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Social and linguistic factors influencing adaptation in children's speech.

The ability to appropriately reciprocate or compensate a partner's communicative response represents an essential element of communicative competence. Previous research indicates that as children grow older, their speech levels reflect greater adaptation relative to their partner's speech. In this study, we argue that patterns of adaptation are related to specific linguistic and pragmatic abilities, such as verbal responsiveness, involvement in the interaction, and the production of relatively complex syntactic structures. Thirty-seven children (3-6 years of age) individually interacted with an adult for 20 to 30 minutes. Adaptation between child and adult was examined among conversational floortime, response latency, and speech rate. Three conclusions were drawn from the results of this investigation. First, by applying time-series analysis to the interactants' speech behaviors within each dyad, individual measures of the child's adaptations to the adult's speech can be generated. Second, consistent with findings in the adult domain, these children generally reciprocated changes in the adult's speech rate and response latency. Third, there were differences in degree and type of adaptation within specific dyads. Chronological age was not useful in accounting for this individual variation, but specific linguistic and social abilities were. Implications of these findings for the development of communicative competence and for the study of normal versus language-delayed speech were discussed.

Child

The pre- and poststerilization predictors of poststerilization regret in husbands and wives.

Husbands and wives from 141 tubal sterilization couples and 162 vasectomy couples were interviewed just prior to sterilization and then again 1 and 2 years later. We conducted linear regression analyses to determine the pre- and poststerilization predictors of poststerilization regret in each of the four gender x method groups (tubal husbands, tubal wives, vasectomy husbands, vasectomy wives). We confirmed a number of hypotheses based on the research literature and our own earlier work. Both individual and couple factors contributed to the development of regret, as did both pre- and poststerilization factors. An important finding was the degree to which regret among the nonsterilized respondents (tubal husbands, vasectomy wives) was affected by pre- and poststerilization interaction with their spouses.

Adult

The problems of a social survey in epidemiology: an experience from a Zambian rural community.

A socio-economic study of 1097 people was carried out between November and December 1979. Demographic data and other health characteristics were obtained by census of the entire study population. Interviews covered disease awareness, perceived morbidity, health-care utilization, knowledge, attitudes and practices; all adults aged 15 years and above were interviewed 2 weeks before physical examinations were made. Age and literacy level were found to have no effect on the people's health-seeking behaviour in Kabinga. The results of this social survey failed to reveal the real practices of the community's use of both ethno-medicine and biomedicine.

Adolescent

A report on voluntary sterilisation with special reference to minors and women who are intellectually disabled.

There are no specific legislative provisions regulating sterilisation in any State or Territory in Australia and there is a dearth of general case law on the subject. To determine the law relating to sterilisation, we need to consider both criminal and civil liability. In the absence of specific statutory provisions, it is necessary to examine the common law and the possible application of non-specific statutory provisions in both areas.

Adolescent

Tubal sterilization or vasectomy: how do married couples make the choice?

OBJECTIVE: To examine the relative importance of husband, wife, and couple factors as determinants of sterilization method choice. DESIGN: Married couples seeking sterilization interviewed before surgery and again 1 year later. SETTING: Kaiser Permanente Medical Care Program subscribers seeking care at the Kaiser Foundation Hospital, Santa Clara, California. PARTICIPANTS: Two hundred married women seeking a tubal sterilization and their husbands and 200 married men seeking a vasectomy and their wives. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Sterilization method chosen. RESULTS: In a logistic regression model, nine predictor variables correctly classified 94.9% of 395 couples (P less than 0.000). CONCLUSIONS: The choice of a sterilization method is achieved primarily through processes that involve both spouses. The motivations of both husband and wife, their mutual influence and communication, their present pattern of contraceptive use, and what they know about the satisfactions or dissatisfactions of other people who have had sterilizations are all factors that should be taken into account when the clinician helps a patient make the method-choice decision.

Choice Behavior

Family planning knowledge, attitudes, and practices of men in Zimbabwe.

