Families and donor insemination: the views of semen donors

One of the consequences of donor insemination for the semen donor is that he becomes a member of two families: his own family in which he has a genetic and social connection with his offspring; and the family of the recipient couple, in which he has a genetic connection to the offspring, but usually no social connection with either the offspring or the recipient couple. This article challenges the dominant view that donor insemination as a practice of mainly medical or legal importance by looking at the attitudes of donors to both their own family and the family to which they have contributed their genetic material. Results are presented concerning who donors have told about their donation, who they think should be told, whether they think recipient couples should tell their donor insemination offspring about their conception, and concerning their opinions about factors that are considered in matching donors with recipient fathers.     

Expert Judgment-Based Risk Assessment Using Statistical Scenario Analysis: A Case Study—Running the Bulls in Pamplona (Spain)

In this article, we present a methodology to assess the risk incurred by a participant in an activity involving danger of injury. The lack of high-quality historical data for the case considered prevented us from constructing a sufficiently detailed statistical model. It was therefore decided to generate a risk assessment model based on expert judgment. The methodology is illustrated in a real case context: the assessment of risk to participants in a San Fermin bull-run in Pamplona (Spain). The members of the panel of "experts on the bull-run" represented very different perspectives on the phenomenon: runners, surgeons and other health care personnel, journalists, civil defense workers, security staff, organizers, herdsmen, authors of books on the bull-run, etc. We consulted 55 experts. Our methodology includes the design of a survey instrument to elicit the experts' views and the statistical and mathematical procedures used to aggregate their subjective opinions.     

Why aren't managers concerned about occupational stress?

To explain the rarity of workplace stress management interventions, it is thought that managers are not concerned with the risks of occupational stress to health and job performance. Some writers consider either (1) deficiencies in theory, and/or (2) deficiencies in methodology to be the cause of this apparent lack of concern. The aim of this paper is to illustrate another perspective on this issue; that of risk perception. Two perspectives on risk perception are discussed; the psychometric view and the cultural view. The psychometric view suggests that senior managers may underestimate the risks associated with stress. The cultural view suggests that managers may consider stress management to be inappropriate, since individuals, not organizations, should be responsible for coping with stress. Both perspectives indicate that very few managers may consider stress to be a risk that should be actively managed by the organization. The associated disciplines of risk management and particularly risk communication are discussed to suggest ways to overcome lack of managerial interest in stress management.     

THE EFFECTIVENESS OF FAMILY INTERVENTIONS IN THE TREATMENT OF PHYSICAL ILLNESS

Although a large body of research demonstrates that the family has a powerful influence on physical health, the evidence for the effectiveness of family interventions in physical illness is less conclusive. Family therapy and other family interventions appear to be most effective in chronic childhood illnesses such as asthma and diabetes. Family interventions have also been shown to be effective in the management of some cardiovascular and neurologic disorders and for the treatment of obesity. Family therapy appears to be more effective than individual therapy for some groups of patients with anorexia nervosa. This research supports the increasingly important role of medical family therapy in the new health care system. Recommendations for future research are discussed.     

PREDICTING MARITAL SUCCESS AFTER FIVE YEARS: ASSESSING THE PREDICTIVE VALIDITY OF FOCCUS

Engaged couples who took a premarital inventory called FOCCUS were contacted 5 years later to see if their scores would predict their future marital success. Results showed that FOCCUS successfully predicted the future marital success of most couples, supporting the predictive validity of FOCCUS. The results also indicate that FOCCUS and PREPARE are roughly comparable in terms of their predictive validity.