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The concept of hegemonic masculinity has influenced gender studies across many academic fields but has also attracted serious criticism. The authors trace the origin of the concept in a convergence of ideas in the early 1980s and map the ways it was applied when research on men and masculinities expanded. Evaluating the principal criticisms, the authors defend the underlying concept of masculinity, which in most research use is neither reified nor essentialist. However, the criticism of trait models of gender and rigid typologies is sound. The treatment of the subject in research on hegemonic masculinity can be improved with the aid of recent psychological models, although limits to discursive flexibility must be recognized. The concept of hegemonic masculinity does not equate to a model of social reproduction; we need to recognize social struggles in which subordinated masculinities influence dominant forms. Finally, the authors review what has been confirmed from early formulations (the idea of multiple masculinities, the concept of hegemony, and the emphasis on change) and what needs to be discarded (one-dimensional treatment of hierarchy and trait conceptions of gender). The authors suggest reformulation of the concept in four areas: a more complex model of gender hierarchy, emphasizing the agency of women; explicit recognition of the geography of masculinities, emphasizing the interplay among local, regional, and global levels; a more specific treatment of embodiment in contexts of privilege and power; and a stronger emphasis on the dynamics of hegemonic masculinity, recognizing internal contradictions and the possibilities of movement toward gender democracy.

Equality between women and men has been a doctrine well recognized in international law since the adoption of the 1948 Universal Declaration of Human Rights, and as a principle it enjoys popular support in many countries. The idea of gender equal rights has provided the formal basis for the internal discussion of the position of women since the 1975-1985 UN Decade for Women, which has been a key element in the story of global feminism. Connell traces the emergence of a worldwide discussion of men and gender-equality reform and tries to assess the prospects of reform strategies involving men.

The retrospective creation of a \"classical\" canon solved certain cultural dilemmas and generated a discipline-defining pedagogy, at the price of narrowing sociology's intellectual scope and concealing much of its history. Collins comments on Connell's classical theory of sociology.

The Handbook of Studies on Men and Masculinities is an interdisciplinary and international culmination of the growth of men′s studies that also offers insight about future directions for the field. The Handbook provides a broad view of masculinities across the social sciences, with the inclusion of important debates in some areas of the humanities and natural sciences. Editors Michael S Kimmel, Jeff Hearn, and Robert W Connell have assembled an esteemed group of contributors who are among the best-known experts in their particular fields. The Handbook of Studies on Men and Masculinities provides scholars, researchers, and students with the most current, incisive scholarship available for the men′s studies area of gender studies. It is a vital resource for those interested in the practical or cultural issues about men, boys and gender, as well as an excellent addition to any academic library.

An individual's psychological adjustment to illness is influenced by disease severity, illness perceptions, and coping strategies. A more precise understanding of the contribution of each of these factors to a patient's well-being may influence the kind of psychological support required by patients. This study therefore aimed to characterize the contributors to psychological well-being in patients with Crohn's disease (CD). The design was a cross-sectional questionnaire-based study.MethodsNinety-six CD patients (34 males, 62 females, mean age 38 years) attending a tertiary hospital inflammatory bowel disease outpatient clinic were studied. Disease severity was evaluated according to the Crohn's Disease Activity Index (CDAI), coping styles assessed with the Carver Brief COPE scale, illness perceptions explored with the Brief Illness Perceptions Questionnaire (BIPQ), and anxiety and depression measured using the Hospital Anxiety and Depression Scale (HADS).ResultsCombining the questionnaire data using structural equation modeling resulted in a final model with an excellent fit (χ2 (7) = 10.42, P = 0.17, χ2/N = 1.49, root mean square error of approximation (RMSEA) < 0.07, comparative fit index (CFI) > 0.97, Goodness-of-fit index (GFI) > 0.97). Disease activity had a significant direct influence on illness perceptions (β = 51, P < 0.001). In turn, illness perceptions had a significant direct influence on depression and anxiety (β = 41, P < 0.001, β = 0.40, P < 0.001, respectively). Use of emotional coping strategies was associated significantly (P < 0.001) with the presence of anxiety and depression.ConclusionsThere is an interrelationship between disease activity, illness perceptions, coping strategies, and depression and anxiety. These aspects of psychological processing provide a framework and direction for the psychological support that patients with CD require.

