The ecology of race and socioeconomic distress: infant and working-age mortality in Chicago

We examine the effects of education, unemployment, and racial segregation on age-, sex-, and race-specific mortality rates in racially defined Chicago community areas from 1989 to 1991. Community socioeconomic factors account for large observed areal variations in infant and working-age mortality, but especially working-age mortality for the black population. For black men, the mortality consequences of living in economically distressed communities are quite severe. Segregation effects on mortality are more modest and largely operate through neighborhood socioeconomic conditions, although some direct effects of segregation on mortality for blacks are apparent.     

Demarcating forest, containing disease: land and HIV/AIDS in southern Zambia

The ongoing HIV/AIDS pandemic in southern Africa continues to manifest itself in unexpected ways. While the consequences of the disease appear straightforward in some aspects—e.g., medical, labor, cost—in other respects the repercussions, while large, are nonetheless highly nuanced and can be counterintuitive. This paper reports on the intersection of HIV/AIDS, migration, livelihood adaptation, land tenure, and forest conservation, to outline how adaptation to the pandemic has reworked significant aspects of land tenure to result in increased forest conservation in southern Zambia in the near to medium-term. The research uses a combination of ethnography, case studies, household survey and spatial analyses and finds that HIV/AIDS is used in customary legal settings to enhance land access. We also draw links to practical and theoretical implications of the relationship between HIV/AIDS, land tenure, and deforestation in Sub-Saharan Africa.     

Coming of age

Those of us who study aging have the unique opportunity to live their subject matter. Whether we learn any personal lessons is a matter of our own reflectivity, but personal experience can make us far better scholars than can scholarship alone. As one ponders the life course, it is clear that a number of institutional influences, temporal patterning, and unexpected intervening variables are involved in the unfolding of one's life. Life-long institutional memberships furnish social capital that helps establish parameters for our personal experience, for how we view our personal trajectories and for our ability to cope with the aging process itself. But how to come to terms with unexpected occurrences that alter the anticipated futures we had in mind? Do our scholarly efforts and our experience come together in ways that enrich one or the other? These are the questions I explore in this personal essay.     

The shape of mortality curves: an analysis of counties in England and Wales, 1911

Previous analysis has shown that life tables may be distinguished by two orthogonal pieces of information, the level of mortality in the population and the relative shape of the mortality curve. We show that both the regions of England and Wales in 1911, and locality types (county boroughs, other urban, and rural) differ in the shape of their mortality curves. Using data for the administrative counties, we examine the underlying correlates of this differentiation, paying particular attention to the socio-economic structure of the counties as reflected in their wealth, opportunity levels, and degree of urbanisation.     

Transition Shock and the Relocation of People from Mental Handicap Hospitals and Hostels

The process of deinstitutionalisation has been gathering momentum in Britain and the United States since the mid-1970s. A discussion of these trends provides the background to an examination of “transition shock” as it affects people relocated from mental handicap institutions. The paper explores the theoretical underpinnings of the concept of transition shock and links them to the findings of a follow-up study of the behavioural consequences of relocation.     

From delusion to play

Winnicott suggested that delusions are a failed form of play. Using Winnicott's theories of the play space, this paper illustrates through clinical material how the therapist can join a delusion and convert it into an area of play. Discussion includes an analysis of the use of play in working with the transference and countertransference as well as the therapist's resistances to engaging in play.     

The periphery of care: Emergency services for homeless people in rural areas

Until recently, homelessness in rural areas has received little recognition because of overwhelming assumptions about the urban-centredness of homeless people and their needs. This paper seeks to build on recent research that has begun to uncover some of the problems and characteristics of rural homelessness, by suggesting two significant dynamics which together can shape the experience of different groups of homeless people in rural environments. First, rural places reflect particular local qualities which contextualise both the circumstances of homelessness and the provision of services in response to those circumstances. Secondly, the contemporary governance of homelessness unfolds rather unevenly in different rural areas, producing distinct local service environments with varying degrees of ‘insider’ and ‘outsider’ status in relation to joined-up responses to the needs of homeless people. These dynamics are articulated through three case studies: a remote friary in a deep rural area of southern England; a small hostel run by a vibrant non-statutory organisation in a small town in the west of England, and two advice centres in a coastal resort in the north-east of England. Through these case studies we highlight the importance of both local reactions to the homeless other, and local relations between central government funding, local authority initiatives and charitable organisations, in the production and consumption of spaces of care in settings set in, or serving, rural environments.     

'Gentrification' and desire

II y a moins de vingt ans, les vieux quartiers au coeur des villes canadiennes ou vivait la classe ouvrière étaient menacés de démolition. Maintenant à la mode et habités par une population financièrement à l'aise, ces quartiers sont une forme urbaine paradoxale. Il représentent d'une part la montée d'une structure économique désindustrialisée et dénationaliséd dans laquelle les citadins déclassés et les membres de la classe ouvriere sont marginalisés. D'autre part-et c'est là l'objet central de ce texte-il se trouve fossilisé dans les nouvelles textures de ces quartiers une critique immanente du développement urbain moderne. En ce sens, ces quartiers montrent comment, par l'intermédiaire de l'industrie culturelle, les pratiques culturelles marginales engendrent leur propre déplacement.
The old neighborhoods in Canadian inner cities that less than two decades ago were working-class housing threatened with demolition but have lately become fashionable and affluent are a paradoxical urban form. On the one hand, they represent the emerging dominance of a deindustrialized, denationalized economic structure and the irrelevance of working-class and underclass city dwellers to this process. On another hand-this paper's central theme-fossilized in the new landscapes of these neighborhoods is an immanent critique of modern city-building. In the latter respect, these areas illustrate how, by the workings of the culture industry, marginal cultural practice breeds its own displacement.