Should Surgery for Hypospadias Be Performed Before An Age of Consent?

Hypospadias is a relatively common genital condition in which the urethral opening forms on the underside of the penis, as opposed to at the tip of the glans. Patients with hypospadias are typically referred for surgery during infancy or early childhood. Recent evidence, however, indicates that many individuals with hypospadias do not experience the functional or psychosocial difficulties commonly attributed to the condition, and that surgical intervention for hypospadias carries substantial risk of adverse outcomes. In this article, we review published outcomes data and conduct an in-depth analysis of the typical rationales for hypospadias surgery, taking into consideration both the potential benefits and harms of the procedure, as well as the existence of nonsurgical alternatives. We argue, first, that most childhood surgeries for hypospadias are performed for anticipated future problems concerning function and cosmesis, rather than extant physical and/or psychosocial problems that are adversely affecting the child’s well-being. Second, we contend that the surgery can be safely performed after an age of consent without increasing the absolute risk of surgical complications to an ethically meaningful degree. We conclude, therefore, that surgery for hypospadias should be performed only if requested by the affected individual, under conditions of informed consent.     

Member support for union mergers: An analysis of an affiliation referendum

A changing labor relations climate has caused many national unions to merge with smaller independent unions in recent years. One aspect of the merger process concerns the willingness of independent union members to support affiliation with a national union (Chaison, 1986). This article examines the determinants of indivudual-level voting behavior using data gathered from members of an independent union who rejected a proposed affiliation with a national union in a membership referendum. Logistic regression results indicate that affiliation supporters perceived the affiliation as improving union effectiveness, were influenced by social support among co-workers in favor of the merger, and perceived the saliency of the independent union’s support for the affiliation proposal. Conversely, affiliation opposition was influenced by the employer’s “vote no” campaign and by perceptions that affiliation would lead to an increased probability of strikes and to future increases in dues.     

Some theoretical considerations on confidential adoptions,part I: The birth mother

In all cases of newborn adoption where placement is made directly into the permanent adoptive home, the adoptive parents become the psychological parents for that child. While birth parents give the gift of birth, they do not experience the developmental process of being a parent because in reality they are emotionally unprepared for this responsibility. We discuss the clinical meaning of a voluntary termination of parental rights, the appropriate grieving of the real narcissistic loss of the baby, and the meaning of adoption for a birth parent.There is a new trend in the field of child welfare toward openness in adoption which purports to change traditional confidential adoptions. We discuss the crucial aspects of the intrapsychic difference for a birth parent experiencing an open or confidential adoption.This paper was presented to the National Committee for Adoption, Convention, October, 1982: the First International Conference on Pediatric Social Work, August, 1982 and to the Child Care Association of Illinois Convention, April, 1982. All authors have the M.A. degreeThis paper is the first of a four-part series to appear in this journal     

Some theoretical considerations on contifential adoptions,part II: The adoptive parent

In all cases of newborn adoption where placement is made directly into the permanent adoptive home, the adoptive parents become the psychological parents for that child. While adoptive parents enter the development phase of parenthood, the task is complicated by the fact that the child they are about to raise is not their biological child. We discuss the biological and psychological foundations of parenthood and examine the tasks that adoptive parents face when confronted with either an open or confidential adoption. We focus on the ways in which either procedure may assist or disrupt the adoptive parents' ability to form and maintain an on-going healthy attachment to the child.There is a new trend in the field of child welfare toward openness in adoption, which purports to change traditional confidential adoptions. We discuss the crucial aspects of the intrapsychic difference for an adoptive parent experiencing an open or confidential adoption.And so they wrangled before the King ... Kings II, Ch. VThis paper was presented to the National Committee for Adoption Convention, October, 1982; the First International Conference on Pediatric Social Work, August, 1982 and to the Child Care Association of Illinois Convention, April, 1982. All authors have the M.A. degree and are affiliated with St. Mary's Services, an Episcopal Child Welfare Agency, est. 1894, 5725 North Kenmore Avenue, Chicago, IL 60660.     

Putting youth violent victimization into context: sex, race/ethnicity, and community differences among a multisite sample of youths

The increased risk of violent victimization for adolescents relative to other age groups has recently become a major public health concern. The current study uses data from a multisite study of eighth grade youths attending public schools in 11 cities to determine the extent and nature of youth general and serious violent victimization among both sexes and five racial/ethnic groups in 11 diverse communities. This study explores differences in sex, race/ethnicity, and community independently and explores interactions between sex and community and race/ethnicity and community. Our findings suggest important differences in victimization prevalence and individual victimization rates by sex and community of residence. Racial differences were found to be closely tied to community. Policy implications resulting from our findings are discussed.     

Someone to Lean on: Assessment and Implications of Social Surrogate Use in Childhood

A social surrogate is a person who helps a shy individual deal with the stresses of a social situation. Previous research has only investigated social surrogate use in adults. The purpose of the current study was to develop and evaluate a new self‐report measure of social surrogacy in middle childhood and to explore the implications of this phenomenon for children's socioemotional functioning. Participants were N = 328 children in grades 3–5 (Mean_age= 9.45, Standard deviation = .93). Children completed the newly developed child social surrogate questionnaire (CSSQ) as well as self‐report assessments of shyness, loneliness, social anxiety, peer victimization, and self‐perceptions. Results indicated good psychometric properties and evidence of construct validity for the CSSQ. Social surrogacy was related to elevated shyness, social anxiety, and victimization. Contrary to expectations, there was also some evidence to suggest that social surrogacy may have particularly negative implications for shy children.