Policy and practices relating to the active engagement of older people in the community: a comparison of Sweden and Australia

This article compares policy and practices for engaging older people in community life in Sweden and Australia. Barriers and support for active engagement through paid work, social activism, volunteering and aged services are compared. Both countries face issues of ageing populations, services for rural areas and people with small needs. Issues for Sweden were the absence of age discrimination legislation, availability of funds and lack of recognition of the growing levels of volunteering. Issues for Australia concerned the new managerialist approach to services, with associated complexities of access and limited social activism.     

How common is intersex? a response to Anne Fausto-Sterling

Anne Fausto-Sterling s suggestion that the prevalence of intersex might be as high as 1.7% has attracted wide attention in both the scholarly press and the popular media. Many reviewers are not aware that this figure includes conditions which most clinicians do not recognize as intersex, such as Klinefelter syndrome, Turner syndrome, and late-onset adrenal hyperplasia. If the term intersex is to retain any meaning, the term should be restricted to those conditions in which chromosomal sex is inconsistent with phenotypic sex, or in which the phenotype is not classifiable as either male or female. Applying this more precise definition, the true prevalence of intersex is seen to be about 0.018%, almost 100 times lower than Fausto-Sterling s estimate of 1.7%.     

ICONOCLASM VERSUS INNOVATION: BUILDING A SCIENCE OF FAMILY THERAPY-COMMENTS ON MOON, DILLON, AND SPRENKLE

We dispute Moon, Dillon, and Sprenkle's (1990) claims regarding the unique advantages of qualitative methods and inherent limitations of traditional quantitative approaches for addressing the needs of family therapy research. We support the role of qualitative research as a generative phase in theory development and concur that exclusive allegiance to a standard set of research methods may limit our attention to important family therapy processes. However, we also assert the need to document generalizability of informal observations through controlled procedures using appropriate quantitative techniques. Both ethical and practical considerations demand that we document treatment efficacy based on a science of family therapy.     

Orthostatic hypotension: a potential side effect of psychiatric medications.

1. Orthostatic hypotension is a major underrecognized side effect of antipsychotic and antidepressant medications. It has been associated with falls, fractures, and lacerations, particularly in the elderly. 2. Orthostatic vital signs need to be routinely measured in patients susceptible to orthostasis. A standardized procedure should be available and must include a stable baseline measurement in the supine position at 30 seconds and 2 minutes in the sitting or standing position. 3. Measures to counteract orthostasis include nutrition/hydration assessment, environmental safety, and patient teaching.     

The Correlates of Religiosity Among Black and White Americans*

This paper explores the correlates of religiosity among blacks and whites, asking two questions: (1) Is the relationship between SES and religious attendance the same for both races? (2) What factors best predict church attendance among both races? The findings show that (1) SES is positively related to religious participation among whites; (2) the best non-religious predictors of attendance across all denominations and churches studied are SES and age; (3) including a measure of religious belief greatly increases the explanatory power of a predictive model; but (4) the relationship between SES and attendance varies by denomination and church among blacks.