Family Discussion Groups for Patients with Chronic Pain: A Pilot Study

This pilot study investigated the benefits of discussion groups for patients with chronic pain and their family members. Nineteen patients with chronic pain and 41 relatives participated in four consecutive groups. Most patients and family members found their participation clearly helpful for themselves and for the family. The group helped them to improve communication, support and mutual relationships, and to better cope with the pain. Reported beneficial factors were experiencing communality, having a place to discuss things with each other, gaining insights, and learning from fellow‐sufferers and their own family. Post treatment, patients also felt less distressed by the pain, less depressed, less insufficient and showed an increase in life‐control and social activities. Moreover, some aspects of the family climate improved, but only in the perception of the family members. The present study points to the value of a multifamily format in chronic pain therapy and suggests the appropriateness of further controlled investigation.     

Using Time Intervals Between Expected Events to Communicate Risk Magnitudes

Because members of the public have difficulty understanding risk presented in terms of odds ratios (e.g., 1 in 1000) and in comparing odds ratios from different hazards, we examined the use of time intervals between expected harmful events to communicate risk. Perceptions of the risk from a hypothetical instance of naturally-occurring, cancer-causing arsenic in drinking water supplies was examined with a sample of 705 homeowners. The risk was described as either 1 in 1000 or 1 in 100,000 and as present in a town of 2000 people or a city of 200,000 people. With these parameters, the time intervals ranged from 1 expected death in 3500 years (1 in 100,000 risk, small town) to 1 death every 4 months (1 in 1000 risk, city). The addition of time intervals to the odds ratios significantly decreased perceived threat and perceived need for action in the small town but did not affect response for the city. These framing effects were nearly as large as a 100-fold difference in actual risk. Instances when this communication approach may be useful are discussed.     

Block diagrams and splitting criteria for classification trees

Various aspects of the classification tree methodology of Breiman et al., (1984) are discussed. A method of displaying classification trees, called block diagrams, is developed. Block diagrams give a clear presentation of the classification, and are useful both to point out features of the particular data set under consideration and also to highlight deficiencies in the classification method being used. Various splitting criteria are discussed; the usual Gini-Simpson criterion presents difficulties when there is a relatively large number of classes and improved splitting criteria are obtained. One particular improvement is the introduction of adaptive anti-end-cut factors that take advantage of highly asymmetrical splits where appropriate. They use the number and mix of classes in the current node of the tree to identify whether or not it is likely to be advantageous to create a very small offspring node. A number of data sets are used as examples.     

The Public Finance Implications of Private Pensions: An Analysis with Special Reference to the United Kingdom

In an effort to take the costs of pensions "off the books", many have advocated giving a greater role to funded benefits, privately provided. However, where governments have adopted such an approach, they have both mandated contributions to the private schemes and sought, in the interests of consumer protection, to regulate them. Moreover, in many cases, either explicitly or implicitly, they have made some guarantees about the benefits that will be received. This paper, which makes special reference to plans and debates in the United Kingdom, argues that governments have, therefore, taken on some contingent liabilities, and that these liabilities have public finance implications. Even with privatization, not all the costs of pensions will be "off budget".     

Ritual,and child sexual abuse,but not ritual child sexual abuse

Central to the controversy over ritual (satanic) child sexual abuse have been claims concerning agency ‘diagnoses’ of cases. Specifically, it has been alleged that agency findings of ritual abuse have been erroneous and are the product of poor practice. There is, though, little systematic information regarding agency assessment of suspected ritual abuse cases. This paper presents two cases where there was evidence both of child sexual abuse and ‘ritual’ but where agencies adjudged that these aspects occurred independently of one another and were not indicative of ritual child sexual abuse. The existence of these cases underlines the need for a broader and more balanced debate in respect of ritual abuse in general and the agency handling of these cases in particular. Copyright © 2000 John Wiley & Sons, Ltd.     

Psychosocial risks: acting upon the organisation by ergonomic intervention

In this paper we discuss the possibilities of acting on psychosocial risk (PSR) factors by modifying the way in which an organisation operates. On the basis of an ergonomic intervention in an insurance company, we were able to show that the health problems observed by the operators were mainly the result of their inability to produce work of quality. Next, our analyses revealed the links between poor perceived quality, production difficulties and the rigidity of the organisational structure. After setting up working groups to deal with production difficulties, we were able to identify and test an organisational form that was better adapted to managing day-to-day production constraints and which was ultimately better able to be attentive to individual difficulties which had given rise, in the long term, to intrapsychic conflicts.     

Solving the Economic Lot-Scheduling Problem Using the Method of Prime Subperiods

In recent years the reported successes of Japanese production systems, particularly the just-in-time approach to inventory control, has caused managers to focus more of their attention on efficient decision-making procedures for determining production schedules that minimize inventory costs. One such potential area of attention is the economic lot-scheduling problem (ELSP), which occurs in a variety of manufacturing environments where machining operations are prevalent. The economic lot-scheduling problem addresses the determination of lot sizes for N products with constant demand (and cycled through one machine with a given production rate) to minimize setup and inventory costs. The most successful solution approaches to the ELSP have been based on the concept of a basic period that is of sufficient length for the production of all items, even though each item might not be produced during each repetition of the basic period. This paper proposes a heuristic approach to the solution of the ELSP (referred to as the method of prime subperiods), which is an extension of the basic period approaches. The procedure is described and demonstrated via an example and then tested using a set of six example problems previously employed in the literature related to the ELSP. The results indicate as good or superior performance by the proposed method of prime subperiods.     

Ce que peut la sociologie

When it is relational, processual, and it articulates the incorporated dispositions of the actors and the contexts of their actions, sociology “desevidentialize,” denaturalize, desubstantialize, and historicize the social world by contributing to do away with spontaneous representations that distort the reality of things. Besides, when sociology studies the social at the level of the individuals and individual actions, it destroys the fictions (juridical and philosophical) of the isolated individuals, enclosed on himself, free and fully conscious of everything. By producing images of the real state of the social world, sociology fully participates in the democratic life of our societies and should, therefore, be at the heart of the formation of citizens. Lorsqu'elle est relationnelle, processuelle, et qu'elle articule les dispositions incorporées des acteurs et les contextes de leurs actions, la sociologie ‘désévidentialise’, dénaturalise, désubstantialise et historicise le monde social en contribuant à chasser les représentations spontanées qui déforment la réalité des choses. Lorsque, par ailleurs, elle étudie le social à l’échelle des individus et des actions individuelles, elle détruit les fictions (juridique comme philosophique) de l'individu isolé, enfermé sur lui‐même, libre et pleinement conscient de tout. Produisant des images un tant soit peu précises et justes de l’état réel du monde social, la sociologie participe pleinement à la vie démocratique de nos sociétés et devrait, pour cette raison, être au c?ur de la formation des citoyens.     

Levels and patterns of internal migration in Europe: A cohort perspective

Europe displays important variations in the level of internal migration, with a clear spatial gradient of high mobility in northern and western Europe but lower mobility in the south and east. However, cross-national variation in levels of internal migration remains poorly understood, because it is analysed almost exclusively using cross-sectional data and period measures. This paper seeks to advance understanding of cross-national variation in migration levels in 14 European countries by drawing on a recently proposed suite of migration cohort measures, coupled with internationally comparable retrospective residential histories. It shows that differences in migration levels are mainly attributable to variation in the extent of repeat movement, which is underpinned by the differences in mean ages at first and last move that together delineate the average length of migration careers. Cohort analysis provides a robust foundation for exploring the demographic mechanisms underpinning variation in migration levels across countries and over time.