Assessing outcomes for sufferers of severe mental disorder: A conceptual framework and review

A conceptual framework is presented for classifying the outcomes of services for sufferers of severe mental disorders. The proposed classification framework contains three dimensions: (a) the respondent type; (b) the social context; and (c) the domain of treatment outcomes. Respondent types include the client, the family, the extended social network, the clinician and the scientist. Social contexts include the individual, the family, work/school and the broader community. Domains of treatment outcome include “clinical status,” “functional status,” “life satisfaction and fulfillment,” and “safety and welfare.” This multidimensional framework is used to organize an illustrative review of existing outcome measures. It is concluded that: (a) measures of safety and welfare raise important social and policy questions and these measures require considerable development in order for utility to be realized; (b) although a good beginning has been made, more attention needs to be focused on defining and measuring “life satisfaction and fulfillment” and combining this domain with others to produce “well being” or “quality of life” scales; (c) the functional status area requires additional research and development especially when measurement is conducted in contexts other than work/school; and (d) although measures of clinical status are relatively well developed, the family perspective and context must be integrated into these measures.     

Multiple reference points in investor regret

Regret is the result of a comparison between “what is” and “what might have been”. Although regret is a relevant emotion in the life of investors, research studying the regrets of real investors and how these are influenced by multiple reference points is lacking. We present a field survey that investigated the regrets of real stock investors in relation to multiple “what might have been’s.” We found that their regrets are most influenced by what their outcomes might have been had they not invested, by their expected outcomes and by the best-performing unchosen stocks. In addition, we also found that the feeling of regret was influenced by losses or gains relative to each reference point rather than by the size of the loss or gain.     

Health and the structure of adolescent social networks

Much research has explored the role of social networks in promoting health through the provision of social support. However, little work has examined how social networks themselves may be structured by health. This article investigates the link between individuals' health and the characteristics of their social network positions. We first develop theoretical predictions for how health may influence the structure of adolescent networks. We then test these predictions using longitudinal analysis of the National Longitudinal Study of Adolescent Health (Add Health). We find important relationships between the health status of adolescents and the characteristics of the social network positions within which they are embedded. Overall we find that adolescents in poor health form smaller local networks and occupy less central global positions than their healthy peers. These results also have implications for social network research, expanding the scope of factors responsible for the network positions individuals occupy.     

“It's practical, but no more controllable”: Social representations of the electronic purse in Austria

The electronic purse (chip-card) is promoted as an option offering consumers an easy means of payment. It also offers advantages to traders and banks by reducing transaction costs. However, successful launching of the electronic purse depends mainly on consumers' acceptance, which in the past was very low in Austria. We study consumers' acceptance of the electronic purse, cash and established non-cash payment systems by analysing social representations of payment facilities. Semantic contents of associations raised in response to the stimulus words “means of payment in general”, “cash”, “cheque”, “ATM-card”, “credit-card” and “electronic purse” have been analysed. Overall, 264 people were studied applying two techniques: the “associative network” and the “conceptual network”. It is shown that means of payment are categorised on two dimensions: cash and non-cash. Non-cash payment facilities are characterised by high abstraction levels, and loss of subjective control over expenditures. The electronic purse is perceived as highly dissimilar to other means of payments.     

Opportunities, information networks and the migration-distance relationship

The study of the relationship between the volume of migration, on the one hand, and the distance between the migration source and target, on the other, may be traced back at least to the work of E. G. Ravenstein (“The laws of migration”. Journal of the Royal Statistical Society, 48 (1885): 167–227; 52 (1889): 241–301), who observed that the vast majority of migrants tend to traverse relatively short distances. Extensive subsequent research has done much to isolate the general mathematical attributes of the migration-distance relationship, yet the causes of this relationship have been relatively ignored and are thus far less well understood.The present research is addressed directly to these underlying causes. In particular, the study evaluates the role of information concerning opportunities and the dispersion of this information in social networks in producing a relationship between migration and distance. Analysis centers on an ethnohistoric migration process, involving the movement of Chumash Indians to the California mission of Santa Barbara.     

