Pathologizing behavior: Meanings of behaviors in dementia care

Deficit and problem-based approaches to behavior stigmatize persons with dementia and cause great unnecessary suffering. In order to reduce the harm caused to persons misunderstood, it is important to understand the process by which staff attach meaning to behaviors and how those meanings ultimately influence how staff respond to behaviors. To this end, this research sought to examine the perceptions and meanings that staff attach to behaviors, how staff experience these behaviors, and the role that meanings and experiences have in staff actions and responses to specific behaviors. This paper focuses on one sensitizing concept that emerged from our study — pathologizing behavior — that reflects how behaviors become pathologized and problematized in the long-term care context. Conducted as part of a larger interpretive grounded theory study, active interviews were conducted with 48 staff members working in a range of positions in long-term care homes in Ontario, Canada. All staff interpreted and placed residents' behaviors in context through a complex process that started with the process of filtering behavior through the lens of pathology, and guided how staff then assigned meaning to the behaviors, how they characterized behaviors as “challenging”, and ultimately reacted through crisis management. The findings demonstrate the impact biomedical discourses have on meanings attached to behaviors and responses to behaviors and point to the need for alternative discourses that emphasize understanding meanings of actions using multidimensional lenses.     

Can we,should we,measure ethnicity?

Feminist social science is marked by its diversity, its ethos of inclusiveness and its critical power. These qualities are best exemplified in feminisms' acknowledgement, at the epistemological level, that men as well as women are crucial participants in the feminist enterprise. Moreover, epistemological justifications for positioning men within feminism is matched by a commitment to think through the methodological implications of men's involvement as both researchers and researched. In particular, inclusiveness pushes at the boundary of what counts as feminist methodology, and it forces us to rethink the underlying principles of feminist research work. In this article, two key feminist methodological principles—rapport and empathy, and democracy—are interrogated in the light of a series of in-depth interviews with a group of powerful, authoritative and uniformed men (senior police officers). It is suggested that while there may be a temptation to dismiss the interviewing relations which evolved as ‘non-feminist’, they are also indicative of feminist methodological vitality and strength as well as its capacity to accommodate the fractured subjectivities of research participants. The paper concludes by positing a re-conceptualization of interviewing principles which not only appreciate diversity in feminist epistemological and methodological commitments, but also variability and difference in feminist research relationships.     

The carpetbaggers revisited: New perspectives on interregional migration after the American Civil War

Those Terrible Carpetbaggers: A Reinterpretation. Richard Nelson Current. New York: Oxford University Press. 1988. 475pp. $24.95.

Carpetbagger from Vermont: The Autobiography of Marshall Harvey Twitchell. Edited by Ted Tunnell. Baton Rouge: Louisiana State University Press. 1989. 216pp. £23.95.

The Confederate Carpetbaggers. Daniel E. Sutherland. Baton Rouge: Louisiana State University Press. 1988. 360pp. £13.55.     

The retrenchment of second‐tier pensions in Hungary and Poland: A precautionary tale

In 1997, Hungary and Poland led Central Europe in partially privatizing their national pension systems, diverting a portion of public pension contributions to privately‐managed individual investment accounts. In the aftermath of the global economic crisis, both governments retrenched these second‐tier schemes: Hungary (December 2010), by ceasing to fund the accounts and recouping most workers' existing balances; and Poland (April 2011), by reducing the diversion of contributions to the second tier. The factors that drove these retrenchments are traced to the original 1997 second‐tier designs, which omitted key specifications related to financing the accounts, private benefit design, and the regulation of private management fees. While both governments tried to compensate for the missing design specifications during implementation, the results were limited. By reducing investment returns and raising borrowing costs, the global economic crisis brought the problems to a head. The conclusion highlights some outstanding issues whose resolution will shape the retrenchments' long‐term impacts.     

The importance of fairness and equity for the marital satisfaction of older women

In all societies, people are concerned with social justice. "It's just not right" is a fairly common lament. In these two studies, we interviewed 240 older women, who ranged in age from 50 to 82. We found that most older women (85%) considered their marriages to be fair and equitable. Older women were less concerned about existing inequities than their younger peers. Nonetheless, they were somewhat concerned with how rewarding and how fair and equitable their relationships were perceived to be. Those who felt over-benefited, for example, felt more guilty than did their less advantaged peers; those who felt under-benefited felt far more angry than did their privileged peers. Stressful life events--such as the arrival of children, retirement, serious illness, or the awareness impending death--often brought to awareness long simmering resentments over issues of fairness.     

Conceptualizing and understanding the Gülen movement

The Gülen movement (GM) is a controversial international Islamic movement originating in Turkey. Interestingly, the movement seems to be “in between” the standard conceptual categories used by social movement scholars: The GMs' focus on individual transformation and religious practices suggests that it is a religious movement; its extensive outreach into various institutions (i.e., education, health care, and media) suggests a social movement seeking legitimacy and broad social change; its purported infiltration of key government and military offices suggests a political movement. In this article, I demonstrate the utility of conceptualizing the GM as an everyday‐life‐based movement and of using a multi‐institutional politics model to examine this type of movement. By doing so, it becomes clear that sometimes, movements focusing on individual change may also be seeking to transform social, economic, and political institutions.     

On the learning journey: what helps and hinders the development of social work students’ core pre-placement skills?

The development and assessment of core skills, including communication skills, are essential prerequisites before social work students are judged ready for practice placement. This paper presents qualitative data from the first year of a three-year study of an undergraduate module taught jointly to undergraduate and postgraduate students on two qualifying programmes at a university in England. The study considers the impact of video recording in a ‘skills laboratory’ on social work students’ skills development, and compares this with other feedback mechanisms at the pre-placement ‘Readiness for Direct Practice’ threshold for the different student groups. Responses from 88 students to two questions on factors they identified as the most helpful/least useful for core skills development were collected, using the same questionnaire at three stages of the module. These were analysed using a grounded theory approach. A separate, quantitative analysis showed that assessment outcomes for undergraduate and postgraduate students were not statistically different. In contrast, this qualitative analysis showed that while there was common value for students from self-observation using video, there were key differences in learning preferences between undergraduates and postgraduates in relation to feedback. While undergraduates valued peer support in group work, postgraduates preferred feedback from authoritative, independent and credible sources.