Sending Granny to Chiang Mai: debating global outsourcing of care for the elderly

This article ties in with existing discussions on global care chains, family separation and the devaluation of social-reproductive work. We explore the new trend of outsourcing care for the elderly to countries with lower wages. We base our analysis on the debate in the German press and supplement it with insights from ethnographic field observations in two care homes in Thailand. We identify a discourse of abandonment, which shows how outsourcing the care of the elderly unsettles the privilege of sedentarism that is often taken for granted in the Global North. Furthermore, the newspaper articles tend to villainize people who seek care for their loved ones abroad. We argue that both discourses foster a neoliberal rationale of individualized responsibility and obfuscate the deep systemic roots of the care crisis in the Global North. However, by extending the discussion on outsourcing care for the elderly beyond the dominant media discourses, we envisage a rich potential for provoking political debate on the revaluation of care

Racial Profiling: Erfahrung, Wirkung, Widerstand

Racial Profiling ist eine diskriminierende und rechtswidrige polizeiliche Praxis, die nur wenig öffentliche Beachtung findet. Im Zentrum der Studie der Kollaborativen Forschungsgruppe Racial Profiling stehen Menschen in der Schweiz, für die rassistische Polizeikontrollen zum Alltag gehören. Hierzu führten wir Interviews mit Personen, die sich selbst als Schwarze*r, Person of Color, Jenische*r, Sinto*Sintezza, Rom*ni, Muslim*in, Asiat*in oder als Migrant*in bezeichnen sowie als Sexarbeiterin tätig sind. Sie alle sind von ähnlichen Formen der Kriminalisierung betroffen, unterliegen jedoch auch spezifischen polizeilichen Praktiken – je nach Geschlecht, Aufenthaltsstatus, Staatsangehörigkeit und sozioökonomischem Status. Neben den konkreten Erlebnissen kommen auch die Folgen und Wirkungen der Kontrollen für die Kontrollierten, betroffene Communitys sowie die Gesellschaft zur Sprache. Thematisiert werden zudem verschiedene Taktiken im Umgang mit der ständigen Gefahr, ins Visier der Polizei zu geraten sowie Strategien, um sich individuell, aber auch kollektiv gegen diese rassistische Praxis zur Wehr zu setzen

The association of maternal exposure to domestic violence during childhood with prenatal attachment, maternal-fetal heart rate, and infant behavioral regulation

Human and animal models suggest that maternal hormonal and physiological adaptations during pregnancy shape maternal brain functioning and behavior crucial for offspring care and survival. Less sensitive maternal behavior, often associated with psychobiological dysregulation and the offspring’s behavioral and emotional disorders, has been observed in mothers who have experienced adverse childhood experiences. Strong evidence shows that children who are exposed to domestic violence (DV) are at risk of being abused or becoming abusive in adulthood. Yet little is known about the effect of childhood exposure to DV on the expecting mother, her subsequent caregiving behavior and related effects on her infant. Thus, the present study examined the association of maternal exposure to DV during childhood on prenatal maternal attachment, maternal heart rate reactivity to an infant-crying stimulus and post-natal infant emotional regulation. Thirty-three women with and without exposure to DV during childhood were recruited during the first trimester of pregnancy and followed until 6-month after birth. The Maternal Antenatal Attachment Scale (MAAS) was used to measure prenatal attachment of the mother to her fetus during the second trimester of pregnancy, maternal and fetal heart rate reactivity to an infant-crying stimulus was assessed at the third trimester of pregnancy, and the Infant Behavior Questionnaire-Revised (IBQ-R) was used to assess infant emotional regulation at 6-months. Results showed that pregnant women that were exposed to DV during childhood had a poorer quality of prenatal attachment of mother to fetus, regardless of whether they also experienced DV during adulthood. In addition, maternal exposure to DV during childhood was associated with increased maternal heart rate to infant-crying stimulus and worse infant emotional regulation. These findings highlight the importance of prenatal screening for maternal exposure to DV during childhood as a risk factor for disturbances in the development of maternal attachment, dysfunctional maternal behavior and infant emotion dysregulation

Prescription of post-exposure prophylaxis for HIV-1 in the emergency room: correct transmission risk assessment remains challenging

BACKGROUND: Limited data are available about the accuracy of PEP prescription in the emergency rooms. Here, we evaluated PEP prescription decision-making with respect to the risk of sexual HIV transmission and the exposed person`s fear vis-à-vis HIV. METHODS: Using a risk-assessment algorithm, we retrospectively evaluated the adequacy of PEP prescription for all persons presenting at the emergency room of the University Hospital Zurich after consensual sex from 2007 to 2013. We used logistic regression to identify factors that correlate with risk-concordant and risk-discordant decisions. RESULTS: We documented 975 persons with a total of 1,051 visits for PEP: 83% were male, 71% were Swiss, and 37% were men-who-have-sex-with-men. In 74% of visits, the decisions were concordant with the risk evaluation algorithm (22% discordant, 4% unknown). In 61% (644/1051), PEP was prescribed; however, in 12% (76/644), the prescriptions were without indication of HIV transmission risk and were attributed to the exposed person's request. Importantly, in 10% (101/1051) of all visits, there were potential risks, but PEP was not prescribed, either because of physician's decision or exposed person's refusal. The presence of the source partner strongly correlated with appropriately withholding PEP (adjusted OR for giving PEP 0.05 95% C.I. 0.03, 0.08). CONCLUSION: We found that 22% of PEP decisions were risk-discordant due to exposed person's request, incorrect estimation of the sexual transmission risk by the physician, or exposed person's refusal to accept PEP. Emergency physicians may benefit from specialized risk-assessment training and patients from education in HIV transmission risk awareness

Racial Profiling. Erfahrungen, Wirkungen, Widerstand.

Racial Profiling ist eine diskriminierende und rechtswidrige polizeiliche Praxis, die nur wenig öffentliche Beachtung findet. Im Zentrum der Studie der Kollaborativen Forschungsgruppe Racial Profiling stehen Menschen in der Schweiz, für die rassistische Polizeikontrollen zum Alltag gehören. Hierzu führten wir Interviews mit Personen, die sich selbst als Schwarze*r, Person of Color, Jenische*r, Sinto*Sintezza, Rom*ni, Muslim*in, Asiat*in oder als Migrant*in bezeichnen sowie als Sexarbeiterin tätig sind. Sie alle sind von ähnlichen Formen der Kriminalisierung betroffen, unterliegen jedoch auch spezifischen polizeilichen Praktiken – je nach Geschlecht, Aufenthaltsstatus, Staatsangehörigkeit und sozioökonomischem Status. Neben den konkreten Erlebnissen kommen auch die Folgen und Wirkungen der Kontrollen für die Kontrollierten, betroffene Communitys sowie die Gesellschaft zur Sprache. Thematisiert werden zudem verschiedene Taktiken im Umgang mit der ständigen Gefahr, ins Visier der Polizei zu geraten sowie Strategien, um sich individuell, aber auch kollektiv gegen diese rassistische Praxis zur Wehr zu setzen