Charles S. Varano's Books

Conflicted Health Care

Professionalism and Caring in an Urban Hospital

By: Ester Carolina Apesoa-Varano,Charles S. Varano

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Conflicted Health Care

Professionalism and Caring in an Urban Hospital

By: Ester Carolina Apesoa-Varano,Charles S. Varano

Anyone who has spent time in a hospital as a patient or family member of a patient hopes that those who attend to us or our loved ones are at their professional best and that they care for us in ways that console us and preserve our dignity. This book takes an intimate look at how health care practitioners struggle to live up to their professional and caring ideals through (or during?) twelve-hour shifts on the hospital floor. From 3,200 hours of participant-observation and 500 hours of follow-up interviews with twenty-one doctors, thirty registered nurses, twenty-one respiratory therapists, twenty medical social workers, and eighteen occupational, physical, and speech therapists, the authors create a complex picture of the workplace conflicts that different types of health care practitioners face. Though all these groups espouse caring ideals, professional interests and a curative orientation dominate in patient care and interoccupational relations. Because emotive caring is not supported by the organization of health care in the hospital, it becomes an individual virtue that overworked staff find hard to perform, and it takes on an ideological form that obscures the status hierarchy among practitioners. Conflicts between practitioners rest upon the ranking of each group's knowledge base. They manifest in efforts to work as a team or set limits on practitioner responsibilities and in differing views on unionization.

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Page Count

252

Publisher

Vanderbilt University Press

Published Date

ISBN 10

0826502954

ISBN 13

9780826502957

Forced Choices

Class, Community, and Worker Ownership

By: Charles S. Varano

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Forced Choices

Class, Community, and Worker Ownership

By: Charles S. Varano

CHOICE1999 Outstanding Academic Title 2000 Distinguished Scholarship Award presented by the Pacific Sociological Assocation What happens to employees when their company decides to close? Thousands of workers across America have faced this prospect in the past twenty years, but relatively few have chosen to buy the company and operate it as a worker-owned concern. Forced Choices examines the celebrated case of Weirton, West Virginia, where steelworkers and area residents fought to save a steelmill, community, and way of life.

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Page Count

414

Publisher

State University of New York Press

Published Date

ISBN 10

1438422784

ISBN 13

9781438422787

When Older Women Speak

Aging, Emotional Distress, and the Self

By: Ester Carolina Apesoa-Varano,Charles S. Varano

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When Older Women Speak

Aging, Emotional Distress, and the Self

By: Ester Carolina Apesoa-Varano,Charles S. Varano

Studying the interaction of gender, class, race/ethnicity, and aging in the depression experience of older women provides a unique opportunity to understand how aging plays a significant role in shaping conceptions of self and emotional health trajectories for women. Based on author interviews with mostly working-class, depressed, elderly women, this book contributes to the theoretical understanding of femininity and aging and the practical implications for policy and effective health care treatment. Cultivating an "alternative self" can reduce older women’s suffering and provide the emotional resources to change their inner worlds, even if the outer world stretches beyond their control. Depression affects women twice as often as men. Up to 40 percent of older adults respond poorly to depression treatment, and depression is linked to higher morbidity and mortality rates and cognitive decline. Older adults with depression have 50 percent higher health care costs, yet depression is accurately recognized in less than one half of older adults in primary care. While older men are more likely to die by suicide, older women are two to three times more likely to attempt suicide, and depression is the best predictor of suicide in older adults. Latina and African American women have lower rates of depression treatment compared to non-minority women. From issues of health care access to the stigma of depression, older Latinas and African American women are at an increased risk for untreated depression. This book seeks to address some of the significant gaps in our knowledge of late-life depression in women, especially in ethnic minorities, ranging from detection and efficacy of depression treatment to informal influences (e.g., family) on formal depression care seeking.

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Page Count

181

Publisher

Routledge

Published Date

ISBN 10

1000043959

ISBN 13

9781000043952

From Signs to Design

Environmental Process and Reform in Early Renaissance Rome

By: Charles Burroughs

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From Signs to Design

Environmental Process and Reform in Early Renaissance Rome

By: Charles Burroughs

Applying the latest practices from critical theory and discourse to the builtenvironment of early Renaissance Rome, Charles Burroughs sees the city as a field of visualcommunication and rhetoric. He explores the symbolic dimension of the cultural landscape and theoperation of architectural and other visual signs in the urban environment. The result is a profoundreconceiving of the implications for the study of Renaissance Rome of the notion of the city as"text." Central to Burrough's project is the articulation of a model of cultural mediation andproduction that is distinct from the standard notion of patronage as a unilateral transaction.On onelevel From Signs to Design focuses on the production of social meaning in and through environmentalprocess during the pontificate of Nicholas V, celebrated for his intimate links to the new cultureof humanism and as an archetypal patron of the arts and literature. On another, it is an elucidationof the origins and the ideological impact of architectural and urbanistic motifs and conceptions ofspatial order that were central to the Western tradition of monumental city planning.Burroughsbrings an especially wide range of explanatory models - from social history, cultural anthropology,iconology and semiotics - to bear in his analysis of urban reform and the shifts in architecturaldesign that emerged in early Renaissance Rome. He focuses in particular on the material basis andcontext of these shifts, which he studies through the examination of contrasting neighborhoods,social milieus, and institutions, as well as of individuals prominently involved with importantbuilding projects or with the general maintenance and improvement of urban facilities andinfrastructure. Burroughs provides a concrete and differentiated picture of the intersection ofpapal/ecclesiastical and local interest and initiatives, placing this within the context of markedpolitical changes. And he devotes extensive discussions to the artistic expression of papal agendasand concerns in Nicholas's private chapel and in Alberti's Tempio Malatestiano.Charles Burroughs isAssociate Professor of Art History at the State University of New York at Binghamton.Contents: UrbanPattern and Symbolic Landscapes. Interior Architectures: Discordance and Resolution in the Frescoesof Nicholas's Private Chapel. Far and Near Perspectives: Urban Ordering and Neighborhood Change inNicholan Rome. Middlemen: Lines of Contact, Mutual Advantage, and Command. The Other Rome: Sacralityand Ideology in the Holy Quarter. Mirror and Frame: The Surrounding Region and the Long Road.Epilogue: The River, the Book, and the Basilica.

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Page Count

428

Publisher

MIT Press

Published Date

ISBN 10

0262022982

ISBN 13

9780262022989

Book's by Charles S. Varano

Conflicted Health Care

Conflicted Health Care

Forced Choices

Forced Choices

When Older Women Speak

When Older Women Speak

From Signs to Design

From Signs to Design

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