The effect of menstruation on psychiatric hospitalization

This study evaluated the effect of menstruation on psychiatric hospitalization. We conducted a retrospective chart review of the medical records of 177 women who met the eligibility criteria. Data collected included demographic details, primary and secondary diagnoses, date of last menstrual period (LMP), medication adherence, psychiatric hospitalization length of stay, previous psychiatric admissions (including those related to menstruation), discharge referrals, and readmissions. The majority of women were admitted for major depression, were single, Caucasian, and had a mean age of 34. A disproportionate percentage (37%) of women had their LMP within 5 days of psychiatric hospitalization (p = 0.0006). The overall average length of stay was 4.37 days, and 48.3% had a previous psychiatric admission. Medication adherence was routinely not documented (77.4%). Psychiatric hospitalizations for women are significantly greater within 5 days of their LMP. Nursing education and improved documentation are warranted to decrease the potential for readmission.     

Navigating Dual Relationships in Rural Communities

The literature examining dual relationships in rural communities is limited, and existing ethical guidelines lack guidelines about how to navigate these complex relationships. This study uses grounded theory to explore rural therapists' perceptions of dual relationship issues, the perceived impact of minority and/or religious affiliation on the likelihood of dual relationships, and the ways rural therapists handle inevitable dual relationship situations. All of the therapists who participated in the study practiced in small communities and encountered dual relationship situations with regularity. The overarching theme that emerged from the data was that of using professional judgment in engaging in the relationship, despite the fact that impairment of professional judgment is the main objection to dual relationships. This overall theme contained three areas where participants felt they most needed to use their judgment: the level of benefit or detriment to the client, the context, and the nature of the dual relationship. Surprisingly, supervision and/or consultation were not mentioned by the participants as strategies for handling dual relationships. The results of this study are compared with established ethical decision‐making models, and implications for the ethical guidelines and appropriate ethical training are suggested.     

Sense of Community and the Perception of the Socio-Physical Environment: A Comparison Between Urban Centers of Different Sizes Across Europe

Measures of subjective well-being, and especially life evaluations, or judgments about how happy people are with their lives as a whole, enrich and empower social indicators research. They do this by requiring other social indicators as explanatory variables and providing a coherent encompassing framework within which the relative importance of other social indicators can be established.     

Math Achievement and Children’s Savings: Implications for Child Development Accounts

In this study, we propose that children who have a savings account may be more likely to have higher math scores than children without a savings account. We find that children’s savings accounts are positively associated with math scores. Children with savings accounts on average score almost nine percent higher in math than children without a savings account. Further, results suggest that children’s savings accounts fully mediate the relationship between household wealth and children’s math scores. However, household wealth moderates the mediating relationship. We find math scores of low-wealth children increase by 2.13, middle-wealth children’s increase by 4.36, while high-wealth children’s increase by 6.59 points. Policy implications are discussed.     

Competition for Infants' Attention: The Interactive Influence of Attentional State and Stimulus Characteristics

The interactive effects of stimulus characteristics and attentional state on infants' distraction latency were studied. As 7‐month‐old infants explored initial stimuli that were composed of either a single nonmoving component or multiple moving components, one of several types of distractors was presented in the periphery. Infants' distraction latencies (the amount of time they took to turn from the initial stimulus to the distractor) varied as a function of the interaction between the infants' attentional state at distractor onset and the characteristics of the stimuli. Variations in the visual characteristics of the distractor stimulus (solid rectangle vs. checkerboard) had a larger effect on distraction latency when infants were in a focused attentional state than when they were in a casual attentional state. Similarly, variations in the auditory characteristic of the distractor stimulus (1 intermittent tone vs. 2 alternating tones) had a larger effect when infants were engaged in a focused attentional state toward the multicomponent toys. Thus, infants' distractibility in this context reflects an interaction between the infants' attentional state and the competition between external stimuli for their attentional focus.     

Poverty and the Daily Lives of Infants

It has been amply demonstrated that poor children suffer disadvantages as compared to their more advantaged peers. This paper examines important aspects of infants’ daily experiences in a southeastern city in the United States in order to illustrate differences between poor and non-poor infants. “Poor” infants were compared to their “non-poor” counterparts on the quality of parenting they received; quality of their home environments; relative health and safety; stability, structure, and predictability of their daily lives; and exposure to diverse experiences in the community. Findings reveal that poor infants are at a consistent disadvantage across all domains when compared to their more affluent counterparts. These daily deficiencies might be conceptualized as the mechanisms through which poverty exerts its negative effects. This paper shifts the focus from macro-level variables such as larger economic and social factors to the cumulative effect of deficiencies at the micro-level. Intervening to ameliorate the micro-level deficits that are most modifiable may lessen the cumulative risk and provide some small avenues toward resilience for the most disadvantaged and at-risk infants.     

Pixie‐dust and Privacy: What’s Happening to Children's Rights in England?

Increasingly, Information Technology is being used to identify, record and track children in England under the banners of child protection, reducing risk and improving outcomes. Discussions about the importance of a child’s right to privacy have been sidelined in the rush to embrace systems that seek to expand the amount and types of information held on individuals. However, placing so much faith in unproven technological solutions may inadvertently increase levels of risk to children.     

Book reviews

Nurturing nature and the nature of science: Toward transcendence

As Nature Made Him: The Boy Who was Raised as a Girl. By John Colapinto. New York: HarperCollins, 2000, 288 pages. Cloth, $26.00.

The pedagogical value of as nature made him: The boy who was raised as a girl

As Nature Made Him: The Boy Who was Raised as a Girl. By John Colapinto. New York: HarperCollins, 2000, 288 pages. Cloth, $26.00.

What Americans Learned About Sex

Teaching America About Sex: Marriage Guides and Sex Manuals from the Late Victorians to Dr. Ruth. By M. E. Melody and Linda M. Peterson. New York: New York University Press, 1999, 304 pages. Cloth, $28.95.

Teen romance under the microscope

The Development of Romantic Relationships in Adolescence. Edited by Wyndol Furman, B. Bradford Brown, and Candice Feiring. New York: Cambridge University Press, 1999, 443 pages. Cloth, $49.95.

All hail the penis

Phallacies [Video]. Directed and produced by Vishnu Mathur. 2000. Available from Bullfrog Films, P. O. Box 149, Oley, PA 19547, www.bullfrogfilms.com. VHS, $250.