Abuse of children in day care centres: Characteristics and consequences

While day care sexual abuse cases share features in common with sexual abuse in other settings, many characteristics of abuse in day care settings merit special attention. These factors include the young age of the child victims, the involvement of multiple victims and multiple perpetrators, females as perpetrators, use of extreme threats, severity of the abuse, and in some instances ritualistic activities. Research findings support clinical impressions that children are negatively impacted by sexual abuse in day care. Consequences of abuse in day care include anxiety, excessive fearfulness, behavioural disturbances, sexual acting out and sleep disorders. Parents whose children are abused in day care centres also experience psychological distress with symptom profiles consistent with post-traumatic stress disorder. Abuse of children in day care settings warrants a specialized treatment approach. A major goal of treatment is to decrease symptomatology among all family members.     

Data collection: are social workers reliable?

Social workers are required to collect a considerable amount of personal information about clients and their families which may be unrelated to direct clinical work. Administrators often use this for the purpose of payment, service documentation, agency planning, and accountability. The worker's concern about the appropriateness of collecting this data may result in poor compliance or even falsification of information. In a survey of Minnesota social workers, noncompliance with data collection requirements was substantial. The authors also found a significant degree of conflict about privacy and confidentiality issues. These findings suggest a basis of concern for those who must rely on accurate data for administrative planning.     

Impact of an Overt Response System on Staff Performance and Maintenance of Computer-Based Instruction

Interactive Computer Based Instruction (CBI) systems involve teaching strategies to facilitate greater response opportunities during training in an effort to improve learner performance. The current study investigated the effect of online staff training videos with and without overt response requirements on posttest and maintenance test scores across six block-randomized instructional modules for four employees of a university located in the southeastern region of the United States. The overt response consisted of multiple-choice questions administered throughout select teaching modules using an alternating treatment design. Findings suggest that learning occurred as a result of the CBI training; however, the effectiveness of the overt response system varied across individuals, with no discernible differentiation between learning gains associated with response requirements. Other areas of research for expanding the efficacy of CBI and overt response systems are highlighted.     

Using the contradiction paradigm to assess ageism

Ageism is an important topic in our society, considering the burgeoning older adult population. Ageism is often measured using explicit questionnaires; however, given the impact of social desirability, implicit measures of ageism have been developed. In this study, the contradiction paradigm, an implicit measure of stereotypes (Lassonde, under review) was used to measure age-related stereotypes in passages describing older adults. Participants read passages with target sentences more slowly when these sentences described behaviors that were inconsistent rather than consistent with age-related stereotypes. Participants also completed a series of self-report questionnaires measuring ageism. Results demonstrated that reading times using the contradiction paradigm were not related to outcomes on the self-report questionnaires. A comparison of the contradiction paradigm to a social desirability scale revealed that it was not vulnerable to social desirability. This confirms the contradiction paradigm's use as an implicit measure of age-related stereotypes. Although there is no clear relation between the contradiction paradigm and popular explicit measures, a next important step would be to determine the point in which implicit knowledge and intentional behavioral responses interact.     

Communicating Actionable Risk for Terrorism and Other Hazards⋆

We propose a shift in emphasis when communicating to people when the objective is to motivate household disaster preparedness actions. This shift is to emphasize the communication of preparedness actions (what to do about risk) rather than risk itself. We have called this perspective “communicating actionable risk,” and it is grounded in diffusion of innovations and communication theories. A representative sample of households in the nation was analyzed using a path analytic framework. Preparedness information variables (including content, density, and observation), preparedness mediating variables (knowledge, perceived effectiveness, and milling), and preparedness actions taken were modeled. Clear results emerged that provide a strong basis for communicating actionable risk, and for the conclusion both that information observed (seeing preparedness actions that other have taken) and information received (receiving recommendations about what preparedness actions to take) play key, although different, roles in motivating preparedness actions among the people in our nation.     

