Sibling Discord: A Force for Growth and Conflict

Drawing on research findings and clinical experience, this paper considers the contributions that sibling envy, jealousy, and rivalry can make to healthy development as well as the way in which sibling discord may compromise development and in some cases lead to pathology. An account of the treatment of a depressed and anxious woman, Marcia, whose pain and rage at being displaced by her 4-year-younger brother contributed to her pathology, is offered. Through attention to sibling transferences, countertransferences, and the enactments that occurred during the treatment, the paper demonstrates how an individual may misperceive and misrespond to her children as well as her therapist as if they were a sibling rival or the mother who they experienced as rejecting them in favor of a brother or sister. The paper attests to the importance of recognizing siblings as persons in their own right who hold an important place in each other’s minds, rather than as simply displacement objects for parents, as they were often regarded in the past.     

Taxation and economic performance: Evidence from China

This paper empirically tests the effects of taxation on economic performance using prefectural level city and county data from China. Results based on cross-sectional data from over 200 prefectural cities in 2007 indicate that overall tax burden and tax structure affect economic performance. Specifically, tax burden has a negative correlation with economic activities. Empirical results from the analysis of disaggregated local data for over 2,000 counties in China also support the hypothesis that distortionary taxation lowers the economic activities. These findings provide empirical evidence from China on a negative relationship of the total tax burden with economic activities.     

Variables Affecting Patient Satisfaction with Health Care Services in the College Health Setting

Abstract

Patient satisfaction with health care services is an important factor in health care delivery. It will significantly influence whether or not a patient seeks medical care, complies with prescribed treatment, and/or maintains a continuing relationship with a medical practitioner.

A survey questionnaire, relating patient satisfaction with a number of variables identified through a literature review, was mailed to a random sample of 500 students utilizing Student Health Service (SHS) at Kent State University (KSU) during the five week study period. The data obtained would be utilized to help with planning future health care services and staff inservice education programs.

The findings of this survey indicate that patient satisfaction has a statistically significant correlation with perceived technical competence of the practitioner and perceived adequacy of the interpersonal aspects of the practitioner-patient relationship. A significant relationship did not exist between satisfaction and expectations the patient holds of the practitioner's role performance. A statistically significant relationship was found to exist between receiving health information/education related to diagnosis, prognosis, and treatment plan and satisfaction with health care services. This relationship did not hold for health information/education related to activity restrictions or preventive measures. The study also revealed that time waited during the medical care encounter was inversely related to satisfaction. Last, stepwise regression found that perceived technical competence of the practitioner was the most important variable influencing patient satisfaction with health care services.

This study provides data about factors important to personal satisfaction with health care services for a selected group of college students.     

Toward a Feminist Political Economy of Wartime Sexual Violence

This article examines ways in which nationalism, as a concept, is gendered and the impact that that perspective had on women in the Balkans during the wars in the 1990s. The impact on women was especially severe, given the number who were raped or displaced by the wars. In this article, the authors address the ways in which (male) nationalist leaders used citizenship and the imagery of women to alter the perception that the state and society had toward women in general, and to those in ethnically

mixed marriages in particular. Importantly, paying attention to the lives of women in ethnically mixed marriages can shed light on the dynamics of civil wars, on their consequences and on the very politics of state-defined citizenship.     

Fostering integrative community leadership

This longitudinal field study examined the determinants of integrative, volunteer community leadership. Using a sample of 1443 participants in 43 community leadership programs across North America, we linked altruistic, social- and self-oriented motives to the breadth of individuals' volunteer involvement in their communities. Individuals who engaged in volunteer community leadership reported more altruistic motives (i.e., they volunteered because they were concerned about others). High levels of voluntary community leadership were also associated with social motives, such as getting involved in the community because friends or important others think doing so is important. Regardless of their motives, participants engaged in their communities in new ways following participation in a community leadership program, suggesting that such programs foster integrative community leadership. Programs that focused on team building as part of their curriculum were the most successful in fostering new community leadership activities, and programs that focused on knowledge and awareness of the community were effective in increasing participants' knowledge and awareness of the community. Considered as a whole, results of this study suggest that community leadership programs can increase both knowledge and awareness of the community and actual engagement in the community for community members who choose to participate in such programs.     

Child Sexual Abuse and the Superfluous Association with Negative Parenting Outcomes: The Role of Symptoms as Predictors

The purpose of this study was to investigate the relationship between child sexual abuse and high‐risk maternal parenting indicators and the extent to which maternal depression and self‐perceived parenting competence influence that relationship. Using path analysis, results indicate maternal depression and parenting sense of competence mediate the relationship between child sexual abuse and outcome variables. Post hoc analyses indicated that child sexual abuse was significantly associated with decreased parenting sense of competence, controlling for depression. These results highlight that the pathways for increased risk in parenting outcomes for child sexual abuse survivors may be indirect and associated with beliefs of their own sense of competence and depression as opposed to a direct association with sexual abuse itself. Implications are discussed.     

Exploring the nutritional vulnerability of homeless men in a Canadian urban setting

Abstract

Homelessness, Aboriginal ethnicity, and nutritional vulnerability are key determinants of health. Substance abuse further compounds health risk. This study explored the nutritional vulnerability of homeless men, some of who were solvent-users, to assess nutrition-related chronic disease risk factors. Anthropometric data were used to calculate disease risk using body mass index. Diet was assessed using a 24-hr food recall and data were compared to Canada’s Food Guide recommendations. A significant proportion of participants had low intakes of vegetables and fruit and milk and alternatives. More than half of the participants met the intake recommendations for grain servings and meat and alternatives. Solvent-using participants consumed significantly higher intakes of vegetables and fruit, grain products, and other foods and beverages, than non-solvent using men. More than half of the participants were classified as overweight or obese. Healthy food consumption was influenced by lack of stable housing, reliance on charitable food, and substance abuse.     

And Some of Us Are Braver: Stress and Coping Among African American Women

African American women fulfill many roles within their family and community. Most notably, these women are often defined by their “strength” and rarely seen as “vulnerable.” Many African American women demonstrate strength as they struggle to maintain employment, raise children, and nurture spouses and extended family, but these same women are at risk for a higher rate of health and emotional problems. In this article, the authors use relational cultural, stress and coping, and lifespan theories, along with Black feminist thought to discuss the interlocking effects of race, gender, and class regarding the psychological well-being of African American women 18 to 55 years old. We conclude with a discussion of research, practice, and teaching implications.