Medical savings accounts. Power and choice

As the market becomes more saturated and matures, keeping people healthy will become a bigger source of profits and true health maintenance will become increasingly important. Right now, however, the name of the game is restricting services, particularly in new markets. What is sorely needed is a balance between the individual and organizational agendas, between the individual and society. There is a tremendous opportunity for hospital-physician groups contracting directly with employers using Medical Savings Accounts (MSAs) and catastrophic insurance as a core strategy. Are MSAs a viable insurance vehicle? Some argue that those enrolled in MSAs will put off receiving needed medical care. But it can also be viewed that MSAs, by their very nature, put costs back into the negotiation phase between patients as customers and physicians and hospitals as providers--and save money and resource consumption as patients shop around for competitive prices to do what needs to be done.     

Aesthetics and the Artistic Career: A Study of Anomie in Fine-Art Painting*

This is an empirical study of the relationship between aesthetic evaluation, collective action, and artistic success. Documentary evidence is examined to show that the initial artistic success of Jackson Pollock, the leading painter in the early years of Abstract Expressionism, was not due to coherent aesthetic evaluation by the New York art world. Secondary sources are then reviewed and it is suggested that Pollock's rise to artistic preeminence was brought about directly by collective action in the form of a promotional campaign on the part of a small, but influential, group of actors closely associated with the artist.     

Cracking the Code: Race,Class, and Access to Nightclubs in Urban America

Using ethnographic data collected in the downtown nightlife of Athens, Georgia, we explore black males’ responses to being rejected from nightclubs via dress code enforcement in predominately white settings. We contrast these responses to the general experiences of other black males who gained access. Although race is a factor in the enforcement of dress codes, we find a fluid relationship between race, class, and taste that influences black males’ responses and experiences. We illustrate how the nuanced reality of lived racial and class experiences for many young black males problematize the narrow interpretation of a black cultural essence.

Group psychotherapy with pathological gamblers

This paper reviews some of the group therapy techniques utilized in the authors' work with pathological gamblers. These conceptual tools ranged from rational-emotive psychotherapy to Zen philosophy which provided a background and foundation for working with pathological gamblers. Many therapeutic and antitherapeutic beliefs and behaviors of gamblers are discussed including narcissism, manipulative behavior, and rejection of Gamblers Anonymous. Each technique, behavior or belief discussed is explained in terms of how each affects the group process and how each is managed in group therapy.This paper represents a discourse on the group treatment of pathological gamblers primarily from the experiences of Julian Ingersoll Taber, Ph.D. who was the coordinator of the Gambling Treatment Program at the Cleveland Veterans Administration Medical Center for seven years. Dr. Taber is currently Chief of the Addictive Disorders Treatment Program at the Veterans Administration Medical Center in Reno, Nevada. Martin Paul Chaplin, Ph.D., who is specializing in the treatment of addiction, assisted in the theoretical and editorial aspects of this article. He worked under the aegis of Dr. Taber as an intern at the Gambling Treatment Program and currently has a position at Community Mental Health Services of Medina in Ohio.     

Gender Differences in Emotion Expression in Low-Income Adolescents Under Stress

Gender roles in mainstream US culture suggest that girls express more happiness, sadness, anxiety, and shame/embarrassment than boys, while boys express more anger and externalizing emotions, such as contempt. However, gender roles and emotion expression may be different in low-income and ethnically diverse families, as children and parents are often faced with greater environmental stressors and may have different gender expectations. This study examined gender differences in emotion expression in low-income adolescents, an understudied population. One hundred and seventy nine adolescents (aged 14–17) participated in the Trier Social Stress Test (TSST). Trained coders rated adolescents’ expressions of happiness, sadness, anxiety, shame/embarrassment, anger, and contempt during the TSST using a micro-analytic coding system. Analyses showed that, consistent with gender roles, girls expressed higher levels of happiness and shame than boys; however, contrary to traditional gender roles, girls showed higher levels of contempt than boys. Also, in contrast to cultural stereotypes, there were no differences in anger between boys and girls. Findings suggest gender-role inconsistent displays of externalizing emotions in low-income adolescents under acute stress, and may reflect different emotion socialization experiences in this group.     

The convention of captioning: W. G. Sebald and the release of the captive image

Thesis 1: That the treatment of images in social science texts is stuck in a positivist/modernist time warp, and is out of sync with the present cultural climate.

Thesis 2: That the work of W. G. Sebald indicates how images may be more appropriately used in relation to words in post‐positivist and postmodernist texts.     

Sex‐differentiated associations among negative parenting,emotion‐related brain function,and adolescent substance use and psychopathology symptoms

Parenting is a critical factor in adolescent social–emotional development, with maladaptive parenting leading to risk for the development of psychopathology. However, the emotion‐related brain mechanisms underlying the influence of parenting on psychopathology symptoms are unknown. The present study utilized functional magnetic resonance imaging and laboratory measures to examine sex‐differentiated associations among parenting, adolescent emotion‐related brain function, and substance use and psychopathology symptoms in 66 12–14‐year olds. Maternal parenting behaviors (warmth, negative parenting) were observed in a laboratory task. Adolescent brain responses to negative emotional stimuli were assessed in emotion processing regions of interest (left [L] and right [R] amygdala, anterior insula, and anterior cingulate cortex [ACC]). Adolescents reported on substance use and depressive, anxiety, and externalizing symptoms. Maternal negative parenting predicted adolescent brain activation differently by sex. For girls, negative parenting predicted heightened R ACC activation to negative emotional stimuli. For boys, negative parenting predicted blunted L and R anterior insula and L ACC activation. Furthermore, for girls, but not boys, heightened L anterior insula and heightened L and R ACC activation were associated with substance use and depressive symptoms, respectively. Findings suggest neural response to negative emotion as a possible sex‐specific pathway from negative parenting to psychopathology.     

Maternal Neurobiological Processing of Negative Adolescent Stimuli: Relations With Positive Parenting and Relationship Quality

We examined associations between maternal affective neurobiology and positive parenting in a study of 20 mothers of adolescents. Mothers underwent functional magnetic resonance imaging during an emotion image task, rated parent‐adolescent relationship quality, and completed an adolescent interaction task in which positive parenting behaviors were observed. Maternal structure was associated with lower responsivity in emotional processing regions in the general negative image contrast and was related to greater dorsolateral prefrontal cortex activation to negative adolescent images. Parent‐adolescent relationship quality was associated with lower precuneus activation to negative adolescent images. Findings are among the first to connect functional brain processing with observed parenting behaviors for parents of adolescent children, and underscore the relative importance of affective processing in parenting older children.