The social and behavioral sciences in pharmacy education: an introduction and overview.
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Behavioral Sciences↗
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"Economic man" in cross-cultural perspective: behavioral experiments in 15 small-scale societies.
Researchers from across the social sciences have found consistent deviations from the predictions of the canonical model of self-interest in hundreds of experiments from around the world. This research, however, cannot determine whether the uniformity results from universal patterns of human behavior or from the limited cultural variation available among the university students used in virtually all prior experimental work. To address this, we undertook a cross-cultural study of behavior in ultimatum, public goods, and dictator games in a range of small-scale societies exhibiting a wide variety of economic and cultural conditions. We found, first, that the canonical model - based on self-interest - fails in all of the societies studied. Second, our data reveal substantially more behavioral variability across social groups than has been found in previous research. Third, group-level differences in economic organization and the structure of social interactions explain a substantial portion of the behavioral variation across societies: the higher the degree of market integration and the higher the payoffs to cooperation in everyday life, the greater the level of prosociality expressed in experimental games. Fourth, the available individual-level economic and demographic variables do not consistently explain game behavior, either within or across groups. Fifth, in many cases experimental play appears to reflect the common interactional patterns of everyday life.
Altruism↗
Socioeconomic status and health in childhood: a comment on Chen, Martin and Matthews, "Socioeconomic status and health: do gradients differ within childhood and adolescence?" (62:9, 2006, 2161-2170).
Understanding whether the gradient in children's health becomes steeper with age is an important first step in uncovering the mechanisms that connect economic and health status, and in recommending sensible interventions to protect children's health. To that end, this paper examines why two sets of authors, Chen et al. [Socioeconomic status and health: Do gradients differ within childhood and adolescence? Social Science & Medicine, 62, 2161-2170.] and Case et al. [Economic status and health in childhood: The origins of the gradient. American Economic Review, 92, 1308-1334.], using data from the same source, reach markedly different conclusions about income-health gradients in childhood. We find that differences can be explained primarily by the inclusion (exclusion) of a small number of young adults who live independently.
Adolescent↗
Perspectives of users of the services.
This article draws on social science evidence concerning the views and experiences of those using the antenatal services. It identifies several important themes in this evidence, including the need to consider pregnancy a normal process, to provide care that is sensitive to individual circumstances and that offers continuity of care throughout the antenatal period, and the obligation on providers to assess scientifically the effectiveness of the care they give.
Communication↗
Female drug use: some observations.
This paper, based on a review of recent social science drug research, summarizes the main findings on female drug use and speculates on its future direction. The findings include the following: women are usually initiated into illicit drug use by men; rates of illicit drug use are lower among females than males (which may reflect the greater personal freedom traditionally granted to males), although the difference narrows among younger persons and among those who subscribe to more liberal values and life styles; women are more likely than men to use psychotherapeutic drugs (which may reflect strains resulting from their unequal status vis-à-vis men); and female opiate addicts, although they tend to hold conventional values, are often involved in such deviant activity as prostitution. To the extent that women gain social equality with men and subscribe to greater personal lifestyle freedom, they may be expected to show a higher rate of illicit drug use, particularly of a recreational kind. On the other hand, the rate of psychotherapeutic drug use may decrease, although if the tensions of the workplace eventually substitute for the tensions of status inequality, the resultant changes in rates and patterns of substance use are problematic.
Age Factors↗
[Popular perceptions about childhood diarrheas: diversity and unity].
Sickness is defined by culture: each society has its own way of labelling, explaining and treating symptoms. In the case of childhood diarrhea, each population selects some signs and considers them as symptoms, defines a limit between normal and pathologic, arranges symptoms in order to build syndromes that make up a local nosology. Examples from Thailand, China, Algeria, Nicaragua and Burkina Faso show the diversity of popular beliefs about diarrhea. These beliefs depend upon the epidemiological context, but they do not reflect it exactly: thus in Burkina Faso, AIDS has not been integrated in popular beliefs about childhood diarrhea. The examples discussed in this article show how popular beliefs evolve, especially under the influence of biomedicine. Moreover, every individual understands differently the popular nosology according to his (or her) social status and to the level of his (her) knowledge. To the unity of biomedical knowledge responds a great diversity of popular beliefs. In France, contemporary popular beliefs about childhood diarrhea have been seldom studied by social sciences. They seem to be close to biomedical knowledge and share some essential elements with it, but they also show some features--such as the belief that diarrhea is benign when simultaneous to teething--that relate them to popular beliefs which have been described in other cultures. By describing and analysing these popular beliefs, medical anthropology makes it possible to adapt medicine to local knowledges.
