Who Holds the Stakes? A Case Study of Stakeholder Identification at Two Nuclear Weapons Production Sites

Traditional risk assessments, including those involving the United States Department of Energy (USDOE), are often criticized for producing useless or noncredible management responses because they did not meaningfully involve the public. The first step to involve the public is to identify appropriate active participants (stakeholders). This study was done to understand the processes used to identify stakeholders to serve on advisory boards established at the two largest remediation sites in the United States: the Hanford Nuclear Reservation in Washington state and the Savannah River Site in South Carolina. The Hanford stakeholder identification process produced an interest-based board whereas the Savannah River Site strategy produced population-based representation. The basic goals of the stakeholder advisory groups were similar. However, different processes were used to identify the participants for the groups in part because of distinctly different social and cultural conditions in the areas affected by the operations of the two facilities, and in part because of the different level of trust of the USDOE and their contractors at Hanford compared with Savannah River. The discussion analyzes their different needs and potential for successful citizen participation.     

In sickness but not in health: self-ratings, identity, and mortality

Self-rated health as a predictor of mortality has been studied primarily in large, representative populations, with relatively little progress toward understanding the information processing that individuals use to arrive at these ratings. With subsamples of National Health and Nutrition Examination Survey (NHANES) Epidemiologic Follow-up Study (NHEFS) data for respondents with circulatory system disease (N = 3,709) and respondents with no diagnosable disorders (N = 1,127) at baseline, we test the idea that individuals with experience of chronic disease of the circulatory system will have more predictive self-ratings of health than healthy individuals. Poor or fair self-rated health increased the adjusted hazard of all-cause mortality for respondents with circulatory system disease, but not for respondents who were healthy. Additional analyses confirm that poor or fair self-rated health is particularly predictive for respondents with self-reported history of circulatory system diagnoses and perception of symptoms, but not for respondents without symptoms or diagnoses prior to the NHANES physical exam.     

Evaluation of two school-based HIV prevention interventions in the border city of Tijuana, Mexico

This research project examined the individual and combined effectiveness of an HIV prevention workshop and a free condom distribution program in four high schools in Tijuana, Mexico. Adolescents (N = 320) completed baseline measures on sexual practices and theoretical correlates and participated in a two-part study. In Study 1, students were randomly assigned to an HIV prevention workshop or a control condition, with a 3-month follow-up assessment. Results indicate three significant workshop benefits regarding HIV transmission by altering sexual initiation, access to condoms, and traditional beliefs regarding condoms. In Study 2, we set up a condom distribution program at two of the participating schools, and students completed a 6-month follow-up assessment. Results indicate that exposure to the workshop followed by access to the condom distribution program yielded two beneficial results for reducing HIV transmission: moderating sexual initiation and increasing condom acquisition. Access to the condom distribution program alone had no effects on behavioral and psychosocial correlates of HIV transmission. We discuss implications of these results.     

Council of Europe regulations relevant to intervening in psychic capacities

The paper highlights the need to clarify the definition of psychic capacities and the difficulty in distinguishing between improved capacity and improved functioning. Before considering whether it is legally permissible to undertake an intervention on psychic capacities, and if so under what conditions, it is necessary to consider whether such an intervention is ethically appropriate. If the intervention is ethically appropriate, whether it is legally permissible according to the instruments of the Council of Europe will depend on the persons status (for example, whether the person is an adult or a child, or able or not able to give consent), the type of intervention proposed, and in certain cases the type of material used in the intervention. The paper discusses the regulations that are relevant to these different situations.

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Zusammenfassung  Dieser Beitrag unterstreicht die Notwendigkeit, die Definition des Begriffs psychische Fähigkeiten zu klären, und die Schwierigkeit, zwischen verbesserten Fähigkeiten und verbesserter Funktion zu unterscheiden. Bevor wir erörtern, ob ein Eingriff in psychische Fähigkeiten rechtlich zulässig ist und, wenn ja, unter welchen Bedingungen, müssen wir überlegen, ob eine solche Intervention ethisch angemessen ist. Wenn das der Fall ist, hängt die rechtliche Zulässigkeit, entsprechend den Instrumenten des Europäischen Rates, vom Status der betroffenen Person ab (zum Beispiel, ob es sich um einen Erwachsen oder ein Kind handelt), von der Art des Eingriffs, der zur Debatte steht, und in bestimmten Fällen dem Material, das bei diesem Eingriff benutzt wird. Der Beitrag behandelt die Vorschriften, die in diesen unterschiedlichen Situationen zum Tragen kommen.

