Health professional-patient confidentiality: does the law really matter?

Confidentiality is often tested in the health professional-patient relationship, particularly given that both the law and ethics permit disclosure of confidential information in the public interest. This column outlines the results of an Australian Research Council project indicating that mental health professionals may place more weight on their ethical responsibilities relating to confidentiality than what the law requires. The outcomes of the project, which used both questionnaires and focus group discussions, suggests that there is some confusion as to legal requirements in this area and that many mental health professionals rely on ethical frameworks to justify disclosure even where there is no legal requirement to do so. It is suggested that ethics training for health professionals should be of primary importance to ensure responsible decision-making in this area.     

Officialising strategies: participatory processes and gender in Thailand's water resources sector

This paper examines participatory processes in an Asian Development Bank (ADB) technical assistance package in Thailand's water resource sector. The authors analyse various levels of social interaction in the local community, in meso‐level stakeholder consultations, and in opposition to ADB's environment programmes expressed by civil society organisations. While participatory approaches are employed to promote more bottom‐up management regimes in water resources, the authors find that local power and gender differences have been overlooked. Evolving institutions of resource governance are constituted by gender, reproducing gender inequalities such as regarding water intended for agricultural use as a ‘male’ resource. Finally, it is argued that understandings and practices of participation legitimise particular agendas in a politically polarised arena.     

Supervised, Supported and Indirect Contact Orders: Research Findings

Child contact with non-resident parents has become a key issuein family law and policy. Within the substantial and growingbody of research into how legal systems deal with child contactdisputes, there is little empirical data on the use courts makeof orders for supervised, supported or indirect contact. Thisarticle presents empirical research findings focusing on theuse of these sorts of contact orders in England and Wales. Theresearch involved an examination of 343 court records, 60 follow-upinterviews with parents and ten interviews with judges responsiblefor making the orders. Use of orders for supervised or supportedcontact was relatively common as a short-term measure, whileorders for indirect contact were made only as a matter of lastresort. On the basis of the post-court developments in contactwithin the families in the sample and the parents' largely negativeexperiences of the court system, we conclude that future policydevelopments ought to focus on finding alternatives to court,which would aim to provide assistance rather than adjudicationto the families in dispute.     

Women murderers and victims of abuse in a southern state

We consider the hypothesis that abused women who kill their abusers are not socially different from other abused women. Comparing two groups of women from a Deep South state, one group incarcerated for killing their partners (n=21) and the other served by a shelter for battered women (n=273), we find mixed support for the conclusion that the two groups represent a homogeneous general population of abused women. The women incarcerated for killing their male partners appear to be more isolated from the social mainstream and in greater perceived danger than the women who used the shelter. An earlier version of this paper was presented at the 1990 Southern Sociological Society Annual Meetings. Invaluable comments on earlier versions of the paper were received from Judith Stitzel, Shirley Dowdy, Ann Paterson, Sally Maggard, Janet Curry, Jon Conte, Mary Jo Ullom, and Lorrie Hardy.     

Managing Dynamic Public Sector Networks: Effectiveness,Performance, and a Methodological Framework in the Field of National Security

ABSTRACT

Networks are increasing in number and in importance across the security field as a means of providing inter-agency coordination. Based on a large qualitative study of networks in the field of national security in Australia, this article aims to advance our knowledge of the internal properties of public sector networks in the field of national security and the conditions shaping their performance. It puts forward a multi-level theoretical framework involving five interdependent levels of analysis—structural, cultural, policy, technological, and relational—which aims to account for the internal properties of networks and examines each of these levels in relation to public sector networks in the field of national security. Using detailed interviews with senior members of security, law enforcement, and intelligence agencies, the article aims to highlight the potential lessons this framework has for strategically organizing and managing dynamic networks within and beyond the field of national security.     

Directed embryo donation: free choice or discrimination?

The issue of whether to allow or prohibit the directed anonymous donation of human embryos for reproductive use has been publicly contentious. The claims that directed donation are a donor's autonomous right contrast with claims that the practice is discriminatory. Recent legislation and legal recommendation on the issue has been inconsistent or contradictory. This article specifically addresses the question as to whether the directed donation of embryos is the exercise of free choice or an act of discrimination. This question is considered from both ethical and legal viewpoints.     

"If it hurts you, then it is not a joke": adolescents' ideas about girls' and boys' use and experience of abusive behavior in dating relationships

This study examined adolescents' ideas about girls' and boys' use and experience of physical and psychological abuse in heterosexual dating relationships. Canadian high school students who were enrolled in Grades 9 and 11 took part in single-gender focus groups. Eight themes emerged from the analysis. The themes highlight the importance teenagers place on context for defining specific behaviors as abusive. They also underscore gender differences in the criteria adolescents use to make these judgments, in the forms of abusive behavior teenagers typically use in a dating relationship, and in the reasons for youths' declining use of physical abuse and increasing use of psychological abuse. These views have important implications for future research and for programs targeting adolescent dating violence.