How Birth Doulas Help Clients Adapt to Changes in Circumstances,Clinical Care,and Client Preferences During Labor

This study examined how doulas adapt to challenges in client’s labors. There were 104 Canadian and 92 American doulas who responded to a survey distributed at a doula conference. We report results from open-ended questions in which doulas describe how they manage changes deviating from the mother’s birth plan and how they navigate differences of opinion between themselves and providers. Four themes emerged: giving nonjudgmental support, assisting informed decision making, acting as a facilitator, and issues with advocacy. Although 30% of doulas said that advocacy and information giving could result in conflict with providers, doulas reported working within their scope of practice and striving to be part of the team. Issues in doula responsibility and patient advocacy remain, and ongoing role clarification is needed.     

Sign language and the brain: a review

How are signed languages processed by the brain? This review briefly outlines some basic principles of brain structure and function and the methodological principles and techniques that have been used to investigate this question. We then summarize a number of different studies exploring brain activity associated with sign language processing especially as compared to speech processing. We focus on lateralization: is signed language lateralized to the left hemisphere (LH) of native signers, just as spoken language is lateralized to the LH of native speakers, or could sign processing involve the right hemisphere to a greater extent than speech processing? Experiments that have addressed this question are described, and some problems in obtaining a clear answer are outlined.     

The role of inter-professional collaboration in developing inclusive education: experiences of teachers and occupational therapists in Slovenia

This was the first qualitative study of the inclusion of children with special needs into regular schools in Slovenia that focused on inter-professional collaboration and its contributions to the inclusion process. Focus groups and individual interviews were conducted with primary school teachers (N?=?36) and occupational therapists (N?=?9) to explore their personal experiences. Data were analysed using qualitative content analysis (Strauss, A., and J. Corbin. 1998. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Thousand Oaks, CA: Sage). Two categories pertaining to inter-professional collaboration emerged from the analysis. They described different barriers and strategies that either inhibited or facilitated the cooperation process. The experiences of teachers and occupational therapists differed; however, both professional groups expressed frustration with organisational and systemic factors that often prevented better exchange of knowledge and information. Due to the organisation of work and financial issues, occupational therapists had limited access to the school environment; therefore, they generally showed more eagerness to increase the level of collaboration and their presence at the school. The study also pointed out how the roles of certain professionals are not recognised, suggesting the need for more promotional work. If inclusion in Slovenia is to be fully implemented, collaboration between different professionals working with children with special needs must strengthen. This will require some significant organisational, cultural and also personal transformations.     

Home atmosphere and adolescent future orientation

Adolescent future orientation was studied from the point of view of orienting expectations about the future, consisting of three aspects: cognitive (clarity of plans for the use of future time), affective (optimistic vs pessimistic attitudes toward the future), and motivational (realistic vs unrealistic wishes for the future). The study was part of the Jyväskylä Longitudinal Study of Social Development, the original sample for which consisted of 8-year-old subjects. Follow-up studies were made using a semistructured interview covering several aspects of home atmosphere (child-rearing and external home conditions) and youthful life orientation at ages 14 and 20 with 115 subjects. Results obtained with LISREL confirmed the hypothesis that optimism toward the future at age 20 was related to positive memories of child-rearing, and to a degree the hypothesis that the clarity of plans was related to parental occupational status and working conditions. Memory of the parents’ time for the child explained all aspects of adolescent future orientation.     

The stability of attachment security from infancy to adolescence and early adulthood: general introduction

Current attachment theory hypothesizes that attachment security during infancy influences individual differences in adult representations of attachment. We present three long-term longitudinal studies using three different samples relevant to this hypothesis. Each study assesses infant attachment by using the Ainsworth Strange Situation and adult attachment by using the Berkeley Adult Attachment Interview (AAI). Attachment security was significantly stable in the first two studies. Discontinuity in all three studies was related to negative life events and circumstances. Comparison of the results across these complementary studies affords a degree of replication and sheds light on alternative interpretations. Various mechanisms underlying the stability and instability of attachment security are discussed.     

Father Absence in Pregnancy or During Childhood and Pubertal Development in Girls and Boys: A Population-Based Cohort Study

This cohort study, including 15,810 children born 2000–2003 in Denmark, aimed to investigate the association between father absence in pregnancy or during childhood and pubertal development in girls and boys. The children were followed from 11 years of age and throughout pubertal development. Mean age differences according to exposure groups were estimated for each pubertal marker separately and for a combined pubertal marker. The results suggested that father absence in pregnancy and during childhood was associated with earlier pubertal development in girls, and father absence from late childhood was associated with earlier pubertal development in boys. The paternal investment theory, the psychosocial acceleration theory and the energetics theory were explored, and did not seem to explain the observed associations.