Poverty in Russia

This article concentrates on poverty debates during the last few years of the Soviet Union under Gorbachev and in Russia today under Yeltsin. Some references to previous years are made in order to provide some historical context for these debates. The article is divided into two parts: the first examines debates on the definitions of poverty, while the second looks at its depth and extent. The discussion will provide one more illustration of the now generally accepted thesis that the way poverty is defined inevitably affects the extent of measured poverty and the policy measures for its amelioration.     

Patient Compliance and the Role of the Expert

The failure of patients to follow recommendations made to them by health experts usually represents a hazard to the patient's health, a waste of health resources, and a source of frustration to the health expert. Many studies of such failure lead to the conclusion that every patient should be considered as potentially "non-compliant." The most promising site for intervention is in the expert-patient interaction. Viewing compliance as a property of the transaction between expert and client, it is appropriate to see the responsibility for establishing compliance as shared between expert and client. From this viewpoint, several models of the expert-client relationship are reviewed. Three areas of responsibility can be assigned to experts—exploring the individual patient's situation fully; anticipating the patient's difficulties in following recommendations; and communicating information in a way that will maximize its effectiveness. Recognition of these responsibilities will have numerous consequences for those who teach health professionals and for psychologists engaged in the study of communication processes.     

On the Value of Changes in Life Expectancy: Blips Versus Parametric Changes

We estimate the value of a ‘blip’, i.e. an immediate small reduction, in the hazard rate for a random sample of Swedes. Since the risk reduction is age-independent (2 ‘extra saved lives’ out of 10,000 during the next year), we can examine how the value of a statistical life varies with age. We also show how blip data can be used to obtain a lower bound for the value of a permanent change in an individual's hazard rate. The value of a life exhibits an inverted-U shape with respect to age, peaking at the age of 40, and lies within the $3 to $7 million interval where most reasonable estimates are clustered according to Viscusi's (1992) survey.     

Cultural Worldviews of Foster Parents

The stress of living with cardiac disease can affect a couple's marriage, transforming its character. This article examines the psychosocial impact of cardiovascular disease, delineating the ways in which the illness experience changes the marital relationship. In-depth, semistructured interviews were conducted with 23 spouses of patients (mean age 56) diagnosed with cardiovascular disease. Interviews were transcribed and subjected to content analysis. Two overarching dimensions emerged, depicting positive and negative effects on the marriage. Ongoing care for cardiac patients should include a focus on spousal caregivers, supporting both members of the couple as they jointly face challenges engendered by the illness.     

Family Factors,Theft, Vandalism,and Major Deviance Among a Multiracial/Multiethnic Sample of Adolescent Girls

This article reports on a study of 503 African-American, Hispanic, and White non-Hispanic adolescent girls attending public schools in Miami, Florida. The primary objectives of the study were to determine the prevalence of 13 self-reported delinquent behaviors in the sample, to compare these rates among the three groups of students, and to explore the predictive influences of several family factors that correlate with delinquency. It was found that 37.5% of the sample engaged in one or more acts of serious delinquency, with African-Americans reporting they had engaged in significantly more of these behaviors. The best predictors of theft/vandalism were low family pride and family substance abuse for Hispanics, low family communication for African-Americans, and low family pride for White non-Hispanics. The findings indicate that traditional family factors that have been used repeatedly to understand delinquency by male adolescents were not strong predictors of delinquency among the adolescent girls in the sample.     

Early Marriage,Rape, Child Prostitution,and Related Factors Determining the Psychosocial Effects Severity of Child Sexual Abuse in Ethiopia

This study was aimed at identifying factors that determine the psychosocial effects severity of child sexual abuse. Data were collected from 318 female children in Ethiopia using the Children's Impact of Traumatic Events Scale–Revised and the Rosenberg Self-Esteem Scale. The results revealed that respondents who survived rape and child prostitution were more symptomatic than those who were married early. Respondents for whom less time had elapsed since their first experience of abuse demonstrated a significantly higher level of post-traumatic stress disorder symptoms, negative reactions by others, self-blame, and guilt than those for whom more time had elapsed since such an experience. The respondents in an intact marital relationship were found to be less symptomatic than their never married and divorced counterparts. Implications for intervention and further investigations are discussed.