Staff perceptions of staff-family interactions in nursing homes

Each year thousands of older adults are admitted to nursing homes. Following admission, nursing home staff and family members must interact and communicate with each other. This study examined relationship and communication patterns between nursing home staff members and family members of nursing home residents, as part of a larger multi-method comparative case study. Here, we report on 6-month case studies of two nursing homes where in-depth interviews, shadowing experiences, and direct observations were completed. Staff members from both nursing homes described staff–family interactions as difficult, problematic and time consuming, yet identified strategies that when implemented consistently, influenced the staff–family interaction positively. Findings suggest explanatory processes in staff–family interactions, while pointing toward promising interventions.     

Extra-capitalist impulses in the midst of the crisis: perspectives and positions outside of capitalism

ABSTRACT

This article introduces the current special issue, Extra-capitalist impulses in the midst of the crisis. Those seeking alternatives to capitalism, and egalitarian social change more generally, face a chronic undecidability. In this context, the special issue considers episodes of what we term, extra-capitalism. By this, we mean those instances, examples, strategies, tactics, experiments, programmes, moments, ruptures and revolutions that have sought to find a way either to challenge or to move outside of capitalism. The article highlights three key dimensions of difference that tend to face those seeking alternatives to capitalism: on the question of scale; regarding the attitude towards institutions of authority, and especially the state; and over the mode of internal organization. Each of the articles of the special issue connect with these questions, and the way in which we might learn from episodes of extra-capitalism, both historically and in the present.     

Statistical issues in first‐in‐human studies on BIA 10‐2474: Neglected comparison of protocol against practice

By setting the regulatory‐approved protocol for a suite of first‐in‐human studies on BIA 10‐2474 against the subsequent French investigations, we highlight 6 key design and statistical issues, which reinforce recommendations by a Royal Statistical Society Working Party, which were made in the aftermath of cytokine release storm in 6 healthy volunteers in the United Kingdom in 2006. The 6 issues are dose determination, availability of pharmacokinetic results, dosing interval, stopping rules, appraisal by safety committee, and clear algorithm required if combining approvals for single and multiple ascending dose studies.     

Mother–Infant Interaction and Child Brain Morphology: A Multidimensional Approach to Maternal Sensitivity

Emerging research suggests that normative variation in parenting quality relates to children's brain development. However, although the young brain is presumed to be especially sensitive to environmental influence, to our knowledge only two studies have examined parenting quality with infants as it relates to indicators of brain development, and both were cross‐sectional. This longitudinal study investigated whether different components of maternal sensitivity in infancy predicted the volume of two brain structures presumed to be particularly sensitive to early experience, namely the amygdala and the hippocampus. Three dimensions of sensitivity (Cooperation/Attunement, Positivity, Accessibility/Availability) were observed in 33 mother–infant dyads at 1 year of age and children underwent structural magnetic resonance imaging at age 10. Higher maternal Accessibility/Availability during mother–infant interactions was found to be predictive of smaller right amygdala volume, while greater maternal positivity was predictive of smaller bilateral hippocampal volumes. These longitudinal findings extend those of previous cross‐sectional studies and suggest that a multidimensional approach to maternal behavior could be a fruitful way to further advance research in this area, given that different facets of parenting might be differentially predictive of distinct aspects of neurodevelopment.     

Degree and Direction of Sexual Desire Discrepancy are Linked to Sexual and Relationship Satisfaction in Couples Transitioning to Parenthood

Many new parents are concerned that they have different levels of interest in sex than their partner. Understanding the role of desire discrepancies in their sexual and relationship satisfaction could help promote adjustment. In community couples, larger desire discrepancies have been inconsistently linked to lower sexual and relationship satisfaction. However, these studies rarely accounted for both the degree and direction (e.g., which partner has higher desire) of the discrepancy. We surveyed 255 mixed-sex new parent couples to assess their sexual desire, sexual satisfaction, and relationship satisfaction. Using polynomial regression with response surface analysis (RSA), we found that desire discrepancies between partners (i.e., when partners were more mismatched as opposed to matched on their levels of sexual desire) were associated with lower sexual (but not relationship) satisfaction for both partners. However, the direction of desire discrepancy mattered: Parents felt less satisfied when mothers were the higher-desire partner compared to when fathers were the higher-desire partner. In addition, when partners’ level of sexual desire was in agreement, they were more sexually and relationally satisfied if both partners reported higher compared to lower desire. Results demonstrate the important role of both the magnitude and direction of desire discrepancies in new parent couples.     

Political battlefield: aggressive metaphors,gender, and power in news coverage of Canadian party leadership contests

Our study analyzed aggressive figures of speech used by the Globe and Mail to describe the personas, performances, and prospects of women and men leadership candidates for the (Progressive) Conservative Party of Canada in 1976, 1993, and 2004. We codified four distinct forms of power communicated by the aggressive metaphors—power over, power to, power with, and power as—to investigate what these battleground metaphors communicate about gender and political power. Our content analysis and discourse analysis of the phrases applied to each of the candidates revealed gendered assumptions about political leadership. All three women candidates in our study—Flora MacDonald (1976), Kim Campbell (1993), and Belinda Stronach (2004)—were discussed as formidable foes, capable of using considerable force in their efforts to win. Indeed, Campbell became Canada’s first and only woman prime minister. Yet, much of the aggressive mediation confirms the gendered mediation thesis that aggressive metaphors exclude women and reconstitute politics as masculine. Many of the combative phrases cast doubt on a woman candidate’s ability to successfully compete on the political battlefield.