Making the case for school-based health: where do we stand?

School-based health centers (SBHCs) have proliferated rapidly nation-wide and remain politically popular. This article explores the disconnect between the evidence and the discourse on SBHCs, drawing upon the authors' evaluation of SBHCs in Newark, New Jersey, and a critical assessment of the evaluative literature and public discourse on school clinics to argue that a number of important issues are being overlooked by both research and advocacy. These issues include variations in the health needs and health care resources of different communities and the questions of whether and how SBHCs can best integrate with existing resources to fill unmet local needs. Furthermore, despite the cautions of experts that third-party reimbursement (via traditional fee-for-service insurance or participation in health maintenance organizations) cannot cover clinic expenses and is difficult to obtain, pursuit of reimbursement continues to be a goal of some SBHC sponsors, helping to promote a clinic model that in some communities is very likely not to be the best way to address student needs or to build on clinic strengths. Discussion around SBHCs should focus on diagnosing specific community needs, identifying the best approach to meeting those needs, and seeking funding sources that match the work that needs to be done.     

Book reviews

John P. Willerton, Patronage and Politics in the USSR. Cambridge: Cambridge University Press, 1992, xv+305 pp., $59.95, £40.00.

Michael Ellman & Vladimir Kontorovich, eds, The Disintegration of the Soviet Economic System. London and New York: Routledge, 1992, xv+281 pp., h/b £45.00., p/b £14.99.

Paul R. Josephson, Physics and Politics in Revolutionary Russia. Berkeley, CA: University of California Press, 1991, xix+423 pp., $39.95.

Hélène Carrère D'Encausse, The Great Challenge: Nationalities and the Bolshevik State 1917–1930. Nancy Festinger, Trans., Richard Pipes, Foreword. New York: Holmes & Meier Publishers, 1991, xviii+262 pp., $39.95.

Niels Erik Rosenfeldt, Stalin's Secret Chancellery and the Comintern. University of Copenhagen, Institute of Slavonic and East European Studies, 1991. 116 pp.

Christoph Bluth, Soviet Strategic Arms Policy Before SALT. Cambridge: Cambridge University Press, 1992, 317 pp., £40.00.

Roger E. Kanet, Deborah Nutter Miner & Tamara J. Resler, Soviet Foreign Policy in Transition. Cambridge University Press, 1992, xvi+308 pp., £40.00, $59.95.

M. A. Babkina, ed., New Political Parties and Movements in the Soviet Union. Commack, NY: Nova Science Publishers, Inc., 1991, 156 pp., $35.00.

S. Berglund & J. A. Dellenbrandt, eds., The New Democracies in Eastern Europe: Party Systems and Political Cleavages. Aldershot: Edward Elgar, 1991, xii + 237 pp., £39.95.

Gyorgy Csepeli & Antal Örkény, Ideology and Political Beliefs in Hungary: The Twilight of State Socialism. Trans., Brian McLean & Julianna Parti, London: Pinter, 1992, viii+148 pp., £35.00.     

Religious Innovation and Competition in Contemporary African Christianity

ABSTRACT

This introductory essay lays out the main themes of a special issue of Journal of Contemporary African Studies which brings together six empirically grounded papers by African social scientists of different disciplinary backgrounds. These works touch on various aspects of the social impact of religious innovation and competition in present day African Christianity. They represent the first fruits on the social science side of an interdisciplinary initiative that made 23 research grants for theologians and social scientists to study Christianity and social change in contemporary Africa. These articles focus on a variety of dynamics in contemporary African religion (mostly Christianity), including gender, health and healing, social media, entrepreneurship, and inter-religious borrowing and accommodation. The editors conclude that the research and learning reflected in this volume will enhance understanding of religion’s vital entanglement in contemporary African society. The articles reveal problematic ethical and psychological dynamics in some of these new movements, particularly among some of the neo-Pentecostal groups. Yet the authors are determined to go beyond perspectives that are overly fixated with African problems and victimisation. They are keen to explore opportunities for understanding African agency and African wellsprings of hope. The editors conclude that scholars of religion and religiosity in Africa need to invest new conceptual and methodological energy in researching what it means to be actively religious in Africa today.     

