Suspended Sorrow: The Crisis in Understanding the Diagnosis for the Mothers of Children with A Disorder of Sex Development

ABSTRACT.Objectives: We conducted a survey to obtain information concerning how mothers of children with DSD represent the diagnosis. Methods: We examined our findings through IPA methodology. Results: We observed a crisis of meaning, based on the inability to classify their child with a milestone of the social experience: the gender category. That risks of slipping into adempitive adherences to medical knowledge or hasty decisions about the health of the child. Conclusions: It's necessary to structure spaces with medical-psychological teams, for allowing these families to manage the condition in relation to the choices, and the daily context, of their children.     

Reassessing Benzene Cancer Risks Using Internal Doses

Human cancer risks from benzene exposure have previously been estimated by regulatory agencies based primarily on epidemiological data, with supporting evidence provided by animal bioassay data. This paper reexamines the animal-based risk assessments for benzene using physiologically-based pharmacokinetic (PBPK) models of benzene metabolism in animals and humans. It demonstrates that internal doses (interpreted as total benzene metabolites formed) from oral gavage experiments in mice are well predicted by a PBPK model developed by Travis et al. Both the data and the model outputs can also be accurately described by the simple nonlinear regression model total metabolites = 76.4x/(80.75 + x), where x = administered dose in mg/kg/day. Thus, PBPK modeling validates the use of such nonlinear regression models, previously used by Bailer and Hoel. An important finding is that refitting the linearized multistage (LMS) model family to internal doses and observed responses changes the maximum-likelihood estimate (MLE) dose-response curve for mice from linear-quadratic to cubic, leading to low-dose risk estimates smaller than in previous risk assessments. This is consistent with the conclusion for mice from the Bailer and Hoel analysis. An innovation in this paper is estimation of internal doses for humans based on a PBPK model (and the regression model approximating it) rather than on interspecies dose conversions. Estimates of human risks at low doses are reduced by the use of internal dose estimates when the estimates are obtained from a PBPK model, in contrast to Bailer and Hoel's findings based on interspecies dose conversion. Sensitivity analyses and comparisons with epidemiological data and risk models suggest that our finding of a nonlinear MLE dose-response curve at low doses is robust to changes in assumptions and more consistent with epidemiological data than earlier risk models.     

Persons and Hypotheses: The Use of the Therapist in the Hypothesising Process

Although hypothesising has been strongly criticised by postmodern and narrative theorists, it plays a major role in any therapy. This article aims to investigate the hypothesising process, first revisiting the concept of hypothesis in semiotics and Schön's theory of the professions, then examining some features of hypothesising within systemic therapy. The article takes into account the relationship between hypotheses and therapists' basic theories, to arrive, finally, at an examination of the role of the person (both therapist and client) in shaping hypotheses within the therapeutic interaction.     

Education,inequality and electoral participation

In comparative terms, Italian electoral turnout has been very high since 1946. However, during the five elections from 1994 to 2008, turnout dropped more steeply than it did over the previous 12 elections from 1946 to 1992. The difference between maximum turnout in the early 1950s and the 2008 election was about 12%, and most of this decline (8%) occurred in the period 1992–2008. This paper finds robust evidence that individual and contextual social inequalities have been key factors in the recent fall of turnout. In particular our results clearly suggest that contextual social inequality lowers the turnout of less-educated voters and leaves it unaffected among high-educated ones. The recent decline in turnout may therefore be indicative of an important shift towards more unequal political participation. These findings are consistent with data showing that the post-1994 parties performed very poorly as mobilisation agencies compared with the old parties. Indeed, according to Franklin (2004), turnout trends can be effectively explained by changes in institutional rules and by the degree of electoral competitiveness. This paper suggests that, in order to explain turnout trends, the interactive effects of social and individual inequality should also be considered.     

An Assessment of the Psychometric Properties of Italian Version of CPGI

The aim of this study was to adapt to the Italian context a very commonly used international instrument to detect problem gambling, the canadian problem gambling index (CPGI), and assess its psychometric properties. Cross-cultural adaptation of CPGI was performed in several steps and the questionnaire was administered as a survey among Italian general population (n = 5,292). Cronbach’s alpha reliability coefficient was 0.87 and can be considered to be highly reliable. Construct validity was assessed first by means of a principal component analysis and then by means of confirmatory factor analysis, showing that only one factor, problem gambling, was extracted from the CPGI questionnaire (an eigenvalues of 4,684 with percentage of variance 52 %). As far as convergent validity is concerned, CPGI was compared with Lie/Bet questionnaire, a two-item screening tool for detecting problem gamblers, and with both depression and stress scales. A short form DSM-IV CIDI questionnaire was used for depression and VRS scale, a rating scale, was used for rapid stress evaluation. A strong convergent validity with these instruments was found and these findings are consistent with past research on problem gambling, where another way to confirm the validity is to determine the extent to which it correlates with other qualities or measures known to be directly related to problem gambling. In sum, despite the lack of a direct comparison with a classic gold-standard such as DSM-IV, the Italian version of CPGI exhibits good psychometric properties and can be used among the Italian general population to identify at-risk problem gamblers.     

