Physical Injuries, Pain, and Psychological Trauma: Pathways to Disability

Because physical injuries occur so frequently and are associated with significant mortality and morbidity, these injuries have been acknowledged as a worldwide public health concern. While the greatest cost associated with physical injury is the loss of life, non-fatal injuries are associated with significant personal and societal costs. Traditionally, examinations of the personal costs of physical injuries have emphasized functional losses and limitations, in addition to resulting losses in work productivity and income earning power. Efforts to capture the societal costs associated with physical injury have emphasized medical expenditures related to their treatment as well as costs related to lost work performance and disability compensation. Less emphasized but possibly more relevant to post-injury functional outcomes is the experience of psychological distress that frequently accompanies injury-related changes in function and overall quality of life. Any calculation of the true cost of physical injuries must include a reckoning of their impact on psychological health and the interactive influence of physical and psychological injuries on immediate and long-term recovery of function. In the current article, we briefly summarize data pertaining to the prevalence and cost of physical injuries; we briefly describe the more common consequences of physical injury, including injury-related limitations in physical function, pain and pain-related limitations in physical function, occupational impairment, psychological distress, and impairment in interpersonal relating; we review select theoretical models that are considered to explain the transition from physical injury to disabilities and we identify the pre-, peri-, and post-injury influence of physical and psychological health on injury management, recovery of function, risk of re-injury, and disability.     

Trusts & Trustees, 2009, Vol 15, No 1

From opposite sides of the legal profession, and from oppositesides of the world, we began 2008 as editorial greenhorns. Althoughreasonably long in the tooth as trust lawyers, and as text bookauthors, we have come to understand and appreciate a great dealthat previously we had taken for granted. In "Winston Churchill as Historian", in Louis (ed) Adventureswith Britannia: Personalities, Politics and Culture in Britain(1995), 47, Lord Blake recorded the great man as having describedcultured people as "merely the glittering scum which floatsupon the deep river of production." Most trust lawyers are     

Aid,the Real Exchange Rate and Why Policy Matters: The Cases of Morocco and Tunisia

Abstract

Every form of foreign-exchange inflow, including aid, can potentially cause real-exchange rate appreciation, with adverse consequences for the production of tradables (‘Dutch Disease’). Whether it does so depends on the policy response to the inflow. This paper investigates the issue for Morocco and Tunisia, over 1980–2009. We find that aid led to a real appreciation in Morocco, but had no effect on Tunisia’s real exchange rate. This confirms the importance of the macroeconomic framework in which aid is provided, and the key role for infrastructure and other supply-side improvements in determining the final real-economy impact of aid and other inflows.     

Exploring host perspectives towards younger international development volunteers

Research on international development volunteering has increased significantly in recent decades, but there is a need for greater depth of understanding in relation to host communities. This article examines the impact of younger volunteers from the perspectives of host community members, evaluating the positive and negative aspects in working with young people from the “UniVol” programme of Volunteer Service Abroad, New Zealand. It argues that further insights into host community experiences can play a key role in enhancing youth IDV volunteering, creating assignments that are more beneficial for hosts, and moving away from neo-liberal “volunteer-centric” youth volunteering.     

Education,Internet Use,and Confidence in the Police: Testing the “Informed Citizen” Thesis in the Philippines

Asian Journal of Criminology - We applied the “informed citizen” thesis to public confidence in the police in the Philippines—a topic that has surprisingly received little...     

‘You will be responsible to the GOC’. Stovepiping and the problem of divergent intelligence gathering networks in Northern Ireland, 1969–1975

From the beginning of Northern Ireland’s Troubles, two different strands of British intelligence were developed in Northern Ireland that failed to effectively cooperate or coordinate their efforts with one another. Though central government was aware (and often opposed) the lack of singular control over intelligence in the province, they were unable to wrest control of security intelligence from the hands of the Army and Special Branch. This problem, meant that a Security intelligence ‘stovepipe’ emerged and that this stovepipe operated without reference (and at times in opposition) to policy initiatives also being pursued by the UK government at the time.     

Examining the Mediating Effect of Self-Efficacy on Approval of Aggression and Proactive Aggression

Proactive aggression (PA) is goal-directed, hostile social behavior that has been linked to detrimental outcomes. It has been theorized that adolescents who believe aggression is a normal and acceptable social response (approval of aggression) are more likely to show PA. Confidence in one’s ability to behave aggressively (self-efficacy about aggression) is understood to mediate this relationship. A mixed-gender sample of 860 Australian, 12–14 year old adolescents was used to investigate gender differences and the mediating effect of self-efficacy for aggression on the relationship between approval of aggression and PA. As hypothesized, approval of aggression, self-efficacy, and PA demonstrated significant positive relationships, with males also scoring significantly higher on these three variables than females. Furthermore, self-efficacy was found to significantly and partially mediate the relationship between approval of aggression and proactive aggression for both genders. Implications for the understanding and prevention of aggressive behavior in adolescents are discussed.