A Cost–Benefit Analysis of a Family Systems Intervention for Managing Pediatric Chronic Illness

Despite recent increases of psychosocial programs for pediatric chronic illness, few studies have explored their economic benefits. This study investigated the costs–benefits of a family systems‐based, psychosocial intervention for pediatric chronic illness (MEND: Mastering Each New Direction). A quasi‐prospective study compared the 12‐month pre–post direct and indirect costs of 20 families. The total cost for program was estimated to $5,320. Families incurred $15,249 less in direct and $15,627 less in indirect costs after MEND. On average, medical expenses reduced by 86% in direct and indirect costs, for a cost–benefit ratio of 0.17. Therefore, for every dollar spent on the program, families and their third payers saved approximately $5.74. Implications for healthcare policy and reimbursements are discussed.     

The Imagination and Social Life

Sociology gives almost no consideration to the imagination. Yet, as this study seeks to demonstrate, the imagination plays an important role in social life. This article examines the question of how the imagination enters into ongoing interpersonal relations, taking as a case study cross-national couples and their discussions about where to live. Findings from semi-structured interviews with thirty-seven individuals in cross-national relationships suggest that the imagination enters into the lives of couples in four ways: imaginings suggest to partners where they would like to live; partners use the imagination as a tool to access and advance a preference, either together or individually; partners frame the desires of the other as fantasy as a way of countering these desires; and lastly, spouses tolerate an undesirable situation by engaging in escapist fantasies. Finally, this study suggests that the imagination permeates our decision-making, routinely enters our thoughts, is a domain in which individuals immerse themselves regularly, and, in the form of collective imaginings, can inspire social change.     

Treatment outcome research with the non-offending parents of sexually abused children: a critical review

Potentially deleterious effects arise from the experience of childhood sexual abuse, but maternal supportiveness has been identified as a crucial mediator. Consequently, a body of knowledge has begun to develop on interventions designed to improve the supportiveness and adjustment of the non-offending parent. The present paper attempts to provide a critical review of the treatment outcomes reported for these new interventions. Studies have been organized according to the sexually abused child's stage of development: preschool, school-aged, and adolescence. Recommendations for service delivery and research follow.     

Racisms, heterosexisms, and identities: a semiotic phenomenology of self-understanding

This article examines the contributions of lesbians of color to the developmental relationship between queer theory and qualitative research methodology. Its thesis is that the contributions of lesbians of color in this context have been overlooked despite being featured. This oversight is explained through an examination of theoretical perspectives that dominate our current understanding of the relationship between queer theory and qualitative research. Postmodernism is revealed as susceptible to liberal bias and racist exclusions common in U.S. culture. Semiotic phenomenology is offered as a non-essentialist approach to queer theory and qualitative research that reduces the liberal bias and racist exclusions often perpetuated in postmodern theorizing that have led to the exclusion of contributions of lesbians of color in queer theory.     

It's a rave new world: estimating the prevalence and perceived harm of ecstasy and other drug use among club rave attendees

The use of 3,4-methylenedioxymethamphetamine (MDMA or "ecstasy") appears to be increasing worldwide, with "rave" attendees being one high-risk population. To date, however, only one study has collected ecstasy use information from rave attendees in the United States. To address this limitation, we collected self-report drug use information from 70 adult "club rave" attendees within the Baltimore-Washington corridor in April and May 2002. Data collection was scheduled between 12 A.M. and 5 A.M. Participation rates were high, with 85 percent of the club rave attendees completing the interview. Eighty-six percent of the respondents reported lifetime ecstasy use, 51 percent reported 30-day use, and 30 percent reported using ecstasy within the two days preceding the interview. While past-year ecstasy users were comparable to non-users with respect to a host of demographic and drug use variables, non-ecstasy users were significantly more likely than past-year users to perceive risks associated with the regular use of alcohol and ecstasy. Not surprisingly, non-ecstasy users were significantly more likely than past-year users to perceive harmful long-term physical and psychological effects associated with ecstasy ingestion. These findings suggest that rave attendees may be an important population for ecstasy-related prevention efforts.     

The Association Between Gay Men's Stereotypic Beliefs About Drag Queens and Their Endorsement of Hypermasculinity

To date, few researchers have investigated gay men's stereotypic beliefs about drag queens and the association between these beliefs and individual difference variables such as hypermasculinity. To address this omission, 118 men self-identifying as non-heterosexual completed an online survey consisting of an adjective checklist about drag queens and a psychometrically sound indicant of hypermasculinity. As predicted, participants who were more likely to endorse hypermasculine belief statements tended to perceive negatively valenced attributes as more characteristic of drag queens. Possible explanations for this relationship, limitations associated with the current study, and directions for future research are delineated.     

Insurer ambiguity and market failure

A series of studies investigate the decision processes of actuaries, underwriters, and reinsurers in setting premiums for ambiguous and uncertain risks. Survey data on prices reveal that all three types of these insurance decision makers are risk averse and ambiguity averse. In addition, groups appear to be influenced in their premium-setting decisions by specific reference points such as expected loss and the concern with insolvency. This behavior is consistent with a growing analytical and empirical literature in economics and decision processes that investigates the role that uncertainty plays on managerial choices. Improved risk-assessment procedures and government involvement in providing protection against catastrophic losses may induce insurers to reduce premiums and broaden available coverage.This article is part of a larger effort supported by the National Science Foundation on The Role of Insurance, Compensation, Regulation, and Protective Behavior in Decision Making about Risk and Misfortune. We greatly appreciate the many helpful comments and suggestions by our colleagues on the project: Jon Baron, Colin Camerer, Neil Doherty, Jack Hershey, Eric Johnson, and Paul Kleindorfer. Support from NSF Grant #SES8809299 is gratefully acknowledged.