In Pursuit of the Re-Engineering Agenda in Public Administration

The article examines the findings from longitudinal case study work conducted in the 1992-96 period in two organizations in the United Kingdom health care and post office sectors. The study highlights the many cultural, political and technical issues that emerge in the strategy and implementation of IT-enabled re-engineering projects. The radical re-engineering perspective and model for change presented by Hammer and Champy (1993) are compared against empirical findings. These suggest that the Hammer and Champy advice contains many limitations. The cases show the specific circumstances in which radical re-engineering can be effective, in managerial terms, but also point to conditions under which a unitary perspective on the organization often cannot address adequately many critical political and cultural issues. Moreover, the case histories point to the dangers of an over reliance on a methodological holism that can rarely be delivered in complex large-scale organizations, given the scale of change envisaged; and the difficulties engendered by over-emphasizing the need for transformation, and 'starting again', and downplaying the role of history and continuity in both the study and management of organizational change.     

The family planning service and the pill in Geneva (1965–1980): a step towards women's emancipation?

In 1965, a family planning service was created in Geneva which aimed at spreading information on contraception. This article focuses on the attitude of the centre vis-à-vis the new contraceptive methods, especially the pill, and puts it in perspective with other voices, such as those of feminists. In order to address the question of women's emancipation, it relies on the archives of the family planning centre and of the Women's Liberation Movement of Geneva. The centre's pedagogical discourse about contraception focuses on stable couples and a rational attitude towards reproduction and family planning. It reflects the dominance of medical theories in the field of sexuality in Geneva during this period. The author suggests that the centre's approach to contraception contributed to the diffusion of a new contraceptive norm by combining contraceptive information with messages concerning the proper type of relationship, the state of mind and even the feelings with which contraception should be associated. The sources, however, also suggest a gap between the messages delivered and actual uses made of the centre. While maintaining a conservative and normative discourse, the family planning service nevertheless gave women the possibility to increase their autonomy.     

Public health powers in relation to infectious tuberculosis in England and France: a comparison of approaches

This article examines the legal responses to infectious tuberculosis in England and France. Given that tuberculosis has re-emerged as a public health threat in both countries, the differing jurisprudence and legal frameworks of disease control in the two jurisdictions warrant examination. Two questions arise in that respect: firstly, what is the role of the State in the protection of public health in the context of tuberculosis, and secondly, to what extent can the law intervene to coerce individuals to undertake health measures for the protection of society at large. These issues reveal the tensions that exist between the individual and public interest. France and England differ greatly in their responses to such tensions. Paradoxically, France, that has traditionally embraced strong State intervention, has been reluctant to curtail individual freedoms for the benefit of public health. Conversely, England, that has tended to be more closely associated with liberalism, has been ready to accept and even promote restrictions to individual freedoms in the collective interest.     

Local government discretion and accountability in Burkina Faso

Burkina Faso opted for a progressive approach to decentralization reforms, aiming at building local government capacity first before transferring responsibilities. We employ a diagnostic framework to analyze local government discretion and accountability in Burkina Faso. We find that local governments have a very low degree of discretionary power accompanied with weak accountability towards citizens at all levels. In the political and administrative spheres, the center plays a dominant role in local government affairs leaving little space for discretion. In the fiscal sphere, taxing powers are restricted, while transfers are insufficient and unpredictable, making local financial management extremely difficult. Copyright © 2010 John Wiley & Sons, Ltd.     

The Effects of Media Violence on Anxiety in Late Adolescence

Exposure to media violence is related to anxiety in youth, but the causality of the effect has not been established. This experimental study examined the effects of media violence on anxiety, blood pressure, and heart rate in late adolescents. We also examined whether these responses varied by previous exposure to media and real-life violence. College students (N = 209; M age = 18.74; 75 % female; 50 % Caucasian, 34 % African American, 9 % Asian, 3 % Hispanic, and 3 % other racial minorities) were randomized to view either violent or nonviolent high-action movie clips. Participants reported on their anxiety before and after watching the clips, as well as their previous exposure to violence. Measures of blood pressure and heart rate were taken at baseline and during movie viewing. Participants watching violent movie clips showed a greater anxiety increase than those watching nonviolent clips. Both groups experienced increased blood pressure and reduced heart rate during movie watching compared to baseline. Prior exposure to media violence was associated with diminished heart rate response. Additionally, students previously exposed to high levels of real-life violence showed lower blood pressure increases when watching violent clips compared to nonviolent clips. Thus, relatively brief exposure to violent movie clips increased anxiety among late adolescents. Prior exposure to media and real-life violence were associated with lower physiological reactivity to high-action and violent movies, respectively, possibly indicating desensitization. Future studies should investigate long-term anxiety and physiological consequences of regular exposure to media violence in adolescence.     

