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Children experience toxic stress if there is pronounced activation of their stress-response systems, in situations in which they do not have stable caregiving. Due to their exposure to multiple poverty-related risks, African American children may be more susceptible to exposure to toxic stress. Toxic stress affects young children’s brain and neurophysiologic functioning, which leads to a wide range of deleterious health, developmental, and mental health outcomes. Given the benefits of early care and education (ECE) for African American young children, ECE may represent a compensating experience for this group of children, and promote their positive development.

Early in the 20th century, many began to voice growing concern over such issues as infant mortality, childhood diseases, and child labor (Anastasiow & Nucci, 1994). At this time, physicians, child advocates, and the general public began to speak out about social concerns regarding children, including those living in orphanages and those with mental illness or intellectual disabilities. These concerns came about at a time when psychologists studying young children began to accept that a child's intelligence was impacted by both genetic and environmental factors (Hunt, 1961). Prior to this point, experts believed a child's IQ was set at birth with little that could be done to influence it over time. Although we were beginning to better understand the importance of environmental influences on young children, at this point, most children with disabilities such as intellectual disabilities, cerebral palsy, and epilepsy were institutionalized rather than treated. On the other hand, children who were deaf or blind were more likely to be treated, but were typically sent away to “schools” and were segregated from their families and peers while receiving treatment and education.

Purpose: Lesbian, gay, and bisexual (LGB) young adults smoke at rates much higher than the general population. Young adults, in general, are less likely to seek medical help for smoking cessation and LGB individuals are less likely to seek health care generally. Alternative methods to encourage smoking cessation are necessary. This research seeks to establish whether LGB young adults in California would be willing to use social media for smoking cessation.

Approach: We conducted 41 qualitative interviews among LGB young adults in the San Francisco Bay Area and Los Angeles in Fall 2014.

Findings: The results suggest that our participants were interested in a LGB-focused social media intervention, as long as the intervention was private or anonymous and moderated. Further, across topical areas our participants spoke extensively about the import of social connections. We may be able to leverage these connections to encourage cessation.

Research Limitations: This is a qualitative, non-generalizable dataset from a fairly limited geographic area.

Public Health Implications: Online smoking cessation interventions aimed at young adults would benefit from further testing with LGB young adults to ensure efficacy among this population. In addition, states and localities concerned about young adult LGB smoking might benefit from investing in an online socially mediated cessation forum. Online interventions could be scalable and might be useful for other groups who regularly face discrimination, stigma, or other stressors that make successful smoking cessation difficult.

The environment surrounding U.S. higher education has changed substantially over the past 40 years. However, we have a limited understanding of what these changes mean for the higher education organizations (HEOs) that occupy this organizational field. In this paper, I use descriptive statistics and multilevel latent class analysis (MLCA) to analyze the financial behaviors of public four-year HEOs from 1986 to 2010 to evaluate how HEOs adapt financially to their changing environments. I advance the current conceptual and empirical understanding of public HEO behaviors by evaluating how public HEOs utilize combinations of revenue and spending streams to accomplish their mission and the extent to which the revenues and spending patterns of these institutions are related. Descriptive results confirm the shift away from state funding toward tuition revenues and the relative stability in spending patterns. MLCA results, which allow for the investigation of how combinations of revenue and spending streams work together, indicate that public HEOs are changing the combinations of revenues they rely on in different ways, revealing multiple specific pathways for how public HEOs adapt to their changing environments. The spending profiles, in contrast, remain stable with only a few HEOs changing their profile over time. I argue that the loose coupling between revenues and spending and discontinuity in their patterns of change over time suggests that public HEOs are able to establish a buffer between their environment and spending or activities that allows them to continue engaging in the same broad set of activities despite environmental changes.

In this chapter Suzanne Ross draws on her experience previously as a talent manager and now as a leadership consultant, Executive Coach and Senior Lecturer in Executive Education, and applies her research on leadership derailment to talent management. As organizations continue to invest in leadership development, research suggests up to 50 per cent of leaders derail or fail in their role. The derailment literature is, to-date, disconnected from TM although central to the definition of leadership derailment is that derailed leaders were previously successful and had potential. The chapter explores the concept of derailment, how it is defined, its scale and scope and some of the causes of derailment including a lack of organizational support during leadership transitions. The notion of the ‘accidental manager’ is used to provide an example of where literature on TM and derailment converge as a key derailer characteristic is having an overly functional orientation. This maps to the accidental manager concept and to the challenges that TM practitioners face in developing career pathways for expert/specialists beyond managerial roles. Suzanne argues that talent identification should take more account of derailment characteristics and suggests there may be gender differences in how these are perceived and in the consequences that arise when they are present. The chapter contributes to a greater understanding of how the concept of derailment can be integrated within talent management research and practice.

