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81.
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Abstract

This article identifies major forms of institutional racism in the United States today. It considers how taken together they form a web of oppression which obstructs economic, social, and political mobility for people of color while white people are issued passports of privilege. The implications of this enduring form of social inequality for social workers and other helping professionals are considered.  相似文献   
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Studies conducted by the Institute of Medicine (IOM) are one way that government agencies can get presumably neutral advice on health science policy issues. The traditional IOM study is undertaken using a committee of experts supported by professional staff on issues of particular importance related to health policy. The report is usually a consensus document from the group of experts who have various points of view on the topic. After a report is prepared, it undergoes an independent review process to assure that the conclusions are based on the best available science and vigorous analysis of the data. IOM reports make recommendations for further actions that could be undertaken by a diverse audience, and do not just provide a series of options as is done in reports from the Office of Technology Assessment.  相似文献   
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Talk and ‘telling’ have assumed prominent roles in preventing HIV and promoting life with the disease at the start of the twenty-first century. Our concern in this paper is to show how social structures and circumstances shape the narrative productions of HIV positive patients whose lives are institutionally managed. We consider what ‘telling’ means when young women with few economic resources are encouraged or mandated to talk about themselves by case managers, researchers, therapists, welfare workers, and clinic staff. We organize our analysis around three such ‘autobiographical occasions’: disclosures to intimate partners prompted by agents of the state; employment opportunities in which women are hired to tell others about living with HIV as peer educators or outreach health workers; and research interviews. We argue that storylines about living with HIV have been laid down by powerful social actors whose illness experiences do not reflect those of many poor patients. These formulations constitute an ‘archive’ which organizes institutional practices and discourses. These matter not only because they provide patients with a language through which to render their actions meaningful, but because they shape the everyday experience of HIV outside the clinic, the welfare office, and the therapy session.
Jonathan M. EllenEmail:

Lori Leonard   is an Associate Professor in the Department of Health, Behavior and Society at the Johns Hopkins School of Public Health. Part of her research focuses on how young women with few resources experience HIV and AIDS in the USA at a time when HIV and AIDS are beginning to be thought of as chronic but manageable conditions. Jonathan M. Ellen   is a Professor of Pediatrics at the Johns Hopkins School of Medicine and is a practicing adolescent medicine physician. His research interests are focused on HIV and STD prevention and treatment for adolescents.  相似文献   
86.
What determines how many adults live in a house? How do people divide themselves up among households? Average household sizes vary substantially, both over time and in the cross-section. In this paper, we describe how a variety of government policies affect living arrangements, intentionally or not. Using data from a survey of households in New York City, we find that these incentives appear to have an impact. Specifically, households receiving these housing and income subsidies are smaller on average (measured by number of adults). The impacts appear to be considerably larger than those that would occur if the programs were lump-sum transfers. Small average household size can be extremely expensive in terms of physical and environmental resources, higher rents, and possibly homelessness. Thus, we encourage policymakers to pay greater heed to the provisions built into various social policies that favor smaller households.  相似文献   
87.
This study presents empirical findings about the association between childhood neglect and adolescents’ subsequent involvement with drug and alcohol related offense from a sample of 251 neglected children and their community matched control (N = 502) from a 17-year period longitudinal data set. Findings confirmed that neglected children were at greater risk to be arrested for later juvenile drug and alcohol offenses than non-neglected children. Being male, White and the presence of domestic violence also significantly contributed to elevated risks of being arrested for juvenile drug and alcohol violations for neglected children. Implications for practice and future research are discussed.  相似文献   
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The present investigation was a three-source test of the intermediate linkages in the leader political skill–leader effectiveness and follower satisfaction relationships, which examined transformational and transactional (i.e., contingent reward behavior) leader behavior as mediators. Data from 408 leaders (headmasters) and 1429 followers (teachers) of state schools in the western part of Germany participated in this research. The results of mediation analyses, based on bias-corrected bootstrapping confidence intervals, provided support for the hypotheses that political skill predicts both transformational and transactional leader behavior, beyond other established predictors, and that transformational and transactional leader behavior mediate the relationships between leader political skill and leadership effectiveness. The contributions to theory and research, strengths and limitations, directions for future research, and practical implications are discussed.  相似文献   
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