Zora Neale Hurston’s visual and textual portrait of middle passage survivor Oluale Kossola/Cudjo Lewis

This article examines African American folklorist Zora Neale Hurston’s book-length biography and film of the last known Middle Passage survivor, Oluale Kossola/Cudjo Lewis, to explore her cinematic and literary engagement with slavery and to recover Lewis as a co-author of both documents. Hurston’s literary project, ‘Barracoon’, in which she situated herself merely as Kossola’s amanuensis and foregrounded the ‘inexpressible violence’ and ‘horror’ of his experience, represented an unusually frank twentieth-century record of enslavement and post-slavery life. Such work pre-dated and lacked the patronising tone of much of the WPA Slave Narrative Collection (1936–1938), whose investigators were mainly white and whose subjects’ accounts were often reconstructed loosely from field notes. Moreover, Hurston’s footage of Lewis circumvented literary mediation altogether to provide an Atlantic slavery survivor with an unprecedented visual outlet for self-expression.     

Real Gender: Identity,Loss, and the Capacity to Feel Real

This article concerns gender and feeling real. Beginning with Judith Butler’s deconstruction of gender as an ontological category, it argues that the subjective experience of gender as real has been underaccounted for. By reviewing Butler’s work on gender melancholy and then elaborating psychoanalytic theories of identification and reality, this article links feeling real to the dual capacities to both separate from and connect with the object. To illustrate the implications for thinking gender identity and transformation, it concludes with a reading of Miles Walser’s poem about the name discarded in a gender transition.     

Race and ethnicity in housing: Turnover in New York City, 1978–1987

This study examines the patterns and predictors of housing turnovers among non-Hispanic whites, non-Hispanic blacks, Puerto Ricans, and other Hispanics in New York City during 1978-1987 to assess whether access to housing is distributed differentially by race and ethnicity. The data are taken from the triennial New York City Housing and Vacancy Survey. After controlling for household preferences, purchasing power, and quality characteristics of the housing unit, multinomial logistic regression results show the most consistent and significant predictors of turnover to be geographic and market-sector attributes. The findings suggest the presence of structural constraints in the housing market which effectively channel racial/ethnic groups to separate neighborhoods. The overall results are reminiscent of early studies of neighborhood transition by Duncan and Duncan (1957) and Taeuber and Taeuber (1965), and show that little progress has been made toward achieving equality in housing or informal social contact between racial/ethnic groups.     

Barriers to the implementation of medication-assisted treatment for substance use disorders: the importance of funding policies and medical infrastructure

Despite growing interest in the use of evidence-based treatment practices, adoption of pharmacotherapies for treating substance use disorders (SUDs) remains modest. Using data from telephone interviews with 250 administrators of publicly funded SUD treatment programs, this study estimated a model of adoption of medication assisted treatment (MAT) for SUDs and examined the relative importance of regulatory, cultural, medical resource, patient-level, and funding barriers to MAT implementation. MAT-adopting programs had significantly greater medical resources, as measured by the employment of physicians and nurses, than non-adopting programs. Administrators of non-adopting programs were asked to rate the importance of 18 barriers to MAT implementation. The most strongly endorsed barriers were regulatory prohibitions due to the program's lack of medical staff, funding barriers to implementing MAT, and lack of access to medical personnel with expertise in delivering MAT. Barriers related to insufficient information about MAT and unsupportive staff attitudes were not widely endorsed. These findings suggest that efforts to promote the implementation of MAT that are inattentive to funding barriers and weaknesses in medical infrastructure may achieve sub-optimal results.     

What do midwives fear?

BackgroundThere is evidence that a significant number of women are fearful about birth but less is known about the fears of maternity health providers and how their fear may impact on the women they care for.AimThe aim of this study was to determine the top fears midwives in Australia and New Zealand hold when it comes to caring for childbearing women.MethodFrom 2009 to 2011, 17 workshops were held in Australia and New Zealand supporting over 700 midwives develop skills to keep birth normal. During the workshop midwives were asked to write their top fear on a piece of paper and return it to the presenters. Similar concepts were grouped together to form 8 major categories.FindingsIn total 739 fears were reported and these were death of a baby (n = 177), missing something that causes harm (n = 176), obstetric emergencies (n = 114), maternal death (n = 83), being watched (n = 68), being the cause of a negative birth experience (n = 52), dealing with the unknown (n = 36) and losing passion and confidence around normal birth (n = 32). Student midwives were more concerned about knowing what to do, while homebirth midwives were mostly concerned with being blamed if something went wrong.ConclusionThere was consistency between the 17 groups of midwives regarding top fears held. Supporting midwives with workshops such as dealing with grief and loss and managing fear could help reduce their anxiety. Obstetric emergency skills workshops may help midwives feel more confident, especially those dealing with shoulder dystocia and PPH as they were most commonly recorded.     

The Incomplete Revolution

South Africa's negotiated transition promised significant gains for gender equality, as women acquired one-third of the seats in the national parliament, secured constitutional protection, and began a process of legislative and institutional reform. Once apartheid was dismantled, the programs of racial and gender empowerment theoretically should have proceeded at the same rates, given the rhetorical commitments of the liberation parties. Life for the majority of South African women, however, continues to be marked by socio-economic hardships, patriarchal domination, and gender violence. This article asserts that the roots of women's continued inequality are found within the western reform models utilized by the anti-apartheid movement that reproduced public/private, male/female dichotomies in state institutions, thereby entrenching male discourse and power. The data suggest that in order to disrupt the power of the patriarchy women need to challenge male domination within the domestic sphere as well as challenging gender discrimination in public political spaces.