Development and immediate impact of a self-instruction curriculum for an adolescent indicated drug abuse prevention trial

This article describes the development and immediate impact of a self-instruction indicated drug abuse prevention program, Project Towards No Drug Abuse (TND). Self-instruction programming often is used to help youth that are at high risk for dropout and drug abuse to complete their high school education, and is a method of choice among educators at alternative high schools. This article describes the justification for the self-instruction program, keys to good programmed self-learning, and how a 12-session health educator delivered program was converted to a self-instruction format. In addition, the immediate impact of a 3-group experimental trial is presented. Health educator led, self-instruction, and standard care control conditions are compared on knowledge change, and the two program conditions are compared on process ratings. Self-instruction programming can be successfully adapted from a health educator-led format, though the lack of student group interaction in this modality may limit its receptivity among students.     

Gambling participation in the U.S.--results from a national survey

Demographic patterns of gambling participation in the U.S. were examined. A national telephone survey was conducted with 2,630 representative U.S. residents aged 18 or older. The sample as weighted for analysis was 48% male, 12% black, and 11% Hispanic. Respondents were questioned on 15 types of gambling: how often they played and how much they won or lost. Eighty-two percent gambled in the past year. Lottery was the most commonly played game, while casino gambling accounted for the largest extent of gambling involvement. Men and women were equally likely to gamble in the past year, but men gambled more frequently and had larger wins and losses, particularly on sports betting and games of skill. Blacks were less likely to have gambled in the past year, but blacks who gambled did so more heavily than other racial groups. Blacks and Hispanics were more likely than average to be pathological gamblers. The rate of past year gambling declined with age, but extent of gambling involvement among gamblers did not vary with age. Rates of participation in most forms of gambling increased with socioeconomic status, but higher socioeconomic status gamblers had lower rates of pathological gambling, and lower extent of gambling involvement, particularly for lottery. New Englanders gambled more heavily than other Americans. Comparison with past studies showed an increase in overall gambling participation in the U.S., and large increases in rates of participation in lottery and casino gambling.     

Talcott parsons and the “far east” at Harvard, 1941–48: Comparative institutions and national policy

This article traces the involvement of Talcott Parsons in research and teaching about Asian nations, especially China and Japan, in the period of World War II. The data indicate that, in contrast to his Eurocentric image, Parsons worked to develop a global perspective in studies on comparative institutions. This approach, inspired by the sociology of Max Weber, also addressed the practical needs of policy makers in connection with the war effort. Within Parsons’s intellectual biography, it stands between the “voluntaristic” framework of his early treatise, The Structure of Social Action (1937) and the later non-historical formalism of The Social System (1951) for which he is perhaps most famous. An understanding of this relatively unknown phase of Parsons’s work is therefore indispensable for an adequate appreciation of his career as a whole.     

Out of machine age?: complexity, sociotechnical systems and actor network theory

This paper compares sociotechnical systems (STS) theory and actor network theory (ANT) as developed by Latour, Callon and Law. We examine how STS and ANT can be viewed as responses to rationalist/functionalist research on large sociotechnical systems and as extensions and elaborations of pragmatist/culturalist frameworks developed in sociology and anthropology. We reexamine, from an actor network perspective, Trist and Bamforth’s seminal article in which the concept of a sociotechnical system was introduced. We also discuss how STS ideas on interactive planning can be combined with concepts from ANT to investigate interdependent processes of invention and innovation in large sociotechnical networks.     

Leadership in Voluntary Associations: The Case of the “International Association of Women”

Three models of leadership in voluntary associations have been proposed in the literature: democratic leadership, oligarchy, and leadership by default. Through an intensive case study of leadership structure, differences in the attitudes of members and leaders at three hierarchical levels, and differences between the attitudes and behaviors of aspirants and nonaspirants to leadership in a women's service association, this article examines the degree of fit between these models and a specific organization. Data is drawn from questionnaires, annual reports, and interviews. The results fail to conform to any of the existing models, suggesting instead a fourth model, leadership for self-development—in which leaders are motivated primarily by a desire to develop administrative and interpersonal skills.     

Moving toward Medicare home health coverage for persons with Alzheimer's disease

Medicare home health care policy does not incorporate research evidence of effective palliative home care interventions for Alzheimer's disease and dementia patients and caregivers. This article examines the dissonance between the needs and burdens of Alzheimer's disease patients and caregivers, research results on medical and palliative care interventions, and medicalized public policy in the Medicare home health benefit. The article asserts existing research establishes a prima facie case exists for the federal government to fund a Medicare Palliative Home Care for Alzheimer's disease demonstration project. The article cites the success of the Medicare Hospice Demonstration project and Hospice Medicare Benefit in reducing costs and improving client quality of life as precedent and a model for Alzheimer's disease. Other research implications are identified.     

A Critique of the New Public Management and the Neo-Weberian State: Advancing a Critical Theory of Administrative Reform

The New Public Management (NPM) has often been favorably contrasted with European Public Administration (EPA). This paper attempts to balance this Anglo-American perspective with a relatively new European critique of NPM which its authors call the Neo-Weberian State (NWS). Despite their differences in some key respects, however, it is argued that the NPM and NWS are similar in their sweeping paradigmatic character, their ambiguities and internal inconsistencies, their inability to go beyond instrumental rationality and incorporate forms of hermeneutic and critical reason, and in their advocacy of bureaucracy via participation under certain historical conditions, hence consistent with Weber’s characterization of modern organization and management. The paper, based on the authors’ rendering of critical social theory, provides a fresh means for bridging the two perspectives.