A six-year follow-up study of anorexia nervosa subjects with teenage onset

Fifty-one adolescent onset anorexia nervosa (AN) cases recruited after community screening were compared with fifty-one age-, sex- and schoolmatched cases with regard to comorbidity and personality disorders at age 21 years. All 102 cases had originally been examined at a mean age of 16 years. Outcome according to the Morgan-Russell scales was fairly similar to that reported in recent clinic-based samples. Most of the former AN cases were recovered in respect of weight but outcome in social areas was restricted. Obsessive compulsive and avoidant personality disorders and empathy disorders were very much more common in the AN than in the comparison group. Obsessive compulsive behaviors showed a high degree of stability over time and were unrelated to weight problems. Together with empathy disorders they tended to predict outcome better than the eating disorder as such. Affective disorders were common but tended to follow the course of the eating disorder rather than precede or postdate it.Received Ph.D. on Anorexia Nerevosa in Swedish Urban Teenagers at Göteborg University in 1990. Major research interests concern the epidemiology and background factors of eating disorder.Received Ph.D. in 1981 at the University of Uppsala on Neuropsychiatric aspects of perceptual, motor, and attentional deficits in seven-year-old Swedish children. Major research interests are autism, Asperger syndrome, anorexia nervosa, attention deficit hyperactivity disorder, dyslexia, mental retardation, lefthandedness, and behavioral phenotypes.Received Ph.D. in 1987 at The University of Uppsala on Deficits in Attention, Motor Control and Perception: Follow-Up from Pre-School to Early Teens. Her major research interests concern attention deficit hyperactivity disorder.     

The importance of discretion for welfare services to minorities: Examining workload and anti-immigration attitudes

Migration influx in Western countries resulting in increasingly diverse societies results in more complex situations for bureaucrats in their client interactions in welfare organizations. The role of discretion for services to clients has received much attention in the public administration research and therefore this study explores the relation among perceived workload, anti-immigration attitudes, perceived discretion, and perceived difficulty in working with migrants. The paper examines the function of perceived discretion as moderator or mediator variable in this constellation. The relations are examined by using structural equation modelling based on a survey among Swedish welfare bureaucrats (N = 1,319). The results show that heavier perceived workload increased the likelihood of experiencing work with migrants as difficult and that greater perceived discretion decreased the likelihood of experiencing work with migrants as difficult. The results suggest that perceived discretion functions as a mediator for the relation between perceived workload and difficulty in work with migrants: potentially functioning as a ‘buffer’ for organizational pressure. We also found that bureaucrats who hold negative attitudes towards migrants were more likely to express their work with migrants as more difficult. This paper contributes to the public administration literature by increasing our knowledge on how discretion has significance in relation to when bureaucrat's behaviour is determined by specific organizational and personal factors.     

Are women more likely to throw the rascals out? The mobilizing effect of social service spending on female voters

Public Choice - This study focuses on gender differences in voter reactions to a corruption scandal in one’s preferred party. We analyze, in a framework of ‘exit, voice and...     

Political Science Research on China: Making the Most of Diversity

This article aims at stimulating debate on the future development of political science research in and on China by bringing into clearer view the diversity of social science research in the West. It argues that far from monolithic, political science is itself engaged in a broad controversy on common goals and shared standards. Secondly, addressing international students of Chinese politics the article observes that we are currently witnessing a transformation of the field as we experience a slight shift toward more quantitative work. However, those China scholars working in a qualitative tradition should not see this as a hostile takeover of the field. Rather they should take this as a stimulating opportunity to employ more refined methodologies from within their own tradition as well as engage in multi-method research. The challenge is to make the most of diversity and to engage in fruitful cross-cultural dialogue based on respect for each other’s viewpoints. Three major divides need to be bridged: between qualitative and quantitative approaches, between political science and area studies as well as between Chinese and Western scholars.     

