Partnerships to Improve Rural and Remote Health Care

It is well known that rural communities do not have access to the same range of healthcare services as urban communities and that health status is poorer in rural areas. As models of health service delivery are changing from treatment and illness prevention to wellness models, health providers are under increasing pressure to re-engineer healthcare services to rural and remote areas in a climate of shrinking resources and community skepticism. The purpose of this article is to examine a developing model of partnership in rural Tasmaniain the context of these changes to health service delivery, changes to health professional training and the application of information and telecommunications technology. The partners are the Tasmanian Department of Health and Human Services and the University of Tasmania. The establishment of the university's Rural Health Teaching Sites in conjunction with the Tasmanian Telehealth Network provides a demonstration of this partnership in action.     

Pursuing partnership: World Vision and the ideology of development - a case study

This paper examines the role of ideology in underpinning the operations of major development movements. As a confessional NGO, World Vision (WV) presents a useful case study; and this article examines the influence on this NGO of the interaction between ideology and wider development trends. It is argued that from roots in a specific cultural expression of Christianity-which enabled a highly focused and homogeneous ethos-WV's ideology has been transformed by growth and diversification into a fusion of mainstream Christianity and the pursuit of the concept of partnership; a process which underlines the role of development and geo-political forces constantly to challenge NGOs' self-image and strategic directions.     

Psychopathy and Female Gender: Phenotypic Expression and Comorbidity; A Study Comparing a Sample of Women Hospitalized in Italy's Maximum Security Facility with Women Who were Criminally Sentenced and Imprisoned,

Various studies have shown that women with psychopathy tend to commit crimes that are less violent than those of psychopathic men. The present study was designed to address the influence of psychopathy on the crimes committed by female offenders. A national sample of female offenders found NGRI or of diminished responsibility and at risk for criminal recidivism (OPG patients) was compared with a sample of female offenders who were convicted and imprisoned. Results of this comparison between the two groups of female offenders indicate that psychopathy is a transversal psychopathological dimension which may or may not be associated with other mental disorders. In both samples, the most commonly reported offenses among women with high PCL‐R scores were minor offenses, not particularly violent, but they appear to be related to typical psychopathic features such as superficial charm, pathological lying, and manipulation.     

Infighting and Ideology: How Conflict Informs the Local Culture of the Chicago Dyke March

Although the study of local cultures has become established in American sociology, it often ignores the contested nature of how culture emerges and is negotiated within the context of small groups. To this end, we address the concept of infighting, a subtype of conflict, as it operates within a small group framework. Building on an ethnographic study of the Chicago Dyke March, we demonstrate that infighting highlights competing ideologies that may remain implicit in the absence of such conflict. Infighting treats divergent meaning systems as part of local contention between rival cliques and power centers. These ideological battles both reflect pre-existing differences between subgroups and serve to make explicit and public such differences, both in their background characteristics and in their interests. In the process infighting directs attention away from shared concerns and group building to questions of strategy, transforming the small group into an arena of ideological production and factional rivalry. Infighting recasts a group from a space of consensus to a contested political arena. We elaborate four analytic processes through which infighting connects to ideology and small group culture: infighting emphasizes the multivocality of meaning, cultural heterogeneity, an equilibrium of inclusion and group boundaries, and planning in light of ideologies of power.     

Alcohol Consumption and Females’ Recognition in Response to Date Rape Risk: The Role of Sex-Related Alcohol Expectancies

This study examined the pharmacological and psychological effects of alcohol on women’s recognition of and response to dating sexual aggression. Female participants completed measures of prior sexual victimization experiences, sex related alcohol expectancies, general alcohol expectancies, and drinking habits. Using a 2 (alcohol) × 2 (expectancy) balanced placebo research design, women were exposed to an audiotape date rape vignette and asked to press a button when the man’s sexual advances had gone to far. Upon pressing the button, the tape was stopped and participants were instructed to imagine themselves in the same situation and generate a response describing what they would say and/or do at that point. Results indicated that although alcohol and expectancy were not related to risk perception, individuals who consumed alcohol displayed significantly less resistant role play refusals. A significant interaction between expectancy set and pre-existing sex-related alcohol expectancies was observed indicating participants believing alcohol affects sexual behavior generated less resistant refusal responses when they expected to receive alcohol. Moreover, for those who expected to receive alcohol, stronger pre-existing sex-related alcohol expectancies predicted less resistant refusal responses over above the effects of blood alcohol level and general alcohol expectancies. The implications of these findings are discussed.     

A Comparison of Forensic and Nonforensic Malingerers: A Prototypical Analysis of Explanatory Models

Explanatory models of malingering strive to understand the primary motivation underlying attempts to feign. Rogers, Sewell, and Goldstein (1994) provided empirical support for the conceptualization of pathogenic, criminological, and adaptational models. In the current study, a prototypical analysis of 221 forensic experts results in a slightly refined formulation: the adaptational model was decomposed into its two broad dimensions (cost–benefit analysis and adversarial setting). An important finding is that the factor structure for the explanatory models remained stable when applied to both forensic and nonforensic cases. As a first investigation, significant differences were observed in prototypical cases of malingering by the category of referral (forensic or nonforensic) and by type of feigning (mental disorders, cognitive impairment, and medical syndromes). Surprisingly, the feigning of medical syndromes appeared to play a relatively prominent role in both forensic and nonforensic cases and to be influenced by the apparent adversarial context of the assessment. Finally, important gender differences were observed, especially with nonforensic prototypical cases of malingering.