Death in the Family Implications for Family Development

This article attempts to integrate concepts from psychoanalytic literature on parent loss with concepts from family literature in order to demonstrate their compatibility. A case is described that suggests that family treatment for this patient population provides the optimal opportunity for comprehensive diagnosis and treatment planning. The patient and family were treated by one of the authors. The other author served as supervisor and consultant.     

The rhetoric and the reality of rural deprivation

In the development of the rural deprivation debate in the U.K. in the early 1970s, the cause of rural deprivation was largely attributed to the imbalance in the allocation of state resources between urban and rural areas. In subsequent campaigns to redress that situation, much emphasis was placed on identifying specific ‘rural’ as opposed to ‘urban’ explanations for the problems facing rural populations. Evidence presented in this paper, however, illustrates the essentially aspatial nature of the deprivation experience. From a detailed household survey in a range of rural environments in England, deprivation was found to result as much from the socio-economic inequalities within rural society as it does from any perceived processes of territorial injustice in the allocation of Central Government financial support to local authorities. In the light of such findings, the paper questions the advisability of the state's adherence to spatial policies in the pursuit of solutions to the problems of the deprived in rural areas.     

The Spokane Tribe''s Multipathway Subsistence Exposure Scenario and Screening Level RME

Exposure scenarios are a critical part of risk assessment; however, representative scenarios are not generally available for tribal communities where a traditional subsistence lifestyle and diet are relevant and actively encouraged. This article presents portions of a multipathway exposure scenario developed by AESE, Inc. in conjunction with the Spokane Tribal Cultural Resources Program. The scenario serves as the basis for a screening-level reasonable maximum exposure (RME) developed for the Midnite Uranium Mine Superfund site. The process used in developing this scenario balances the need to characterize exposures without revealing proprietary information. The scenario and resulting RME reflect the subsistence use of original and existing natural resources by a hypothetical but representative family living on the reservation at or near the mine site. The representative family lives in a house in a sparsely populated conifer forest, tends a home garden, partakes in a high rate of subsistence activities (hunting, gathering, fishing), uses a sweat lodge daily, has a regular schedule of other cultural activities, and has members employed in outdoor monitoring of natural and cultural resources. The scenario includes two largely subsistence diets based on fish or game, both of which include native plants and home-grown produce. Data gaps and sources of uncertainty are identified. Additional information that risk assessors and agencies need to understand before doing any kind of risk assessment or public health assessment in tribal situations is presented.     

Statistics,images, and pattern recognition

Data are increasingly being collected in the form of images, especially in fields using remote sensing and microscopy. Statisticians are becoming interested in developing techniques to handle the highly structured data of images. Statistical work in this area is surveyed, and two problems discussed in more detail. The first is a form of image segmentation, classifying the pixels of a satellite picture by land use. The second is the summarization of electron micrographs.     

Merit and Power

The merit principle, used as a way of removing biases in occupational structures, is flawed. The evaluation of merit is tied to the interests of those in positions of power, so that application of the merit principle is compatible with continued structural inequalities. In practice the concept of merit is used as a resource in organisational power struggles. A deeper problem with the merit principle is its acceptance of occupational hierarchies. A more fundamental equal opportunity requires some form of self-management.     

Evaluation of the effects of the Aban Aya Youth Project in reducing violence among African American adolescent males using latent class growth mixture modeling techniques

This study employs growth mixture modeling techniques to evaluate the preventive effects of the Aban Aya Youth Project in reducing the rate of growth of violence among African American adolescent males (N = 552). Results suggest three distinct classes of participants: high risk (34%), medium risk (54%), and low risk (12%) based on both the participants' initial violence scores and their growth of violence over time. Results further show significant effects (almost 3 times as large as the effect found in the regular one-class analysis) for the high-risk class but not for the medium- or low-risk classes.     

Implementing a smoking ban in an acute psychiatric admissions unit

In contrast to general medical hospitals, psychiatric hospitals often allow patients to smoke cigarettes. In addition to obvious health concerns, smoking can also interfere with clinical assessments and therapeutic activities, Implementation of a smoking ban on an acute male admissions unit did not result in any increase in aggressive behaviors. In addition, staff attitudes following the ban improved, and most staff members believed the ban was both ethical and beneficial to patients. Our research indicates that banning smoking on an acute admissions unit is feasible and well tolerated by patients and staff, although it may require extra vigilance for smoking-related contraband.     

State Welfare and the Development of Voluntary Action: The Case of Ireland,North and South

This paper considers the development of voluntary action in Northern Ireland and the Republic of Ireland. Drawing on research conducted during 2002–2003 at the Centre for Voluntary Action Studies at the University of Ulster and funded by the Royal Irish Academy, it is argued that the way that voluntary and community organizations developed in Ireland’s two jurisdictions after the partition of the island in 1922 illuminates debates on the role of states in structuring the civic space in which voluntary action occurs. It illustrates, in particular, the interaction of state policy drivers with the cultural and ideological forces that shape voluntary action. Analysis lends support to the view that state action, together with cultural trends and social capital resources, is the crucial determinant of how the voluntary sector develops in a jurisdiction.     

Workplace discrimination and diabetes: the EEOC Americans with Disabilities Act research project

Using the Integrated Mission System of the Equal Employment Opportunity Commission, the employment discrimination experience of Americans with diabetes is documented. Researchers compare and contrast the key dimensions of workplace discrimination involving Americans with diabetes and persons with other physical, sensory, and neurological impairments. Specifically, the researchers examine demographic characteristics of the charging parties; the industry designation, location, and size of employers against whom complaints are filed; the nature of discrimination (i.e., type of adverse action) alleged to occur; and the legal outcome or resolution of these complaints. Findings indicate that persons with diabetes were more likely to encounter discrimination involving discharge, constructive discharge, discipline and suspension - all job retention issues. Persons with diabetes were less likely to encounter discrimination involving hiring, reasonable accommodation, non-pension benefits, and layoff. They were also more likely to encounter discrimination when they were older or from specific ethnic backgrounds, or when they worked for small employers or in the Southern United States. Implications for policy and advocacy are addressed.