Disability and the Notion of Human Development: questions of rights and capabilities

From a rights perspective disability has come increasingly to be seen as less a matter of personal misfortune than of societal neglect and obstruction, and as much warranting claims on the state to ensure inclusion and equality as to prosecute a duty of care. This shift resonates with other transitions within international discourse, most notably the increasing prominence of the notion of human development, which emphasises the importance of equity, freedom, and full realisation of human rights and capabilities as central to societal developmental objectives. After briefly examining apparent parallels in discourses relating to disability and to human development, the capabilities approach, upon which the concept of human development is grounded, is examined more closely and its implications for disability considered. It is argued that a capabilities approach may serve alternatively to keep disability partially hidden from view or become a powerful means for identifying the responsibilities of governments and external agencies in genuinely equalising opportunities.     

Refined Inference on Long Memory in Realized Volatility

There is an emerging consensus in empirical finance that realized volatility series typically display long range dependence with a memory parameter (d) around 0.4 (Andersen et al., 2001; Martens et al., 2004). The present article provides some illustrative analysis of how long memory may arise from the accumulative process underlying realized volatility. The article also uses results in Lieberman and Phillips (2004, 2005) to refine statistical inference about d by higher order theory. Standard asymptotic theory has an O(n^-1/2) error rate for error rejection probabilities, and the theory used here refines the approximation to an error rate of o(n^-1/2). The new formula is independent of unknown parameters, is simple to calculate and user-friendly. The method is applied to test whether the reported long memory parameter estimates of Andersen et al. (2001) and Martens et al. (2004) differ significantly from the lower boundary (d = 0.5) of nonstationary long memory, and generally confirms earlier findings.     

Dementia Problem Behavior and the Production of Informal Caregiving Services

Informal caregivers of individuals with Alzheimer's disease spend a considerable amount of time providing care. In this paper, we use Grossman's health production and Becker's time allocation models to develop a model of informal care provision to elderly dementia patients. In our model, time inputs produce caregiving services, which provides utility to the caregiver, but reduces leisure. We assume that time is less productive of services on the margin as the disease progresses. In this framework, an increase in patients' disease severity does not necessarily increase informal caregiver time input. The cost of formal care establishes a reservation price for informal caregiving. When the costs of informal caregiving rise above this reservation level, the patient is institutionalized. We test empirically the effect of deterioration in the patients' condition, proxied by both disease severity and dementia problem behavior, on informal caregiving time. We find that dementia-related problem behaviors and functional limitations significantly increase inputs of informal caregiving time. Patients' problem behavior exerts a modifying effect on functional limitations, and patients' comorbidities have no effect on informal caregiving time.     

Naturally occurring play patterns in groups of latency aged children

This study examines the influence of the socialization of aggression among different gender and social class groupings and the influence of psychosocial stage on cognitive developmental play preferences among groups of school aged children. Observations of 143 play groups were coded for play preference (symbolic play, practice play, games with rules) and play performance (cooperative or competitive). Findings of the log-linear data analysis suggest a middle class and masculine bias in Piaget's cognitive model (i.e., that as age increases children prefer more games with rules). This model held only for middle class and affluent boys. Girls (both latency and prepubertal) and lower socioeconomic groups tended to prefer practice play. Girls were more likely to play cooperatively; boys more likely to play competitively. Implications for theory development and clinical practice are explored.     

Narrating Significant Experience: Reflective Accounts and the Production of (Self) Knowledge

Notwithstanding the rise of evidence-based practice, other tendencieswithin social work scholarship are also discernible. One ofthese is the study of the everyday, routine accomplishment ofpractice, drawing on microsociological methods and techniques.In this article, I apply techniques drawn from narrative anddiscourse analysis to the study of reflective practice accounts,which hold an important place in social work education. In particular,it is relevant to examine the form that reflective accountstake and the rhetorical and narrative devices deployed withinthem to accomplish a competent professional identity. My argumentis not that such accounts of practice are untruthful, ratherI propose that we would do well to move beyond taking texts(and talk) for granted and treating language as merely the mediumfor expressing inner thoughts and feelings. Social work shouldtake seriously the need to explore its modes of representationand to cultivate a more self-conscious approach to the way professionaland client identities are produced in practice.     

Issues in applying recent CPMP ‘Points to Consider’ and FDA guidance documents with biostatistical implications

The International Conference on Harmonisation guideline ‘Statistical Principles for Clinical Trials’ was adopted by the Committee for Proprietary Medicinal Products (CPMP) in March 1998, and consequently is operational in Europe. Since then more detailed guidance on selected topics has been issued by the CPMP in the form of ‘Points to Consider’ documents. The intent of these was to give guidance particularly to non‐statistical reviewers within regulatory authorities, although of course they also provide a good source of information for pharmaceutical industry statisticians. In addition, the Food and Drug Administration has recently issued a draft guideline on data monitoring committees. In November 2002 a one‐day discussion forum was held in London by Statisticians in the Pharmaceutical Industry (PSI). The aim of the meeting was to discuss how statisticians were responding to some of the issues covered in these new guidelines, and to document consensus views where they existed. The forum was attended by industry, academic and regulatory statisticians. This paper outlines the questions raised, resulting discussions and consensus views reached. It is clear from the guidelines and discussions at the workshop that the statistical analysis strategy must be planned during the design phase of a clinical trial and carefully documented. Once the study is complete the analysis strategy should be thoughtfully executed and the findings reported. Copyright © 2003 John Wiley & Sons, Ltd.     

Getting Through to Them: Reaching Students Who Need Career Counseling

The purpose of this study was to examine the effects of a persuasive message, designed using the theory of planned behavior (TOPB; I. Ajzen, 1985) and written in the form of a student newspaper column, on undecided students' intent to seek career counseling from an informed source, such as a career counseling workshop. An experiment was conducted to test TOPB's applicability, and it was found that a message using positive reinforcement of salient beliefs and creating positive links between outcomes and workshop attendance caused a change in behavioral intention toward a greater reported likelihood of workshop attendance.