INNUMERACY ABOUT MINORITY POPULATIONS

We use a small but nationally representative sample to investigatethe sources of innumeracy regarding the proportion of blacks,Hispanics, and Jews in the U.S. population. In addition to anumber of standard demographic differences, we find that overestimatesare closely related to region as well as to the density of thelocal black/Hispanic population. The extent to which minoritypopulations are perceived as a kind of threat is also relatedto perceived proportions, though the direction of causalitycannot be determined. We discuss the meaningfulness of thesepopulation estimates and speculate on whether trying to improvethem would alter attitudes toward minorities.     

CORPORATE TAX INCIDENCE AND INEFFICIENCY WHEN CORPORATE AND NONCORPORATE GOODS ARE CLOSE SUBSTITUTES

An important deficiency in Harberger's [1962] model of corporate income taxation is its inability to consider both corporate and noncorporate production of the same good. Within-industry substitution has potentially major implications for both the excess burden and incidence of the corporate tax.
We analyze this within-industry substitution using a model in which each industry/sector contains corporate and noncorporate firms (with identical production functions) which produce goods that are close substitutes. The scope for considerable within-industry substitution of noncorporate for corporate capital leads to a very much larger excess burden than that in the Harberger model.     

Adoptive parents to children with severe developmental disabilities: A profile

A sample of 16 women and men who accompanied their adopted children with severe developmental disabilities to a medical appointment at Henry Ford Hospital's Multidisciplinary Care Clinic during the one-year period beginning July 1, 1988 are described in the context of their parental role vis-a-vis these children. Results of the study are presented through use of a six-part organizational scheme: demographic and social traits of the parents and their adopted children, the adopted children in family context, life satisfactions of the parents, adoption motives, adoption satisfactions, and humanization of the children.     

Treatment issues for survivors of physical and sexual abuse*

Many clients who participate in family therapy have experienced trauma such as physical and sexual abuse in their families of origin. Extensive literature suggests that abusive experiences can result in post-traumatic stress disorders, depression, anxiety, personality disorders, and other long-term effects. Without recognition of the effects that abuse can have on individuals, it is possible to misdiagnose clients or fail to provide them with adequate assistance. This study is an attempt to compare the symptomology of nonabused clients with physically and sexually abused clients using an empirically sound measure. The results demonstrate that the majority of clients who experienced physical and/or sexual abuse in their backgrounds scored in the clinical range on scales from the Millon Clinical Multiaxial Instrument (MCMI) (Millon, 1984). In contrast, clients who did not report abuse had significantly lower scores than the abused clients, and the majority of the nonabused clients scored in the nonclinical range on the scales of the MCMI. Treatment and theoretical implications surrounding the issues of abuse are discussed, and recommendations for marriage and family therapists are provided.     

Family expressiveness styles and nonverbal communication skills

The relationship between family norms and practices of emotional expression and nonverbal communication skill was investigated in two studies and a meta-analysis. Based on the general socialization hypothesis presented in the literature, specific predictions were for (a) better non-verbal judging skill in individuals whose families inhibit expressiveness, relative to individuals whose families value expressiveness, and (b) better nonverbal sending skill in individuals whose families value expressiveness, relative to individuals whose families inhibit expressiveness. In the two studies, family expressiveness styles, measured by college students' retrospective self-reports, was related to the skills of sending and judging emotional communications via voice tone and judging emotional communications via facial expression.This research was conducted while the author was supported by a National Science Foundation Graduate Fellowship at the John Hopkins University. Portions of this paper were presented at the meeting of the Eastern Psychological Association, Baltimore, MD 1982. Many thanks are due to Judith A. Hall, Cynthia Rand, Marylee Taylor, and Miron Zuckerman, who shared their unpublished data. Additionally, the helpful suggestions of Judith Hall and the reviewers are gratefully acknowledged.     

Involving constituents in agency priority setting: a case study

Many government agencies have "constituents" who believe the agencies should hear and consider their needs and desires in establishing program priorities. This article describes how one involves interested constituents (consumers, industry, medical professionals, and state organizations) in the agency's annual priority-setting process. This participation has produced a number of beneficial results-some expected and some unexpected.     

The validity of indices for rural health manpower needs assessment

Population-to-practitioner ratios have long been the primary index in the designation of health manpower shortage areas. This paper documents that application of the widely used population-to-dentist index results in understatement of the need for dental health manpower in rural areas. Through the analysis of utilization data collected from a statewide health screening program in Colorado, the practice of sole reliance on the population-to-dentist indices as an indicator of need was tested. Another measure, the area-(square miles) to-dentist ratio was formulated, examined, and found to be a more useful referent of the need for additional health manpower in rural areas. Utilization of dental services in sparsely settled rural counties of Colorado was unrelated to population-to-dentist ratios. A strong, statistically significant association of utilization with land area-to-dentist ratios was found. The findings of this analysis suggest a need for reevaluation of needs assessment methodologies used in the designation of health manpower shortage areas. Indices more sensitive to consumer circumstance than to the number of health care providers available must be considered.     

Comparison of indirect and direct approaches to measuring patient satisfaction

One indirect (PSQ) and two direct (CSQ-18B and ERS) measures of patient satisfaction were compared across a series of psychometric, acceptability, and concurrent validity criteria. None of the three measures was significantly related to health status or demographic characteristics. Each measure performed as expected from prior research on their psychometric properties. The scales contrasted, however, in regard to acceptability, with the PSQ being much less acceptable to patients than the other two. The PSQ also produced more missing data. The results on the PSQ reflected patient inconsistency on cross-check items and patients tended to be uncertain in their responses to many items. In multivariate analyses the three measures were used as predictors of patient-rated indices of global service satisfaction. The CSQ-18B and the ERS were significant predictors of patient-rated indices of global service satisfaction, whereas the PSQ was unrelated to these indices. It was concluded that the direct and indirect approaches measure different satisfaction domains. The PSQ likely assesses more generalized attitudes about health services while the CSQ-18B and the ERS efficiently reflect opinions about the specific setting in which they are administered.     

Health care cost containment in the 1980s.

Benefits administrators--and their employers--can no longer ignore the skyrocketing costs of health care. The wide range of measures explored here for controlling these costs include negotiating with providers, analyzing medical claims, enlisting the aid of employee/patients, structuring benefit programs to eliminate excesses, and setting up wellness programs to alter the lifestyles--smoking, drinking, poor nutrition--that result in crippling, even fatal diseases.