Reviews

John N. Hazard, Managing Change in the USSR: The Political‐Legal Role of the Soviet Jurist, Cambridge: CUP, 1983, ix + 182 pp. £17.50.

Martin McCauley (ed.). The Soviet Union after Brezhnev, London: Heinemann, 1983 and New York: Holmes and Meier, 1983, xii + 160 pp. hardback £14.50, paperback £5.50.

Jonathan Haslam, Soviet Foreign Policy 1930–33: The Impact of the Depression, London: Macmillan, 1983, xii + 172 pp. £25.00.

Gavriel D. Ra'anan, International Policy Formation in the USSR: Factional ‘Debates’ during the Zhdanovshchina, foreword by Robert Conquest. Hamden, Connecticut: Archon Books, 1983. Distributed by Leicester UP, xi + 248 pp. £20.00.

Ivan Szelenyi, Urban Inequalities under State Socialism, Oxford: OUP, 1983, x + 158 pp. hardback £15.00, paperback £5.95.

Arvo Tuominen, The Bells of the Kremlin: An Experience in Communism, Hanover and London: University Press of New England, 1983, xvi + 333 pp. $27.00.

Gregory Guroff and Fred V. Carstensen (eds.), Entrepreneur ship in Imperial Russia and the Soviet Union, Princeton, New Jersey: Princeton University Press, 1983, 372 pp. hardback £34.50, paperback £11.30.

Robert C. Horn, Soviet‐Indian Relations: Issues and Influence, New York, Praeger, 1982, xviii+231 pp. hardback $24.95, paperback $8.95.

Stephen R. Sacks, Self‐Management and Efficiency: Large Corporations in Yugoslavia, London: George Allen & Unwin, 1983, xi + 163 pp. £15.00.

C. K. Chase‐Dunn (ed.), Socialist States in the World System. Beverly Hills, Calif.: Sage Publications, 1982, 304 pp. hardback $28.00, paperback $14.00.

David Kideckel (ed.), Political Rituals and Symbolism in Socialist Eastern Europe. Special issue of Anthropological Quarterly, April 1983, vol. 56, no. 2, pp. 52–104. Anthropological Quarterly, 620 Michigan Avenue N.E., Washington D.C. 20064. $5.00.     

An ego-strength scale for the Child Abuse Potential Inventory

A series of investigations were conducted to develop an ego-strength scale from items in the Child Abuse Potential Inventory. Using a two-dimensional model of ego-strength, face valid items were selected. After an initial screening of face valid items using Barron's ego-strength scale, a multiple criterion item validation process was conducted using factors from the 16PF questionnaire. This procedure produced a 40-item ego-strength scale where all items had significant item-total correlations. Internal consistency and temporal stability of the ego-strength scale were found to be adequate. Factor analyses suggested the ego-strength scale is unitary, measuring emotional stability in relationships. Moderator variable effects were found to be modest. Most important, ego-strength scale data collected from nurturing parents, general population parents, at-risk parents, and groups engaging in various forms of family violence yielded scores that discriminate between groups in a predictable manner.     

Childhood history of abuse and adult child abuse potential

The experience of aversive interactions within the family of origin is believed to increase the probability of parental physical child abuse. To test this hypothesis, 375 subjects were given a Childhood History Questionnaire (CHQ) and the Child Abuse Potential (CAP) Inventory. The CHQ contained a series of questions about the presence and frequency of various abusive behaviors and associated sequelae that were received and/or observed before and/or after puberty. The CAP Inventory was used to measure adult physical child abuse potential. As expected, a childhood history of physical abuse was significantly related to adult physical child abuse potential; and, as chronicity increased, so did abuse potential. The experience of physical abuse prior to puberty produced higher abuse scores than the experience of physical abuse after puberty. The study provides preliminary data indicating the childhood experience of a caring adult and / or caring friend moderates adult child abuse potential.