Cultural Attunement in Therapy With Mexican‐Heritage Couples: A Grounded Theory Analysis of Client and Therapist Experience

There is a need for culturally attuned approaches for couple therapy with Mexican/Mexican‐Americans. This qualitative grounded theory study utilized interviews with 11 client couples of Mexican heritage and 14 marital and family therapists to shed light on how Latino and non‐Latino therapists co‐construct positive experiences of cultural attunement with Mexican and Mexican‐American couple clients. Analysis identified a model of cultural connection through personal engagement with four interrelated phases: (a) mutual invitation, (b) shared engagement, (c) expanding personal connection, and (d) creating cultural connections. Clients in this study valued professionalism and expertise of the therapist, but felt attuned to and respected when therapists demonstrated humility, shared personal stories and emotion, and engaged in a collaborative process.     

Teaching Manual Signs to Adults With Mental Retardation Using Matching-to-Sample Procedures and Stimulus Equivalence

The objective of this study was to teach manual signs through an automated matching-to-sample procedure and to test for the emergence of new conditional relations and imitative behaviors. Seven adults with mild to severe mental retardation participated. Four were also hearing impaired. Relations between manual signs (set A) and pictures (set B) were initially taught, followed by the training of corresponding printed words (set C) and pictures (set B). Further presentations of conditional discriminations tested for the emergence of AC, followed by tests for the emergence of imitative signing behavior (D) in the presence of either pictures (B) or printed words (C). Each stimulus set was comprised of 9 elements. The stimuli were still pictures, printed words, and dynamic presentations of manual signs. A pretest was conducted to determine which signs the participants could make pre-experimentally. Teaching was arranged in a multiple baseline design across 3 groups of 3 words each. The purpose of the present study was to determine whether participants would emit manual signs in expressive signs tests as a result of observation (video modeling) during match-to-sample training in the absence of explicit training. Five of the 7 subjects passed tests of emergence and emitted at least 50% of the signs. Two were hearing impaired with signing experience, and 3 were not hearing impaired and had no signing experience. Thus, observation of video recorded manual signs in a matching-to-sample training procedure was effective at establishing some signs by adults with mental retardation.     

The European Court of Justice and the free movement of patients in the European Union

At present, health policy in the European Union (EU) is being developed in an extremely disconnected fashion. EU member States independently develop their own health systems, based on the goals they wish to pursue, without really considering consistency with European Community (EC) law. The impact of European integration is, in turn, mainly indirect and has emerged from European Court of Justice (ECJ) rulings. These rulings have arisen either from considerations in other sectors or through the process of addressing particular issues within single cases, leaving major issues of applicability unresolved. The evolving issue of free movement of patients is instructive. While not completely outlawing the use of a prior authorization system, recent ECJ rulings have radically restricted member States' discretion to determine their own policies by requiring that their decisions be necessary, proportional and based on objective and non-discriminatory criteria. By linking EEC Regulation 1408/71, on which cover for healthcare abroad has been traditionally based, with the free provision of services, the ECJ seems to have created difficulties and important uncertainties for the system of coordination of social security schemes.     

Asymptotic Behavior of the Hazard Rate Kernel Estimator Under Truncated and Censored Data

In this article, we give the asymptotic mean integrated squared error and the mean squared error for the kernel estimator of the hazard rate from truncated and censored data. Martingale techniques and combinatory calculus are used to obtain these results. A probability bound and the optimal bandwidth choice are also given.     

