Supervising junior doctors and "on-call" responsibilities: Brus v Australian Capital Territory; Greater Southern Area Health Service v Angus

The recent decisions of Brus v Australian Capital Territory [2007] ACTSC 83 and Greater Southern Area Health Service v Angus [2007] NSWSC 1211 highlight different aspects of the difficulties associated with supervision of junior doctors in the present public-funded Australian public hospital system. Their facts reveal how difficult it is for senior staff to achieve the fine balance required to assist trainees by according adequate experience and responsibility on the one hand, and to ensure patient safety, on the other. In addition, these cases highlight problems with the supervision process that are likely to be exacerbated in a privatised health care setting where senior staff may have less inclination to supervise struggling juniors unless adequately remunerated for such teaching, an issue of considerable controversy given the focus on profit of those institutions.     

Working the Spaces in between: A Case Study of a Boundary‐Spanning Model to Help Facilitate Cross‐Sectoral Policy Work

Since the 1990s, ‘joined‐up government,’ ‘whole‐of‐government,’ and ‘horizontal governance’ approaches have emerged in many industrialized countries, resulting in the devolution of government functions to diverse policy networks. From these shifts, complex systems of networked actors have emerged, involved in designing, implementation, and influencing policy. Arguably, networked approaches to policy may solve some problems. However, as with all paradigm shifts, new problems have emerged. Specifically, skill and knowledge gaps have opened up, reflecting the need for new collaborative and networked relationships that can increase the capabilities and agility to work in these ways. In response to these gaps, we developed the Power to Persuade initiative. Power to Persuade is an annual symposium and online forum, aimed at deepening knowledge and awareness of current problems faced by policy networks, and providing the skills and knowledge to overcome them. In this paper, we discuss how Power to Persuade works within the spaces in between as a vehicle for relationship building and better policy.     

Caregiving Responsibilities and Child Spanking

This study examines whether mothers who are also caregivers of elderly or dependent family members are more likely to resort to physical discipline than other mothers. Using data from the National Survey of Families and Households, we found that caregivers are more likely to spank their children than noncaregivers; however, among those who spank, caregivers are somewhat less prone to frequent spankings than noncaregivers. The data further suggest that it is primarily care for adults outside the household that is related to use and frequency of spankings.     

The Definition and Measurement of ‘Gang Status’: Policy Implications for Juvenile Justice

In this article, we examine gang membership and gang activity in Dona Ana County, New Mexico. We collected the data through a self-administered questionnaire completed by 373 randomly selected 9th and 11th grade students attending two high schools and two junior high schools. By the self-report method, 56 indicated they were currently active in a gang; another 45 had been members of gangs but were no longer involved; and, “wannabes,” or students who at some time had considered joining a gang but did not or could not, totaled 68. The 169 students who indicated some interest in or involvement with gangs represented 45% of the total sample. A more restrictive definition of actual gang membership (i.e., the group must have initiation rites and employ some external symbols of membership, such as “colors,” tattoos, or handsigns) results in a different trichotomization. We employ both the self-definition and restrictive definition of gang membership in our analysis of their personal biographical characteristics and criminal behavior. Our findings suggest that self-definition demonstrates clearer ties to self-reported gang-related activities than does the more restrictive one. We discuss the policy implications of this finding in the article.     

Women as patients: A problem for sex differences research

Using the feminist critique of the health care system as a starting point, this article indicates some of the relevant issues facing women as patients in general practice: lack of control over our bodies and reproductive functions, ‘psychologizing’ of women's complaints, the medicalization of social problems experienced by women as a group. Current research on women as patients is primarily of the sex-differences tradition, i.e. the differences between men and women patients are investigated. The results of this research are critically discussed. My contention is that such research, aside from being methodologically impoverished, is—from a feminist point of view—counterproductive. Some directions for alternative research in this area are given.     

Forced confabulation more strongly influences event memory if suggestions are other‐generated than self‐generated

Purpose. Virtually all eyewitnesses to a crime, who eventually testify in court, are interviewed by police officers at least once. How do these interviews affect what the eyewitnesses are subsequently likely to report? The purpose of this study is to compare the relative impact of self‐ versus other‐generated misinformation on confabulated memory about an event. Self‐generated misinformation can occur by encouraging eyewitnesses to guess or speculate about possible answers to questions about which they report having no memory. Other‐generated misinformation can occur by having an investigator suggest an answer to an eyewitness. Methods. After viewing a 5 minutes crime video, participants answered written questions. One week later these same questions were answered again. We specifically focused on individuals' answers to unanswerable questions that probed information not actually presented in the video. If a participant answered an unanswerable question, we know that their answer was confabulated because the information was not presented in the video. Results. If an answer to an unanswerable question was forced confabulated at time 1, that answer was more likely to be repeated at time 2 if it had been other‐generated (suggested in the question) rather than self‐generated (fabricated by the participant). Conclusions. Pressuring eyewitnesses to answer questions about an event, when they indicate that they do not know the answer, can result in false confabulations. Answers suggested by the investigator are more likely to be repeated later than are answers that are simply self‐generated or speculated by the eyewitness. These results are consistent with the reality monitoring framework and ‘recollect‐to‐reject’ metacognitive reasoning strategies.     

A comparison of the effects of witnessing community violence and direct victimization among children in Cape Town, South Africa

This study is based on a sample of children from the Cape Town area in South Africa. The study compares the effects of witnessing school or neighborhood violence compared with being victimized in each context on psychological distress. The findings suggest that in the context of the school, victimization has a somewhat stronger effect on distress than witnessing violence. However, in the neighborhood, the opposite was the case. "Unknown locus of control" was also analyzed as a moderating variable. The findings are interpreted in the context of violence in South African society. The study also investigates the overlap between witnessing violence, victimization, and perpetration in the child's school and neighborhood. The vast majority of victims had been witnesses as well as perpetrators. Longitudinal research, which could track involvement in various forms of violence starting at a very early age, is needed to clearly assess the differential impact of each form of violence.