The Latinization of the Central Shenandoah Valley

Virginia is among a number of southern states in the United States, such as North Carolina, Arkansas and Georgia, which have experienced a sudden growth in Latino immigration during the past decade. Not only is the volume of growth unprecedented, but many of the destinations are new and located in rural areas. Places that have not hosted immigrant populations for generations are quickly becoming multicultural. The small city of Harrisonburg (population 43,500 according to the 2005 estimate), which is located in the rural Central Shenandoah Valley of Virginia, is perhaps the premier example of this new pattern of change. While local advertising once promoted Harrisonburg for its "99.2% American-born and 93.7% white" population, the area today holds the distinction of hosting the most diverse public school enrollment in the state (in 2006-2007), with students from 64 countries who speak 44 languages. Among them are Spanish speakers from at least 14 different countries. Drawing on social network theory, the paper examines how social networks among Latino immigrants become activated in new settlement areas. It presents a case history of the historic process of "Latinization" involving the settlement of a number of diverse Latino populations (from Mexico, Guatemala, El Salvador, Honduras, Cuba and Uruguay) in Harrisonburg and the surrounding Central Shenandoah Valley. The study demonstrates how a number of key institutions, including local agricultural industries (apples and poultry), a refugee resettlement office and churches recruited "pioneers" from these immigrant groups to the area and how "pioneers" subsequently engaged in further social network recruitment, thus creating multiple transnational "daughter communities" in the Harrisonburg area. The policy implications of this historical process are explored.     

OBJECT RELATIONS AND THE FAMILY SYSTEM IN BULIMIA: A THEORETICAL INTEGRATION

This paper presents an integration of object relations theory and family systems theory in the conceptualization of bulimia. It is based primarily on Winnicott's construct of the maternal "holding environment," and Klein's formulation of ego deficits at the level of part-object relations, as they apply to the family as a whole. We propose that in bulimic families there are transgenerational developmental deficits and adaptations which determine the level and quality of intrapsychic experience within individuals, as well as the interpersonal relationships and dynamic functioning of the larger family system.     

Men's perceptions and knowledge of human papillomavirus (HPV) infection and cervical cancer

The authors assessed young men's knowledge and perceptions of genital human papillomavirus (HPV) infection to identify factors that predict intention to make positive behavioral changes. Male university students aged 18 to 25 years completed a self-report instrument to assess knowledge and perceptions of genital HPV infection. If diagnosed with HPV, most men (95%) reported that they would use condoms with new partners. The intention to reduce number of sex partners was associated with an understanding that HPV may have severe consequences for women, whereas intention to encourage female sex partners to undergo Pap smear screening was associated with increased general knowledge of HPV infection. The authors concluded that it is important to include men in HPV education and prevention efforts, especially within the context that HPV may lead to cervical cancer in female partners.     

Remarriage in later life: older women's negotiation of power, resources and domestic labor

Using data from in-depth interviews with 24 community-dwelling women aged 52-90, this paper analyzes the remarriage experiences of older women in contrast to their first marital relationships. The women's accounts of their experiences in their first and later life marriages are examined in terms of the negotiation of power, resources, and domestic labor. While first marriages were frequently characterized by incompatibility, alcoholism, abuse, and infidelity, second marriages were viewed as the marriages the women wished they had had in the first place or as relationships that met their later life needs. The women's lived experiences are discussed in terms of the changing cultural norms pertaining to gender roles, marriage, and divorce.     

BULIMIA: THE TRANSGENERATIONAL VIEW*

Within families presenting with bulimia, there exist interactional patterns that can be said to enable, and perpetuate, the binge-eating and purging symptoms of the identified patient. A transgenerational treatment method is proposed, which not only intervenes in ongoing dysfunctional patterns, but also provides a frame for creating a therapeutic metaphor (“legacy”) to direct the therapy. Rationale and stages of the treatment process are outlined, and a case example is given to illustrate use of the transgenerational frame.     

Emergency contraceptive pills: a 10-year follow-up survey of use and experiences at college health centers in the mid-Atlantic United States

The authors conducted a 10-year follow-up study using a telephone survey to investigate the availability of emergency contraceptive pills (ECPs) at college health centers in the mid-Atlantic region of the United States. They also examined related issues, such as distribution procedure, existence of a written protocol, personnel involved, contraindications, follow-up procedures, methods of advertising, staff attitudes, changes in distribution over the past 10 years, and availability if ECPs become over-the-counter. Of the 119 completed responses, 58 schools (49%) reported distributing ECPs. The most common reasons schools listed for not distributing ECPs (n = 61, 51%) were religious convictions, understaffing, and lack of funding. Major changes in ECP distribution over the past 10 years related primarily to the number of schools distributing ECPs, protocol in ECP distribution, and advertising for ECP services.     

The impact of prison hospice: collaboration among social workers and other professionals in a criminal justice setting that promotes care for the dying

This study reports on a qualitative national telephone survey with coordinators of 14 prison hospice programs in 11 states. The rationale behind the survey was to learn about interdisciplinary collaboration between social work and criminal justice, using prison hospice as an exemplar of this collaboration. In addition to learning that all prison hospices in the study operate using an interdisciplinary team model and that most report high quality collaboration on the hospice team, the following additional five themes emerged: administrators and wardens are very supportive while correctional staff provides mixed support to team and program; greater collaboration with those outside prison hospice is critical; collaboration through prison hospice has a positive impact on dying prisoners; collaboration through prison hospice has a positive impact on prisoner volunteers; and, collaboration through prison hospice has a positive impact on the entire culture of the prison.