The Golden Fleece; The American Century

Two one-act plays on marriage, family and the American way, directed, and performed by John Carroll students, November 20-23, 2003.https://collected.jcu.edu/plays/1134/thumbnail.jp

A longitudinal high-risk study of adolescent anxiety, depression and parent-severity on the developmental course of risk-adjustment

Background Adolescence is associated with developments in the reward system and increased rates of emotional disorders. Familial risk for depression may be associated with disruptions in the reward system. However, it is unclear how symptoms of depression and anxiety influence the development of reward-processing over adolescence and whether variation in the severity of parental depression is associated with hyposensitivity to reward in a high-risk sample. Methods We focused on risk-adjustment (adjusting decisions about reward according to the probability of obtaining reward) as this was hypothesized to improve over adolescence. In a one-year longitudinal sample (N = 197) of adolescent offspring of depressed parents, we examined how symptoms of depression and anxiety (generalized anxiety and social anxiety) influenced the development of risk-adjustment. We also examined how parental depression severity influenced adolescent risk-adjustment. Results Risk-adjustment improved over the course of the study indicating improved adjustment of reward-seeking to shifting contingencies. Depressive symptoms were associated with decreases in risk-adjustment over time while social anxiety symptoms were associated with increases in risk-adjustment over time. Specifically, depression was associated with reductions in reward-seeking at favourable reward probabilities only, whereas social anxiety (but not generalized anxiety) led to reductions in reward-seeking at low reward probabilities only. Parent depression severity was associated with lowered risk-adjustment in offspring and also influenced the longitudinal relationship between risk-adjustment and offspring depression. Conclusions Anxiety and depression distinctly alter the pattern of longitudinal change in reward-processing. Severity of parent depression was associated with alterations in adolescent offspring reward-processing in a high-risk sample

The experiences of medical students with dyslexia: an interpretive phenomenological study

This article explores the experiences of UK medical students with dyslexia, using an interpretive phenomenological approach. This project began with a review of the literature, highlighting a void of qualitative research. We then conducted a collaborative autoethnography. This paper forms the next stage in this series of research. We aimed to to elicit meaning and understanding from the lived experiences of our participants. Eight UK junior doctors with dyslexia were interviewed over the telephone in an in-depth, unstructured manner. Audio-recordings were transcribed verbatim and thematically analyzed with the aid of a template analysis. Experiences of helplessness and hopelessness were common. These may be a result of a fear of stigmatization, and personal feelings of inadequacy. They may also be fuelled by the incidents of bullying and belittling from other medical students that were reported. An important meta-theme was of fear and lack of understanding. A lack of pastoral support was also reported. Their experiences of medical school assessments are also reported. More may need to be done to educate teachers and clinical supervisors on dyslexia

Test-retest reliability and predictive validity of a juvenile guide dog behavior test

The ability to measure stable and consistent behavioral traits in dogs would facilitate selection and assessment of working dogs, such as guide dogs. Ideally, these measures should predict suitability for the working role from a young age. This study assessed test-retest reliability of a juvenile guide dog behavior test and predictive validity using qualification or withdrawal from guide dog training. Ninety-three guide dog puppies (52 female; 41 male) were tested at 5 (mean 4.78; ±0.73 SD) and 8 (mean 7.98; ±0.78 SD) months of age. The dogs were exposed to a sequence of 11 stimuli designed to assess the dogs’ reactions to meeting a stranger, obedience commands, body sensitivity, scavenging, and “animal” and human distractions. The behavior of dogs was digitally recorded and analyzed using an ethogram incorporating both frequency of behavior and specific reactions to stimuli. Test-retest reliability indicated interindividual consistency in many of the behavioral measures such as jumping, barking, and “low” greeting posture, as defined in our ethogram. Behavior measures that did not show interindividual consistency between tests included obedience responses, lip licking, body shaking, and scratching. Binary logistic regression models revealed 7 behavioral measures at 5 months and 5 measures at 8 months that were significantly associated with qualification or withdrawal. Uncorrelated measures and principal component scores of correlated measures were combined in a logistic regression model that showed great potential for predicting the probability of a dog qualifying or being withdrawn from guide dog training

Media representations of the nouveaux riches and the cultural constitution of the global middle class

The article offers a distinctive account of how the nouveaux riches serve as an anchor for a range of upper- middle- class ambivalences and anxieties associated with transformations of capitalism and shifting global hierarchies. Reflecting the long- term association of middle- class symbolic boundaries with notions of refinement and respectability, it examines how the discourse of civility shapes how the nouveaux riches are represented to the upper middle class, identifying a number of recurrent media frames and narrative tropes related to vulgarity, civility, and order. The author argues that these representations play a central role in the reproduction of the Western professional middle class, and in the cultural constitution of a global middle class — professional, affluent, urban, and affiliated by an aesthetic regime of civility that transcends national borders. The findings underline the significance of representations of the new super- rich as devices through which the media accomplish the global circulation of an upper- middle- class repertoire of cultural capital, which is used both to police shifting class boundaries and to establish a legitimate preserve for univorous snobbishness

