Crystal methamphetamine use among American Indian and White youth in Appalachia: Social context,masculinity, and desistance

Rural areas and American Indian reservations are hotspots for the use of crystal methamphetamine (‘meth’) in the United States, yet there is little ethnographic data describing meth use in these areas. This study draws upon 3 years of ethnographic work conducted with American Indian and White youth in Appalachia during the height of the meth epidemic. First, I show how crystal meth filled a functional niche in the lives of many young men, alleviating boredom and anomie linked to recent socioeconomic changes and changing labor opportunities, and intersecting with local understandings of masculinity and forms of military identity. Here, ethnographic and interview data converge to illustrate how social role expectations, recent socioeconomic change, and meth's pharmacological properties converge to create vulnerability to meth use in Appalachia. Next, I draw upon two American Indian narratives of desistance. These youth described recently severed social relationships and acute feelings of social isolation during the initiation of meth use. Both also described dramatic close calls with death that facilitated their eventual desistance from use, involving repaired social relationships and the establishment of new lives and hope. Comparisons with meth use in other populations and regions, including men who have sex with men in urban environments, suggest that similar motivations and contextual factors may influence meth use across diverse cultural and regional contexts. Recent interventions targeting the pathogenic aspects of masculine role socialization and ethnographic evidence on the role of social networks in desistance suggest both avenues and caveats for intervention.     

(In)capacité au travail ? Organisation et fonctionnement des ateliers pour personnes en situation de handicap en Allemagne

The article elaborates on the emergence of a new social category: the “worker incapable of working”, which has not yet been recognized in the scientific literature. In Germany, people excluded from the labour market are increasingly employed in workshops for people with disabilities due to what is defined as a total incapacity to work. In addition to the objective of labour market participation of people with disabilities, these workshops assume the aim of (re)establishing their performance and monitoring their reintegration into the general labour market. Changes in the profiles of people working in the workshops and their recent expansion are described, as well as the transformation of working processes and conditions, especially through digitalisation. The consequences of these transformations are studied within the framework of “activating” policies.     

Ethical considerations for research involving boys diagnosed with attention-deficit/hyperactivity disorder

The ‘new sociology of childhood’ has activated a growing interest in children as social actors and their level of involvement in activities that affect their lives. In the field of research, debate is underway regarding the consent processes and methodological activities that support child participation. This paper highlights methodological and ethical considerations that emerged while engaging in research with young boys (aged 9–11 years old) with a formal diagnosis of attention-deficit/hyperactivity disorder (ADHD). Key issues include recruitment, informed consent, and participatory activities for data production. Sociocultural theories of childhood and disability are applied to reflect on the power and privilege operating through the research process. Engaging in research that involves children with disabilities, in which discourses of risk, stigma, and protection are elevated, problematizes the researcher–researched relationship and expands considerations of what constitutes ethical practice and ‘valuable data’.     

Conceptions of Risk in the Lives of Club Drug-Using Youth

This paper describes current patterns of club drug use and local conceptions of risk among New York City area youth. The data is drawn from a NIDA-funded ethnographic study of club drug initiation among “Bridge and Tunnel” youth. The paper entails an examination of the harmony and discontinuity between folk models of risk within this population and professional models of risk. The author explores how club drug-using youth conceive of risks related to club drug use, specifically ecstasy, and how such conceptions compare and contrast with current professional models of risk. These conceptions of risk are crucial to understand, as they form an informal logic by which club drug practices are guided. Ultimately, the author examines how the relationship between folk models and professional models might inform health promotion efforts targeting youth.     

Bedside nurses’ roles in discharge collaboration in general internal medicine: Disconnected,disempowered and devalued?

Collaboration among nurses and other healthcare professionals is needed for effective hospital discharge planning. However, interprofessional interactions and practices related to discharge vary within and across hospitals. These interactions are influenced by the ways in which healthcare professionals’ roles are being shaped by hospital discharge priorities. This study explored the experience of bedside nurses’ interprofessional collaboration in relation to discharge in a general medicine unit. An ethnographic approach was employed to obtain an in‐depth insight into the perceptions and practices of nurses and other healthcare professionals regarding collaborative practices around discharge. Sixty‐five hours of observations was undertaken, and 23 interviews were conducted with nurses and other healthcare professionals. According to our results, bedside nurses had limited engagement in interprofessional collaboration and discharge planning. This was apparent by bedside nurses’ absence from morning rounds, one‐way flow of information from rounds to the bedside nurses following rounds, and limited opportunities for interaction with other healthcare professionals and decision‐making during the day. The disconnection, disempowerment and devaluing of bedside nurses in patient discharge planning has implications for quality of care and nursing work. Study findings are positioned within previous work on nurse–physician interactions and the current context of nursing care.