Understanding the Challenges to Providing Disabilities Services and Rehabilitation in Rural Alaska: Where Do We Go From Here?

American Indians/Alaska Natives (AI/AN) suffer from some of the highest rates of health and mental health-related disabilities. Despite high rates of disabilities experienced among this population, services available to treat the disabilities are extremely limited, especially within the rural Alaska context. Additionally, limited research exists regarding the perceived barriers to receiving disability services, the importance of treating disabilities within one's own community, and individual and community-level strengths that exist to help cope with the lack of services. This article attempts to bring awareness to these issues, as well as propose tangible solutions to help mitigate the barriers.     

Making Sense of Muscle: The Body Experiences of Collegiate Women Athletes*

Using ethnographic research, this paper explores the experiences of elite women athletes on a Division‐I college soccer team. I draw on existing literature in the sociology of sport, sociology of the body, and interactionism to inform my analysis. With this approach, I illustrate the complicated relationship women athletes have with their bodies in relation to physical competition and dominant notions of femininity today. Key reference groups influenced the players’ self‐perceptions and encouraged the women to closely monitor their own appearances and actions. While undoubtedly affected by these inter‐actions as well as their place in the gender hierarchy, many women athletes subtly resisted notions of idealized bodies and constructed their own meanings about their bodies and experiences. Investigating the day‐to‐day body awareness and negotiations of women athletes reveals the gendered nuances of sport and the complicated relationship between cultural ideals and female embodiment.     

“They are the reason I come to work”: The meaning of resident–staff relationships in assisted living

This article aims to provide understanding of how direct care workers (DCWs) in assisted living facilities (ALFs) interpret their relationships with residents and to identify factors that influence the development, maintenance, quality, and meaning of these relationships. Qualitative methods were used to study two ALFs (35 and 75 beds) sequentially over seven months. Researchers conducted in-depth interviews with 5 administrative staff and 38 DCWs and conducted 243 h of participant observation during a total of 99 visits. Data were analyzed using a grounded theory approach. Results showed that the emotional aspect of caregiving provides meaning to DCWs through both the satisfaction inherent in relationships and through the effect of relationships on care outcomes. Within the context of the wider community and society, multiple individual- and facility-level factors influence DCW strategies to create and manage relationships and carry out care tasks and ultimately find meaning in their work. These meanings affect their job satisfaction and retention.     

Convergent validity of personal space measures: Consistent results with low intercorrelations

Low correlations among personal space measures have been used as evidence against their convergent validity. This argument is analyzed and found limited to personality trait assumptions. Convergent validity more generally concerns whether findings from one measure generalize to other measures. In the present study 91 subjects completed three measures (a disguised interaction distance, figure placement distances, and the Comfortable Interpersonal Distance Scale) under different conditions of subject sex, sex of the other person, and acquaintance with the other person. The three measures showed an average intercorrelation ofr = .034, but consistent significant effects of acquaintance. These findings demonstrate that convergence of findings may be obtained even when measures are not highly correlated. The search for convergent validity should concentrate on the generalizability of findings rather than correlations among measures.     

Lesbian,Gay, Bisexual,and Transgender Communities’ Readiness for Intimate Partner Violence Prevention

Efforts to address intimate partner violence (IPV) in lesbian, gay, bisexual, and transgender (LGBT) communities often rely on identifying what service providers can do to better reach and serve these populations. However, assessing a community's readiness in response to the issue of IPV in LGBT communities locates the issue where outcry is most likely to occur. Utilizing the Community Readiness Model in lesbian, gay, bisexual, and transgender communities in two rural and two urban communities, this study revealed a low level of community readiness to address IPV. Only vague awareness of IPV exists in these sexual orientation, gender identity, and geographic communities. The study suggests specific next steps tailored to raise LGBT communities’ readiness to address IPV from within their own communities, starting at the current low level.     

Innovations in Teaching Styles and Approaches Based upon Adult Learning

Two programs of social work education are discussed for their usefulness in this country. One is designed for students lacking the prerequisite credentials for admission. It includes both a means for the assessment of gaps and the means to repair those gaps. The second is designed for women lacking conventional time availability due to child-rearing responsibilities. Together these add two needed dimensions in considering the design of educational continua in social work.     

The Constitution and Slavery: A Special Relationship

In their efforts to understand how antebellum American abolitionists interpreted the relationship between slavery and the United States Constitution, scholars have underestimated abolitionists' concern with the question ‘Is the Constitution a pro-slavery document?’ Drawing on abolitionist newspapers, periodicals and correspondence, this article shows that the anti-slavery constitutional theories of the 1830s did not presume slavery to be unconstitutional, nor did they assume that the Constitution was pro-slavery, and therefore irrelevant to the abolitionist cause. These constitutional interpretive subtleties laid the foundations for the more prominent and radical theories that came in the following decade from the pens of Wendell Phillips and Lysander Spooner.     

Convoys of care: Theorizing intersections of formal and informal care

Although most care to frail elders is provided informally, much of this care is paired with formal care services. Yet, common approaches to conceptualizing the formal–informal intersection often are static, do not consider self-care, and typically do not account for multi-level influences. In response, we introduce the “convoy of care” model as an alternative way to conceptualize the intersection and to theorize connections between care convoy properties and caregiver and recipient outcomes. The model draws on Kahn and Antonucci's (1980) convoy model of social relations, expanding it to include both formal and informal care providers and also incorporates theoretical and conceptual threads from life course, feminist gerontology, social ecology, and symbolic interactionist perspectives. This article synthesizes theoretical and empirical knowledge and demonstrates the convoy of care model in an increasingly popular long-term care setting, assisted living. We conceptualize care convoys as dynamic, evolving, person- and family-specific, and influenced by a host of multi-level factors. Care convoys have implications for older adults' quality of care and ability to age in place, for job satisfaction and retention among formal caregivers, and for informal caregiver burden. The model moves beyond existing conceptual work to provide a comprehensive, multi-level, multi-factor framework that can be used to inform future research, including research in other care settings, and to spark further theoretical development.     

Differentiating Children with and without a History of Repeated Problematic Sexual Behavior

Although the issue of dissociative amnesia in adult survivors of child sexual abuse has been contentious, many research studies have shown that there is a subset of child sexual abuse survivors who have forgotten their abuse and later remembered it. Child sexual abuse survivors with dissociative amnesia histories have different formative and therapeutic issues than survivors of child sexual abuse who have had continuous memory of their abuse. This article first discusses those differences in terms of the moderating risk factors for developing dissociative amnesia (e.g., age, ethnicity, gender, etc.) and then mediating risk factors (e.g., social support, trait dissociativity, etc.). The differences between the two types of survivors are then explored in terms of treatment issues.     

“Family” Support for Family Violence: Exploring Community Support Systems for Lesbian and Bisexual Women Who Have Experienced Abuse

ABSTRACT

“Family” is a euphemistic term that lesbian, gay, bisexual, and transgender (LGBT) people use among ourselves to designate membership in lesbian, gay, bisexual, and transgender communities. Ironically, this “family” may be the most sought, yet least successful, support for dealing with the intimate partner violence that occurs within LGBT families. This study of 11 lesbian and bisexual women's experiences seeking support revealed several tiers of unmet needs within the LGBT community. They rarely used services in the general community, although these services are often the focus of both criticism and efforts to build support systems for LGBT victim/survivors. A model presents the different stages and potential sources of support.