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Intellectual disability is usually thought of as a form of internal, individual affliction, little different from diabetes, paralysis or chronic illness. This study, the first book-length application of discursive psychology to intellectual disability, shows that what we usually understand as being an individual problem is actually an interactional, or social, product. Through a range of case studies, which draw upon ethnomethodological and conversation analytic scholarship, the book shows how persons categorized as 'intellectually disabled' are produced, as such, in and through their moment-by-moment interaction with care staff and other professionals. Mark Rapley extends and reformulates current work in disability studies and offers a reconceptualisation of intellectual disability as both a professionally ascribed diagnostic category and an accomplished - and contested - social identity. Importantly, the book is grounded in data drawn from naturally-occurring, rather than professionally orchestrated, social interaction.

A tidal wave of panic surrounded homosexuality and AIDS in the 1980s and early 1990s, the period commonly called 'The AIDS Crisis'.With the advent of antiretroviral drugs in the mid '90s, however, the meaning of an HIV diagnosis radically changed.

When philosophers address personal identity, they usually explore numerical identity: what are the criteria for a person's continuing existence? When non-philosophers address personal identity, they often have in mind narrative identity: Which characteristics of a particular person are salient to her self-conception? This book develops accounts of both senses of identity, arguing that both are normatively important, and is unique in its exploration of a range of issues in bioethics through the lens of identity. Defending a biological view of our numerical identity and a framework for understanding narrative identity, DeGrazia investigates various issues for which considerations of identity prove critical: the definition of death; the authority of advance directives in cases of severe dementia; the use of enhancement technologies; prenatal genetic interventions; and certain types of reproductive choices. He demonstrates the power of personal identity theory to illuminate issues in bioethics as they bring philosophical theory to life.

When Alfred Kinsey's massive studiesSexual Behavior in the Human MaleandSexual Behavior in the Human Femaleappeared in 1948 and 1953, their detailed data spurred an unprecedented public discussion of the nation's sexual practices and ideologies. As they debated what behaviors were normal or average, abnormal or deviant, Cold War Americans also celebrated and scrutinized the state of their nation, relating apparent changes in sexuality to shifts in its political structure, economy, and people.American Sexual Characteremploys the studies and the myriad responses they evoked to examine national debates about sexuality, gender, and Americanness after World War II. Focusing on the mutual construction of postwar ideas about national identity and sexual life, this wide-ranging, shrewd, and lively analysis explores the many uses to which these sex surveys were put at a time of extreme anxiety about sexual behavior and its effects on the nation. Looking at real and perceived changes in masculinity, female sexuality, marriage, and homosexuality, Miriam G. Reumann develops the notion of \"American sexual character,\" sexual patterns and attitudes that were understood to be uniquely American and to reflect contemporary transformations in politics, social life, gender roles, and culture. She considers how apparent shifts in sexual behavior shaped the nation's workplaces, homes, and families, and how these might be linked to racial and class differences.

A new account of the formation of sexual identity, coined 'emerged fusion', which avoids the traps of the essentialism versus constructivism debate, and offers a viable third alternative. This book is a theoretical tool that will be useful in sociology, queer studies, and gender studies as a new approach to understanding sexual identity.

