Problem‐ and solution‐focused characteristics of parenting support, 3 years after implementation of the solution‐focused approach: A qualitative content analysis

In recent years, solution‐focused parenting support has been developed and implemented as a promising brief and strength‐based approach. Given the fundamental differences between solution‐focused and the historically more common problem‐focused parenting support and the complexity of transforming professional practice, an actual shift towards solution‐focused parenting support can be expected to be limited up to now. However, because research into the specific communication characteristics of professional parenting support is currently lacking, no conclusion can be drawn at present. Therefore, this study aims to explore the current problem‐ and solution‐focused characteristics of parenting support in the Dutch youth healthcare (YH). In total, 15 support sessions performed by 10 public health nurses were audio recorded and transcribed verbatim. A detailed qualitative content analysis of professional communication was conducted to identify problem‐ and solution‐focused factual, expressive, relational and appealing aspects of parenting support. Problem‐focused characteristics dominated all sessions of parenting support. This study is the first to thoroughly analyse the problem‐focused and solution‐focused communication characteristics of professional parenting support using a qualitative content analysis. Parenting support practice in the Dutch YH did not shift substantially to a solution‐focused approach. More effort is required to stimulate and facilitate this professional transformation.     

Forgetting the founders*

The inability, or unwillingness, of 20^th‐century sociologists to move beyond the agenda bequeathed by Marx, Weber, and Durkheim is remarkable in view not only of the now outdated presuppositions shared by all three but of the increasing likelihood that the more important influence on the human behavioural sciences in the 21^st century will turn out to be Darwin's. Not only has the coming together of evolutionary theory, population genetics, and molecular biology shown that significantly more of human behaviour can be explained by the theory of natural selection than was previously recognized, but non‐reductionist explanations of cultural and social evolution from within a neo‐Darwinian paradigm can be framed in terms no longer vulnerable to the criticisms previously levelled against the application to sociology of Darwin's original insight about ‘descent with modification’.     

Contradictions of state socialism: the case of Poland*

This article originates from an invitation to give a paper at the Polish Academy of Sciences in Warsaw m the Autumn of 1980. As then drafted, the paper consisted mainly of a discussion of the writings of selected Polish and British sociologists on the structure and workings of contemporary state-socialist societies, and it was my intention to revise it for submission to the Sociological Review as a sequel to, and commentary on, the article by Christopher G.A. Bryant published in the issue of February, 1980.¹ On return from Warsaw, I decided against doing so for two reasons: first, it seemed to me that the writings which I had taken as my starting-point were too remote from the actual course of events in Poland; second, I did not see how I could use the many informative conversations about those events which I had had with Polish sociologists and others in an academic journal article. On further reflection, however, I do not believe that either of these reasons should prevent my attempting to set out and justify my view of the implications for sociological theory of the Polish case, even though it is based in part on non-documentary sources and (more seriously) I lack the knowledge of the language which would give me direct access to the documentary ones. In what follows, accordingly, I first outline the framework within which the forms and distribution of power in state-socialist societies in general and Poland in particular can, in my view, best be analysed; I then set out in slightly more detail what I see as the reasons why events in Poland between 1956 and 1981 followed the course they did; and I conclude with a brief discussion of what I believe to be the principal weakness in the recent British sociological literature on state socialism insofar as it relates to the Polish case.     

Coexisting disadvantages across the adult age span: A comparison of older and younger age groups in the Swedish welfare state

Heap J, Lennartsson C, Thorslund M. Coexisting disadvantages across the adult age span: a comparison of older and younger age groups in the Swedish welfare state To experience coexisting disadvantages – the simultaneous lack of several different welfare resources – implies a hampered ability to manage one's living conditions. Here, we study coexisting disadvantages in the oldest population compared with younger age groups in Sweden, by drawing on two linked, nationally representative surveys (n = 5,392). The measurement of coexisting disadvantages included physical health, psychological health, frequency of social contact, cash margin and political resources. The highest odds of coexisting disadvantages were found after age 75 – age groups that are frequently excluded from studies of coexisting disadvantages. This pattern persisted when controlling for socio‐demographic and socio‐economic characteristics. The age pattern was partly driven by the high prevalence of physical health problems in the older population. However, even when excluding physical health problems, the odds of coexisting disadvantages were highest among people older than 85 – the fastest‐growing segment of the population in many Western countries.     

