Examining the association between Medicaid coverage and preterm births using 2010–2013 National Vital Statistics Birth Data

Reducing the number of preterm births is a high public health priority in the U.S. Preterm birth, affecting an estimated 380,000 infants annually, is a leading cause of infant mortality and morbidity and is associated with individual and systemic characteristics. Preterm birth is estimated to cost society $26 billion annually. Despite an elevated financial burden caused by preterm birth, very little is known about who bears these costs. This study seeks to understand the relationship between Medicaid and private insurance payment for preterm birth, using multiple years of vital statistics data, which for the first time since 2010 include information on payment source. The nationwide data cover births that occur in all settings, including non-hospital settings, and many maternal characteristics not available in other datasets, improving upon previous analyses. These data can be used to promote better Medicaid coverage of interventions known to be effective in reducing preterm births.     

Two Case Studies on Family Work with Eating Disorders and Body Image Issues

This article highlights the need for clinicians who work with eating disorders and body image problems to address the deeper family issues underlying these symptoms. The authors propose an eclectic approach including family systems, structural and experiential family therapy theory as a guide. The paper begins with an overview of family therapy theories currently used in the treatment of eating disorders, and goes into greater detail about the three theories highlighted in the eclectic model proposed. The authors present two cases with actual case dialogue, demonstrating how they used this composite model. This article has both theoretical and practical implications for clinicians working in the field.     

Durkheim and The Structure of Social Action*

The analysis of Durkheim in The Structure of Social Action is integral to Parsons's discussion of the utilitarian-positivist tradition and the emergence of a voluntaristic theory of action from it. The four “stages” of theoretical argument in Durkheim can be related directly to the four defining elements of the “utilitarian dilemma,” namely empiricism, rationality, atomism, and the randomness of ends. The most questionable aspect of Parsons's argument is the alleged stubbornness of Durkheim's empiricism. On the other hand, much of the criticism of Parsons's argument, by Pope in particular, although also by Scott and Warner, Is either misdirected or itself questionable. The development and conclusions of Durkheim's moral sociology are as Parsons claims, and form a viable basis for a non-positivist theory of action.     

A Note on the Continuity of Parsonian Action Theory

The four structural elements of action identified in Talcott Parsons' The Structure of Social Action—means, ends, conditions, norms—can be directly assimilated to the four variables which generate the AGIL schema: instrumental, consummatory, external, internal. The former set primarily define the unit act; the latter are generalized to the action system level.     

Learning Style Characteristics of Adult Dependent Decision Makers: Counseling and Instructional Implications

Dependent decision makers form a significant population of students and adults who seek help from career counselors. This study investigated the learning style characteristics of dependent decision makers in an urban community college setting. The results suggest that the dependent decision makers as a group may have reduced motivation for learning, show limited persistence, and take less responsibility for their learning. Because of these learning style characteristics, we recommend that these characteristics be considered when making counseling interventions and instructional modifications when working with dependent decision makers.     

A REMINISCENCE OF TALCOTT PARSONS, SEPTEMBER 1970 TO APRIL 1979

On Shakespeare's stage. the rattle of thunder framed the comings and goings of princes. Other heralds bracket the years of this story: the rattle o f choppers crossing the Parrot's Beak, and stirring the sand at Desert One. But in Cambridge, such distant cues are masked by the nearer cacophony of commuters and scholarly discourse; here a shy little man stood astride the world of theory for half a century. He responded to everything, near and distant, in the same manner: in his own time, in his own roundabout way, with the inborn assurance of a compass needle centering on true north.     

The NODS–CLiP: A Rapid Screen for Adult Pathological and Problem Gambling

Objectives  

To describe and evaluate tests of the performance of the NODS–CLiP, an efficient standardized diagnostic interview instrument for adult pathological and problem gambling.