Applying Violentization: From Theory to Praxis

A holistic, agentive, and progressive violent crime control policy derived from the theory of violentization will be presented. The theory is based on three main ideas: (1) violent dominative encounters, (2) violentization process, and (3) violent communal disorganization and organization. On the basis of each one of these ideas, specific policy recommendations are developed for stymieing the formation of attempted and completed violent criminal acts; the development of violent, ultraviolent, and violent predatory criminals; and the transformation or maintenance of the communities in which these criminals evolve and later commit their crimes. The policy formulated is holistic because it attacks the problem of violent crime on three different integrated levels, and takes into account that not all violent criminals, violent criminal acts, and communities are equally violent; thereby, different modes of intervention are needed for them. The policy is agentive because it views both actual and potential violent criminals as active agents in their commission of violent criminal acts and rehabilitation. Finally, the policy is progressive because it makes education—antiviolent, remedial, vocational, and higher education, and gainful employment in legitimate occupations—the cornerstone of violent crime prevention and violent offender rehabilitation.     

Reaping What They Sow? Victim-Offender Overlap Perceptions and Victim Blaming Attitudes

Examining the tendency to attribute blame to crime victims reveals a striking dichotomy. Some types, such as children, elicit intense emotional reactions from the public. Alternatively, others, such as the typical victims of street crimes, garner substantially less concern. According to the “just world” hypothesis, these latter groups may be perceived by the public as criminally involved, and so “blameworthy” for their victimization. We test this hypothesis—specifically, we evaluate whether perceptions of the extent of victims’ involvement in crime are associated with dispositional attributions for victimization. Data from a recent national survey (N = 760) are analyzed. To extend generalizability, we replicate results with a college sample (N = 733). Findings indicate that victim-offender overlap perceptions vary consistently by crime type. There is also consistent evidence that perceiving a larger victim-offender overlap is associated with the view that the causes of criminal victimization are, in part, dispositional—and thus that crime victims hold personal responsibility.     

The Infiltration of Terrorist Organizations Into the Pharmaceutical Industry: Hezbollah as a Case Study

Criminal syndicates and terrorist organizations are inherently different, one motivated by profit and the other by political goals. Yet their difference enables them to cooperate for their mutual benefit. Nowhere has this been more evident than in the drug trade; from harvesting and trafficking in illegal substances, it has been an easy transition to counterfeiting and disseminating medications. Hezbollah, in particular, has become involved in the production, smuggling and distribution of counterfeit medications in North America, Africa and the Middle East as a means of raising immense sums of money to finance its terrorist activities. Hezbollah's infiltration into the pharmaceuticals industry illustrates the danger posed by the marriage of terrorism and crime, which arises both from enhanced resources for terrorism, and from the corruption of a legitimate and necessary industry. Understanding the nature and extent of this danger is the first step in preparing to meet it.     

Emigration and expulsion in the Third World

We routinely refer to pharmaceutical patents as intellectual property rights. The argument in this article is that pharmaceutical patents represent a ‘bargain’ between government, business and society. The pharmaceutical patent system constitutes a social institution with social goals that go well beyond solely providing incentives to proprietary pharmaceutical companies to develop innovative drugs. Therefore we need to assess this institution in terms of what is referred to here as its social effectiveness, that is, its ability to accomplish the social goals it was set up to achieve. Such assessment has to take into account the fact that the pharmaceutical patent system has now become global, a development that has made its social ineffectiveness more apparent and worrisome. The severity and gravity of unmet global and local public health needs compels urgent scrutiny of the pharmaceutical patent system, as well as of alternatives to it, such as prizes for pharmaceuticals.     

Performing spiritual healing in the here and now: botánicas and holistic health care

Through ethnographic study of midwestern botánicas in Indiana, this research illustrates the multifunctional nature of these spaces. Research findings point to botánicas as working in the ‘here and now’, addressing immediate and emergent spiritual, financial, and health problems in a diverse community. Local religious leaders also perform divinations and healing in this space; thus the botánica both symbolizes and acts as a cross-cultural health system. I analyze a therapeutic form of traditional medicine through a focus on one of the main activities that takes place in botánicas – healings or limpias. Limpias cleanse a person, place, or object of any bad, evil, or harmful energy or sickness. I also explore the role of botánicas as a form of spiritual/medical diplomacy. Ultimately, this paper demonstrates that botánicas serve as economically and culturally acceptable health care alternatives, offering a means to address otherwise unmet community needs.     

