Learning from extraordinary lovers: lessons from the edge

This paper discusses lessons about sexuality and eroticism gleaned from those who engage in extraordinary sex, even though such relationships have typically been classified as pathological. What can clinicians learn from those who seek and attain uncommon sexual relations? Such individuals' sexual epistemology, goals, understanding of the nature and spectrum of sexual and erotic relations, communication strategies and "outcome" criteria can provide valuable lessons for those who treat sexual problems or aim to overcome sexual mediocrity. For example, while traditional sex therapy often focuses on what is on the surface, some SM participants are interested in the meanings that lie at a deeper level. Whereas conventional clinicians may focus on enabling particular sexual acts (especially heterosexual intercourse), SM participants are more apt to be concerned with the varied spectrum of underlying purposes motivating these acts. Whereas many couples are willing to settle for merely functional sex, SM practitioners may be more interested in contact that necessitates intense, erotic connection; sophisticated communication of subtle differences in intent; and eventuates in profound self-knowledge and transcendent levels of intimacy. Illustrative case examples are provided.     

Role of Canadian user-led disability organizations in the non-profit sector

User-led disability organizations have emerged as an important force in the non-profit sector. While much is known about the traditional disability organizations that began to proliferate in the 1950s (e.g. National Institute for the Blind), relatively less is known about the user-led organizations that emerged in the 1970s. Using a collective case study approach, phase 1 was a policy review and key informant interviews with members of user-led and traditional organizations and government. Phase 2 surveyed affiliates of user-led organizations. Phase 3 integrated the findings from phases 1 and 2. Major themes were that user-led organizations: reflected a new paradigm and gave voice to people with disabilities; had a unique role in systemic advocacy and shaping policy; that leadership is critical but in need of rejuvenation; had links with other organizations which provide a collective voice, solidarity and hope; had diverse strategies for local resource mobilization; had financial support from government which was both constrained and mobilized.     

Pregnant and Postpartum Adolescents' Perceptions of the Consequences of Child Abuse

A study of 263 pregnant and postpartum indigent and minority teens was conducted in order to examine their perceptions of the consequences of child abuse and their own child abuse history. Teens identified drug and alcohol abuse and teen suicide as the most serious consequences of abuse. Interestingly, they did not identify pregnancy as a consequence. Twenty-seven percent reported a history of abuse. Identifying behavioral and emotional consequences of abuse is important because it affects both the well-being of the adolescent mother and her child. An experience of abuse and its behavioral consequences may interfere with a teen's ability to benefit from parenting intervention programs. Therefore, parenting programs may wish to consider the necessity of screening for a history of abuse as well as adding components on behavioral problems adolescent mothers are concerned about. Additionally, there is a need to reach out to pregnant, parenting and future parents in other settings such as prisons, psychiatric, and residential centers, since issues of abuse may coexist with other behaviors.     

Welfare Reform's Impact on Homelessness

As the most dramatic shift in welfare policy occurs since its inception in 1935, it is imperative to examine potential impacts on homelessness. This paper describes changes in homelessness and welfare policy, assesses potential effects of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, and addresses public policy issues stemming from these changes. Of utmost concern are the continuing growth in female-headed families among the ranks of the homeless and a decline in affordable housing units. Welfare reform has already reduced the numbers of persons on welfare rolls, but it remains unclear as to whether the situation of low-income and homeless female-headed families will become better or worse.     

Preadolescent Parenting Strategies and Teens' Dating and Sexual Initiation: A Longitudinal Analysis

In this article we examine the effects of preadolescent parenting strategies on timing of adolescents' dating and sexual initiation. Using data from the 2 waves of the National Survey of Families and Households (1987–1988 and 1992–1994) involving interviews with parents as well as adolescents 4 years later, we estimate the effects of preadolescent parental support, coercive control, and monitoring on the timing of teens' dating and sexual initiation. We also examine how adolescents' gender, race, family structure, and socioeconomic background affect relationships between earlier parenting strategies and adolescent dating and sexual debut. We find evidence for the effect of preadolescent parental monitoring, though relatively little connection between parental support and coercive control, and variations in the timing of adolescent dating and sexual initiation. The findings suggest that parental monitoring prior to the onset of adolescence is important as a basic foundation for young people who later must make behavioral choices outside of parental purview.     

Toward a grounded theory of lesbians' recovery from addiction

This article presents the results of a qualitative study on lesbians' recovery from addiction. The study involved semi-structured interviews with 20 lesbians in recovery from addiction and was analyzed using grounded theory method. The central theme that emerged was self-acceptance, both as a lesbian and as a recovering alcoholic/addict, with considerable interaction between the two. Categories that contributed to this theme were learning to recover, relationships with other people, and relationship with something bigger than self. The discussion addresses how this information can be used to assist lesbians trying to recover from addiction.     

Health care for older persons in Singapore: integrating state and community provisions with individual support

Health care policy in Singapore is similar to that in the United States and the United Kingdom, where a residualist strategy is used to pass health care costs to individuals and their families, the rationale being that this enables the state to concentrate on devolution of care to the community and ensure efficient and affordable service to all Singaporeans. The services include public restructured hospitals and outpatient poly-clinics as well as community services such as community hospitals and hospitals for the chronically ill, nursing homes, day care centers, and home help services. Availability does not translate into optimum usage because current and potential users and their families are not able to match their financial and social resources with the services. Instead, the state acts as the case manager and places parameters on what individuals can access.     

Contraceptive self-efficacy: does it influence adolescents' contraceptive use?

This research investigates the relationship between contraceptive self-efficacy and contraceptive use, measured one year later, among adolescent boys and girls. Data are obtained from the two waves of the restricted use sample of the National Longitudinal Study of Adolescent Health (n = 3,577). Employing multiple regression and logistic regression strategies, we examine whether demographic and background characteristics influence contraceptive self-efficacy, and whether contraceptive self-efficacy increases the likelihood of contraceptive use. We find that adolescents who are female, older, live with step-parents, and whose mothers approve of contraceptive use report higher contraceptive self-efficacy, while adolescents whose mothers did not complete high school report lower contraceptive self-efficacy. Results partially support the expectation that adolescents with higher contraceptive self-efficacy act accordingly by using contraceptives.