Delivery Pain and the Development of Mother—Infant Interaction

This study examined delivery pain as a possible risk factor for the development of mother‐infant interaction. Eighty‐one mothers completed the Pain Catastrophizing Scale, the State‐Trait Anxiety Inventory, and the Edinburgh Postnatal Depression Scale. A retrospective evaluation of labor pain was performed using the Visual Analog Scale at 2 days postpartum. Six weeks after birth the mothers were visited at home, completed measures of anxiety and depression, and were observed during a free play session with the infant. The mother's tendency to catastrophize pain predicted lower levels of mother‐infant reciprocity at 6 weeks, controlling for maternal age, education, parity, epidural analgesia, pain perception, anxiety, and depression. Trait anxiety was related to lower maternal sensitivity. The mother's tendency to catastrophize pain was discussed in relation to the personality trait of exaggerated emotional perception of pain and its potential interference with the formation of the mother‐infant relationship.     

The Effects of Marital Conflict and Marital Disruption on Depressive Affect: A Comparison Between Women In and Out of Poverty*

Objectives. We examine the independent and interactive effects of marital conflict and marital disruption on women's depressive affect and how these effects vary by family's poverty status. Methods. We use the OLS regression and data from the National Longitudinal Survey of Youth to test the hypothesized relationships. Results. The results showed that marital conflict and marital disruption each predicts subsequent depression after controlling for the initial level of depression and other antecedent variables. The effect of marital conflict on depression is stronger among women in poverty than those out of poverty. Furthermore, among women in poverty, marital conflict followed by marital breakup is related to a heightened level of depression, whereas among women financially better off, there is a reduction in the level of depressive affect. Conclusions. These findings point to the importance of a family's economic condition and its impact on the interrelationships among marital processes and women's psychological health.     

‘Just teach us the skills please,we'll do the rest’: empowering ten‐year‐olds as active researchers

This paper discusses the outcomes of an initiative to empower ten‐year‐olds as active researchers. It debates some of the barriers that are commonly cited with regard to children of this age taking ownership of their own research agendas—power relations, competence, knowledge and skills—and challenges the status quo. It describes a study in which a group of ten‐year‐olds participated in a taught programme aimed at equipping them with the knowledge and skills to design their own research. This empowering process resulted in the children undertaking research projects of their own choosing, designed, carried out and reported entirely from their perspective. Reports from two of those projects are presented as part of this paper.     

Ticking Boxes and Changing the Social World: Data Collection and the New UK General Practice Contract

The new General Medical Services contract was introduced into general practice in the UK in 2004, and it links pay to performance far more than in the past. As a result, accurate data collection about patients and the care that they receive is now not only important for good patient care but also to prove that targets are being met. The use of electronic records and information technology has thus become much more sophisticated. This article reports the results from an ethnographic study of the early stages of the new contract in two general practices. As expected, electronic data collection had increased in importance in both practices, with consequences both for clinician–patient interactions and for the structures and processes in the practices, as uniform data collection instruments are put in place that privilege ‘hard’ biomedical data that can be easily coded above ‘softer’, more patient-centred information. Roles and responsibilities had been changed to reflect the needs of the new systems, and new software applications allowed increased surveillance of both doctors’ and nurses’ performance; both of these had an impact on patterns of authority in our study practices. Furthermore, the structural changes that were found acted to embed the new ways of working, ensuring their reproduction in the future. In spite of these effects, we found little opposition to or critical reflection on the changes, and the doctors in our study continued to view their improved computer systems as neutral recording devices. The implication of these findings is discussed.     

Computer assisted strategic planning

This paper describes a representative, sectionalized, computer assisted strategic planning system, as developed and used by the authors. It suggests that the future direction of such programmes—with several already in use—is toward the development of approaches which combine simulation and linear programming to simultaneously address long and short-term objectives.     

Predicting the quality of life in the United States

A principal components analysis performed by David M. Smith on 47 U.S. state level indicators of social well-being yielded several components. The first two of these are socio-economic well-being and social pathology. Structural hypotheses are offered to explain state differences in these components. The structural variables condensed by a principal components analysis of state political, economic and social structure measures are differentiation, flexibility-rigidity, and progressive industrialization. These, along with several population measures, determine a substantial part of the variance in the two measures of social well-being.