Children and young people requiring home assisted ventilation in the South of England: incidence,receipt of care support and components of the care package

The study found an increasing number of ventilator dependent children and young people living at home. Almost three quarters of the sample had a physical disability as a result of or in addition to their primary diagnosis. There was wide variation in the amount of paid care supporting these families which appeared unrelated to the level of ventilatory dependence. Nurses working in community children's teams or hospital outreach teams were the most frequent care organisers and care managers. The majority of the care packages were funded by Health Authorities.     

STRATEGY AND INTERVENTION VERSUS NONINTERVENTION: A MATTER OF THEORY?*

The question of whether or not intervention and strategy are necessary components of competent therapy is described and related to the metaphorical assumptions of underlying theory. Passive listening and expert interpretations are consequences of psychodynamic theory. Active manipulation of social structure and strategic intervention into feedback are described as consequences of the mechanical assumptions of structural and cybernetic theory. Conversational participation and non intervention are described as necessary consequences of hermeneutic and linguistic approaches to therapy. It is concluded that different theoretical assumptions yield different conclusions regarding the nature of therapy and human problems. From this perspective the question of Intervention Versus Non-Intervention is more a matter of the theory held than a question to be answered in terms of the “right” or “adequate” thing to do or not do.     

Huck Finn and the game model gloss

Several authors have cited the metaphor of game playing as an analytical device to study social behavior. Traditionally, the game model has been used either to promote a more strict or instrumental control upon actual social behavior or to match a formal game model construction of a social event with actual behavior in everyday life, and through this method shed light upon aspects which otherwise would be overlooked. In another connection, various authors have discussed the concept of glossing in social relations. This paper uses Mark Twain's last chapters ofThe Adventures of Huckleberry Finn to explicate how the game model can be used as a gloss. The game model gloss then is a unique combination of sociological conceptualizations presented through the medium of a lively literary allegory. We feel this paper extends the concept of glossing and furthers the understanding of the game metaphor in sociological theory.This paper has been presented at the Spring 1977 meetings of the Southern Sociological Society in Atlanta, Georgia.     

EDB: A Case Study in Communicating Risk

This is a report on the Environmental Protection Agency's (EPA's) efforts to communicate with the public about the risks of ethylene dibromide (EDB), what the agency said it was doing about these risks and what information the public actually received through television and newspapers. Although special in many ways, the EDB case illustrates the problems that regulatory agencies have when they must take regulatory action and assure the public that the risks in question are being dealt with adequately. It also illustrates issues that the press faces. Above all, it illustrates the barriers to communication presented by the different perspectives of regulatory agencies and individuals and the types of information they each are most interested in.