Evidence-based practices in the field of intellectual and developmental disabilities: an international consensus approach

As evidence-based practices become increasingly advocated for and used in the human services field it is important to integrate issues raised by three perspectives on evidence: empirical-analytical, phenomenological-existential, and post-structural. This article presents and discusses an evidence-based conceptual model and measurement framework that integrates these three perspectives and results in: multiple perspectives on evidence-based practices that involve the individual, the organization, and society; and multiple interpretation guidelines related to the quality, robustness, and relevance of the evidence. The article concludes with a discussion of five issues that need to be addressed in the future conceptualization, measurement and application of evidence-based practices. These five are the need to: expand the concepts of internal and external validity, approach evidence-based practices from a systems perspective, integrate the various perspectives regarding evidence-based practices, develop and evaluate evidence-based practices within the context of best practices, and develop a set of guidelines related to the translation of evidence into practice.     

Risk and selection processes between the general and the specialty mental health sectors

This paper examines risk, defined as the threat of danger or disruption, as a contextual concept important for understanding patterns of patient selection and referral. We explore the hypothesis that risks associated with mental disorder, as represented by factors such as thoughts about suicide or problems associated with drinking, increase the probability of referral of patients receiving mental health care from general medical practitioners to the specialty mental health sector. Interview and claims data from the RAND Health Insurance Experiment, a large experimental study of coinsurance, are used to examine referral processes over a five-year period. Risk, and especially a measure of suicide thoughts, increase the probability of referral to specialty care. Women and persons with higher education are more likely to use specialty services; older persons are less likely to use such services. Understanding referral requires attention to the behavioral contingencies and illness behavior surrounding the presentation of mental disorder.     

Ego strength and achievement motivation in pathological gamblers

This paper argues that there area priori reasons to extract measures of ego strength and achievement motivation from the psychometric data base routinely collected from inpatient pathological gambers in order to clarify the meaning of these constructs and to evaluate their roles in personality organization. A sample of 57 subjects engaged in an inpatient treatment program for pathological gamblers was studied using Barron's Ego Strength Scale (ES) from the Minnesota Multiphasic Personality Inventory and two measures of achievement motivation from the California Personality Inventory, Achievement via Conformance (Ac) and Achievement via Independence (Ai). Compared to the standardization group norms on these instruments, pathological gamblers are significantly deficient in both ego strength and one type of achievement motivation, Ac. Clinical impressions of gamblers in treatment suggest that narcissistic characteristics are a major problem in treatment and that future research should attempt further detailed studies of ego structure in order to refine treatment objectives.     

Nativity and older women's health: constructed reliance in the health and retirement study

Gender and nativity are known risk factors for physical and economic dependency. Immigrant women are particularly disadvantaged because of their greater lack of social and economic resources. In this study, we investigate how women immigrants coordinate and utilize various support systems as they approach retirement age, as well as how choices and constraints affect their physical wellbeing. Experiences throughout the life course play a role in the maintenance of health, but the pre-retirement years are particularly crucial to the establishment of patterns of reliance to be used in later life. We examine the effects of economic resources, social support, and family ties (as well as several exogenous variables) on women's physical health using data from the Health and Retirement Survey. For the women in this study, demographic characteristics, such as Hispanic ethnicity and low education are strong risk factors for poor health. Findings also indicate that reliance patterns across resource domains do not differ significantly by nativity and that both economic and familial resource access significantly lessens the risk of poor health for both native and foreign born women.     

Importance of fairness in humanitarian relief distribution

Abstract

This article is inspired by some of the challenges faced by non-governmental organizations in the distribution of humanitarian relief to vulnerable rural communities. A major concern of these organizations is to warrant that relief is distributed in an impartial and transparent way, which gives rise to the notion of fairness. This article thus discusses the importance of fairness in relief distribution and how it can be defined, especially in a context where delivery of vital items must be ensured periodically. We also propose some performance indicators to measure fairness, which can be useful to organizations that are held accountable for the impartiality of their decisions. Finally, an empirical study of an academic case, inspired by a rural aid distribution problem, is used to analyse how different mathematical formulations may contribute in helping crisis managers integrate fairness or equity in their decisions.     

Evaluation of the implementation of a socio-educational program with immigrant families: a case study

There exist an increasing number of studies that demonstrate the necessity to evaluate the processes which characterize a program and guarantee its implementation and evaluation. This paper deals with the implementation of a program designed to improve the acculturation of immigrant families in Spain (EU). Implementation followed a process that has proved successful in other settings, but is being applied here for the first time. Qualitative and quantitative measures are employed to assess each stage of implementation, with a particular emphasis on fidelity to program design. The intent was to guide effective revision of the program, and to establish it in a form that can be implemented on a larger scale.     

Certified organic agriculture in Mexico: Market connections and certification practices in large and small producers

Certification within organic agriculture exhibits flexibility with respect to practices used to demonstrate that a product meets published quality standards. This case study of Mexican certified-organic agriculture finds two forms. Indigenous smallholders of southern Mexico undertake a low-input, process-oriented organic farming in which certification is based upon extensive document review, group inspections, and assessment of on-farm capacity to produce organic inputs. More recently, northern Mexican large agribusiness producers have implemented certifications based upon laboratory testing and assessment of purchased inputs. To specify these differences, this article examines large and small producers in Mexico's organic agriculture sector based on a diagnostic census of Mexican organic agriculture in 668 production zones and field surveys in 256 production zones in which 28 indicators were analyzed. After comparing the organic cultivation and certification practices of large, agro-industrial, input-oriented private firms versus small, cooperatively organized, indigenous and peasant groups, we analyze the implications of this duality for certification frameworks. We argue (with Raynolds, L., 2004. The globalization of organic agro-food networks. World Development 32(5), 725–743; Gonzalez A.A., and Nigh, R., 2005. Smallholder participation and certification of organic farm products in Mexico. Journal of Rural Studies; DeLind, L., 2000. Transforming organic agriculture into industrial organic products: reconsidering national organic standards. Human Organization 59(2), 198–208) that the increasing bureaucratic requirements of international organic certification privilege large farmers and agribusiness-style organic cultivation and present the possibility of a new entrenchment of socio-spatial inequality in Mexico. While organic and fair trade agriculture has been touted as an income-generating production strategy for small producers of the Global South, our study suggests that Mexican organic agriculture reproduces existing social inequalities between large and small producers in conventional Mexican agriculture.     

Observing Erotic Videos With Heterosexual Content Induces Different Cerebral Responses in Homosexual and Heterosexual Men

ABSTRACT

To determine the cerebral functionality associated with the perception and processing of erotic stimuli in men with different sexual orientation, this work evaluated the electroencephalographic activity (EEG) from several cortical areas, as well as subjective arousal in homosexual and heterosexual men during observation of an erotic film with heterosexual content. The heterosexual men rated the erotic video with higher general and sexual arousal than the homosexual participants. During observation of the neutral and erotic videos, both groups showed a decreased amplitude of the alpha band in prefrontal and parietal cortices, indicating increased attention. When watching the erotic video, the homosexual men showed an increased amplitude of the theta and fast bands only in the prefrontal cortex, which could be related to the cognitive processing of the erotic stimulus. These EEG results should broaden our knowledge of the cortical mechanisms related to the different perception and processing of erotic stimuli in men with different sexual orientations.     

Cessation of breastfeeding in association with oxytocin administration and type of birth. A prospective cohort study

Background

Some studies have suggested an association between synthetic oxytocin administration and type of birth with the initiation and consolidation of breastfeeding.