Implementation issues for consumer-directed programs: comparing views of policy experts, consumers, and representatives

An increasing number of aging community providers and consumers support consumer-direction (CD) in long-term care services. In regard to devolution, consumer-direction goes beyond the usual approach of shifting responsibilities from the federal government to state governments to bring programs "closer to the people." Consumer-direction goes even further by placing resources directly in the hands of consumers. Yet, many questions remain unanswered regarding how to implement CD personal assistance services in general, and especially for older persons. This article describes the importance of examining views from multiple key stakeholders involved in implementing CD programs. We report on three background studies that have informed the Cash and Counseling Demonstration and Evaluation (CCDE) design and implementation-policy expert interviews as well as surveys and focus groups with consumers and representatives. As a fourth data source, we drew upon experiences in designing the CCDE and initial results from the first year of implementation. Each of the three studies on its own provided essential information for planning the CCDE. However, when we examined the studies together, and added CCDE design and implementation experiences, views expressed by the different stakeholders formed a type of multi-perspective "dialogue" that expanded our knowledge about implementing CD services. We hope this increased knowledge will help expand the availability of such services for consumers of any age who want to direct their own care.     

Parenting services for families affected by substance abuse

This article describes the development, implementation, and replication of a group-based parenting program for families affected by substance abuse. The Nurturing Program for Families in Substance Abuse Treatment and Recovery improves parenting, as measured on objective scales; enhances parents' satisfaction and competence, as measured by participant reports; and is based on principles demonstrated to be effective in reducing risk of both child abuse and neglect and substance abuse for both parents and children.     

Intolerance of "Others" among Palestinian and Jewish Students in Israel

This study analyzes intolerance against diverse sociopolitical groups and compares the social and political attitudes of two distinct and highly differentiated groups: Jewish and Palestinian high-school students in Israel. It examines their perceptions of the political context that structurates their "reality," and aims to find the factors that influence the extremity of their intolerance. The proposed model is more applicable to Jewish students than it is to Palestinians and shows that intolerance toward out-groups is influenced by religiosity, the salience of national and civic identity, national security issues, and political ideology.     

COMPETITIVE FRAMING PROCESSES IN THE ABORTION DEBATE: Polarization-vilification, Frame Saving, and Frame Debunking

This article investigates how frame alignment processes are employed by a social movement organization in competitive response to a countermovement. Though the battles between feminist organizations such as NOW and conservative opposition are waged in many arenas, we focus exclusively on the ideological clash around abortion. After briefly describing the context of encounters, we examine the challenges launched against perceived threats to reproductive rights using New York State NOW chapter newsletters spanning 1970–1988. We identify three rhetorical strategies used by NOW to counterframe the debate for its members. polarization-vilification, frame debunking, and frame saving. Our findings suggest that in the face of opposition, framing strategies are modified with the goal of mobilization.     

Sociocultural Contexts of Time to First Sex Among Hispanic Adolescents

This investigation examines the sociocultural influences on risk of first sex among a representative sample of Hispanic (primarily of Mexican origin) teens living in Los Angeles County. Teen acculturation (measured as language of interview) moderates the effects of gender on risk of sex, with less acculturated teens exhibiting the greatest gender difference. Teens living with both biological parents have significantly lower risk of sex and the effect of family acculturation (measured as generational status) operates through teens' language of interview. Neither measure of parent‐youth relationship (socioemotional support, parental control) is significant. Hispanic teens living in low‐density Hispanic neighborhoods have significantly higher risk of sex than do teens living in neighborhoods with higher levels of ambient hazards. The results highlight the importance of characterizing sociocultural influences at multiple levels of aggregation.     

Differentiation of Self and the Process of Forgiveness: A Clinical Perspective for Couple and Family Therapy

In this article we explore the role of differentiation of self in facilitating forgiveness in the context of couple and family relationships. Differentiation is defined from the Bowen perspective as the ability to connect with others without being excessively emotionally reactive to the ebb and flow inherent in all significant relationships (being able to connect to others yet also being able to self‐regulate). Forgiveness is described as the releasing of an emotional injury via a complex psychological and relational process that is less an act of will than a discovery or possibility through understanding and empathy. Differentiation of self is related to emotional intelligence and empathy. The developmental and relational benefits of such are illustrated and discussed. A rationale for viewing differentiation and forgiveness in a contextual, historical, and relational attachment paradigm is suggested. Relevant clinical cases illustrate the dynamics of differentiation and forgiveness as discovery in the context of an understanding and empathic relational environment.     

Mental Rotation of Dynamic,Three‐Dimensional Stimuli by 3‐Month‐Old Infants

Mental rotation involves transforming a mental image of an object so as to accurately predict how the object would look if it were rotated in space. This study examined mental rotation in male and female 3‐month‐olds, using the stimuli and paradigm developed by Moore and Johnson (2008) . Infants were habituated to a video of a three‐dimensional object rotating back and forth through a 240° angle around the vertical axis. After habituation, infants were tested both with videos of the same object rotating through the previously unseen 120° angle, and with the mirror image of that display. Unlike females, who fixated the test displays for approximately equal durations, males spent significantly more time fixating the familiar object than the mirror‐image object. Because familiarity preferences like this emerge when infants are relatively slow to process a habituation stimulus, the data support the interpretation that mental rotation of dynamic three‐dimensional stimuli is relatively difficult—but possible—for 3‐month‐old males. Interpretation of the sex differences observed in 3‐ and 5‐month‐olds’ performances is discussed.     

The Continued Importance of Quality Parent–Adolescent Relationships During Late Adolescence

The quality of adolescents' relationships with residential parents has been found to predict many different health and behavioral youth outcomes; strong associations have also been found between these outcomes and family processes, and between relationship quality and family processes. Data from Rounds 1–5 of the National Longitudinal Survey of Youth, 1997 were used to examine hypotheses about the influence of the parent–adolescent relationship on subsequent adolescent mental well‐being and delinquency, as mediated by family processes. Using structural equation modeling, we found that the influence of a positive residential parent–adolescent relationship on better mental well‐being and fewer delinquency was entirely mediated by family routines, parental monitoring, and parental supportiveness, net of sociodemographic controls.     

Feminist Criminology: Gain, Loss and Backlash

Surviving the inevitable process of innovation, critique and response that accompanies conceptual invention, feminist criminology is now a rich and diverse field of scholarship and political activism. This article follows the main threads of feminist criminological thought (empirical, standpoint and post-modern), outlining the tensions and connections between each. I then consider the political ground gained and lost by feminist criminologists, paying careful attention to the ways in which feminist ideas have been co-opted by governing authorities and also considering the current climate of backlash against feminist ideas in both criminal justice policy and the academy.