The meaning of frailty according to Dutch older frail and non-frail persons

Frailty is a term often used by researchers and clinicians to describe a state in which older persons are at risk for adverse outcomes such as falls, disability, institutionalization and mortality. However, no study so far examined what frailty means to older persons. Therefore the aim of this study was to describe the meaning that older community-dwelling persons attach to frailty. Twenty-five semi-structured interviews were conducted. The interviews were analyzed using the grounded theory method. Frailty was described as being in poor health, having walking difficulties, feeling down, being anxious, having few social contacts and not being able to do the things one likes to do. Men described in more detail the physical dimension whereas women elaborated in more depth on the psychological and social component. Existing definitions of frailty should be adjusted to better reflect the meaning of frailty for older persons.     

The Impact of Flexible Working Arrangements on Work–life Conflict and Work Pressure in Ireland

Recent rapid economic growth in Ireland has been accompanied by a strong surge in the number of women in employment, and this has led to a significant increase in the proportion of dual‐earner families. These changes have brought the issue of reconciliation between work and care commitments to the fore. Flexible working arrangements in firms have been identified as one important means of balancing work and other commitments. In this article we investigate the relationship between four flexible working arrangements; flexitime, part‐time hours, working from home and job sharing, and two key employee outcomes; work pressure and work–life conflict, using data from the first national survey of employees in Ireland in 2003. Our results show that while part‐time work and flexitime tend to reduce work pressure and work–life conflict, working from home is associated with greater levels of both work pressure and work–life conflict. We conclude that it is important to distinguish between flexible working arrangements to discover their potential for reducing work pressure and work–life conflict.     

Living on the margin: disabled Iranians in Belgian society

This paper explores the antecedents, experiences and consequences of marginalization as reported and dealt with by disabled Iranian immigrants in Belgium. This work extends the work of Gallie and colleagues and Siegrist demonstrating that the forces of marginalization applicable to all immigrants are particularly pertinent to disabled immigrants. The research is based on 26 in‐depth, face‐to‐face interviews, focus groups, interviews with government officials and immigration experts, ethnographic work and official government statistics. The findings detail how the combined forces of history, context and reasons for immigration; isolation, vulnerability and perceived loss of control; religion and rejection; lack of reciprocity in social exchanges; problems in obtaining jobs; and difficulties in negotiating an entry into Belgian society combine to sustain marginizalation. As a consequence, disabled immigrants in this group are generally excluded from society and discriminated against in terms of citizenship, education, jobs and general acceptance.     

Prevalence,people and processes: a consideration of the implications of Lord Laming's progress report on the protection of children in England

Media coverage of the death of Baby P revived national concerns about the standard of child safeguarding practice in England following the implementation of widespread structural changes in response to the Victoria Climbié Inquiry chaired by Lord Laming in 2003. This paper discusses the recommendations of Lord Laming's recent Progress Report. It questions whether the scale of the challenge in improving child protection is fully recognised and considers briefly the culture of social care in the UK and the barriers to effective reform. Copyright © 2009 John Wiley & Sons, Ltd.     

Digital Inequality and Place: The Effects of Technological Diffusion on Internet Proficiency and Usage across Rural,Suburban, and Urban Counties*

Recently researchers have made efforts to reconceptualize digital inequality into discrete levels. These levels reflect access to and diffusion of technologies, proficiency in Internet usage, and propensity to take advantage of the opportunities afforded by information and communication technologies for assistance in daily life. We assess the utility of this approach for studying digital inequality across rural, suburban, and urban counties. Based on data from a 2005 nationally representative random sample telephone survey of 2,185 adults, the results provide mixed support for using this approach to studying digital inequality. In particular, we find that rural residents use Internet technologies less for assistance in helping with economics and other daily activities when compared with individuals from suburban and urban areas; however, our results suggest that this relationship is the product of the slow diffusion of advanced technologies to rural areas. The implications of these findings for understanding this under‐theorized form of inequality are discussed, and we make contributions to this literature through empirically addressing issues of digital capital.     

DISCRIMINATION, WOMEN, AND WORK: Processes and Variations by Race and Class

Research on gender and workplace stratification has made clear that persistent employment, wage, and mobility gaps exist, and that discrimination at organizational and interactional levels is playing a role. Few studies, however, have been able to directly capture processes involved. In this article, we draw on unique qualitative and quantitative data pertaining to verified cases of workplace sex and race discrimination (1988 to 2003), and analyze the discriminatory experiences of African-American and white women across various occupational statuses. Notable are high levels of discriminatory firing for both groups, but higher instances of race-based promotional discrimination for black women—a pattern partially linked to their disparate concentration in sex-segregated workplaces and in positions of lower occupational prestige. Our qualitative immersion into case materials reveals influential mechanisms and employer justifications, unique manifestations of differential treatment on the job, and the use of "soft skill" criteria in gatekeeper decision making. We conclude by discussing important dimensions of workplace discrimination for women, variations by social class and race status, and how complexities of status matter for what women experience and gatekeeper behavior.     

A Commentary on “Gender Perspectives in Cross-Cultural Couples”

This commentary expands on Kellner’s article by discussing clinical practice with Asian and Euro-American couples. Differences in Western and traditional Asian cultural expectations around intimacy and styles of emotional expression can often lead to misunderstanding among couples. Therapy can also be a challenge for couples when they do not share the same first language. A therapist who only speaks English can inadvertently create an alliance with the partner whose first language is English. On the other hand, bilingual therapists who use both English and an Asian language in the session can face challenges differentiating their roles as a therapist versus a translator. Case illustrations are presented to illustrate these challenges.

Becoming Each Other: A Single Case Exploration of Relational Consciousness in Couple Therapy

The concept of “relational consciousness” has gained increasing attention in the last decades in the fields of philosophy, sociology, and psychotherapy. Yet human consciousness with its concomitant awareness of self and other as distinct is linguistically and culturally situated in the individual mind. This article explores the lived experience of shared consciousness in the practice of “becoming the other” with a focus on therapy with one couple. The historical development of our understanding of consciousness as a relational phenomenon is addressed with particular attention to the observations, insights, and practices of Lev Vygotsky, George Herbert Mead, and Gregory Bateson, who have each contributed substantially to our understanding of mind as relationally experienced and constructed. The article explores implications for practice and future directions this methodology might take.

Sustained Empathic Focus and its Application in the Treatment of Couples

Although all psychoanalytically informed approaches to couples therapy recognize the importance of underlying dynamics, there are important differences in the focus of the treatment. This paper suggests a focus that is based on a self-psychological/intersubjective viewpoint. Two concepts that exemplify this model, a sustained empathic focus and an appreciation of the experience of vulnerability, are discussed and applied to a couples session. What is emphasized in this material is a process of focusing on underlying vulnerability, affect and subjective experience.