Complex Factors and Behaviors in the Gambling Population of Italy

Gambling has seen significant growth globally, and particularly in Italy: it has rapidly evolved from a simple recreational activity to represent 4% of Italian GDP in 2010.A sample of 4.494 gamblers was drawn from IPSAD-Italia^®2007-2008 (Italian Population Survey on Alcohol and Drugs) in order to examine different gambling patterns (assessed using the Canadian Problem Gambling Index Short form scale).Separate analysis was performed on young adults, age 15–24 (n = 1,241; male 56.2%), and adults, age 25–64 (n = 3,253; male 53.8%): compared with adults, Italian youth, although they gambled less (35.7% vs. 45.3%), appeared to have higher prevalence of low risk gambling (6.9% vs. 5.8%) and moderate risk or problem gambling (2.3% vs. 2.2%). Males are more likely to be moderate-risk or problem gamblers. Those with only a primary education are more likely to be moderate-risk or problem gamblers (young adults: RRR = 5.22; adults: RRR = 3.23) than those with a university education, just like those youth who use depressants, but only among younger (RRR = 3.38).A fundamental issue, “do not disapprove of gambling”, seems to relate to problematic gambling: a specific Italian legislation, the Abruzzi Decree Law, could have influenced the perception that gambling may contribute positively to provide additional funds to the government for social good as well as to add needed jobs. Regardless of such potential social benefits, gambling is a social epidemic and if this association should be confirmed by more focused studies, policy makers should evaluate ways to affect this perception as soon as possible.     

Relationship,Social, and Individual Well-Being in Italian Male Same-Sex Couples

This study aimed at investigating Italian male same-sex couples’ attitudes, behaviors, and emotions regarding their own well-being. The study involved included 60 couples, and utilized semistructured interview and subsequent content analysis based on Grounded Theory methods. Findings identified several themes, including recurrent high relationship quality; frequent rejection by members of the family of origin, especially the mother, contrasted by strong support from the “family of choice”; perception of stereotypes and prejudices against same-sex relationships; and feelings of non-acceptance by Italian society, reflected by the lack of sociocultural and legal support and recognition. Despite these difficulties, many of these Italian gay men were able to form durable and satisfying relationships with high levels of well-being.     

Sniffing the city: issues of sousveillance in inner city London

This article reflects on a series of workshops run by the art/media/hacktivist collective Deptford.TV in collaboration with the Centre for Urban and Community Research (CUCR), Goldsmiths, University of London in 2009–2010 and in 2012. The aim of the workshops was to create short films using hacked CCTV material. Participants, equipped with digital video signal receivers, were led through the city by incoming surveillance camera signals. Receivers cached surveillance camera signals making a range of city spaces visible. The material was then stored on a shared video platform and reshuffled in personal narratives and montages of the city. Hackers and media artists call it ‘sousveillance’ and frame it as a critique of the ‘panopticon society’. I argue that this practice reveals an unusually realistic portrait of inner city London and its working-class population at their everyday work. My contention is that the absence of such activities in narratives of gentrification and the presumed end of manual work make this portrait particularly valuable. The article evaluates this emerging and ethically controversial practice of video recording, asking to what extent it can become a useful tool for urban scholars, visual sociologists and media artists. In conclusion, I argue that the exercise provides moments of self-discovery for the urban stroller, who – while practicing a sort of heroic immersion in inner city London – paradoxically becomes a watcher of scenes from life fabricated at a ‘safe’ distance; a middle way between urban ethnographer and flâneur.     

Going digital: Using new technologies in visual sociology

Rethinking Visual Anthropology edited by Marcus Banks and Howard Morphy New Haven: Yale University Press, 1997. 310 pages, 90 illustrations. ISNB: 0–300–06691–0 $35.00 cloth

Dancing Naked in the Material World by Marilyn Sudani Futterman. Buffalo: Prometheus Books, 1992. 137 pages. ISBN 0–87975–737‐X paper