Toward a Theoretical Framework for Perinatal Bereavement

Correspondence to Dr Keith Brownlee, School of Social Work, Lakehead University, 955 Oliver Road, Thunder Bay, Ontario, P7B 5E1 CANADA. E-mail: keith.brownlee{at}lakeheadu.ca or oikonenj{at}imail.tbh.net Summary For many women a foetal or neonatal death is a significant life-alteringevent. Modern medicine has offered pregnant women an early awarenessof their developing foetus coupled with an opportunity for advancedfeelings of attachment, which, in most cases, accentuates thegrief and sense of loss. While crisis intervention serviceshave become standard practice in hospital settings and typicallymeet many clinical and short-term needs of bereaved parents,conventionally held theories of grief fall short of the realitiesdescribed by such parents. This paper critically examines theclinical and research support for current approaches to perinatalgrief and argues that theory development specific to perinatalloss is needed within the field and that social workers canplay an important role in this respect. Some emerging ideasare discussed that appear to hold promise for establishing modelsthat would be more responsive to the particular complexitiesof perinatal bereavement.     

Action research,science, and the co-optation of social research

This paper centers on our argument that action research (AR) produces “better” research than orthodox social research but that AR is marginalized in “Northern” universities because it connects social research to social reform. The key viewpoints informing our work are easily stated but elaborate arguments are required to justify them. We argue that AR is the most credible and methodologically coherent way to create and apply reliable knowledge in social research.

Existing power structures prefer orthodox social research, not because it produces better research but because it does not interfere with existing social arrangements. The demand for social distance and objectification separates the researcher from the subject and prevents social research from becoming an instrument of social change. The dominance of these frameworks in university environments reveals that universities, in addition to being centers of learning, play an important role in replicating existing social arrangements (Noam Chomsky et al., 1997). We believe that AR's social change agenda, not its inferiority as social research, causes its marginality.     

Preliminary Validation of an Online DSM-Based Mental Health Referral Inventory

A brief online inventory was developed as a much needed corrective for the hundreds of unscientific tests that are used now by millions of people to self-diagnose mental health problems. The primary purpose of the new inventory is to refer people to mental health professionals for further evaluation when they are experiencing problems that might be diagnosable under DSM guidelines; it is not designed to diagnose, however. The inventory was found to be a valid and reliable measuring instrument based on analysis of data obtained from 3,403 subjects. The 54-item checklist looks for 18 common problems identified in the DSM-IV and takes from 5 to 10 min to complete. Test scores proved to be good predictors of a variety of self-reported criterion measures, including happiness, personal and professional success, history of hospitalization, history of therapy, current participation in therapy, employment, and level of education. Females were found to have slightly more mental health problems than males, but no differences in scores were found by race or ethnicity.     

Who gains from information asymmetry?

This article considers an asymmetric contest with incomplete information. There are two types of players: informed and uninformed. Each player has a different ability to translate effort into performance in terms of the contest success function. While one player’s type is known to both players, the other is private information and known only to the player himself. We compare the Bayesian Nash equilibrium outcome of a one-sided private information contest to the Nash equilibrium with no private information, in which both players know the type of the other player. We show conditions under which uncertainty increases the investment of the uninformed player and the rent dissipation of the contest, while decreasing the expected net payoff of the informed player. In addition, we consider conditions under which the informed player—before knowing his own type—prefers that the uninformed player knows his type. Moreover, we show conditions for the existence/non-existence of equilibrium in a two-stage contest in which the informed player declares his type (or does not declare) in the first stage and in the second stage the two players play according to the information available to them.     

Effect of body image on gestational weight gain in overweight and obese women

Problem or backgroundThere is little information available describing how women who are overweight or obese in pregnancy perceive their bodies, and in particular the effect of body image dissatisfaction on gestational weight gain.QuestionTo describe how women who are overweight or obese in pregnancy perceive their body, and the effect of body image on gestational weight gain.MethodsThis prospective nested cohort study evaluated self estimation of body weight, preferred body shape, dieting behavior, satisfaction with body weight and shape, and gestational weight gain in pregnant women who were overweight or obese, through self-completed questionnaire in early pregnancy in South Australia from October 2010 to February 2012.FindingsOf the 442 women who completed the questionnaire, 25.8% correctly identified their BMI, with 70.1% under-estimating and 4.1% over-estimating their BMI. Women who were obese were significantly less likely to correctly identify their BMI, as were younger women. Women who incorrectly identified their BMI were significantly more likely to have higher gestational weight gain (P < 0.001). Approximately 45% of women indicated dissatisfaction with their weight or body shape, with this being more common in women of higher parity and higher BMI. Dissatisfaction was significantly related to gestational weight gain.ConclusionWomen who report increasing dissatisfaction with their body size and shape are more likely to gain excessive weight during pregnancy. Further research should explore insights about maternal body image and diet related behaviors.     

Contract Pricing in Consumer Credit Markets

We analyze subprime consumer lending and the role played by down payment requirements in screening high‐risk borrowers and limiting defaults. To do this, we develop an empirical model of the demand for financed purchases that incorporates both adverse selection and repayment incentives. We estimate the model using detailed transaction‐level data on subprime auto loans. We show how different elements of loan contracts affect the quality of the borrower pool and subsequent loan performance. We also evaluate the returns to credit scoring that allows sellers to customize financing terms to individual applicants. Our approach shows how standard econometric tools for analyzing demand and supply under imperfect competition extend to settings in which firms care about the identity of their customers and their postpurchase behavior.     

Ellsberg paradox: Ambiguity and complexity aversions compared

We present a simple model where preferences with complexity aversion, rather than ambiguity aversion, resolve the Ellsberg paradox. We test our theory using laboratory experiments where subjects choose among lotteries that “range” from a simple risky lottery, through risky but more complex lotteries, to one similar to Ellsberg’s ambiguity urn. Our model ranks lotteries according to their complexity and makes different—at times contrasting—predictions than most models of ambiguity in response to manipulations of prizes. The results support that complexity aversion preferences play an important and separate role from beliefs with ambiguity aversion in explaining behavior under uncertainty.     

Ethnic and University Identities across the College Years: A Common In-Group Identity Perspective

The common in-group identity model advocates the creation of a superordinate group identity in order to reduce conflict between members of different ethnic subgroups. This study demonstrates that a university identity can serve as an effective common in-group identity for students from different ethnic groups. Longitudinal data were collected from an ethnically diverse sample of university students at the end of each year of college. Although ethnic identification tended to be correlated with status-legitimizing orientations and ideologies in a way that reinforces ethnic-status differences (i.e., these variables tended to be positively related for Whites but less so for ethnic minorities), the status-legitimizing variables were largely unrelated to university identification during each year in college. The longitudinal data also allowed us to examine these relationships over time. The relationships between ethnic and university identification and status-legitimizing orientations and ideologies did not change. Ethnic and university identities are discussed in terms of the common in-group identity model.