Having a say in health: involving young people with a chronic illness or physical disability in local health services development

Increasing attention is being paid to involving users in local NHS service development, and to involving young people as users in their own right. However, we know little about the views and experiences of young participants, especially those with a chronic illness or physical disability, which could inform more effective approaches to their involvement. The paper reports on research investigating the views of young patients and staff who have taken part in NHS service development projects, and suggests a range of issues for consideration when involving young patients in future. Copyright © 2002 John Wiley & Sons, Ltd.     

Criteria families use to select nursing homes

The study is conducted to determine families' rankings of characteristics they consider most important when selecting a nursing home. Friedman's two-way analysis of variance is used to test for differences in the rankings. In response to a mailed survey, 231 families rank the characteristics in the following order: quality of care, appearance, atmosphere, location, reputation, building safety, quality of food, cost, and activities. Relationships are also found between the rankings and the demographic characteristics: gender, marital status, education, income, number of homes available, patient/respondent relationship, and distance respondent lived from the chosen home.     

The Effects of Work Demands and Resources on Work‐to‐Family Conflict and Facilitation

This article uses a differential salience‐comparable salience approach to examine the effects of work demands and resources on work‐to‐family conflict and facilitation. The analysis is based on data from 1,938 employed adults living with a family member who were interviewed for the 1997 National Study of the Changing Workforce. The results support the differential salience approach by indicating that time‐ and strain‐based work demands show relatively strong positive relationships to work‐to‐family conflict, whereas enabling resources and psychological rewards show relatively strong positive relationships to work‐to‐family facilitation. The availability of time‐based family support policies and work‐family organizational support is negatively related to conflict and positively related to facilitation, thereby supporting the comparable salience approach.     

Characteristics of U.S. cities with extreme (high or low) crime rates: Results of discriminant analyses of 1960, 1970, and 1980 data

Why do some cities have higher or lower crime rates than others? In this study we attempt to answer this fundamental question by identifying the theoretically motivated structural covariates which differentiate U.S. cities with extreme high and low crime rates. We apply discriminant function analysis across comprehensive samples of all U.S. cities with populations of greater than 25 000 in the periods 1960, 1970, and 1980 and then posit four question: are empirical findings from regression-based studies of city crime rates replicated in discriminant studies with extreme rates? Are the covariates that predict high or low crime rates unique to specific time periods? Which covariates are better able to discriminate high or low rates for specific crimes? And are specific covariates distinguishable in crime rate changes across time periods? Among our general findings, it appears that those cities with extreme high (low) crime rates tend to be the largest (smallest), most (least) economically deprived, and most (least) socially disintegrated. Associations with these latter two characteristics appear to have grown stronger over the past three census periods. The theoretical importance of these and other findings uncovered here are discussed and interpreted through Wilson's (1987) notion of concentration effects and social isolation which may have transformed inner-city areas in recent years.     

Gender Matters: Ethnographers Bring Gender from the Periphery toward the Core of Migration Studies

Ethnographers from anthropology, sociology, and other disciplines have been at the forefront of efforts to bring gender into scholarship on international and transnational migration. This article traces the long and often arduous history of these scholars’ efforts, arguing that though gender is now less rarely treated merely as a variable in social science writing on migration, it is still not viewed by most researchers in the field as a key constitutive element of migrations. The article highlights critical advances in the labor to engender migration studies, identifies under‐researched topics, and argues that there have been opportunities when, had gender been construed as a critical force shaping migrations, the course of research likely would have shifted. The main example developed is the inattention paid to how gendered recruitment practices structure migrations – the fact that gender sways recruiters’ conceptions of appropriate employment niches for men versus women.     

Factitious Illness by Proxy: Understanding Underlying Psychological Processes and Motivations

Children are put at risk of emotional and physical harm when parents seek unnecessary medical care. Understanding why parents seek medical interventions that create risk for their children requires us to consider how past experiences, and the mental representations of these experiences influence current behaviour. Past experiences of danger affect how parents interpret ‘dangerous’ situations in the present and how they organise protection of their child. This article demonstrates how the notion of mental representations (that dispose parents to act in particular ways) can assist in engaging, assessing and treating parents who display factitious illness by proxy behaviour. When classified using the Dynamic‐Maturational Method, the Adult Attachment Interview (AAI) allows both assessment of implicit and explicit representations and also understanding of the developmental process through which parents have learnt to attribute meaning to information and to organise their behaviour. In this case study, psychosocial assessment of the family included an AAI with each parent. The use of this assessment tool both aided the therapy team in the process of case formulation and intervention planning, and had therapeutic value in and of itself. We argue that treatment is more likely to be effective if the parents and professionals have a shared understanding of the parents' intentions and the developmental process that led to unsafe behaviour, which requires change.     

HOW DO ELECTORAL SYSTEMS AFFECT FISCAL POLICY? EVIDENCE FROM CANTONAL PARLIAMENTS, 1890–2000

Using a new data set on Swiss cantons since 1890, we analyze how the adoption of proportional representation affects fiscal policy. In line with economic theory, we show that proportional systems shift spending toward broad goods (like education and welfare benefits) but decrease spending on geographically targetable goods (like roads). We find little evidence that proportional representation increases the overall size of government. An analysis of the underlying theoretical mechanisms reveals that proportional representation increases electoral turnout, left‐wing representation, and political fragmentation. These changes in political representation explain a substantial share of the rise in education spending, but a small share of the rise in welfare spending or the decline in road expenditures.     

Community Wildfire Events as a Source of Social Conflict*

Abstract The literature notes that natural disasters, including wildfires, that damage human settlements often have the short‐term effect of “bringing people together.” Less recognized is the fact that such events can also generate social conflict at the local level. This study examines the specific sources of such social conflict during and after community wildfire events. Examining qualitative data generated from six case studies of wildfires in the American West, we suggest that integrating the theories of Weber, Giddens, and Habermas with community interaction theory provides a context for understanding such conflict. Rationalized forms of interaction and problem solving imposed by extra‐local organizations during and after wildfire events are often resisted by local actors who are also inhibited from acting due to local capacity limitations. Thus, conflict occurs when social relations are disembedded by non‐local entities, and there is a perceived loss of local agency.