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Socio-economic determinants of divorce in Bangladesh.

"This study examines the divorce pattern of Bangladesh with a set of socio-economic factors: education, religion, current residence, childhood residence, work status before and after marriage and age at first marriage. The source of data was ever-married women aged 15-49 of 1975 Bangladesh Fertility Survey. Multiple classification analysis technique was used for analyzing the data.... Divorce is found to have a strong inverse relation with age at marriage, and is more common among illiterates, Muslims, and rural women. The duration of marriage before divorce is found to be very low and the divorce rate is strongly associated with childlessness."

Asia↗

Healthy marriage programs: learning what works.

Evidence of public and private interest in programs designed to strengthen the institution of marriage and reduce the number of children growing up without both their parents is growing. Robin Dion addresses the question of whether such programs can be effective, especially among disadvantaged populations. She begins by describing a variety of marriage education programs. Although new to the social welfare umbrella, such programs have existed for several decades. Social scientists have evaluated a number of these programs and found them effective in improving relationship satisfaction and communication among romantically involved couples. All the programs tested so far, however, have served primarily white, middle-class, well-educated couples who were engaged or already married. Because these programs were neither designed for nor tested with disadvantaged populations, Dion observes, there is some question whether they can respond to the unique needs and circumstances of low-income couples, many of whom have multiple stressors and life challenges that can make stable relationships and marriages especially difficult. New research suggests that low-income families often face specific relationship issues that are rarely addressed in the standard programs, such as lingering effects of prior sexual abuse, lower levels of trust and commitment, and lack of exposure to positive role models for marriage. Dion describes the recent efforts of several groups to adapt research-supported marriage education programs or create entirely new curriculums so they are more responsive to and respectful of the needs of low-income families. Finally, Dion describes ongoing efforts by the Administration for Children and Families to evaluate rigorously the effectiveness of several healthy marriage initiative models being implemented on a large scale across the country. These evaluations will determine whether such programs can work with less advantaged and more culturally diverse families, including whether the impacts on couples' relationships will translate into positive effects on the well-being of their children.

Adult↗

Hereditary retinoblastoma: lack of maternal effect.

Analysis of two-generation data from published pedigrees with familial cases of retinoblastoma showed that, while the proportion of bilateral cases among affected children varied consistently with expressivity of the parents who transmitted the gene, the proportion did not differ with the sex of the parents. These findings support the view that inherited host resistance to the development of hereditary retinoblastoma is determined by modifying genes, and not influenced by transplacental maternal factors, and that the resistance is mainly directed to the induction (promotion) phase. There was a significant deficit of bilaterally affected mothers relative to bilaterally affected fathers, which could not be accounted for by ascertainment bias or by differential survival or fertility between sexes. It is suggested that female patients who survived bilateral retinoblastoma had much less chance of marriage as compared to male survivors. Examination of pedigrees with multiple cases of retinoblastoma, transmitted via unaffected carriers, revealed no sign of cytoplasmic inheritance associated with a vertically transmitting virus.

Adult↗

You known who and what's her name: the woman's role in sex therapy.

As sex therapy becomes an established mode of treatment, the original Masters and Johnson model of cotherapy is its most common form. The complex issues in the relationship between cotherapists who are doing sex therapy have not received adequate attention. Differences in status, experience, and training combine with aspects of the personal relationship between therapists to make cotherapy a substantial problem. Whether the cotherapists are married, otherwise involved in a personal relationship, or even when they are a physician and his nurse or two independent therapists, the sexual content of their work inevitably raises issues that need to be resolved. These issues include erotic fantsies and power struggles between the therapists that can affect the outcome of treatment.

Counseling↗

Treating the marital crisis with the two-marriage equation.

The technique the authors call"two-marriage therapy" (conjoint cotherapy by a married cotherapy team) has been developed to help the couple in a marital crisis confront the elusive nature of marriage, a being with self-images and unconscious deceptions, different from, but not separate from, the images and unconscious deceptions of the separate spouses. The key to the two-marriage analysis os discovering the limitations of cooperative relationships based on roles and expectations and the exploration of a mode of concern we term "coliberation". This paper attempts to show how the presence of a married cotherapy team facilitates this process and adds a significant salutary perspective on the marriage in conflict.

