One Step at a Time: A Latent Transitional Analysis on Changes in Substance Use,Exposure to Violence,and HIV/AIDS Risk Behaviors among Female Offenders

The aim of this analysis is to identify latent subgroups of women based on substance use, exposure to violence, and risky sexual behaviors and quantify discrete stages of behavior change over time. Data comes from 317 women recruited from a Municipal Drug Court System in the Midwest. All participants were interviewed regarding their substance use and sexual behaviors, as well as their exposure to violence at baseline, a 4th-month follow-up, and an 8th-month follow-up. A latent transitional analysis (LTA), a longitudinal extension of a latent class analysis (LCA), was used to quantify discrete stages of behavior change. The results of our analyses revealed 4 distinct behavioral profiles in our sample: 1) women with high probabilities of risky sexual behaviors, exposure to violence, and crack/cocaine use, 2) women with a high probability of exposure to violence, and moderate sexual risk taking, 3) women characterized solely by a high probability of crack/cocaine use, 4) women with low probabilities of all factors. The proportion of women in latent statuses characterized by a high probability of crack/cocaine use did not substantially decrease over time. Women who experienced child sexual abuse, had a greater number of lifetime arrests, were older, and believed they had risky drug using behavior that needed changing at baseline were significantly more likely to be in higher-risk latent statuses. Targeted interventions tailored to crack/cocaine users, as well as a wide-spread need for trauma-informed interventions among females involved in the criminal justice system, are needed.     

Against ‘creativity’: a ­philistine rant

The aspiration to be creative seems today to be more or less compulsory in an increasing number of areas of life. In psychological vocabularies, in economic life, in education and beyond, the values of creativity have taken on the force of a moral agenda. Yet creativity is a value which, though we may believe we choose it ourselves, may in fact make us complicit with what today might be seen as the most conservative of norms: compulsory individualism, compulsory ‘innovation’, compulsory per­formativity and productiveness, the compulsory valorization of the putatively new. This article suggests that, in order to escape the moralizing injunction to be creative, we need to cultivate a kind of ethical philistinism, albeit disaggregating such philistinism from the negativism of outright cynicism or fatuity. However, there is not much use in outlining an abstract model of philistinism. Instead, we take some ‘exemplars’ of a philistine attitude to creativity – Gilles Deleuze, F. R. Leavis, and Paul Cézanne – in order to show how such an ethos can be accomplished, on the one hand, with or without philosophy, and, on the other, with or without even the very idea of creativity itself, invoking instead the notions of ‘inventiveness’ and an ‘ethics of inertia’ as against creativity as such. The message should be that, rather than this or that theory, only exemplars – the bit-by-bit assembly of reminders – can help liberate us from the potentially moronic consequences of the doctrine of creativity.     

Liberalism,neo-liberalism and governmentality: introduction

This paper concerns the emergence of a specifically 'economic' way of governing poverty at the start of this century, an event which is to be accounted for, though by no means exhaustively, by the discovery of 'unemployment'. The latter will make it possible to relate the nineteenth-century 'problem of the unemployed' to an object domain that is primarily economic, rather than cultural or moral. A new object of regulation will emerge from this economic problematization of the 'social question': the labour market. The paper pays particular attention to the national labour exchange system, the political technology that will visibilize the labour market in new ways. Together with unemployment insurance, it will suggest new ways of governing poverty and a new course for social policy.     

Health care technology assessment: A policy planning tool

Health care technology has developed more rapidly than have the tools to aid decisions regarding that technology's assessment, acquisition and allocation. This article proposes theoretical and technological bases for formulating and analyzing policies for technology assessment. A computerized procedure for measurement and reporting of judgmental sources of technology assessment is presented, accompanied by a pilot study illustrating how the procedure can be used for both research and practical applications.     

Desperate equilibrium: on guilt,law and rationality

Abstract

This paper is about the role of guilt in relation to practical reason. It analyses guilt not as a passive emotion but as a particular kind of strategy at the level of subjective rationality. The concept of guilt occupies a complex and contested semantic space with other concepts, most notably shame. There have been many attempts – philosophical, psychological, sociological – to define these concepts in relation to each other. This paper suggests that whilst guilt is a moral concept that is oriented towards a certain kind of legalism, shame is a moralistic concept. As such, the relations between guilt and shame are discussed in relation to some literary examples, for instance Macbeth's guilt and Conrad's Lord Jim. The conclusion is that on the one hand our confusion over the concept of guilt comes down not least to what may be our confusion over the difficult concept of law and that on the other hand this has consequences that can ultimately be political.     

Making a difference? The role of Statutory Committees in the Northern Ireland Assembly

This paper seeks to examine some aspects of the early operation of the Northern Ireland Assembly and in particular the role of the Statutory Committees. The particular issue that is used to explore these matters is the review of student finances which the Higher and Further Education, Training and Employment Committee (HFETEC) undertook as its first major investigation. It should be noted here that the Department of Higher and Further Education, Training and Employment changed its name to the Department of Employment and Learning during 2000. The Committee also changed its name to the Employment and Learning Committee. Since the issues discussed took place prior to these changes the original name has been used here. Specifically, the paper examines the Review of Student Finances launched by the Department of Higher and Further Education, Training and Employment (DHFETE), how the Committee tackled the issue, tensions within the Committee, the relationship between the Committee and the Minister, between the Minister and the Department, the public debate, how the Committee Report was subsequently dealt with in the Assembly and the Minister's response. It is suggested that this example provides some insights into the operation of the distinctive devolved institutions in Northern Ireland and some early evidence of how such Statutory Committees may develop.