A Comparison of Actual and Perceived Sexual Risk Among Older Adults

Sexual risk among older adults (OAs) is prevalent, though little is known about the accuracy of sexual risk perceptions. Thus, the aim was to determine the accuracy of sexual risk perceptions among OAs by examining concordance between self-reported sexual risk behaviors and perceived risk. Data on OAs aged 50 to 92 were collected via Amazon.com’s Mechanical Turk. Frequency of sexual risk behaviors (past six months) were reported along with perceived risk, namely, sexually transmitted infection (STI) susceptibility. Accuracy categories (accurate, underestimated, overestimated) were established based on dis/concordance between risk levels (low, moderate, high) and perceived risk (not susceptible, somewhat susceptible, very susceptible). Approximately half of the sample reported engaging in vaginal (49%) and/or oral sex (43%) without a condom in the past six months. However, approximately two-thirds of the sample indicated they were “not susceptible” to STIs. No relationship was found between risk behaviors and risk perceptions, and approximately half (48.1%) of OAs in the sample underestimated their risk. Accuracy was found to decrease as sexual risk level increased, with 93.1% of high-risk OAs underestimating their risk. Several sexual risk behaviors are prevalent among OAs, particularly men. However, perception of risk is often inaccurate and warrants attention.     

The Banks Set in Infinite Spaces

I provide a definition of the Banks set, or set of sophisticated voting outcomes, over an infinite policy space and when individual preferences are weak. I also show that the Banks set is a subset of one definition of the uncovered set, but not another. The interpretation of the Banks set in this setting differs from Banks’s original interpretation in the implicit role of the agenda setter. In addition, a characterization of the Banks set is provided for a three-player game of distributive politics. In this special setting, the Banks set and all definitions of the uncovered set have full measure over the space of alternatives.     

“At My Age … ”: Defining Sexual Wellness in Mid- and Later Life

Sexual wellness is integral to quality of life across the life span, despite ageist stereotypes suggesting sexual expression ends at midlife. However, conceptualizing sexual wellness in mid- and later life is complicated by a dysfunction-based narrative, lack of a sex-positive aging framework, and existing measures that are age irrelevant and limited in scope. This study aimed to address these limitations by providing a conceptualization of sexual wellness grounded in definitions from midlife and older adults. A sample of 373 midlife and older adults (M = 60, SD = 5.84) in the United States provided a definition of sexual wellness. Using thematic analysis, multiple researchers coded qualitative responses, and results suggested a biopsychosocial-cultural framework. Findings reflect that midlife and older adults provide multifaceted definitions inclusive of various behavioral experiences, including disengaging from sex. They are also keenly aware of physical and psychological limitations and strengths, and emphasize mutual experiences and synchronicity. Midlife and older adults also reflect on age, drawing comparisons to different phases of life and often displaying adaptability in adjusting expectations. When conceptualizing sexual wellness in this population it is imperative to capture this multidimensionality, include those who are not actively engaging in sex, and be aware of the influence of ageist and dys/function narratives.     

The Caring Experience: Learning about Community Care through Spending 24 Hours with People Who Use Services and Family Carers

This paper describes a teaching and learning initiative developed in a UK social work programme that has involved carers, service users, academic social work staff and practitioners. Post‐graduate student social workers spend 24 hours in agreed periods with family carers or people who use social work services. The paper explains the origins of this initiative, rooted in a model of service user and carer involvement established over a number of years within the social work programme at the University of Dundee, Scotland. The development of this teaching and learning method is outlined and an account is given by a family carer describing their experience of being involved in the programme. Findings from the evaluation of this first year of operation are reported.     

Who Enrolls in Teen Parent Education Programs? An Emphasis on Personal and Familial Characteristics and Services Received

This study describes personal and familial characteristics of 58 teenage mothers enrolled in Mama Club, a free community-based teen parent education program. It also identifies types of services and support participants received and program elements perceived to be important for attending Mama Club. Most participants were raised single-parent households (55.0 %), reported having mothers who were teenage parents (64.8 %), were impoverished (86.0 %), not enrolled in school (54.5 %), and unemployed (81.8 %). Participants primarily received assistance from Medicaid (86.5 %), Food Stamps (67.3 %), and family members (40.0 %); only 5.5 % received money from their child’s father. Teen parent education programs should educate parenting teenagers about available assistance programs and involve diverse community partners to establish a seamless referral system.     

Social Support,Caregiver Burden,and Life Satisfaction in a Sample of Rural African American and White Caregivers of Older Persons With Dementia

This article reports the findings of a study of African American and White dementia caregivers (n = 141) living in rural areas of Alabama that examined the relations between the participants' receipt of informal social support, and their levels of caregiver burden and life satisfaction. The sample, as a whole, reported high levels of social support with no reported differences in social support by race. Female caregivers reported higher mean scores on 3 of the 4 dimensions of social support than their male counterparts. Two of the 4 dimensions of social support accounted for 32% of the variance of the caregivers' reported level of life satisfaction.     

“She foreswore her womanhood”: Psychoanalytic views of female homosexuality

Just as in early psychoanalytic views of female sexual development women's sexual anatomy, psychic development, and object relations were seen relative to male norms and found wanting, in much of psychoanalytic thinking the sexual and psychic development of women in lesbian relationships are seen relative to heterosexual women and found lacking. Various etiological explanations of female homosexuality attempt to isolate a particular developmental arrest or disorder characteristic of female homosexual relations. This paper reviews the major psychoanalytic formulations of female homosexuality and discusses them in terms of two phallocentric assumptions: 1.) A woman who loves a woman must be a man, or be like a man, or must want to be a man; and 2.) A relationship between two women must always remain incomplete compared to the complementarity assumed in a heterosexual relationship. Increased understanding of the sexual desires and experience of women in lesbian relationships would contribute to expanded perspectives about female sexuality and development. The paper offers two paradigms for thinking about homosexual object choice which are not based on analogies to pathological conditions.If you don't know the kind of person I am and I don't know the kind of person you are a pattern that others made may prevail in the world and following the wrong god home we may miss our star. from A Ritual to Read to Each Other, William Stafford