A randomized trial of emotion-focused therapy for couples in a training clinic

Forty married couples participated in a randomized trial comparing 8 weekly sessions of emotion-focused therapy (EFT) for couples to a group of couples who were placed on an 8-week waiting list. A composite marital satisfaction score was created from scores on the Dyadic Adjustment Scale, Positive Feelings Questionnaire, and Personal Assessment of Intimacy in Relationships scale. Controlling for pretest scores, participants in the treatment group had significantly higher levels of marital satisfaction after 8 weeks than wait-list participants. Supplementary analyses identified variables associated with gains in therapy and with dropping out of the study.     

A Preliminary Investigation of a Telephone Administration of the Quality of Marriage Index

Follow‐up data collection presents many challenges for longitudinal research. Validating paper‐and‐pencil assessments for use via telephone may alleviate these issues. This study evaluates psychometric properties of the Quality of Marriage Index (QMI; Norton, 1983, Journal of Marriage and the Family, 45, 141) when administered by telephone and compares scores with the paper‐and‐pencil version. Participants included women with major depressive disorder and dyadic discord and their male spouses (n = 24 couples). Results suggest excellent scale reliability for the verbal QMI. However, a significant mean difference was found: participants scored on average 3 points higher on the telephone‐administered QMI than on the written QMI. Recommendations for future research and clinical implications are discussed.     

Do female candidates ‘lose votes’?: the experience of female candidates in the 1979 and 1980 Canadian general elections

Dans quelle mesure la sous-représentation des femmes au Parlement du Canada est-elle attribuable à la “perte de votes”? II est évident que lorsque les femmes se présentent à la députation sur un pied d‘égalité avec les hommes en ce qui concerne un rival titulaire, la compétitivité du siège disputé, et le parti politique, les femmes n'obtiennent pas moins de votes que les hommes. Les femmes sont également plus aptes àêtre choisies pour disputer des sièges à des titulaires ou des sièges que le parti a peu ou pas de chance de gagner. II est done peu probable que l’échec relatif des femmes aux élections fédérates soit directement relié aux sentiments des électeurs. II apparait plutôt que le succès limité des femmes dans la politique fédérale au Canada est dû aux difficultés qu'elles ont à se faire nommer pour disputer des sièges qu'elles auraient une assez bonne chance de gagner. This paper explores the extent to which the under-representation of women in the House of Commons in Canada can be attributed to female candidates “losing votes.” The evidence suggests that, when male and female candidates are equated in terms of running against an incumbent, competitiveness of the contested seat, and political party, the women do not receive fewer votes than the men. At the same time, women were more likely than men to be nominated to contest seats against incumbents or seats which their party had little or no chance of winning. It does not seem, then, that the relative failure of women in federal elections can be traced directly to voters' sentiments. Rather, it appears as if the limited success of women in federal politics in Canada largely originates in their difficulties in securing nominations to contest seats which they have some reasonable prospect of winning.     

THE ROLE OF MARITAL STATUS IN HEALTH SERVICES EXPENDITURES FOR PSYCHIATRIC OUTPATTIENTS

This study tested the hypothesis that married psychiatric outpatients would have lower total health services expenditures than divorced or separated patients. Chart review of the 471 individuals attending an academic medical center outpatient psychiatric clinic during 1994 identified 131 married, 40 separated, and 93 divorced patients. Separated men had significantly higher average total charges ($16,890) than married ($5,279) or divorced ($5,539) men by one-way ANOVA (p < .05). The nonparametric Mann-Whitney test also showed that separated men had higher charges than married or divorced men. There were no differences between marital status groups for women.     

How old is old? Revising the definition based on life table criteria

Sixty‐five has long been thought of as the point of entry into “old age.”; We propose a number of life table criteria for answering the following questions: If 65 was considered appropriate four decades ago, what is the corresponding age today? If 65 was (implicitly) a male‐oriented definition four decades ago, as we believe it was, what would have been the appropriate definition for women at that time, and what is it today? We address these questions by applying our criteria to Canada, using 1951 and 1991 life tables, but the criteria could be applied equally well to other countries. For other developed countries we would expect broadly similar results.     

Some demographic consequences of changing cohort fertility patterns: An investigation using the Gompertz function

Abstract In this paper are formulated some convenient summary measures of fertility patterns. These measures, which are based on the Gompertz function, are total lifetime fertility, median age of mothers at childbirth, and inter-quartile range of age of mothers at childbirth. Estimates of the parameters of Gompertz function, based on Canadian data, are used to derive, for each of the summary measures, values which reflect historical fertility experience, and thus give an impression about the range of realistic values for these measures. A simple model of demographic activity which includes the Gompertz function is also considered, and this model is used in computer simulation experiments to determine the macro-demographic effects of changes in each of the three summary measures.     

Macro-effects of changes in household preferences for children

The basic ideas underlying the analysis in this paper are that family size can be viewed as an economic life cycle decision and that there are decision trade-offs among fertility, consumption, and leisure. A micromodel of life cycle choice is developed and embedded in an economic-demographic macromodel. The macromodel is then used in a series of computer experiments to assess the effects on the population and the economy of changes in household preferences for children. The experiments include factual and counterfactual simulations of Canadian historical demographic experience and simulations of alternative future scenarios. The analysis and conclusions have general relevance for countries that have been through a fertility boom-and-bust sequence.We are grateful for the support received from Health and Welfare Canada's Review of Demography and Its Implications for Social and Economic Policy and from the Social Sciences and Humanities Research Council of Canada. We are grateful also to Christine H. Feaver, who carried out the computer-related aspects of the work on which this paper is based.     

Residential Segregation on the Island: The Role of Race and Class in Puerto Rican Neighborhoods

In this paper, we use racial data from Census 2000, available for the first time in 50 years, to examine the links among race, socioeconomic status, and residential location on the island of Puerto Rico. Puerto Ricans overwhelmingly chose white as their race, and they chose only one race, not a combination of races that would seem more in keeping with the ideology of mestizaje. Overall, segregation by race is modest compared with residential segregation in the United States. In keeping with the Puerto Rican claim that class is more important than race, we find that segregation by race is generally lower than segregation between the lowest and highest income categories in all metro areas, but that the results for education and occupational status differ by metropolitan area. In San Juan-Bayamón, the most diverse metropolitan area on the island, we find that as percent black increases, neighborhood socioeconomic status decreases, though the changes are not that stark, except in Loiza, a community of black Puerto Ricans and in some Dominican neighborhoods, though there are relatively few of these neighborhoods.     

Bi‐Criteria Scheduling of Surgical Services for an Outpatient Procedure Center

Uncertainty in the duration of surgical procedures can cause long patient wait times, poor utilization of resources, and high overtime costs. We compare several heuristics for scheduling an Outpatient Procedure Center. First, a discrete event simulation model is used to evaluate how 12 different sequencing and patient appointment time‐setting heuristics perform with respect to the competing criteria of expected patient waiting time and expected surgical suite overtime for a single day compared with current practice. Second, a bi‐criteria genetic algorithm (GA) is used to determine if better solutions can be obtained for this single day scheduling problem. Third, we investigate the efficacy of the bi‐criteria GA when surgeries are allowed to be moved to other days. We present numerical experiments based on real data from a large health care provider. Our analysis provides insight into the best scheduling heuristics, and the trade‐off between patient and health care provider‐based criteria. Finally, we summarize several important managerial insights based on our findings.