Ethics and Choosing Appropriate Means to an End: Problems with Coal Mine and Nuclear Workplace Safety

A common problem in ethics is that people often desire an end but fail to take the means necessary to achieve it. Employers and employees may desire the safety end mandated by performance standards for pollution control, but they may fail to employ the means, specification standards, necessary to achieve this end. This article argues that current (de jure) performance standards, for lowering employee exposures to ionizing radiation, fail to promote de facto worker welfare, in part because employers and employees do not follow the necessary means (practices known as specification standards) to achieve the end (performance standards) of workplace safety. To support this conclusion, the article argues that (1) safety requires attention to specification, as well as performance, standards; (2) coal-mine specification standards may fail to promote performance standards; (3) nuclear workplace standards may do the same; (4) choosing appropriate means to the end of safety requires attention to the ways uncertainties and variations in exposure may mask violations of standards; and (5) correcting regulatory inattention to differences between de jure and de facto is necessary for achievement of ethical goals for safety.     

Cognitive behavioural psychotherapy intervention in childhood sexual abuse: identifying new directions from the literature

The short‐ and long‐term consequences of childhood sexual abuse have been extensively reported. However, for many years there has been an absence of psychological conceptual frameworks for understanding and treating abuse trauma symptoms. This paper reviews a number of outcome studies for the treatment of child sexual abuse where a post‐traumatic stress disorder (PTSD) conceptualization was used to plan treatment interventions. The paper concludes that, contrary to some concerns expressed by clinicians, sexually abused children and their non‐abusing carers can signi?cantly bene?t from cognitive behavioural interventions which use reliving and confrontation of the abusive experience. Notwithstanding this, there is a need for further controlled outcome research of cognitive behavioural interventions using reliving techniques to explore how and why these interventions help in reducing abuse‐related PTSD symptoms. Copyright © 2004 John Wiley & Sons, Ltd.     

The Colombian pension system after the reform of 1994: An evaluation

The Colombian pension reform of 1994 introduced a privately administered defined–contribution programme, which coexists with a reformed public defined–benefit programme. This paper gives an overview of the Colombian pension system and evaluates its performance using four criteria: (1) effectiveness, (2) efficiency, (3) equity, and (4) sustainability, finding evidence of severe shortcomings. Both effective coverage and benefit levels are low, costs in the private programme are high, and there is evidence that insured persons are not fully informed about the actual system. The system is inequitable and the uninsured population bears part of the financial burden. The public programme is financially not sustainable. A current reform proposal from the Colombian government addresses only part of the problem.     

Families in the Life Course: Interdependency of Roles,Role Configurations,and Pathways

Families are central in the unfolding life course. They have both internal and external dynamics that reflect and characterize the modern life span, and a life course perspective has particular utility for understanding the role and implications of families for individuals and society. The purpose of this paper is 3‐fold. First, we offer a family life course perspective that delineates core concepts of roles, role configurations, and pathways, specifies the links between them, and highlights the importance of linked lives and structural context. Second, we elaborate a latent class approach for modeling the multilayered dynamic interdependencies that characterize modern family life. Third, we provide an empirical example by considering the timing of childbearing, teen parenthood, and its place in the transition to adulthood using women's data from the National Longitudinal Survey of Youth 1979 (N= 2,191). We conclude by discussing further avenues of family research that are enhanced with a life course approach and complementary latent structure methodology.     

The Association of Survey Setting and Mode with Self-Reported Health Risk Behaviors among High School Students

This study examined whether the prevalence of self-reportedhealth risk behaviors among high school students varied by surveysetting (school versus home) and mode of administration (paperand pencil versus computer). Students in grades 9 and 11 wereassigned randomly to one of four conditions—school paper-and-pencilinstrument (PAPI), school computer-assisted self-interview (CASI),home PAPI, and home CASI. During the spring of 2004, 4,506 studentscompleted identically worded questionnaires based on the YouthRisk Behavior Survey questionnaire. Logistic regression analysescontrolling for sex, grade, and race/ethnicity revealed thatsetting was associated significantly with the reporting of 30of the 55 risk behaviors examined, and mode was associated significantlywith the reporting of 7 of the 55 behaviors. For all behaviorswith a significant setting main effect, the odds of reportingthe behavior were greater among students who completed questionnairesat school than among students who completed questionnaires athome. For all behaviors with a significant mode main effect,PAPI mode students had lower odds of reporting the behaviorthan CASI mode students. Because social measurement researchassumes that higher prevalence estimates are more valid thanlower estimates, methodological factors shown to increase estimates,such as setting and mode, should be considered when planningsurveys.     

Explaining the social patterns of depression: control and problem solving--or support and talking?

Research on the social patterns of depression in the community finds consistently that high levels of education and income, being male, and being married are associated with lower levels of depression. We attempt to explain these patterns as the result of two essential social perceptions: the sense of controlling one's own life rather than being at the mercy of powerful others and outside forces, and the sense of having a supportive and understanding person to talk to in times of trouble. In theory, the sense of control reduces depression because it encourages active problem solving, and the sense of support reduces depression because it provides others to talk to. We find evidence for the first proposition: persons who feel in control of their lives are more likely to attempt to solve problems. Perceived control and problem solving decrease depression and largely explain the effects of income and education on depression. We find, however, that support has mixed effects. Support decreases depression, but talking to others when faced with a problem, which increases with the level of support, increases depression. Support explains a small part of the effect of marriage on depression. Control and support have an interactive effect on depression, suggesting that control and support can substitute for one another to decrease depression: a high level of one reduces the need for the other, and a low level of one is remedied by a high level of the other.