Acquired Immunodeficiency Syndrome↗
The effect of peer review on professionalism, autonomy, and accountability.
In this article, the authors describe the relevance and impact of peer review on professional nursing practice. The healthcare, business, education, and social science literature are reviewed. Although the benefits of peer review often are assumed to contribute to increased professionalism, autonomy, and accountability, there is little formal research evidence to support these assumptions. Regardless, empirical data show potential for increased professionalism, improved performance, and valuable feedback provided to nursing personnel. In addition, the authors explore the potential of peer review in developing and maintaining professional accountability among practicing staff nurses.
Clinical Competence↗
Students versus locals: young adults' constructions of the working-class other.
Following a review of the main approaches to the study of class in the social sciences, a critical/discursive approach is adopted to show how analysing an aspect of everyday life such as leisure and 'going out' can reveal the reproduction of dominant discourses about class. Forty-two middle-class young adults were taken on 'nights out' to bars and pubs and then interviewed later to generate group accounts of the people and places they encountered. An analysis of participants' talk about going out to bars and pubs is used to illustrate the ways in which class was constituted in their dialogue. Focusing on the distinction respondents made between students and locals we consider how working-class people are simultaneously rejected and desired and how a discourse of territoriality defines and reproduces class relations in commercial leisure spaces. We argue that social psychology has much to offer contemporary understandings of the ways in which social class is constituted and mobilized in everyday accounts of leisure and consumption, and discuss our analysis in the context of existing research. We end by considering the potential value of our distinctive method for the study of class relations in social psychology research.
Adult↗
Are women heavier drinkers than we thought they were?
OBJECTIVE: This study intended (1) to examine whether men are more likely to experience "male-type" problems related to drinking and women are more likely to encounter "female-type" problems and (2) to discover whether male or female collegians have higher blood alcohol concentrations (BACs) at a typical drinking session. METHOD: A questionnaire was administered to students enrolled in introductory courses in departments of social sciences at two state universities, situated in the Midwest and the South, in the spring term of 1994. Of the 2,056 students who constituted the sample of the present study, about 54% were women and 92.6% were white. The subject collegians' BACs during drinking episodes were indirectly estimated by three variables-quantity of alcohol consumed, individual body weight and duration of drinking session. RESULTS: The data indicate that men achieve a higher BAC than do females while drinking. When the incidence of various alcohol-related problems (both gender-biased and gender-neutral problems) was measured, it was found that, after drinking levels are controlled, gender becomes a significant factor in whether some alcohol-related problems will occur. CONCLUSIONS: Findings indicate that gender socialization may partly explain gender differences in the alcohol-related problems reported.
Adult↗
Bro's/pro's (re)developing an authentic Maori presen(t)ce: creating identities about (professional Maori?) men.
This work unpacks the identity marker professional Maori men, as politicked by two Maori men who are university graduates of Maori Studies and who work directly within Maori development fields as an executive officer of a tribal resource management unit and a secondary school teacher. It examines why these two Maori men resist the identity marker of professional Maori men as a subject-indicator of their working lives and public status. It unravels their (re)constructed meaning of professional Maori men, and asks why they criticise this identity reference as representing an assimilated movement toward institutionalisation, colonisation, and the Pakeha value-system of a dominant Anglo/Celtic hegemony in New Zealand. It investigates how both men perceive an authentic Iwi (tribal) identity of real Maori practices as an essential journey for liberating one's participation within a professional field of an institution from risk of hegemonic co-option and violent cultural corruption. It asks what political risks are involved for Maori and Iwi researchers and writers within various institutions in New Zealand, when at one level, they are expected by the hegemony to perform official tasks as indigenous representatives, and at another level, it is desired by their own ethnic group they will fulfil cultural responsibilities in the interests and on the terms of their people. Social science terms used in this text: Other, Statehood, Liminal Space, Liminality, Marginalisation, Marginality, Subaltern, Disjuncture, Difference, Displacement, Travelling Theory, Symbolic Interaction, History from Below, Performative Identity, Responsibility, Binary Inter-Play, Selfhood. This paper is dedicated to Maori men and women who participate in a professional field, and find themselves constantly struggling to assert their personal Maori-ness/Iwi-ness, while facing an external range of public demands, restrictions, barriers, and expectations.
