A New Measure of Policy Spending Priorities in the American States

In this paper, we develop and test a general measure of policyexpenditures in the American states. Our approach is to constructa spatial proximity model of yearly state program spending.The empirical analysis reveals that state spending patternsvary along a clear and readily-interpretable unidimensionalcontinuum which differentiates policies that provide particularizedbenefits to needy constituencies from policies that providebroader collective goods. Based upon standard evaluative criteria,the variable created from our model possesses some highly desirablecharacteristics. And, it compares favorably to other measuresof state policy activity. The net result is a yearly score foreach state which summarizes that state's spending across allmajor program areas. More generally, we believe that our variablecan be interpreted as valid and reliable representational measurementof state policy priorities. In this capacity, it could occupyan important position within models of state politics. Author's note: Many colleagues provided useful feedback on earlierversions of this paper. We particularly appreciate the excellentcomments and suggestions from Robert Erikson, Richard Fording,Kim Hill, David Lowery, Andrea McAtee, and George Rabinowitz.We would also like to thank Daniel Lewis and William Myers fortheir assistance with the data collection. The yearly statepolicy priority scores obtained from the unfolding analysis,along with the data used to create the scores, the SAS macroto carry out the unfolding procedure, and all other supplemental materialsare available on the authors’ web sites: http://polisci.msu.edu/jacobyand http://polisci.msu.edu/schneider. All these materials arealso available on the Political Analysis Web site.     

Risk assessment and suicide prevention in primary care

General practitioners (GPs) are assumed to occupy an important position in the prevention of suicide through the introduction of risk assessment techniques commonly used in psychiatric practice. Despite this theoretical role for primary care services, it remains unclear how frequently GPs implement risk assessment in patients who may be vulnerable to suicide. To address this, a retrospective survey of probable suicides was conducted within a primary care setting utilizing a questionnaire of GPs who had experienced a patient suicide and was augmented by hospital and coroners' records. 85% of questionnaires were returned and 61 deaths were adjudged as suicides during the year long census period. 75% of suicides were male and 54% were aged under 35.28% were in contact with psychiatric services prior to death, although 60% had some diagnosis of mental disorder. GPs had little knowledge of a patient's life circumstances in up to half of cases. Recording of risk assessment occurred in 38% of subjects, was positively associated with prior psychiatric contact (p = 0.001) but negatively associated with presence of physical illness (p = 0.004), older patient age (p = 0.04), and GPs length in practice (p = 0.05). One GP felt their suicide case was preventable. The low rate of risk assessment and limited knowledge of patient lifestyle point to the need for active engagement of GPs in future suicide prevention strategies and should influence the content of training programs in primary care.     

Under development and modes of production: A reply to Nicos Mouzelis

What follows is a reply to a number of points raised by Nicos Mouzelis in his review of my book, From Modernisation to Modes of Production: A Critique of the Sociologies of Development and Underdevelopment (Macmillan 1979, £4.95 paper) in The Journal of Peasant Studies, Volume 7, No. 3, April 1980. I focus on Mouzelis’ arguments that my framework for analysing Third World societies is ideological and reductionist. I try to show how the analysis put forward in my book can be used to analyse what for me is the central problem of ‘development ‘ ‐ namely the relations between the restricted and uneven capitalist development characteristic of Third World societies, their class structures, forms of state and development strategy. I also examine the relevance of Mouzelis's alternative ‐ of inter‐relating structuralist and action perspectives ‐ and suggest that the framework put forward in my work can deal more adequately with the issues raised by Mouzelis in his review. I agree with Mouzelis that the most fruitful debates in the Sociology of Development currently centre on the relevance of the Marxist approach, and view my comments here as part of this wide‐ranging, continuing debate, of which my work forms a part.     

Ethics and public policy: an analysis of a research tradition ∗

This article focuses on the relevent scholarly literature devoted to ethics and public policy. A literature search revealed an extensive body of research which lacked a coherent ordering. This article provides a model to understand a field of academic inquiry which has a rich tradition.     

The Arab‐Israeli peace process: A house built on sand?

While the Declaration of Principles agreed between the government of Israel and the Palestine Liberation Organization in September 1993 was widely welcomed as the major breakthrough in the seemingly intractable Arab‐Israeli conflict, progress proved to be difficult, uncertain and, at times, bloody. This article places the agreement in the context of previous peace endeavours in an attempt to explain why the apparent early promise proved so difficult to sustain.