THE IMPACT OF INFORMATION AND RISK PERCEPTION ON THE HURRICANE EVACUATION DECISION-MAKING OF GREATER NEW ORLEANS RESIDENTS

This article contributes to the current discussion on how residents living in vulnerable areas make the decision to evacuate when they are in harms way. Key in this discussion is the question, what role does information and risk play in shaping evacuation behavior? This study used a sample of respondents from the greater New Orleans region (Orleans, Jefferson, and St. Bernard Parishes) of the Twelve Parish Survey (N = 1,207) conducted prior to Hurricane Katrina. The findings indicate that information sources are vitally important in the evacuation process. By examining the role of information from authorities, family, and friends; visual imagery; and the media we found that individuals use a variety of sources when they decide to evacuate. Further, the importance of visual imagery in the evacuation process is discussed. The article concludes with a discussion of the implications of information dissemination and its importance to members of the media and public policy makers.     

Friendship and Conformity in Group Opinions: Juror Verdict Change in Mock Juries

Social psychological research on group processes has consistently shown that group members adjust their views to conform to dominant and/or socially desirable stances. Studies are less clear, though, on how friendships within groups impact this tendency. Some studies suggest greater group cohesion leads to more conformity; other studies suggest friendship lessens the pressure to agree on certain issues. In this study, we use mock juries to test the impact of varying levels of friendship on jurors’ propensities to change their verdicts to the dominant position (in this case acquittal, or a “not guilty” verdict). Our findings show that distant friendships among jurors increase the odds of conforming to acquittal; but close friendships decrease the odds of conformity. We discuss the implications of our findings for understanding group processes and conformity as well as for jury research.     

Abstract

Abstract

Edmunds M W: Structure and nurse practitioner performance. The Nurse Practitioner 4: (3)42, May/June 1979

Are you a “new” nurse practitioner (NP) returning to your “old” practice setting? Are you a staff nurse, physician, receptionist in the “old” setting, wondering how to cope with this “new” nurse? This article is a MUST.

Simply and clearly, Ms. Edmunds illustrates the ingredients necessary to facilitate successful role transition.

Structural aspects requiring consideration are drawn from A. Donabedian and include:

1. adequacy of physical structure, facilities and equipment—office, exam room and equipment, telephone;

2. staff qualifications and organization-different mixes and levels of staff and/or reallocation of functions may be required;

3. fiscal arrangements—economic contributions to the practice should be recognized financially;

4. administrative, organization and/or programatic structures need to be reevaluated. Daily routine, patient assignment, collaboration-consultation time, development of new modes of health care delivery are examples.

Problems that may prove to be barriers to the role transition must be assessed and defined. Solutions potentiated should include attending to the structural aspects of the practice milieu. Ms. Edmunds offers valuable suggestions to avert or resolve “reentry” problems.     

A Measure of Accountability: Clients' Perceptions of a University Mental Health Service

Abstract

The University Counseling Center at the State University of New York at Stony Brook has developed a psychodynamic model for brief therapy in order to meet increased demands for service with limited staff resources. Because the center has both a multidisciplinary staff and graduate student training program, the aim of the model was to translate already existing theories of time-limited psychotherapy into practical, usable, teachable techniques. A major issue addressed was the reluctance to accept brief therapy because of its perception of being superficial and amenable only to symptom relief as opposed to “preferred” long-term treatment, seen as providing in-depth change and personality reorganization.

The model developed is based on one or two assessment sessions followed by eight sessions of treatment. The major distinguishing characteristic of the model consists of the explicit setting of two goals with the patient. Goal I is based on an assessment of the presenting problem and is directed toward symptom relief. Goal II is based on a characterological-thematic assessment of the patient and is directed toward major theme-process issues in which the presenting problem is imbedded. The eight treatment sessions are seen as a dynamic whole. Both goals I and II are explicitly contracted for, and each session number is announced by the therapist.

Experience with the model to date has shown that eight sessions produce characteristic initial, middle, and late sessions, with planned termination, a powerful, dynamic feature not usually utilized with many psychotherapies in which natural or calendar events tend to provide motivation for termination. In addition, major characterological changes can begin when the patient participates in the ego-synthesizing function of understanding the thematic issues within which specific behaviors and emotional reactions are a part.     

Emergency Contraceptive Pill (ECP) Use and Experiences at College Health Centers in the Mid-Atlantic United States: Changes Since ECP Went Over-the-Counter

Abstract

Objective: To investigate the availability of emergency contraceptive pills (ECPs) at college health centers since ECP went over-the-counter (OTC) in 2006. Related issues, such as distribution procedure, existence of a written protocol, personnel involved, contraindications, follow-up procedures, methods of advertising, and staff attitudes, were examined. Participants: The sample included 135 college and university health centers in the mid-Atlantic region of the United States. Methods: Data were collected via telephone survey with the use of a 42-item survey instrument. Results: Forty-three percent of schools reported distributing ECPs, for an average of 10.6 years. Major changes in ECP distribution and usage since ECP went OTC related primarily to protocol in ECP distribution, advertising for ECP services, and ECP accessibility to university students. Conclusions: College health centers are responding to the OTC status of ECP in a number of ways, primarily relating to their distribution procedures and advertising techniques.     