The Political Economy of Improving Health Care for the Poor in Rural Africa: Institutional Solutions to the Principal–Agent Problem

Both governments and private for-profit markets have been disappointing in meeting the needs of the African poor for health care. NGO services provide a much more attractive alternative for this clientele, despite the fees they charge. They do so because they represent an institutional solution to the ‘imperfect information’ problem in health care. Through simulations based on data from Cameroon, we demonstrate that if fee-charging NGOs replace the highly subsidised but poorly managed facilities operated by African governments the poor would be better off. Those NGOs that are decentralised in their financial and personnel management are most effective. The politics of making the recommended changes are assessed.     

(Mis)Understanding the Impact of Online Fraud: Implications for Victim Assistance Schemes

Australia provides victims of violent crime access to financial support to assist with recovery, excluding victims of nonviolent offences. The author examines the experiences of online fraud victims, and details how the impacts experienced extend beyond financial losses, to include deterioration in health and well-being, relationship breakdown, homelessness, and unemployment, and in the worst cases, suicidal ideation. Using online fraud as a case study, the author argues eligibility to access victim assistance schemes should consider harms suffered rather than the offence experienced. Consequently, the author advocates a shift in eligibility criteria of victim assistance schemes to facilitate much-needed support to online fraud victims.     

A Social-Psychological Process of “Fear of Crime” for Men and Women: Revisiting Gender Differences from a New Perspective

Prior research has identified gender as a significant predictor of crime fear. Specifically, women are typically more fearful of crime than men, despite being relatively less likely to be victimized. The current study examines different ways men and women may think about crime and victimization within their neighborhoods, using contemporary social-psychological models of victimization worry. Data were collected from a sample of community residents (N = 713) living on the Gold Coast of Queensland, Australia. Results suggest that men’s and women’s fear of crime and perceptions of victimization threat are dependent on crime type and can be represented by a number of relationships among different social-psychological dimensions of victimization worry. The study concludes with practical implications for researchers seeking to examine the complex associations between gender and fear of crime.     

Health care cost escalation in the united states: Implications of market failure

Much of the rhetoric in the debate over health care reform suggests reconfiguring the health care system so that the free market forces can work efficiently. This paper will show that hopes for a free market solution to the maldistribution of health care are false. The free market system cannot work at the same level of efficiency for health care as it does in the distribution of other goods and services. Health care presents an anomaly to the free market system, making optimal and efficient distribution virtually impossible. That failure of the market system has led to a crisis of disparity in health care access and delivery in the United States.     

PUBLICS,PATIENTS, CITIZENS,CONSUMERS? POWER AND DECISION MAKING IN PRIMARY HEALTH CARE

This article uses theoretical approaches to the discussion of power in order to consider the role of public and patient participation in primary health care organizations in the UK. There is considerable evidence to suggest that, despite major national initiatives to extend participation in health services, the role of participation in decision making remains underdeveloped. The primary purpose of this article is to understand how and why this should be the case. Using findings from qualitative research that explored approaches taken by the dominant professional groups on primary care groups (PCGs) to involving patients and the public, we consider how these approaches reflect the exercise of different forms and levels of power. The explanation combines Lukes’ categorization of three forms of power with Bourdieu’s dynamic conceptualization of the relations of habitus and field. It is argued that the models observed represent different opportunities for the operation of power with implications for the role that participation can play.     

