Promoting awareness and prevention of child sexual victimization using the Red Flag/Green Flag program: An evaluation with follow-up

This study describes an evaluation of a school-based sexual abuse awareness and prevention program that featured the “Red Flag/Green Flag People” coloring book and included presentation of a film (“Better Safe than Sorry II”) and discussion of hypothetical and actual experiences involving inappropriate physical touching. Children, parents, and teachers from two experimental schools participated in the program and were compared to similar groups from a control school. Outcomes were evaluated using pre-post (2-month) assessment questionnaires. Among the findings obtained, experimental group children reported learning more about the differences between good and bad touching, and being more likely to both report instances of sexual victimization and utilize program-specific preventive skills, relative to controls. Parents exposed to program materials acknowledged greater improvements in knowledge about program goals and more positive communication at home about abuse. Although no significant differences were obtained for teachers, the ratings for one experimental group were consistently higher than those of the other groups. Staff volunteers evaluated the program as overwhelmingly positive and without adverse effects. Still, some children from all groups reported being touched inappropriately. Some of these improvements were also noted for the experimental group at 6-month follow-up assessment. The findings were discussed in the context of conceptual, clinical, training, and empirical considerations.     

Employer strategies for modifying or terminating retiree benefits in the 1990s

Over the past decade, access to health care coverage has become a crucial national concern. At the same time, the rising cost of health care, the aging of the population, and new accounting requirements for retiree medical benefits have caused employers to reevaluate their commitment to providing unrestricted health care benefits to the retirees. This article discusses the key federal appellate court decisions concerning an employer's decision to modify or terminate retiree medical benefits. It then explores alternatives for meeting the statutory, legal, and accounting challenges faced by employers who now offer retiree health care coverage.     

Malice in Maasailand: The historical roots of current political struggles

Current struggles for power, land and resources in Kenyan Maasailandcan only be understood in a one hundred-year context, by returningto the forced moves and land losses of the 1900s and closelyexamining subsequent complaints about their alleged illegalityand long-term impacts. Drawing upon archival research and oraltestimony, this article explains why the Maasai community'ssense of loss and betrayal is so enduring. Maasai grievancesstem from a feeling that they have been betrayed by the British,from the political ambitions of particular Maasai leaders, andfrom historical divisions between different groups of Maasai.Entangled with all these reasons for grievance is the use ofhistory and myth in constructing nationalist and bounded identities.     

Degrees of Memory of Childhood Sexual Abuse Among Women Survivors in Therapy

Past and current memory for childhood sexual abuse reported by a clinical sample of 160 women survivors was assessed utilizing a structured clinical interview. Response alternatives for memory were ordered along a continuum. To minimize treatment effects, participants were interviewed as early in therapy as possible. Fairly complete recollection both in the past and currently was reported by 26.3% of the sample, 36.9% apparently lost and subsequently recovered sexual abuse memories, and 36.9% endorsed intermediate degrees of memory. Only 2.5% indicated a decrease in degree of recollection over time. Age at onset was the only abuse characteristic found to differentiate participants with fairly complete memory from the rest of the sample. Findings are interpreted as illustrating that conclusions about memory for abuse are highly dependent on the way inquiries are conceptualized and worded.     

The Liberalization of the Telecommunications Sector: A Rent-Seeking Perspective

This paper assesses market liberalization in the telecommunications industry from a rent-seeking perspective. Our focus is on United States regulation, with corollary international developments that are spurring competition. The analysis which is general in approach, assesses pervasive government controls which have long shaped the nature of competition in the telecommunication sectors. We find that government has been a means for retarding competition and innovation in the telecommunications sector through the actions of rent-seeking agents. Rapid technological change, however, increasingly is rendering traditional government regulation obsolete. This change is spurring welfare-enhancing competition, regulatory reform, and privatization in the telecommunications sector.     

Variability in Hormone Concentrations and Self-Reported Menstrual Histories in Young Adolescents: Menarche as an Integral Part of a Developmental Process

Menarche has been considered a marker for examining interindividual differences in biobehavioral development and for separating pubertal development into 2 stages. The purpose of this study was (1) to compare hormone concentrations in pre- and postmenarcheal girls to determine whether they fit a continuous or dichotomous model of pubertal development surrounding menarche; and (2) to address methodological issues of variability in self-reports of menstrual histories and reliability in reporting age at menarche. Girls (N = 52) ages 9 to 14 years were enrolled in a longitudinal study. Blood was drawn for hormone concentrations. Menstrual-cycle information was collected by questionnaire and oral report. Discrepancies in reporting of age at menarche ranged from 0 to 18 months and variability was noted in length of cycle. There was great overlap in hormones between pre- and postmenarcheal categories. Future studies might consider menarche as the culmination of underlying developmental processes rather than as a discrete event. Limitations of each measure of puberty should be considered by investigators conducting biobehavioral studies of adolescents.     

Author index of Volume 7

Authors Index

Author index of Volume 7     

Sudden death from pelvic hemorrhage after bilateral central fracture dislocations of the hip due to an epileptic seizure

Fracture and dislocation of major joints may be caused by the forceful tonic muscular contractions of seizure activity. A 77-year-old man who was found dead in bed with no sign of external trauma had bilateral central fracture dislocations of the femoral head through the acetabular floor with fatal pelvic hemorrhage and extensive pulmonary fat and bone marrow embolism. He had epilepsy, but the last seizure was 6 years earlier, and he had long discontinued medication. The fractures were attributed to a new unwitnessed seizure. This is the twentieth case of central fracture dislocation of the hip since 1970, when better anesthesia eliminated convulsive therapy-induced fractures. The authors review these 20 cases. Seizures followed inflammation, infarction or neoplasia of the brain, eclampsia, metabolic or iatrogenic causes, or epilepsy (6 cases, 2 of which had no prior seizures for 5 years). There were 11 men (mean age, 64 years) and 9 women (mean age, 47 years). Fractures were unilateral in 13 and bilateral in 7. Additional fractures (in vertebrae, shoulders, or femur) were present in eight. Only eight had prior bone disease. Local symptoms led to diagnosis in most, but two were identified incidentally on imaging. The current patient was the only one to die suddenly, but six other patients presented with shock and three died (one of whom had injuries that led to a suspicion of manslaughter). Central fracture-dislocation of the hip is a rare and little known consequence of seizures, with strong potential for misdiagnosis and lethal complications.