Social health protection in Cambodia: Challenges of policy design and implementation

The Government of Cambodia is implementing ambitious reform initiatives to improve the country's social health protection system. In January 2018, it was announced that the Health Equity Fund (HEF), which is fully subsidized by a joint government‐donor initiative for the reimbursement of user fees for the poor at public health facilities, is to be expanded to some segments of informal workers belonging to associations, as well as to commune and village chiefs. Since 2017, the National Social Security Fund (NSSF) has provided social health insurance for formal economy workers in enterprises with eight employees or more. In January 2018, it was expanded to civil servants and all employees regardless of the size of the enterprise. However, this article highlights that the new ambitious reforms are not accompanied by careful planning as regards funding, service delivery, human resources and institutional design. This article therefore aims to examine key policy issues and challenges for Cambodia's ambitious reform of its social health protection system in terms of resource generation, population coverage, strategic purchasing and governance.     

From cognitive dissonance to cognitive Polyphasia: A sociocultural approach to understanding meat‐paradox

Cognitive Dissonance Theory seeks to understand inconsistency by situating it within individual cognition. By doing so, it overlooks the role of the social context in the experience and management of inconsistency and dissonance and fails to capture the processes through which it is negotiated when it appears. On the other side, the cognitive polyphasia hypothesis together with a dialogical approach on Social Representations provide a socioculturally situated, process‐oriented understanding of inconsistency. In this paper, meat‐paradox, the phenomenon of simultaneously declaring love and respect towards animals and also consuming animals, mainly studied through Cognitive Dissonance Theory, is used in order to highlight the merits of a sociocultural approach to inconsistency. Four relevant empirical examples from interviews and focus groups with meat‐eaters and vegetarians in Cyprus are used to illustrate the approach. The examples illustrate how meat‐eaters manage dissonance in ways that exhibit coexistence of contradictory representations and ways of thinking. Three different modalities of knowledge coexistence are identified, as proposed by cognitive polyphasia researchers: displacement, selective prevalence and hybridisation. We discuss the importance of a sociocultural approach to studying paradoxes, the epistemological and methodological implications of such a theorisation and we suggest other life contexts in which such an approach can be applied.     

Modeling stereotypes and negative self‐stereotypes as a function of interactions among groups with power asymmetries

Stereotypes is one of the most researched topics in social psychology. Within this context, negative self‐stereotypes pose a particular challenge for theories. In the current work, we propose a model that suggests that negative self‐stereotypes can theoretically be accounted for by the need to communicate in a social system made up by groups with unequal power. Because our theory is dynamic, probabilistic, and interactionist, we use a computational simulation technique to show that the proposed model is able to reproduce the phenomenon of interest, to provide novel accounts of related phenomena, and to suggest novel empirical predictions. We describe our computational model, our variables' dynamic behavior and interactions, and link our analyses to the literature on stereotypes and self‐stereotypes, the stability of stereotypes (in particular, gender and racial stereotypes), the effects of power asymmetries, and the effects of intergroup contact.     

Scaling Back and Finding Flexibility: Gender Differences in Parents' Strategies to Manage Work–Family Conflict

Studies show that fathers report work–family conflict levels comparable to mothers. The authors examine gender differences in work‐related strategies used to ease such conflicts. The authors also test whether the presence of young children at home shapes parents' use of different strategies. They address these focal questions using panel data from the Canadian Work, Stress, and Health study (N = 306 fathers, 474 mothers). The authors find that mothers with young children are more likely to scale back on work demands when compared with fathers with young children, but mothers and fathers with older children are equally likely to pursue these strategies. Furthermore, women with young children and men with older children are more likely to seek increased schedule control as a result of work–family conflict when compared with their parent counterparts. The authors situate these findings in the vast literature on the consequences of work–family conflict.     

Family Diversity and Child Health: Where Do Same‐Sex Couple Families Fit?

Increasing family diversity during the past half century has focused national attention on how children are faring in nontraditional family structures. Much of the limited evidence on children in same‐sex couple families suffers from several shortcomings, including a lack of representative data. We use the National Health Interview Survey (2004–2012) and the National Survey of Children's Health (2011–2012) to identify children in different‐sex married and cohabiting families, never and previously married single‐parent families, and same‐sex couple families. Considering important characteristics such as the child's race or ethnicity and adoption status, household socioeconomic standing, family stability, and parent health, we examine the relationship between family type and parent‐rated overall child health. The results suggest that poorer health among children in same‐sex couple as well as different‐sex cohabiting couple and single‐parent families appears to be largely the product of demographic and socioeconomic differences rather than exposure to nontraditional family forms.     