Adult↗

Integrating gender on multiple levels: a conceptual model for teaching gender issues in family therapy.

As the field of family therapy has evolved, there has been growing recognition as to the importance of gender in family therapy. To prepare the next generation of family therapists adequately, it is important that they recognize the many and complex ways in which gender permeates their work. In this article we present an integrative model to help educators teach family therapists about gender issues. The model examines how gender influences clinical work on multiple levels, including contextual levels such as society and the marriage and family therapy field. The model also acknowledges how gender can influence individuals, including clients, therapists, and supervisors. Finally, the model attempts to capture the complexity of how gender can impact the relational dynamics between two or more individuals.

Family Therapy↗

Spouse-aided therapy in psychiatry: an introduction.

This paper underlines the failure of contemporary individual and marital psychotherapies to help many married people with persisting psychological disorders. It examines the spouse's contribution to the maintenance of psychological disability, and discusses the problems of constructively involving such spouses in conjoint therapy. Spouse-aided therapy addresses this problem by inviting the patient's spouse to become a co-therapist. It is explicitly not a marriage therapy, and is conducted on a goal-orientated time-limited out-patient basis. During discussion of problems with achieving treatment goals, the focus of therapy shifts from the patient's symptoms to marital interaction. Confrontation of the spouse's contribution to the patient's continuing disability then becomes possible, and is followed by changes in marital interaction which generally facilitate the patient's improvement. Many couples choose to proceed with marital therapy after spouse-aided therapy has allowed them to reconstrue the patient's symptoms in interactional terms.

Ambulatory Care↗

Outcome following physical trauma: a comparative approach.

This study aimed to examine physical and psychosocial changes after injury in a range of trauma patients. Three groups were selected for comparison purposes: severely head-injured patients, patients with major trauma, and those with minor trauma (n = 102). Outcomes were assessed by questionnaires and inventories administered to a family member or friend of the trauma survivor, approximately 1 year post-injury. Severely head-injured patients were reported to have the greatest degree of difficulty in self-care and mobility, and in community living skills, followed by other major trauma patients and then minor trauma patients. Severely head-injured patients also had relatively more frequent reports of behavioural changes than the other two groups. None the less, more than half of the major trauma group were reported to act differently after the accident. The relative frequency of adverse outcomes in the major trauma group was greater than expected and should be the focus of further research.

Activities of Daily Living↗

The social impact of AIDS in Sub-Saharan Africa.

The potential expansion of the HIV epidemic and its cultural impact in sub-Saharan Africa are vast. Projections under conservative assumptions suggest that the toll of AIDS will reach five million annual deaths by 2010, although the net African population will continue to increase significantly. Cultural practices, including large differences in age between men and women at marriage and a long period of postpartum abstinence, have contributed to the frequency of extramarital relations and eased the spread of sexually transmitted diseases. In response to the spread of AIDS, social adaptations will include profound changes in sexual behavior, marriage customs, and childbearing.

Acquired Immunodeficiency Syndrome↗

Women and multiple roles: myths and reality.

Strong beliefs persist about the negative effects of maternal employment on women, their marriages, and their children, in spite of considerable systematic research indicating that, on average, employment has positive effects. The underlying assumption is that the roles of wife and mother are "natural" roles and are therefore performed without undue stress. In contrast, the role of employee is seen as "unnatural" and therefore highly demanding. These beliefs affect clinical practice, fostering a concern among mental health professionals about whether women can handle the demands of multiple roles without serious negative health consequences. It is therefore important to evaluate these beliefs in light of the empirical literature. Such an evaluation is especially critical at this particular time, when demographic trends suggest that the number of employed women with children is increasing, that paid employment will be a central component in most women's life experiences, and that as a society we are highly unlikely to return to the days of the "traditional" family. The need for careful scrutiny is underscored by the current political climate, in which there is much rhetoric implying that maternal employment "causes" many of our social ills--school dropouts, drug abuse, juvenile violence, and divorce.

Employment↗

Perinatal outcome in Western Australia, 1968 to 1975: 2. social and biological determinants.

