Working with communities: critical perspectives

Schools are often an entry point for offering psychosocial interventions to communities following disasters. However, teachers often lack skills to facilitate classroom activities that can address post-traumatic symptoms. Further, they are not trained in mental health and they themselves have been traumatised. A solution is to provide teachers with an intervention protocol to be used in the typical classroom. As an alternative to traditional counselling, holistic interventions can alleviate traumatic symptoms, while promoting personal wellness and community development. A method for offering both expressive arts and integrated body-mind-spirit approaches is offered with reference to the 2008 Wenchuan earthquake in China.     

Gambling Participation and Problem Gambling Severity among Rural and Peri-Urban Poor South African Adults in KwaZulu-Natal

Poor South Africans are significantly poorer and have lower employment rates than the subjects of most published research on gambling prevalence and problem gambling. Some existing work suggests relationships between gambling activity (including severity of risk for problem gambling), income, employment status and casino proximity. The objective of the study reported here is to establish the prevalence of gambling, including at risk and pathological gambling, and the profile of gambling activities in two samples of poor South African adults living in a rural and a peri-urban community. A total of 300 (150 male, 150 female) adults in KwaZulu-Natal, South Africa in communities selected using census data, completed the Problem Gambling Severity Index and a survey of socioeconomic and household information, and of gambling knowledge and activity. It was found that gambling was common, and—except for lottery participation—mostly informal or unlicensed. Significant differences between rural and peri-urban populations were found. Peri-urban subjects were slightly less poor, and gambled more and on a different and wider range of activities. Problem and at risk gamblers were disproportionately represented among the more urbanised. Casino proximity appeared largely irrelevant to gambling activity.     

Epidemiology of Partner Abuse Within Military Families

Partner abuse (PA) is a public health problem that affects a significant number of families. Experiencing PA places victims at risk for a variety of negative outcomes, including substance use or abuse, depression, post-traumatic stress disorder, and, in extreme cases, permanent injury or death. Furthermore, children who are exposed to PA are at risk for problems in the areas of cognitive functioning, self-esteem, psychological and emotional well‐being, interpersonal relationships, and behavior. Most of what is known about PA has accrued through studies of civilian families. In this article, the authors report the results of an in depth review of the epidemiology of PA in each branch of the military. Results revealed that most studies of the military have been conducted with Army families. Rates of nonclinically significant PA are higher in military samples than civilian samples. Men and women connected to the military engage in rates of mild to moderate PA at similar rates. Males in the military engage in more violent PA than do women. These findings are discussed within a prevention and risk/resilience framework. Practical suggestions for clinicians working with military personnel and families and ideas for future research are provided.     

Life becoming body: On the ‘meaning’ of post human evolution

Abstract

In this essay I contest the view that evolution can be conceived as a cosmic entity working out a plan of increasing negentropic complexification. The problems associated with this view, characteristic of a great deal of contemporary speculation, are outlined in section I. In section II I go on to further problematise current constructions of technics and machines and provide an alternative ‘machinic’ model of the play of entropy and evolution. In section III I examine the aesthetic praxis of Stelarc as a site in which the ‘meaning’ of post‐human evolution can be productively contested and illuminated.     

Caregiving Load and Respite Service Use: A Comparison between Older Caregivers and Younger Caregivers

Study aims were to explore differences in predictors of respite care use between older (aged 65+) and younger caregivers (aged 18–64 years), and associations between caregiving load and respite care use using multivariate logistic regression analysis and unpaid caregiver (n= 10,500) data from the 2009 California Health Interview Survey. Caregiving load comprised number of care recipients, weekly hours in caregiving, and caregiving duration. Variables with a significant association with respite care for older caregivers were female gender, income, and health insurance. For younger caregivers, respite care use associations were with ethnicity, caregiving relationship, education, and availability of substitute help.     

Jane's Jealousy: A Narrative Analysis of Emotion Experience in Its Social Context

This article provides a narrative analysis of one written account of jealousy. The analysis assumes the importance of cultural, historical, and social context in making sense of the experience of jealousy. Our analysis was organized around the positioning triad of story line, positioning, and social acts. We were particularly guided by a structural Labovian (1972) approach to the basic story line. The story we examined was chosen for its useful illustration of three subject positions: victim, avenger, and outsider. The analysis highlights the way in which jealousy is constituted through a sequential unfolding of events that are made meaningful within the context of local mores, adolescent romance, and revenge.     

Comparing the health status of low-income children in and out of foster care

Children in foster care face poverty, family dysfunction, neglect, and abuse, with high rates of chronic health, emotional, and developmental problems. This study compared the overall health status of a group of children entering foster care with a group of Medicaid-eligible children living with their parents, matched for age and gender. It identified significantly more health and developmental problems in children in foster care than in the comparison group. Possible contributors to the higher percentage of problems among foster care children may be that the foster children have more problems related to the underlying risk factors resulting in placement, or that the foster care physicians conducted a more comprehensive assessment or had lower clinical thresholds. Further research is necessary to identify and treat the problems of this high-risk group.     

Play Therapy: A Paradigm for Work with Families*

The dream-like, open-ended process of play therapy has much in common with the family therapy style of the authors. This paper provides a partial list of similarities between play therapy and family therapy. It reviews methods for using play with families and considers the question of indications and contraindications for play therapy with families. Clinical examples are utilized to illustrate throughout the paper.     

The current differential in black and white life expectancy

The 1980 National Center for Health Statistics life tables for the U.S. black and white populations reveal a difference in life expectancy of 7 years between black and white males and 6 years between black and white females. Using cause-substituted life tables, we show that a number of causes of death contribute to the difference. The largest contributors are cardiovascular disease for both sexes and homicide and cancer for males.