What Do Grandmothers Think about Self‐esteem? American and Taiwanese Folk Theories Revisited

The study investigates European American and Taiwanese grandmothers’ folk theories of childrearing and self‐esteem, building on an earlier comparison of mothers from the same families. Adopting methods that privilege local meanings, we bring grandmothers’ voices into the conversation about childrearing, thereby contributing to a deeper understanding of intergenerational nuances in folk theories. In each cultural case, 16 grandmothers of 3‐year‐olds participated in in‐depth interviews that were customized according to local communicative norms. Although self‐esteem emerged as a central organizing concept in the folk theories of European American mothers, grandmothers spoke in two voices, either echoing their daughters or invoking a counter‐discourse of wariness towards self‐esteem. By contrast, Taiwanese mothers and grandmothers resembled one another—but differed from their American counterparts—in treating self‐esteem as peripheral in childrearing. Results contribute to the growing consensus that self‐esteem is a culture‐specific childrearing goal and suggest that the European American tendency to valorize self‐esteem varies by generation.     

Assessing accuracy of a continuous screening test in the presence of verification bias

Summary.  In studies to assess the accuracy of a screening test, often definitive disease assessment is too invasive or expensive to be ascertained on all the study subjects. Although it may be more ethical or cost effective to ascertain the true disease status with a higher rate in study subjects where the screening test or additional information is suggestive of disease, estimates of accuracy can be biased in a study with such a design. This bias is known as verification bias. Verification bias correction methods that accommodate screening tests with binary or ordinal responses have been developed; however, no verification bias correction methods exist for tests with continuous results. We propose and compare imputation and reweighting bias-corrected estimators of true and false positive rates, receiver operating characteristic curves and area under the receiver operating characteristic curve for continuous tests. Distribution theory and simulation studies are used to compare the proposed estimators with respect to bias, relative efficiency and robustness to model misspecification. The bias correction estimators proposed are applied to data from a study of screening tests for neonatal hearing loss.     

Struggles with Time: the careers of parents with adult sons and daughters with learning disabilities

The experiences of parents with adult offspring with learning disability and the meanings their parental careers have for them, has been the subject of very little empirical research. In this paper we describe and examine some of the features that gave shape and meaning to the day to day lives of parents of 33 co-resident adults with learning disabilities. Their accounts of their situations revealed that 'time' was a factor of some importance. Participants suggested that socialisation into the parental role was one that continued over the life course. In addition, they also felt that the services they received were based upon an inadequate and too narrow an understanding of how they experienced 'time'. The data reveal that both 'over time' and 'in time', parents struggled to maintain a set of aspirations for a typical life. The data show that for many parents there was a slow accommodation to the constraints of service provision and, as a result, their needs for service support became less extensive.     

Health care futures. Part 2: The future of physician executives? Panel discussion

What is the future of health care in America? This is Part 2 of The Physician Executive panel discussion that explores the future of health care in America. To narrow this ambitious focus somewhat, the future is defined as five to 10 years hence. In Part 1, which was published in the May/June issue, Russell C. Coile, Jr., Barbara LeTourneau, MD, MBA, FACPE, James Reinertsen, MD, Uwe Reinhardt, PhD, Marshall Ruffin, MD, MPH, MBA, FACPE, and David Vogel, MS, shared their opinions about what the future holds in managed care, information technology, and biotechnology. In Part 2, Susan Cejka, Barbara LeTourneau, MD, MBA, FACPE, John Henry Pfifferling, PhD, Uwe Reinhardt, PhD, and James Todd, MD, share their views on the future of medical education and physician executives.     

The construction and validation of the homopositivity scale: an instrument measuring endorsement of positive stereotypes about gay men

Social scientists appear to focus on negative beliefs about, and attitudes toward, gay men and lesbian women. This emphasis, though understandable in view of the widespread oppression of gay and lesbian individuals, is somewhat myopic because it ignores what might be referred to as the positive dimension of stereotypes. Although such a concept may appear oxymoronic, it is widely recognized that individuals may endorse a mixture of positive and negative stereotypes toward stigmatized groups such as African Americans and women. The purpose of the current series of studies (Study 1, N = 212; Study 2, N = 105) was to devise an instrument measuring endorsement of positive stereotypes about gay men (Homopositivity Scale; HPS). Two versions of the HPS (of varying length) were evaluated, with scale scores on both appearing to be internally consistent and factorially distinct from scales measuring negative stereotypes and prejudices about gay men. These studies also suggest that females are more likely than males to endorse positive stereotypes about gay men, and that such endorsement is negatively associated with need for uniqueness and need for cognition, and positively associated with media contact and benevolent sexism. The limitations of the two studies are outlined and the importance of assessing positive stereotypes about gay men in conjunction with oft-examined homonegativity is discussed.     

