Randall Collins,Ideas and Ritual Solidarity

Sociological Forum -     

EMERGING TRENDS IN THE PROVISION AND CONSUMPTION OF HEALTH SERVICES

Health services are examined in terms of emerging trends for the new millennium. On the one hand, centralization is increasing as payers tighten control over disbursements through managed care and more restrictive health insurance. On the other hand, health services are decentralizing as patients acquire more information and take more control of some aspects of treatment. Health services markets now also show signs of becoming global in nature, possibly benefiting both bulk purchasers of care and individual consumers. Any tendencies toward increased patient control are likely to be ephemeral, however: In the absence of reforms sparked by yet-to-be-experienced crises, advances in technology, particularly in medical informatics, will likely be used to strengthen the profit positions of insurance providers, not to provide more comprehensive health care services for patients.     

Factors Affecting Juvenile Court Decisions in Israel: A Multivariate Approach*

This paper investigates the factors influencing the disposition of cases in juvenile courts. The factors considered are the prior record of the offender, the nature of the offense, the recommendation of the probation officer, and the age of the offender. These four factors are essential components of the juvenile justice system and as such are perceived to be crucial for the understanding of the court's decision. A multivariate analysis of the data is undertaken using the method of log-linear analysis for hierarchical models. In contrast to other studies that have utilized the same method but with fewer variables, the model arrived at in the paper seems to be more accurate and suggests that while the offense and the prior criminal record are quite important factors, their influence on the disposition of cases is greatly bound by the age of the offender and the recommendation of the probation officer.     

Quantum mechanics and the postmodern in one country

Abstract

The orthodox interpretation of Quantum Mechanics was banned in the Soviet Union in 1947, an episode usually glossed as another illustration of repressive Soviet science. This paper argues that the roots of this ban should be located at a much deeper level, in a tension existing between the ‘postmodern’ form of orthodox Quantum Mechanics and an ideology of modernization. In the West a similar ideological tension had a different result: when the occasion demanded, the orthodox interpretation was covertly exchanged for an agnosticism about metaphysical matters, and potential areas of conflict with the principles of modernization were thus defused. The latter strategy benefited the orthodox interpretation, which enjoyed a virtual monopoly in the West from the 1940s through to the 1960s. Using the Freudian notions of ‘transference’ and ‘disavowal’, I explain why the ideological tension with modernization was resolved differently in the West and in the Soviet Union.     

Pathological gambling: A review of the literature (prepared for the American Psychiatric Association task force on DSM-IV committee on disorders of impulse control not elsewhere classified)

This is a review of the literature on pathological gambling prepared for the work group on disorders of impulse control, not elsewhere classified of the American Psychiatric Association. It introduces the new DSM-IV criteria as well as outlines the phases of the career of the pathological gambler. Research discussed includes that on pathological gambling and psychiatric disorders, substance abuse, family issues, children, finances, and crime. Psychoanalytic, personality, behavioral, sociological, psychologically based addiction theories, and physiological research are also summarized. Finally, treatment outcome studies are outlined.This article is dedicated to the memory of Robert L. Custer, MD whose inspiration and encouragement stimulated much of the research discussed herein.     

Epidemiological surveys of pathological gambling: Critique and suggestions for modification

Epidemiological studies of problem and pathological gambling were examined for their accuracy. Fundamental flaws and biases were found in these surveys. These include problems with survey instruments; nonresponses and refusal bias; the exclusion of institutionalized populations; exclusion of other groups; and failure to protect against denial on the part of the respondent when others are present near the telephone. Based on the issues discussed, one can reasonably be expected to assume that most epidemiological surveys seriously underestimate the extent of problem and pathological gambling. Alternative strategies for addressing these issues are discussed. These strategies include the use of field interviews, surveys of institutionalized populations, frequent player surveys and significant other surveys. The value and potential problems of these approaches are also discussed.This is a revision of a paper presented at the 9th International Conference on Risk and Gambling, Las Vegas, Nevada.The author would like to thank Rachel Volberg and Mark Dickerson as well as conference participants for their valuable suggestions on an earlier draft of this paper.