Family Discussion Groups for Patients with Chronic Pain: A Pilot Study

This pilot study investigated the benefits of discussion groups for patients with chronic pain and their family members. Nineteen patients with chronic pain and 41 relatives participated in four consecutive groups. Most patients and family members found their participation clearly helpful for themselves and for the family. The group helped them to improve communication, support and mutual relationships, and to better cope with the pain. Reported beneficial factors were experiencing communality, having a place to discuss things with each other, gaining insights, and learning from fellow‐sufferers and their own family. Post treatment, patients also felt less distressed by the pain, less depressed, less insufficient and showed an increase in life‐control and social activities. Moreover, some aspects of the family climate improved, but only in the perception of the family members. The present study points to the value of a multifamily format in chronic pain therapy and suggests the appropriateness of further controlled investigation.     

Innovation timing advantages: From economic theory to strategic application

First and second mover theory, as developed in industrial organization economics, maintains that firms can gain competitive advantage by using optimal timing in the introduction of innovations. Because the industry is the unit of analysis, the theory does not provide specific guidance for individual firms. We analyze the underlying sources of first and second mover timing advantages and clarify several issues regarding the basic theory. We then identify a variety of factors at the industry, firm and product/service levels and develop propositions showing their relations to individual firms in their efforts to benefit from timing advantages. We discuss the link which these indicator factors provide between economic theory and strategic timing choices. Finally, we suggest directions for research which would assist firms and their managers in selecting and pursuing innovation timing strategies.     

Welfare for profit: moral, empirical and theoretical perspectives

Since the 1960s there has been an increasing number of proprietary agencies engaged in the delivery of social services in the United States. This development has generally been greeted with disfavour by welfare state advocates. Various arguments have been put forward against welfare for profit on moral, empirical and theoretical grounds. This paper analyzes these arguments and proposes several basic conditions that would seem to have significant bearing on the choice between profit and nonprofit providers for a given service.