Asian urban sustainability in the era of globalization

The process of achieving urban sustainable development is uncharted. We only know that plans should address the economic, environmental and social health of the city and this task can only be accomplished by approaching each of these issues at different scales. For rapidly developing world cities, “sustainability” is becoming an increasingly elusive objective, in part, because of impacts by forces beyond their borders. Using the Asia-Pacific region as a case study, a framework relates regional transnational flows to the state of the urban environment and the social conditions of linked rapidly developing cities. The “functional city system” within the Asia-Pacific increasingly is both the engine of urban growth and the force behind differentiating urban environmental and social issues. At the same time, while globalization forces have been particularly strong within cities in the Asia-Pacific, local factors also play a crucial role in urban development. Globalization driven growth has not translated into a single path of development, rather localities have demonstrated contextually specific paths.     

Learning from tradition: the planning of residential neighborhoods in a changing world

This paper analyses the community values of residential neighborhoods in the southwestern region of Saudi Arabia as an approach to a new theory in urbanism. The indigenous masterbuilders and tribemen incorporated planning decisions pertinent to climatic, cultural, social, economic and religious factors when designing physical elements in their built environment. This is what makes every traditional settlement in the southwest region of Saudi Arabia unique in terms of urban form and social structure. As a step to examining and evaluating the process of residential neighborhood development, three stages of practiced urbanism are discussed. These stages are labelled “vernacular”, “transitional” and “new vernacularism”. These are planning concepts used worldwide in the development of residential neighborhoods throughout history until the present. “New Vernacularism” is envisioned in this investigation as a design/planning objective implemented in most recently planned neighborhoods in Al-Horaidhah, Southwest Saudi Arabia. The achievement of successful urbanism underlies the political goals of urban planning practice. The Al-Horaidhah planning concept is conceived in the light of preservation of community values in neighborhood design/planning as a critical issue.The paper aims to investigate and reconcile the conflicts in the planning of residential neighborhoods in a changing world. The conflicts are restricted between retaining traditions of architecture, urban design and planning with the necessary social, economic, and technological changes in urban formation, mainly, the vernacular and modern. The paper illustrates the concept “New Vernacularism” by presenting Al-Horaidhah scheme as a model for community development in three administrative regions along the Red Sea coastline. “New Vernacularism” as a planning concept looks at the community development in Al-Horaidhah in the light of Sharicah, the Islamic Law and Customary norms by emphasizing the importance of the involvement of local residents in the planning process and gives suggestions of how this might best be achieved and later implemented into new communities.     

From the lab to the front line: How individual biogerontologists navigate their contested field

This paper infuses a new perspective into scholarship on anti-aging science: the experiences of individual scientists as they have entered and navigated this controversial field. We draw on in-depth interviews with 43 prominent biogerontologists to accomplish three objectives. First, we highlight key factors that draw scientists into biogerontology – especially the unique and complex puzzles posed by aging. Second, we examine how biogerontologists define themselves and their research in relation to “anti-aging” science – particularly how scientists distance themselves from the tarnished history of the field and employ powerful language to distinguish legitimate from illegitimate scholarship, and science from industry. Finally, we explore how individual scientists manage any social, religious, and ethical objections to conducting “anti-aging” research — and the repertoire of responses they use to simultaneously dismantle objections and reinforce the legitimacy of their science. The analyses reveal how much is ultimately at stake for these individual scientists on the front line.     

Market overreach: The student as customer

This paper explores the market model's influence in redefining the relationship between teachers and students within the college and university. Viewing the student as a customer rather than as a “worker” or “apprentice” is argued to have created several problems. The case is made that with market forces leading to the substitution of purchased commodities for “production for self,” the role of the student in actively participating in the learning process is threatened. Several trends, including grade inflation, shortened contact hours, and the redefinition of study time are offered as evidence that the non-salable components of higher education are declining in importance.     

