Childbirth As Negotiated Reality*

This paper will describe birth as a social as well as a physiological event, a process which is socially constructed and socially defined. The ways in which the medical establishment controls the birth experience, creating it as a medical event, will be presented. The role of childbirth education is presented here as supporting the medical model and preparing the pregnant woman and her mate for their roles in the institutional birth. We will briefly consider an alternative, non-medical approach to birth.     

Employee Work Attitudes: The Subtle Influence of Gender

Using the construct of job satisfaction, this study examined work attitudes of 286 females and 416 males employed in 27 female-owned and 29 male-owned small businesses in three industries: construction, manufacturing, and distribution. Job satisfaction scores (dependent variables) were analyzed with regard to the interaction of owner employee gender. Demographic and job-related variables were also considered. The gender-moderated results are discussed in terms of methodological implications for conducting research regarding work attitudes.     

Principles for Conduct of Pest Risk Analyses: Report of an Expert Workshop

The North American Free Trade Agreement (NAFTA) and the General Agreement on Tariffs and Trade (GATT) have focused attention on risk assessment of potential insect, weed, and animal pests and diseases of livestock. These risks have traditionally been addressed through quarantine protocols ranging from limits on the geographical areas from which a product may originate, postharvest disinfestation procedures like fumigation, and inspections at points of export and import, to outright bans. To ensure that plant and animal protection measures are not used as nontariff trade barriers, GATT and NAFTA require pest risk analysis (PRA) to support quarantine decisions. The increased emphasis on PRA has spurred multiple efforts at the national and international level to design frameworks for the conduct of these analyses. As approaches to pest risk analysis proliferate, and the importance of the analyses grows, concerns have arisen about the scientific and technical conduct of pest risk analysis. In January of 1997, the Harvard Center for Risk Analysis (HCRA) held an invitation-only workshop in Washington, D.C. to bring experts in risk analysis and pest characterization together to develop general principles for pest risk analysis. Workshop participants examined current frameworks for PRA, discussed strengths and weaknesses of the approaches, and formulated principles, based on years of experience with risk analysis in other setting and knowledge of the issues specific to analysis of pests. The principles developed highlight the both the similarities of pest risk analysis to other forms of risk analysis, and its unique attributes.     

Peace and Conflict Resolution Organizations in Three Protracted Conflicts: Structures,Resources and Ideology

Guided by organizational and social movement theories, this study compares the structures, resource bases, ideologies, and strategies of nongovernmental organizations engaged in peace and conflict resolution (P/CROs) in three regions with extended violent conflicts: Northern Ireland, South Africa, and Israel/Palestine. Qualitative content analysis techniques are used to analyze 27 detailed case reports. We analyze the funding patterns and structural attributes of the P/CROs in our sample, with particular attention to how they obtain fiscal resources and membership in spite of the risks they may experience. We then explore the degree of formalization among P/CROs over time and, finally, we examine the ideological frames that P/CROs use and how these frames relate to their tactics. Throughout the analysis we pay attention to how the political context of each region influences P/CRO behavior.     

Failures in Child Protection: A Case Study

A case example is used to illustrate how powerful a child abuser may become; where a complex hostage-type relationship develops between family members and is then extended to include the child protection worker. One consequence of this is the increased risk of re-abuse of the children. To establish this relationship the abuser uses a number of techniques such as violence, intimidation, isolation and unpredictability. In the case presented, the three children were subjected to ongoing severe abuse, although the child protection agency had known the family for 10 years. The children often denied and hid the abuse, and the child protection workers were left largely unsupported by other professionals and often appeared to comply with the wishes of the abusing parents. © 1997 by John Wiley & Sons, Ltd.     

The Effect of Graduate School on Identity Issues

Abstract

Objectives: To provide a critical review of the efficacy of brief interventions for alcohol use in college health centers. Methods: Studies were included if (a) they examined brief intervention trials that were conducted in college- or university-based student health centers or emergency departments, and (b) they provided pre–post data to estimate change. Results: Twelve studies suggested that screening and brief interventions in these settings are acceptable, feasible, and promote risk reduction. Conclusions: Findings support continued use of time-limited, single-session interventions with motivational interviewing and feedback components.