Problems in the assessment and management of Munchausen Syndrome by Proxy abuse

SUMMARY: ‘Munchausen Syndrome by Proxy’ describes the abuse incurred by children as a result of their parents inventing false illness stories. It is a complex mixture of emotional and physical abuse which, because of the medical elements, can be particularly difficult to manage through current procedures. The authors have been involved with more than 200 such families and studied the reasons for delay before intervention, problems with placement of the child and access arrangements, and the difficulties encountered by professionals in securing long-term involvement and satisfactory supervision. These are considered in relation to the various outcomes for the children assessed at follow-up 1–14 years after the initial abuse.     

The Determinants of Expenditure on Children's Personal Social Services

¹ Peter C. Smith, Centre for Health Economics, University of York, York YO1 5DD, UK. E-mail: pcsl{at}york.ac.ukAbstract Summary This paper reports the results of a statistical study of thedeterminants of expenditure on children's social services intwenty-five local authorities in England. The study was commissionedas part of the Government's review of Standard Spending Assessmentsfor Personal Social Services. The study combined data from avariety of sources, including local authority registers, toinfer the distribution of expenditure between 1,036 small areaswith populations of about 10,000. Multilevel statistical techniqueswere used, and suggested that the principal determinants ofexpenditure are children in lone parent families, children infamilies of income support claimants, children living in flats,children with limiting long-standing illness, and populationdensity. As well as these results, the study yielded importantinsights into potential improvements for Standard Spending Assessmentmethodology.     

GOVERNING A GROUNDWATER COMMONS: A STRATEGIC AND LABORATORY ANALYSIS OF WESTERN WATER LAW

We examine strategic behavior in groundwater depletion within the setting of state governance of groundwater resources in the American West. Solving a dynamic common-pool resource model for its optimal solution and its subgame perfect equilibrium provides benchmarks for behavior observed in laboratory experiments. Three forms of legal rules—common-pool depletion with a "rule-of-capture" to establish ownership (absolute ownership doctrine), entry restrictions (prior appropriation doctrine), and stock quotas (correlative rights doctrine—are examined in terms of their impact on individual strategic behavior in laboratory experiments.     

DETERRENCE,PREEMPTION, AND PANIC: A COMMON‐ENEMY PROBLEM OF TERRORISM

A game‐theoretic analysis of terrorism examines interactions between a terrorist organization and multiple target countries. It considers both preemption and deterrence as counter‐terrorist policies. Damage from terror includes material costs and resultant fear. Fear effects lead to different equilibria and implications for counter‐terrorism policies. The model identifies conditions under which greater preemption may be the rational response to an increase in terrorism, that is, it analyzes the merit of the dictum “offense is the best defense.” It also examines the characteristics of cooperative behavior among target countries in dealing with the threat of terrorism. (JEL C72, D74, F52, F53, H41)