Enabling Action: Reflections upon Inclusive Participatory Research on Health with Women with Disabilities in the Philippines

People with disabilities experience health disparities arising from social, environmental, and system-level factors. Evidence from a range of settings suggests women with disabilities have reduced access to health information and experience barriers to screening, prevention, and care services. This results in greater unmet health needs, particularly in relation to sexual and reproductive health. Women with disabilities are also more likely to experience physical and sexual violence than women without disabilities, further undermining their health. Community-based participatory research (CBPR) can generate knowledge and underpin action to address such health disparities and promote health equity. However, the potential and challenges of disability inclusion in CBPR, particularly in contexts of poverty and structural inequality such as those found in low- and middle-income countries, are not well documented. In this paper, we reflect on our experience of implementing and evaluating W-DARE, a three-year program of disability-inclusive CBPR aiming to increase access to sexual and reproductive health and violence-response services for women with disabilities in the Philippines. We discuss strategies for increasing disability inclusion in research and use a framework of reflexive solidarity to consider the uneven distribution of the benefits, costs, and responsibilities for action arising from the W-DARE program.     

Destructive sibling conflict and the development of conduct problems in young boys

Little empirical work has explored the relation between destructive sibling conflict and conduct problems in children. This study used a measure of observed sibling conflict to examine its relations with maternal and teacher report of conduct problems in a low-income sample of 180 five-year-old boys and their close-age siblings. Early report of behavior problems and rejecting parenting were added to the analyses to control for these predictors and to examine interactive effects. The interaction between destructive sibling conflict and rejecting parenting predicted aggressive behavior problems across time and informants such that a rise in aggression scores was evident for children who had high levels of both sibling conflict and rejecting parenting. Sibling conflict was also directly related longitudinally to the Child Behavior Checklist Delinquency factor. Results are discussed in terms of additive risk models and G. R. Patterson's (1984, 1986) theory of coercion.     

Causal and Moral Responsibility of Victims of Rape and Robbery

Four experimental studies of attribution in a criminal situation used a 2⁴ ANOVA design with three common independent variables, namely, type of crime, time of crime, and victim's prior experience of crime, all three manipulated through a passage describing an incident of crime involving a male criminal and a female victim, and one common dependent measure which was length of imprisonment recommended for the criminal. The fourth independent variable was subject's sex in the first two experiments and instructionally manipulated female subject's involvement (objective or identifying female subject) in the last two experiments. The second dependent measure was fault attributed to the victim in the first and third experiments and perceived likelihood of crime in the second and fourth experiments. The subjects were undergraduate students of the University of Bombay, 15 per cell in each experiment. Female subjects were more punitive toward the criminal than male subjects, especially in the case of rape, and the rapist received a longer sentence than the robber, especially from female subjects. Identifying female subjects tended to recommend a longer sentence than objective female subjects. Female subjects attributed less fault to the victim and perceived greater likelihood of crime than male subjects and identifying female subjects attributed somewhat less fault to the victim than did objective female subjects. The robbery victim was attributed more fault than the rape victim. Whereas previous experience of similar victimization increased attributed victim's fault, a late hour enhanced both attributed victim's fault and perceived likelihood of crime. These findings are discussed with respect to a theoretical distinction between causal and moral responsibility as represented by the likellhood and fault measures, respectively.     

Linking personal values to gender

Two studies were conducted to investigate the relation between personal values and aspects of gender. Study 1 used the Rokeach Value Survey (RVS) to examine the nature of stereotypes concerning the values of the “typical man” and the “typical woman”. Results supported the hypothesis that men are viewed as more likely to endorse agentic values, such as freedom and accomplishment, whereas women are viewed as more likely to endorse communal values, such as friendship and equality. Study 2 assessed men and women's possession of stereotypic sets of masculine and feminine values, using the RVS, and examined their relation to gender-related personality traits, gender-related interests and role behaviors, and global self-perceptions of masculinity and femininity. Masculine values were found to be significantly related to socially desirable masculine traits, socially undesirable masculine traits, masculine interests and a global self-concept of masculinity. Feminine values were shown to be significantly related to socially desirable feminine traits, feminine interests, feminine role behaviors, and a global self-concept of femininity. These results suggest that gender-linked personal values merit inclusion with traits, interests, role behaviors, and global self-concepts as part of an emerging multidimensional conception of gender characteristics.     

Perception of sexual experience: The impact of nonverbal behavior

A study was conducted to determine if nonverbal displays of masculinity and femininity can lead subjects to make inferences about the sexual experience of a person. It was predicted that male and female stimulus persons who displayed nonverbal masculine expressions would be seen as more sexually experienced, and more sexual in general, than those who exhibited feminine expressions. The results strongly supported this prediction. It was also expected that the stimulus persons displaying sex-appropriate behaviors would be evaluated more positively. This prediction was supported only for male stimulus persons.     

Identification of tachistoscopically exposed symmetrical and asymmetrical letter arrays.

Six-letter arrays containing symmetrical, e.g., H, M, T, or asymmetrical letters, e.g., J, K, R, were tachistoscopically exposed bilaterally for 100 msec. to 100 college students. Significantly more asymmetrical than symmetrical letters were identified, and significantly more Ss identified more asymmetrical than symmetrical items. This experiment, which incorporated methodological considerations suggested by Harcum (1964) and Bryden (1968), corroborates their findings. Their ideas and other findings were used to account for the data. Asymmetrical letters have more intrinsic left-to-right directionality than symmetrical elements. The rapidly fading after-stimulation of tachistoscopically presented alphabetical material is usually scanned from left to right. Individual array letters might also be scanned in the same direction. Confluence of directionality of letter and scan, which obtains only with asymmetrical letters, might have typically allowed asymmetrical targets to be scanned more rapidly and, consequently, more efficiently than symmetrical displays.     

The moderating effect of need type on the prediction of overall job satisfaction

Recent investigations concerned with the analysis of work motivation and job satisfaction constructs have combined the logic of subgrouping with an emphasis on the importance of individual differences. The present study is based on a need-fulfillment model, which places a major emphasis on individual differences in needs. A hierarchical clustering method was used to subgroup a sample of 570 managers on their need profiles. Need type was tested as a moderator of the relationship between specific dimensions of job satisfaction and overall job satisfaction. The findings showed that need type moderated the relative contributions of specific dimensions of satisfaction in the prediction of overall job satisfaction, and in addition the prediction level was found to be greater for the need types than for the total sample.     

Improvement of retardates' mealtime behaviors by timeout procedures using multiple baseline techniques

Undesirable mealtime behaviors of a hospital cottage of retardates were reduced by contingent timeout procedures applied by ward personnel successively to one undesirable behavior after another, in a multiple baseline design. In some cases the timeout procedure was to remove the subject from the room until the meal was finished; in other cases (depending on the health of the child and the initial rate of the behavior to be reduced), timeout consisted of a 15-sec removal of the child's meal tray. Undesirable behaviors were defined as stealing, using fingers inappropriately, messy use of utensils, and pigging (eating directly with mouth or eating spilled food). Timeout was applied to these behaviors in that order, and in each case led to a marked and useful reduction in the behavior throughout the group. As these undesirable behaviors were reduced, more appropriate mealtime behaviors emerged: as inappropriate use of fingers declined (under contingent timeout), messy utensil behavior increased; later, as messy utensil behavior declined (under contingent timeout), a defined category of neat utensil behavior increased. Weights of the subjects were monitored steadily throughout the study and showed essentially no change.