An Examination of Mental Health and Psychiatric Care among Older Prisoners in the United States

Despite that prisons in the United States (and other high-income countries) have witnessed an increase in the proportion of older inmates, and that prison populations exhibit high rates of psychiatric illness, there is limited knowledge on the nature of older inmates’ psychological health and use/provision of psychiatric care. The present study addresses these gaps, analyzing a nationally representative sample of 1,907 male and female older inmates (age range = 50–84 years; M = 56) housed in U.S. state and federal prisons. The results highlight: (a) the prevalence of psychological issues among older prisoners; (b) factors associated with certain mental disorders and symptoms of mental health issues; (c) the prevalence of psychiatric treatment before and during imprisonment for those with (and without) reported psychological health issues; (d) similarities and differences between male and female older inmates in relation to psychological health, factors associated with psychological issues, and the use/provision of psychiatric care. Discussion points toward recommendations for managing inmate mental health, as well as direction for further research on older inmate mental health and psychiatric care.     

Corruption and reforms: A case of Poland's medical sector

This study focuses on the effects of Poland's reforms in the period 1990–2005 on corruption in the health care system. In the last 15 years Poland has transformed its economy drastically, introducing market-oriented reforms into almost every aspect of its economy. In this study we consider how different reforms changed incentives and mechanisms facilitating corruption in the medical care sector. Our conclusion is that corruption in Poland's medical sector has worsened since the onset of the marketization reforms. We support this conclusion primarily by analyzing changes in incentives for corruption and the number of mechanisms facilitating it. In addition, where available, quantitative data are provided, though we recognize that numerical estimates of corruption are subject to substantial error. We focus on three major forms of corruption: patient payments to secure medical treatment or improve its quality, payments from industry (mostly pharmaceutical and medical equipment producers), and the use by physicians of free public facilities for private patients.     

The rise of risk assessment and risk management in the United Kingdom

This article examines the reform of the health care system in England in terms of the risk assessment and risk management. Three major health policies are examined, the Health of the Nation strategy, community care and the Patient's Charter. The article demonstrates that effective risk assessment and risk management is an important component of each initiative. The Health of the Nation strategy is based on epidemiological evidence on the nature of health risks and is linked to specific targets for the reduction of harm that require effective management of risks. Community care is a well established policy designed to provide long term and continuing support for vulnerable individuals in the community. With high profile incidents in the 1980s, there has been a greater emphasis on effective risk assessment and risk management, especially to protect the public. The Patient's Charter is designed to empower users of service.

Central to this strategy is informed consent. Effective empowerment depends of the provision of adequate information, especially on the risks of treatment. Although competent adults may formally be autonomous risk-taking decision-makers, their ability to assess risk and make decisions depends on having adequate information.     

The Grey Threat: Presence of Jihadist Terrorism and Failings in the Portuguese National Security System

This article starts by establishing a link between the nature of the threats created by jihadist terrorism and global organized crime and the investigation model used by Portuguese intelligence and police entities to detect and eliminate them. The visible manifestations of jihad terrorism and related organized crime recorded in Portugal since 2001 are also documented. The article goes on to analyze most recent theories produced on the importance of intelligence work and criminal investigation in combating these threats. On this basis, the article raises the hypothesis that Portugal's capacity to confront these threats has been dangerously weakened by the investigation powers constraints and conflicts of jurisdiction in the national security system, the lack of effective coordination in the whole system, and delays in the necessary reforms for over a decade.     

Terrorism and overkill

The purpose of this paper is to review the international terrorist activities of the last half century of this millennium and to make a case for needed changes in U.S. efforts to curb the growth of terrorism. Unless we can muster a unified front against global terrorism and organized crime, we are in danger of carrying these burdens with us into the new millennium. Whereas most discussions are focused on how to respond during or after a terrorist event, this paper explores measures for averting international terrorism disasters before they occur. With the growing availability of weapons of mass destruction and computer technology to terrorist and organized crime groups, there is a growing potential for disasters of proportions never before experienced. Consequently the risks are becoming too great to continue with a reactive approach to terrorism. The paper begins with a discussion of how the basis for international terrorism has changed since its modern form began in the 1960s. It then extrapolates the evolutionary trends of terrorism to make projections for what we can expect in the future. Finally, it presents a number of practical ideas for preventing terrorist actions before they occur, beginning with an argument for redefining terrorism in terms that enable us to organize more effectively against it.     

Consequences of increased third-party payments for health care services.

