The lost control and other mysteries: Further revelations on New Zealand's fluoridation trial

The Hastings fluoridation trial in the 1950s is listed in textbooks as an important study confirming the effectiveness of fluoridation. A paper to the 56th (1987) Congress of the Australian and New Zealand Association for the Advancement of Science co‐authored by one of us (JC) showed, from government archives obtained under the Official Information Act, that the claimed tooth decay reductions were mainly the result of local changes in diagnostic procedure in school dental clinics, which were not mentioned in published versions of the study. The experimental control town, at first described as ‘ideal’, was abandoned following the discovery that after fluoridation commenced younger children had less tooth decay in the unfluoridated control town. Proponents claimed in explanation that a previously unknown soil factor had resulted in the control town having below average tooth decay. Opponents claimed that fluoride had worsened the teeth in the fluoridated town. This paper comments on reactions to the earlier published findings, and reports some further discoveries which help to answer questions concerning the old debate over the lost control, the behavior of those concerned and some other mysteries.     

Medicine and the Aesthetic Invalidation of Disabled People

Contemporary disability discourse is marked by a struggle between medical and social meanings and models. The latter reflects the aspirations and youthful radicalism of the disability movement, while the former regards itself as the legitimate voice of truth in all matters associated with bodily function and process. This paper argues that the battle lines between these two camps need not be redrawn. Despite hints to the contrary, the proposed extension of the social model to accommodate a sociology of impairment does not involve a rapprochement with the medical model. On the contrary, a sociological account of impairment seeks to augment the armoury of the social model by developing one of its weaknesses, namely the cultural critique of medicine. This paper examines some of the ways in which medicine has been involved in the 'aesthetic invalidation' of disabled people and proposes that 'geneticization' is an important current contributor to this form of disability discrimination.     

Quality of Life,Hegemony, and Social Change in Rural Ireland: W. Bence Jones, 'A Landlord Who Tried to do His Duty'

Numerical indexes of quality of lifeprovide a date-specific representation of society, and a time series extends our grasp of events. However, the social processesundergirding date-specific indexes and therelated intervals in time fail to convey therealities of the human experience. Indicesabstract meaning from events and the people whoparticipate in them.Quality of life can rise and fall, and maymove in both directions in a lifetime. Withinthose processes some people are agents ofchange, a status derived from social positionand wealth. The retrospective appraisal of hisexperiences as a resident landlord is used as aschema for an appraisal of William Bence Jones'role in the evolving quality of life inVictorian Ireland.     

“Feeling Warmth and Close to Her”: Communication and Resilience Reflected in Turning Points in Positive Adult Stepchild–Stepparent Relationships

With the goal of understanding the development of positive stepchild–stepparent relationships, the researchers focused on turning points characterizing the interaction of adult stepchildren who have a positive bond with a stepparent. Engaging a relational turning points perspective, 38 stepchildren (males and females, ages 25 to 52 years old) who reported a positive stepparent relationship were interviewed, generating 269 turning points which were categorized into 15 turning point types and coded by valence. Turning points occurring most frequently were: prosocial actions, quality time, conflict/disagreement, changes in household/family composition, and rituals. Findings are discussed, including implications for developing and enacting resilient and positive stepchild–stepparent relationships and future directions for researchers wanting to focus on positive family interaction.     

Responding to Youth Crime in Scotland

Correspondence to Bill Whyte, Director, Criminal Justice Social Work Development Centre for Scotland, School of Social and Political Studies, University of Edinburgh, Flat 1FR, 31 Buccleuch Place, Edinburgh EH8 9LJ. E-mail: B.Whyte{at}ed.ac.uk Summary Scotland’s Children’s Hearings deal with young peoplewho offend within an integrated system dealing also with youngpeople in need of care and protection, on the assumption thatthe difficulties of both groups have similar roots in multiplesocial disadvantage and social adversity (Whyte, 1998a). A government-fundedstudy, one of the first since the system’s inception in1971, was commissioned to examine the social characteristicsof over 1,000 children and young people referred for offenceand nonoffence reasons. This paper describes the characteristicsof 465 of the young people who were referred specifically foroffending. It provides the first ‘official’ datain twenty-five years on young people in the system. The studyfound that most of those referred for offending had characteristicsstrikingly similar to those referred for nonoffence reasons,as predicted when the system was first established, and similarto those present in the general literature on young offendersfrom other jurisdictions. The study poses fundamental questionstaken up by the Scottish Executive’s review of youth crimeon how best to design systems and develop social interventionsthat can address offending and social disadvantage in an integratedway.     

Evaluating Social Service Agencies: Fuzzy Pictures of Organizational Effectiveness

This article presents a case study of how members of three funding organizations evaluated the same two agencies in Canada. The research on which the article is based sheds light on the organizational effectiveness construct, on the ways in which the evaluators use it to reach conclusions on agency effectiveness, and the relation between these conclusions and funders' decisions on agency funding. The authors describe a framework for understanding evaluation processes, describe three funders in terms of this framework, set out predominant patterns in evaluation processes the funders used, and show the effects of these patterns from the agency's perspective. They then discuss the implications of the findings for agency managers and how the findings relate to theories of organization.     

Non‐governmental organisations and informal associations in service delivery for African migrants in China: Evidence of voluntary sector failure?

As the Chinese government has purposefully built economic, social and political links with several African states in recent decades, new patterns of international migration have emerged. Notably, mixed‐race families are increasingly visible in southern China, particularly Guangzhou, where there is a concentration of African traders. The few existing studies on this population have failed to pay attention to how, in the absence of state provision of or support for key public resources including health care and education, African‐Chinese families are raising their children. We examined factors contributing to NGO successes and failures in facilitating these families’ wellbeing and integration into mainstream society, drawing on the theory of voluntary sector failure. Mixed‐raced families are relatively isolated from mainstream society as well as formal/informal civil society organisations. We found select features of philanthropic paternalism, philanthropic amateurism, and what we term philanthropic mistrust, with implications for understanding voluntary sector growth in the Chinese context.