Actuarial status of the HI (hospital insurance) and SMI (supplementary medical insurance) Trust Funds

This article is adapted from the 1987 Annual Reports of the Medicare Board of Trustees. It presents a summary of the current financial and actuarial status of the Hospital Insurance (HI) and Supplementary Medical Insurance (SMI) Trust Funds. The Board found that the present financing schedule for the HI program is sufficient to ensure the payment of benefits over the next 12-14 years if the intermediate (II-A and II-B) assumptions underlying the estimates are realized. Although steps have been undertaken to reduce the rate of growth in payments to hospitals, the Board urges Congress to take remedial measures to bring future HI program costs and financing into balance. The Board found the SMI program to be actuarially sound but recommends that Congress take action to curtail the rapid growth in that part of Medicare.     

Introduction to special issue

As regards prognosis, none of these cases, however exhausted, are really hopeless whilst life exists: and, for the most part, the prognosis may be considered favourable. (Gull, 1873)Received M.D. Ph.D. from Albert-Ludwig University in Freiburg, Germany. Research Interests are depressive disorders, eating disorders, in particular anorexia nervosa, and more recently women's health.     

B. Reviews: general

THE HISTORY OF AL‐TABARl (TA'RIKH AL‐RUSUL WA ‘L‐MULÜK). (An annotated translation] (Bibliotheca Persica) (SUNY Series in Near Eastern Studies):

VOLUME II: PROPHETS AND PATRIARCHS. Translated and annotated by WILLIAM M. BRINNER. Albany, State University of New York Press, 1987. xii, 207pp.

VOLUME IV: THE ANCIENT KINGDOMS. Translated and annotated by MOSHE PERLMANN. Albany, State University of New York Press, 1987. xii, 205pp.

THE FIRST DYNASTY OF ISLAM: THE UMAYYAD CALIPHATE ad 661–750. By G.R. HAWTTNG. London and Sydney, Croom Helm, 1986. xx, 141pp., 4 genealogical tables, 2 maps. £19.95.

THE ADVENTURES OF IBN BATTUTA, A MUSLIM TRAVELLER OF THE 14TH CENTURY. By ROSS E. DUNN. London, Croom Helm, 1986. xvi, 357 pages, 12 maps. £22.50

TRADE AND CIVILISATION IN THE INDIAN OCEAN. AN ECONOMIC HISTORY FROM THE RISE OF ISLAM TO 1750. By K..N. CHAUDHURI. Cambridge, C.U.P., 1985. xiv + 269 pp. £25.00 Hardback, £8.95 Paperback.

MAMLUK JERUSALEM: AN ARCHITECTURAL STUDY. By MICHAEL HAMILTON BURGOYNE and DONALD S. RICHARDS. London, World of Islam Festival Trust for the British School of Archaeology in Jerusalem, 1987. xii, 623pp. £115.00

ISLAMIC TECHNOLOGY: AN ILLUSTRATED HISTORY. By AHMAD Y. AL‐HASSAN and DONALD R. HILL. Cambridge, Cambridge University Press/Paris, Unesco, 1986. xiv, [ii], 304pp. 165 illustrations, 1 map. £25.00.

OIL, INDUSTRIALISATION AND DEVELOPMENT IN THE ARAB GULF STATES. By ATIF A. KUBURSI, London, Croom Helm, 1984. 144 pp. Paperback.

BRITAIN'S INFORMAL EMPIRE IN THE MIDDLE EAST: A CASE STUDY OF IRAQ 1929–1941. By DANIEL SILVERFARB. New York: Oxford University Press, 1986. xii + 200 pp. $24.95 cloth.

IRAQ BETWEEN THE TWO WORLD WARS: THE CREATION AND IMPLEMENTATION OF A NATIONALIST IDEOLOGY. By REEVA S. SIMON. New York: Columbia University Press, 1986. xviii + 233 pp. $30.00 cloth.

SADDAM'S IRAQ: REVOLUTION OR REACTION? London, Zed Press, 1986, for CARDRI (Committee against repression and for democratic rights in Iraq). 254pp. Paper.

THE EVOLUTION OF THE SHATT AL‐ARAB BOUNDARY DISPUTE. By RICHARD SCHOFIELD, London, MENAS Press, 1986. 111 pp. Paper.

JORDAN IN THE 1967 WAR. By SAMIR A. MUTAWI. Cambridge, Cambridge University Press, 1987. 228pp. £22.50.

UNDER SIEGE: P.L.O. DECISIONMAKING DURING THE 1982 WAR. By RASHID KHALIDI. New York, Columbia University Press, 1986. 241 pp.

EMPIRE ON THE NILE. THE ANGLO‐EGYPTIAN SUDAN, 1898–1934. By M.W. DALY. Cambridge University Press, 1986. xv + 524 pp. + Map and 21 illustrations. £40.00.

ISLAM AND THE THIRD UNIVERSAL THEORY: THE RELIGIOUS THOUGHT OF MU'AMMAR AL‐QADHDHAFI. By MAHMOUD MUSTAFA AYOUB. London, KPI Ltd., 1987. 155pp.