As a team of eight scholars at the University of Texas, we collaborate to research issues that directly focus on the development, training, and experiences of anti-racist and social justice leaders in urban secondary schools. Each of us considered a personal event, or series of events, that significantly influenced our thinking about social justice. We share experiences of personal and institutional racism, and reflect on how these experiences continue to shape our awareness of race. Our perspectives capture how issues of race and racial discrimination persist in a status quo educational system and how past experiences directly influence our work.

What is associated with a rise in academic career expectations, and why have levels risen to such levels wherein prominent dissatisfaction is a sustainably generated outcome? This paper examines work satisfaction among faculty in U.S. research universities. At a micro level, I discuss the career patterns of work satisfaction as found in a set of universities, drawing on data from qualitative studies of academic careers. I present findings on four analytic dimensions: the overall modal career patterns of professors, their overall work satisfaction, their work attitudes, and whether they would again pursue an academic career. The data capture variation in careers over time and the type of university in which they work. A prominent and pervasive pattern is transparent: that of ill-content and ill-institutional regard. At a macro level, these patterns are suggestively situated in developments in the social-institutional environment of U.S. higher education. This environment consists of systemic trends in which neoliberalism enables academic capitalism to flourish with its attendant effects in privatization and marketization. It is argued that a shift in organizational priority brought about by these conditions entails a “valorization of shiny things” – a valuing of market-related phenomena over knowledge of its own accord. This valorization, ritually supported by practices endemic of changed organizational culture, may weaken the ground on which the traditional scholarly role is played and may make precarious a basis for positive work sentiment.

Purpose: This study examines the experiences and struggles of young women with breast cancer as they navigate the intersectionality of their illness and gender identity. Specifically, the research explores the construction and expression of gender identity as a core part of who they were prior to diagnosis and who they desire to be in the future.

Design and methodology: A phenomenological approach was used to investigate how women with breast cancer experience changes related to gender identity. Eighteen in-depth interviews were conducted with young women who have been diagnosed within the last five years.

Findings: Young women undergo gender identity disruptions and shifts as the result of breast cancer diagnosis and treatment. Informants expressed feelings that their resultant identities do not conform to cultural normative representations of gender, which profoundly impact their perceptions of the physical self, gender roles, and intimate relationships. At this acute stage, they struggled with the loss of important body markers of femininity (breasts, hair, etc.) and attempted through consumption to find alternative ways to enact gender expressions.

Originality and value: This research explores consumer experiences when bodies do not conform to idealized body images and cultural representations of gender. Informants revealed a complex portrait of women who experience the early, invasive stages of illness and body transformation.

This chapter uses Goffman’s concept of total institutions in a comparative case study approach to explore the role of psychotropic drugs in the process of transinstitutionalization.

This chapter interprets psychotropic drug use across four institutionalized contexts in the United States: the active-duty U.S. military, nursing homes and long-term care facilities, state and federal prisons, and the child welfare system.

This chapter documents a major unintended consequence of transinstitutionalization – the questionable distribution of psychotropics among vulnerable populations. The patterns of psychotropic use we synthesize suggest that total institutions are engaging in ethically and medically questionable practices and that psychotropics are being used to serve the bureaucratic imperatives for social control in the era of transinstitutionalization.

Psychotropic prescribing practices require close surveillance and increased scrutiny in institutional settings in the United States. The flows of mentally ill people through a vast network of total institutions raises questions about the wisdom and unintended consequences of psychotropic distribution to vulnerable populations, despite health policy makers’ efforts regulating their distribution. Medical sociologists must examine trans-institutional power arrangements that converge around the mental health of vulnerable groups.

This is the first synthesis and interpretive review of psychotropic use patterns across institutional systems in the United States. This chapter will be of value to medical sociologists, mental health professionals and administrators, pharmacologists, health system pharmacists, and sociological theorists.