A Demonstration of Methods for Studying Negotiations Between Physicians and Health Care Managers*

Decision analysis was used to study negotiations in the health care context. This paper found that analytical methods could answer several important questions related to complex negotiations, including whether contracts promote the interest of both parties, whether a decision aid could better meet the priorities of both parties, and whether one negotiator is more successful than the other in repeated negotiations. The paper concluded that micro-health care negotiations can be traced and studied with existing mathematical theories of negotiation.     

How Believing in Ourselves Increases Risk Taking: Perceived Self-Efficacy and Opportunity Recognition

What effect does positive and negative feedback about past risk taking have on the future risk taking of decision makers? The results of an experimental study show that subjects who are led to believe they are very competent at decision making see more opportunities in a risky choice and take more risks. Those who are led to believe they are not very competent see more threats and take fewer risks. The feelings of self-competence and self-confidence on one task did not generalize to a similar task. Perception of opportunities was unexpectedly not related to the perception of threats. As executives bring their personal perceptual biases to firm decision making, our results identify a serious built-in bias in SWOT analysis (the analysis of firms' strengths and weaknesses as related to potential opportunities and threats). Executives who believe that they and their firm are very competent will take more risks and vice versa. Our results also provide evidence that the perceived likelihood of an event depends on whether the event is a loss or a gain. Human decision making is subject to the general bias that outcome expectations are not independent of outcome valuations.     

Planning Service Capacity When Demand Is Sensitive to Delay

This paper presents a model designed to help determine the number of clerks or servers in a retail queuing situation. The model demonstrates a realistic treatment of the effect of waiting time on customer demand and revenues by treating the average waiting time as a form of price. Thus, the demand rate and service level are interrelated. The number of servers is obtained by balancing the cost of additional servers against the revenues and profits arising from greater demand. An example is shown, using data obtained from a supermarket, to demonstrate the insight gained from applying the model. Some extensions and research possibilities are considered, including a treatment of ancillary activities. An appendix examines a continuous version of the model which provides additional insight into the character of the model.     

Anti-homosexual prejudice . . . as opposed to what? Queer theory and the social psychology of anti-homosexual attitudes

This article uses Sedgwick's distinction between minoritizing and universalizing theories of sexuality to analyze variability in social psychologists' studies of anti-homosexual prejudice, focusing on studies of attitudes. Anti-homosexual prejudice was initially defined in conversation with gay liberationists and presumed, among other things, that fear of homoerotic potential was present in all persons. Later social psychologists theorized anti-homosexual prejudice in strict minoritizing terms: as prejudice towards a distinct out-group. In the first section of this paper we discuss corresponding shifts in the conceptualization of anti-homosexual attitudes. Next, using a universalizing framework, we re-interpret experiments on behavioral aspects of anti-homosexual attitudes which were originally conceptualized using a minoritizing framework, and suggest avenues for future research. Finally, we examine how queer theory might enrich this area of social psychological inquiry by challenging assumptions about the politics of doing scientific work and the utility of identity-based sexual politics.     

Can one TV show make a difference? Will & Grace and the Parasocial Contact Hypothesis

Television has an opportunity to influence beliefs about groups with which individuals typically may have little direct social contact. This study describes a synthesis of the Contact Hypothesis and the concept of Parasocial Interaction to pose what we call the Parasocial Contact Hypothesis to test whether exposure to gay men on Will & Grace can influence attitudes toward gay men in general. Based on a study of 245 university students, this study examines the relationships among number and intimacy of gay social contacts, parasocial interaction, viewing frequency of Will & Grace, and scores on Herek's Attitudes Toward Gay Men and Lesbians scale. Increased viewing frequency and parasocial interaction were found to correlate with lower levels of sexual prejudice-a relationship that was most pronounced for those with the least amount of social contact with lesbians and gay men.     

24/7 SM slavery

This study describes the nature of 24/7 SM slavery as practiced within the SM (sadomasochistic) community. These SM participants, who attempt to live full-time in owner-slave roles, represent a small proportion of those with SM interests. SM slaves have not been studied systematically to determine if and how they differ from other SM practitioners. An online questionnaire was used to obtain responses from individuals who self-identified as slaves. A total of 146 respondents participated, 53% female and 47% male, ranging in age from 18 to 72. We explored the depth of their relationships, how well they approximated "slavery," and how their relationships were structured to maintain distinct roles. Data showed that in long-term SM slave relationships, a power differential exists which extends beyond time-limited SM or sexual interactions. Owners and slaves often use common, daily life experiences or situations, such as the completion of household chores, money management, and morning or evening routines, to distinguish and maintain their respective roles. In addition, contrary to the perception of total submission, results revealed that slaves exercise free will when it is in their best interests to do so. These relationships were long-lasting and satisfying to the respondents.     

EVALUATING ECONOMICS RESEARCH IN EUROPE: AN INTRODUCTION

This paper introduces a symposium of EEA‐funded studies that evaluate economics research in Europe. The paper considers some general issues in evaluations, paying special attention to the problem of selecting journal weights, and notes some special features of the individual studies. Despite their very different approaches, the same group of institutions tend to appear at the top of all lists, though individual ranks are sensitive to the choice of more or less elitist journal weights. All the studies show that the gap between economics research in Europe and the United States is narrowing, but remains very wide. (JEL: A10, J44)     

MORAL HAZARD AND CAPITAL STRUCTURE DYNAMICS

We base a contracting theory for a startup firm on an agency model with observable but nonverifiable effort, and renegotiable contracts. Two essential restrictions on simple contracts are imposed: the entrepreneur must be given limited liability, and the investor's earnings must not decrease in the realized profit of the firm. All message game contracts with pure strategy equilibria (and no third parties) are considered. Within this class of contracts/equilibria, and regardless of who has the renegotiating bargaining power, debt and convertible debt maximize the entrepreneur's incentives to exert effort. These contracts are optimal if the entrepreneur has the bargaining power in renegotiation. If the investor has the bargaining power, the same is true unless debt induces excessive effort. In the latter case, a nondebt simple contract achieves efficiency—the noncontractibility of effort does not lower welfare. Thus, when the noncontractibility of effort matters, our results mirror typical capital structure dynamics: an early use of debt claims, followed by a switch to equity‐like claims. (JEL: D820, L140, O261)     

A Bayesian piecewise exponential phase II design for monitoring a time-to-event endpoint

A robust Bayesian design is presented for a single-arm phase II trial with an early stopping rule to monitor a time to event endpoint. The assumed model is a piecewise exponential distribution with non-informative gamma priors on the hazard parameters in subintervals of a fixed follow up interval. As an additional comparator, we also define and evaluate a version of the design based on an assumed Weibull distribution. Except for the assumed models, the piecewise exponential and Weibull model based designs are identical to an established design that assumes an exponential event time distribution with an inverse gamma prior on the mean event time. The three designs are compared by simulation under several log-logistic and Weibull distributions having different shape parameters, and for different monitoring schedules. The simulations show that, compared to the exponential inverse gamma model based design, the piecewise exponential design has substantially better performance, with much higher probabilities of correctly stopping the trial early, and shorter and less variable trial duration, when the assumed median event time is unacceptably low. Compared to the Weibull model based design, the piecewise exponential design does a much better job of maintaining small incorrect stopping probabilities in cases where the true median survival time is desirably large.