Regulation and the paramedical professions: an interest group study

Abstract. This article exmines the relationship between government regulation and interest group activity of two paramedical groups in Ontario: chiropractors and physiotherapists. These disciplines occupy positions vis-à-vis the provincial medical insurance plan opposite to those which their relationships with the medical profession would suggest. It will be argued that the employment of sophisticated pressure group tactics can be highly effective as a surrogate for medical recognition. This, in conjunction with the difficulties inherent in the exercise of lay judgment in the development of public policy toward the professions, can lead to controversial policy outputs. It will also become apparent that a close and legitimate association with the medical profession is not necessarily of benefit in the pursuit of professional recognition. Sommaire: Cet article examine les rapports entre les règlements gouvernementaux et les activités poursuivies par deux groupes pararnédicaux en Ontario pour défendre leurs intétrêts: les chiropraticiens et les physiothérapeutes. Du point de vue du traitement qui leur est accordé dans le cadre du Régime provincial d'assurance maladic, ces disciplines occupent des position? qui sont diamétralement opposées à ce que l'on s'attendrait à trouver compte tenu des rapports qu'ils entretiennent avec les médecins. On peut faire valoir que l'utilisation de tactiques perfectionnées propres à promouvoir les objectifs des groupes de pression peut être hautement efficace comme moyen de remplacer les avantages que confère la reconnaissance par le corps médical. Le recours a de telles tactiques, dans un contexte caractérisé par les difficultés inhérentes à la tâche que doivent accomplir des profanes chargés d'émettre un jugement lors de l'élaboration d'une politique publique à. l'égard de ces professions, peut aboutir à des résultasts qui, considérés du point de vue de cette politique, peuvent donner lieu à controverse. On pourra également constater qu'une association étroite et légitime avec le corps médical ne constitue pas nécessairement un avantage pour un groupe qui s'efforce d'obtenir la reconnaissance de son statut professionnel.     

FAMILY MEDIATION AND NEVER-MARRIED PARENTS

Parents who were never married to each other are increasingly court-ordered to mediate disputes over their children. The author reviewed 441 cases of divorcing and never-married parents to compare their experiences with family mediation. Client situations, adjustments in mediator behavior, and outcomes of mediation such as mediation did occur and agreements reached were compared. Factors external to mediation had a different impact on never-married parents than on divorcing parents. The review indicated never-married parents had a higher no-show rate than that of divorcing parents, yet when never-married parents did appear for court-ordered mediation, they reached agreements at the same rate as divorcing parents. Surprisingly, the never-married parents with a history of violence were more likely to appear for appointments and reach agreements. Overall, with modifications in mediator assumptions and behavior, divorce/family mediation appears to be useful to never-married parents.     

Relationship between depressed mood and sex-typed personality characteristics in adolescents

The current study investigated the relationship between self-reports of depressed mood, self-esteem, and endorsement of sex-typed personality characteristics in a normal adolescent population. For positively valenced (socially desirable) sex-typed characteristics, masculinity was inversely related to depression while femininity was not significantly related. In contrast, for negatively valenced sex-typed characteristics the masculine and feminine scales showed similar effects: all were positively correlated with depression. Self-esteem was the best single predictor of depression and none of the sextyped characteristics contributed significantly beyond that accounted for by self-esteem. The results support previous findings with younger children and high school students by demonstrating that sex-typed characteristics in adolescents are significantly associated with depression, although this relationship is accounted for by the variance shared with self-esteem, a more general measure of mental health. However, the presence of negative feminine-typed characteristics was as highly correlated with depression as the absence of positive masculine characteristics and both relationships were stronger for females than males. Thus the linkages between sex-role socialization, sex-typed characteristics, self-esteem, depressed mood, and clinical depression bear further investigation, and may prove useful in understanding the development of depression in males and females.Received Ph.D. in clinical psychology from the Pennsylvania State University in 1976. Current research interests include the development of depression and eating disorders.Received Ph.D. in Counseling Psychology from the Pennsylvania State University in 1981. Current research interest is childhood depression.     

Objectivity and truth: Problems in doing feminist research

This paper examines principles of feminist research and discusses the authors' attempts to use these principles in a systematic way in their own research. Three principles of feminist research are identified: research should contribute to women's liberation through producing knowledge that can be used by women themselves; should use methods of gaining knowledge that are not oppressive; should continually develop a feminist critical perspective that questions dominant intellectual traditions and can reflect on its own development.Consciously applying these principles in a research study of the relation between changes in consciousness and the changes in the structural situation of individuals raised several methodological issues and dilemmas. These include the impossibility of creating a research process that completely erases the contradictions in the relationship between the researcher and the researched; the difficulties in analysing change as a process; the tension between the necessity of organizing the data and producing an analysis which reveals the totality of women's lives; and problems of validity, particularly those raised when the research process becomes part of the process of change.     

Adolescent-Mother Agreement about Adolescent Problem Behaviors: Direction and Predictors of Disagreement

Correlations between adolescent and parent reports of adolescent problems are low in magnitude. In community samples adolescents tend to report more problems than parents and in clinical samples adolescents tend to report fewer problems than parents. Indices of agreement may be biased if some adolescents in a given sample report more problems and others report fewer problems than parents. In the current study, order and mean agreement between adolescent and maternal reports of adolescent internalizing and externalizing problems, taking into account the direction of disagreement, was examined in a community sample of 133 young adolescents and their mothers. Two-thirds to three-quarters of adolescents reported more problems than mothers. Accounting for the direction of discrepancies resulted in improved agreement between adolescents and mothers and differing patterns of predictors of discrepancies. Additionally, the results demonstrate the need to control for relations between adolescent-reported problems and discrepancies when exploring predictors of discrepancies. Erin T. Barker received her Ph.D. in Applied Developmental Psychology from the University of Alberta. Her research interests include internalizing and externalizing problems in adolescence and emerging adulthood. Marc H. Bornstein received his Ph.D. in Psychology from Yale University. He has contributed scientific papers in the areas of human experimental, methodological, comparative, developmental, cross-cultural, neuroscientific, pediatric, and aesthetic psychology. Diane L. Putnick received her Ph.D. in Developmental Psychology from George Washington University. Her research interests include child and family processes across cultures. Charlene Hendricks received her Ph.D. in Developmental Psychology from George Mason University. Her research interests are in the areas of early adolescent development and adjustment and families by adoption. Joan T. D. Suwalsky received her M.S. degree in Human Development from Cornell University. Her research interests include parent-child interaction and child development in at-risk populations, including families by adoption.