Cultural Characteristics↗
Frequent attenders in general practice care: a literature review with special reference to methodological considerations.
OBJECTIVE: To describe the basis on which our knowledge of frequent attendance in general practice rests and to propose recommendations for further research on frequent attenders (FAs). DESIGN: The literature review (finished February 2004) encompassed peer-reviewed articles in English describing contacts with general practice in terms of frequency. Searches were performed in the Medline, CINAHL, EMBASE, PsycINFO, Social Sciences Expanded Index and ISI Citation databases with additional searches in reference lists and the 'related articles' function in the ISI Citation database and Medline. SETTING: General practice. SUBJECTS: Sixty-one articles (54 studies). MEASURES: The articles were assessed according to the following design variables: setting; definition of FAs; sampling; sample size; control groups; study aim; study design; data sources; effect measure; and main results. RESULTS: There was no generally accepted definition of frequent attendance. Research designs differed substantially. Eight articles gave sufficient information on all design variables. The top 10% of attenders accounted for 30-50% of all contacts, and up to 40% of FAs were still FAs the following year. More than 50% of FAs had a physical disease, more than 50% of FAs suffered from psychological distress, social factors (low social support, unemployment, divorce) were associated with frequent attendance in more than 50% of FAs, multiproblems (physical, psychological and social) were found in one-third of FAs, and frequent attendance was associated with increasing age and female gender. CONCLUSION: The diversity of designs, definitions and methods in the current literature on FAs in general practice hampers comparison of their precision, validity and generalizability, and calls for cautious interpretation and adoption of a common, generally acceptable definition in future studies.
Family Practice↗
In search of a healing place: Aboriginal women in Vancouver's Downtown Eastside.
Research on general health service delivery in urban areas of Canada shows that Aboriginal people face formidable barriers in accessing culturally appropriate and timely care. Over the past decade, Urban Aboriginal Health Centres (UAHCs) have emerged to address the unmet health concerns of Aboriginal people living in metropolitan areas of the country. The purpose of this research was to address the gap in social science literature on how the health care concerns of Aboriginal women are being met by UAHCs. The research aimed to give voice to Aboriginal women by asking them whether the appropriate professional services and educational programs they need to address their health care needs were being provided in the inner city. A case-study approach was used whereby three separate focus groups were conducted with Aboriginal women who were clients of the Vancouver Native Health Society (VNHS), its sister organization, Sheway, or residents of Vancouver's Downtown Eastside (DTES). In addition, twenty-five semi-structured interviews were conducted with VNHS staff, health providers, government representatives, and community leaders in health care (total n=61). The findings indicate that despite efforts from various quarters to articulate the health and social concerns of the country's marginalized populations, such has not been the case for Aboriginal women living in one of Canada's most prosperous cities. Many Aboriginal women expressed a strong desire for a Healing Place, based on a model of care where their health concerns are addressed in an integrated manner, where they are respected and given the opportunity to shape and influence decision-making about services that impact their own healing.
American Indian or Alaska Native↗
[Social change and sciences in the 20th century].
The symbiotic interdependence of state, economy and science is one of the most significant structural characteristics of the 20th century. This development results from inherent scientific as well as from social procedures and needs, and it has been favoured by the two World Wars, culminating in the Cold War. This led to new structures: institutions of large scale research, think tanks, and the military-industrial complex. Big government, big business, and big science are depending on each other. Parallel to the new way of thinking in physics (Einstein, Bohr and others), finally accomplished by the revolution in cybernetics (Wiener), the traditional borders between disciplines have been overcome. The production of new knowledge is now of primary importance. Today, information proves to be one of the strategic resources which determines prosperity, power and prestige as well as success in economic and political markets.
Cybernetics↗
Maternity referral systems in developing countries: current knowledge and future research needs.
A functioning referral system is generally considered to be a necessary element of successful Safe Motherhood programmes. This paper draws on a scoping review of available literature to identify key requisites for successful maternity referral systems in developing countries, to highlight knowledge gaps, and to suggest items for a future research agenda. Key online social science, medical and health system bibliographic databases, and websites were searched in July 2004 for evidence relating to referral systems for maternity care. Documentary evidence on implementation is scarce, but it suggests that many healthcare systems in developing countries are failing to optimise women's rapid access to emergency obstetric care, and that the poor and marginalised are affected disproportionately. Likely requisites for successful maternity referral systems include: a referral strategy informed by the assessment of population needs and health system capabilities; an adequately resourced referral centre; active collaboration between referral levels and across sectors; formalised communication and transport arrangements; agreed setting-specific protocols for referrer and receiver; supervision and accountability for providers' performance; affordable service costs; the capacity to monitor effectiveness; and underpinning all of these, policy support. Theoretically informed social and organisational research is required on the referral care needs of the poor and marginalised, on the maternity workforce and organisation, and on the implications of the mixed economy of healthcare for referral networks. Clinical research is required to determine how maternity referral fits within newborn health priorities and where the needs are different. Finally, research is required to determine how and whether a more integrated approach to emergency care systems may benefit women and their communities.
