Reforming regulatory relationships: The impact of medical revalidation on doctors,employers, and the General Medical Council in the United Kingdom

In 2012, medical regulation in the United Kingdom was fundamentally changed by the introduction of revalidation – a process by which all licensed doctors are required to regularly demonstrate that they are up to date and fit to practice in their chosen field and are able to provide a good level of care. This paper examines the implications of revalidation on the structure, governance, and performance management of the medical profession, as well as how it has changed the relationships between the regulator, employer organizations, and the profession. We conducted semi‐structured interviews with clinical and non‐clinical staff from a range of healthcare organizations. Our research suggests that organizations have become intermediaries in the relationship between the General Medical Council and doctors, enacting regulatory processes on its behalf and extending regulatory surveillance and oversight at local level. Doctors’ autonomy has been reduced as they have become more accountable to and reliant on the organizations that employ them.     

Agricultural cooperatives and social empowerment of women: a Ugandan case study

This article presents a case study of Manyakabi Area Cooperative Enterprise in south-western Uganda, which shows that benefits from agricultural cooperatives can extend beyond monetary tangibles. We discuss several social factors that women members claimed have improved since they became members of the cooperative, including their confidence, their negotiating skills, the ability to be of service to their communities through transferring skills to non-members, and the ability to take control of certain household decisions when dealing with men. We conclude that these social benefits could be enhanced if they were fully acknowledged as important by agents of change.     

A moral emergency and a medical problem: negotiating the control of venereal disease--the Saskatchewan Venereal Disease Protection Act, 1946

The author examines Saskatchewan legislation that regulated venereal disease. Although venereal disease legislation was introduced in Saskatchewan in 1919, the centrepiece of this article is The Venereal Disease Prevention Act, 1946. In an attempt to understand the nuances of and underlying rationale for these laws, the author situates the legislation within its social context. The author demonstrates that the trends and contradictions apparent in society's approach to the regulation of venereal disease were reflected in the legislation. The concept of a continuum is used to illustrate the coexistence of two approaches to the control of venereal disease. On one side of the continuum, venereal disease was a moral problem and a taboo subject. Force was the key to controlling venereal disease; involuntary examinations and intrusions into people's personal lives were the solution. On the other side of the continuum, venereal disease was a medical problem. If approached rationally and openly, control of venereal disease was possible; through education and social acceptance of venereal disease as just another illness, people would voluntarily come forward for treatment. The approaches represented at the extreme ends of the continuum did not exist in isolation; these views existed simultaneously, producing contradictory and colourful rhetoric.     

Developmental changes through adolescence in the spontaneous nomination of reference groups as a function of decision content

The achievement of behavioral autonomy and psychological independence from the family is one of the foremost developmental tasks of the adolescent. This aspect of adolescent socialization is examined with regard to the developmental trends in the individual's nomination of socialization groups as competent referents in different areas of judgment. Eighty subjects, distributed equally between sex and among samples drawn from the fifth, seventh, ninth, and twelfth grades, were interviewed and allowed to nominate spontaneously reference groups of their own choosing for guidance in moral, informational, and social judgments. A significant relation was found between the nomination of a particular reference group and the nature of the decision to be made. The distribution of reference group nominations among the grade levels sampled differed significantly in the case of informational and social judgments. With increasing age during adolescence, peers seemed to be a more acceptable source of information in matters of social judgment than either parents or adults outside the family. Adults outside the family, however, exhibited a marked increase in acceptability as a reference group for judgments of an informational nature. Parents seemed to be the most acceptable referent across all grades for moral judgments. The findings are viewed particularly in relation to the results of studies which have examined developmental trends in simulated group conformity situations and susceptibility to cross-pressures. The possible reasons for the different developmental phenomena revealed by this study and by the conformity studies are discussed.This article is based on a thesis submitted by the first author to Duke University in partial fulfillment of the requirements for the degree of Bachelor of Science with Distinction of Psychology.     

Science Parks and the Development of NTBFs— Location, Survival and Growth

This study investigates survival and growth of NTBFs located on and off two Swedish science parks. We find that firms located on science parks have significantly higher survival rates than off-park firms. However, we observe insignificant differences in sales and employment. Wider variation in the growth rates of firms located on parks together with the better survival suggests that the science parks may be providing favorable locations for NTBFs in a range of development phases. The image benefit associated with a science park location is not helpful in explaining growth, whereas a location benefit associated with cooperation with universities is positively associated with growth.     

Substance abuse among sexual offenders: review of research and clinical implications*

Substance abuse, and in particular alcohol abuse, has been linked to the aetiology and maintenance of violent offending generally and sexual offending specifically. The current paper reviews the literature pertaining to substance abuse among sexual offenders and highlights theoretical developments in the area. An emphasis on issues associated with the therapeutic alliance is stressed when working with high-risk clients who present with multiple needs, including alcohol abuse. The discussion concludes with some practical suggestions regarding assessment and treatment of groups of moderate- to high-risk offenders.     

加拿大惩治腐败的努力和决心

本文是为2006年6月23-27日在中国贵州省贵阳市举办的《联合国反腐败公约》与中国刑事司法协调和完善国际学术研讨会准备的,以作为“加拿大国际发展署”和“刑事法改革与刑事司法政策国际中心”执行中国刑事司法国际标准之项目的一部分。     

On the Scene

My wife and I attended the opening ceremony of the Beijing 2022 Olympic Winter Games at the National Stadium, also known as the Bird’s Nest, in Beijing on February 4.The first thing that struck me on arrival was how spectacular the Olympic Park was looking.