Dissemination to research subjects: operationalizing investigator accountability

Recent articles have argued from principles of bioethics for the right of research subjects to receive the results of the studies in which they have participated. We argue that accountability is a powerful tool of meso-level analysis appropriate to reasoning about answerability in research ethics, and that it captures the responsibility of researchers to disseminate study results to research subjects. We offer the following features of the research situation as relevant to the manner of dissemination to study subject, in addition to factors already proposed in the literature (risk and impact on health outcome): (a) features of the research subject in relation to identity, personal investment, disease, and community; (b) characteristics of the research study and field of inquiry in relation to certainty and significance; and (c) relationships among the research subjects and the healthcare workers involved in their care and in the research.     

Intervention with high-risk infants and toddlers

This early intervention program serves children and parents. It includes a therapeutic infant day care center and a mother-child interaction group. Counseling is also provided for families with children in the center and for families with children under three years of age in the community.     

Editorial

In recent years the imperative to involve service users and carers at every level of care, service and policy development has been extended to include involving users and carers in the training of health and social care professionals. Guidance on how this is to be achieved in practice is, however, limited. This paper describes work undertaken to explore how an Approved Social Work Programme in the north of England could involve service users and carers more fully and develop an integrated approach to service user and carer involvement in this and other social work programmes. Following a review of the literature in this area, the results of a series of meetings with individual and groups of service users and carers are presented, together with a survey of ASW programmes. It then goes on to consider the implications for service user and carer involvement in the new social work degree.     

An Evaluation of Caller Satisfaction with Solution-Focused Telephone Counselling

Abstract

‘Practice Forum’ is intended to provide a forum for social work practitioners to share their practice with others; to describe what they are doing and assess its effectiveness.

We extend an invitation to all social work practitioners to submit articles for ‘Practice Forum’ and we look forward to receiving your contribution.

The telephone is a potentially valuable intervention tool in family counselling. The Child, Adolescent & Family Health Service has been experimenting with a response which combines the traditional advantages of telephone counselling with aspects of Steve deShazer's solution-focused approach (deShazer 1985). In 1990 a study was conducted to evaluate caller satisfaction with this approach. Results indicate a high level of satisfaction with the counselling. At a time of increasing funding cuts and lengthening waiting lists, it is important that as many options as possible remain available to our clients. An expansion in effective telephone counselling services may well be one way of achieving this.     

The Mother‐Citizen and the Working Girl: First‐Wave Feminist Citizenship Claims in Canada and Discursive Opportunities for Twenty‐First Century Childcare Policy

L'État providence Canadien est déséquilibré: leader mondial dans certains domaines de l'investissement social—plus particulièrement en soins de santé et enseignement supérieur—il traîne dans d'autres domaines de la dépense d'aide sociale, y compris les politiques de garde d'enfants. Nous constatons qu'aujourd'hui la résistance dans la plupart des régions du Canada à la politique de garde d'enfants universel a des racines historiques profondes. Elle est de fait intégré dans le cadre même du bien‐être social canadien: le contrat de citoyenneté sociale. Nous employons une approche de “bas en haut” sur l'état du bien‐être en nous concentrant sur la façon dont les acteurs collectifs, en particulier, les féministes de la première vague et leurs contemporains au sein des organisations du mouvement ouvrier, ont encadrées et caractérisé la citoyenneté sociale féminine; Nous constatons que l'exclusion de l'adhésion des femmes employées tronque les possibilités discursives par lesquelles des revendications pour des provisions universelles de bien‐être sociale pourraient être apportées. Canada's welfare state is lopsided: while leading the world in some areas of social investment—most notably health care and higher education—it is a laggard in other areas of social welfare spending, including childcare policies. We find that policy resistance to universal childcare in most regions of Canada today has deep historical roots and is, indeed, embedded into the very framework of the Canadian welfare state: the social citizenship contract. We employ a “bottom‐up” perspective on the welfare state focusing on how collective actors, in particular, first‐wave feminists and their contemporaries within labor movement organizations, framed and characterized female social citizenship in ways that excluded employed women from full membership and, in this, truncated discursive opportunities by which claims for universal welfare state provisions could be made.     

Top Ten Challenges for Understanding Gender and Aggression in Children: Why Can’t We All Just Get Along?

This essay identifies ten significant methodological challenges for understanding aggression and gender. In light of the recent explosion of research on indirect/relational/social aggression, it seems important to clarify gaps in our current understanding and to identify promising methods by which better answers might be found. The discussion begins with basic issues of definitions, contexts and subtypes, moves on to points concerning sampling and measures, and addresses whether current evidence warrants deciding that girls are as aggressive as boys. We conclude that although research has shown that the majority of girls' aggression takes indirect/relational/social forms, it is premature to conclude that boys do not also engage in these behaviors. We caution against assuming that physical and indirect/relational/social aggression are comparable in their developmental origins and consequences, and urge researchers to consider that fully understanding indirect/relational/social aggression might require different conceptual frameworks and research methods.     

Young Children's Emotional Attachments to Stories

In the interest of developing a more holistic and integrated understanding of young children's experience of stories, this study describes preschoolers' emotional attachments to stories and the cultural beliefs and practices which surround such attachments. Thirty-two European-American, middle-class families, participated in an interview study of their children's story attachments, and five of these mothers also participated in a short-term, longitudinal diary study. Every child experienced at least two emotional attachments to stories. Children were captivated by stories presented in different media, with many attachments occurring around video stories in addition to books. They expressed their attachments by repeatedly requesting the story, expressing strong feelings, and enacting the story in pretend play. Story attachments were social in two fundamental ways: children created relationships with the characters in their favorite stories, and story attachments emerged in the context of relationships with caregivers whose beliefs and practices supported such attachments.     

When Precaution Creates Misunderstandings: The Unintended Effects of Precautionary Information on Perceived Risks,the EMF Case

In the past decade, growing public concern about novel technologies with uncertain potential long‐term impacts on the environment and human health has moved risk policies toward a more precautionary approach. Focusing on mobile telephony, the effects of precautionary information on risk perception were analyzed. A pooled multinational experimental study based on a 5 × 2 × 2 factorial design was conducted in nine countries. The first factor refers to whether or not information on different types of precautionary measures was present, the second factor to the framing of the precautionary information, and the third factor to the order in which cell phones and base stations were rated by the study participants. The data analysis on the country level indicates different effects. The main hypothesis that informing about precautionary measures results in increased risk perceptions found only partial support in the data. The effects are weaker, both in terms of the effect size and the frequency of significant effects, across the various precautionary information formats used in the experiment. Nevertheless, our findings do not support the assumption that informing people about implemented precautionary measures will decrease public concerns.