Myelosuppression is an important and potentially lethal complication of azathioprine treatment. The blood count has been reviewed in all patients treated with azathioprine for inflammatory bowel disease over 27 years in one hospital. Altogether 739 patients (422 with Crohn's disease, 284 with ulcerative colitis, and 33 with indeterminate colitis) were treated with 2 mg/kg/day azathioprine for a median of 12.5 months (range 0.5-132) between 1964 and 1991. Full blood counts were performed monthly for the duration of treatment. In 37 patients (5%) who developed bone marrow toxicity, the drug was withdrawn or the dose reduced. Thirty two of these patients were asymptomatic and five developed symptoms. Leucopenia (white blood count less than 3.0 x 10g/l) occurred in 28 (3.8%) patients, in nine of whom it was severe (white blood count < 2.0 x 10(9)/l). Of these nine patients, three were pancytopenic: two died from sepsis and the other had pneumonia but recovered. A further two patients with severe leucopenia developed a mild upper respiratory infection only. Thrombocytopenia (platelet count < 100,000 x 10(6)/l) in 15 patients was associated with leucopenia in six and developed in isolation in a further nine (total 2%). Isolated thrombocytopenia was never clinically severe. Myelotoxicity from azathioprine developed at any time during drug treatment (range 2 weeks-11 years after starting the drug) and occurred either suddenly or over several months. Bone marrow suppression as a result of azathioprine treatment is uncommon when a moderate dose is used, but is potentially severe. Leucopenia is the commonest and most important haematological complication. Regular monitoring of the full blood count is recommended during treatment.

I develop a conceptual approach to changes in masculinity that emphasizes the dynamics of the gender order as a whole. Homosexual masculinity is an important locus of these dynamics. After a critique of conventional discourses of masculinity I develop a theorized life-history method for researching gender. Analysis of eight life histories from an Australian gay community finds (1) initial engagement with hegemonic masculinity, (2) sexuality as the key site of difference, and (3) gradual closure based on relationships or on bodily experience that eroticizes similarity. Conventional masculinity is an aspect of the object of desire, yet is subverted by this object-choice; a contradictory masculinity is produced. Though the men in this study do not directly contest the gender order, the reification of \"gayness\" provides a social basis for sexual freedom, and the stabilization of a dissident sexuality opens possibilities for change in the social structure of gender.

Men's health has emerged as an important public concern that may require new kinds of healthcare interventions and increased resources. Considerable uncertainty and confusion surround prevailing understandings of men's health, particularly those generated by media debate and public policy, and health research has often operated on oversimplified assumptions about men and masculinity. A more useful way of understanding men's health is to adopt a gender-relations approach. This means examining health concerns in the context of men's and women's interactions with each other, and their positions in the larger, multidimensional structure of gender relations. Such an approach raises the issue of differences among men, which is a key issue in recent research on masculinity and an important health issue. The gender-relations approach offers new ways of addressing practical issues of healthcare for men in college environments.

After exploring reasons why the concept of \"masculinity\" has recently become a cultural & intellectual problem, a framework in which the intellectual work can be better done is suggested. The historicity of masculinity is best shown by cross-cultural evidence on the differing gender practices of men in different social orders. A sketch of the historical evolution of the forms of masculinity now globally dominant shows their imbrication with the military, social, & economic history of North Atlantic capitalist states, especially with imperialism. This history provides the necessary basis for an understanding of the major institutionalized forms of masculinity in contemporary First World countries, & the struggles for hegemony among them. The dynamics of marginalized & subordinated masculinites are briefly considered. Adapted from the source document.

This study examined three features associated with colorectal carcinoma complicating ulcerative colitis: (a) the distribution of 157 cancers in 120 patients with ulcerative colitis treated at St Mark's Hospital between 1947 and 1992; (b) the frequency at which dysplasia was found at a distance from the tumour in 50 total proctocolectomy specimens in which an average of 27 histology blocks were reviewed, and (c) the five year survival rate according to Dukes's stage and participation in a surveillance programme. Of 157 carcinomas, 88 (56%) occurred in the rectosigmoid, 19 (12%) in the descending colon or splenic flexure, and 50 (32%) in the proximal colon. Among the 120 patients, the rectum or sigmoid colon contained cancer in 81 (67.5%). Dysplasia was detected in 41 of 50 reviewed proctocolectomy specimens (82%). Dysplasia distant to a malignancy occurred in 37 (74%); two were classified indefinite, probably positive, 19 were low grade, and 16 were high grade; in 18 specimens there was an elevated dysplastic lesion. Survival was related to the Dukes's stage: about 90% of patients with Dukes's A or B cancer were alive at five years. The five year survival of 16 patients in whom cancer developed during surveillance was 87% compared with 55% of 104 patients who did not participate in surveillance (p = 0.024).