Connecting the gendered door: women, violence and doorwork

This paper explores the emerging role of women who work as 'bouncers', or doorstaff, in the night-time economy and examines how the cultural capital of the female bouncer is connected to the methods utilized to control licensed premises. It is drawn from a study that combined ethnographic observations and interviews in five major UK cities which explored a diverse range of issues such as gendered bodies, femininities and violence; the changing needs of the night-time economy in the UK and the experiences of women engaged in 'non-traditional' occupations. In this paper, we draw on interview data with one particular category of female door staff; women who share similar histories of exposure to violence and violent cultures, and we examine how their experiential knowledge of violence equips them with the resources to 'work the doors'. Our attention focuses on this group of women, who we refer to as 'The Connected', and examine how they are 'doing gender' when they negotiate violence 'on the door'     

Every Minute Counts: Using Process Improvement and Performance Feedback to Improve Patient Flow in an Emergency Department

Prolonged emergency department (ED) visits are associated with a number of adverse outcomes for patients as well as lower patient satisfaction scores and increased costs. Several factors that influence the length of ED visits are out of the control of hospital employees, but some opportunities exist to improve performance. For this study, the ED department of a 150-bed hospital in the southeastern United States wanted to improve door-to-discharge time. To do so, a subprocess of door-to-discharge time was targeted, door-to-order. After analyzing the process, the team created standard orders for the 10 most common presenting conditions in the ER with preapproval, allowing nurses to submit the orders without the provider first visiting the patient. Following the process change, daily feedback was added to increase utilization of the preapproved orders. Reductions in door-to-order times and door-to-discharge were observed and patient satisfaction remained stable. Implications for future research in this area are discussed.     

Examining the Psychometric Properties of the Sexual Excitation/Sexual Inhibition Inventory for Women (SESII-W) in a Sample of Lesbian and Bisexual Women

The Sexual Excitation/Sexual Inhibition Inventory for Women (SESII-W) assesses propensities for sexual excitation (SE) and inhibition (SI). Previous research utilizing the SESII-W included samples comprised exclusively or almost entirely of heterosexual women. The purpose of this study was to examine the psychometric properties of the SESII-W and assess its relation to aspects of sexual function within a sample of lesbian and bisexual women. The sample included 974 self-identified bisexual (n = 733) or lesbian/homosexual (n = 241) women who completed an online survey including items assessing women’s sexual behaviors, feelings, and functioning, sociodemographics, and the SESII-W. The sample was split; exploratory factor analyses were conducted on the first half, yielding eight lower-order factors with two higher-order factors. Confirmatory factor analysis was conducted on the second half and suggested reasonable model fit. SI was positively correlated with sexual problems and negatively correlated with sexual pleasure; the correlations were significant but small. Hierarchical regression analyses were conducted to examine the relationships between SESII-W scores and sexual problems/sexual pleasure, controlling for age, relationship duration, and relationship status. Four lower-order factors predicted reports of sexual problems. Findings indicated the SESII-W has similar psychometric properties among sexual minority women as it does among heterosexual women.     

The Role of Household Social Organization in the Structure of Rural Economies: Comparing Forest Resource Dependent and Agriculturally Dependent Regions in Russia

Sociologists have examined how structural economic change affects household social organization and generation of household income from different sources. The introduction of elements of a market economy into rural Russia in the early 1990s provides a unique opportunity to examine these relationships. Much of the work on this topic, however, has been conducted in black earth zone, agriculturally dependent regions. Less attention has been given to non‐black‐earth zone, forest resource dependent regions. This article addresses this limitation by comparing the relationships between household income generation strategies and household social organization in a 2009 survey of villages in three forest resource dependent regions in northwest Russia with findings from a 2006 survey of households in nine agricultural regions of Russia. Income generated from enterprises based on household social organization—household labor and social helping networks—is substantially greater in agriculturally dependent than in forest resource dependent regions. We discuss the implications of these findings for understanding intranational regional differences in the relationship between economic systems, household social organization, and rural household economies as well as the obstacles facing policymakers and environmentalists who attempt to shift household income generation strategies away from an environmentally harmful lumber industry to income generation activities that are less harmful to the environment.