Social roles,context and evolution in the origins of depression

This paper reviews the author's research on the social origins of depression begun in the early 1970s. It emphasizes the importance of taking account of the context and meaning of proximal causal factors by the use of investigator-based ratings using intensive interviews and the need to extend research to cover a whole lifetime. The implications of the research program that has involved some twenty inquiries in a variety of cultural settings is discussed in terms of the importance of both a comparative and an evolutionary perspective concerning meaning that bring together the biology involved in an evolutionary perspective emphasizing a common human nature with one that takes account of cultural and individual differences. In short an approach that take seriously a biopsychosocial perspective.     

Pathological gambling. Identification and treatment

1. Social gamblers view gambling as a form of entertainment or recreation and gamble with no harmful effects, while problem gamblers' behavior causes disruption or harm to themselves or others in major life areas. Pathological gamblers fail to resist the impulse to gamble, with the resulting loss of control in their gambling behavior. 2. Pathological gambling is a primary mental health disorder of impulse control. 3. Treatment for pathological gamblers should be individualized, and interventions should address both the gambling disorder and any comorbid disorders.     

Youth, drugs and resilience education

Billions of dollars are spent annually on school-based drug education programs, with youthful drug use remaining near peak levels since the 1980s. Institutional, policy, and program evidence presented here suggests that although primarily delivered in schools, the educational community rarely participates in the development of drug education; and despite the finding that "no-use" programs such as Drug Abuse Resistance Education (D.A.R.E.) or Life-Skills Training (LST) are likely ineffective, they continue to thrive in schools. This may be explained by insufficient educational participation and scientific discourse considering these issues; and the role of interest group politics, such as the symbiotic relationship between government, researchers, and the tobacco industry, in drug education. In addition to this evidence, resilience based program alternatives, evaluation, and implications are discussed.     

Whose ‘Ordinary Life’ Is It Anyway?

This paper offers a feminist critique of current community care policy and of the normalisation ideology which underpins it. Drawing on experience in services for people with learning difficulties and people who use mental health services, the authors draw a series of parallels between 'clients' and women in our society. They discuss the mechanisms whereby groups of people are accorded second class status and the ways in which such oppression is experienced. Strategies for change are discussed with reference to feminist scholarship and the development of the women's movement. The prevailing philosophy of normalisation, which is both apolitical and highly individualistic, is challenged to take more account of collective and communal ways forward and to acknowledge the interdependence of people who need care and their carers. Despite the rhetoric of community care, the work of carers (most of whom are women) is undervalued and unsupported. Mainstream values such as competitiveness and self-reliance are incompatible with the integration of people with disabilities and a theoretical framework which confronts such conflicts of interest is required.     

Improved shrinkage estimators for the mean vector of a scale mixture of normals with unknown variance

The problem of estimating the mean θ of a not necessarily normal p-variate (p > 3) distribution with unknown covariance matrix of the form σ²A (A a known diagonal matrix) on the basis of n_i > 2 observations on each coordinate X_t (1 < i < p) is considered. It is argued that the class of scale (or variance) mixtures of normal distributions is a reasonable class to study. Assuming the loss function is quadratic, a large class of improved shrinkage estimators is developed in the case of a balanced design. We generalize results of Berger and Strawderman for one observation in the known-variance case. This methodology also permits the development of a new class of minimax shrinkage estimators of the mean of a p-variate normal distribution for an unbalanced design. Numerical calculations show that the improvements in risk can be substantial.     

Book reviews

Qualitative Sociology -     

The Community Mothers Programme—Empowerment of parents by parents

SUMMARY: An innovative directed support intervention programme using lay people aimed at improving the quality of parenting during the first year of life was introduced on a pilot basis in Dublin in 1983 for parents of children living in working class communities. It involved experienced mothers who delivered a programme focusing on healthcare, nutritional improvement and overall child development to new parents. Support, encouragement and guidance were used rather than advice. The programme was evaluated in 1989 using a randomised controlled approach and was found to be effective in terms of health, nutrition and developmental stimulation. It has since expanded to incorporate breastfeeding support, mother and toddler groups and attention to the special needs of travellers, and the potential for applying this approach to other areas of healthcare and social development is large.