Help-Seeking for Sexual Difficulties and the Potential Role of Interactive Digital Interventions: Findings From the Third British National Survey of Sexual Attitudes and Lifestyles

Sexual difficulties are common and can negatively impact health and well-being. A wide range of support is available, but there are multiple barriers to accessing help. Interactive digital interventions (IDIs) for sexual difficulties have the potential to provide a convenient, wide-reaching, and cost-effective source of support, but little is known about who might use them. We explored the potential reach of IDIs by assessing the prevalence of help-seeking among people with distressing sexual difficulties, including who seeks which sources of help. Data came from sexually active men and women, ages 16 to 74, participating in Britain’s third National Survey of Sexual Attitudes and Lifestyles (Natsal-3) (N = 11,637). Help/advice was sought by less than half of those with distressing sexual difficulties, and help-seeking was associated with younger age in women but not men. The most popular sources of support were family doctor (47.5% to 54.8%), Internet (22.0% to 25.6%), and family/friend (20.7% to 41.8%), with older participants (≥ 35), particularly men, preferring to seek help from a family doctor, and younger participants (<35) preferring to seek help from the Internet or family/friend. Despite a paucity of good digital support sites for sexual function, the Internet is a common source of help. As Internet access continues to increase, so too does the potential for well-designed IDIs to support those with sexual difficulties.     

Feminism,globalization and the global justice and solidarity movement

The paper begins with a theoretical-political positioning regarding globaliz­ation, as a multidimensional phenomenon, loaded with power relations with unequal and ambivalent impacts producing dramatic exclusions but, at the same time, opening possibilities for profound changes in the gender order and in social subjectivities. The effects of globalization on social movements have also been multiple and ambivalent, producing fragmentation and particularization but at the same impelling new ways of articulation, more flexible and inclusive, as well as mobilizations at a global level oriented to ‘dispute’ its hegemonic contents and struggle for an alternative globalization. In the second part, the paper analyses the new dynamics of intervention of feminist movements that follow from this new reality. The Social World Forum is a privileged space for this analysis, due to the convergence of new tendencies and new ways of existence of feminisms, expressing the new conflicts and challenges faced by feminisms in the collective construction of alternative proposals towards globalization.     

Interacting Socially With Human Hands at 24 Months of Age

This experiment explored whether or not 2‐year‐olds would engage in synchronic imitation with human hands. Sixty‐four 24‐month‐old infants participated. In a test of synchronic imitation, infants were given a toy while a model simultaneously performed novel actions on an identical toy. Infants were randomly assigned to 1 of 4 model conditions: a familiar person, an unfamiliar person, disembodied human hands, and disembodied robotic pincers. Infants were as likely to synchronically imitate disembodied hands as a person. Imitation of the pincers was significantly lower. This pattern suggests that 2‐year‐olds will engage socially with human hands in the absence of the rest of the body.     

Clinical social work and the family court: A new role in child sexual abuse cases

Clinical social workers encounter difficult treatment issues when working with children where there is a suspicion of child sexual abuse, or where there has been an indicated child protective services case but no family court action. This article outlines a new role for the clinical social worker to play in relationship to the family court system. The author argues that the involvement of the clinician in an assessment process developed to aid the court can aid in the protection of children and set the stage for effective intervention and treatment.Director, Center for Training and Research in Child Abuse and Family Violence.     

Validating Benefit and Cost Estimates: The Case of Airbag Regulation

Preregulation estimates of benefits and costs are rarely validated after regulations are implemented. This article performs such a validation for the mandatory automobile airbag requirement. We found that the original 1984 model used to estimate benefits became invalid when 1997 values were input into that 1984 model. However, using a published 1997 cost-effectiveness model, we demonstrate, by replacing the model inputs with the values from 1984, that the 1997 cost-effectiveness ratios, based on real-world crash data and tear-down cost data, are less attractive than what would have been originally anticipated. The three most important errors in the 1984 input values are identified: the overestimation of airbag effectiveness, the overestimation of baseline fatality/injury rates, and the underestimation of manual safety belt use. This case study, which suggests that airbags are a reasonable investment in safety, shows that the regulatory analysis tools do not always produce findings that are biased against health, safety, and environmental regulation. Future validation studies of health, safety, and environmental regulation should focus on validation of benefit and risk estimates, areas where we found significant error, as well as on cost estimates.     

The complexity of roles in community action projects: The example of the evaluation of ‘alternatives’

Evaluation of community interventions is a special form of evaluation involving many roles that are key to accomplishing both the intervention and the accompanying research. The present paper describes the roles involved in the evaluation of a community intervention (‘Alternatives’) aimed at safer use of alcohol and depressant medications by seniors.The three core roles were the community developer who provided leadership in the implementation of the project, the researcher/evaluator, and the community committee that sanctioned and facilitated the project. Other roles on the project included: the project coordinator, the nurse-interviewers who collected the survey data for the evaluation, volunteers from seniors groups, local health service providers, the media, the funders, and others on the project team who provided specific technical expertise.The paper describes the competing interests among these roles as well as conflicts that arose and how these conflicts were handled. Although specific roles are described, the types of roles and the potential for competing interests and conflict are generally relevant to community level evaluations.