Confidence intervals for secondary parameters following a sequential test

In sequential studies, formal interim analyses are usually restricted to a consideration of a single null hypothesis concerning a single parameter of interest. Valid frequentist methods of hypothesis testing and of point and interval estimation for the primary parameter have already been devised for use at the end of such a study. However, the completed data set may warrant a more detailed analysis, involving the estimation of parameters corresponding to effects that were not used to determine when to stop, and yet correlated with those that were. This paper describes methods for setting confidence intervals for secondary parameters in a way which provides the correct coverage probability in repeated frequentist realizations of the sequential design used. The method assumes that information accumulates on the primary and secondary parameters at proportional rates. This requirement will be valid in many potential applications, but only in limited situations in survival analysis.     

An Investigation of Measures of Modern and Old-Fashioned Sexism

Working from the Principle of Beneficence we make the case that there is a need for adequate measures of sexism in men and women. Swim, Aikin, Hall and Hunter (1995) suggest that modern sexism represents a constellation of beliefs in which individuals: (a) disavow women's present-day discrimination; (b) reject women's demands for political and economic power; and (c) disapprove of policies designed to promote gender equality. To assess this construct, Swim et al. (1995) developed the Modern Sexism Scale (MSS), and to date, few studies have assessed its reliability and factor structure. Using data from 187 Canadian participants, confirmatory factor analysis was used to assess the unidimensionality of the MSS and Swim and associates' (1995) Old-Fashioned Sexism Scale (OFSS). Results do not support Swim et al.'s conceptualization of modern sexism as a unidimensional construct; however, the OFSS fit a unidimensional model. The implications of these findings are discussed.     

Is Valuing Equality Enough? Equality Values, Allophilia, and Social Policy Support for Multiracial Individuals

We conducted a field study to investigate positive intergroup attitudes (i.e., allophilia) and equality values as potential antecedents of social policy support for multiracial individuals. Participants (N = 97) reported their social policy support for multiracial individuals in two ways—support for the recognition of "multiracial" as a distinct racial category (recognition) and support for multiracial individuals' access to programs and policies (assistance). Results revealed that allophilia motivated those who held equality beliefs to support social policies for multiracial individuals. Implications of these findings for theories of positive intergroup relations, as well as the processes that may underlie progress for multiracial individuals, are discussed.     

在公共服务递送中运营共同生产：服务蓝图的贡献

本文认为,公共服务应从以产品为主导的逻辑转向服务途径。通过采取服务导向,公共服务递送的经验性、组织间和系统性,以及作为共同生产者的服务使用者角色,将一同被考虑。论文将通过服务蓝图的应用,解释共同生产如何操作。并介绍了高等教育中的一个案例。在这一案例中,蓝图的创建将师生汇聚在一起,专注于学生入学的设计,从而改善学生体验,并支持共同生产。      

Cultural Contributors to Ego‐Resiliency and Associations with Depressive Problems in Midwestern Latino Youth

Ego‐resiliency is an enduring psychological construct reflecting how individuals‐adapt to environmental stressors, conflict, and change which is linked to positive adjustment. Ego‐resiliency has not been examined in Latino youth, despite their high risk for mental health problems; nor have cultural precursors to ego‐resiliency been examined. Given these gaps, we examined whether familism values (supportive, obligation, and referent) were associated with ego‐resiliency and, in turn, depressive problems in Latino adolescents across two time points (N = 123, mean age = 11.53). Results indicated that supportive familism was associated positively with ego‐resiliency and negatively with depressive problems. Ego‐resiliency negatively predicted depressive problems across time, controlling for prior levels, suggesting that ego‐resiliency may have long‐term effects on depressive problems in Latino youth.