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Résumé  Cet article met en lumière le besoin de clarifier la définition des « capacités psychiques » et la difficulté à faire la différence entre capacité améliorée et fonctionnement amélioré. Avant de décider sil est légalement licite dintervenir sur les capacités psychiques, et si oui, dans quelles conditions, il est nécessaire de se demander si une telle intervention est justifiée du point de vue éthique. La question de savoir si une intervention est appropriée du point de vue éthique et si elle est légalement licite en vertu des instruments du Conseil de lEurope, dépend du statut de la personne (si la personne est un adulte ou un enfant, si elle est capable ou non de donner son consentement, etc.), du type dintervention envisagé, et dans certains cas du type de matériel utilisé pour lintervention. Larticle examine les réglementations qui sappliquent à ces différentes situations.

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All opinions expressed in this paper are solely those of the author.

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Premature menopause and self-concept disjunctions. A case for crisis management

1. Surgically or chemically induced premature menopause is a life transition characterized by a situational crisis superimposed on a developmental crisis. 2. After surgically or chemically induced premature menopause, women's self-concept shifts and evolves through an interactive or relational process. 3. Nurses can use crisis management to increase women's understanding of the physiological and psychological dimensions of premature menopause, facilitate their links with community support systems, and strengthen their existing social networks. 4. Effective crisis intervention approaches include structuring, verbalizing, clarifying, normalizing, and supporting.     

Ethnic Transformation in Rural California: Looking Beyond the Immigrant Farmworker

Abstract Communities in rural California are becoming increasingly Latino. Using a quantitative database of 288 rural communities, together with qualitative data collected in the San Joaquin Valley, we examine the processes through which this ethnic transformation is occurring. Most studies have focused on Latino immigration as the cause of changing ethnic composition. We find that non-Latino population growth, as well as Latino population growth, accounts for the relative differences in changing community ethnicity. Most important for explaining migration among Latinos are housing costs and year-round job availability. Among white non-Latinos, ethnic conflict and perceptions of community deterioration better explain migration decisions. As a result of these changes, places in rural California are becoming increasingly economically and ethnically differentiated.     

Critical understandings of child development: the development of a module for a post-qualifying certificate course in child protection studies

This paper explores the dilemmas involved in selecting appropriate theoretical and research material to help social workers in practice. Concentrating on the needs of those working in child care and protection, the paper uses the example of the area of child development knowledge to illustrate a process of presenting theory for practice. Specifically, the focus is on the redevelopment of a child development module for a post-qualifying certificate course in child care and protection that aims to encourage students to make critical use of current research and theory. The paper explains the reasoning behind the choice of attachment theory as the underpinning theoretical framework. It also addresses possible pitfalls in an uncritical use of such theory. The paper finally sets out how the module addresses the need social workers have for a framework to guide intervention in individual cases. The dimensions described are those of individual vulnerability or resilience and factors in the environment that are adverse or protective.     

“Flexible Citizenship” or Familial Ties that Bind? Singaporean Transmigrants in London

Easier travel and communication technologies, together with the global demand and supply labour market exchanges occurring under post-Fordist capitalism, create the conditions that make transnational family formations more common than before. Geographically dispersed family members are governed by different citizenship regimes that affect familial interactions and the possibility of family reunification. Such family formations have significant implications for the nation-state framework and the way that citizenship is practised in a transnational world. Singapore, a young city-state in Southeast Asia, provides an insightful case-study to examine migrant motivations and citizenship behaviour. The political leaders in Singapore represent the nation-state's internationalising drive – which includes encouraging Singaporeans to live and work overseas for a period of time – and its domestic nation-building goals as strategies that are both necessary and yet in tension with one another.
This paper draws on discourse analysis to examine the ways in which the Singaporean state plays upon familial logics and citizenship regulations as one of its strategies to bind overseas citizens to the country. I also employ findings from in-depth interviews with Singaporean transmigrants in London to discuss the manner in which the above considerations frame their decisions on migration and citizenship. In doing so, I argue that research on migration and the transnational family should consider how they both articulate and are in turn articulated by the nation-state. I then show how my research results have important implications for citizenship policymaking in a transnational world, particularly with respect to gendered familial discourses and nation-building processes. I also suggest that my research findings indicate areas for further academic enquiry into the morphology, strategies and temporality of transnational family formations.