Governmentality by Network in English Primary Healthcare

In England, the quality of clinical work is being regulated in new ways following recent developments in “clinical governance” policy and apparent failures in the previous system of medical self‐regulation. Using multiple case studies, this paper examines how these changes are affecting professional governmentality and discipline in general practice. Formal organizational structures play little role in clinical governance there. Clinical quality is managed largely through semi‐formal networks, relying on medical self‐surveillance. Compliance is achieved largely by discursive appeals to the legitimacy of clinical governance, but local GPs’ leaders also argue that governments might otherwise regulate medical practice more actively. As yet the effects of clinical governance activity on service delivery are slight. Professional self‐regulation is replacing permissive exception management with more collegial, directive methods.     

Reciprocal relationships among alcohol use, risk perception, and sexual victimization: a prospective analysis

OBJECTIVE: The authors' purpose in this study was to assess longitudinally the relationships among alcohol use, risk perception, and sexual victimization. PARTICIPANTS: Three hundred and seventy-two women from 2 midsized universities made up the sample. METHODS: Participants filled out questionnaires regarding history of sexual victimization, alcohol use, and perceived personal risk for sexual assault in the following 2 months. The authors then reassessed participants at 2 follow-up periods. RESULTS: The pattern of results suggested that that the relationship between alcohol use and sexual victimization was complex and that alcohol use may moderate the relation between history of victimization and revictimization for women with sexual assault histories. In particular, results indicated an increase in risk for sexual revictimization with increases in alcohol use for women with a history of sexual victimization. The data did not, however, support a reciprocal relationship between sexual assault and drinking (eg, in that a sexual victimization during one time period did not predict drinking behaviors in subsequent time periods). CONCLUSIONS: These results underscore the importance of both alcohol and sexual assault programming on college campuses.     

Explaining individual level support for organ procurement policy

The demand for human organs for transplantation – both from live and deceased donors – has become a public health issue in the United States, as thousands of Americans die each year due to the lack of a needed transplant. The current policy basis for organ procurement is voluntarism as federal organ procurement policy, based on the 1984 National Organ Transplant Act (NOTA), prohibits the exchange of human organs for “valuable consideration.” While an increasing number of policy analysts, including some ethicists, have advocated for financial incentives to induce more donations, a variety of factors – such as the legislative status quo, ongoing ethical concerns, and uncertain public support – have resulted in little use of financial incentives. We argue that a better understanding of public opinion is an important prerequisite for any move toward the use of financial incentives. Consequently, we develop and test a model to explain individual level attitudes toward legalizing and regulating the sale of human organs for transplant. We find that political ideology, gender, age and geographic region are important predictors of support.     

Taiwan and ROC: A critical analysis of President Chen Shui-bien's construction of Taiwan identity in national speeches

Names used to address Taiwan – such as taiwan and zhonghuamingguo (Republic of China [ROC]) – are symbols defining Taiwan's political realities, each with their own unique historical significance. Since his election in 2000, Taiwan's president Chen Shui-bien has had to alternate between taiwan and ROC to strike a balance among conflicting ideas about Taiwan's national identity. The act is grounded in complex political discourse dictating that Taiwan must not be seen as separate from the sinic world and simultaneously to respond to steadily rising Taiwanese consciousness. Facing intercessions by the United States and China, as well as ever-present domestic clashes, rhetorical exigency requires the president to fashion unique political discourse concerning what Taiwan is and ought to be. This study explores how these names and related expressions are used in Chen's public addresses to the nation during his two-term tenure from 2000 to 2008, and how their development reflects the struggle over Taiwan's national identity.