Sex Matters

Feminists increasingly recognize that “sex,” as a reference to embodied male–female difference, is no less socially constructed than “gender.” Like all signifiers, the meaning of these terms is produced through contingent and particular historical processes; yet histories of “how sex was made” are rare. This essay draws on extensive, multidisciplinary research – focused through a lens of early (archaic) state making – to render a partial and provisional genealogy of sex. The schematic history begins with early human social formations and the “agricultural revolution” that marked a shift from food gathering to food producing. It then reviews the defining characteristics – in particular, the invention of writing – and attendant inequalities of early/archaic state-formation (urbanization; the “rise of civilization”). The centralization of Greek city-states has particular, indeed profound, relevance for what is conventionally called the “western tradition.” The essay then directs attention to the Athenian polis, not only because it exemplifies features of early states, but because modern interpretations of classical texts and Athenian practices uniquely shaped European political theory/practice; in particular, by naturalizing hierarchies of gender, sexuality, ethnicity/race, class and national “difference.”     

Automated patient linking for electronic health record and child welfare databases

Abstract

There are 427,000 children in protective custody in the United States. A lack of integration between the child welfare data system and electronic health record systems complicates the communication of critical health history details to caregivers. We created and evaluated automated 10 custom algorithms linking these data. Deterministic matching was performed using combinations of first and last name, date of birth, and gender. If unmatched, a nondeterministic algorithm allowed for punctuation differences and letter transpositions. Of the children linked deterministically, 91.3% were linked. Of the ones undergoing nondeterministic matching, 71.3% were linked. Sharing integrated data is the first step in systematically improving health outcomes for children in protective custody. This approach represents an automatable and scalable solution that could help merge data from two disparate sources.     

Turning Sexual Science Into News: Sex Research and the Media

In this article we report on the findings of a two-part project investigating contemporary issues in sexuality researchers' interaction with journalists. The goal of the project was to explore best practices and suggest curricular and training initiatives for sexuality researchers and journalists that would enhance the accurate dissemination of sexuality research results in the media. We present the results of a survey of a convenience sample of 94 sexuality researchers about their experiences and concerns regarding media coverage and a summary of the main themes that emerged from an invitational conference of sexuality researchers and journalists. In addition, we present some preliminary recommendations for training and best practices. Topics assessed include reporting accuracy; sex researchers' comfort with various topics, media, and journalists; researchers' perceptions of the purpose and content of articles; concern about the impact of media coverage; and training for sexuality researchers.     

Beauty in the Community

Metacom's War, also known as King Phillip's War, sets a pattern of national expansion through displacement of native people that echoes throughout American history. Helping students further understand this war through the examination of Mary Rowlandson's primary document provides educators and students with an opportunity to delve deeper into the complexities surrounding the convergence of cultures in colonial America. In this article, I provide an overview of the context that led to the conflict between the native populations and the European settlers. Additionally, I highlight passages from Rowlandson's narrative that are relevant to upper-elementary students. The passages are accompanied by questions to assist students as they examine the primary source for a deeper understanding of the people who strove to survive in seventeenth-century Massachusetts. Examining primary sources is one piece of the multifaceted process of historical understanding. In this article, educators learn the historical content of the period and a structured process for their students to examine the primary source.     

The Road to the Top: A Qualitative Comparative Analysis of Mobility in the Elite Labor Market of College Basketball Coaching

We examine how career paths, job performance, affiliation ties, and race combine to affect who secures top jobs in an elite labor market. Using Qualitative Comparative Analysis, we show that examining these traits in conjunction, rather than in isolation, reveals novel insights into how one reaches the top of an occupation. Specifically, we document how factors coalesce in various ways to propel a coach to or from the top of NCAA Division I basketball. Results are particularly informative regarding race and social ties, as the importance of these conditions depend on signs of success. These findings illustrate the importance of context and perception in occupational advancement and suggest the analytic benefit of viewing job applicants as attribute clusters when examining advancement at the highest levels of an occupation.     

Americans’ Perceptions of Commitment to Strong Families Across Race and Ethnic Groups

Theories of prejudice examining perceptual differences of in-groups and out-groups, such as social dominance and group threat perspectives, have found them to be important in generating hegemonic identity formations. This study uses data from the General Social Surveys to explore how these hegemonic group perceptions influence attitudes toward stronger families using race and ethnic groups as proxy measures where Whites are considered the in-group. A modified ecosystemic-interactionist approach along with elements from group threat and social dominance theories as support was used to investigate the underlying premise that group membership influenced respondents’ perceptions of their own family vis á vis others. Overall, the study found support for the underlying premise that membership influenced group perceptions, group knowledge, and group beliefs about commitment to strong families. Additionally, these findings suggest that groups develop most of their beliefs and subsequently their attitudes from limited interaction with those they perceived to be in the out-groups. Other social factors, including media portrayals, geographic propinquity, and education, also play a role in group perceptions, group knowledge, and group beliefs about commitment toward strong families. They support the social dominance and group threat theories that give rise to hegemonic structure within the United States.     

Psychological Distress and Related Factors in Female College Students

Abstract

Objective: This study assessed the psychological distress in Spanish college women and analyzed it in relation to sociodemographic and academic factors. Participants and Methods: The authors selected a stratified random sampling of 1,043 college women (average age of 22.2 years). Sociodemographic and academic information were collected, and psychological distress was assessed with the Symptom Checklist-90–Revised. Results: This sample of college women scored the highest on the depression dimension and the lowest on the phobic anxiety dimension. The sample scored higher than women of the general population on the dimensions of obsessive-compulsive, interpersonal sensitivity, paranoid ideation, psychoticism, and on the Global Severity Index. Scores in the sample significantly differed based on age, relationship status, financial independence, year of study, and area of study. Conclusion: The results indicated an elevated level of psychological distress among college women, and therefore college health services need to devote more attention to their mental health.     

The Personhood in Dementia Questionnaire (PDQ): Establishing an association between beliefs about personhood and health providers' approaches to person-centred care

Purpose of the studyInterest in person-centred dementia care has flourished in the last two decades. Despite growing interest in the development and implementation of person-centred approaches to dementia care, important empirical questions remain. For instance, although Kitwood (1997) emphasized that personhood, a status extended by others, is at the heart of person-centred care, to our knowledge, no one has demonstrated empirically that beliefs about patient status influence how care is provided. The purpose of this series of three studies was to operationalize Kitwood's definition of personhood in order to test this hypothesis.Design and methodsTo operationalize Kitwood's definition of personhood, we generated items to create the Personhood in Dementia Questionnaire (PDQ; Study 1). We then completed preliminary tests of the PDQ's convergent and discriminant validity (Study 2). Finally, we examined the PDQ's relationships with other constructs such as burnout and job satisfaction, and we used linear regression to test the hypothesis that health providers' beliefs about personhood influence intended approaches to dementia care (Study 3).ResultsIn Study 1, we generated a pool of 64 potential questionnaire items. In Study 2, a 20-item version of the PDQ demonstrated good internal consistency, resistance to socially desirable responding, and evidence of convergent and discriminant validity. In Study 3, PDQ scores accounted for a significant proportion of variance in health providers' intended approaches to dementia care, including pain management. PDQ scores were not related to job satisfaction or to most aspects of burnout.ImplicationsThese results provide the first direct empirical evidence of Kitwood's (1997) theory that beliefs about patient personhood have the potential to influence health providers' care decisions, including decisions about pain management.