Reliability,Validity, and Classification Accuracy of the DSM-5 Diagnostic Criteria for Gambling Disorder and Comparison to DSM-IV

The DSM-5 was published in 2013 and it included two substantive revisions for gambling disorder (GD). These changes are the reduction in the threshold from five to four criteria and elimination of the illegal activities criterion. The purpose of this study was to twofold. First, to assess the reliability, validity and classification accuracy of the DSM-5 diagnostic criteria for GD. Second, to compare the DSM-5–DSM-IV on reliability, validity, and classification accuracy, including an examination of the effect of the elimination of the illegal acts criterion on diagnostic accuracy. To compare DSM-5 and DSM-IV, eight datasets from three different countries (Canada, USA, and Spain; total N = 3247) were used. All datasets were based on similar research methods. Participants were recruited from outpatient gambling treatment services to represent the group with a GD and from the community to represent the group without a GD. All participants were administered a standardized measure of diagnostic criteria. The DSM-5 yielded satisfactory reliability, validity and classification accuracy. In comparing the DSM-5 to the DSM-IV, most comparisons of reliability, validity and classification accuracy showed more similarities than differences. There was evidence of modest improvements in classification accuracy for DSM-5 over DSM-IV, particularly in reduction of false negative errors. This reduction in false negative errors was largely a function of lowering the cut score from five to four and this revision is an improvement over DSM-IV. From a statistical standpoint, eliminating the illegal acts criterion did not make a significant impact on diagnostic accuracy. From a clinical standpoint, illegal acts can still be addressed in the context of the DSM-5 criterion of lying to others.     

Incentives Policies to Site Hazardous Waste Facilities

This paper addresses the use of mitigation and compensation as incentives policies to stimulate agreement between parties interested in siting a hazardous waste facility and potential host communities. We develop a model of facility siting that distinguishes five key factors which influence the acceptability of a proposed facility when considered in relation to status quo conditions. This model then is used to examine the effectiveness of different incentives policies with regard to (a) mitigating the perceived risks and (b) compensating the adverse impacts of a hazardous waste facility.     

The Role of Formal Education in the Rehabilitation of Persons with Chronic Schizophrenia

Rehabilitation services seek to address the various needs of persons with chronic schizophrenia but little attention has been paid to their participation in formal education. This study surveyed the educational needs of this population. It was hypothesised that these needs are often unmet and that their expression is influenced by an individual's history, expectations and knowledge in relation to education. A questionnaire was administered to 60 subjects in the context of a structured interview. Of the total sample, 26 individuals expressed an interest in further education but only two were currently participating in educational courses. Twelve individuals had recently enquired about further education. Analyses of the data revealed that expressed interest in education was significantly associated with an individual's background and age and with how they construed the associated benefits and difficulties. The implications of the findings for rehabilitation services are discussed.     

Home Visiting Family Therapy for Children at Risk

Home visiting has a long history in the areas of health and welfare (Baldock, 1990: 121). Early intervention through home visiting programs has been found effective in preventing abuse and neglect in many countries including the USA (Olds, 1992), Ireland (Johnson, 1993) and Europe (Cox, 1993). The success of these programs lay in their effectiveness in reducing social isolation, improving parenting skills and enhancing self esteem. This paper reports on the role of family therapy in home-based early intervention for families with newborn infants.     

Social accounting as stakeholder knowledge appropriation

Heeding the call for socio-political explorations of the social accounting project, we use the analytical lens of knowledge appropriation to explore power and contest in social auditing. We develop a knowledge appropriation model comprising three stages: knowledge creation, knowledge generation and outcome distribution, which we then use to analyze an exemplar case. We argue that, despite asymmetries of power and managerial prerogative, deficient stakeholder involvement in the creation and distribution stages renders social auditing ineffective for governance as either a stakeholder account or a strategic management system. We conclude that embedded stakeholder involvement in knowledge creation processes is essential for social auditing to be effective as corporate governance.     

Closed Circuit TV Debate Bridges the Gap between Schools

Abstract

Children of Cambodia's Killing Fields: Memoirs by Survivors, compiled by Dith Pran. New Haven, Conn: Yale University Press, 1998. 199 pp. ISBN 0-300-06839-5. $14.95.     

Social Workers who Move into Private Practice: The Impact of the Socio-economic Context

Summary This paper is based on a doctoral research project, conductedin New Zealand between 1993 and 1999, that considered factorsin the movement of social workers into private practice (vanHeugten, 1999). The study employed a qualitative methodologyin which 33 private practitioners were interviewed using semi-structuredquestionnaires. All respondents had at least a first professionalqualification in social work. The research grew from a realizationthat there had been an upsurge in private practice since themid-1980s, during a time of increasingly right wing governmentpolicies, and free market philosophies. These policies and philosophiesled to a radical restructuring of government and not-for-profitorganizations that employed social workers. Some workers respondedto the changes by seeking alternatives to organizational employment.Concurrently opportunities for private practice were createdby the availability of third party payments for counsellingof survivors of sexual abuse and parties to marital disputes.A similar pattern of confluence of expanding social work privatepractice and free market ideology has been noted in countriessuch as Great Britain and Australia. The implications of thismovement into private practice are considered in relation toprofessional social work associations.