Lactation and fertility in Rural Bangladesh

Summary Analysis of data from various phases of a study of post-partum amenorrhoea in Bangladesh illustrated good aggregate consistency of response on menstrual status, but less individual consistency on duration of post-partum amenorrhoea. Using life table techniques, the median duration of amenorrhoea was calculated as 19.9 months for women with births between February and September 1974. There were substantial seasonal variations in duration, with the median decreasing from 21.5 months for women with February births to 16.9 months for those with September births. By contrast, the median duration of post-partum amenorrhoea varies by only two months for women in the lowest and highest quartiles of weight and weight for height. The seasonal pattern was similar for all weight groups.     

Treatment of psychogenic seizures in adolescents

This article will review the problem of psychogenic seizures in adolescents and the impact of family therapy and individual therapy on treatment. Why particular individuals are prone to psychogenic seizures, the relationship between psychogenic seizures and family dynamics, and unresolved individual issues will be covered. The article will address a selected case, with a specific clinical paradigm for treatment.     

Toward 'good enough' services for inaptly served families and children: Barriers and opportunities

The present article draws attention to ways in which the goodness of fit between social services and their clients, both in the present and the past, determines the extent to which services are successful–in the sense that clients experience them as helpful and as furthering their well-being, and that there is objective evidence of improvement in their situation.

To provide an initial conceptual framework for exploration in this area, a number of terms are introduced and defined. These include ‘inapt service”, ‘inaptly served families’, and ‘good enough services’.

It is contended that biases that promote inaptness, in the areas of policy, organization, practice, and research and evaluation, have contributed to the proliferation and perpetuation of inapt services. As a basis for further reflection and for efforts to transform ‘inapt’ service systems into ones that are ‘good enough’, twelve such biases are discussed.

Finally, premises and directions for action that promote such transformative efforts are suggested.     

Ratio estimates and fieller's theorem in regression modelling

This paper presents applications of statistical linear models in which a confidence interval is required for the ratio of linear combinations of the model's parameters, Fieller's theorem is used to obtain the solution.     

Partnership and participation: contradictions and tensions in the social policy space

Partnerships and participation seem to be the order of the day. Yet, for many community organisations, this way of ordering the social policy space is contradictory, creating practice tensions that increase the complexity of local service systems. Such changes impact community organisations in a politics that needs to be made visible if they are to be able to act in the interests of their members and service users. We therefore outline the social policy space currently constituted by four major discourses: neo‐liberalism, managerialism, new paternalism and network governance as they intersect and interact chaotically, reshaping participation and partnerships between government, community service organisations and local communities. We then examine how policy as a technology or set of mechanisms is discursively creating contradictions and practice tensions within which community organisations engage for social justice.     

Negotiating stigma: Understanding mothers' responses to accusations of child neglect

Current child protective service policies encourage family preservation and reunification. Yet little is known about how mothers accused of child neglect experience being labeled neglectful or how this influences compliance with child protective services (CPS) service plans. This paper reports the results of a case study of mothers' perceptions of being labeled neglectful. Drawing on symbolic interactionist theories of identity, interviews with sixteen mothers and sixteen child protective service caseworkers, and content analysis of interview data obtained, this paper describes the strategies mothers employ to resist the stigma of being labeled a neglectful mother, strategies that ultimately put them at odds with child protection goals. Findings suggest that mothers' identity preservation and maintenance have powerful implications for CPS policy.