Power, Politics, and the Framing of Environmental Illness

The medical community, along with other government agencies, has created its own frame of environmental illness. This frame has been generally accepted by the American public. In this paper we discuss framing in general and the factors related to how the environmental illness frame has been constructed and maintained. We offer a brief history of the medical institution and illustrate the frame with its definitions of environmental illness. Qualitative data from a study of Oak Ridge, a contaminated community located in Tennessee, are examined to analyze the consequences of challenging the environmental illness frame. Implications for future research are discussed.     

Patient assertiveness in ethnically diverse older women with breast cancer: Challenging stereotypes of the elderly

Patients' views of patient-physician interactions—particularly the perspectives of older, ethnically diverse women—are poorly understood. The older patient's attitude toward and understanding of the medical encounter, however, are essential to the design of strategies to improve patient-physician communication. To date, investigations have primarily emphasised the ways in which the therapeutic relationship is influenced by immutable patient characteristics. This qualitative study extends previous research findings by looking beyond the effect of ascribed categories (such as age, race, and gender) and focusing on aspects of patient behavior, specifically assertiveness. Focus groups were conducted with older African-, Chinese-, European-, and Hispanic American breast cancer patients from sites in the eastern and western United States. The study explores the potential of a form of patient activation for challenging stereotypes of the elderly and changing health care practitioners' behavior.     

Changing U.S. immigration law and the occupational selectivity of Asian immigrants

This study explored the relationship between US immigration laws and their impact on the immigration of Asian professionals. The article relied on a 1996 Population Association presentation. Data were obtained from the US Immigration and Naturalization Service on legally admitted immigrants to the US. The authors describe the paths to admission, trends in immigration of professionals during 1972-94, and the Immigration Act of 1965 and its 4 amendments. Standardization-decomposition techniques are used to explain the relative differences in professional immigration across 1972-77, 1978-91, and 1992-94. The crude professional rate for all Asians declined by 19% during 1972-91. 62% of the decline was due to changes in the class of admission composition, and 25% was due to a decline in the class-specific professional rates. During 1992-94, the Asian crude professional rate increased 7%, most of which was due to changes in class composition, with the exception of Korean rates. Only the Vietnamese experienced a decline in rates. The 1965 law allowed for equity between countries in admission. The paths of immigration were family ties, job skills, or refugee status. During 1972-77, Chinese took advantage of family reunification, and Indians entered on employment preferences. The legal changes affected the size and share of each class of admission. The revisions indirectly affected the occupational selectivity of immigrant groups. 27% of the flow of Asians during 1972-77 was accounted for by employment preferences. Professionals were 44% of Asian immigrants during 1972-77, 26% during 1978-91, and 33% during 1992-94.     

A non-parametric index of tracking

SUMMARY A two-sample version of the non-parametric index of tracking for longitudinal data introduced by Foulkes and Davis is described. The index is based on a multivariate U -statistic, and provides a measure of the stochastic ordering of the underlying growth curves of the samples. The utility of the U -statistic approach is explored with two applications related to growth curves and repeated measures analyses.     

Statistical Methods and Graphical Displays for Analyzing How the Association Between Two Qualitative Variables Differs Among Countries, Among Groups, Or Over Time: A Modified Regression-Type Approach

Many interesting sociological questions pertain to how the association between two variables depends on a third variable. In sociological applications, the third variable often pertains to countries, to subgroups of a population, or to time periods. We propose a regression-type approach that specifies that the log-odds- ratios that describe the two-way association of interest are a linear function of latent scores for the third variable. Additive and multiplicative models currently in use by researchers are special cases of the regression-type model. To illustrate the utility of the regression-type approach, we apply this approach to analyze (1) data on occupational mobility in the United States, Britain, and Japan (comparing mobility in these countries) and (2) data on the association between religion and voting behavior in U.S. presidential elections from 1968 to 1992 (comparing this association in the different elections). We also introduce here graphical displays that can be used to obtain worthwhile information about goodness-of-fit and to aid in substantive interpretation.     

Severely Traumatized Siblings: A Treatment Strategy

Siblings who have suffered severe trauma and disrupted attachment relate to one another in ways that interfere with individual development, the chance to benefit from connections with adults, the establishment of healthy sibling relationships, and the working through of traumatic experiences. The authors use case examples to illustrate four distinct sibling patterns: absent, adult lockout, half and half, and trauma shield. The authors highlight the importance of recognizing these types and then varying the therapist's treatment stance to pursue five goals. These include suspending problematic sibling relationships to create room for bonding with caring adults, transferring attachment behaviors and impulses to a receptive adult, resuming healthy individual development, forming more adaptive sibling connections, and expressing shared traumatic content.     

ELASTIC CAPITAL SUPPLY AND THE EFFECTS OF FISCAL POLICY

Existing analyses of the effects of fiscal policy in general equilibrium models have typically been conducted under the assumption that the long-run supply of capital is perfectly elastic at a fixed rate of time preference. These analyses have shown that the long-run response of the capital stock to changes in fiscal policy is crucial to generating the potential for “multiplier” effects in these models. In this paper we ask, what are the implications of relaxing the assumption of perfectly elastic capital supply for the analysis of fiscal policy? We show that with less than perfectly elastic capital supply, the potential for multipliers is actually enhanced. (JEL E62, D90)