Employee stress litigation: The UK experience

This paper considers the extent to which stress-induced illness can be regarded as a personal injury that could give rise to civil action for damages against employers in the UK. It outlines the results of a brief survey of personal injury solicitors, which indicates that claims are already being initiated by employees who allege they have suffered a stress-induced illness. The potential for claims within industrial tribunal cases that have already been decided is also examined. Consideration is given to the hurdles that litigants will have to surmount, such as proving that their condition was in fact caused by some feature of their working conditions, showing that it was foreseeable that they would suffer a stress-based injury, and demonstrating that their employer was in some way at fault. This leads to a questioning of what employers can do to protect themselves from such claims, or at least defend them successfully. The paper points out that success is likely to depend heavily upon the quality of expert medical opinion, and also upon policy conditions that may influence those adjudicating on such cases. It is concluded that the cost of losing claims may be significant, and that employees who ignore the warning signs do so at their peril.     

A Hint of Risk: Tradeoffs Between Quantitative and Qualitative Risk Factors

Risk-perception research plays an active role in discussions of risk-management alternatives. However, little guidance is provided regarding how public concerns should be weighed against other sources of cost and benefits. This paper reports the results of two experiments that measure tradeoffs among cost (in dollars), a quantitative risk measure (number of deaths or injuries), and several qualitative characteristics associated with perceived risk. Most subjects were willing to make the requested trade. However, the perceived risk information led others to reject the proposed technology.     

Stigma Happens: Social Problems in the Siting of Nuclear Waste Facilities

The paper by Metz challenges the view that stigma associated with a nuclear waste repository might lead to significant economic losses to the host region. We have been invited to comment on the general issues raised by this paper. We find that much of the evidence presented in the paper consists of factual and conceptual errors and misrepresentations of the research literature. Based on our review of evidence documenting the social and economic impacts of perceived risk, we conclude that stigma is an important phenomenon that is symptomatic of fundamental problems with the way in which nuclear waste facilities are sited.     

Donald Edwin Super: The Career of a Planful Explorer

Donald Edwin Super was a member of the National Career Development Association from 1934 to 1994, a full 60 years. Starting at midcentury, his writings and lectures provided the main impetus to expand vocational guidance to encompass career counseling. This article, structured around the five stages in Super's life stage model and narrated in the language of vocational development tasks that he identified and researched, tells the story of Super's own career development and extrapolates the major themes in his unparalleled career as a vocational psychologist and career counselor.     

Valuation of childhood risk reduction: the importance of age, risk preferences, and perspective.

This article explores two problems analysts face in determining how to estimate values for children's health and safety risk reductions. The first addresses the question: Do willingness‐to‐pay estimates for health risk changes differ across children and adults and, if so, how? To answer this question, the article first examines the potential effects of age and risk preferences on willingness to pay. A summary of the literature reporting empirical evidence of differences between willingness to pay for adult health and safety risk reductions and willingness to pay for health and safety risk reductions in children is also provided. The second dimension of the problem is a more fundamental issue: Whose perspective is relevant when valuing children's health effects—society's, children's, adults‐as‐children, or parents'? Each perspective is considered, followed ultimately by the conclusion that adopting a parental perspective through an intrahousehold allocation model seems closest to meeting the needs of the estimation problem at hand. A policy example in which the choice of perspective affects the outcome of a regulatory benefit‐cost analysis rounds out the article and emphasizes the importance of perspective.     

Pitfalls in Drawing Policy Conclusions from Retrospective Survey Data: The Case of Advertising and Underage Smoking

Measuring the impact of potentially controllable factors on the willingness of youth to undertake health risks is important to informed public health policy decisions. Typically the only data linking these factors with risk-taking behavior are retrospective. This study demonstrates, by means of a recent example, that there can be serious pitfalls in using even longitudinal retrospective data to draw conclusions about causal relations between potentially controllable factors and risk-taking behavior.     

Readiness for Career Choices: Planning,Exploring, and Deciding

One of Super's most important contributions has been in explicating those developmental tasks that involve planning, exploring, and deciding, processes known collectively as readiness for career choices. The authors review existing means of conceptualizing and operationalizing the various aspects of readiness, as well as innovative practice applications that have emerged from this work. Next, selected elaborations and extensions of the readiness construct are described. Finally, future directions for theory and research on readiness are presented with a particular emphasis on the promise of considering contextual issues, motivational factors, and an expanded measurement perspective in subsequent inquiry and practice.     

Convenience and independence: do physicians strike a balance in admitting decisions?

This paper contrasts economic and professional models of physician admitting behavior. Economic models emphasize physician convenience and income maximization, while professional models emphasize physician autonomy and independence. The paper examines the relative power of these models to explain two types of admitting decisions made by physicians: which hospitals to begin admitting patients to, and how many patients to admit to a hospital. Analyses of physician admitting patterns over a three-year period suggest that economic considerations outweigh professional considerations in both decisions. Results are interpreted in light of recent changes in the profession of medicine and physician-hospital relationships.     

HIV infection and homeless adolescents

Homeless adolescents are at extremely high risk for acquiring HIV infection, as the literature reviewed in this paper documents. Sexual and drug use behaviors that put these adolescents at risk are described, and new models of service for these youths are outlined.