The impact of forest to urban land conversion on streamflow, total nitrogen, total phosphorus, and total organic carbon inputs to the converse reservoir, Southern Alabama, USA

High total organic carbon (TOC) concentrations in Converse Reservoir, a water source for Mobile, Alabama, have concerned water treatment officials due to the potential for disinfection byproduct (DBP) formation. TOC reacts with chlorine during drinking water treatment to form DBPs. This study evaluated how increased urbanization can alter watershed-derived total nitrogen (TN), total phosphorus (TP) and TOC inputs to the Converse Reservoir. Converse Watershed, on the urban fringe of Mobile, is projected to undergo urbanization increasing watershed urban land from 3% in 1992 to 22% urban land by 2020. A pre-urbanization scenario using 1992 land cover was coupled with 2020 projections of land use. The Loading Simulation Program C++ watershed model was used to evaluate changes in nutrient concentrations (mg L^?1) and loads (kg) to Converse Reservoir. Urban and suburban growth of 52 km² simulated from 1991 to 2005 (15 year) caused overall TN and TP loads to increase by 109 and 62%, respectively. Simulated urban growth generally increased monthly flows by 15%, but resulted in lower streamflows (2.9%) during drought months. Results indicate that post-urbanization median TN and TP concentrations were 59 and 66% higher than corresponding pre-urbanization concentrations, whereas TOC concentrations were 16% lower. An increase in urban flow caused TOC loads to increase by 26%, despite lower post-urbanization TOC concentrations.     

Hegemonic Masculinity and Globalization: ‘Transnational Business Masculinities’ and Beyond

In recent years masculinity studies writers, in particular R. W. Connell, have focused on the relationship between globalization and ‘hegemonic’ forms of masculinity. This paper provides an assessment of this scholarship and argues that whilst Connell and others have usefully identified the gendered nature of globalization, masculinity scholars have also provided a somewhat limiting account of the global hegemonic role of a monolithic top-down ‘transnational business masculinity’. By contrast, we suggest a demassification of this notion of hegemonic masculinity. Such a demassification enables the opening up of a dialogue between masculinity studies and feminist and other critical globalization scholars, allowing for a more nuanced analysis that can attend to both the unevenness of globalization in different settings and more detailed awareness of interactions between global and local/cultural/state imperatives. Our aim here is to move away from conceptualizations of globalization and hegemonic masculinity that are exceptionally top-down towards an analysis of the contested and shifting nature of gender identity at the global as well as the local level, to highlight the ways in which different hegemonic masculinities are negotiated, and even resisted. We argue that by understanding ‘transnational business masculinity’ as a discursive ideal that legitimates the workings of global capitalism, there is scope for a greater level of engagement between critical globalization scholarship and gender studies. This might also open the door to an account of globalization that entails more detailed reference to women and femininities.

En años recientes, los escritores sobre Los Estudios de la Masculinidad, y en particular R.W. Connell, se han enfocado en la relación entre la globalización y las formas ‘hegemónicas’ de la masculinidad. Este artículo proporciona una evaluación de esta beca y sostiene que mientras Connell y otros han identificado de manera útil la naturaleza del género de la globalización, los académicos sobre la masculinidad también suministraron un reporte de cierta manera limitado, sobre el rol hegemónico global monolítico del más alto al más bajo, de ‘una masculinidad en los negocios transnacionales’. Por el contrario, nosotros sugerimos una desmasificación de esta noción de masculinidad hegemónica. Tal desmasificación hace posible la apertura de un diálogo entre Los Estudios de la Masculinidad y de Feministas y otros académicos críticos de la globalización, permitiendo un análisis más matizado que puede acudir tanto a la disparidad de la globalización en diferentes escenarios como a una mayor conciencia detallada sobre las interacciones entre los imperativos locales/culturales/estatales. Nuestra meta es separarnos de las conceptualizaciones de la globalización y de la masculinidad hegemónica que son excepcionalmente jerárquicas hacia un análisis de los controvertidos y trasladar la naturaleza de la identidad del género tanto a nivel global como al local, para resaltar las formas como las masculinidades hegemónicas diferentes han negociado, e incluso resistido. Sostenemos que al entender ‘la masculinidad en los negocios transnacionales’ como un ideal discursivo que legitimiza el funcionamiento del capitalismo global, existe un propósito para un nivel mayor de participación entre la investigación crítica de la globalización y los estudios del género. Esto también puede abrir la puerta a un informe de globalización que conlleve una referencia más detallada de mujeres y feminidades.