RIVERINE CROSSINGS: GENDER,IDENTITY AND THE RECONSTRUCTION OF NATIONAL MYTHIC NARRATIVE IN THE CRYING GAME

The Crying Game's central, tragic theme of warrior/lovers caught between their love for one another and loyalty to their respective factions has significant roots in early Celtic mythology. The elegaic theme of potential lovers forced into ill-fated combat that frames the film's events also, significantly, bears the weight of the film's most unambiguous political commentary, when Fergus speaks directly to the picture of Jody in Dil's apartment, telling him: ‘You should have stayed at home.’ This sad remonstration, which clearly lays responsibility for the chain of causality that has led to so much suffering not with Jody, but with the British state, is similar in quality to Cu Chulainn's lament as he contemplates his meeting with Ferdia. When we listen carefully for ways in which Celtic mythical themes underlie and nuance the film's events, different rhythms emerge, accenting different beats.     

“It's About Us”: Marital Adjustment and Marital Adaptation in Couples Who Adopt Children From the Child Welfare System

This article examines, using grounded theory methodology, the marital relationships of couples who adopted children from the child welfare system. Twenty-two spouses in four focus groups reported initial marital adjustment that featured husbands' support of their wives' initiation of adoption and management of child needs. About one half of these couples also developed time together and mutual influence to achieve a state of marital adaptation characterized by deeper intimate connection. Professionals are encouraged to understand the potential course of development of these marital relationships and to integrate attention to marital development into service throughout the entire adoption process.     

Abuse and Parental Characteristics,Attributions of Blame,and Psychological Adjustment in Adult Survivors of Child Sexual Abuse

The purpose of this study was to examine the influence of abuse and parental characteristics on attributional content and determine the relative contribution of different attributions of blame in predicting psychological symptomatology among adult survivors of childhood sexual abuse. One hundred eighty-three female undergraduates with a history of childhood sexual abuse completed self-report questionnaires. Abuse characteristics were significantly related to attributions. Family- and perpetrator-blame accounted for significant variability in psychological symptomatology, beyond the contributions of abuse characteristics, family environment, and self-blame. Implications for research and treatment are discussed.     

Validating New Measures of the Fear of Crime

This study assesses the scaling properties of some new measures of the fear of crime. The new conceptualization—a range of distinct but related constructs that constitute the fear of crime—comprises the interplay between emotion, risk perception and environmental perception. Data from a small‐scale survey are analysed using confirmatory factor analysis showing good scaling properties of the multiple indicators. Two implications of the new conceptualization for the rationality of the fear of crime are discussed. First, perceptions of the risk of crime seem to be a product of how individuals make sense of their social and physical environment. Second, the fear of crime may constitute such evaluations of community cohesion and moral consensus as well as specific experiences of ‘fear’ of ‘crime’—a way of seeing as well as a way of feeling. The conclusions consider ramifications for the rationality of the fear of crime, particularly in the context of reassurance policing in England and Wales.     

A Rapid Review of Sexual Wellbeing Definitions and Measures: Should We Now Include Sexual Wellbeing Freedom?

An increasing number of studies refer to sexual wellbeing and/or seek to measure it, and the term appears across various policy documents, including sexual health frameworks in the UK. We conducted a rapid review to determine how sexual wellbeing has been defined, qualitatively explored and quantitatively measured. Eligible studies selected for inclusion from OVID Medline, PsychInfo, PubMed, Embase, CINAHL were: in English language, published after 2007, were peer-reviewed full articles, focused on sexual wellbeing (or proxies for, e.g. satisfaction, function), and quantitatively or qualitatively assessed sexual wellbeing. We included studies with participants aged 16–65. Given study heterogeneity, our synthesis and findings are reported using a narrative approach. We identified 162 papers, of which 10 offered a definition of sexual wellbeing. Drawing upon a socio-ecological model, we categorised the 59 dimensions we identified from studies under three main domains: cognitive-affect (31 dimensions); inter-personal (22 dimensions); and socio-cultural (6 dimensions). Only 11 papers were categorised under the socio-cultural domain, commonly focusing on gender inequalities or stigma. We discuss the importance of conceptualising sexual wellbeing as individually experienced but socially and structurally influenced, including assessing sexual wellbeing freedom: a person’s freedom to achieve sexual wellbeing, or their real opportunities and liberties.     