A Prospective Study of the Potential Moderating Role of Social Support in Preventing Marginalization Among Individuals Exposed to Bullying and Abuse in Junior High School

Negative physical and psychological long-term consequences of abuse and bullying are well documented. It is reasonable to assume that abuse and bullying early in life also may have an impact on the ability to work and stay economically independent later in life, but such prospective studies are lacking. This study investigates the consequences of exposure to abuse and bullying in junior high school, as measured by receiving long-term social welfare benefits in young adulthood. In addition, it explores the potential protective role of social support. Self-reported data from 13,633 (50.3 % female) junior high school students were linked to registry data on their use of social welfare benefits from the age of 18 and for eight consecutive years. Cox regression analyses were applied to test the relationship between exposure to life adversities and the use of social welfare benefits, and the potential moderating role of social support. The analyses showed that individuals exposed to abuse and bullying had an increased likelihood of receiving social-welfare benefits compared with individuals not exposed to these types of abuse. Exposure to multiple types of abuse led to a higher likelihood of using social welfare benefits compared with single types of abuse and no abuse. The findings on the potential moderating role of social support were mixed, depending on the source of social support. Family support and classmate relationships were protective in reducing the likelihood of the use of social welfare benefits, whereas peer and teachers’ support showed inconsistent patterns. These results are promising in terms of preventing the long-term negative consequences of abuse and bullying.     

The Relationship of Parental Control to Youth Adjustment: Do Youths’ Feelings About Their Parents Play a Role?

Recent research suggests that youths interpret parental control and that this may have implications for how control affects youths’ adjustment. In this study, we propose that youths’ feelings about being over-controlled by parents and feeling connected to parents are intermediary processes linking parental control and youths’ adjustment. We used three years of longitudinal data sampled from 1,022 Swedish youths in 7th, 8th, and 9th grade (47.3% girls; 12–17 years old, M age = 14.28 years, SD = .98) who were mainly Swedish in ethnic origin. We tested models linking parental control (i.e., rules, restriction of freedom, and coldness-rejection) to adjustment (i.e., norm-breaking, depressive symptoms, and self-esteem) through youths feeling over-controlled by and connected to parents. The overall model incorporating youths’ feelings showed that restrictions and coldness-rejection were both indirectly linked to increases in norm-breaking and depressive symptoms through increases in youths feeling over-controlled. Parental rules still independently predicted decreases in norm-breaking and in self-esteem, and coldness-rejection predicted increases in norm-breaking. In addition, some paths (e.g., feeling over-controlled to self-esteem) depended on the youths’ age, whereas others depended on their gender. These results suggest that when youths’ feelings are taken into account, all behavioral control is not the same, and the line between behavioral control and psychological control is blurred. We conclude that it is important to consider youths’ feelings of being controlled and suggest that future research focus more on exploring this idea.     

Explaining Policy Stability and Change in Swiss Health Care Reforms

The article investigates recent health reforms and reform attempts in Switzerland. A substantial reform, the revision of the health insurance law in 1994, is followed by a long period of refused reform proposals and incremental change. In order to explain policy change and policy stability in health policies, we apply veto‐player theory to partisan and parliamentary debates on reform proposals of the health insurance from the end of the 1980s until today. Shifts in ideological positions of parties, especially with regard to the objective of solidarity, allowed for a new win‐set in the 1990s that was at the base of the law revision. Since then, the win‐set is empty as parties did not change their preferences. New and substantial reforms will only be possible, it is concluded, if the pivot player, the Christian‐democratic party, changes its ideological positions to a significant extent.     

Economic freedom and entrepreneurial activity: Some cross-country evidence

While much attention has been devoted to analyzing how the institutional framework and entrepreneurship impact growth, how economic policy and institutional design affect entrepreneurship appears to be much less analyzed. We try to explain cross-country differences in the level of entrepreneurship by differences in economic policy and institutional design. Specifically, we use the Economic Freedom Index from the Fraser Institute to ask which elements of economic policy making and the institutional framework are conducive to the supply of entrepreneurship, measured by data on entrepreneurship from the Global Entrepreneurship Monitor. We find that the size of government is negatively correlated and sound money is positively correlated with entrepreneurial activity. Other measures of economic freedom are not significantly correlated with entrepreneurship.