From QA to TQM

In the decade from 1950 to 1960, two quality-related processes--medical audit and total quality management--were being developed, one directly in the health care field and the other in the manufacturing sector. These processes remained isolated from each other until the mid-1980s. Each would have a separate but major effect on the health care industry.     

The Lac‐Mégantic Derailment,Corporate Regulation,and Neoliberal Sovereignty

On July 6, 2013, Montreal, Maine, and Atlantic railcar 5017 hauling 72 tanker cars of Bakken crude oil derailed over the town of Lac‐Mégantic, Quebec. The town erupted in a fiery inferno as 5,560,000 liters of highly flammable Bakken crude oil exploded over the town, killing 47 people and contaminating 558,000 tons of soil and local waterways. While Montreal, Maine, and Atlantic Rail Chairman Edward Burkhardt initially blamed the derailment on the lone engineer and local firefighters, this study shows how Transport Canada and the rail industry undermined regulatory and safety measures for several years before the derailment. This study uses a Foucauldian theoretical perspective to conceptualize and explain a new political mentality that transfers existing state regulatory authority to the corporate sector. This new mentality, neoliberal sovereignty, is composed of sovereign and neoliberal logics that monopolize “correct” trajectories of human economic development. This absolute market mentality merges with state sovereignty and eliminates existing safety and regulation frameworks to pursue unregulated corporate profits. Le 6 juillet 2013, un train de 72 wagons‐citernes transportant du pétrole brute Bakken a déraillé de la ligne de chemin de fer de la Montréal, Maine et Atlantique, dans la ville de Lac‐Mégantic au Québec. La ville c'est transformé en véritable enfer, alors que 5 560 000 litre de pétrole brute Bakken très inflammable ont fait explosé la ville, tuant quarante‐sept personnes et contaminant 558 000 tonnes d'eaux et du sol de Lac‐Mégantic et ses environs. Alors que le président de la MMA, Edward Burkhart, a d'abord blâmé l'ingénieur et le service d'incendie local, les études montrent que Transport Canada et l'industrie ferroviaire ont amoindrit les mesures de réglementation et de sécurité plusieurs années avant le déraillement. Cette étude utilise une perspective théorique foucauldienne pour conceptualiser et expliquer une nouvelle mentalité politique qui transfère l'autorité de régulations gouvernementales existantes au secteur des entreprises. Cette nouvelle mentalité, souveraines et néo‐libérale, est composé de logique souveraines et néo‐libérales qui monopolise les trajectoires « respectables » de développement économique humain. Cette mentalité de marché absolu fusionne avec la souveraineté de l'État et élimine les cadres de sécurité et les réglementations existantes pour les bénéfices des entreprises non réglementaires.     

Predictors of Intrusive Sexual Behaviors in Preschool-Aged Children

Intrusive sexual behaviors (ISBs) are a specific type of problematic sexual behavior characterized by the invasive nature of the acts (e.g., touching others’ private parts, attempting intercourse; Friedrich, 1997). The limited amount of research on ISBs has focused on sexual abuse history as the primary predictor. However, Friedrich, Davies, Feher, and Wright (2003) found that ISBs in children up to age 12 were related to four broad conceptual factors: (a) exposure to sexual content, (b) exposure to violent behavior, (c) family adversity, and (d) child vulnerabilities. The current study sought to replicate Friedrich’s study using a clinical sample of 217 preschool-aged children (ages two to six). Results supported variables from within the child vulnerabilities construct (externalizing behaviors, β_EXT = 0.032, p = 0.001), post-traumatic stress disorder (PTSD) criteria met (β_PTSD = 0.177, p = 0.02), and an inverse relationship with age (β_AGE = ?0.206, p = 0.024). These results highlight the importance of considering childhood behavioral patterns and reactivity to traumatic events as correlates of ISBs in young children.     

“To get the word out”: LGBTQ+ Young adults’ motivations for participating in qualitative research studies

Understanding why socially marginalized individuals, such as lesbian, gay, bisexual, transgender and/or queer (LGBTQ+) people, participate in research can improve qualitative research designs, as well as social services and policies. In providing a participant-centered foundation, we interviewed 65 LGBTQ+ young adults and asked “Why are certain LGBTQ+ young adults motivated to engage in qualitative social science studies?” Many LGBTQ+ young people said they were committed to enacting social change and promoting advocacy. Participants also highlighted supporting scientific research and knowledge production. Finally, LGBTQ?+ participants engaged with research to introspectively analyze their identity development processes. These findings can facilitate access to socially vulnerable and underrepresented groups through a methodological focus on participant benefits.     

Invariant co-ordinate selection

Summary.  A general method for exploring multivariate data by comparing different estimates of multivariate scatter is presented. The method is based on the eigenvalue–eigenvector decomposition of one scatter matrix relative to another. In particular, it is shown that the eigenvectors can be used to generate an affine invariant co-ordinate system for the multivariate data. Consequently, we view this method as a method for invariant co-ordinate selection . By plotting the data with respect to this new invariant co-ordinate system, various data structures can be revealed. For example, under certain independent components models, it is shown that the invariant co- ordinates correspond to the independent components. Another example pertains to mixtures of elliptical distributions. In this case, it is shown that a subset of the invariant co-ordinates corresponds to Fisher's linear discriminant subspace, even though the class identifications of the data points are unknown. Some illustrative examples are given.     

Gender identity and lexical variation in social media

We present a study of the relationship between gender, linguistic style, and social networks, using a novel corpus of 14,000 Twitter users. Prior quantitative work on gender often treats this social variable as a female/male binary; we argue for a more nuanced approach. By clustering Twitter users, we find a natural decomposition of the dataset into various styles and topical interests. Many clusters have strong gender orientations, but their use of linguistic resources sometimes directly conflicts with the population‐level language statistics. We view these clusters as a more accurate reflection of the multifaceted nature of gendered language styles. Previous corpus‐based work has also had little to say about individuals whose linguistic styles defy population‐level gender patterns. To identify such individuals, we train a statistical classifier, and measure the classifier confidence for each individual in the dataset. Examining individuals whose language does not match the classifier's model for their gender, we find that they have social networks that include significantly fewer same‐gender social connections and that, in general, social network homophily is correlated with the use of same‐gender language markers. Pairing computational methods and social theory thus offers a new perspective on how gender emerges as individuals position themselves relative to audiences, topics, and mainstream gender norms.     

Fetishizing the health sciences: Queer theory as an intervention

Queer theory often falls impotent in its palatability across disciplinary lines. I offer a conceptual article that interrogates the dis-ease and divide when considering queer theory in and for the health sciences. In so doing, I look to foster a process of making queer theory more tenable to applied practice—and to make practice in social work, at least, more queer. The exemplar of HIV is deconstructed as a preeminent discourse and health disparity. In the end, it is argued that queer theory may be an essential intervention in the arsenal of the helping professions.