Efficacy of newer medications for lower urinary tract symptoms attributed to benign prostatic hyperplasia: a systematic review

We conducted a systematic review to evaluate the efficacy and adverse effects of newer drugs used to treat lower urinary tract symptoms (LUTS). The drugs were either Food and Drug Administration (FDA) approved for benign prostatic hyperplasia (BPH) or not FDA approved for BPH but have been evaluated for treatment of BPH since 2008. We searched bibliographic databases through September 2017. We included randomized controlled trials (RCTs) lasting one month or longer published in English. Outcomes of interest were LUTS assessed by validated measures. Efficacy was interpreted using established thresholds indicating clinical significance that identified the minimal detectable difference. Twenty-three unique, generally short-term, RCTs evaluating over 9000 participants were identified. Alpha-blocker silodosin and phosphodiesterase type 5 inhibitor tadalafil were more effective than placebo in improving LUTS (moderate strength evidence) but these drugs had more adverse effects, including abnormal ejaculation (silodosin). Anticholinergics were only effective versus placebo when combined with an alpha-blocker. Evidence was generally low strength or insufficient for other drugs. Evidence was insufficient to assess long-term efficacy, prevention of symptom progression, need for surgical intervention, or long-term adverse effects. Longer trials are needed to assess the effect of these therapies on response rates using established minimal detectable difference thresholds, disease progression, and harms.     

The suicide of the social sciences: causes and effects

The social sciences have undergone profound changes. The causes of these changes are many, and in this article we discuss the most important ones. First, we discuss the shift to a situation where the American tradition is the norm and European and national traditions are vanishing. Secondly, we discuss the shift from a focus on the empirical context to a pure internal research focus. These and other changes cause dramatic effects for the social sciences. In our article we analyze these effects on the topics, results, methods and values of the social sciences. We especially focus on the career system and the PhD education. Our conclusion is that changes implemented to gain higher quality have instead caused decreasing quality to a point where the social sciences as a whole are at risk.     

Lead factory operationalisation and challenges

Abstract

This paper deepens the understanding of the lead factory concept by examining how the lead factory role is operationalised and what challenges are associated with it. The research is based on an explorative case study of eight Swedish lead factories in the manufacturing industry. The empirical findings suggest that the understanding of the lead factory concept should be extended as it is not restricted to one type of set-up. The findings show a spectrum ranging from an entire manufacturing plant, parts of a plant, to a virtual plant considered to be the lead factory. The research also shows a broad range of challenges experienced by lead factories. Several of these are related to and originate from unclear role, responsibility and mandate of the lead factory. The lack of dedicated resources for lead factory activities, specifically long-term development and difficulties in measuring the benefits of the role, were other challenges faced.     

From Every Tribe and Nation? Blacks and the Christian Right*

Objectives. The Christian Right is predominantly made up of white evangelicals but in recent years, the movement has attempted to include African Americans in social policy initiatives. This article examines support for the Christian Right from African Americans. Methods. The article is based on an analysis of data from the 1996 and 2000 National Election Studies and data from the Religion and Politics Survey, 2000. Results. The study finds that social conservatism does not predict support for the Christian Right from blacks like it does for whites but that evangelical affiliation predicts support from both groups. Black women are more likely to support the organization than are black men. Conclusions. The insignificant effect of social conservatism on blacks' attitudes toward the Christian Right raises questions as to how the movement can best appeal to this minority group. At the very least, the Christian Right does not appear to have solidified support from African Americans on the basis of shared convictions related to abortion and gay rights. Support for the Christian Right from African Americans remains difficult to measure and largely unpredictable.