The right of caregivers to access health information of relatives with mental illness

This article reviews the legal, ethical and practical challenges of complying with the Ontario Personal Health Information Protection Act (PHIPA) within the context of a Canadian mental health system that is overburdened and under resourced. The advent of deinstitutionalization has placed significantly increased responsibilities on the families of mentally ill individuals. While research evidences that involving family members in the care of their mentally ill relatives improves treatment outcomes, mental health practitioners constantly face the challenge of engaging family caregivers while also complying with privacy laws. The authors propose an Ontario Caregiver Recognition Act (OCRA) to formally recognize family caregivers as informal health information custodians based on the practice of other jurisdictions which incorporate the rights of family members actively engaged in providing care to their mentally ill relatives.     

Old wine in new bottles: a county-level case study of anti-corruption reform in the People’s Republic of China

This paper examines the role of the target-based responsibility system for building upright Party style and clean government in combating corruption in local China. It argues that the effectiveness of the target-based responsibility system in corruption control is compromised by a number of implementation hurdles in practice. Based on a close examination of one county, Shaanxi Province in the northwest China, this study shows that low measurability of the targets, the conflict between anti-corruption work and other evaluation targets, and the impact of patronage politics account for the implementation failure of the target-based responsibility system. The fundamental problem lies in that under China’s unified cadre personnel management system, political will can interfere with the handling of corruption on a case-by-case basis, no matter what kind of anti-corruption mechanism is employed. Under this context, the adoption of the target-based responsibility system in fighting corruption results in nothing more than “pouring old wine into new bottles.”

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The elevated risk for non-lethal post-separation violence in Canada: a comparison of separated, divorced, and married women

The purpose of the study was to shed light on the potentially differing dynamics of violence against separated and divorced women by their ex-husbands and violence against married women by their current husbands. Using a nationally representative sample of 7,369 heterosexual women from Cycle 13 of Statistics Canada's General Social Survey, available risk markers were examined in the context of a nested ecological framework. Separated women reported nine times the prevalence of violence and divorced women reported about four times the prevalence of violence compared with married women. The strongest predictors of violence against married women, namely, patriarchal domination, sexual jealousy, and possessiveness, were not significant predictors of violence against separated and divorced women. This suggested that post-separation violence is a complex phenomenon the dynamics of which can be affected by much more than domination and ownership.     

Psychological Injury: Systems, Change Processes, Development

This paper presents a model of chronic pain [Young and Chapman (Pain, affect, nonlinear dynamical systems, and chronic pain: Bringing order to disorder. In G. Young, A. W. Kane, & K. Nicholson (Eds.), Causality of psychological injury: Presenting evidence in court (pp. 197–241). New York: Springer, 2007)]. It includes extensive coverage of the systems perspective. The paper expands the model to medically unexplained symptoms and provides a developmental model of how these may unfold and influence adult presentation after events such as accidents. Similarly, the model is examined for the developmental roots of personality disorder. The paper examines other threats to validity of diagnosis in cases of psychological injury.     

Government Expenditure and Quality of Life

Most of the empirical work on the optimal size of the fiscalstate has linked the level of taxation to economic growth. Inthis paper the level of government consumption expenditure thatyields the maximum physical quality of life is found, along withthose expenditures that cause equality between marginal benefitand marginal government expenditure out of GNP. Careful attentionis paid to the measurement of the physical quality of life, theweighing of the attributes in the construction of an aggregateindex of quality of life, and in the functional (parametric) formof the nonlinear equations utilized to calculate marginalbenefit. The conclusion of the paper is that governmentconsumption expenditure is considerably higher than is necessaryto maximize the physical quality of life, and that a reductionin government consumption expenditure would not lower quality oflife.     

Conditional impact of facebook as an information source on political opinions: the case of political reform in Hong Kong

This study is interested in the impact of Facebook as a source for political information on public opinion during political controversies. In a society where the mainstream media are under heavy influence by the dominant power and yet Internet communication is largely open and free, social media may become particularly important for the transmission of critical information and viewpoints. The social media information environment may exhibit an overall ‘anti-establishment bias.’ However, the impact of social media should vary across individuals depending on the extent and character of user selectivity. Analysis of data collected during the political reform debate in Hong Kong (N?=?3,246) show that reliance on Facebook as an information source relates negatively to support for the government’s reform proposal. But the relationship is strongest for people without a strong political orientation and people who do not name any newspapers as their main information source. General theoretical implications of the findings are discussed.     

Building Reciprocal Partnerships for Service-Learning: The Experiences of Hong Kong Secondary School Teachers

With the maturation of the service-learning field in recent years, school–community partnerships have emerged as an important area for studying the effectiveness of this type of experiential education. However, the paucity of studies of school–community partnerships indicates that they are only beginning to be understood and thus require further investigation. Drawing upon 5 focus group interviews with 22 secondary school teachers in Hong Kong, this study gives examples of the diversity of service-learning partnerships and provides strategies for developing and maintaining effective partnerships. The research and practice implications of the present findings for promoting reciprocal school–community partnerships are discussed.