Constitutivism

A brief explanation and overview of constitutivism

Reinterpreting Ethnic Patterns among White and African American Men Who Inject Heroin: A Social Science of Medicine Approach

BACKGROUND: Street-based heroin injectors represent an especially vulnerable population group subject to negative health outcomes and social stigma. Effective clinical treatment and public health intervention for this population requires an understanding of their cultural environment and experiences. Social science theory and methods offer tools to understand the reasons for economic and ethnic disparities that cause individual suffering and stress at the institutional level. METHODS AND FINDINGS: We used a cross-methodological approach that incorporated quantitative, clinical, and ethnographic data collected by two contemporaneous long-term San Francisco studies, one epidemiological and one ethnographic, to explore the impact of ethnicity on street-based heroin-injecting men 45 years of age or older who were self-identified as either African American or white. We triangulated our ethnographic findings by statistically examining 14 relevant epidemiological variables stratified by median age and ethnicity. We observed significant differences in social practices between self-identified African Americans and whites in our ethnographic social network sample with respect to patterns of (1) drug consumption; (2) income generation; (3) social and institutional relationships; and (4) personal health and hygiene. African Americans and whites tended to experience different structural relationships to their shared condition of addiction and poverty. Specifically, this generation of San Francisco injectors grew up as the children of poor rural to urban immigrants in an era (the late 1960s through 1970s) when industrial jobs disappeared and heroin became fashionable. This was also when violent segregated inner city youth gangs proliferated and the federal government initiated its “War on Drugs.” African Americans had earlier and more negative contact with law enforcement but maintained long-term ties with their extended families. Most of the whites were expelled from their families when they began engaging in drug-related crime. These historical-structural conditions generated distinct presentations of self. Whites styled themselves as outcasts, defeated by addiction. They professed to be injecting heroin to stave off “dopesickness” rather than to seek pleasure. African Americans, in contrast, cast their physical addiction as an oppositional pursuit of autonomy and pleasure. They considered themselves to be professional outlaws and rejected any appearance of abjection. Many, but not all, of these ethnographic findings were corroborated by our epidemiological data, highlighting the variability of behaviors within ethnic categories. CONCLUSIONS: Bringing quantitative and qualitative methodologies and perspectives into a collaborative dialog among cross-disciplinary researchers highlights the fact that clinical practice must go beyond simple racial or cultural categories. A clinical social science approach provides insights into how sociocultural processes are mediated by historically rooted and institutionally enforced power relations. Recognizing the logical underpinnings of ethnically specific behavioral patterns of street-based injectors is the foundation for cultural competence and for successful clinical relationships. It reduces the risk of suboptimal medical care for an exceptionally vulnerable and challenging patient population. Social science approaches can also help explain larger-scale patterns of health disparities; inform new approaches to structural and institutional-level public health initiatives; and enable clinicians to take more leadership in changing public policies that have negative health consequences

Costs Associated with Low Birth Weight in a Rural Area of Southern Mozambique

BACKGROUND: Low Birth Weight (LBW) is prevalent in low-income countries. Even though the economic evaluation of interventions to reduce this burden is essential to guide health policies, data on costs associated with LBW are scarce. This study aims to estimate the costs to the health system and to the household and the Disability Adjusted Life Years (DALYs) arising from infant deaths associated with LBW in Southern Mozambique. METHODS AND FINDINGS: Costs incurred by the households were collected through exit surveys. Health system costs were gathered from data obtained onsite and from published information. DALYs due to death of LBW babies were based on local estimates of prevalence of LBW (12%), very low birth weight (VLBW) (1%) and of case fatality rates compared to non-LBW weight babies [for LBW (12%) and VLBW (80%)]. Costs associated with LBW excess morbidity were calculated on the incremental number of hospital admissions in LBW babies compared to non-LBW weight babies. Direct and indirect household costs for routine health care were 24.12 US$(CI 95$ (CI 95% 6.33; 10.72). Of the 3,322 live births that occurred in one year in the study area, health system costs associated to LBW (routine health care and excess morbidity) and DALYs were 169,957.61 US$ (CI 95% 144,900.00; 195,500.00) and 2,746.06, respectively. CONCLUSIONS: This first cost evaluation of LBW in a low-income country shows that reducing the prevalence of LBW would translate into important cost savings to the health system and the household. These results are of relevance for similar settings and should serve to promote interventions aimed at improving maternal care

Contractual dependencies: Disability and the bureaucracies of begging in Kinshasa, Democratic Republic of Congo

One of the most conspicuous livelihood strategies for physically disabled people in Kinshasa, Democratic Republic of Congo, is a particular style of begging known locally as “doing documents.” Confronted with the stigma of begging, disabled beggars create documents in an attempt to legitimize and regulate begging through formalization and bureaucracy, presenting their relationship with donors as NGO fund‐raising and government tax‐collecting. The dynamics of petitioning for these “contractual dependencies” provide a nuanced perspective on desired dependencies: dependencies can be presented in multiple ways, and people consider some dependencies more legitimate and valuable than others. Recipients are not passive but play a defining role in shaping these relationships, seeking a balance between proximity and desired distance to patrons.Economic and Social Research Council Cambridge Home and EU Scholarship Scheme Trinity College, Cambridg