Keeping Your Eye on the Process: Body Image,Older Women,and Countertransference

Research on body image and older women has grown in the past decade. However, there is a gap in the literature regarding body image, older women, and countertransference. This article provides 7 case examples of racially and ethnically diverse women over 60, drawn from MSW student and agency staff supervision, and participant feedback from a national conference on aging workshop. Themes related to loss and grief, adult daughter and aging mother issues, incest, anger, disability, personality disorders, phobic reactions, and shame are discussed. Recommendations and implications for social work practice, education and research are provided.     

Managing in the Trenches of Consumer Care: The Challenges of Understanding and Initiating the Advance Care Planning Process

To better understand how community-based long-term care providers define advance care planning and their role in the process, we conducted 8 focus groups with 62 care managers (social workers and registered nurses) providing care for Ohio's Medicaid waiver program. Care managers shared that most consumers had little understanding of advance care planning. The care managers defined it broadly, including legal documentation, social aspects, medical considerations, ongoing communication, and consumer education. Care managers saw their roles as information providers, healthcare team members, and educators/coaches. Better education, resources, and coordination are needed to ensure that consumer preferences are realized.     

Welfare Indignities: Homeless Women,Domestic Violence,and Welfare Reform in San Francisco

Using data collected during a 4 year ethnography, this paper examines how the 1996 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) has impacted homeless women in San Francisco who are also victims of domestic violence. Specifically this paper looks at how the behavior of abusive men prevents homeless women from successfully navigating the new welfare-to-work requirements and maintaining stable employment. Findings indicate that despite the discourse touting the success of welfare reform, the 1996 PRWORA has further disenfranchised an already devastated population systematically forcing them further onto the margins of society.

Quality of Web-based Information on Pathological Gambling

The present study aims to evaluate the quality of web-based information on gambling and to investigate potential content quality indicators. The following key words: gambling, pathological gambling, excessive gambling, gambling problem and gambling addiction were entered into two popular search engines: Google and Yahoo. Websites were assessed with a standardized proforma designed to rate sites on the basis of “accountability”, “presentation”, “interactivity”, “readability” and “content quality”. “Health on the Net” (HON) quality label, and DISCERN scale scores aiding people without content expertise to assess quality of written health publication were used to verify their efficiency as quality indicators. Of the 200 links identified, 75 websites were included. The results of the study indicate low scores on each of the measures. A composite global score appeared as a good content quality indicator. While gambling-related education websites for patients are common, their global quality is poor. There is a need for useful evidence-based information about gambling on the web. As the phenomenon has greatly increased, it could be relevant for Internet sites to improve their content by using global score as a quality indicator.     

Partner support during the prenatal testing period after assisted conception

Background

Pregnancy after infertility is a challenging experience. The first-trimester screening test may add stress. Partner support reduces psychological distress in pregnant women after spontaneous conception. No data are available for women who conceive via assisted reproductive technology.

Social connectedness among international students at an Australian university

A representative sample of undergraduate and postgraduate international students at a large Australian university (n = 979, 64% females) completed a mail-back survey examining their perceptions of social connectedness. Four aspects of social connectedness were investigated: (1) connectedness in Melbourne, (2) social mixing and interaction with co-culturals and Australians, (3) involvement in organisations, associations and groups, and (4) connections to home and family. The majority of students report being well-connected to others in Melbourne, although some desire increased personal support from people who know and care about them. Connectedness in Melbourne is related to students’ cultural background and communication skills in the new culture and their evaluation of their perceived academic progress. Students from Asian countries reveal different patterns to other students, especially in the relationships between connectedness and interactions with co-culturals. Awareness of these and other differences among international students from varying cultural backgrounds can help target assistance in achieving a sense of well-being.     

A census-based analysis of the economic status of older indigenous Australians

The focus of this paper is the educational and economic status of indigenous Australians aged 50 years and over as reported in the 1991 Population Census. These indigenous people were less likely to be in employment than other Australians in the same age group and were more likely to be in unskilled occupations. Although there was no evidence of an improvement in the relative individual incomes of indigenous people in this age group between 1986 and 1991, there was some evidence of gains relative to other Australians in the share of the population in employment. This probably reflects the expansion of the Community Development Employment Projects (CDEP) scheme and as such should not be taken as an indicator of growth in indigenous employment independent of government support.     

Family interaction of the young-old: Social exchange as an explanation of the qualitative and quantitative experience

Very frequent family interaction, daily or more often, significantly lowered the morale scores in a sample of retired men and women who were highly satisfied with their family life, even after controlling for health, income and other measures of satisfaction. In contrast to other research which has shown that it is the quality not the quantity which affects morale, these findings suggested that both quantity and quality of family interaction were important to morale. An explanation from the social exchange perspective indicates that there is an optimal level of family interaction beyond which the costs outweight the benefits.     

Wives who outearn their husbands: A transitory or persistent phenomenon for couples?

In what percentage of married couples do wives outearn their husbands, and, moreover, how persistent are these patterns? This study systematically examined variation in point-in-time estimates across alternative measures of earnings, definitions of types of couples, and data sources and gauged the persistence of these patterns for a period of three calendar years using data from the 2000 Current Population Survey and the 1996–2000 Survey of Income and Program Participation. Among the findings are that in 19% to 30% of all married couples, wives have higher earnings than their husbands. In 60% of such couples, this arrangement persists over the three-year period; for the rest, this arrangement is transitory.