Mothers' and Fathers' Well‐Being in Parenting Across the Arch of Child Development

Limited research on parental well‐being by child age suggests that parents are better off with very young children despite intense time demands of caring for them. This study uses the American Time Use Survey Well‐Being Module (N = 18,124) to assess how parents feel in activities with children of different ages. Results show that parents are worse off with adolescent children relative to young children. Parents report the lowest levels of happiness with adolescents relative to younger children, and mothers report more stress and less meaning with adolescents. Controlling for contextual features of parenting including activity type, solo parenting, and restorative time does not fully account for the adolescent disadvantage in fathers' happiness or mothers' stress. This study highlights adolescence as a particularly difficult stage for parental well‐being and shows that mothers shoulder stress that fathers do not, even after accounting for differences in the context of their parenting activities.     

Maternal Employment,Community Contexts,and the Child‐Care Arrangements of Diverse Groups

Integrating family and child data from the Early Childhood Longitudinal Study–Birth Cohort with contextual data from the census, this study examined associations among maternal employment, aspects of communities related to child‐care supply and demand, and the early care and education arrangements of 4 year olds in Mexican‐origin, Black, and White families. Children with employed mothers were more likely to be in informal care arrangements than in early childhood education, regardless of racial/ethnic background. For children in Mexican‐origin families, selection into informal care over early childhood education was more likely in zip codes with greater demand for care as measured by higher female employment. Utilization of parent care versus early childhood education was also more likely for children in Mexican‐origin and Black families in zip codes with higher female employment. Constraints associated with maternal employment thus hindered children from enrolling in early childhood education, and community contexts posed challenges for some groups.     

Insider/Outsider: A Muslim Woman's Adventure Practicing ‘Alongside’ Narrative Therapy

The following paper centres on my unique experience as a white Australian therapist who is able to sympathise with a Western world view while being immersed in an Islamic world view. The goal is to share my journey as a Muslim Australian via an auto‐ethnography reflexive method. Using diaries, intentional reflexive positioning, and multiple modes of supervision, I contemplate an Islamic identity and value system while negotiating poststructural therapies such as solution‐focused collaborative, and in particular, narrative therapy as viable approaches to working with the Muslim community. There are two inquiries which are of interest. The first is to reflexively describe the experience of being a Muslim practitioner and wondering whether core differences in epistemological views between social constructionism and Islamic doctrine can be overcome. Secondly, this enquiry explores Quranic guidelines about how to perceive ‘problems’ in life, based on the premise that understanding how an Islamic world view addresses life's troubles may add to deeper conceptions of the role of difficulties. I propose that adherent Muslims have a natural metaphorical way of thinking that connects with some of the poststructural therapeutic skills and techniques and at the same time draw on past Quranic solutions for contemporary problems. Little has been written on narrative therapy as a suitable approach to working with Muslim clients. In the current paper I review my personal experience as a veiled Muslim therapist striving to implement narrative therapy alongside an Islamic epistemology.     

Career Adaptability,Self‐Esteem,and Social Support Among Hong Kong University Students

Career adaptability manifests itself through 4 self‐regulated internal resources for coping with occupational challenges and transitions: concern, control, curiosity, and confidence. Few studies have examined career adaptability specifically in the Hong Kong context. The Career Adapt‐Abilities Scale–China Form (CAAS‐China; Hou, Leung, Li, Li, & Xu, 2012 ) was administered, along with measures of self‐esteem and social support, to 522 Hong Kong Chinese undergraduate students. Results indicated that the CAAS‐China is a reliable and valid instrument for use with these students. Data also showed that self‐esteem was strongly associated with career adaptability, and this relationship was partially mediated by perceived social support. Implications for careers counseling in universities and colleges are discussed.     

Focusing on Focusing Events: Event Selection,Media Coverage,and the Dynamics of Contentious Meaning‐Making

Despite the prevalent assumption among scholars of social movements and contentious politics that transformative contentious events are also the focus of public attention and discussion, there has been little attempt to substantiate this. After making a case for why to focus on focusing events and suggesting that these events should be thought of as products of a dialogical contentious meaning‐making process, we develop a coverage attribute‐based method for identifying focusing events. For illustrative purposes, we apply our method to the coverage of contentious events during the “first” intifada by Israeli‐Jewish, Jewish settler, and Palestinian newspapers. Findings from analyses of 11,868 news items reveal that newspapers are likely to strategically quiet contentious events that are strategically amplified by newspapers affiliated with opposing or targeted parties, and vice versa, depending on their interpretation of these events as political opportunities or threats. Analyses of variations across and within contending parties reveal the role of structure and agency in the dialogical seesaw‐like dynamics of contentious meaning‐making.