Regulating Chemicals—From Risks to Riskiness

Under current European Union legislation, action to restrict the production and use of a chemical is only justified if there is evidence that the chemical poses a risk to human health or the environment. Risk is understood as being a matter of the magnitude and probability of specifiable harms. An examination of how risks from chemicals are assessed shows the process to be fraught with uncertainty, with the result that evidence that commands agreement as to whether a chemical poses a risk or not is often not available. Hence the frequent disputes as to whether restrictions on chemicals are justified. Rather than trying to assess the risks from a chemical, I suggest that we should aim to assess how risky a chemical is in a more everyday sense, where riskiness is a matter of the possibility of harm. Risky chemicals are those where, given our state of knowledge, it is possible that they cause harm. I discuss four things that make a chemical more risky: (1) its capacity to cause harm; (2) its novelty; (3) its persistence; and (4) its mobility. Regulation of chemicals should aim to reduce the production and use of risky chemicals by requiring that the least risky substance or method is always used for any particular purpose. Any use of risky substances should be justifiable in terms of the public benefits of that use.     

The Effect of Age and Childhood Social Class on Preference for New Healthcare Practices

Bourdieu theorized that habitus structures and is structured by experiences in the social world, with childhood experiences having the strongest influence. Habitus can yield rewards in specific fields through dispositions to enact certain practices. Healthcare provides an opportunity to assess how age and childhood social class interact to produce preferences in a changing field. Are people who developed their habitus in higher social classes as children more likely to report preferences that reflect new practices? Is there greater inequality at older ages? We find that parents’ educational attainment and occupational prestige does not have a direct effect on respondents’ preferences to be involved in their healthcare decisions. However, there is a significant interaction with age, with larger gaps by childhood social class among older respondents. Results suggest that when valued practices change, socially advantaged groups can most quickly adapt. The findings have implications for the replication of class inequality.     

Meeting the needs of the adoption triangle through open adoption: The adoptee

Open adoption offers advantages for adopted persons which are not available in traditional adoption. Having access, to information about their biological heritage allows adopted persons to integrate their adoptive, history with their biological history. This integration enables resolution of normal developmental crisis. Openness also helps facilitate communication between the adoptee and the adoptive parents. Adoptive parents are then able to recognize, and provide support, when their child is grieving the loss of the birthparents.     

The nurse's role in neuroleptic medications.

1. A questionnaire study of schizophrenia sufferers' (N = 132) views on medication, contrary to expectations, revealed generally favorable attitudes. Clients seemed to understand the fine balance between costs and benefits better than many health-care professionals imagine. 2. Because nurses spend more time communicating with clients than physicians, they are ideally placed to find out how patients perceive neuroleptic therapy, and to provide information, advice, and counseling support. 3. There is a strong case for asserting that mental health nurses should extend their role in monitoring the effects of medication on their clients.     

Colonialism,Disability, and Possible Lives: The Residential Treatment of Children Whose Parents Survived Indian Residential Schools

This article performs an institutional autoethnography of working in a residential treatment center, proposing a moral economy in which the exaltation of white nondisabled professionals is tethered to the denigration of disabled Aboriginal children. It describes how resident and staff resistance, respectively, can be taken up so as to facilitate the smooth continuity of the status quo. And it raises questions about everyday institutional practices such as physical restraints, behavior modification, and life-skills curricula, suggesting they may not do what they are intended to do and may instead wither away knowledge and skills that residents had cultivated before their “intake.”     

Meeting the needs of the adoption triangle through Open Adoption: The adoptive parent

Open adoption enables the adoptive parents to participate more fully in the adoption. It allows them to make decisions regarding the amount of openness they wish to have. By means of seminars, readings, and panels the adoptive parents learn more about adoption and birthparents. By experiencing openness, the adoptive parents come to know the birthparents as real people. The birthparents are no longer perceived as a threat. The adoptive parents gain a feeling of entitlement to parent from the birthparent(s).