The economic importance of air travel in high-amenity rural areas

The western United States offers a case study on the importance of access to large population centers and their markets, via road and air travel, for economic development. The vast distances between towns and cities in the American West can be a detriment to business, yet they also serve to attract technology and knowledge-based workers seeking to live in a picturesque setting. In spite of the increasing importance of amenities to migration and business location, also needed is access to markets, particularly via commercial air service. We test a new county classification system for the western United States to reflect differing degrees of access to population centers and account for the increasing importance of airports. Past classifications are based on population size and cross-county commuting. We examine the validity of this new classification and test for differences in economic performance among the three county types. Our findings show that there are three distinct Wests that can be classified using economic performance measures and socioeconomic characteristics. The results show that “metro” and “isolated” counties are clearly distinct, but “connected” counties, those that are rural in nature but have ready access to metropolitan areas via air travel, can be difficult to distinguish from “metro” and “isolated” counties. Much of the variation is explained by travel distance to airports. The findings illustrate the importance of airports in rural development, and the limitations facing those communities that are isolated from markets and population centers. The results apply to other parts of the world with similar characteristics that include large expanses of open space, natural amenities that attract migrants and stimulate new business, and different degrees of access to large population centers via road or air travel, and therefore different rates of economic growth.     

The issue is human quality: In praise of children

This essay is based on the premise that quality in human life is inseparably linked to the well-being of children. In this view, the well-being of children is both the principal challenge faced by a modern society and the principal focal point tor a society “bound to move away from ‘growth’ defined as quantitative product irrespective of what and whom it is for.” Children and their needs provide an anchoring point for adult relationships that is “labor intensive” and intrinsically satisfying when set within a social context rich in enduring, reciprocal interpersonal relationships. The principal threats to the quality of social life are trends toward universalistic rather than particularistic systems for evaluating individuals, and materialistic rather than social criteria for evaluating productivity. Both these trends threaten childrearing as a valued activity. Both emphasize the “hurdensomeness” of children. Large schools and socially isolated families are the contexts in which these two trends find their most dangerous expression. A sustainable society requires a pro-family orientation if it is to meet the needs of children and thus provide for the fundamental psychic needs of adults. A variety of implications for individual action and social planning are derived from this discussion. These implications include the need to preserve and restore socially strong neighborhoods, reduce school size, and conduct “family impact analysis” as a basis for guiding decisions in the public and private sectors.     

Collaboration and competition in a children's health initiative coalition: a network analysis

Activating communities to achieve public health change and initiate policy reform usually requires collective action from many entities. This case study analyzes inter-organizational networks among members of a coalition created to expand health insurance coverage to uninsured children in a large metropolitan area. Six networks were measured: collaboration, competition, formal agreements, receive funding from, send funding to, and greater communication. The response rate was 65.8% (50 of the 76 active members). Positive network questions such as “who do you collaborate with” elicited many network choices whereas negative ones such as “who do you compete with” elicited few. The collaboration network had a core–periphery structure and analysis showed that a large network can be reduced to a small set of core organizations one-sixth the size of the whole. Centrality (out- and in-degree) was associated with perceived organizational function and perceived barriers to success. For example, organizations that received many choices as collaboration partners were more likely to perceive the coalition functioned well than those who received few choices. The study suggests that perceptions of organizational performance are associated with position in the network, central members are more likely to perceive the organization performs well than those on the periphery.     

“We're Not Old!”: Older Women's Negotiation of Aging and Oldness

This article is based on participant observation research at a seniors' center in central Canada in which the writer sought to acquire an understanding of how older adults define, interpret, and negotiate their realities and identities. Through activity and group membership, the center members — the majority of whom are single, older women between the ages of 50 and 90 — seek to distance themselves from the category of “old” and the accompanying ageist stereotypes. Striving to establish and preserve their precarious membership in the “not old”, center members struggle to reconcile their belief and experience of older adulthood as a time of activity, health, and happiness with their ever-present fear of declining health and the realities of widowhood and the loss of youthful attractiveness.     

You are who remembers you. Detecting leadership through accuracy of recall

We measured interpersonal perception accuracy by focusing on the relationship between actors’ centrality and their ability to accurately report their social interactions. We used the network measures of actors’ betweenness centrality and degree centrality to identify the most prominent members by correlating ego-perception and alter-perception in a “non-reciprocity” type of misalignment. We found a positive correlation between actors’ centrality and their centrality as assessed by senior management, and a negative correlation between actors’ centrality and their accuracy in recalling interactions. Underreporting social interactions may represent a third way of measuring the importance of members and finding the most influential actors.     

Urban environment, spatial fragmentation and social segration in Latin America: Where does innovation lie?