The growth of third-party programs to pay the costs of health care has occurred in an unplanned manner. As a result, the country presently is faced with a number of uncoordinated payment programs that sometimes work against each other. While the expansion of health insurance programs has provided the financing necessary to keep our health care system up-to-date, and while such programs doubtlessly have reduced the financial barriers to seeking health care for some population segments, health insurance also has produced some problems. Generally, the contribution of health insurance to these problems is subtle and cannot be quantified. Yet, policymakers increasingly are recognizing that there are factors at work in our health care system that, if continued unabated, will exacerbate the country's health care cost problem. Many of these factors owe their existence to the socially unacceptable incentives provided by most health insurance programs. This article focuses on some of the adverse consequences of health insurance programs and indicates that the future of private health insurance depends upon how these problems are addressed.     

The debate over the U.S. government's role in health care financing:"deja vu,all over again"

Yogi Berra's famous quote captures the continuing debate over the legitimate role of the U.S. government in health care financing. The issues of individual choice, equity of access, and concern about income security are just as unresolved today as they were in the early twentieth century. Until we engage in an explicit national debate on these issues and come to a national consensus on the human and political values underlying our current health care situation, a “solution” to the health care financing problems will never be found. This article discusses the history of the issue of government's involvement in health care financing, American ambivalence about government regulation, and the role of American business as a major health care insurer.     

Health strategy and development planning: Lessons from the people's republic of China

In Section I of this paper we present an analytical paradigm by which to evaluate health and medical care services in underdeveloped countries. In Section II, we apply this framework to an analysis of the health policies of one developing country, China. In Section III, we evaluate the Chinese health and medical care policies within the framework of a cost‐benefit analysis and argue that these policies are appropriate to China's factor proportions and health needs. Finally, in Section IV, we raise a number of questions to be considered in any more detailed studies on the transferring of the Chinese services to other developing countries.     

Adapting to democracy: Societal mobilization and social policy in Taiwan and South Korea

Democratic transition and institutional change do not necessarily guarantee greater political inclusion, particularly when it comes to the policy influence of civil society groups. Rather, political inclusiveness requires strategic adaptation among societal actors. Actors need to seize upon opportunities endemic to political change. This article provides a comparative analysis of health care reform in democratizing Taiwan and South Korea, focusing on two social movement coalitions, the National Health Insurance Coalition in Taiwan and Korea's Health Solidarity. Both movement coalitions were critical in shaping welfare reform trajectories in Taiwan and South Korea during the late 1990s, despite having been shut out from earlier episodes of health care reform. I argue that these groups (1) strategically adjusted their mobilization strategies to fit specific political and policy contexts, (2) benefited from broad-based coalition building, and (3) effectively framed the issue of social welfare in ways that gained these movements ideational leverage, which was particularly significant given the marginal place of leftist ideas in the postwar East Asian developmental state model. Joseph Wong is assistant professor of political science at the University of Toronto. He is the author ofHealthy Democracies: Welfare Politics in Taiwan and South Korea, published by Cornell University Press. Wong received his Ph.D. from the University of Wisconsin-Madison. The author thanks Edward Friedman, Jay Krishnan, Ito Peng, Richard Sandbrook, Linda White, along with the three anonymous reviewers for their helpful comments on earlier drafts of this paper. Thanks also to Uyen Quach and Nina Mansoori for their research assistance.     

Gender Identification and the Fear of Crime: Do Masculinity and Femininity Matter in Reporting Fear of Crime?

ABSTRACT

Criminologists have been interested in the gap in reported levels of fear of crime between men and women for decades. Our study advances and empirically tests the hypothesis that gender identity is an important mechanism that accounts for the gap in fear of crime between men and women. Specifically, the current study incorporates Magliozzi, Saperstein, and Westbrook’s gradational measures of masculinity and femininity to test if these variables are related to fear of crime. Statistical analyses reveal that masculinity is negatively and significantly associated with fear of crime, suggesting that men may be doing gender in reporting fear of crime by suppressing their expression of fear when responding to survey items related to fear of crime. Additionally, the inclusion of the measures of masculinity and femininity in our statistical model reduces the effect of sex to non-significance.