Who Governs in God’s City?

After clearing away some misconceptions about the power of the religious right in Colorado Springs, this article will examine three areas, education, medical marijuana, and gay rights, where the city’s religious conservatives have tried to influence public policy. With each area their efforts have only been partially successful. While the reasons for this uneven success are often particular to each policy dispute, taken together these issues point to discernible changes in the political behavior and ambitions of the city’s religious conservatives. Most importantly, religious conservatives have become far less confrontational and have turned away, to a significant degree, from direct political action and are focusing much more on community outreach programs. The paper will conclude by discussing some of the reasons for those changes and how they might have national implications for religious and social conservatives.     

A Multilevel Investigation of the Association between School Context and Adolescent Nonphysical Bullying

Although researchers have identified individual-level predictors of nonphysical bullying among children and youth, school-level predictors (i.e., characteristics of the school environment that influence bullying exposure) remain largely unstudied. Using data from a survey of 1,838 students in 21 Boston public high schools, we used multilevel modeling techniques to estimate the level of variation across schools in student reports of nonphysical bully victimization and identify school-level predictors of bullying. We found significant between school variation in youth reports of nonphysical bullying, with estimates ranging from 25-58%. We tested school-level indicators of academic performance, emotional well-being, and school safety. After controlling for individual-level covariates and demographic controls, the percent of students in the school who met with a mental health counselor was significantly associated with bullying (OR = 1.03, 95% CI = 1.01, 1.06). There was no significant association between school-level academic performance and perceptions of school safety on individual reports of bullying. Findings suggest that prevention and intervention programs may benefit from attending to the emotional well-being of students and support the importance of understanding the role of the school environment in shaping student experiences with bullying.     

Recent developments in medicine and law

This article addresses important developments in the field of medicine and the law during the last year and highlights some of the significant areas of law affecting health care providers that should be considered. Actions against health care providers may include challenges to peer review immunity, allegations concerning the practice of medicine across state lines without a license, and even accusations of wrongfully assisting a patient to commit suicide. These areas are addressed in turn by this article. Finally, antitrust developments over the last year are briefly addressed as an emerging area of concern for providers forming complex practice networks in today's health care arena.     

Music therapy for improving mental health problems of offenders in correctional settings: systematic review and meta-analysis

Objectives

The aim of this review was to assess the effectiveness of music therapy on improving the mental health of offenders in correctional settings.

Methods

Multiple databases and journals were searched to identify randomized controlled trials and quasi-randomized controlled trials of music therapy for offenders in correctional settings.

Results

Five studies (n?=?409; predominantly male) were included in random-effects meta-analyses. Music therapy was effective for promoting offenders’ self-esteem (Hedges’ g?=?0.55, p?<?0.001) and social functioning (g?=?0.35, p?<?0.05). Effects on anxiety and depression depended on the number of sessions. For both outcomes, the studies with 20 or more sessions had larger effects than the study that had fewer than 20 sessions, and this difference was statistically significant (Q?=?11.88, df?=?1, p?<?0.001, anxiety; Q?=?9.16, df?=?1, p?=?0.002, depression). No significant effects were found on behavior management or between different music therapy approaches.

Conclusions

Music therapy may be helpful for offenders to improve mental health. Future studies should consider including offenders of both genders, using larger sample sizes, and examining long-term effects. Publication bias may be an issue for this review given the small number of studies and the small sample sizes.

     

Dreams and Nightmares: Practical and Ethical Issues for Patients and Physicians Using Personal Health Records

Electronic health records for patients, personal health records (PHRs), have become increasingly popular among policy makers and purchasers, but uptake among patients and physicians has been relatively slow. PHRs have varying uses that might make them more or less appealing to different stakeholders. The three core uses for PHRs — promoting communication, data use, and patient responsibility — each raises a set of potential practical and financial dilemmas. But some ethical concerns are also at play, some of which are rarely recognized as values-based barriers to the use of PHRs. Recognizing these ethical issues, and addressing them explicitly in PHR design and policy making, would help PHRs to achieve their promise.     

Three Patterns of Domestic Violence in Households: Single Victimization,Repeat Victimization,and Co-occurring Victimization

Using National Crime Victimization Survey data (1992–2004), this study analyzed the effects of household variables, victim characteristics, and incident characteristics on three household family violence patterns (single victimization, repeat victimization and co-occurrence). Eighty percent of family violence households experienced one victimization; 15% experienced repeat victimization; 5% experienced co-occurrence. The total number of people in the household was positively related to multiple violent victimization households, especially co-occurrence households. Victims with less than a high school education (compared to victims with a high school education) had significantly higher odds of living in a co-occurrence household versus a repeat victimization household. Victims who experienced threatened attacks compared to completed attacks with no injury had higher odds of living in single victimization or repeat victimization households but had lower odds of living in co-occurrence households. Respondents victimized by ex-spouses, parents/stepparents, siblings, and other relatives had consistently higher odds of living in co-occurrence households versus repeat victimization households compared to those victimized by spouses.     

Assessing the Debate, Assessing the Damage: Transatlantic Relations after Bush

Transatlantic relations during the Bush administration sank to the lowest point in the post-war period following the invasion of Iraq in 2003. This article provides an analysis of both the current state of that relationship and the academic debate which accompanies it. Arguments over the impact of various factors are analysed to determine the extent of transatlantic divergence. Thus, demographic change in America and Europe, divergence of political values between Europe and America, power differences, post-war geopolitical realignments, European integration and American unilateralism and exceptionalism are all analysed and evaluated. While some of these arguments presented are challenged, the article argues that the process of constructing separate European and American identities from within the transatlantic community is the single most significant contemporary challenge to transatlantic relations.