The State of Care Management in Learning Disability and Mental Health Services 12 Years into Community Care

This paper reports on the organization of care management froma longitudinal study of community care for people resettledfrom long-stay learning disability and psychiatric hospitals.The findings from a 12-year follow-up of care management arrangementsin 12 learning disability and eight mental health study siteservices are described. The diversity of care management arrangementsfound at earlier points in the evaluation remained evident.Also, many of the former ‘care in the community’service users were excluded from mainstream care managementarrangements in their localities. The difficulty of developingperson-centred arrangements in learning disability and the lackof integration of the Care Programme Approach and care managementwere evident. The findings and observations are placed in thewider policy and practice context, with suggestions for takingcare management forward nationally and locally.     

Feminism,militarism, and attitudes toward the role of women in the military

Attitudes toward the role of women in the military require the reconciliation of two often conflicting beliefs: those toward the roles and rights of women and those toward the military. This article explores the relationships between positive attitudes toward women’s roles throughout society, or feminism, and positive attitudes toward defense spending, or militarism, both with each other and with attitudes toward gender integration in the military. Results of this analysis show there to be a negative relationship between feminism and militarism, a positive relationship between feminism and gender integration, and a negative relationship between militarism and gender integration. The results of multiple regression analysis show that feminism is the strongest predictor of attitudes toward gender integration, while militarism is weak in its predictive ability. The author argues that the issue of women in the military is more one of women’s equality than of national defense and that policy discussions should be structured accordingly. She is currently conducting research which examines how women in the United States military employ strategies to manage gender and sexuality. This research provides evidence for the claim that gender is not simply a role or an attribute, but that gender is created and recreated through our interactions with others.     

THE ANSWERING MACHINE POSES MANY QUESTIONS FOR TELEPHONE SURVEY RESEARCHERS

The proliferation of the telephone answering machine raisesa number of questions about the continued efficiency of thetelephone as a data-gathering mechanism. The most critical ofthese is what effect the use of these machines might have onestablishing contact with potential respondents. If individualsroutinely use these machines to screen calls, then their accessibilityto telephone survey researchers will be restricted. A secondquestion is the degree to which respondents who own answeringmachines and are reachable are likely to participate in a survey.A third question is the extent to which the incidence of theanswering machine as a response disposition might vary by thetime of calling and the respondent's place of residence. Thefindings of this study, based on a nationwide survey, pointto a significant proportion of answering machine owners beingreachable and willing to participate. Furthermore, the answeringmachine appears to be in use more on weekends than on weekdayevenings and in more urbanized areas than in areas with fewerinhabitants.     

Modelling data from single-photon emission computerized tomography

The completely random character of radioactive disintegration provides the basis of a strong justification for a Poisson linear model for single-photon emission computed tomography data, which can be used to produce reconstructions of isotope densities, whether by maximum likelihood or Bayesian methods. However, such a model requires the construction of a matrix of weights, which represent the mean rates of arrival at each detector of photons originating from each point within the body space. Two methods of constructing these weights are discussed, and reconstructions resulting from phantom and real data are presented.     

Reactions to Job Content Plateaus: Examining Role Ambiguity and Hierarchical Plateaus as Moderators

Plateauing research often reveals a negative relationship between job content plateauing (i.e., lacking challenge in one's job) and work attitudes. This study explores situations where job content plateauing is associated with fewer negative work attitudes, revealing role ambiguity (i.e., being unclear about job duties and responsibilities) and hierarchical plateauing (i.e., low likelihood of promotions) as moderators of the job content plateau‐work attitude relationship. Specifically, job content plateaued employees reported greater job satisfaction and organizational commitment if they were not also experiencing a hierarchical plateau. Job content plateaued employees also reported greater job satisfaction when role ambiguity was low.     

