Social Anxiety in Obese Youth in Treatment Setting

The aim of this study was to determine the prevalence of social anxiety in obese children treated in a weight management clinic. We hypothesized that social anxiety would positively correlate with obesity, and that “extremely obese” patients would have significantly higher rates of social anxiety when compared to “obese” patients. Information was collected at a multidisciplinary treatment clinic for obese youth during the first clinic visit. The social anxiety scale was administered (including parent-report and self-report scales for both elementary and adolescent versions) and demographic data was obtained. Social anxiety was found to be significantly positively correlated with BMI percentile. In addition, “extremely obese” patients had significantly higher social anxiety scores than “obese” youth at least for elementary-age youth. Trends in gender differences and racial differences in this obese pediatric clinical sample were consistent with results found in community samples. Social anxiety and obesity were found to be positively correlated in this pediatric clinic-based population. For elementary-age patients, “extremely obese” patients were at greater risk than “obese patients” for social anxiety and its various symptoms—fear of negative evaluation, social avoidance/distress in new situations, and social avoidance/distress in general. Results for adolescents were less clear. Clinical implications of these results were discussed. Limitations of this study, and directions for future research were also discussed.     

Bayesian Modeling of Measurement Errors and Pesticide Concentration in Dietary Risk Assessments

We propose new models for dealing with various sources of variability and uncertainty that influence risk assessments for dietary exposure. The uncertain or random variables involved can interact in complex ways, and the focus is on methodology for integrating their effects and on assessing the relative importance of including different uncertainty model components in the calculation of dietary exposures to contaminants, such as pesticide residues. The combined effect is reflected in the final inferences about the population of residues and subsequent exposure assessments. In particular, we show how measurement uncertainty can have a significant impact on results and discuss novel statistical options for modeling this uncertainty. The effect of measurement error is often ignored, perhaps due to the laboratory process conforming to the relevant international standards, for example, or is treated in an  ad hoc  way. These issues are common to many dietary risk analysis problems, and the methods could be applied to any food and chemical of interest. An example is presented using data on carbendazim in apples and consumption surveys of toddlers.     

Applying Bateson's theory of learning to social work education

This article considers the implications of Gregory Bateson's theory of learning for social work education. It gives an example of the application of the theory to the introduction of a new subject — introduction to information technology — on two social work courses. It suggests that there is currently an over-emphasis on competencies without the underpinning of a theory of learning which can address the need for changes of values and beliefs.     

Quantifying experts' uncertainty about the future cost of exotic diseases

Since the foot-and-mouth disease outbreak of 2001 in the United Kingdom, there has been debate about the sharing, between government and industry, both the costs of livestock disease outbreaks and responsibility for the decisions that give rise to them. As part of a consultation into the formation of a new body to manage livestock diseases, government veterinarians and economists produced estimates of the average annual costs for a number of exotic infectious diseases. In this article, we demonstrate how the government experts were helped to quantify their uncertainties about the cost estimates using formal expert elicitation techniques. This has enabled the decisionmakers to have a greater appreciation of government experts' uncertainty in this policy area.     

Representing children's views and best interests in court: an international comparison

This paper provides a comparison of a number of alternative models of international practice in relation to the appointment and organization of guardians ad litem and other children's representatives in child care and family proceedings. The paper notes that, in their attempts to address the need for children to have representation in matters affecting their welfare, English‐speaking countries have tended to conflate the two salient Articles of the United Nations Convention on the Rights of the Child, that is, Article 3, which deals with the child's best interests, and Article 12, which deals with their right to express their wishes and feelings. Where systems other than ‘stand alone’ legal representation have been put in place, the child's representative is charged with both assessing their best interests and, often as a secondary duty, communicating their views. The paper concludes that for some groups of children in public or private law proceedings, an advocate (rather than a best interest oriented guardian, and where necessary in addition to a legal representative) may enable better representation of the child in the courts and greater participation by children in legal proceedings, an increased role for children as citizens and a fuller implementation of their rights. Copyright © 2005 John Wiley & Sons, Ltd.     

Alternative Economic Strategies in Low‐Income Rural Communities: TANF,Labor Migration,and the Case of the Pine Ridge Indian Reservation*

Abstract The premise of current welfare policies is that recipients are avoiding work and that requiring work will end welfare dependency. Unemployment is equated with labor market inexperience and economic inactivity. The Pine Ridge Indian Reservation, a poor rural community with high unemployment, contradicts these assumptions. Many Lakota individuals have off‐reservation wage work experience; there simply are not enough local jobs to absorb their human capital. Lakota households, however, are involved in a complex combination of socially embedded economic activities outside wage work. Imposing the premises of TANF on Pine Ridge results in indirect pressures toward urban migration and cultural assimilation. Furthermore, by imposing rigid notions of work, TANF runs the risk of destroying the economic flexibility that makes survival possible for poor households in Pine Ridge. Welfare and development policies need to reflect the real economies of rural American Indian reservations rather than those of superficially assimilated and economically imagined communities.     

Improved confidence estimators for Fieller's confidence sets

Fieller's confidence set C_F for ratios of location parameters, although of great importance in practice, is often cited as an example to criticize frequentist theory. The reason is that the set can consist of the whole parameter space and yet the confidence is γ = 1 – α in any case. In this paper, we study the problem of constructing data-dependent estimators better than γ₊, A reasonable estimator appears to be γ₊, which is one if C_F is the whole parameter space and γ otherwise. By using an estimated confidence approach and a squared-error loss, it is shown that γ₊ dominates γ. The risk improvement of γ₊ over γ can be sizable. Also, by numerically comparing γ₊ with a generalized Bayes estimator γ_L, which is shown to be admissible when one or two ratios are concerned, it is shown that γ₊ is nearly admissible. We also conclude that the common practice of reporting 1 – α only when C_F is not the whole parameter space is nearly admissible.     

Developing Employment Opportunities for Care Leavers

This article describes an action research project carried out in North West England that aimed to assist Children’s Services Departments and Care Trusts in developing their strategies for supporting care leavers into employment and training. The study found a range of models and approaches that can be utilised to develop local and regional partnerships offering employment and training opportunities designed to meet the needs of care leavers. Relevant questions about the extent to which such opportunities should be ring‐fenced or targeted on particular fields of employment are identified. © 2010 The Author(s). Children & Society © 2010 National Children’s Bureau.