Munchausen by Proxy: A Qualitative Investigation into Online Perceptions of Medical Child Abuse

In Munchausen by proxy (MBP) maltreatment, increasingly termed “medical child abuse” (MCA), a caregiver fabricates or induces illness in another. The perpetrator's goal for the behavior is to meet personal emotional needs by forcing unnecessary or misguided medical or psychological treatment. Generally, a mother is the perpetrator and her child is the victim. There is a serious lack of research into most aspects of MCA, and this study is the first to utilize the anonymity of an Internet forum to investigate victims' first‐hand experiences of, and the public's opinions about, suspected and confirmed MCA. Three‐hundred and fifty‐six posts by 348 members were explored and coded using formal qualitative content analysis. By accessing an open‐thought online forum, this paper acquired information regarding social perceptions about the nonperpetrating partners who are unaware of the maltreatment; the disturbing and counterintuitive phenomenon of MCA itself; and the resistance often faced by those who attempt to report it.     

Technocracy versus reality: Perceptions in solar policy

The task of identifying Federal solar policy and research priorities has been delegated consulting firms, university researchers and technical laboratories. Solar commercialization policies for the residential sector have been a major focus of these entities' efforts; yet their research methodologies have generally ignored the advice and experience of homeowners who have installed solar domestic water and space heating systems. The absence of such input raises the question of how accurately the research community has evaluated the impact of specific barriers and incentive policies to residential solar use. Three surveys compared the planning community's assessments of the barriers and incentives to those of homeowners who had personally experienced the entire solar purchase, installation and operation sequence. Despite the potential for error, no major dichotomy was found to exist between the planning community's perceptions and those barriers and incentives actually extant.     

The Impact of Federalism on the Organization of Canadian Foreign Policy

The international activities of Canadian provinces—mainlyAlbert, British Columbia, Ontario, and Québec—challengeconventional concepts of sovereignty and the federal view ofa national monopoly in foreign policy. These provincial activitieshave become more important since the early 1970s and have yieldedoutcomes in the field of foreign policy that would not haveoccurred otherwise. Provinces engage in international activitiesfor a number of reasons. They have the capacity, jurisdictionalobligation, and political desire to do so. Economic necessity,especially the international economic environment, is importantmotivation. Both conflict and cooperation with Ottawa also encourageprovincial involvements in international activities. Occasionally,foreign governments invite such activity as well. Present trendscoupled with the constitutional division of responsibilitiesin Canada suggest that territorial transgovernmentalism willhave greater consequences for Canadian foreign policy, therebygiving to Canada's international presence a character similarto the complexities and contradictions of the country's domesticmosaic.     

The (Un)Acceptability of Betrayal: A Study of College Students' Evaluations of Sexual Betrayal by a Romantic Partner and Betrayal of a Friend's Confidence

Because loyalty and trust are viewed as key requirements for relationships with friends as well as with romantic partners, acts of betrayal, which violate the trust on which these relationships are based, are viewed as serious transgressions. This study focused on 2 commonly occurring kinds of betrayal—betrayal of a friend's confidence despite a promise not to do so and sexual betrayal by a romantic partner despite an agreement to be monogamous. Approximately 261 college students, aged 18 to 23, answered questions concerning the acceptability of betrayal under a variety of different conditions and described their self-restraint, tolerance of deviation, and betrayal behavior. Despite pervasive disapproval of betrayal, the extent of disapproval was a function of the type of betrayal (whether of a romantic partner or a same-sex friend), the justification for the betrayal, the sex of the transgressor, and the characteristics of the respondent. There was greater acceptance of sexual betrayal than betrayal of a friend's confidence, of male than female transgression, and by male than female respondents. These results are largely accounted for by the finding that male respondents gave high ratings of acceptance of sexual betrayal by male transgressors. Acceptance of both forms of betrayal was correlated with lack of self-restraint, tolerance of deviation, and behavioral betrayal.     

The Impact of Tax Price on Spending Preferences

In this article, we explore the influence of tax price information on citizen preferences for taxes and spending using mail surveys. We explore the effects on service support when varying levels of cost information. We also observe how the magnitude of service costs influences service support. While the presence of cost information corresponded with lower levels of respondent support for the most costly services, it was associated with higher levels of support for less expensive services. These effects were the same whether the tax price represented the respondent's actual household cost or the jurisdiction average household cost for each service.     

Idiopathic precocious puberty in girls: Psychosexual development

A promising model syndrome for the examination of the role of physical maturation in the development of female sexuality is idiopathic precocious puberty (IPP). In this first controlled study of psychosexual development in IPP females, 16 females between 13 and 20 years of age with a history of IPP were compared to 16 control subjects with a history of normal puberty pair-matched to the index subjects on the basis of sex, race, age, socioeconomic level, and menarcheal status. The psychosexual history and the current psychosexual status were assessed by a systematic half-structured interview. The IPP females on average passed the psychosexual milestones at an earlier age than their normal maturing peers, with a particularly early onset of masturbation. Those who were sociosexually active tended to report a higher total orgasmic outlet and a higher sex drive. There was no increase in homosexuality among IPP girls. The timing of puberty has a (modest) influence on psychosexual development in females.This work was supported by NIMH Center Grants MH 30906-01A and MH 30906-03 and by a grant from the Spencer Foundation.