Schizophrenia Fellowship of Australia,Inc.

One of the most stigmatized health areas is mental health, so the feasibility of a self-help organization to assist those with the common mental illness, schizophrenia, was contemplated with some misgivings by the Victorian Mental Health Authority in 1977. However, as it was departmental policy to encourage community involvement in alleviating mental illness and its associated problems, a number of relatives of people with schizophrenia were contacted to assess their reaction to the proposition. The response was positive and eight relatives agreed to become a steering committee to organize a public meeting to put forward the idea of forming a self-help organization centred on schizophrenia.     

“Capacity Is Key”: Investigating New Legal Provisions in England and Wales for Adult Safeguarding

This study aimed to investigate the views and experiences of local Safeguarding Adults Coordinators of the newly implemented Mental Capacity Act 2005. This legislation in England and Wales has both protection and empowerment as its dual goals. Fifteen Safeguarding Adults Coordinators (SACs) employed by local authorities in the London area were interviewed in 2008, and again 2 years later. A total of 12 SACs participated in the 2010 follow-up interviews. The findings are reported here, covering experiences and views on the implementation and uses of the Act. There was overwhelming support for the Act as enhancing people's rights to a life free from abuse, of providing a framework for the assessment of decision-making capacity, and of assisting practitioners in reducing risks and responding to abusive situations. Participants urged better publicity about the Act, more detailed guidance on the new offenses, and greater attention to the interactions with other government policy goals.     

Recurrence of child maltreatment substantiation: findings from the administrative data of South Korea’s National Child Protection Agency

The recurrence of child maltreatment substantiation among families served by South Korea’s Child Protection Agency has yet to be thoroughly investigated. This study explores the recurrence of child maltreatment substantiation and related risk factors using the administrative data from the National Child Protection Agency (NCPA) . Multilevel discrete time-hazard analysis is employed. We found that the risk of recurrence is greatest during the first month after initial substantiation. Younger children, those with disabilities, children with a greater number of vulnerabilities, families on welfare, father-headed families and impoverished communities had a heightened risk of recurrence of child maltreatment substantiation. The implications of the findings are discussed.     

Stop It Now! A Pilot Study Into the Limits and Benefits of a Free Helpline Preventing Child Sexual Abuse

Stop It Now! aims to prevent child sexual abuse using a free anonymous helpline. It provides information, advice, and guidance to anyone concerned about child sexual abuse. It targets people who have sexually abused children or who are worried that they might do so. This article presents findings from a pilot study on the operation and outcomes of the helplines in the United Kingdom and the Netherlands. The findings underline the strength of the public health approach to prevention efforts. More specifically, benefits reported by helpline users are shown to correspond with the aims of the helplines. A number of factors were reported by users that helped them modify their own or others’ actions to minimize risk of abuse. However, a challenge that remains is ensuring that helplines are accessible to those most in need. Recommendations are included to further expand the effect of Stop It Now! in reducing CSA.     

Families by Adoption and Birth: I. Mother-Infant Socioemotional Interactions

The role of adoptive family dynamics in the etiology of both resilient and adverse developmental outcomes is not well understood. In this study, socioemotional aspects of the mother-infant relationship were examined in families by adoption and by birth. Matched groups of mothers and their 5-month-old first babies were observed in the home setting. Dyads in the two groups were comparable in the frequency and ranking of a full array of age-appropriate behaviors. Group differences emerged for selected infant and maternal behaviors; infants by birth were in an alert state and smiled more often than infants by adoption, and adoptive mothers nourished and caressed their infants more than did mothers by birth. While the structure of the infant's behavior repertoire was similar for both groups, there were twice as many significant correlations among maternal behaviors for the birth group than for the adoptive group. There were also more correlations between maternal and infant behaviors for dyads by birth than for dyads by adoption, and the nature of the correlations differed for the two groups. It is argued that both groups of mothers and babies were functioning in the adaptive, healthy range and that observed differences between them reflect subtle differences in behavioral emphasis, possibly related to the unique paths to parenthood represented by adoption and birth.     

The Gender‐Gap Reversal in Education and Its Effect on Union Formation: The End of Hypergamy?

Newly released census microdata reveal the nearly worldwide and substantial decline in educational hypergamy (women marrying men with higher educational attainment) across 56 countries from the 1970s to the 2000s. We examine the extent to which the observed decrease in hypergamy is connected to the worldwide rise in female educational attainment. Our results show that educational hypergamy is an enduring form of gender inequality in union formation across the countries examined but that it has been decreasing over the last few decades and in some countries has reversed in recent years. Overall, we find a strong association between hypergamy and gender differences in educational attainment. Societies in which the female educational advantage is greater tend to have lower levels of educational hypergamy. There is a tendency toward a joint increase in women's educational levels and a decrease in educational hypergamy. This article underlines the influence of women's educational opportunities on the increase in gender symmetry in assortative mating, which leads us to predict the end of educational hypergamy.     

Grave fraudulence in medical device research: a narrative review of the PIN seeding study for the Pinnacle hip system

In 2001, DePuy, a wholly-owned subsidiary of Johnson & Johnson (J&J/DePuy), initiated a seeding study called the “Multi-center, Prospective, Clinical Evaluation of Pinnacle Acetabular Implants in Total Hip Arthroplasty” (PIN Study). J&J/DePuy designed this study to develop new business opportunities during the launch of their Pinnacle Hip System (PHS) and generate survivorship data for marketing. This article, the first review of a seeding trial for a medical device, examines internal company documents relating to the PIN Study; the analysis herein focuses on the integrity of J&J/DePuy’s research practices in conception, implementation, and analysis. J&J/DePuy violated the study protocol and manipulated data; consented participants in violation of standards protecting human subjects; and did not secure Institutional Review Board approval for all study sites. J&J/DePuy used PIN Study results as the “fundamental selling point” for the PHS. Medical device seeding trials are distinct from previously-documented pharmaceutical seeding trials because companies can profit directly from device sales and because these studies may be the first clinical evaluation of the device (as was the case for the PIN Study). Seeding trials are malleable marketing projects, not rigorous scientific studies. Regulatory bodies, physicians, and others should be vigilant for persuasive marketing accounts disguised as science.