Exploring the ethics of treatments for depression: The ethics of care perspective

This article explores the ethics of current treatments for depression through the lenses of social work values and ethics. As a vehicle for analysis, the approach associated with ethics of care will be utilized. Particular attention is paid to ethical dilemmas in the treatment of depression under the auspices of managed care companies. A case example is presented to help social workers understand these dilemmas in the context of practice. Adopting an ethics of care perspective would mandate that social workers become more politically active, and work toward integrating direct and indirect practice approaches in treating people who suffer from depression and similar problems.     

Citizenship Consciousness,Nonbounded Solidarity,and Social Justice

This article analyzes the concepts of bounded and nonbounded solidarity. It first reviews some fundamental propositions from the sociological literature and then looks at Amnesty International's conception of solidarity. A third part discusses solidarity as it applies to social work with groups. The conclusion raises five questions social workers need to address to make social justice a standard part of social group work theory and practice.     

Regional cultures and health outcomes: Implications for performance measurement,public health and policy

The U.S. Medicare program now ties payment to health care providers based on their patients’ outcomes. This change comes as compilations of data on geographic variations in health outcomes and quality of care indicate patterns that appear to be deeply ingrained. This study explores whether cultural characteristics correlate with health outcomes such that quality indicators may be measuring something other than quality of care, and whether regional subcultures have a significant impact on public health. It concludes that two cultural dimensions, social capital and traditional/rational-secularism, which explain a sufficient proportion of outcome variations to cast doubt as to whether outcome measures capture provider quality. Correlations are explored between American regional subcultures identified by Joel Lieske and the variation in health outcomes. In a multidimensional analysis of Lieske's typology, results indicate that certain U.S. subpopulations have cultural advantages or disadvantages relating to health.     

Increasing walking in college students using a pedometer intervention: differences according to body mass index

Objective: The researchers assessed the effectiveness of a pedometer intervention and differences in walking behaviors according to body mass index (BMI). Participants: Two hundred ninety college students completed the intervention from January to February 2005. Methods: Participants wore pedometers 5 days per week for 12 weeks and completed questionnaires assessing demographic information. The authors calculated daily step averages for weeks 1, 6, and 12. They then classified students as underweight (UW), normal weight (NW), or overweight/obese, by BMI. The authors analyzed data using repeated-measures analysis of variance. Results: The average number of daily steps increased from week 1 to week 6 (p < .001) and week 12 (p = .002). UW participants reported the fewest steps at each time point, but the difference was significant only when compared with NW participants (p = .03). Conclusions: These results support the effectiveness of a pedometer intervention to increase walking in college students. Health benefits other than weight management should be emphasized to maximize the effects for all students.     

Gender differences in cardiovascular disease prevention

Risk factors are generally shared between men and women with the major differences being hormonal. Nine modifiable risk factors account for over 90% of the risk of a coronary event in men and women--smoking, hypertension, hyperlipidaemia, diabetes, abdominal obesity, lack of exercise, alcohol excess, reduced intake of fruit and vegetables, and psychosocial issues. Approximately half the decline in deaths from coronary heart disease (CHD), between 1980 and 2000, can be attributed to a reduction in the major risk factors and the other half to the use of evidence-based management. As educational efforts to increase awareness of cardiovascular disease (not cancer) to be the leading cause of death and disability in women are also associated with preventative action, it is important that health-care professionals educate themselves about CHD in women and communicate with women themselves, so that women can come forward for advice and evaluation.