The development of male prostitution activity among gay and bisexual adolescents

The current research literature regarding male-juvenile prostitution activity is reviewed. An attempt is made to develop some theoretical understanding of the development of this activity among gay and bisexual adolescents. A predisposition, resulting from faulty psychosexual and psychosocial development, appears to make these boys vulnerable to the situational variables that they encounter. More severe disruptions in psychosexual and psychosocial development seem to result in more destructive and non-ego-enhancing prostitution activities. A clinical case study is presented which illustrates the development of this activity. Recommendations are made to help reduce the amount of self-destructive prostitution activity among male adolescents.     

The Dynamics of Narcotic Abstinence: an Interactionist Theory*

Despite its theoretical and pragmatic importance, the etiology of abstinence among committed addicts has received surprisingly little attention. Based on in-depth interviews with samples of both institutionalized and noninstitutionalized addicts, this study presents a new theory of narcotic abstinence which, like much of the best work in this area, draws heavily from interactionist social psychology. Examination of the available evidence shows that, contrary to much theoretical speculation, the addict's nondeviant primary relations are not of major importance in the inception of a desire for abstinence. Rather, successful attempts at abstinence typically follow an intense “existential crisis” which forces the addict to reevaluate substantial parts of the symbolic motivational structures which create and sustain addiction. The reasons for the onset of this personal crisis, and the range of the addict's typical responses, are examined as part of an overall theory of abstinence.     

Unemployment and the Future of Social Policy

In the context of a seminar seeking to canvass public administration responses to the topic ‘A Generation Unemployed’ the paper canvasses the extent of hidden unemployment and where the burdens of unemployment are falling. Some of the future implications for social policy, including potential effects on social cohesion and the possible policy responses to that, and potential effects on economic dependency and likely policy implications are examined.     

Career story: Medical Statistician

Ruth Coleman would have liked to become a doctor or nurse, but claims she didn't have the intelligence for the first or the temperament for the second. Instead, as she tells Helen Joyce, she uses statistics to help to improve the quality of life and life expectancy of diabetics.     

A computerized financial planning model for a health maintenance organization

The time and resource costs needed to plan and start a prepaid medical program or health maintenance organization (HMO) are extensive. It can take up to 3 years to bring one on line and another 3 to 4 years to reach financial stability. Depending on the type of prepaid medical plan designed, the cost can reach $6 to $8 million before breakeven occurs. Because the financial stakes are so high, a systematic and sound business approach must be taken to find that one ‘best’ design that will survive in the market place. Thousands of hours are required to study all of the possible HMO design configurations. This paper describes how a corporation constructed a computerized financial planning model to simulate the financial behavior of a prepaid medical program with different organizational formats, operational policies and pricing and compensation schemes in varying market, economic and cost environments. Model development and application was a corporate affair. The computerized model provided a special design team with the capability to evaluate the economic impact of many different designs by asking ‘what if’ questions dealing with several key design and operating variables concerning different health benefit options, service utilization rates, staffing patterns, inflation rates and price and premium schedules. Thousands of hours of design time were saved and the corporation was able to find the ‘best’ possible design in a reasonable time and at a reasonable cost.     

The Ethnographic Turn: Fact,Fashion, or Fiction?

Commentators have suggested that a qualitative turn occurred in the social sciences in the last couple of decades of the twentieth century. We examine evidence on publication patterns, finding that the ethnographic turn consisted more of a proliferation of specialty journals than increased publication in mainstream sociology journals. This difference is important because it moves methodological debate inside the community of qualitative scholars, changing the focus from a contrast between qualitative and quantitative methods to questions about the relative merits of different styles of ethnographic work. Thus far, our data suggest, the main effect of the ethnographic turn may have been to institutionalize a set of labels rather than a set of practices.     

U.K. statistics on immigration: development and limitations

This article discusses the data on international migration to the UK, their limitations, and their origins. No 1 source gives a demographically satisfactory account of net migration, and different sources of data are not compatible with each other. Their present form can only be understood in the context of a reluctant acceptance, in the face of domestic political pressure, of the need to impose the same controls on the entry of Commonwealth citizens from 1962-1971 as had been imposed on the entry of aliens since 1920. Coleman asserts that UK migration statistics suffer 1 major omission and several systematic deficiencies. The omission is the absence of any information, either from the International Passenger Survey (IPS) or from the Home Office, on gross or net migration flows to the UK from the Republic of Ireland. Neither the IPS nor the Home Office data provide a very satisfactory form of measurement of other migration streams. Neither has much time depth, the former not existing before 1963, the latter being affected by changes in rules and procedures. As a voluntary sample with only relatively few interviews per year on intended migrants, the IPS can only provide a crude overall estimate of the general demographic import of migration flows, incapable for statistical reasons of any refined sub-division or analysis, and prove both to error and bias. The Home Office statistics do not treat immigration in a demographically useful way. They measure flows only in 1 direction, provide no demographic or socioeconomic characteristics on those accepted for settlement, and are not compatible with the IPS in most ways. For political reasons, no action to resolve the Irish anomaly is likely, especially when the trend is for less, not more, control and counting on the entry of European Community citizens.     

Out of Cairo: forging a new population policy

The 1994 International Conference on Population and Development (ICPD) was the first where thousands of women contributed to the agenda. The previous emphasis of population policies on the simple provision of family planning (FP) services has led to abuses such as coercion to have only one child in China or financial incentives for undergoing sterilization in India. The 1994 ICPD Program of Action provides a more humane basis for population programs by emphasizing the fact that women have fewer children when they are educated and gainfully employed. Thus, improving women's reproductive health and social status has become a central issue, and widening access to contraception remains an important objective. In addition to the 500,000 women who die of pregnancy-related causes each year, half a billion suffer infections of the reproductive tract. By failing to address these problems, many FP services actually exacerbate them. In Giza, for example, although 39% of 500 women studied used contraception (45% of those married and living with their husbands), only 1 in 7 was free of gynecological problems, urinary tract infections, and syphilis (50% had at least 2 of these conditions). The women who used contraceptives were no healthier than their neighbors who did not. Once FP clinics attempt to tend to reproductive health issues, they encounter cultural and religious constraints. For example, a woman may obtain an IUD and then suffer from severe side effects rather than return to the clinic for attention. Another woman may become infected from an illegal abortion obtained at her husband's insistence. The infection may preclude an IUD for months, so the woman may obtain oral contraceptives from a pharmacy although she knows her high blood pressure should preclude their use. Full implementation of the ICPD Program of Action would improve the status of women such as these, fostering their self-esteem, their access to education and employment, and their participation in the political process; eliminating violence against them; and making them aware of their legal rights. The success of the readjustments in FP programs, government resource allocation, and family structures which will accomplish this task will depend largely on the women who helped put reproductive health on the ICPD agenda.     

Extension of the sexual abuse questionnaire to other abuse categories: the initial psychometric validation of the Binghamton Childhood Abuse Screen

Study I represents a follow-up to a recently published study dealing with the initial development of the Sexual Abuse Questionnaire (SAQ). The SAQwas designed to be used to identify individuals experiencing psychological distress resulting from a history of childhood sexual abuse. Using a new data set (N = 2,806), this study utilized item analyses, exploratory factor analyses, and Receiver Operating Characteristics Curves to replicate and expand upon the initial psychometric properties of the SAQ, and to examine the sensitivity of the SAQ to other abuse categories. Findings from Study I indicated that the SAQ was sensitive to other abuse categories and in need of revision. Study II, using a new data set (N = 1,454), provided the initial psychometric evaluation of the newly constructed Binghamton Childhood Abuse Screen (BCAS).