Working with parents of spinal cord injured adolescents: A family systems perspective

Concepts from family systems theory are used to facilitate understanding of the needs of families coping with the spinal cord injury of an adolescent. Five assumptions derived from systemic principles are discussed as related to assessment and family functioning. Related suggestions are given for assisting parents in dealing with this non-normative stressor and its long-range effects on the adolescent and family.     

Stories of Wreck Bay

This is the first plenary address by an Aboriginal woman at an Australian Family Therapy Conference. The author reminisces about her early life and highlights changes in her community, giving many vignettes of her own work with Aboriginal people. A recurrent theme is the Aboriginal experience of Government control, and the impact of the dreaded Aboriginal Protection Board, which for decades by deliberate policy removed Aboriginal children to institutions and non-Aboriginal foster families. (Editor)     

The Role of Verbal Repetition in the Development of Infant Speech Preferences From 4 to 14 Months of Age

Four experiments investigated infants' preferences for age‐appropriate and age‐inappropriate infant‐directed speech (IDS) over adult‐directed speech (ADS). Two initial experiments showed that 6‐, 10‐, and 14‐month‐olds preferred IDS directed toward younger infants, and 4‐, 8‐, 10‐, and 14‐month‐olds, but not 6‐month‐olds, preferred IDS directed toward older infants. In Experiment 3. 6‐month‐olds preferred IDS directed toward older infants when the frequency of repeated utterances matched IDS to younger infants. In Experiment 4, 6‐month‐olds preferred repeated IDS utterances over the same IDS utterances organized without repetition. Attention to repeated utterances precedes word segmentation and sensitivity to statistical cues in continuous speech, and might play a role in the discovery of these and other aspects of linguistic structure.     

Negotiating With the Growth Machine: Community Benefits Agreements and Value‐Conscious Growth

Scholars have extended, challenged, and molded growth machine theory to examine growth—in terms of population, basic industry, labor force participation, commerce, financial activity, and land development—in a variety of contexts. The theory's core, however, has remained the same: cities are conceptualized as growth machines, which consist of unified and powerful growth coalitions. These coalitions pursue a pro‐growth agenda, seeking to enhance the exchange value of local land and property. They often face opposition from local residents, who are more oriented toward use values of land. Resident opposition, however, tends to be unsuccessful in the face of large‐scale commercial development. Aware of this, communities across the country are pursuing new strategies to address development projects in their backyards. In particular, some have formed coalitions to negotiate for benefits from developers through legally binding community benefits agreements (CBAs). Drawing from a case study of Pittsburgh's first CBA, this article analyzes the implications of CBAs for pro‐growth agendas. Pittsburgh's CBA surrounded the construction of a professional sports facility, a development project that presents an ideal example of growth processes in today's cities. Ultimately, CBAs can achieve “value‐conscious” growth, but they do not fundamentally alter dominant standards of growth or growth machine processes.     

A Scale of Risk

This article proposes a conceptual framework for ranking the relative gravity of diverse risks. This framework identifies the moral considerations that should inform the evaluation and comparison of diverse risks. A common definition of risk includes two dimensions: the probability of occurrence and the associated consequences of a set of hazardous scenarios. This article first expands this definition to include a third dimension: the source of a risk. The source of a risk refers to the agents involved in the creation or maintenance of a risk and captures a central moral concern about risks. Then, a scale of risk is proposed to categorize risks along a multidimensional ranking, based on a comparative evaluation of the consequences, probability, and source of a given risk. A risk is ranked higher on the scale the larger the consequences, the greater the probability, and the more morally culpable the source. The information from the proposed comparative evaluation of risks can inform the selection of priorities for risk mitigation.     

Predictors of father‐son communication about sexuality

Examining the factors that influence adolescents’ sexual behaviors is crucial for understanding why they often engage in risky sexual behaviors. Using social cognitive theory, we examined predictors of father‐son communication about sexuality. Fathers (N = 155) of adolescent sons completed a survey measuring 12 variables, including self‐efficacy and outcome expectations. We found that (a) son's pubertal development, father's sex‐based values, father's education, father's communication with his father, outcome expectations, and general communication accounted for 36% of the variance in information sharing communication and (b) son's pubertal development, outcome expectations, general communication, and father‐son contact accounted for 20% of the variance in values sharing communication. Study findings can aid professionals in designing guidelines and programs to promote father‐son general communication and sex‐based communication.     

Potency Factors for Risk Assessment at Libby,Montana

We reanalyzed the Libby vermiculite miners’ cohort assembled by Sullivan to estimate potency factors for lung cancer, mesothelioma, nonmalignant respiratory disease (NMRD), and all‐cause mortality associated with exposure to Libby fibers. Our principal statistical tool for analyses of lung cancer, NMRD, and total mortality in the cohort was the time‐dependent proportional hazards model. For mesothelioma, we used an extension of the Peto formula. For a cumulative exposure to Libby fiber of 100 f/mL‐yr, our estimates of relative risk (RR) are as follows: lung cancer, RR = 1.12, 95% confidence interval (CI) =[1.06, 1.17]; NMRD, RR = 1.14, 95% CI =[1.09, 1.18]; total mortality, RR = 1.06, 95% CI =[1.04, 1.08]. These estimates were virtually identical when analyses were restricted to the subcohort of workers who were employed for at least one year. For mesothelioma, our estimate of potency is K_M = 0.5 × 10^?8, 95% CI =[0.3 × 10^?8, 0.8 × 10^?8]. Finally, we estimated the mortality ratios standardized against the U.S. population for lung cancer, NMRD, and total mortality and obtained estimates that were in good agreement with those reported by Sullivan. The estimated potency factors form the basis for a quantitative risk assessment at Libby.     

Strengthening migration governance: the UN as ‘wingman’*

ABSTRACT

The plight of desperate migrants crossing the Mediterranean reached an inflection point in 2015 when an estimated 800 migrants drowned in a single day, painfully exposing dysfunctions in how States, regions, and the international community as a whole seek to govern a world with increased mobility of persons. By examining the response to the migration and refugee crises of recent years through the lens of the United Nations (UN), this article describes how States and the UN system are challenged to reconsider traditional hierarchies of power and influence since unilateral State action will not solve the migration problem. Migration solutions, particularly those providing greater protections for migrants in vulnerable situations, will require ‘coalitions of the willing’ between States, inter-governmental organisations, local governments and non-state actors. Still emerging, such coalitions are interdependent; and their objectives will be the result of negotiating and bargaining amongst their members. They reflect multi-level governance in the collective handling of migration, revealing a more complex interaction, one in which local authorities and non-state actors are in some instances bypassing State-led interventions. For its part, the UN – armed with recent institutional changes that provide it with more centralised ‘orchestration’ capacities – is best suited to serve in a ‘wingman’ function, buttressing rather than leading such coalitions.