Trends in perinatal mortality and low birthweight (percentage of livebirths under 2500 g) were analysed in relation to certain social and biological variables. Mothers at high risk of adverse perinatal outcome in terms of perinatal mortality and low birthweight were found to be very young and grand multiparous mothers, old primiparas, unmarried mothers, those with multiple pregnancies and mothers born in Asia.

Adult↗

Fertility of the over forties.

This article focuses on women aged forty and over in England and Wales. It identifies changes in fertility patterns in the late childbearing ages, including trends in multiple maternities, conceptions terminated by an abortion, and the effects of delayed childbearing on births outside marriage and on the birth order distribution of births within marriage.

Adult↗

[Multiple cancers. Apropos of a quadruple cancer].

A woman of 48 years of age presented over a period of twelve years with, successively, a cancer of the rectum, a cancer of the breast, cancer of the scalp and finally of the endometrium without metastases. Her general condition stayed good. We have looked into the nosological, statistical, pathogenic and prognostic features of multiple cancers. It does seem that the hormone state may be the trigger for this polycancerous condition (hyperoestrogenaemia). This was linked to an alimentary factor (obesity) and to a family history of a predisposition to cancer, as our patient was the tissue of a blood-related marriage and a member of a family where the incidence of cancer was 40%. Multiple cancers are 2.42% of all cancers but are mainly double or triple cancers. There are only 20 cases of quadruple cancers in the literature. One can divide these into: Cancers with a short interval between each appearance of simultaneous appearances, which usually occur at an advanced age, due to simple chance and often with a bad prognosis. Cancers that occur at longer intervals in younger people, which are rarer and show a family predisposition or endogenous factors. Their prognosis is as a whole better.

Adenocarcinoma↗

Co-psychotherapy and multiple psychotherapy in multidisciplinary teams for ambulatory treatment.

In order to describe clearly and undoubtfully each psychotherapeutic situation, combining one or several therapists in one or several psychotherapeutic methods, an original classification is proposed. Evolution of concepts such as co-psychotherapy and multiple psychotherapy are studied. Advantages and disadvantages for both therapist and patient are listed, and generally accepted viewpoints as well as controversies are discussed. A statistical survey, using a large number of undifferentiated registrations made by a representative number of psychotherapeutic teams, permits a first approach of the present situation in this particular field of psychotherapy, and some significant conclusions are to be made.

Adolescent↗

Cultural politics and masculinities: Multiple-partners in historical perspective in KwaZulu-Natal.

Drawing from ethnographic, archival and secondary research, this article examines multiple-sexual partners in historical perspective in KwaZulu-Natal, a South Africa province where one in three people are thought to be HIV positive. Research on masculinities, multiple-partners, and AIDS has been predominantly directed towards the present day. This paper stresses the importance of unraveling the antecedents of contemporary masculinities particularly the gendered cultural politics through which they have been produced. Arguing against dominant conceptions of African masculinity as being innate or static, it charts the rise and fall of the isoka, the Zulu man with multiple-sexual partners, over the last century. Showing how the isoka developed through changing conditions occasioned by capitalism, migrant labour and Christianity, it contends that an important turning point took place from the 1970s when high unemployment threatened previous expressions of manliness, notably marriage, setting up an independent household and becoming umnumzana (a household head). The high value placed on men seeking multiple-partners increasingly filled the void left by men's inability to become men through previous means. Turning to the contemporary period, the article argues that, shaken by the huge AIDS deaths, men are betraying increasing doubts about the isoka masculinity.

Attitude to Health↗

Inbreeding and the genetic control of nondisjunction.

We have studied the frequency of trisomics in newly formed zygotes and the proportion of trisomics, k, coming from consanguineous marriages by assuming that recessive genes at a single locus or multiple loci are responsible for the induction of nondisjunction. For mitotic nondisjunction, the value of k increases as the magnitude of consanguinity of the parents increases, but the opposite relationship holds for meiotic nondisjunction. Therefore, it is important to distinguish mitotic and meiotic types in the genetic study of nondisjunction. This seems to be one of the simplest tests for detecting the genetic control of nondisjunction.

Consanguinity↗