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References to Ignatius Sancho’s wife, children, and family life are interweaved throughout his letters. Sancho often wrote to his friends, briefly updating them on his family’s well-being and activities. When these brief references are collated and analyzed, an underrepresented perspective of Sancho’s family as a middling Black family emerges, where the Sanchos each embody the ideal representation of husbands, fathers, wives, mothers, and children. These references to the Sancho family in the Letters help make the Sancho family one of eighteenth-century London’s most well-documented Black families. More importantly, the family’s representation in the Letters answers essential questions about how the Black family were perceived in society and the role class, race, and gender play in shaping childhood, parental relationships, and family life. This chapter details the representations of Blackness, fatherhood, motherhood, and childhood observed in the Sancho family.
First dramatically, then with ever-growing complexity, World War I began a long-running, openly contentious reordering of gender relations, gender understandings, and public gender regimes. Mobilization for total war articulated men’s citizenship to soldiering; women’s to motherhood. Harnessed to family in multifarious ways, each profoundly altered and strengthened belonging in the nation. Those processes of regendering shaped interwar public policy across multiple spheres: welfare provision and social services; broader social policy and public health; regulation of sexuality and reproductive rights; education and public morality. While presenting across Europe as common exigencies and desiderata, in democratic polities no less than in fascist regimes or the Soviet Union, this welfarist political complex varied markedly with different types of polity. The “front experience” became processed by many younger veterans and aspiring soldiers into a militarized outlook of aggressively misogynist, heedlessly violent, and empathy-purged masculinity.
Written in an engaging, accessible style, the third edition has been extensively updated to include the most recent round of international censuses, emerging trends, and new chapters on epidemics, the labor force and expanded empirical discussions of race/ethnicity and sexual orientation, sex structure and gender identity. Featuring plentiful recent examples and data from the US, Europe, Asia, and Africa, it explains the demographic processes of fertility, mortality, and migration, elucidating how these concepts can be applied to understand topics such as contraception and birth control, pandemics, and public immigration policy. Introducing students to the major sources and applications of demographic data, it demonstrates how demography forms a useful lens for understanding many aspects of society, including our most pressing global challenges. A comprehensive instructor manual, chapter outline PowerPoints, and figures and tables from the book are available.
The ‘framing’ goods of life, sociality and rationality constitute necessary formal conditions of all the other, namely non-formal, goods. They are also intrinsically good; indeed, without any one of them, one ceases to be a human altogether. Life has absolute priority as a framing good, and is distinct from health (since one can be living and ill). After canvassing Aquinas’s and Finnis’s justification of life as a basic good, I offer my own bipartite justification in terms of life as both a ‘transcendent’ and ‘immanent’ human function. As to sociality, humans are essentially animals who live-in-relation, in the rich sense of developing various intentional relations to the world. If they fail to develop these, they become disabled (disability being a dysfunction and hence natural bad). I then detail various forms of sociality (which Aristotle calls philia, often translated ‘friendship’), along with the perfections or goods they embody. Last, I broach the framing good of rationality. This should be understood not as a virtue (either practical or theoretical), but rather as the ‘immanent character of human being and its form or mode of living-in-relation’. I explore its content in detail in Chapter 7.
Religion and spirituality in the family is a burgeoning field of inquiry. This Element begins by providing basic definitions, theoretical underpinnings, and common assessments of religion and spirituality (R/S) within the family. The authors also examine individuals' religious and spiritual (R/S) landscapes in relation to family functioning, and then consider positive psychology dimensions such as gratitude, humility, compassion, and forgiveness within the context of family members' religiousness and spirituality. Finally, interventions focused on R/S in the family unit and children's medical complications in relation to R/S factors and familial functioning are discussed. Conclusions include recommendations for future research and clinical practice to support families via an R/S lens.
In the Netherlands, around 750 children (0–21 year) die annually from potentially palliative conditions. The majority of these children reside at home, receiving care from hospital services and primary care. This study aims to examine general practice utilization for pediatric palliative care patients in the last 2 years of life.
Methods
A retrospective cohort study was performed using the routine healthcare database of the Julius General Practitioners’ Network. The main outcome for general practitioner (GP) utilization was the number of GP consultations for children in the last 3 months of life. Participants were included who were children (0–21 years), and deceased in the period 01-01-2013 to 31-12-2022 from an underlying chronic condition. Data were analyzed using descriptive statistics and tested for differences in provided care between children who died in hospital and who died at home.
Results
Forty-eight children from 32 GP practices met inclusion criteria. Median age was 10.0 years (interquartile range [IQR] 1.5–17.1). Common diagnoses were oncological (29%), congenital (29%), and metabolic conditions (23%). Ninety-six percent of children had contact with their GP in the last 3 months (median 7 consultations, IQR 3.0–10.0), i.e. 26 children who died in hospital had median 3.5 GP consultations compared to 20 children who died at home median 9.5 GP consultations (p < 0.001). Thirty-five percent of children were documented as being palliative, with 54% having some form of advance care planning discussions documented.
