Risk,resilience and identity construction in the life narratives of young people leaving residential care

The role of residential care for children has developed very differently internationally, but in all cultural contexts, there are questions about the extent to which it can help young people recover from high risk backgrounds. In the UK, residential care has come to be seen as the placement of last resort, yet new government guidance on permanence has suggested that residential care can provide security and a sense of belonging. Narrative analysis of interviews with 20 care leavers identified their different pathways from birth families through residential care to early adulthood. Some experienced a transformation from a negative sense of self as victims or ‘bad children’ to survivors, while others continued to struggle. Key to successful turning points were four interacting factors, all associated with resilience; connection, agency, activity and coherence. These narratives revealed the importance of nurturing relationships and a sense of ‘family’, and also the role of support after leaving residential care, when transitions workers helped them to move on but stay connected. The study highlighted how residential care leavers from adverse backgrounds attribute very different meanings to their experiences, which affects identity construction, resilience and the need for support.     

Beyond ‘Gender Differences’: A Canadian Study of Women's and Men's Careers in Engineering

This article explores the relationship between gender and career paths for a group of women and men who graduated as engineers during a period of labour market turbulence in western Canada during the 1980s. Using a model adapted from Brown (1982 ), the article uses ‘career path’ as a device to organize data drawn primarily from telephone and face‐to‐face interviews with 317 graduates. Three career paths provide the focus for the study: the ‘organizational’, characterized by stable employment with one employer; the ‘occupational’, characterized by mobility between employers; and the entrepreneurial, characterized by self‐employment. The use of the career path framework moves the study beyond global comparisons (of the dichotomized ‘gender differences’ kind) between ‘the women’ and ‘the men’. As well as allowing for comparison between the paths, it allows more refined and contextualized comparisons within each path. Such comparisons produce patterns of similarity and difference that sometimes transcend gender.     

A meta-ethnographic study of health care staff perceptions of the WHO/UNICEF Baby Friendly Health Initiative

BackgroundImplementation of the Baby Friendly Health Initiative (BFHI) is associated with increases in breastfeeding initiation and duration of exclusive breastfeeding and ‘any’ breastfeeding. However, implementation of the BFHI is challenging.AimTo identify and synthesise health care staff perceptions of the WHO/UNICEF BFHI and identify facilitators and barriers for implementation.MethodSeven qualitative studies, published between 2003 and 2013 were analysed using meta-ethnographic synthesis.FindingsThree overarching themes were identified. First the BFHI was viewed variously as a ‘desirable innovation or an unfriendly imposition’. Participants were passionate about supporting breastfeeding and improving consistency in the information provided. This view was juxtaposed against the belief that BFHI represents an imposition on women's choices, and is a costly exercise for little gain in breastfeeding rates. The second theme highlighted cultural and organisational constraints and obstacles to BFHI implementation including resource issues, entrenched staff practices and staff rationalisation of non-compliance. Theme three captured a level of optimism and enthusiasm amongst participants who could identify a dedicated and credible leader to lead the BFHI change process. Collaborative engagement with all key stakeholders was crucial.ConclusionsHealth care staff hold variant beliefs and attitudes towards BFHI, which can help or hinder the implementation process. The introduction of the BFHI at a local level requires detailed planning, extensive collaboration, and an enthusiastic and committed leader to drive the change process. This synthesis has highlighted the importance of thinking more creatively about the translation of this global policy into effective change at the local level.     

Canonized Women and Women Canonizers: Gender Dynamics in The Norton Anthology of English Literature’s Eight Editions

This article addresses the gender dynamics of the included canonized literature of each edition of the Norton Anthology of English Literature as related to the gender dynamics of the editorial staff, the publication date of each of the eight editions, and the feminist criticism prominent at the time of publication. The project combines quantitative and qualitative methods to examine the construction of the literary canon. The project finds that there is a direct correspondence between the number of women editors and the percent of the total pages of each edition occupied by works by women writers. The project also finds a correlation between the gender makeup of the editorial staff and a leap in included women writers in the fifth edition and the emergence of gynocriticism in the 1980s. The project recognizes the establishment of a separate canon for women’s literature that corresponds with this shift. The research indicates that as time passes, the inclusion of women writers in the literary canon and the editorial staff of the Anthology generally increase.     

Deprivation, ill-health and the ecological fallacy

The use of ecological studies in explaining the relationship between deprivation and ill-health is widespread in many health applications. However, inferences drawn from these studies about individuals are susceptible to serious bias known as the ecological fallacy. Our paper demonstrates the ecological fallacy effect in this context but also shows how it can be considerably reduced by taking into account different population structures at the aggregate level. Two regression analyses of limiting long-term illness are performed, one at the individual level and one at the electoral ward level, using the 1991 UK census sample of anonymized records and the small area statistics. The analyses compare several measures of deprivation including the standard Carstairs index, with the separate variables which make up the indices, to determine their effectiveness in explaining rates of illness. Two of the deprivation scores are constructed using latent variable modelling techniques which enable a score to be generated at the individual level as well as at the ward level. It is shown that, given the right choice of socioeconomic variables and taking into account the age structure of the population, it should be possible to construct a single aggregate deprivation index that will explain most of the variation in rates of illness across the study region.     

Socioeconomic indexes and the new 1980 census occupational classification scheme

Because of their usefulness in a wide variety of research, socioeconomic scores have been revised several times to incorporate changes in the relevant components of the occupational structure and to conform with the changing census occupational classification schemes. The major purpose of this paper is to provide socioeconomic scores for the 1980 census occupational classification scheme. First, however, we review earlier versions of the socioeconomic index (SEI), summarize the relevant disparities between the 1970 and 1980 census occupational classificatory schemes, and then explain in detail the procedures used to reconcile the SEI with 1980 occupational codes. We also show that, although the 1980 occupational classificatory scheme differs radically from the 1970 occupational scheme, the socioconomic scores for 1980 occupational data replicate features found in 1970 data.