There Is No Place Like Home: The Body as the Scene of the Crime in Sexual Assault Intervention

The body is the scene of the crime, is an oft-repeated phrase among nurses conducting sexual assault forensic examinations. This instruction reminds nurses that the object under scrutiny, the sexually violated body, is the location and source of establishing legal evidence. The nurses\u27 interest lies in recovering evidentiary materials towards deriving a future juridical truth and providing a means for remedy or restitution. The constitution of truth obscures how the subject comes to be at home and dwell in a world where rape occurs. This article argues that regarding the body as a crime scene is more than a rhetorical or pedagogical move made by forensic practitioners. Rather, forensic examination is constituted through rigorous and meticulous techniques that scrutinize the body of the sexually violated subject in such a way that the harming and healing capacities of the domestic are disarticulated from one another. What is at stake is the state\u27s reliance on a notion of the domestic as a sphere to which one might return and heal, even in instances where the domestic itself is the source or site of injury, such as incest and domestic violence

Estrogenic activity, race/ethnicity, and Indigenous American ancestry among San Francisco Bay Area women.

Estrogens play a significant role in breast cancer development and are not only produced endogenously, but are also mimicked by estrogen-like compounds from environmental exposures. We evaluated associations between estrogenic (E) activity, demographic factors and breast cancer risk factors in Non-Latina Black (NLB), Non-Latina White (NLW), and Latina women. We examined the association between E activity and Indigenous American (IA) ancestry in Latina women. Total E activity was measured with a bioassay in plasma samples of 503 women who served as controls in the San Francisco Bay Area Breast Cancer Study. In the univariate model that included all women with race/ethnicity as the independent predictor, Latinas had 13% lower E activity (p = 0.239) and NLBs had 35% higher activity (p = 0.04) compared to NLWs. In the multivariable model that adjusted for demographic factors, Latinas continued to show lower E activity levels (26%, p = 0.026), but the difference between NLBs and NLWs was no longer statistically significant (p = 0.431). An inverse association was observed between E activity and IA ancestry among Latina women (50% lower in 0% vs. 100% European ancestry, p = 0.027) consistent with our previously reported association between IA ancestry and breast cancer risk. These findings suggest that endogenous estrogens and exogenous estrogen-like compounds that act on the estrogen receptor and modulate E activity may partially explain racial/ethnic differences in breast cancer risk

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Antenatal education in the transition to motherhood

This thesis explores the relationship between antenatal education and the transition to motherhood, focusing on the pre-natal expectations and postnatal experiences of a small sample of first-time mothers in Plymouth. The aims of the study were 1) to investigate the style and content of statutory and voluntary sector antenatal classes in the Plymouth area. 2) To investigate factors affecting non-attendance, including non-attenders' perceptions of them. 3) To examine the role of lay systems of knowledge and support in the transition to motherhood and 4) to investigate the differential impact of different patterns of knowledge and support on the experiences of new parents, with particular attention to the three key areas of maternal wellbeing, parenting skills and parental relationships. A combination of qualitative and quantitative methods was used to obtain relevant data. The findings suggested that antenatal classes in both sectors focused mainly on labour and birth. Coverage of infant care skills and other important postnatal issues like parental relationships and maternal wellbeing were virtually non-existent. The style of antenatal classes was perceived as overly-prescriptive and directive. Information about labour and birth often duplicated what women already knew. The greatest benefit of attending classes was social, rather than informational. Many women found the classes did not provide them with realistic expectations of new motherhood. Non-attenders were found not to be disadvantaged by not attending classes, despite the common concerns of health professionals. Instead, they drew extensively on lay information and support. In light of these fmdings, it is argued that formal antenatal classes should have a broader curriculum that is also realistic. This study is implicitly critical of the biomedical framework in which maternity services are couched. It contributes to the field by broadening the definition of antenatal education to include informal and lay sources, engaging with users' (rather than just providers') views, to help evaluate antenatal education services. Importantly, it does this by evaluating them in the context of new motherhood

Creativity, innovation and the ‘New’ MBA : China and the 21st century knowledge economy

This paper discusses the development of new models of business education in contemporary China. It describes the rise of the Masters of Business Administration (MBA) degree in the context of the growth of a new professional-managerial class in China, as a corollary of modernisation and economic reform. While the Masters of Business Administration (MBA) has its origins in the United States, it has grown into a globally recognized qualification for business status, particularly when acquired from ‘elite’ institutions in a highly competitive and extensively ranked global system. Its growth in Asia is reflective of the significant shortages of managerial expertise as economic success throws traditional family-based or state capitalist models of business organization into question. In China, the rise of the MBA has been more recent, although the original idea was introduced in the late 1970s, not long after the directive of Deng Xiaoping to modernise the economy. We consider the role played by new MBA programs, such as the Executive MBA (EMBA) and the International MBA (IMBA) as new educational products designed, not so much for the re-engineering of management practices in SOEs along more effective commercial lines, but rather upon developing an internationally networked business elite better able to engage with the new challenges of the global knowledge economy

Replicating the Family: The Biopolitics of Involvement Discourses Concerning Relatives in Nursing Home Institutions

The aim of this study was to describe the biopolitics of involvement discourses articulated by nursing staff concerning relatives in nursing home institutions, using a Foucault-inspired discourse analytical approach. Previous research has described how relatives have not been involved in nursing homes on their own terms. This is partly due to a lack of communication and knowledge, but it is also a consequence of an unclear organizational structure. Results from a discourse analysis of six focus group interviews with nursing staff show that the “involvement discourse” in nursing homes can be described as a “new” vs “old” family rhetoric. This rhetoric can be said to uphold, legitimize and provide different subject positions for both nursing staff and relatives concerning the conditions for involvement in nursing homes. As part of a “project of possibility” in elderly care, it may be possible to adopt a critical pedagogical approach among nursing staff in order to educate, strengthen and support them in reflecting on their professional norming and how it conditions the involvement of relatives

Pregnancy and childbirth in English prisons : institutional ignominy and the pains of imprisonment

© 2020 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL.With a prison population of approximately 9000 women in England, it is estimated that approximately 600 pregnancies and 100 births occur annually. Despite an extensive literature on the sociology of reproduction, pregnancy and childbirth among women prisoners is under‐researched. This article reports an ethnographic study in three English prisons undertaken in 2015‐2016, including interviews with 22 prisoners, six women released from prison and 10 staff members. Pregnant prisoners experience numerous additional difficulties in prison including the ambiguous status of a pregnant prisoner, physical aspects of pregnancy and the degradation of the handcuffed or chained prisoner during visits to the more public setting of hospital. This article draws on Erving Goffman's concepts of closed institutions, dramaturgy and mortification of self, Crewe et al.'s work on the gendered pains of imprisonment and Crawley's notion of ‘institutional thoughtlessness’, and proposes a new concept of institutional ignominy to understand the embodied situation of the pregnant prisoner.Peer reviewe