Lesbian Health Care: Women's Experiences and the Role for Social Work

ABSTRACT

Lesbian patients and their families may be exposed to discriminatory practices in the health care system. This qualitative study of 57 Midwestern lesbian parents used open- and closed-ended questions to examine the experiences the respondents had with their primary and secondary health care providers. Four themes emerged from the data: systemic barriers to health care, coming out to providers, seeking lesbian, gay, bisexual, and transgender-friendly health care providers, and concern about mistreatment and prejudice within the health care system. Implications for service delivery, health care education, and directions in policy and research are explored.     

北美的妇女学研究

这是一篇对于北美妇女学专业总体特征的概述。妇女学专业发源于60年代末的女权主义运动并在北美的大多数大学中得到发展,目前已达到上百个。除了具有传统的高教专业的特点之外,这些多学科交叉性的专业以其勇于揭示和论证妇女在各个知识领域以及社会实践中的贡献,置疑既定的知识体系,呼吁女性的平等权力和改善妇女的社会地位而独具特点。赋予这些专业以生命活力的种种思考反映着女权运动的各种倾向。寻求性别平等、视性别为具有不同利益的社会阶层、强调性别之间的差别,根据这种差异性,女性拥有其独特的文化,它的融入将促进社会中人际关系的改善。     

A Little Creativity Goes a Long Way: An Examination of Teams’ Engagement in Creative Processes

Using surveys and interview data this research examines teams’ engagement in creative processes. Results of cluster analysis indicated that the more creative teams were those that perceived that their tasks required high levels of creativity, were working on jobs with high task interdependence, were high on shared goals, valued participative problem-solving, and had a climate supportive of creativity. In addition, members of the more creative teams spent more time socializing with each other and had moderate amounts of organizational tenure. Implications for management are discussed.     

Migrant Parents and the Psychological Well-Being of Left-Behind Children in Southeast Asia

Several million children currently live in transnational families, yet little is known about impacts on their health. We investigated the psychological well-being of left-behind children in four Southeast Asian countries. Data were drawn from the CHAMPSEA study. Caregiver reports from the Strengths and Difficulties Questionnaire (SDQ) were used to examine differences among children under age 12 by the migration status of their household (N = 3,876). We found no general pattern across the four study countries: Indonesia, the Philippines, Thailand, and Vietnam. Multivariate models showed that children of migrant fathers in Indonesia and Thailand are more likely to have poor psychological well-being, compared to children in nonmigrant households. This finding was not replicated for the Philippines or Vietnam. The paper concludes by arguing for more contextualized understandings.     

Power Structure and Profitability in Assembly Supply Chains

This paper studies the impact of supply chain power structure on firms' profitability in an assembly system with one assembler and two suppliers. Two power regimes are investigated—in a Single Power Regime, a more powerful firm acts as the Stackelberg leader to decide the wholesale price but not the quantity whereas in a Dual Power Regime, both the price and quantity decisions are granted to the more powerful firm. Tallying the power positions of the three firms, for each power regime we study three power structures and investigate the system's as well as the firms' preference of power. We find that when the assembler is the most powerful firm among the three, the system‐wide profit is the highest and so is the assembler's profit. The more interesting finding is that, if the assembler is not the most powerful player in the system, more power does not necessarily guarantee her a higher profit. Similarly, a supplier's profit can also decrease with the power he has. These results contrast with the conclusion for serial systems, where a firm always prefers more power. We also find that when both suppliers are more (less) powerful than the assembler, it can be beneficial (indifferent) for everyone if the two suppliers merge into a mega supplier to make decisions jointly. When the assembler is more powerful than one supplier and less so than the other, it is always better for the system to have the two suppliers merge, and for each individual firm, merging is preferred if the firm becomes the more powerful party after merging.     

Social Legislation For The Reproductive Technologies

The reproductive technologies, particularly IVF, have proved a continuing source of community disquiet Despite numerous attempts in many countries to frame appropriate regulations, a community consensus has not been achieved. This failure is due to the medical control of the reproductive technologies, whereas the contentious issues are in fact social. The argument of this paper is that we already have regulatory procedures which are suited to the control of the social aspects of these technologies in the current legislation covering adoption and rights of parenthood.     

Culture and context: exploring attributions and caregiving approaches of parents of children with an intellectual disability in urban India

We utilized a sociocultural lens and a qualitative approach to examine causal attributions and caregiving approaches of parents of children with an intellectual disability in a mid‐sized Indian city. Sixteen mothers and three fathers participated in a semi‐structured interview. Findings elucidate participants' active processing of the cause of their child's intellectual disability. They seemed to simultaneously draw upon religious, biological and situational factors to construct an explanation. As far as caregiving approaches, most parents reported moving away gradually from mainstream medicine to alternative medicine and physiotherapy and from regular education settings to special schools. The themes highlight the role of sociocultural factors and also cross‐cultural similarities in parental causal attributions and caregiving approach. The findings are discussed in the context of implications for social work practice and policy in India.