Facing the Future: America's Post-multiculturalist Trajectory

America's multicultural struggles are now relatively dated. The policies about which multicultural‐type struggles now occur are quite modest (compared, for instance, with the much more extensive measures implemented in Canada and Australia). The reforms of the 1960s not only heralded unexpected consequences (such as the growth of the Asian and Latino populations) but were unavoidable if the US polity was to satisfy the basic criteria of democracy. These civil rights reforms and connected public policy measures, such as affirmative action or multicultural educational curricula, shape US politics—but in a way which interacts more genuinely with the country's vast diversity of peoples. Group‐based divisions are deep and enduring but they are expressed in an individualist political culture whose political institutions are responsive to individualist‐based demands, even when these demands are expressed through group loyalties.     

Contesting meaning: Newfie and the politics of ethnic labelling

The ethnic label Newfie is a site of ideological dispute: for some, it is simply an informal term for residents and expatriates of the Canadian province of Newfoundland, for others it may function as an in–group term of solidarity which takes on negative connotations when used by non–Newfoundlanders, and for still others it is the equivalent of a racial slur. In this study we first trace the history of the term, a fairly recent innovation. We then examine present–day attitudes as expressed in (provincial and national) media discourse and in self–report data. We argue that debate over Newfie is part of a larger ideological struggle concerning the commodification of an ‘invented’ Newfoundland culture, which itself must be understood in terms of Newfoundland’s socioeconomic position as Canada’s poorest province. Finally, we compare the Newfie case to other instances of contested group labelling.     

The influence of individual,marital, and family therapy on high utilizers of health care

Research has shown that people reduce their use of health care after individual, marital, and family therapy, which is known as the "offset effect." However, little research has been done to learn if high utilizers of health care reduce health care usage after therapy. Medical records of research participants (n = 65) from a health maintenance organization (HMO) were randomly selected and examined for 6 months before, during, and after therapy. Persons who received individual, marital, or family therapy all reduced their health care use after therapy, with the largest reductions coming from those participants who had some form of conjoint therapy.     

Cryotherapy for treatment of ECT-induced headache

Because headache is a common side effect of electroconvulsive therapy (ECT), this study sought to determine the effectiveness of cryotherapy (i.e., a frozen gel band) in relieving pain in patients with post-ECT headaches, and whether headache intensity and physiological measurements could predict use of an alternative analgesic (rescue medication). We used a quasi-experimental, crossover design to collect data from 31 patients ages 24 to 85 who had been referred for ECT at two medical facilities in San Diego, California. Measurements of patients' pain intensity were made at three intervals: upon perceiving headache, and at 30 and 60 minutes following the cryotherapy or acetaminophen interventions, based on the order of the crossover design. Data were analyzed using Hotelling's T2 and logistic regression. No significant difference was found between cryotherapy and acetaminophen in relieving ECT-induced headaches (p = .420). There was no influence due to the crossover design (p = .313), nor where there significant changes in physiological measures from treatment (p = .420). Logistic regression showed that 50% of patients required rescue medication after 60 minutes for both treatments (R2 = .498, p = .001), and 66% required rescue medication based on pain level and physiological measures (R2 = .662, p < .008). Based on these results, cryotherapy is an alternative treatment that may be helpful to some patients with ECT-induced headaches.     

Adolescent attitudes toward random drug testing in schools

The current research examined students' perceptions of random drug testing for students participating in after-school activities. Results found students were more likely to endorse drug testing at their school if they are already engaged in after-school activities and not currently using drugs and/or alcohol. While middle and high school students' scores fell within the median, most reported if drug testing were implemented in their school they believed it would not deter continued participation in after-school activities. However, if drug testing were a prerequisite for participating in after-school activities, high school students were more apprehensive about getting tested than middle school students. Student respondents were more likely to endorse drug testing, if all members of the school system (i.e., teachers, coaches and staff) participated in drug testing. High school students' believed they had enough knowledge about drug abuse and were less likely to endorse drug testing because they believed it would violate their personal privacy compared to grade school students. Results also differed as a function of gender and self-reported drug and alcohol use.