APPROACHES TO ISLAM. (World Religions in Education Series.) By RICHARD TAMES. London, John Murray, 1982. 264pp. P/B £4.95

MORALS AND MANNERS IN ISLAM. By MARWAN IBRAHIM AL‐KAYSI. Leicester, The Islamic Foundation, 1986. 200pp. H/B £9.50 P/B £4.50

REMEMBRANCE AND PRAYER. By MUHAMMAD AL‐GHAZAALI. Translated by Yusuf Talal de Lorenzo. Leicester, The Islamic Foundation, 1986. 232pp. H/B £10.00 P/B £4.95

THE ISLAMIC WAY OF LIFE. By SAYYID ABUL A'LA MAWDUDI. Edited by Khurshid Ahmad and Khurram Murad. Leicester, The Islamic Foundation, 1986. 80pp. H/B £6.50 P/B £2.00

ADMINISTRATIVE DEVELOPMENT: AN ISLAMIC PERSPECTIVE. By A. AL‐BURAEY. London, KPI Ltd., 1985.470pp.

ARAB SOCIETY. Edited by SAMIH K. FARSOUN. London, Croom Helm, 1985. 125pp.

WOMEN OF SAUDI ARABIA. By SORAYA ALTO'RKI. New York, Columbia University Press, 1986. 183pp. $30.00

THE DEVELOPMENT OF EARLY ARABIC DRAMA 1847–1900. By MOHAMED A. AL‐KHOZAI. London, Longman, 1984. ix, 245pp. £7.95.

FROM NATIONALISM TO REVOLUTIONARY ISLAM. Edited by SAID AMIR ARJOMAND. Albany, State University of New York Press, 1984. 256pp.

OCCIDENTOSIS: A PLAGUE FROM THE WEST. By JALAL AL‐I AHMAD (translated by R. CAMPBELL, edited by HAMID ALGAR). Berkeley, Ca, Mizan Press, 1984. 160pp. $5.95.

THE RISING OF AL‐HUSAYN: ITS IMPACT ON THE CONSCIOUSNESS OF MUSLIM SOCIETY. By SHAYKH MUHAMMAD MAHDI SHAMS AL‐DIN (translated by I.K.A. HOWARD). London, Muhammadi Trust (distributed by Routledge and Kegan Paul), 1985. 218pp.

IRAN SINCE THE REVOLUTION: INTERNAL DYNAMICS, REGIONAL CONFLICTS AND THE SUPERPOWERS. Edited by BARRY ROSEN. (Brooklyn College Studies on Societies in Change, No. 47.) New York, Columbia University Press, 1985. 187pp., 27 plates, 4 maps.

IN IRAN: STUDIES IN BÁBÍ AND BAHÁ'Í HISTORY. Volume 3. Edited by PETER SMITH. Los Angeles, Kalimat Press, 1986. 237pp. HC $19.95.     

Dimensions of the self-concept: A source of further distinctions in the nature of self-consciousness

This study distinguished between forms of self-consciousness (private self-consciousness and social anxiety) and investigated the effect of self-esteem, vulnerability to criticism, and the tendency to fantasize on each. Utilizing a sample of adolescents (age 12 to 19 years), a structural equation analysis using unobserved variables revealed that, as expected, vulnerability to others' criticism heightened both private self-consciousness and social anxiety. In contrast, the tendency to fantasize in everyday life increased only private self-consciousness, and low self-esteem led directly only to increased social anxiety. Further, results showed that self-esteem had an appreciable indirect effect on both private self-consciousness and social anxiety, as mediated by vulnerability and the tendency to fantasize, indicating that the effect of self-esteem (a primary motivator) was more complex than an analysis of direct effects would indicate. Implications for our understanding of self-consciousness and the self-concept are discussed.My deepest thanks go to Morris Rosenberg, whose insights into the self-concept were indispensable, both in conceptualization and in analysis. I also thank John A. Fleishman and Edward Z. Dager for their constructive comments on early drafts of this article. Any errors remaining are my responsibility.This study was supported by NIMH Grant R01 MH27747-06 awarded to Morris Rosenberg. The data were analyzed using the facilities of the Computer Science Center, University of Maryland, College Park.Professor Elliott received his Ph.D. in sociology at the University of Wisconsin, Madison. His current major interest is in the structure of the self-concept.     

Incidence and correlates of bulimic behavior in a female high school population

To investigate the incidence and correlates of bulimic behavior, 1268 high school females were surveyed. A 47-item questionnaire was used to identify a group of students that would meet the DSM-III criteria for a probable diagnosis of bulimia. Students were then compared across the four content areas of demographics; body perception and weight information; dieting, exercise and menstrual behavior; and frequency of bingeing and purging behavior. Results indicated that 4.9% of the students met rigorous criteria for the diagnosis of bulimia. Between-group comparisons indicated that body dissatisfaction, drive for thinness, and chronicity of dieting differentiated the two groups.This work was supported by Biomedical Research Grant #RR5476, the Sears Allstate Foundation, and the George and Tina Barr Foundation.Main interest is eating disorders.