A "good death" for whom? Quality of spouse's death and psychological distress among older widowed persons

Ethicists, policy makers, and care providers are increasingly concerned with helping the dying elderly to experience a "good death." A "good death" is characterized by physical comfort, social support, acceptance, and appropriate medical care, and it should minimize psychological distress for the dying and their families. I identify the predictors of death quality and evaluate how the quality of an older adult's death affects the surviving spouse's psychological adjustment six months after the loss. Analyses use Changing Lives of Older Couples (CLOC) data, a prospective study of married persons ages 65 and older. Positive spousal relationships during the final days increase survivors' yearning yet reduce their anger. Having a spouse die a painful death is associated with elevated anxiety, yearning, and intrusive thoughts. The perception of physician negligence is associated with elevated anger. These findings suggest that improved end-of-life care and pain management will benefit both the dying and their bereaved spouses.     

Preparing Social Work Doctoral Students for Teaching

The results of a national survey of 51 social work doctoral program directors indicate that, although the majority of doctoral programs include preparation for teaching as a program objective, they offer limited formal course work and few opportunities for supervised teaching experiences. The authors discuss the results of this survey and make recommendations for better preparing social work doctoral students for their roles as teachers.     

UNEMPLOYED? BOARD THE ENTERPRISE FOR A BRAVE NEW WORLD AND A ‘REAL’ JOB: A CRITIQUE OF THE NEW STRATEGY FOR REDUCING UNEMPLOYMENT

This paper argues that the changes to the delivery of labour exchange assistance to the unemployed, initiated in the 1996 Federal Budget, are unlikely to deliver on the promise of ‘Helping Australians into Real Jobs’. The changes posited by the government are more realistically viewed as a trend to divesting itself of cost intensive functions through the mechanisms of corporatisation and privatisation. Through an analysis of service expectations, the author suggests that the creation of the employment services market will neither build confidence in the Government's strategy to contain unemployment, nor have a positive impact on reducing levels of unemployment. PEPE Ltd, the government owned employment placement enterprise, faces an interesting future as it competes in an open employment services marketplace. It is further suggested that the privatisation trend has serious implications for equitable service delivery to unemployed Australians.     

Disability, Religion and Health: a literature review in search of the spiritual dimensions of disability

Religious belief and practice plays an important role in the lives of millions of people worldwide, and yet little is known of the spiritual lives of people with a disability. This review explores the realm of disability, religion and health, and draws together literature from a variety of sources to illustrate the diversity of the sparse research in the field. An historical, cross-cultural and religious textual overview of attitudes toward disability throughout the centuries is presented. Studies in religious orientation, health and well-being are reviewed, highlighting the potential of religion to effect the lives of people with a disability, their families and caregivers. Finally, the spiritual dimensions of disability are explored to gain some understanding of the spiritual lives and existential challenges of people with a disability, and a discussion ensues on the importance of further research into this new field of endeavour.     

Nonverbal expectancy violations and conversational involvement

A central feature of nonverbal expectancy violations theory is that unexpected behaviors trigger a cognitive-affective appraisal of such behavior, leading to a valencing of the behavior(s) as positive or negative. It has been proposed that communicator reward mediates the interpretation and evaluation of such violations but may be more important when the violative act is ambiguous in meaning than when it is not. Unclear is whether nonverbal behavioral composites introduce greater or less equivocality of interpretation. Two experiments employing multi-cue conversational involvement violations addressed this issue. In the first, dyads (N=51) engaged in a 10-minute baseline interview, after which participants rated each other on several measures of reward valence. One randomly selected member then served as a confederate interviewee during a second interview and either significantly increased or decreased involvement. In the second experiment, reward was manipulated as physical attractiveness, status, and task expertise. Dyads (N = 60) engaged in prolonged problem-solving discussions during which the confederates either committed an involvement violation or not. In both experiments, the involvement changes were sufficiently unexpected, arousing, and distracting to qualify as violations of expectations. Analysis of message interpretations indicated that (1) relative to normal involvement levels, increased nonverbal involvement was interpreted as most immediate/affectionate, receptive, similar, dominant, and composed, and decreased involvement as least so, and (2) reward mediated only the interpretation of formality. High involvement violations in turn produced greater attraction, credibility, and persuasiveness than low involvement violations for high as well as low-reward communicators, as predicted.where Joe Walther and Jim Baesler are doctoral students. An earlier version of this paper was presented to the annual meeting of the International Communication Association, New Orleans, May 1988.     

No Human Resource is an Island: Gendered,Racialized Access to Work as a Performer

This article explores the reproduction of gendered, racialized conceptions of age and appearance in structuring access to performing work. Analysis of this issue leads to discussion of a key supposition: that central work experiences of women performers are manifestations of their position as formal and informal proxies for women's experiences in wider society. Women performers are formal proxies in that they are employed to ‘be women’; to represent women for consumption in the circuit of culture. They are informal proxies in that they are allocated to highly segmented labour markets based on wider patterns of gendered, racialized social relations.     

Statistical methodology for assessing homology of intronic regions of genes

We consider the problem of statistically evaluating the similarity of DNA intronic regions of genes. Present algorithms are based on matching a sequence of interest with known DNA sequences in a gene bank and are designed primarily to assess homology among exonic regions of genes. Most research focuses on exonic regions because they have a clear biological significance, coding for proteins, and therefore tend to be more conserved in evolution than intronic regions. To investigate whether the intronic features of genes whose expression is highly sensitive to environmental perturbations differ from genes that have a more constant expression, a collection of oncogenes, tumor suppressor genes, and nonregulatory genes involved in energy metabolism are compared. An analysis of the features of these genes' intronic regions result in clustering by regulatory group. In addition, Billingsley's test for Markov structure (1961) suggests that 67% of the intronic regions in this collection of genes show evidence of nonrandom structure, indicating the possibility of a biological function for these regions. The result of Billingsley's test for homology is used as input to a clustering algorithm. The biological significance of this methodology lies in the identification of groups based on the intronic regions from genes of unknown function. With the advent of rapid sequencing techniques, there is a great need for statistical techniques to help identify the purpose of poorly understood portions of genes. These methods can be utilized to assess the functional group to which such a gene might possibly belong.     

Use of time and preferences for time allocation among urban,employed, married women

This study examines the relationship between employed wives' preferences for household production time, employment time, leisure, and their actual time use. A random sample of 235 employed, married women estimate their time use on an average weekday and weekend day in 13 activities and indicate their preferences for time in those activities. Hierarchical multiple regression procedures are used to examine the relationships between actual and preferred time use. Weekday employment time is not related to preferences for more or less time in household production but wives allocating more time to employment want to spend less time at that employment and more time in leisure. Weekend employment time is related to preferences for more time in leisure, child care, and other household work. Time spent performing household work is not related to preferences for more or less time in any activity except the desire for more leisure time on weekends.Ann Renigar Hiatt is Assistant Professor in the Department of Human Services, College of Education and Allied Professions at the University of North Carolina at Charlotte, Charlotte, NC 28223. Her research interests include employed women's time allocation, time pressures, and use of time management strategies. She received her Ph.D. from the University of North Carolina at Greensboro.Deborah D. Godwin is Associate Professor in the Department of Housing and Consumer Economics at the University of Georgia, Athens, GA 30602. Her research has focused on husbands' and wives' time allocation to household production, the effects of women's employment on family economic functioning, and family financial management. She received her Ph.D. from the University of North Carolina at Greensbore.