Significance of results
These results demonstrate that GPs are highly involved in providing pediatric palliative care. The palliative nature of these children and advance care planning discussions are not routinely documented and/or performed by GPs. Further insights into guidance that supports GPs, in collaboration with other healthcare professionals, in providing palliative care for children at home and their families are needed.
The introduction insists that Black placemaking is an important complement to studies of African diasporic migration. It situates this book within the historiography of family, US southern, and African diasporic scholarship, recounts archival and other research methodologies, and reflects on the books overall significance.
Hegel famously argues that the patriarchal, bourgeois nuclear family is a rational institution worth defending. Scholars have asked what exactly to do with this seemingly outdated part of his social and political philosophy. In particular, they have wondered whether Hegel's concept of the family can accommodate changes to our understanding of what counts as a family and what constitutes family relations. In this Element, I ask whether Hegel's defense of the family can be reconciled with family abolition, the project not of reforming the family as an institution, but of radically transforming it beyond recognition. By examining the three relationships that Hegel associates with the family – brothers and sisters, husbands and wives, and parents and children – I argue that Hegel's concept of the family can be reconciled with family abolition so described. What Hegel provides is an account of the family as a site at which important goods have been discovered and eveloped, without claiming that the family as an institution is necessary for, or even ideally suited to, their continued realization. These goods are singular individuality, ethical love, and material resources.
The families of cancer patients experience many forms of distress, as a result of their loved one’s cancer diagnosis. However, there have been no reports of suicide attempts of caregivers directly linked to the diagnosis of advanced cancer in a family member.
Methods
We reported a caregiver who attempt suicide two months after his wife was diagnosed with advanced cancer.
Results
The subject was a 69-year-old male who had been caring for his wife, diagnosed with advanced stomach cancer, for two months. The patient’s husband, acting as her caregiver, was referred by his wife (a cancer patient) to meet with a nurse. He reported insomnia and a desire for hastened death. Despite repeated recommendations for specialized care at a caregiver clinic, he declined. Following an argument with his wife at home, he felt unable to cope and attempted suicide. The husband had no psychiatric history but had a history of colon cancer. After the attempt suicide, he began visiting the “Caregivers’ Clinic,” where he received ongoing psychological support that continued until the death of his wife.
Significance of results
In cancer care, it is essential to continuously assess not only the patient’s suicide risk, but also that of closely related family members.
The purpose of this chapter is to describe post-intensive care syndrome-family (PICS-F), its scope, and the significance of the problem. We will describe potential etiologies; problems, including psychological, physical/functional, caregiver burden, employment/financial, and social; and risk factors of PICS-F. Measurement tools used to examine PICS-F among family caregivers are also addressed. We identify the current status of interventions that have been developed and tested to prevent PICS-F and reduce related symptoms among family caregivers. Finally, we discuss future directions for facilitating the advancement of science to support family caregivers of critically ill patients.
The Conclusion summarises the arguments of the book and points to the anxieties that male and female family members felt about childbearing and their efforts to impose order on it. Childbearing was habitually represented as women’s work in prescriptive and personal writings. This was because this fitted with an idealised model of gendered domestic labour. However, male family members invested considerable financial, emotional and bodily energy into securing positive procreative outcomes. This was in equal parts motivated by the centrality of childbearing to male status and honour, and by its prominence in larger familial narratives about godliness and fruitfulness. The Conclusion suggests the important implications this has for history of medicine and everyday life in early modern England.
This interleaf comprises a journey through peri-urban Kiambu, a glimpse of its terrain and inhabitants, as well as an arrival at the homesteads of Ituura, where the book’s narrative is set.
This chapter examines the Italian humanist discourse on vocation in terms of two intersecting binaries: on the one hand, the competing demands of shame culture (as in Cicero’s De officiis) and guilt culture (as in Augustine’s Confessions); on the other, the interplay between individual humanists and the status and expectations of their families. The result was the first substantive articulation of the concept of secular vocation.
This opening chapter outlines the main arguments of the book and introduces the histories of childbirth, domestic medicine and the family. It makes the case for seeing childbearing as a medical and social experience and shows that generation (the early modern term for childbearing) was of great personal, political and cultural significance in the period. The Introduction argues that childbirth was a family affair and shows that family paperwork – diaries, letters, almanacs, account books, commonplace books and other documents – were awash with descriptions of parts of the process of making babies. Generation was framed as being part of the domestic labour that had to be done by family members or by servants to run an orderly household, and was embedded within other everyday practices like healing, clothing and feeding individuals. The literate individuals who kept records in their paperwork were also the individuals who could afford to buy printed books on conduct and medicine that laid out ideal godly practice. By considering paperwork alongside this instructive material, this book uncovers the cultural and practical tensions between prescription and practice.
