The common-sense model of illness representation: Theoretical and practical considerations

This article focuses on several areas. After reviewing the most commonly used approaches in the study of health behaviors, (e.g., the medical model, the health belief model, and the theory of reasoned action) the common-sense model is presented as an alternative. By presenting evidence across a wide range of illness domains, we demonstrate the usefulness of the common-sense, self-regulatory approach. We then discuss the importance of the common-sense model for health research among minorities. We conclude the article with examples of the operationalization of illness representations in past research and directions for future research.     

The resolutions of separation: Are marital reconciliations attempted?

This study, using 1987–88 National Survey of Families and Households data, has examined the prevalence and characteristics of ever-separated white women who attempt a marital reconciliation. Marital reconciliations are quite common as 44% of the separated women attempt a reconciliation. There is some support for the thesis that those with the fewest resources and greatest reliance on the relationship are the most likely to attempt a reconciliation. In comparing these findings with previous research on the marital dissolution process, there is little consistency in the relationship that the sociodemographic variables have with attempting a reconciliation and with the success of an attempted reconciliation. The implications of these findings are discussed.     

Elite Revisionists and Popular Beliefs: Christopher Columbus, Hero or Villain?

According to revisionist historians and American Indian activists,Christopher Columbus deserves condemnation for having broughtslavery, disease, and death to America’s indigenous peoples.We ask whether the general public’s beliefs about Columbusshow signs of reflecting these critical accounts, which increasedmarkedly as the 1992 Quincentenary approached. Our nationalsurveys, using several different question wordings, indicatethat most Americans continue to admire Columbus because, astradition puts it, "he discovered America," though only a smallnumber of mainly older respondents speak of him in the heroicterms common in earlier years. At the same time, the percentageof Americans who reject traditional beliefs about Columbus isalso small and is divided between those who simply acknowledgethe priority of Indians as the "First Americans" and those whogo further to view Columbus as a villain. The latter group ofrespondents, we find, show a critical stance toward modal Americanbeliefs much more broadly. We also analyze American history school textbooks for evidenceof influence from revisionist writings, and we consider representationsof Columbus in the mass media as well. Revisionist history canbe seen as one consequence of the "minority rights revolution"that began after World War II and has achieved considerablesuccess, but the endurance of Columbus’s reputation—toa considerable extent even among the minorities who have theleast reason to respect him—raises important questionsabout the inertia of tradition, the politics of collective memory,and the difference between elite and popular beliefs.     

Strategic Management and Change in High Dependency Environments: The Case of a Philanthropic Organization

On the basis of a detailed, in-depth study of the operations and strategic decision-making of Centraide, a charitable organization in Greater Montreal, this paper suggests that dependency on the environment can be a stimulus to organizational adaptation. Two major changes over a 10-year period are studied to show that strategic management in high dependency situations requires a continual attention to the organization's relationships and interactions with the forces in its environment, and a continuous management of the process by which change takes place. The basic position advanced is that: strategy in philanthropic organizations is more effective in ensuring survival and growth when the search for autonomy is seen as irrelevant and when dependence is seen as an unavoidable fact that should shape behavior. A set of propositions helps conceptualize the findings and is offered as a guide for further research.     

The Iowa Gambling Treatment Program: Treatment Outcomes for a Follow-up Sample

The Iowa Gambling Treatment Program (IGTP) amassed participant data for gamblers and concerned others of gamblers over 4 years (1997–2001). Data collection opportunities included: (1) crisis contacts, (2) placement screening, (3) admission, (4) treatment services, (5) discharge, and (6) follow-up. Among followed gamblers, 74% of treatment completers, 49% of substantial treatment completers, and 36% of dropouts and referrals were abstaining from gambling at 6-month follow-up. The reduction in dollars lost to gambling was similar; 85% of treatment completers, 88% of substantial treatment completers, and 65% of others reduced their dollars lost per week. Although more extensive follow-up efforts are needed to properly evaluate the effectiveness of the IGTP, these results suggest that the IGTP shows promise.     

Is health care a right or a privilege?

In this overview of the American health system, the author make arguments for declaring health care a right in the U.S. Constitution. Learn why he believes this is necessary.     

Training consumers to collect data in mental health service system evaluation research

Consumer satisfaction with services is an outcome measure. This report describes The Consumer Satisfaction Research Associate Training Program, which was designed for the education and supervision of recovered consumers who collected data during four studies at three psychiatric hospitals. The educational program had didactic and laboratory components. Consumer research associates collected quantitative and qualitative data using a survey tool for face-to-face interviews. Participant recruitment and management of confidential records were included in the role. Data collected by research associates from consumers who are in treatment can enhance the validity and trustworthiness of satisfaction surveys. Nurses can play an important role in the research process by serving as staff resources for consumers who collect data in various service system settings.     

Canonical analysis of soil data

Canonical variate analysis is used to explore the similarities and differences between a priori soil groups on the basis of laboratory measurements of soil properties and the growth of seedlings in the soils. Canonical correlation is used to relate the growth of the seedlings to the soil properties.     

Tobacco Farming and Public Health: Attitudes of the General Public and Farmers

The tobacco industry remains a formidable influence in thwarting tobacco control efforts, in part because industry leaders have raised policymaker and public concern about how tobacco control might negatively impact tobacco farmers. In this study, we interviewed a random, stratified sample of 528 tobacco farmers in the Southeast and 991 U.S. residents about issues related to tobacco farmers. We found that a majority of the U.S. public expressed the belief that U.S. taxpayers subsidized tobacco farmers. This belief, combined with the strong opposition to tobacco farmer subsidies (15 percent thought there should be subsidies), likely play a role in public attitudes toward tobacco farmers. At the same time, however, we found reasonably strong public support for efforts to help tobacco farmers transition to new enterprises, although the public underestimates tobacco farmer interest in diversification. For example, two of three Americans believe that the government should help farmers make a living other than growing tobacco and over half thought that taxpayers should help pay for such programs. These data illustrate potential common ground for elected officials to consider as they attempt to concomitantly address the needs of farmers and the interests of the public. Ultimately, if the interests of tobacco farmers can be made clearly to the general public, and vice versa, pro-health and pro-farmer policies might well become a reality