The purpose of this report is to describe knowledge, attitudes, and practices in family planning among male Zimbabweans. Understanding the role of men in inhibiting or promoting contraceptive adoption could affect the design of family planning promotion programs and program success in Zimbabwe and other African countries. Data from the 1988 Male Fertility Survey, a representative sample of 711 currently married men aged 20 and over, showed that men have a major role in the decision to use family planning methods and in determining the number of children a couple should have. Male knowledge of various family planning methods was high, as was approval and ever-use of family planning. Attitudes toward family planning information, obtaining methods, couple communication, and family size were also investigated. It was concluded that men should be included in information, education, and communication programs, without delay. Program efforts should move beyond emphasis on child spacing to stress family size limitation in order to increase contraceptive prevalence, resulting in a commensurate decline in the level of fertility.

Adult

Factors associated with married women's selection of tubal sterilization and vasectomy.

Multivariate analyses of data from 248 married women scheduled for tubal sterilization and 165 wives of men scheduled for vasectomy indicated that male and female sterilization methods were selected for different reasons and under different circumstances. More specifically, the woman who underwent tubal sterilization was more likely to have perceived that she had greater influence than her husband over the sterilization decision, to have had cesarean section or vaginal delivery in association with sterilization, to have chosen tubal ligation because her spouse refused to undergo the alternative procedure or because it was convenient to combine it with delivery or other surgery, and to have had a spouse who was unwilling to be sterilized because of possible side effects associated with vasectomy. The woman whose husband underwent vasectomy was more likely to have been very fearful of surgery in general or especially fearful of reproductive surgery, to have known many men who already had had a vasectomy, to have perceived that her husband was more strongly motivated than herself to terminate childbearing, to have had a spouse who participated in birth control, and to have chosen vasectomy because it was easier or less expensive or because her physician advised against tubal sterilization.

Adult

Married women's dissatisfaction with tubal sterilization and vasectomy at first-year follow-up: effects of perceived spousal dominance.

Examination of first-year follow-up data obtained from 234 tubal ligation women and 154 vasectomy wives indicated a very low incidence of actual regret in both groups. However, use of a broader measure of satisfaction/dissatisfaction indicated that tubal ligation women had significantly more positive feelings about the sterilization decision than did vasectomy wives. Results of a series of multivariate statistical analyses demonstrated that group differences in satisfaction were related to (1) the disproportionate prevalence of perceived male control (particularly extensive control) over reproductive decisions among vasectomy wives and the negative effect it had upon subjects in both groups and (2) the disproportionate prevalence of female control over reproductive decision-making among tubal ligation women and the positive effect it had among subjects in this group. Study results point to the importance of couple counseling and exercising control over one's own body.

Adult

The prevalence and perceived aetiology of male sexual problems in a non-clinical sample.

One hundred and nine men (38 per cent single, 48 per cent married) participated in a survey of the prevalence of erectile and ejaculatory difficulty in a non-clinical sample. Perceived aetiology of erectile difficulty was also investigated. Twenty-three per cent of the sample were currently experiencing sexual problems, with ejaculatory difficulty approximately three times as prevalent as erectile difficulty. Nearly one-quarter had experienced erection difficulties at some time and, of these, 68 per cent had remitted without formal treatment. Most frequently cited 'causes' of erectile difficulty were 'psychological' rather than 'physical', 'practical' or specifically 'sexual,' with relationship factors including communication between partners being perceived as particularly important. The presence of erectile and/or ejaculatory difficulty was related to sexual dissatisfaction but not to ratings of relationship happiness. Men having sexual relationships outside their permanent relationship found their partner less sexually attractive and rated themselves as less happy than those men not having affairs but the two groups did not differ in terms of presence of sexual difficulty or sexual dissatisfaction. The limitations of a sample biased towards younger, more educated men, are discussed.

Adolescent

The sexual vocabularies of heterosexual and homosexual males and females for communicating erotically with a sexual partner.

This study explored what terminology constitutes an erotic or arousing language for male and female, heterosexual and homosexual, and the extent to which that language is used with a sexual partner. Five sexual references were included: male genitalia, female genitalia, lovemaking/coitus, oral-genital contact, and hand-genital contact. Respondents consisted of 120 urban midwestern university students, 30 in each gender and sexual orientation category. Sexual orientation was as powerful a predictor as gender for language that was considered erotic. Lesbians and gay males more often than heterosexual females and males used erotic or arousing vocabulary with a spouse or lover. Gay males more often used slang with a spouse or lover than did heterosexual males and heterosexual females. Implications for sexual arousal based upon communication are discussed.

Adult

Gender differences in marital communication patterns.