While the past 40 years have seen significant declines in adult smoking, this is not the case among young adults, who have the highest prevalence of smoking of all other age groups. At a time when just about everyone knows that smoking is bad for you, why do so many college students smoke? Is it a short lived phase or do they continue throughout the college years? And what happens after college, when they enter the \"real world\"? Drawing on interviews and focus groups with hundreds of young adults,Lighting Uptakes the reader into their everyday lives to explore social smoking. Mimi Nichter argues that we must understand more about the meaning of social and low level smoking to youth, the social contexts that cause them to take up (or not take up) the habit, and the way that smoking plays a large role in students' social lives. Nichter examines how smoking facilitates social interaction, helps young people express and explore their identity, and serves as a means for communicating emotional states. Most college students who smoked socially were confident that \"this was no big deal.\" After all, they were \"not really smokers\" and they would only be smoking for a short time. But, as graduation neared, they expressed ambivalence or reluctance to quit. As many grads today step into an uncertain future, where the prospect of finding a good job in a timely manner is unlikely, their 20s may be a time of great stress and instability. For those who have come to depend on the comfort of cigarettes duringcollege, this array of life stressors may make cutting back or quitting more difficult, despite one's intentions and understandings of the harms of tobacco. And emerging products on the market, like e-cigarettes, offer an opportunity to move from smoking to vaping.Lighting Upconsiders how smoking fits into the lives of young adults and how uncertain times may lead to uncertain smoking trajectories that reach into adulthood.

'Tibetan Subjectivities on a Global Stage' explores the many ways Tibetans are reimagining their cultural identity since the communist takeover of Tibet in the 1950s. Focusing on developments taking place in Tibet and the diaspora, this collection of essays addresses a wide range of issues at the heart of Tibetan modernity. From the political dynamics of the exiled community in India to the production of contemporary Tibetan literature in the PRC, the collection delves into various aspects of current significance for the Tibetan community worldwide such as the construction of Bon identity in exile, the strategic use of the discourse of development or the issue of cultural and linguistic purity in an increasingly hybrid and globalised world.

Professional identity formation, an important component of education, is influenced by participation, social relationships, and culture in communities of practice. As a preliminary investigation of dental hygienists’ professional identity formation, this study examined changes in the dental hygiene students’ perceptions of oral health professionals over the three years of their undergraduate program. At a Japanese dental hygiene school, 40 students participated in surveys with open-ended questions about professional groups several times during their studies. The text data were analyzed through content analysis with text mining software. The themes that characterized their dental hygienist profession perceptions in their programs each year were identified as: “Supporters at the dental clinic”; “Engagement with interprofessional care” and “Improved problem-solving skills for clinical issues regarding the oral region”; and “Active contribution to general health” and “Recognition of the roles considering relationships” (in the first, second, and third years, respectively). The students acquired professional knowledge and recognized the significance and roles of oral health professionals in practice. They gained more learning experiences in their education, including clinical placements and interprofessional education. This study provides insight into curriculum development for professional identity formation in dental hygiene students.

Deep China investigates the emotional and moral lives of the Chinese people as they adjust to the challenges of modernity. Sharing a medical anthropology and cultural psychiatry perspective, Arthur Kleinman, Yunxiang Yan, Jing Jun, Sing Lee, Everett Zhang, Pan Tianshu, Wu Fei, and Guo Jinhua delve into intimate and sometimes hidden areas of personal life and social practice to observe and narrate the drama of Chinese individualization. The essays explore the remaking of the moral person during China's profound social and economic transformation, unraveling the shifting practices and struggles of contemporary life.

Teens in America's inner cities grow up and construct identities amidst a landscape of relationships and violence, support and discrimination, games and gangs. In such contexts, local environments such as after-school programs may help youth to mediate between social stereotypes and daily experience, or provide space for them to consider themselves as contributing members of a community. Based on four years of field work with both the adolescent members and staff of an inner-city youth organization in a large Midwestern city, Pride in the Projects examines the construction of identity as it occurs within this local context, emphasizing the relationships within which identities are formed. Drawing on research in psychology, sociology, education, and race and gender studies, the volume highlights the inadequacies in current identity development theories, expanding our understanding of the lives of urban teens and the ways in which interpersonal connections serve as powerful contexts for self-construction. The adolescents' stories illuminate how they find ways to discover who they are, and who they would like to be - in positive and healthy ways - in the face of very real obstacles. The book closes with implications for practice, alerting scholars, educators, practitioners, and concerned citizens of the positive developmental possibilities inherent in youth settings when we pay attention to the voices of youth.