Toward Health Reform for Seniors in Bermuda: Historical Constraints on Political Possibilities

In 2009, as the United States moved toward health care reform, the government of Bermuda implemented its FutureCare program to make health care for seniors more affordable. This article investigates how preferences for reform and its eventual design were shaped by the country's social history and commitment to free market values. Data derive from 36 in-depth interviews with key stakeholders deemed knowledgeable about health care financing and delivery in Bermuda, including government officials, provider representatives, insurance executives, and consumer advocates. Data also derive from a variety of documentary sources. Results indicate that although a clear need for health care and the ability to finance it for seniors exists in Bermuda, the scope of reform was circumscribed by preferences for prior policy decisions, creating a favorable tax and business environment for international corporations and a minimalist social welfare state for addressing racial and economic inequality. This suggests that widespread agreement on the challenges in meeting the health and long-term care needs of the elderly does not necessarily lead to equally commensurable solutions to addressing it.     

Social Density of Gambling and Its Association with Gambling Problems: An Initial Investigation

The role of social factors in pathological gambling has received relatively little systematic research. The goal of the current study was to examine the relationship between a target individual’s gambling behavior and the gambling behavior among that individual’s parents, siblings and five closest friends. The specific aims were, first, to apply a novel brief assessment to study the social density of factors relating to pathological gambling; second, to replicate previously observed findings involving the social aggregation of alcohol and tobacco use; and third, to examine social density findings among the three domains. Participants were 128 frequent gamblers from the Athens, Georgia area, 79.7 % male with a mean age of 34.2 (SD = 11.7). Participants were assessed using the Diagnostic Interview for Gambling Severity for gambling severity, the Alcohol Use Disorders Identification Test for alcohol abuse, the Fagerstrom Test of Nicotine Dependence for tobacco use, and the novel Brief Social Density of Gambling, Alcohol, and Tobacco Assessment. Significant relationships were observed between participants’ and friends’ activity within all domains: gambling (ps = .001), alcohol use (p < .001) and tobacco use (p < .001). Relationships with friends’ activity across domains were less strong. Distinct patterns of associations with parents and siblings were not observed. Thus, social aggregation was observed across the three domains of potentially addictive behaviors, generally with specificity within domains and with friends, not biological relatives. Methodological considerations and potential applications of these findings are discussed.     

Parental Divorce and College Students: The Impact of Family Unpredictability and Perceptions of Divorce

The impact of parental divorce, perceptions of divorce, and family unpredictability on the locus of control, interpersonal trust, and assertiveness of college students (n = 115) was studied. Roughly 27% of participants came from divorced homes; they did not differ significantly from participants from nondivorced homes on locus of control, trust, or assertiveness. However, negative perceptions of parental divorce were associated with a more external locus of control. Aspects of maternal unpredictability related to lower trust yet higher assertiveness. Participants with divorced parents reported more unpredictable finances and somewhat more unpredictable meals growing up. Implications for adjusting to divorce are discussed.     

Dissociation in Medical Practice: Social Distress and the Health Care System

The average physician has developed several different headv, each representing another selfon the same body. One is that ofthe conventional, ethical professional who wants nothing more than to improve mankind’s health and well-being, the standard model. Another is the scientist who intends to be perceived as calculating, cold, and factual in determining what will or will not assist the ailing patient (Uexkull & Hannes, 1986). His tools are drugs, surgery, and hospitalization for presumed physical and mental ills. The third, and the one that concerns us the most, is what I will call “the neo-capitalist professional hero” (Lifton, 1971). This persona is an evolution of our American dominated internationaL cuLture which the medical profession as a group has honored by honing and poli5hing with extraordinary skil, second only to politicians and bankers, maximizing it to the ftuther detriment of the entire society. Though the body needv all three to function, none of these heads willingly acknowledges or suppOl1s the importance of the others. In what follows, a variety of media, journals, professional books, and a survey are refen"ed to in documenting data about ethical Laxity and fraud in the medical profession. Institutional, social concepts are developed that explain the data, and revealing how sociaL distress is the embodiment of the neo-capitalist professional hero. There are also suggestions for remedies in what follows, which are presented without realistic hope for implementation very soon, unfortunately, since they involve deep changes in established sociaL institutions. However, the country at large has developed some awareness of a problem which has reached epidemic propOrlions in the medical profession. FUrlher increments in awareness promise to tip the balance into positive government action.     

Effects of Photovoice: Civic Engagement Among Older Youth in Urban Communities

Youth civic engagement is critical to many community empowerment initiatives. Photovoice is a popular empowerment technique for disenfranchised groups, including youth. The technique has little published empirical support. This research assesses Photovoice as a youth mobilization project within the context of an ongoing community development initiative. It was hypothesized that Photovoice participation would (a) improve students' interest in civic engagement and (b) have greater impact on older rather than younger adolescents. Thirty-three (33) youths (15–21 years of age) completed a Survey of Youth Engagement before and after Photovoice participation. Results indicate a main effect for age, with youths 18 years of age and older scoring significantly higher than youths under 18 years of age. This study suggests that Photovoice promotes significant changes in perceived civic engagement among older youths.