How the pace of change affects the scope of reform: pharmaceutical insurance in Canada, australia, and the United kingdom

When policy change is considered, what determines its success or failure? Why do plans for broad reforms often fall short, and why do certain types of change become more difficult over time? This article addresses these questions by examining health policy development in Canada, Australia, and the United Kingdom - specifically, why Canada alone failed to adopt nationwide, public pharmaceutical insurance. It demonstrates that the pace of change has significant implications for the scope of policy development. It provides new mechanisms to explain why incremental reforms stall based on the reciprocal relationship between elite ideas and public expectations and suggests that similar factors can explain how barriers to policy change develop and the conditions under which those barriers may be overcome.     

Detecting Feigned PTSD Using the Personality Assessment Inventory

Research generally supports the use of the Personality Assessment Inventory (PAI; Morey 1991) to detect feigned PTSD, although this support has been somewhat mixed. There is also evidence that coaching individuals on the presence of PAI validity indicators may not affect their ability to avoid detection as feigners (Bagby et al. in Journal of Personality Assessment 78:69–86, 2002), although this question has not been specifically addressed with regard to PTSD. Additionally, a new PAI validity indicator, the Negative Distortion Scale (NDS), was developed that may have utility in detecting feigned PTSD, but this has not been tested. The purpose of this study was to further test the operating characteristics of the PAI validity indicators to detect feigned PTSD among naïve and coached respondents and to examine the newly developed NDS for this purpose. Individuals with genuine PTSD were compared to individuals instructed to feign PTSD on PAI validity indicators. Results suggest that: (a) coaching had minimal influence on the ability of the PAI to detect feigned PTSD, (b) the PAI validity indicators all significantly differentiated genuine from feigned PTSD, and (c) the NIM and NDS indicators were particularly effective for detecting feigned PTSD.     

Adverse Neighborhood Conditions and Sanction Risk Perceptions: Using SEM to Examine Direct and Indirect Effects

Objectives

The present study examines how individuals’ sanction risk perceptions are shaped by neighborhood context.

Methods

Using structural equation modeling on data from waves 6 and 7 of the National Youth Survey, we assess the direct and indirect relationships between adverse neighborhood conditions and two dimensions of sanction risk perceptions: the certainty of punishment and perceived shame. In addition, the role of shame as a mediator between neighborhood context and certainty of punishment is also investigated.

Results

The results indicate that adverse neighborhood conditions indirectly affect both forms of sanction risk perceptions, and additional results show that perceived shame fully mediates the effect of neighborhood conditions on perceptions of the certainty of punishment.

Conclusions

The perceptual deterrence/rational choice perspective will need to be revised to accommodate more explicitly the role of neighborhood context in shaping sanction risk perceptions.     

Offending and Early Death in the Cambridge Study in Delinquent Development

Criminal offending has many negative outcomes. Researchers have recently begun to consider the impact offending has on offenders' health, with a few studies focusing on differential mortality risk. Yet, prior research has been limited due to selective samples, restricted range of follow-up time period, limited set of explanatory variables, and lack of theoretical guidance. This paper examines the risk of early death among 411 South London males in the Cambridge Study in Delinquent Development followed into their late 50s. Attention is paid not only to differential risk of death between nonoffenders and offenders, but also to the risk within the population of offenders and through consideration of theoretical frameworks and associated predictor variables. Results show that high-rate chronic offenders evince the highest risk of death, an effect that continues even after controlling for childhood individual and environmental risk factors as well as participation in a range of analogous behaviors.     

Wrestling with Another Human Being: The Merits of a Messy,Power-Laden Pacifism

ABSTRACT

As one of many scholars who have situated their research in terms of nonviolence (a mode of action) rather than pacifism (a philosophical position), I ask, what do we gain instead by adopting an explicitly pacifist stance, especially as a response to forms of violent extremism? First, I respond to three common dismissals of pacifism, interrogating the misguided assumptions about violence/nonviolence upon which they depend. Second, exploring recent violent encounters between white nationalist and antifa activists in the US, as well as insights from Ruddick’s “maternal thinking,” I argue that taking a principled stance against collective violence (1) has practical utility, including a protective effect, (2) forces us to wrestle with the humanity of our adversaries and our inability to ever fully control them, and (3) enables radical inclusion by requiring sustained attention to difference but also resistance to the forms of injustice and oppression this “difference” might entail. The pacifism that emerges here is messy and power laden, demanding that we continually wrestle not only with one another but with the tensions inherent in human interaction, difference, and conflict.     

Budget reform in Saskatchewan: a new approach to program-based management

Abstract. Public sector management is continuing to face new challenges accentuated by the dramatic rise in government spending at all levels during the past decade. Two of the key elements in the management of government activities are the budget mechanism and tile information system supporting it. During the last ten years attempts at improving these aspects of public management in Canada and in the United States have usually involved the implementation of program-based budgeting systems such as PPBS. Much of the early enthusiasm that accompanied the onset of PPBS in the mid-1960s has waned, however, in view of recent abandonments by various governments of that approach. This paper describes a new approach to the implementation of budget reform being attempted in Saskatchewan and also identifies some of the ways in which the approach: might help to avoid the pitfalls that have destroyed program-based systems in other jurisdictions. Sommaire. La gestion du secteur public continue à faire face à de nouveaux défis, accentués par l'augmentation dramatique des dépenses gouvernementales, à tous les niveaux, durant ces dix dernières années. Deux des principaux éléments de cette gestion sont, dune part, le mécanisme budgétaire et, d'autre part, le systéme d'information qui le soutient. Les tentatives des dix derniéres années pour améliorer ces aspects de la gestion du secteur public au Canada et aux Etats-Unis, ont généralement entrainé la création de systémes budgétaires programmés, tel que le PPBS. Une bonne part de l'enthousiasme qui avait accompagné au premier abord la création du PPBS dans ies années 60 s'est cependant dissipée quand différents gouvernements ont récemment abandonné ce systéme. Le présent document décrit donc une nouvelle tentative de réforme budgétaire en Saskatchewan, et indique quelques moyens qui pourraient permettre d'éviter les traquenards qui ont détruit les systèmes programmes dans d'autres jurisdictions.