The environmental psychology of the hospital: Is the cure worse than the illness?

Abstract

This paper presents a framework and summarizes evidence bearing on the role that the physical environment plays in the prevention and reduction of psychological and social problems encountered by patients in acute care and psychiatric institutions. Factors that are considered important to preventive strategies include issues such as the spatial layout and design of hospital environments, privacy problems, personal control and independence, information interventions, hospital social relationships, and levels of environmental stimulation. Two case studies are utilized to illustrate these issues within the context of both acute care and psychiatric facilities in a large municipal hospital. Greatest emphasis is placed on the use of the physical environment in the promotion of primary and secondary prevention within tertiary care settings.     

A comprehensive method for the assessment of industrial injury events

Because work‐related injuries are infrequent and often poorly documented, injury event operationalizations beyond recorded rates would be beneficial. This study describes a method that uses self‐reported and recorded events.

Researchers interviewed workers and obtained recorded events from personnel files to develop the near miss and unreported injury events measures. The self‐reported event measures, with other safety variables and demographics, were then administered to two groups of plant workers (N = 115 and N = 120). Results indicated that self‐reported events differed from recorded events and are related to other work injury variables (e.g., work hazards, overtime). An expanded safety protocol such as this one may provide additional tools to investigate the injury event process.     

A note on crime and punishment

The models developed here are intended to convince the reader that Tsebelis' results — that increased punishment leaves the equilibrium level of crime unchanged — is an example of what is possible rather than a general result. To recap the argument in words: it is true that raising the penalty on a crime may cause the enforcing agency to divert attention away to other matters, so that theexpected penalty facing the prospective criminal is not as high as it would have been had the agency not adjusted; but it is not generally true that enforcing agencies will choose to lower their probabilities of enforcement just enough to exactly offset the increased penalty, leaving the expected penalty unchanged, hence the equilibrium level of crime unchanged.⁸ this result sounds unusual when stated in words and it is when modelled using the theory of games too.This work was supported by NSF grant SES-9022882.     

Howard, Downer and the Liberals' Realist Tradition

The successive Howard Governments sought not only to make foreign policy in response to new regional and global agendas, but to respond to and to seek to manage new forms of electoral challenge with new forms of nationalism. This has resulted in a set of important departures from the major Liberal tradition in international affairs, the claim to a realist approach to foreign policy, and has led to the need to manage the consequences of those departures. The boundary that realism sought to draw between the domestic and international politics, as the spheres of values and interests respectively, became increasingly blurred. In relations with the Asian region the expression of strong domestic (nationalist and internationalist) agendas led initially to distancing from Asian engagement. However, from 2002, a more realist-focused external policy led to new forms of state to state re-engagement in pursuit of national interests. In the commitment to military operations in Iraq, the Anzac legend is interpreted to supply nationalist legitimation which would not normally be required for wars fought for realist (i.e. defensive) reasons. A future Liberal prime minister would lack Howard's touch here. In the debate in the Liberal Party over defence doctrine, an attempt by the Defence Minister to reformulate the realist doctrine of Defence of Australia into an expeditionary construct was rejected.     

The Effect of Voting Technology on Voter Turnout: Do Computers Scare the Elderly?

In the aftermath of the Florida debacle in the 2000 Presidential election, there has been an emphasis on replacing voting equipment perceived as inferior (e.g., punch card ballots) with more technologically advanced voting methods. It is possible, however, that not all voters will be comfortable with high-tech voting devices. Elderly voters, for example, might be familiar with the old voting machines but apprehensive about computerized voting. If this is the case, the fear of new voting technology might cause the turnout of elderly voters to decrease. We test for this effect by analyzing the change in voter turnout across Georgia counties in the two most recent gubernatorial elections, as it relates to the share of the counties’ populations that is over the age of 65 years. Consistent with the hypothesis that computers scare the elderly, we find a significantly negative relationship between the change in voter turnout and the elderly share of the population. An additional 1% of the population that is elderly is associated with a 0.3–0.4% decrease in turnout. The hypothesis that elderly voters were apprehensive about the change in voting technology is also supported by the increase in absentee balloting.     

Full Disclosure: Unanticipated Improvements in Property Tax Uniformity

This paper contributes to two strands in the property tax literature. One thread considers the effects of full disclosure requirements or “truth in taxation” on the rate of property tax growth. The second studies the determinants of assessment uniformity. This article focuses on the role of full disclosure in changing administrative incentives and improving the uniformity of the property tax. A panel of 29 Utah counties over a 32‐year period is used in a TSCS analysis. Findings suggest there is substantial evidence that full disclosure improved uniformity in Utah, but limited evidence that it restrained property tax growth.     

Earthquakes and Aftershocks: Race, Direct Democracy, and Partisan Change

Although dramatic partisan change among the electorate is infrequent, the issue agendas of parties may produce large shifts. A major cause of such change is the politics of race. In a political environment charged with racially oriented issues, racial groups often align themselves with different parties (as witnessed most recently in the American South). Yet, if racial appeals violate norms of equality, these appeals may rebound on the party using them. Consequently, members of the (white) racial majority and racially targeted minority may both move away from the offending party. Using data from the California Field Poll, we find that racially charged ballot propositions sponsored by the Republican party during the 1990s in California reversed the trend among Latinos and Anglos toward identifying as Republican, ceteris paribus, by shifting party attachments toward the Democratic party. Our results raise serious questions about the long-term efficacy of racially divisive strategies for electoral gain.     

Social Justice Issues in the Management of Religious Diversity in Australia

New religions, both those arriving by way of the cultural baggage of migrants and those which are part of the panoply of recent New Religious Movements and the New Age, have challenged and changed Australia's religious demography, but have been incorporated into Australian society in a comparatively peaceable way due to Australia's very tolerant religious institution. The effective management of this new religious diversity has been made possible by previously existing norms and expectations (i.e., institutions). The attempt to enact federal legislation to protect freedom of religion and belief in response to ICCPR Article 18 spearheaded by Australia's Human Rights and Equal Opportunities Commission provides an opportunity to examine a particular case of the management of religious diversity. Groups that viewed the consequences of religious difference from a social justice perspective supported the legislation, and those that essentialize religious difference opposed it.