Problems in the assessment and management of Munchausen Syndrome by Proxy abuse

SUMMARY: ‘Munchausen Syndrome by Proxy’ describes the abuse incurred by children as a result of their parents inventing false illness stories. It is a complex mixture of emotional and physical abuse which, because of the medical elements, can be particularly difficult to manage through current procedures. The authors have been involved with more than 200 such families and studied the reasons for delay before intervention, problems with placement of the child and access arrangements, and the difficulties encountered by professionals in securing long-term involvement and satisfactory supervision. These are considered in relation to the various outcomes for the children assessed at follow-up 1–14 years after the initial abuse.     

PRICE MATCHING AND THE DOMINO EFFECT IN A RETAIL GASOLINE MARKET

Using gasoline station price data collected eight times per day for 103 d for 27 stations in Guelph, Ontario, it is found that, consistent with an informal theory of competitive gasoline pricing, stations set prices to match a small number of other stations. However, these matched stations are not necessarily the closest. While retailers frequently respond to price changes within 2 h, many take considerably longer. Finally, while price decreases do ripple across the market like falling dominos, increases propagate across the city based more on geographic location and source of price control than on proximity to leaders of these increases. ( JEL L13, L40, L81)     

The Determinants of Expenditure on Children's Personal Social Services

¹ Peter C. Smith, Centre for Health Economics, University of York, York YO1 5DD, UK. E-mail: pcsl{at}york.ac.ukAbstract Summary This paper reports the results of a statistical study of thedeterminants of expenditure on children's social services intwenty-five local authorities in England. The study was commissionedas part of the Government's review of Standard Spending Assessmentsfor Personal Social Services. The study combined data from avariety of sources, including local authority registers, toinfer the distribution of expenditure between 1,036 small areaswith populations of about 10,000. Multilevel statistical techniqueswere used, and suggested that the principal determinants ofexpenditure are children in lone parent families, children infamilies of income support claimants, children living in flats,children with limiting long-standing illness, and populationdensity. As well as these results, the study yielded importantinsights into potential improvements for Standard Spending Assessmentmethodology.     

Tattooing and Civilizing Processes: Body Modification as Self‐control*

Malgré la révolution en cours dans le tatouage en Amérique du Nord, les universitaires restent attachés à l'idée que les « fanatiques du tatouage » seraient des inadaptés sociaux. Dans cet article, des données obtenues au cours d'une observation participante de trois ans parmi des fanatiques du tatouage au Canada ouvrent la porte à une critique des interprétations psycho‐sociales privilégiées du tatouage comme étant une conduite irrationnelle, impliquant des risques (voir Carroll et coll., 2002; Roberts et Ryan, 2002). À la lumière de la sociologie figurationnelle (Elias, 1983; 1994; 1996), le tatouage est ici vu comme un acte de communication à caractère sociable et régi affectivement plutôt que comme un cas pathologique d'automutilation. Despite the ongoing revolution in the use of tattoos in North America, academic understandings of tattooing remain grounded in conceptions of “tattoo enthusiasts” as social misfits. In this paper, data from three years of participant observation with tattoo enthusiasts in Canada help critique preferred social‐psychological interpretations of tattooing as irrational, “risk‐taking behaviour” (see Carroll et al., 2002; Roberts and Ryan, 2002). Through the lens of figurational sociology (Elias, 1983; 1994; 1996), tattooing is interpreted in this paper as a pro‐social and affectively regulated act of communication, rather than a pathological instance of self‐injury.     

GOVERNING A GROUNDWATER COMMONS: A STRATEGIC AND LABORATORY ANALYSIS OF WESTERN WATER LAW

We examine strategic behavior in groundwater depletion within the setting of state governance of groundwater resources in the American West. Solving a dynamic common-pool resource model for its optimal solution and its subgame perfect equilibrium provides benchmarks for behavior observed in laboratory experiments. Three forms of legal rules—common-pool depletion with a "rule-of-capture" to establish ownership (absolute ownership doctrine), entry restrictions (prior appropriation doctrine), and stock quotas (correlative rights doctrine—are examined in terms of their impact on individual strategic behavior in laboratory experiments.