Middle‐Class Political Activism and Middle‐Class Advantage in Relation to Public Services: A Realist Synthesis of the Evidence Base

Since the late 1960s social policy scholarship has been concerned with the distribution of the resources or benefits across social gradients. This article presents a review of the literature on one mechanism by which inequity might be produced – activism by middle‐class service‐users enabling them to capture a disproportionate share of resources. The review used the methodology of realist synthesis to bring together evidence from the UK, the USA and Scandinavian countries over the past 30 years. The aim was to construct a ‘middle‐theory’ to understand how and in which contexts collective and individual activity by middle‐class service‐users might produce inequitable resource allocation or rationing decisions that disproportionately benefit middle‐class service‐users. The article identifies four causal theories which nuance the view that it is the ‘sharp elbows’ of the middle‐classes which confer advantage on this group. It shows how advantage accrues via the interplay between service‐users, providers and the broader policy and social context.     

Reflections on a Quantitative,Group-Based Mindfulness Study with Social Work Students

Emerging research demonstrates that mindfulness is effective in reducing health care worker burnout. The aim of this quantitative pilot study was to examine the effectiveness of a mindfulness intervention on social work students. The investigation utilized a pretest/posttest design. Findings from the study demonstrated an increase in knowledge (p < .001), self-efficacy (p < .001), and beliefs (p < .005) related to mindfulness following a group-based mindfulness intervention. Reflections on the first author’s need to resist her group work instincts to test the effectiveness of the mindfulness intervention are shared.     

The Polls--Trends: Labor Unions in the United States

In this study, we analyze data on public opinion and attitudestoward labor unions from the iPOLL Databank at the Roper Centerfor Public Opinion Research (University of Connecticut), theAmerican National Election Study, and the Current PopulationSurvey. Despite recent developments that suggest labor unionsare in decline, we find organized labor has maintained reasonablystrong public support. Although the data indicate that Americansremain skeptical about how much confidence they can place inunions and their leaders, the results make clear that the publiccontinues to recognize the need for unions to protect the rightsof workers. These results hold potentially important implicationsfor the future of organized labor in the United States.     

Foster youth evaluate the performance of group home services in California

In 2003 foster youth employed by a foster youth advocacy organization suggested that an evaluation of group home services to foster youth be conducted in Alameda County, California. This report presents the development and conduct of this evaluation study; how funding was obtained; and how foster youth were hired, trained, and employed to produce a timely and informative evaluation of the performance of 32 group homes where some of the foster youth formerly resided. The results of the study are described in another paper. This report contributes to evaluation practice in the newly emerging field of youth-led evaluations. The achievements of this project in utilizing group home clients to evaluate services with which they were familiar may stimulate other evaluators to develop similar projects, thereby enriching the development of our youth and promoting more informative evaluation findings.     

Motivational interviewing as a pregroup intervention for partner-violent men

This study investigated the effects of a pregroup motivational intervention for domestic abuse perpetrators. Men presenting for treatment at a community domestic violence agency (N = 108) were assigned to receive either a two-session intake using the techniques of motivational interviewing (MI) or a structured intake (SI) control. All participants were then referred to a cognitive behavioral treatment (CBT) program in groups homogeneous with respect to intake condition. The motivational intake led to more constructive in-session behavior during the early phase of group CBT, greater compliance with group CBT homework assignments, higher late session therapist ratings of the working alliance, and more help seeking outside of the domestic violence program. No significant effects of intake condition were found on session attendance, self-reports of readiness to change abusive behavior, or client reports of the working alliance. Partner reports of abusive behavior outcomes during the 6 months after group CBT revealed a marginal effect favoring the MI condition on physical assault. The findings suggest that motivational interviewing can increase receptivity to partner violence interventions.     

Accountability Agreements in Ontario Hospitals: Are They Fair?

Governments can be accountable for improving the fairness oftheir priority setting through enhanced transparency and stakeholderengagement. A case analysis is conducted of priority settingin a government health care context in Ontario, Canada, assessinghow implementation of hospital accountability agreements meetsthe conditions of a leading international ethical frameworkfor priority setting, "accountability for reasonableness" (A4R).Hospital accountability agreements provide a mechanism for governmentto ensure that public funding achieves desired performance inhospitals. A key goal of priority setting is fairness. A4R linkspriority setting, legitimacy, and fairness to theories of democraticdeliberation, making a claim for fairness if the four conditionsof relevance, publicity, revision/appeals, and enforcement aresatisfied. Regarding the relevance condition, this analysissuggests that government only partially met the relevance conditionproviding limited stakeholder engagement but with evidence ofpolicy learning and movement toward the establishment of inclusivestakeholder arrangements. Evidence suggests that governmenteventually progressed toward meeting the publicity condition.Government only partially met the revision/appeals conditionand did not meet the enforcement condition, as the other conditionswere only partially met. It is our view that regional governancestructures in Ontario (i.e., Local Health Integration Networksor LHINs) provide an opportunity for the province to improvethe fairness of their accountability agreement processes throughenhancing transparency and stakeholder engagement. More broadly,this case study provides a guide for government to enhance accountabilityby focusing on A4R to improve the fairness of its priority setting.     

Right-wing extremist violence among adolescents in Germany

What are the preconditions for right-wing extremist violence among German youths? For several years, the rate of this violence has been increasing in Germany, and the same can be observed for right-wing extremist orientations characterized by the coming together of ideologies of unequal worth and the acceptance of violence as a mode of action. And although it is emphasized that approval of and willingness to use violence do not automatically lead to actual acts of violence, this article suggests that the existence of these convictions in society helps to legitimize attitudes that become expressed in violence, in particular among youths.This article presents a five-stage process model that portrays the underlying preconditions for acts of right-wing extremist violence, the contexts in which such violence takes place, and the factors that cause it to escalate. This structural model is used to outline central empirical findings of recent German quantitative and especially qualitative studies about right-wing extremist violent offenders. For analytical reasons, the basic elements of the process model (socialization, organization, legitimation, interaction, and escalation) are treated separately. The authors also examine right-wing extremist violence from a disintegrative perspective. Given that intersubjective recognition is an existential human need, right-wing extremist violence is understood as a "productive" way of dealing with individual recognition deficits. On the basis of the integration dimensions of social disintegration theory, three fundamental recognition needs are distinguished. Right-wing extremist violence can best be explained as a consequence of recognition deficits in all three central integration dimensions.     

Turbulence and Bifurcation in North–South Higher-Education Partnerships for Research and Sustainable Development

The article analyzes processes and objectives of transnational higher-education partnerships (THEPs) devoted to research and sustainable development by applying concepts and insights from chaos theory, Rosenau??s work on turbulence, Farazmand??s contributions on institutionalized chaos and the management of cascading crises, and the transnational-competence framework. The bifurcation of research and development activity into asymmetrical and symmetrical processes and objectives provides the focus for analysis. Building on Farazmand??s insight regarding the positive possibilities of transformative change, the conclusion explores possibilities for amplifying the symmetrical trajectory. Given the structural forces of global capitalism and local political constraints, the range of symmetrical process- and outcome-path possibilities for THEPs is now bounded by the strange attractors of resource inequalities and collaborative decision making.