A significant percentage of listed companies are under the influence of founding families by stock ownership and/or family managers, even in developed countries, including the United States. In the United States, when the founders retire, they tend to hire professional managers and sell out their shares. In Japan, approximately 50% of listed companies are family firms, many of which are managed by founders’ heirs without substantial family ownership. In China, although family firms are relatively new because Chinese law traditionally prohibited private enterprises, family firms have grown rapidly since the transformation from a planned to a market-oriented economy in 1978. Generally speaking, founder firms’ performance is significantly better than that of non-family firms in most countries, but heir-managing firms’ performance varies in different countries. Prevalent types of listed family firms and their relative performance to non-family firms reflect minority shareholder protection law, the size of the manager market, and the corporate governance practice of each country.
Poverty is a risk factor for poor health. We sought to determine the practices, barriers, knowledge and comfort with poverty screening and intervention amongst family physicians (FPs), family medicine residents (FMRs) and family nurse practitioners (NPs) in Saskatchewan, Canada during the COVID-19 pandemic.
Methods:
A survey was distributed by email and newsletters to FPs, FMRs and NPs in Saskatchewan during 2022.
Results:
Eighty-three FPs, 35 FMRs and 25 NPs responded. Time, patient factors, practitioner knowledge and availability of community resources/services were reported barriers. Comfort discussing government benefits with patients was low, with slight differences amongst provider groups (p =.042). Thirty-one (40.3%) FPs, 7 (20.6%) FMRs and 17 (68.0%) NPs had referred a patient to a government benefit. Eight (6%) respondents used the Poverty Screening Tool.
Discussion:
Further research and training is needed to integrate poverty screening and intervention into primary care, given practitioners’ role as healthcare’s initial point of contact.
This article explores how psychiatrists conceptualised the role of family relations and emotional atmospheres in the context of schizophrenia research in the second half of the twentieth century. It traces how families became the primary site to be mined and measured to explain schizophrenia’s onset, course and outcome, and zooms in on global psychiatric investigations of expressed emotion in families of schizophrenic patients, which aimed to offer a theoretical framework for understanding one of the most intriguing and influential findings of transcultural psychiatry: that schizophrenia appeared to have a shorter course and favourable recovery rates outside the Western world. The article engages with a wealth of research materials from schizophrenia and expressed emotion studies, and a variety of voices – clinicians, patients, families – which shaped these investigations. It also draws a comparison between this discussion of ‘traditional’ families as a beneficial environment for schizophrenia, and critical psychiatric and psychoanalytic discourses from the middle decades of the century which focused on the reportedly extreme psychopathological potential of ‘schizophrenogenic’ family relations in the Western world. Analyzed through this prism, expressed emotion research constructed the Global South as a preferable, even romanticized, alternative to the Western model of family interaction. On closer inspection, however, this idealization of the traditional family involved a variety of essentializing and romanticizing ideas which reinforced the ever-present binary of the modern West versus backward Global South, and perpetuated the belief in the decolonising and developing world’s cultural and intellectual simplicity.
The paper investigates processes and consequences of ‘philanthropic kinning’, that is the use of kinship and family idioms in constructing and maintaining personal relations between donors and recipients in philanthropy. Usual studies collapse the occurrence of kinship metaphors in philanthropy either as evidence of ‘prosociality’ (e.g. trust, care or love) or more frequently as evidence of ‘paternalism’ (power and domination of donors over recipients, and their objectification). This paper claims that introducing kinship and parenting studies into researching philanthropy would greatly refine our understanding of donor–recipient relations. In the framework of a qualitative case study of a philanthropic ‘godparenthood’ programme organised in Hungary supporting ethnic Hungarian communities in Romania, this paper looks at the roles, responsibilities and obligations various forms of philanthropic kinship offer for the participants; and relations of power unfolding in helping interactions. With such concerns, this paper complements earlier research on hybridisation of philanthropy, through its sectoral entanglements with kinship and family. Also, it contributes to research on inequalities in philanthropy, by showing how philanthropic kinning may recreate, modify or reshape donor–recipient power relations in diverse ways.
The Covid-19 pandemic introduced new challenges for the long-term care (LTC) sector and changed how staff provided care to residents and families. For example, in Canada, LTC staff were required to implement social contact restrictions, while also supporting ‘virtual’ resident and family communication, with video conference visits becoming a primary strategy for this. The objective of this study was to explore Canadian LTC staff members’ experiences supporting virtual communication between residents and family members during the first year of the Covid-19 pandemic. A total of eight LTC staff with experience supporting or coordinating videoconference visits during this time were interviewed about their experiences. Interview data were analyzed using reflexive thematic analysis. Results revealed an overarching theme of holding it together – working with the imperfect to support resident and family communication – which encompassed four key subthemes: accepting distanced communication as a new normal, tolerating the discomfort of new roles, needing to rely on each other in difficult circumstances, and disconnect between policy and on-the-ground experience. The social contact policies that were introduced during the Covid-19 pandemic had never been tested over such a long duration of time. This study provides insight into the challenges of adapting some of these policies within LTC and may be valuable to ongoing planning for future outbreaks, epidemics, and pandemics, especially when considered alongside resident and family experiences.