Book Review Striking a Balance: A Guide to Enhancing the Effectiveness of Non-Governmental Organisations in International Development. By Alan Fowler. London: Earthscan, 1997

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations -     

"BY PUBLIC OPINION I MEAN"--

"Where all people talk on the same subject, they should be agreedabout the vocabulary with which they discuss it: or, at anyrate, they should be aware that they are not agreed."     

Partially Adaptive Estimation of the Censored Regression Model

Data censoring causes ordinary least squares estimates of linear models to be biased and inconsistent. Tobit, semiparametric, and partially adaptive estimators have been considered as possible solutions. This paper proposes several new partially adaptive estimators that cover a wide range of distributional characteristics. A simulation study is used to investigate the estimators’ relative efficiency in these settings. The partially adaptive censored regression estimators have little efficiency loss for censored normal errors and may outperform Tobit and semiparametric estimators considered for non-normal distributions. An empirical example of out-of-pocket expenditures for a health insurance plan provides an example, which supports these results.     

The Medical Profession and the State: GPs and the GP Contract in the 1960s and the 1990s

This paper examines the two major conflicts between general practitioners and the state in the mid-1960s and again at the end of the 1980s. In the mid-1960s morale in general practice was low, but GPs emerged with a strong endorsement from government for their professional autonomy. In 1990 morale was high, but government succeeded in imposing a new contract on GPs that sought to increase their accountability. GPs have always defended their status as "independent contractors". However, the paper argues that GPs saw this status as a means of protecting their professional freedom and autonomy. When the government treated them more as independent contractors in 1990 and demanded more specific terms, GPs did not like it. Furthermore, the new GPs' contract was introduced alongside the new internal market of the NHS, which has had further implications for GPs' status as independent contractors.     

Protecting Children and Young People from Tobacco‐Related Harm: A Review

Tobacco use continues to be a serious public health issue. Although declining in middle‐ to high‐income countries, smoking rates are often higher in disadvantaged communities and vulnerable groups. Knowledge about tobacco‐related harm also tends to be incomplete. To date, legislation has focused on public domains, but the pressure to protect children in the home and other private spaces is fast becoming a focal point for potential legislation and intervention. Negotiating the boundary between privacy and protection is likely to become a matter of professional concern.     

Minority Stress and Binge Eating Among Lesbian and Bisexual Women

Previous research demonstrates that lesbian and bisexual (LB) women report more binge eating behaviors compared to heterosexual women although the explanations for this disparity are not well understood. LB women also experience distal (e.g., discrimination) and proximal (e.g., expectations of rejection) minority stressors that are related to negative mental and physical health outcomes. The present study investigated the association between minority stressors and binge eating behaviors in LB women. A sample of 164 LB women completed an online survey that included measures of distal and proximal sexual minority stressors, emotional-focused coping, social isolation, negative affect, and binge eating. The resultant model partially supported both the psychological mediation framework and the affect regulation model. The principal finding was that among LB women, proximal stressors were associated with social isolation and emotion-focused coping, which in turn were associated with negative affect and ultimately binge eating. Overall, the study provides evidence that minority stress is associated with binge eating and may partially explain the disparity in binge eating between LB and heterosexual women.     

Toolkit for assessing the readiness of local safeguarding children boards: origins,ingredients and applications

A central plank in the transformation of children's services in England and Wales is the creation on a statutory footing of Local Safeguarding Children Boards in every local authority area. The focus of the boards will be on the promotion, multiagency coordination and scrutiny of services to safeguard and promote children's welfare. They replace Area Child Protection Committees, which were judged to be ineffective. This paper presents the origins, ingredients and applications of an audit and preparation Toolkit designed to support the establishment of the new boards. The Toolkit was developed from the findings of a survey of 204 members of 16 ACPCs by the first author, and has been tested and refined through work with a large number of ACPCs. This survey identified problematic aspects of interagency collaboration that will need remedying if the new boards are to succeed where the previous committees failed. These include: the board's strategic relationship to wider children's planning fora; operational definition of the term ‘safeguarding’; collective accountability; level of membership; performance management capacity; service user consultation. The ingredients of the Toolkit are described in relation to the findings of the survey. The paper concludes with a discussion of the applications and approaches to be considered in using the Toolkit. Copyright © 2005 John Wiley & Sons, Ltd.     

The Paradoxical Misuse of Power by Those Who See Themselves as Powerless: How Does It Happen?

Consideration is given to the paradoxical misuse of power by those who perceive themselves as powerless. A general model is presented to account for the coercive response style often shown by adults with low perceived power when they are placed in a position of authority (e.g., as parents or teachers). Specific hypotheses are tested here concerning control-oriented cognitive activity and speech patterns shown by "powerless" adults when their authority is challenged. Women with high or low perceived power (as measured by the Parent Attribution Test) attempted to teach a computer game to a responsive or unresponsive child. "Powerless" women showed high levels of control-oriented appraisal activity preceding teaching interactions and a high level of nonfluency during teaching interactions (an ineffective speech style). It was concluded that the responses shown by "powerless" women set the stage for misunderstanding and future conflict.