Health maintenance insurance: Toward an optimal HMO

The financial incentive structure of today's health maintenance organizations addresses certain problems attributed to fee-for-service medical care, but at a theoretical level it does not induce optimal provider behavior. Health maintenance insurance—a combined package of medical, morbidity/disability, and life insurance—encourages providers to compete for the health dollar, and not simply the medical care dollar, thereby remedying deficiencies in prepayment and promoting true health maintenance. The principle underlying health maintenance insurance emphasizes the need to search for effective means of preventing disability, morbidity, and premature death.This is a revised version of a paper presented at the 105th Annual Meeting of the American Public Health Association, Washington, D.C., October 30–November 3, 1977.     

Modernist discourse and the crisis of development theory

The field of Third World studies is thought once again to be in a state of crisis, thanks largely to disillusionment with the once-dominant dependency “paradigm.” Amidst renewed interest in developmentalism and the clamor for an alternative to dependency, this article argues, first, that the major achievements of dependency theory remain largely unrecognized because the approach has been so frequently misrepresented or misunderstood. Whatever the ultimate status of dependency’s theoretical claims, it contains elements of a countermodernist attitude which ought to be retained in any new approach to the study of Third World development. Second, the article argues that, despite these accomplishments, dependency remains trapped, along with developmentalism, within a modernist discourse which relies on the principles of nineteenth century liberal philosophy; that it treats the individual nation-state in the Third World as the sovereign subject of development; and that it accepts the Western model of national autonomy with growth as the appropriate one to emulate. The final section of the article discusses the efforts of a number of scholars to ground knowledge in local histories and experiences rather than building theory through the use of general conceptual categories and Western assumptions. Although these ideas currently remain on the margins of Third World studies, it is to be hoped that dependency’s loss of intellectual hegemony has at least opened up a space for them to be taken seriously, in the same way that dependency was itself taken seriously in the late 1960s. Kate Manzo is assistant professor of political science at Williams College in Williamstown, MA 01267. Her research and writing interests focus on theories of development and on the nature of South African change. She is currently at work on a book entitledAfrikanerdom and Race: The Nature of Ideology in a Changing Society.     

Adolescents' Willingness to Seek Psychological Help: Promoting and Preventing Factors

Although a relatively high percentage of Australian adolescents experience mental health problems, many disturbed adolescents do not receive the help they require, and only a small proportion of adolescents seek professional psychological help. The present study examined adolescents' willingness to seek help and investigated factors that promote and prevent adolescents from seeking help for a mental illness from both formal and informal sources. Secondary school students (254 in number) from schools in Brisbane, Australia completed a questionnaire that examined the relationship between demographic and psychological variables, attitudes toward mental illness, and willingness to seek help for a mental illness. Results suggest that adolescents with greater adaptive functioning, fewer perceived barriers to help seeking, and higher psychological distress were more willing to seek help from formal and informal sources for a mental illness. Greater social support also predicted willingness to seek help from informal sources. Although attitudes toward mental illness did not influence willingness to seek help, less stigmatising attitudes were related to higher knowledge of mental illness, being female, and higher levels of social support. Implications for the present study focus on enhancing the ability of mental health interventions to increase adolescents' willingness to seek psychological help.Received PhD from The University of Queensland     

Mixing Up

Increased interactions between groups of people through modernization may be embraced as mutually enriching or denounced as causing “negative social impacts.’ This paper is predicated on the assumption that people's perceptions of modernization projects influence their outcomes, because people resist rather than commit to negatively perceived projects. The nature of social contact brought about through modernization is a key factor in perceptions of modernization projects. Three types of social contact in a fishing joint venture between the Solomon Islands government and a Japanese company are explored in this paper: contact between men and women, between ethnic groups within Solomon Islands, and between Solomon Islanders and foreigners. Some of the criteria by which interviewees judged social contact included whether it was peaceful or caused friction, whether it caused cultural change, and whether it was hierarchical. The types of contact are discussed in terms of those criteria to reveal their varied effects on perceptions of modernization.     

Violent Acts and Injurious Consequences: An Examination of Competing Hypotheses About Intimate Partner Violence Using Agency-Based Data

The current study proposed and tested a series of competing hypotheses about intimate partner violence in the 2006 National Incident Based Reporting System (NIBRS), a dataset of criminal incidents known to the police. Three research questions were presented concerning gender differences in victim identity, victim-offender relationships, and victim injury with hypotheses derived from the feminist, family violence, and general violence perspectives. Victim-based analyses were consistent primarily with expectations of the feminist perspective, although aspects of the general violence perspective were supported as well: Women were more likely than men to experience violence from an intimate; they were more likely to experience violence from an intimate partner than from any other perpetrator; and when victimized by an intimate, women were usually more likely to be injured. These results highlight the uniqueness of violence between intimates relative to other types of violence.     

The anonymous police blogger,the newspaper and the unmasking of Night Jack

The English High Court recently refused to grant an injunction to restrain The Times newspaper from publishing the identity of an anonymous political blogger (The author of a blog v Times Newspapers Limited [2009] EWHC 1358 (QB)). The facts of the case were unusual: there was no clearly unlawful behaviour by the blogger, who was also a police officer highly critical of political figures and policies. There was also no relationship between the blogger and the journalist who deduced the blogger's identity; the court therefore focussed on the tort of misuse of private information and countervailing public interests, such as freedom of expression. This article describes the approach of the court and considers the earlier case of Mahmood v Galloway ([2006] EWHC 1286 (QB)) concerning an undercover journalist's attempt to prevent publication of photographs showing what he looked like. It also discusses whether data protection law could have a role to play in future cases concerning attempts to preserve an online author's anonymity. The conclusion of the article is that this case does not spell the end of all anonymous blogging.