An Empirical Model of Perceived Mortality Risks for Selected U.S. Arsenic Hot Spots

Researchers have long recognized that subjective perceptions of risk are better predictors of choices over risky outcomes than science‐based or experts’ assessments of risk. More recent work suggests that uncertainty about risks also plays a role in predicting choices and behavior. In this article, we develop and estimate a formal model for an individual's perceived health risks associated with arsenic contamination of his or her drinking water. The modeling approach treats risk as a random variable, with an estimable probability distribution whose variance reflects uncertainty. The model we estimate uses data collected from a survey given to a sample of people living in arsenic‐prone areas in the United States. The findings from this article support the fact that scientific information is essential to explaining the mortality rate perceived by the individuals, but uncertainty about the probability remains significant.     

Impact of Empowerment Training on the Professional Work of Family Peer Advocates

A pilot study using a prospective design examined the impact of a collaboratively developed training model, called the Parent Empowerment Program (PEP), for professionally-employed family peer advocates who work with caregivers of children with mental health needs. This training used a combination of didactic, practice exercises, and group discussion. It targeted specific mental health knowledge content and collaborative skills to facilitate the work of family peer advocates in empowering caregivers. Co-delivered by a family peer advocate and clinician, the training consisted of a 40-hour face-to-face training, followed by six monthly face-to-face booster sessions. A total of 15 advocates participated in assessments conducted at baseline and post-training. This group of experienced family peer advocates showed no significant increase in knowledge about mental health content, but post-training assessments indicated increased collaborative skills and mental health services self-efficacy. This initial evaluation has implications for expanding training and support for the emergent workforce of professionally-employed family peer advocates in children's mental health.     

GENDER AND THE HEALTH BENEFITS OF EDUCATION

Does education improve health more for one sex than the other? We develop a theory of resource substitution which implies that education improves health more for women than men. Data from a 1995 survey of U.S. adults with follow‐ups in 1998 and 2001 support the hypothesis. Physical impairment decreases more for women than for men as the level of education increases. The gender gap in impairment essentially disappears among people with a college degree. Latent growth SEM vectors also show that among the college educated, men's and women's life course patterns of physical impairment do not differ significantly.     

Symbols Build Communication and Thought: The Role of Gestures and Words in the Development of Engagement Skills and Social‐emotional Concepts during Toddlerhood

Social skills and symbol skills are positively associated in middle childhood, but the relation between these domains is less clear in newly verbal toddlers. Vygotsky proposed that symbols are both tools for interaction and mental tools for thought. Do symbols help even very young children build skills for interacting with and conceptualizing the social world? Longitudinal data from 108 children and mothers were collected when children were 14, 24, and 36 months. Children's gestures and words during mother–child interactions were used as symbol skill indicators to predict children's abilities to engage others and the number of social‐emotional concepts children portray during play. In a series of growth models, words had a stronger effect on engagement skills whereas early gesture use predicted later development of social‐emotional concepts. Therefore, even in early development, symbols serve as both communication tools and mental tools to construct understanding of the social‐emotional world.     

The Relationship of Practice Beliefs and Practice Behaviors among Social Workers with Lesbian and Gay Clients

This study explores the levels of beliefs about practice and practice behaviors with lesbian and gay clients among social work practitioners in a medical setting. The Gay Affirmative Practice scale was utilized to measure the levels of gay affirmative practice beliefs and practice behaviors among the sample surveyed. The relationship of practice beliefs and practice behaviors is explored and reveals that practice beliefs are significant to practice behaviors with lesbian and gay individuals. The results identify variables that contribute to practice beliefs and practice behaviors.     

Engendering Global Democracy

The inadequacies of hegemonic liberal democratic ideas and institutions have been exposed by feminist theorists focusing on the marginalisation of women and by global theorists examining the impact of globalisation. These theorists have developed two distinct sets of reconstructive strategies that, until very recently, have remained in ignorance of each other. Further, both feminist and global democratic schemes have been dogged by problems in terms of their theorisation of power, politics, agency and change. Recent feminist arguments about citizenship and governance go some way to bringing together concerns about gender inequality and globalisation, but they remain centred on states and the states-system as vehicles for democratic representation and participation. This article argues that a more radical reconstructive strategy can be derived from debates about the democratisation of feminism itself. Drawing on the responses of black and third world feminists to racism in the white-dominated feminist movement, and examining their influence on efforts to organise transnationally, the article points to innovative ways of thinking about power, politics, agency and change. Together these amount to a democratic framework which has applicability beyond feminist organising and which confronts the marginalisations of both gender and globalisation.     

Preschoolers' Bistrategic Resource Control,Reconciliation, and Peer Regard

Bistrategic resource control entails using both coercive and prosocial strategies in competition for resources. The present study sought to clarify whether bistrategic involves more than simply using both strategies some of the time. Examining 88 preschoolers' coercion and prosociality over an entire school year, results showed that coercive resource control was used most frequently at the start of the school year, presumably to access resources and establish social dominance. Rates of prosocial resource control increased over the school year, and socially dominant preschoolers showed higher rates compared with peers, presumably to maintain resource control while keeping peers as allies. Socially dominant preschoolers also used reconciliation more often than peers, resulting in higher rates of affiliation between former competitors and more positive peer regard from fall to spring. Findings are discussed in terms of resource control theory and the importance of situating social behaviors within the behavioral and relationship context in which they are embedded.     

Implementing a Multidimensional Poverty Measure Using Mixed Methods and a Participatory Framework

Recently, there have been advances in the development of multidimensional poverty measures. Work is needed however on how to implement such measures. This paper deals with the process of selecting dimensions and setting weights in multidimensional poverty measurement using qualitative and quantitative methods in a participatory framework. We estimate the multidimensional poverty measures developed by Alkire and Foster for a particular group: persons with psychiatric diagnoses in the United States. To select relevant dimensions and their relative ordering, two discussion groups are convened: one consisting of persons with lived-experience expertise and the other consisting of people with mental health service provision or research expertise. Several methods are used to convert dimension rankings into weights. The selection and ordering of dimensions differed between the two discussion groups, as did the resulting poverty measures. For instance, the poverty headcount using the dimensions and weights of the ‘lived experience’ group ranged from 20.61 to 26.96% as compared to a range of 18.62–33.19% using those of the ‘provider/researcher’ group. One of the main results of this study is that the Alkire Foster method is sensitive to the selection of dimensions and the methods used to derive rankings and weights. It points toward the limitation of relying exclusively on small scale qualitative methods for the selection and ranking of dimensions. In addition, the participatory framework used in this study was found to be essential in interpreting results, in particular with respect to the limitations of the data set in measuring relevant dimensions.     

Gift Giving, Identity, and Transformation: The AIDS Memorial Quilt

Those who have originated the AIDS Memorial Quilt have often referred to it as a gift. In this essay, the author discusses theories related to gift giving to discuss the quilt and its constructed effects for those who experience it as a gift. In particular, Weiner's notion of inalienable possessions is highlighted to address how the quilt, as a gift that is kept inalienable from its original creators, maintains historical identity and immortality for its originators, many of whom are gay and bisexual men. Also, Hyde's notion of erotic gifts is presented to consider the quilt's ability to draw people together, create feeling-bonds among them, and affect their transformation.