Evaluation of a Training to Reduce Provider Bias Toward Pregnant Patients With Substance Abuse

The objective of this article is not to present a scientific or systematic study, but to provide an initial framework for designing a training workshop to enhance health practitioners’ (nurses, social workers, physicians, etc.) knowledge regarding substance abuse treatment and to decrease their bias toward substance-abusing women, particularly pregnant women in rural communities. We incorporated the 4 Transdisciplinary Foundations from the Substance Abuse and Mental Health Services Administration Competencies Model, with specific competencies targeted that related to provider bias. After the conference, 52 of the 70 participants completed a questionnaire to self-assess knowledge level and confidence in skill related to substance abuse management. Participant mean scores were statistically significantly higher following the conference than 1 week prior (p < .001) in the area of “gender difference with substance abuse,” moving from an average of 2.6 to 4.5 on a 5-point Likert scale. Our conference was successful in increasing attendees’ knowledge about gender difference and substance abuse among pregnant patients.     

The narrative self in autobiographical accounts of illness

The paper analyzes autobiographical acounts of the experience of chronic illness and its treatment to develop a sociological theory of the self. It is suggested that ‘self’ is not a biologistic or psycologistic thing. Rather self is autobiographical narrative – hence the narrative self. It is argued that four elements constitute such narrative selves in autobiographical discourse: evaluative relationships between events in time; cosmology; power relationships; and conceptualisation of self as object.     

Social Support Networks of African-American Children Attending Head Start: A Longitudinal Investigation of Structural and Supportive Network Characteristics

This study examined the stability and coherence of African‐American children's social support networks. Participants included a total of 106 3‐ to 4‐year‐old children attending Head Start centers located in the southeast. Children completed a social network interview in two consecutive years at the Head Start centers. These interviews tapped multiple dimensions of the support network including social embeddedness, proportion of the network providing support, and perceived support. Analyses focused on both the rank‐order stability of children with respect to network characteristics as well as stability of network relationships (the same individuals included in the network at both time periods). Results indicated age‐related increases in network size for adult and child categories, network size across three support domains, proportion of support scores, and perceived support from adults. In addition to age‐related changes, analyses revealed considerable rank‐order stability with respect to structural network dimensions, but very little rank‐order stability in proportion of support and perceived support scores. In contrast, both structural and supportive components of the children's networks were shown to be coherent over a one‐year period when specific network member relationships were examined. Discussion highlights both continuities and discontinuities in young children's social networks, and how data obtained in this study contribute to theory building and the systematic examination of African‐American children's emerging social networks.     

The Bordes-LeBreton exceptional case

Bordes and LeBreton have found a set D of weak orderings of X that includes all linear (strong) orderings of X but where there exists a social welfare function f on D ^N satisfying all of Arrow's (non-domain) conditions. In this paper we characterize all such D and f possibilities.     

Of Sex and Romance: Late Adolescent Relationships and Young Adult Union Formation

To better understand the social factors that influence the diverse pathways to family formation young adults experience today, this research investigates the association between opposite‐gender relationships during late adolescence and union formation in early adulthood. Using data from the first and third waves of the Add Health (n= 4,911), we show that, for both men and women, there is continuity between adolescent and adult relationship experiences. Those involved in adolescent romantic relationships at the end of high school are more likely to marry and to cohabit in early adulthood. Moreover, involvement in a nonromantic sexual relationship is positively associated with cohabitation, but not marriage. We conclude that the precursors to union formation patterns in adulthood are observable in adolescence.     

Containing Violence: A Case Study Illustration of Bion's Container-Contained Model as Applied to Mother–Infant Intervention

Secure Beginnings is a program of psychotherapy for pregnant women with potential problems in the formation of the parent–child relationship including, in the extreme, infant maltreatment. The core of the therapeutic process is to help the mother recognize and think through unbearable thoughts and feelings rather than project expectations of abandonment, hate, helplessness or ridicule into her infant. Case material, from 18 months of treatment, is used to illustrate the Secure Beginnings approach. The case is a mother with psychosis and addiction who lost nine previous children to foster care.     

Political correctness and multiculturalism: Who supports PC?

What is the nature and content of political correctness and multiculturalism? Are both these movements solely products of left-wing politics masquerading as an effort to create more racial, sexual, ethnic, and religious diversity throughout social institutions in the name of fairness and equity or are these movements addressing legitimate concerns about tolerance and equality? What of right-wing allegations that information used by proponents of these two movements is biased? What are the social and political implications of these movements and the relationship between economics and multiculturalism? Finally, why is there such controversy surrounding these movements, and who is in fact the opposition? These are some of the questions addressed in this essay.