Where Did the Bodies Go? The Social Construction of Suicide Data,New York City, 1976–1992*

The number of suicides reported for New York City by the National Center for Health Statistics (NCHS) fell precipitously in 1985 and remained extremely low until 1989, when it returned to pre‐1985 levels. The downturn in reported suicides from 1985 to 1988 occurred in all five of the city's boroughs but did not extend to the suburbs. The apparent drop in suicide rates was largely and perhaps completely an artifact of personnel and policy changes in the New York City Chief Medical Examiner's Office during a period in which the office engaged in defensive structuring in the face of severe political, economic, and journalistic pressures. During the downturn, suicides were “hidden” in reported deaths attributable to non‐motor‐vehicle accidents and, to a lesser extent, undeter‐mined external causes. The socially constructed trough in suicide rates between 1985 and 1988 affects the outcome of tests of theories of suicidal behavior using county‐level data for New York State.     

Altruism and social solidarity: Envisioning a field of specialization

Conclusion This article has presented a vision of what a field of altruism and social solidarity could potentially involve. An additional perspective on the nature of this field and how it could contribute to the discipline and to society is provided by the science of psychology. In the last decade a fundamental new orientation has developed in this discipline, growing from the pioneering work of Martin E.P. Seligman. Generally identified as “positive psychology” it represents a shift from a focus on trying to understand and find solutions to mental illness and various pathologies of thought and behavior in a “disease model” to a focus on human strengths, virtues, and other positive characteristics. This shift in focus is regarded as making a direct contribution to understanding what is best in human emotions and traits and how society can support the psychological flourishing of individuals. This new perspective in turn provides increased awareness of how the problems studied in the disease model can more effectively be prevented (Seligman, 2003, 2005). The importance of this focus on the positive for sociology and a call to action is stated by Seligman (2003): The third pillar of positive psychology is the study of positive institutions and positive communities.     

Managing Change Across Boundaries: Boundary‐Shaking Practices1

To date, boundary spanning has primarily been conceived of as an activity relating an organization to its environment, including other organizations with which it cooperates and competes. In contrast, this study focuses on the boundary spanning practices of individuals acting as change agents to implement boundary‐shaking change initiatives across intra‐organizational boundaries. These boundary‐shaking individuals all work for blue‐chip organizations in sectors as diverse as pharmaceuticals, consultancy and automotive. The change initiatives are equally diverse, including post‐merger integration, exploitation of across‐business synergies and implementing more integrative structures. Through our examination of boundary‐shakers we are able to extend what we know about internal change agency and change agent skills and practices. Our starting point is that organizations are comprised of networks of people with a degree of common interest. Our research shows our research subjects to be active movers and shakers in these networks, using their knowledge of the organizational political context and the motivations of others to create new networks (or new meanings within old networks), which then enables them to pursue their change objectives.     

Mental health support needs of people with a learning difficulty: a medical or a social model?

People with learning difficulties, like all disabled people, face social oppression. Much recent policy and practice are underpinned by at least some understanding of this oppression, and the social model of disability has been influential in discussions of services and supports for people with learning difficulties. However, in the area of mental health, the picture is somewhat different. This paper argues that the medical model has predominated in discussions of mental health support for people with learning difficulties, and that a social model approach could have much to offer. The paper draws on an ongoing action research study in which service providers, families and young people with learning difficulties are working together to articulate what is needed, in order to find routes to improve the support offered to young people with learning difficulties and mental health support needs.     

Regular physical exercise in patients with type II diabetes mellitus

It is widely accepted that regular physical exercise helps diabetic patients control blood glucose, reduce cardiovascular risk factors, and prevent other related complications. In spite of the undoubted benefits of regular physical exercise, diabetic patients with chronic complications should be aware of potential hazards of practicing exercise. To avoid some harmful consequences of acute exercise, it is necessary to adopt a vigilant attitude with these risk patients and to carefully adjust type and intensity of exercise to the individual situation. This article intends to summarize and analyze the current literature concerning the preventive and therapeutic effects of regular exercise in diabetic patients, pointing out its physiological influence on blood glucose regulation, and to analyze the potential risks of acute physical exercise and the precautions given to patients with a variety of complications.     

Using a Markov Chain to Construct a Tractable Approximation of an Intractable Probability Distribution

Abstract.  Let π denote an intractable probability distribution that we would like to explore. Suppose that we have a positive recurrent, irreducible Markov chain that satisfies a minorization condition and has π as its invariant measure. We provide a method of using simulations from the Markov chain to construct a statistical estimate of π from which it is straightforward to sample. We show that this estimate is 'strongly consistent' in the sense that the total variation distance between the estimate and π converges to 0 almost surely as the number of simulations grows. Moreover, we use some recently developed asymptotic results to provide guidance as to how much simulation is necessary. Draws from the estimate can be used to approximate features of π or as intelligent starting values for the original Markov chain. We illustrate our methods with two examples.     

Traditional vs. Modern Food Systems? Insights from Vegetable Supply Chains to Ho Chi Minh City (Vietnam)

This article describes the development of vegetable marketing in Ho Chi Minh City (Vietnam), where modern distribution outlets are competing fiercely with traditional traders for wholesale and retail customers. Data from interviews with supply chain stakeholders and a survey of vegetable wholesalers have been used to compare the performance of modern and traditional chains, and the findings reveal the chains as segmented in their product focus, the modern sector focusing exclusively on quality. Modern marketing channels are generally more efficient than traditional ones but still account for only around 2% of vegetable distribution. The article argues that policy‐makers should not promote the ‘modernisation’ of food systems at the expense of traditional channels which meet important consumer needs.     

Developmental Outcomes for Children of Young Mothers

This study tested the association between mother’s early age at first birth and various life outcomes for her children in later adolescence and early adulthood. Data were analyzed from the Rochester Youth Development Study, an ongoing panel study of adolescents enrolled in seventh or eighth grade in Rochester Public Schools in 1988 (N =729). Boys born to mothers who began childbearing before age 19 had elevated risks of drug use, gang membership, unemployment, and early parenthood. Girls born to young mothers only had elevated risks of early parenthood. Of the mediators tested, low maternal education had the largest mediating effects. The findings suggest that the risks associated with being born to a young mother are substantial but perhaps disproportionately so for boys.