Developing Countries↗
Conventional wisdom about familial contributions to substance abuse.
Conventional social-science wisdom about the family background of substance abusers breaks down into three hypotheses. The broken home causes substance abuse; overprotective mothers with or without neglectful fathers cause substance abuse; substance abuse is reinforced by the changes it brings about in family interaction. The broke-home hypothesis attributes substance abuse to sheer absence of a parent, usually the father. The overprotective-mother hypothesis emphasizes the effect of indulgent, dominant mother behavior sometimes combined with ineffectual father behavior. The increased-control hypothesis emphasizes the effects of substance abuser, parents, and siblings on one another. Because investigations of these hypotheses are necessarily correlational, existing research on the family backgrounds of substance abusers suffers from methodological flaws characteristic of weak correlational designs. These hypotheses are logical extensions of Freudian theory, early social-learning theory, and revised social-learning theory respectively. Assumptions that pertinent aspects of the more general theories have been upheld by empirical investigation are not justified.
Family↗
Antenatal risk factors for postpartum depression: a synthesis of recent literature.
Postpartum nonpsychotic depression is the most common complication of childbearing, affecting approximately 10-15% of women and, as such, represents a considerable health problem affecting women and their families. This systematic review provides a synthesis of the recent literature pertaining to antenatal risk factors associated with developing this condition. Databases relating to the medical, psychological, and social science literature were searched using specific inclusion criteria and search terms, in order to identify studies examining antenatal risk factors for postpartum depression. Studies were identified and critically appraised in order to synthesize the current findings. The search resulted in the identification of two major meta-analyses conducted on over 14,000 subjects, as well as newer subsequent large-scale clinical studies. The results of these studies were then summarized in terms of effect sizes as defined by Cohen. The findings from the meta-analyses of over 14,000 subjects, and subsequent studies of nearly 10,000 additional subjects found that the following factors were the strongest predictors of postpartum depression: depression during pregnancy, anxiety during pregnancy, experiencing stressful life events during pregnancy or the early puerperium, low levels of social support, and a previous history of depression. Critical appraisal of the literature revealed a number of methodological and knowledge gaps that need to be addressed in future research. These include examining specific risk factors in women of lower socioeconomic status, risk factors pertaining to teenage mothers, and the use of appropriate instruments assessing postpartum depression for use within different cultural groups.
Adult↗
'The illness is part of the person': discourses of blame, individual responsibility and individuation at a centre for spiritual healing in the North of England.
While the growth in usage and practice of varying forms of complementary and alternative medicine (CAM) continues apace, social science has increasingly turned to CAM's often individualistic approach to health and illness. CAM has been perceived as both partly a cause of and a response to the well-documented ideology in modern healthcare of 'individual responsibility for health'. This occasionally manifests in a 'victim-blaming' ideology amongst both orthodox and CAM practitioners alike. These issues emerged as key themes in an ethnographic study of a Centre for spiritual healing in the North of England. By drawing upon a range of qualitative data gained through the researcher's participation at this healing centre, I argue that the healers' focus on individual responsibility for health is not so much a part of the current socio-political health ideology of 'victim-blaming', rather, it is illustrative of an important contemporary social phenomenon: the movement towards the subjectification and personalisation of public life.
Anthropology, Cultural↗
On public sector psychosocial nursing: a conceptual framework.
1. Nursing practice is driven more by its environment than by knowledge provided by faculty or even strong relationships between faculty and staff. Because that environment is publicly supported, programs reflect changes in the ideological environment. 2. The psychosocial nursing specialty incorporates psychiatric/mental health nursing and social sciences to reduce the negative environmental influences while increasing the positive ones. 3. Public sector psychosocial nurses must be familiar with changing laws and regulations as well as the history of hospital and community programs for the mentally ill; understand the complexity of society and that the state hospital is only one component of a large system; and contribute to the development of their subspecialty.
Health Facility Environment↗