To “review the urban question” in terms of sustainable development, the premise is formulated that improving infrastructures, equipment and services to preserve the natural and built urban environment is costly and generates expenses of all kinds—at economic and social levels. Without the introduction of equalisation mechanisms, these expenses will increase inequalities between different parts of the urban population.As confirmed by 2 Latin American case studies in Buenos Aires, Argentina, and La Paz Bolivia, the quality of urban environment depends directly on improving living conditions for the resident population. The aim is to assist the poor in developing a rubbish disposal service for the families living in the informal settlements of La Paz, or to extend water supply to the poorer areas on the outskirts of Buenos Aires. The collective benefits of these “innovations” are self-evident. However, understanding the environmental issues involved, and evaluating the social impact of these innovations, means examining what motivates their implementation.The first difficulty was in finding financial and economic information on the global cost of the new technologies, due to the lack of managerial culture and the discretional attitude of private enterprises and public administration.A second observation is that the social dimension of the environmental upgrading process in Latin America cities has been neglected by the main urban decision-makers. In all the contexts, the evolution of the projects’ implementation clearly demonstrates that social issues cannot be dissociated from political ones. Although the players themselves often find it difficult to estimate economic costs, these are nonetheless real and represent burdens that should be distributed equitably among the beneficiaries of services; but which are, in practice, often viewed in terms of profit. This leads to conflicts between different population groups, the political authorities and private intermediaries.Rather than viewing technological action as an unique “source” of innovation, we must consider its global dimension via the social practices it generates. On the other hand, we should reposition every specific event in its immediate environment and see how it reflects contemporary macro-social processes, in a world of “globalisation”.     

Knitted warmth: the simple analytics of social cohesion

Self-interested agents are randomly matched to play a variant of the prisoners dilemma in which social capital increases the return to mutual cooperation. The stock of society-wide social-capital investments is social cohesion; the rate of return to social-capital investment increases with social cohesion. I derive sufficient conditions for equilibrium cooperation when agents know only the level of social cohesion. In communities, there exists better information and some social standard of behavior that supports equilibrium cooperation. I distinguish between characteristics of individuals and those of populations, and between mechanisms that favor cooperation in low-information “mass society” and in information-rich settings.     

Attachements indésirables, attachements acceptables : autour d’un échange de seringues en prison

To inquire into innovation in public policy, attention is focused on the work done by a group that proposed an innovative project for “preventing” drug-use in a prison in Luxembourg. After several events and reversals, the final arrangements, which brought together disparate interests, was grounded in the contingent attachment of various persons to the leading role played by a general practitioner and the “permanent attachment” of authorized needles distributed in a case. In a situation where attempts to work out a theory in terms of “positions”, “power” and “control” would have difficulty coming up with a convincing explanation of this surprising process, preference is given to describing this innovation in terms of “passages” and “attachments”.     

Lottomania and other anomalies in the market for lotto

This research is concerned with the determination of the demand for “lotto” in Israel. While an important focus of our research is upon the effects on the demand for lotto of ticket pricing and jackpot announcements, we also investigate several empirical phenomena that are apparently inconsistent with expected utility theory. These include an effect we call “lottomania” which is induced by rollover, and “prize fatigue” when the jackpot does not increase. Another aberration from expected utility theory is that the underlying odds of winning have no measurable effect on sales.     

Health and social support networks: A case for improving interpersonal communication

Presented here is an analysis of research findings documenting the apparently obvious hypothesis that people need people and that when ties between people are interrupted or modified consequences on people's health and wellbeing can often be observed. Ways in which social support networks contribute to people's health and societal characteristics that inhibit development of such networks are discussed. Some approaches that emphasize the importance of networks are suggested.     

Constituents’ economic interests and senator support for spending limitations

Peltzman [Peltzman, S., 1984. Constituent interest and congressional voting. Journal of Law and Economics 27, 181–210] argues that if constituents’ economic interests have well-defined “winners and losers” and are appropriately measured, then constituents’ economic interests, and not legislator ideology, are the most important determinates of legislator voting. We test Peltzman's theory by examining senatorial voting on three mandated spending limitation bills. We find, consistent with Peltzman's theory, that the ratio of federal spending in a senator's state to federal taxes paid by that state, and not a senator's personal ideology, matters on legislation where there are well-defined economic “winners and losers.” This is particularly important because unlike other constituents’ economic interest measures that only impact a fraction of the constituency, the ratio of federal spending to federal taxes in a state represents the economic interests of all the constituents in a state.