Shifts in household demographics herald economic changes for Thailand

In Thailand, dramatic changes in households and the health status of the population have led to important implications for the economic sector. These changes affect health, education, housing, employment and transportation. A new book on the economic impact of demographic change by Andrew Mason and Burnham O. Campbell is referred to as a full discussion of the issues. National planning and projections must include household characteristics as well as numerical projections. The analysis of Mason and Campbell is summarized in this article. Important changes are occurring in the size, rate of growth, and age structure of Thailand's population. Life expectancy has risen to 63 years for men and 68 years for women. Fertility has fallen to 2 children/woman. Population growth was 1.9% in 1990. In 1990, there were only 1 in 3 under the age of 15, and these numbers are expected to shrink to 1 in 4 by the year 2000. 60% of the population is of working age; this is expected to increase to 65% by the year 2000. The 60 years old population is expected to be 7.5% of the total in the year 2000. The average household has 1.6 children. 96% of households live with a relative. The expectation is that household size will continue to decrease and the number of households will continue to grow. The number of elderly heads of households is expected to rise to 11% by 2010. Households will become "adultified." The policy implications for education are that the school age population will gradually decreases but the number enrolled will increase. Primary school enrollment will stabilize and then decline after 1995. Secondary school enrollment will increase and level off in 2005. Total enrollment will increase from 10.5 million in 1990 to 11.4 million in 2000 and decline to 10.7 in 2015. These changes will allow for improvements in the quality of education and expand educational attainment. In health care, the demand for maternal and child health services will decline; changes will occur in the kinds of medical care needed.     

Comparing measures of poverty and relative deprivation: an example for Belgium

This paper presents three different poverty standards. A first approach takes the disposable income as an indicator of poverty. A second approach uses the Leyden approach. Finally an aggregate index of deprivation, based on the observation of consumption events, is constructed through a particular econometric procedure proposed by Desai and Shah (1988). These alternative measures are then compared on a sample composed of 6380 Belgian households. Such an analysis can be expected to provide some further insight into the problem of measuring poverty, which has been the subject of a recent controversial debate.We thank the participants of the Second Annual Meeting of the European Society for Population Economics, June 23–25, 1988, Mannheim (FRG), L. Gevers, J. Lindsey, P. Pestieau, B. Sak, K. Van den Bosch and two anonymous referees for their comments and suggestions.     

Treatment issues for survivors of physical and sexual abuse*

Many clients who participate in family therapy have experienced trauma such as physical and sexual abuse in their families of origin. Extensive literature suggests that abusive experiences can result in post-traumatic stress disorders, depression, anxiety, personality disorders, and other long-term effects. Without recognition of the effects that abuse can have on individuals, it is possible to misdiagnose clients or fail to provide them with adequate assistance. This study is an attempt to compare the symptomology of nonabused clients with physically and sexually abused clients using an empirically sound measure. The results demonstrate that the majority of clients who experienced physical and/or sexual abuse in their backgrounds scored in the clinical range on scales from the Millon Clinical Multiaxial Instrument (MCMI) (Millon, 1984). In contrast, clients who did not report abuse had significantly lower scores than the abused clients, and the majority of the nonabused clients scored in the nonclinical range on the scales of the MCMI. Treatment and theoretical implications surrounding the issues of abuse are discussed, and recommendations for marriage and family therapists are provided.     

Under new management: the changing role of the state in the care of older people in the United Kingdom

This article examines recent changes and those currently being introduced in the formal care of older people in the United Kingdom. These are part of a general trend in all welfare states towards welfare pluralism but, in addition, the United Kingdom represents something of a special case because of the radical ideological engine that has driven the restructuring of the role of the state. The first part of the article outlines the main changes--the promotion of the private sector, the residualization of the public social services, and the new managerial role of the state in the care of older people. The second part considers the implications of these changes for older people and their informal helpers (or caregivers). The conclusion refers to both the particular changes taking place in the United Kingdom and, in general terms, to welfare pluralism as a policy goal.