Structure and agency in development-induced forced migration: the case of Brazil’s Belo Monte Dam

This paper examines how structure and agency interact to shape forced migration outcomes. Specifically, I ask how structural factors such as compensation policies as well as social, financial, and human capital may either foster or constrain migration aspirations and capabilities. I use longitudinal, semi-structured interview data to study forced migration among farmers displaced by the Belo Monte Dam in the Brazilian Amazon. Results from baseline interviews indicate that nearly all community members aspired to purchase rural land in the region and maintain livelihoods as cacao farmers or cattle ranchers. Constraints limiting the ability to attain aspirations included strict requirements on land titles for properties, delays in receiving compensation, rising land prices, and the lack of power to negotiate for better compensation. Despite these constraints, most migrants succeeded in attaining aspirations, as they were able to mobilize resources such as social networks, financial capital, skills, and knowledge. These findings highlight the importance of considering the relationship between structure and agency within forced migration research. I conclude by discussing how the findings may inform resettlement policies for future cases of development- or environment-induced forced migration.     

Forced Migration and Changing Livelihoods in the Brazilian Amazon

Forced migration due to development projects or environmental change impacts livelihoods, as affected households are faced with new—and often less favorable—environmental, social, and economic conditions. This article examines changing livelihood strategies among a population of rural agricultural households displaced by the Belo Monte Dam in the Brazilian Amazon. Using longitudinal data, I find that many households used compensation payments to concentrate income generation efforts on the most lucrative strategies—cacao and cattle production and business or rental income. Poorer households and those that received the least compensation were more likely to continue relying on agricultural wage labor—a less desirable income source associated with not owning land or with persons needing to supplement income with additional work as a day laborer. Results also indicate that the amount of compensation received by most households was sufficient to enable them to make productive investments beyond attaining replacement land and housing. Many households invested in assets such as agricultural infrastructure, cattle, rental houses, or tractors—all of which directly contribute to future income. Displacement compensation, similar to remittances or conditional cash transfers, can therefore act as an important infusion of capital to promote socioeconomic development and poverty reduction.     

Impact of a vocational counselor on employment-related outcomes among methadone patients

A vocational rehabilitation counselor (VRC) was placed in a methadone maintenance (MM) clinic (Clinic 1; N=333) to increase vocational–educational (v–e) services and improve v–e outcomes. Data on individual service delivery and monthly patient v–e status provided project implementation and outcome data, respectively, in Clinic 1; v–e status data for patients in a comparison clinic (Clinic 2; N=358) allowed assessment of the VRC's impact. V–e services increased significantly in Clinic 1; net v–e involvement increased from 53 to 56% in Clinic 1 and declined in Clinic 2, 45–43%. Logistic regression showed that pre-treatment/at admission employment heavily influenced positive v–e change and that VRC services contributed significantly to v–e change among patients not working at admission. It was concluded that placing a VRC in an MM clinic is a cost-effective v–e intervention.     

Conducting the medical history

A key portion of the medical evaluation of child sexual abuse is the medical history. This differs from interviews or histories obtained by other professionals in that it is focuses more on the health and well-being of the child. Careful questions should be asked about all aspects of the child's medical history by a skilled, compassionate, nonjudgmental, and objective clinician. Often the diagnosis of sexual abuse is based only on the medical history. The history can be further understood by knowledge of how children are abused and their reactions to it. By addressing the child's and parent's concerns, reassurance can also be provided about what is normal and abnormal with the child's body.     

Introduction to the special section: medical advances in child sexual abuse, part 2

This volume is the second of a two-part special issue detailing state of the art practice in medical issues around child sexual abuse. The four articles in this special section discuss topics such as estimating the sexual maturity of a child from computer or photographic images; how several cases of supposed Neisseria gonorrhoeae meningitis actually were a different, but related, organism, thereby removing sexual abuse as a consideration as to etiology; what current laboratory methods are available today to detect specific sexually transmitted infections and what should be used; and how all the evidence in child sexual abuse cases is organized to make clear and accurate statements.     

Networks Versus Need: Drivers of Urban Out-Migration in the Brazilian Amazon

As urbanization rates rise globally, it becomes increasingly important to understand the factors associated with urban out-migration. In this paper, we examine the drivers of urban out-migration among young adults in two medium-sized cities in the Brazilian Amazon—Altamira and Santarém—focusing on the roles of social capital, human capital, and socioeconomic deprivation. Using household survey data from 1,293 individuals in the two cities, we employ an event history model to assess factors associated with migration and a binary logit model to understand factors associated with remitting behavior. We find that in Altamira, migration tends to be an individual-level opportunistic strategy fostered by extra-local family networks, while in Santarém, migration tends to be a household-level strategy driven by socioeconomic deprivation and accompanied by remittances. These results indicate that urban out-migration in Brazil is a diverse social process, and that the relative roles of extra-local networks versus economic need can function quite differently between geographically proximate but historically and socioeconomically distinct cities.     

Affective Qualities of Sibling Disputes, Mothers' Conflict Attitudes, and Children's Theory of Mind Development

Preschoolers' theory of mind (ToM) was examined in relation to emotional features of their conflicts with siblings, using mothers as privileged informants. Fifty-four children aged 3 to 5 years and their 54 mothers took part. Children were given 10 standard false belief tasks and a standardized language test. Mothers completed questionnaires, rated vignettes, and kept a conflict diary to provide detailed data on siblings' conflicts, mothers' conflict attitudes, and mothers' use of mental state language to talk about children's disputes. Results revealed that children's ToM scores were significantly correlated with affective dimensions of their sibling disputes, including more frequent expression of positive emotion while disagreeing and less post-conflict distress. Logistic regression showed these associations were independent of age and verbal ability. Mothers' conflict attitudes were significantly correlated with the affective outcome of their children's disputes but not with the preschooler's level of ToM understanding. Findings are discussed in relation to possible reciprocal influences between ToM development and the growth of affectively positive and constructive conflict resolution skills.     

Climatic conditions and infant care: implications for child nutrition in rural Ethiopia

Population and Environment - We examine the relationships between climatic conditions, breastfeeding behavior, and maternal time use in Ethiopia. Infant feeding practices are important predictors...     

Psychiatric nurses' attitudes toward and involvement in nursing research.

1. The three major blocks to clinical nursing research are lack of time, knowledge, and administrative support. 2. Positive attitudes toward nursing research were found to be related to nurses' advanced levels of education. 3. Two strategies to foster the development of research skills are inservice education classes and individualized guided learning experiences. 4. Two essential resources for staff who are expected to engage in clinical research activities are statistical consultation and clerical services.