Between Spatial and Social Segregation among Immigrants: The Case of Immigrants from the FSU in Israel

Studies on immigrants' residential concentration have reported mixed findings. Some have argued that immigrants' residential concentration is a necessary step in the process of their social integration because there the newcomers find housing and employment opportunities as well as social support. As they learn the language and improve their socioeconomic status, they move to neighborhoods where they share space with the native population. Others have argued that the ethnic neighborhood delays the process of social integration in the new society because it nurtures informal ethnic social networks that provide incomplete information and retard the process of language acquisition. The study reported here investigated the effect of motivations, perceptions of attitudes of the host society, acculturation and socioeconomic factors on immigrants' residential concentration. It also sought to expand previous research by examining the relationship between immigrants'residential concentration and social relationships with nonimmigrants. Data for the study were collected in 1999 through a survey of immigrants from the FSU who had settled in one northern city in Israel after 1989. The results show a negative relationship of socioeconomic status and fluency in Hebrew with the percentage of immigrants residing in a given neighborhood. The higher the socioeconomic status and the more fluent the immigrant in Hebrew, the lower the percentage of immigrants in his or her neighborhood. Immigrants who expressed a proactive motivation for migration resided in neighborhoods with a low percentage of immigrants. Immigrants' residential concentration was not found to be related to the development of social relationships with the local population. The implications of the findings are discussed.     

Dealing with Toxicity in the Risk Society: The Case of the Hamilton,Ontario Plastics Recycling Fire*

Une perspective de la construction sociale sert de cadre a l'analyse des controverses sur la gestion des risques qui ont été provoquées à la suite d'un incendie majeur dans une usine de recyclage de matières plastiques à Hamilton, en Ontario. En mettant l'accent sur les processus de réclamation au c?ur de l'interaction entre les représen‐tants du gouvernement, les acteurs environnementaux, les experts techniques et les résidants, il a été révélé qu'un accent trop limité aux questions d'ordre technique avait mené a l'exclusion des préoccupations fondées sur la rationalité culturelle ayant ainsi entraine un cadre d'interaction très litigieux divisant profondément. Les conséquences des conclusions empiriques de la thése de la société des risques ainsi que de la théorie sur la communication des risques sont explorées. A social construction perspective is applied in the analysis of the risk management controversies that arose in response to a large toxic fire that occurred at a Hamilton, Ontario plastics recycling facility. By focussing on the claimsmaking processes involved in the interaction of government officials, environmental movement actors, technical experts, and residents, it was found that an overly narrow focus on technical matters led to the exclusion of lay concerns based on cultural rationality, thereby resulting in a very contentious and divisive setting for interaction. Implications of the empirical findings for the risk society thesis and risk communication theory are explored.     

Prehistoric landscapes of the sonoran desert Hohokam

The Hohokam of southern Arizona are noted for greater duration of settlement than other major agricultural traditions in the archaeological record of the southwestern United States, including the Anasazi and Mogollon. The 40,000 square mile area inhabited by the Hohokam is marked by low elevation desert basins, but encompasses a range of topographic and climatic variability that shaped opportunities for prehistoric farming technologies. Irrigation from rivers was frequently associated with the longterm persistence of individual sites, while floodwater farming along ephemeral drainages was more often correlated with continuous occupation of hydrologically favored zones. Renewal of fields by waterborne nutrients and efficient practices in the use of natural resources countered the limited mobility options afforded by the Hohokam environment.In spite of a restrictive agricultural setting and an essentially static suite of productive technologies over many centuries, relationships among population, settlement, and landuse were redefined in evolving social and economic configurations. An example from the Tucson Basin illustrates differentiated patterns of settlement and agriculture arising in conjunction with increased levels of population and territorial integration in the late prehistoric period. Community organization among interrelated settlements incorporated a diversity of topographic zones and agricultural technologies in this high-risk context for prehistoric cultivators.     

Betrayal and repetition: Understanding aggression in sexually abused girls

Betrayal by a significant object is seen as primary in causing behavioral and emotional disturbances in incest victims, leading to a pervasive identification with the aggressor and disturbances in object relations development. Identification with the aggressor is understood not as a uniform defense mobilized against a specific affect but as a complex compromise formation which defends against anxiety, while also providing libidinal, aggressive and superego gratifications. Far from simply attempting to overcome the past, identifications thus preserve affects that have become pleasurable and self-defining. Two case studies of adolescent girls illustrate how treatment can help victims recognize and begin to forego the sadomasochistic pleasure derived from these identifications, a relinquishment necessary for true mastery.