Addressing suicidal ideations through the realization of meaningful personal goals

A personal goal intervention program was offered to early retirees aged 50 to 65 years with the objective of increasing their subjective well-being. The program was aimed at helping the participants set, plan, pursue, and realize their personal goals. A subsample of 21 participants with suicidal ideas was identified from a larger sample (N = 354) of retirees living in the community who took part in the study to evaluate the program. The experimental (n = 10) and control (n = 11) groups were compared on their answers to 16 goal and psychological well-being questionnaires. By the end of the program, the experimental group had improved significantly more than the control group on hope, goal realization process, serenity, flexibility, and positive attitude toward retirement. The levels of depression and psychological distress significantly decreased. These gains were maintained 6 months later. The positive results obtained from this study could lead to an innovative way to help people with suicidal ideations.     

Diversification des populations dans la région de Montréal: de nouveaux défis de la gestion urbaine

Sommaire: Certaines organisations municipales s'efforcent de mieux répondre aux nouveaux besoins associés aux transformations de la population métropolitaine. Une perspective de meilleures pratiques face aux nouveaux défis de la gestion urbaine se dessine progressivement pour les banlieues et anciennes banlieues des villes situées dans les différentes couronnes au Nord et au Sud de Montréal. Après un bref aperçu des transformations de la population, nous examinons les groupes susceptibles d'avoir des besoins particuliers. S'ensuivent un exposé des types d'interventions entreprises par les municipalités québécoises dans ces domaines, puis les objectifs de recherche ainsi que la méthodologie. Finalernent, nous présentons les résultats à partir de l'analyse des données recueillies dans dix‐sept municipalités de plus de 3 000 habitants, excluant la Ville de Montréal. Nous avons retenu quatre variables: population immigrante, minorités visibles, familles monoparentales et familles à faible revenu. Les municipalités retenues se situent à un niveau élevé pour l'un ou l'autre de ces fadeurs ou encore pour leur combinaison. Il n'y a pas forcément de liens entre la forte présence des divers sous‐groupes et l'existence de politiques et programmes. Un phénomèe intéressant se présente quant à la présence de politiques pour les personnes âgées car la majorité des municipalités font preuve d'innovation à cet égard. Abstract: Some municipalities are adopting initiatives designed to better respond to needs associated with the changing composition of the urban population. This research aims to identify “best practices” of municipal administration in the suburban ring around Montreal, in particular with respect to the development of programs and policies designed to accommodate emerging populations with special needs. After a brief presentation of the changing demographics of such populations, the authors examine in greater detail specific groups that require special attention. They then present the different types of initiatives developed by Quebec municipalities to respond to identified needs discuss the objectives and methods of their research. They analyse data collected in seventeen municipalities in the Montreal area that have at least 3,000 residents, excluding the City of Montreal. Research focuses on four types of sub‐populations: immigrants, visible minorities, single‐parent families, and low‐income families. All of the municipalities included in our study have a higher than average incidence of one or more of these sub‐populations. Data does not reveal a strong relationship between municipal initiatives and the presence of the different sub‐groups. On the other hand, nearly all municipalities have developed initiatives to respond to the increasing presence of the elderly.     

Qualitative Exploration of the Influence of Domestic Violence on Motherhood in the Perinatal Period

The perinatal period may include domestic violence (DV). In this study, the perinatal period extends from the start of pregnancy to the end of the child’s second year of life. DV places the safety of both mother and child at risk and undermines the mother–child attachment bond. In this article, we look at the challenges for motherhood in a context of domestic violence during the perinatal period (DVPP). In semi-directed interviews, 17 mothers shared their stories of DVPP. Interview questions focused on the trajectory of DVPP, perceptions and occupation of motherhood within two years of childbirth and the associated challenges. Data were analyzed using thematic analysis and discussed in a feminist conceptual framework and a parental theoretical model. DVPP negatively influences the experience and practice of motherhood, in addition to increasing parental responsibility to protect the child. Three main themes were noted: 1) A parental experience impoverished by the context of DVPP, caused by an increase in tasks, a weakened bond with the child and a loss of self-confidence; 2) Parenting responsibility in a context of DVPP is expressed as greater vigilance and the need to protect the child from violence; and 3) Parenting practices: the children as targets and victims of violence, resulting in additional child needs that mothers must meet. The results underscore the need for early detection of DVPP and a trauma-informed approach in health services. Specialized support services should be provided to help mothers cope with violence.