in reaction to caregiver responses that were non‐referential (neither sensitive nor redirective). In response to non‐referentials, infants of highly sensitive caregivers oriented less frequently than infants of highly redirective caregivers, who showed increased distractibility. Our results suggest that specific dyadic exchanges predict infant attention differences toward broader social cues, which may have consequences for social‐cognitive outcomes.