Institutional abuse of older adults: what we know, what we need to know

Although Canadian policies support "aging in place," there still will be a number of older adults who will require institutional care in the future. Most research on elder abuse, however, has focused on domestic abuse and has paid less attention to institutional abuse. The purpose of this article is to comprehensively review current research to identify gaps in knowledge and methodological issues in the study of institutional abuse. Overall, 49 studies in English and 20 studies in French were reviewed, and 11 key-informant interviews were conducted with methodological experts. Methodological challenges are addressed in light of the review and interviews.     

Access to education in Africa: responding to the United Nations Convention on the Rights of Persons with Disabilities

Article 24 of the United Nations Convention on the Rights of Persons with Disabilities mandates that disabled people should have full rights to education in inclusive settings. However, to ensure that educational polices and settings are designed to meet this criterion seems challenging to African countries that have ratified this Convention. This article arises from the 2nd African Network of Evidence-to-Action on Disability Symposium. This fluid network was established to address the gap between research and practice in the region. The article reports proceedings and the emerging themes from the Education, Training and Work Commission; one of the six commissions of this Symposium, focusing specifically on the education aspect. It also challenges various stakeholders to move from evidence to action to ensure the educational rights of disabled people in inclusive settings.     

Was bewegt weibliche Führungsnachwuchskr?fte? – Typische berufliche Anliegen aus der Mentoringpraxis anhand von Fallgeschichten

The present work aims to illustrate mentoring processes for future women executives. Typical concerns of future women executives and how female mentors provide support in coping with these concerns are presented. Based on qualitative interviews with 5 female mentors, 18 mentoring cases were reconstructed. The analysis led to the identification of four categories of concerns: 1) job starting, job changing or career advancement 2) compatibility of job and family 3) acquisition of leadership skills 4) handling a disadvantage in the career evolution due to the gender. Nine functions were observed, which the female mentors take into consideration by handling such a case. At this juncture, it became clear that they support the mentees primarily with concrete and direct advice.     

The Mindful Couple

Couples who request conjoint treatment often demonstrate relationship problems that are exacerbated by emotional reactivity. Neurobiology research has clarified the process of emotional dysregulation, and the benefit of mindful interventions in managing and preventing hyperarousal. This paper examines the mechanics of emotional dysregulation and presents a case example that demonstrates how breathing and staying in the moment were used to help de-escalate an agitated couple. Mindful interventions can be used to help couples tolerate, understand, and manage emotional states that can otherwise become destructive. These techniques are particularly useful with volatile couples, and can be used in conjunction with other therapeutic interventions.     

Weekend Work and Leisure Time With Family and Friends: Who Misses Out?

The authors explored links between weekend work and leisure time shared with partners, children, other resident/nonresident family, and friends, using the Australian Bureau of Statistics Time Use Survey 2006. Drawing a sample of employed persons (n = 3,903), they tested associations between weekend work and shared leisure time on the day of work and to see whether shared leisure time is made up on other days over the following week. Analyses were stratified by three family types: (a) couples without children, (b) couples with children, and (c) singles without children. For all groups, weekend work was associated with significantly less shared leisure time on days worked. Some weekend workers (e.g., part‐time employees, men) recouped some shared leisure time (notably with friends) over the following week, but most did not. Indeed, for some forms of shared leisure—most importantly, with partners and children—there were further negative associations on weekdays.     

Factors in educational exclusion: including the voice of the youth

The processes of educational exclusion are multiple and diverse. Research has shown that exclusion from school goes far beyond access. It is associated with crucial issues related to educational processes (belonging, recognition or representation) and results (knowledge or certificates). The objective of this article is to delve into the analysis of factors in educational exclusion, including the voice of the youth, as a key element in understanding these factors. The article begins with a literature review addressing the meaning, mechanisms and profiles of educational exclusion. It then presents qualitative fieldwork, consisting of six focus groups of young people (aged 14–24) who have been excluded from mainstream educational institutions in Barcelona, Spain. The results of the empirical analysis point to four critical elements in the process of educational exclusion as experienced by the youth: educational transitions; the role of teachers; the impact of grouping practices and disciplinary mechanisms; and the contrast between mainstream educational institutions and alternative learning arenas. By including the voice of the youth, the article provides a better understanding of the factors contributing to educational exclusion so as to advance in the construction of an educational system able to guarantee students’ right to learn and succeed in school.     

Reclaiming complexity: beneath the surface in residential child care

ABSTRACT

Residential child care is an inherently distressing and multi-layered endeavour undertaken by staff who are often poorly trained and supported. In addition, the children, and the adults who care for them, can provide a convenient receptacle for the split off negative feelings of professionals, politicians and the public. The complexity and difficulty of this work is often unrecognised and a simplistic response based on a programmatic, behavioural framework, reinforced by performance-based management and an audit culture, is common. This paper argues for the usefulness of a different approach, drawing on psychoanalytic and open systems thinking, to provide a more nuanced understanding of what is happening in these volatile settings that can guide interventions which match the complexity of the work. Alongside advocating the use of key psychoanalytic and systems concepts to improve understanding, it argues for the importance of providing a containing and reflective environment for staff.     

USE OF EXPERT RATINGS AS SAMPLING STRATA FOR A MORE COST-EFFECTIVE PROBABILITY SAMPLE OF A RARE POPULATION

We consider situations in which externally observable characteristics allow experts to quickly categorize individual households as likely or unlikely to contain a member of a rare target population. This classification can form the basis of disproportionate stratified sampling such that households classified as "unlikely" are sampled at a lower rate than those classified as "likely," thereby reducing screening costs. Design weights account for this approach and allow unbiased estimates for the target population.We demonstrate that with sensitivity and specificity of expert classification at least 70%, and ideally at least 80%, our approach can economically increase effective sample size for a rare population. We develop heuristics for implementing this approach and demonstrate that sensitivity drives design effects and screening costs whereas specificity only drives the latter. We demonstrate that the potential gains from this approach increase as the target population becomes rarer. We further show that for most applications, unlikely strata should be sampled at 1/6 to ? the rate of likely strata.This approach was applied to a survey of Cambodian immigrants in which the 82% of households rated "unlikely" were sampled at ? the rate as "likely" households, reducing screening from 9.4 to 4.0 approaches per complete. Sensitivity and specificity were 86% and 91% respectively. Weighted estimation had a design effect of 1.26 so screening costs per effective sample size were reduced 47%. We also note that in this instance, expert classification appeared to be uncorrelated with survey outcomes of interest among eligibles.     

Gender Perspective in Cross-Cultural Couples

This article explores gender perspective in clinical work with couples whose romantic choices fall across cultural, racial and religious lines. A conceptual framework is presented to track the dimensions of differences between the two partners in intercultural couples (collective vs. individualistic). The article illustrates how emotional expressiveness, continuum of autonomy, gender differentiation, and sexuality play out in intimate cross-cultural relationships. It also shows how the embedded, culturally assigned gender beliefs and roles are addressed in treatment. Examples from the author’s clinical work are presented throughout the article.