Which Champions,Which People? Public and User Involvement in Health Care as a Technology of Legitimation

This paper concerns two practices, public consultation and user involvement, whose adoption has been urged upon the UK National Health Service in recent years. Public consultation is a local attempt to seek the views of a broad constituency of persons. User involvement is a local attempt to include organized groups of service users in the planning, and occasionally the management, of such services. The paper has four objectives. First, it locates the topic in the context of several related current debates. Second, it outlines the main findings of a recent empirical study of public consultation as they relate to the above debates. Third, it summarizes the relevant findings of an empirical study of user involvement. Finally, it examines these two practices as technologies of legitimation which can be seen as a means by which managerial legitimacy is maintained in the context of an increasingly pluralistic policy arena.     

Inferring beliefs as subjectively imprecise probabilities

We propose a method for estimating subjective beliefs, viewed as a subjective probability distribution. The key insight is to characterize beliefs as a parameter to be estimated from observed choices in a well-defined experimental task and to estimate that parameter as a random coefficient. The experimental task consists of a series of standard lottery choices in which the subject is assumed to use conventional risk attitudes to select one lottery or the other and then a series of betting choices in which the subject is presented with a range of bookies offering odds on the outcome of some event that the subject has a belief over. Knowledge of the risk attitudes of subjects conditions the inferences about subjective beliefs. Maximum simulated likelihood methods are used to estimate a structural model in which subjects employ subjective beliefs to make bets. We present evidence that some subjective probabilities are indeed best characterized as probability distributions with non-zero variance.     

U txt WHEN? College students’ social contexts of text messaging

Despite an explosion in the popularity of text messaging (short message service, or SMS texting), little research has documented the prevalence of its use in various dimensions of the social landscape of young adults. We examined text messaging patterns in various social situations in a sample of college students. Unsurprisingly, participants placed a good deal of importance on texting and reported using texts frequently to stay in touch with friends and loved ones. However, a good number of participants reported texting in seemingly inopportune situations, such as while in the shower, while at work, during religious services, and while having sex. Further, most participants reported texting in situations that may be considered by some as social breaches, such as while on a date, while socializing in person with others, and to break up with and cheat on a romantic partner. Results suggest that drawbacks of this convenient, fast, and faceless mode of communication include disinhibition and inattention to one's immediate social environment.     

Collaborating with families in differential responses: practitioners' views

Child protection authorities in many countries are concerned with reducing the rates of investigations and with diverting at‐risk families from the child protection service system. In several countries, differential responses have been introduced into child protection law providing service providers with some choice between investigative or family support pathways, depending upon the level of risk posed in the circumstance. In this paper, we report on a study into a form of differential response known as Intervention with Parents' Agreement introduced in Queensland, Australia, in 2005. A unique feature of this differential response is that it occurs after an initial child protection investigation, although it does provide child protection services with options for providing supportive interventions to at‐risk families to prevent the further escalation of concerns. In this paper, we analyse practitioners' perceptions of factors that inhibit and promote implementation of the Intervention with Parents' Agreement. Drawing upon interviews with 25 practitioners, we identify factors that become important for securing participation after an initial investigation has occurred. We discuss the implications for the development of differential responses in child protection service systems.     

Family income at the bottom and at the top: Income sources and family characteristics

Attention has recently been focused on wealth as a source of long-term economic security and on wealth ownership as a crucial aspect of the racial economic divisions in the United States. This literature, however has been concerned primarily with the wealth gap between poor and middle-class families, and between the white and black middle class. In this paper, we investigate the incomes of families at the top and bottom of the family income distribution. We examine the sources of income and the demographic characteristics of these high-income and low-income families using family level data from the 1988 to 2003 Current Population Surveys.     

Social Class Differentials During Fertility Decline: England and Wales Revisited

This paper reviews the relationship between landholdings and fertility. Two dimensions of land are identified as salient for fertility behaviour: size of operational holdings and land ownership. It is suggested that these two dimensions and the resulting income streams have disparate effects on fertility. Size of holdings is assumed to have a positive influence on fertility due to the greater labour demands of larger holdings, while land ownership is posited to exert a negative long-term effect because of the increase in old-age security associated with the income returns to equity. In addition to these effects on the demand for children, landholding is also thought to influence the supply of children. A systematic review of the literature finds support for the impact of both dimensions of landholding on fertility preferences, contraceptive behaviour, the proximate determinants and fertility. Both the demand and supply of children appear to be influenced by landholdings. The observed regularities suggest the need for further research on this connection, not the abandonment of this line of inquiry.     

Occupational Stress, Mental Health and Satisfaction in the Canadian Multicultural Workplace

Workplaces are becoming increasingly multicultural and therefore, include a large variety of employees from more than one ethnicity, nationality, religious and/or cultural background. In the context of this new global economy, Canadian workplace structure and composition has also permanently changed. Consequently, the primary purpose of this project was to explore occupational stress, mental health and satisfaction (life, job, relationship) as experienced by immigrant individuals attempting to achieve integration into Canadian workplaces. In order to address this research aim, responses of Canadian born participants (N?=?42) were compared to those of non-Canadian born participants (N?=?42) with respect to a series of questionnaires addressing the variables of interest. Our results suggested that, with the exception of self-reported symptoms of somatization and paranoia, non-Canadian born workers in the fields of education, healthcare and/or social work report more similarities than differences when compared to the responses of Canadian born workers. In general, the findings of this study suggested positive outcomes for non-Canadian born professionals who immigrate into Canada under the economic category.