Joint Working: The Health Service Agenda

The purpose of this article is to examine the policy and practice of collaboration between health and local government from a health servicesperspective. Within this remit, the authors primarily focus on the area of primary care. Four key elements of the post-1997 policy context are discussed: the move from GP fund-holding to Primary Care Groups and Trusts (PCG/Ts); a shift from treating to preventing illness; a drive for implementation by central government; and an emphasis on collaboration. Within this broad context, there are a number of factors which may support enhanced collaboration: the size, scope, responsibilities and budgets of PCG/Ts may well provide an organisational framework which is supportive of joint working. However, the ‘Berlin Wall’ between health and social care has proved to be enduring, and there are aspects of the post-1997 policy context which will continue to inhibit effective joint working, in particular centrally designed performance management systems and the dominance by GPs of PCG/Ts.     

Precaution, Scientific Development and Scientific Uncertainty under the WTO Agreement on Sanitary and Phytosanitary Measures

The World Trade Organization (WTO) Appellate Body has noted that the precautionary principle will be relevant to the interpretation of the WTO Agreement on Sanitary and Phytosanitary Measures in various ways, although the Appellate Body has declined to determine the status of the precautionary principle for international law or to find that it has been written into the SPS Agreement. The Appellate Body's awareness of precaution, the dynamics of scientific research and the nature of scientific uncertainty is to be welcomed. This awareness is helpful in dealing with new and emerging issues, such as the question of when a risk assessment relied upon by a WTO member becomes outdated by virtue of subsequent scientific developments. If maintained, an overly rigid approach to risk assessment, with a tight temporal focus, will inadequately acknowledge the natural processes of flux in the development of scientific knowledge.     

Sex differences in the resolution of the identity crisis

Based on Erikson's view of the importance of inner space in feminine identity, researchers have added an interview on premarital sex to the standard ego identity interview on occupation, religion, and politics used for males. This study was designed to investigate the relative importance of premarital sexual ideology for males and females, as well as sex differences in identity status on occupation, religion, and politics. Marcia's semi-structured ego identity status interview was given to 70 male and 70 female college students, with premarital sex questions included for both sexes. Consistent with Erikson's theory, females were more likely than males to have experienced a sexual identity crisis, whereas males were very likely to be foreclosed in this area. Males as well as females were more likely to be committed about sex than about any other area. In all areas except sex, female identity followed basically the same pattern as male identity.Received her Ph.D. from State University of New York at Buffalo. Current research interests are ego identity and human sexuality.Received his Ph. D. from State University of New York at Albany. Current research interests are mental health evaluation and behavior therapy.     

Fathers and sons: A study of ego identity across two generations

This study was designed to compare the relative frequencies of the various ego identity statuses across two generations and to determine the nature of the relationship between the identity statuses of fathers and their sons. Male college students and their fathers were given Marcia 's semistructured ego identity status interview. Generational comparisons revealed that the fathers were significantly more likely than their sons to be in the foreclosure category and were significantly less likely than their sons to be in the moratorium and diffusion statuses. No relationship was found between the identity statuses of fathers and their sons. Among the fathers, high levels of education were found to be associated with identity achievement, while low levels of education were associated with identity diffusion.     

Effects of face-to-face restorative justice on victims of crime in four randomized,controlled trials

The growing use of restorative justice provides a major opportunity for experimental criminology and evidence-based policy. Face-to-face meetings led by police officers between crime victims and their offenders are predicted to reduce the harm to victims caused by the crime. This prediction is derived not only from the social movement for restorative justice, but also from the microsociology of interaction rituals (Collins, 2004). Four randomized, controlled trials of this hypothesis in London and Canberra, with point estimates disaggregated by gender, tested the prediction with measures of both successful interaction ritual (apologies received and their perceived sincerity) and the hypothesized benefits of the ritual (on forgiveness of, and reduced desire for violent revenge against, offenders, and victim self-blame for the crime). The meta-analyses of the eight point estimates suggest success (as victims define it) of restorative justice as an interaction ritual, and as a policy for reducing harm to victims.     

Evaluation of a national prison-based treatment program for sexual offenders in England and Wales

Treatment efficacy is described for a sample of sexual offenders who had undertaken treatment in United Kingdom prisons (N = 647) and for a retrospectively selected comparison group (N = 1,910). The outcomes under observation in this study were sexual, sexual and/or violent, and general reconviction. Treatment impact was also examined in relation to offenders' risk of reconviction. The treatment group had slightly lower 2-year sexual reconviction rates than the comparison group, but these differences were not statistically significant. Significant differences were found between the treatment and comparison group for sexual and/or violent reconviction. Further analysis suggested that treatment produced a reduction in the probability of sexual and/or violent reconviction (p <.05) when other relevant variables were controlled for. General reconviction rates were consistently lower in the treatment group, but these differences were not significant.