This study examined conflict-resolution interactions of couples, and related marital satisfaction to sequential and nonsequential communication patterns. Couples' satisfaction with marriage has been differentiated on the basis of the degree of coercive versus affiliative communication between partners. Results of this study indicate that this pattern differs, however, for individuals within couples on the basis of gender. Females and males were found to demonstrate different styles of response to dissatisfaction in marriage; men assume a coercive stance toward their partners while women take an affiliative position. Drawing on systemic and gender-difference theoretical perspectives, these patterns are interpreted as attempts by individuals with different world views to resolve conflict. A view is discussed whereby systems and gender differences can be integrated into a unified conceptual formulation upon which to base future development in research and therapeutic interventions.

Adult

The psychosocial sequelae of a second-trimester termination of pregnancy for fetal abnormality.

A retrospective study to investigate the psychosocial sequelae of a second-trimester termination of pregnancy (TOP) for fetal abnormality (FA) is described. After appropriate consent was obtained, 84 women and 68 spouses were visited 2 years after the event and asked to complete an extensive questionnaire. Most couples reported a state of emotional turmoil after the TOP. There were differences in the way couples coped with this confusion of feelings. After 2 years about 20 per cent of the women still complained of regular bouts of crying, sadness, and irritability. Husbands reported increased listlessness, loss of concentration, and irritability for up to 12 months after the TOP. In the same period, there was increased marital disharmony in which 12 per cent of the couples separated for a while and one couple obtained a divorce. These problems could be attributed to a lack of synchrony in the grieving process. Confusing and conflicting feelings led to social isolation and lack of communication. Difficulties in coming to terms with the fetal loss were not found to be linked to the type of fetal abnormality or religious beliefs but were related to parental immaturity, inability to communicate needs, a deep-rooted lack of self-esteem before the pregnancy, lack of supporting relationships, and secondary infertility. Suggestions for improved management are given.

Abortion, Therapeutic

Partnership after induced abortion: a prospective controlled study.

To study the social and psychological consequences of induced abortion on the relationship between the pregnant woman and her partner, 92 patients seeking a socially indicated abortion, who had a stable partner at the time of abortion, were interviewed. Standardized psychological measures were used to assess their partnerships before abortion and on follow-up 1 year later. A control group of 92 patients (matched for age, marital status, duration of partnership, number of children, and educational background), drawn from a larger sample of women using safe contraceptive methods, completed the same psychological measures. Prior to abortion, partnerships in the study group showed considerably more conflicts and were less harmonious than in the control group. One year after the abortion, the number of separations in the study group was not significantly higher than in the control group, nor were there any remaining qualitative differences in the partnerships of either group. When separations occurred, they had been more frequently initiated by women in the study group than in the control group.

Abortion, Induced

An evaluation of therapeutic programs for the treatment of secondary inorgasmia in women.

This paper is concerned with a review and evaluation of programs for the treatment of secondary inorgasmia in women. Treatments address a wide range of factors. They include medical and psychiatric disorders, lack of sexual knowledge and communication between partners, marital disharmony, sexual anxiety, and performance anxiety. These treatment approaches are evaluated, along with the effectiveness of Masters and Johnson's therapy, and the many variants of this approach. The use of erotic fantasy in the treatment of this condition is also discussed. Conclusions are limited by the nature of research in this area. It is essentially clinical in form. Often it fails to define the characteristics of the conditions that are required to assess contributing factors, treatment strategies, and pre- and posttreatment measures.

Female

HIV-related sexual behaviors of college students.

A follow-up study explored the prevalence of behavioral risk factors for HIV infection in a population of college students. Two hundred forty-three single students ranging in age from 17 to 24 years who identified themselves as heterosexual completed questionnaires related to planned and unplanned sexual intercourse and such other factors as alcohol and nonprescription drug use that might increase the risk of HIV infection. Forty-seven percent of the men and 57% of the women stated that they had had sexual intercourse from 1 to 5 times primarily because they were intoxicated, a phenomenon that increased with age until only 19% of those over 21 had never had sex because of intoxication. Seventeen percent of the sexually active men and 21% of the women said that they had used condoms. Nineteen percent of the men and 33% of the women acknowledged consenting to sexual intercourse because they felt awkward in refusing. The dangerous interaction between alcohol use and high-risk sexual activities suggested that college HIV prevention efforts should make the connection between the two risk factors explicit.

Adolescent