Class formation and democracy: The decline of working‐class power in Britain

The debate about the future of working‐class power in Britain raises for class theory an important, if neglected, question about how internal politics affects class formation and power. To provide an answer, this article develops an analysis that conceptualises class representation as a particular power relation in a pluralist system, and assesses recent changes in the internal power relations in the labour movement. The conclusion that the fragmentation and disorientation of traditional practices of internal democracy has weakened the movement's collective strength demonstrates that internal politics does matter to class formation.     

Interpreting “Cumulative Extremism”: Six Proposals for Enhancing Conceptual Clarity

The concept of “cumulative extremism”—described in 2006 by Roger Eatwell as “the way in which one form of extremism can feed off and magnify other forms [of extremism],” has recently gained considerable traction in academic, policy, and practitioner discourses about extremism. Yet in spite of the growing usage of the term, particularly in analyses of the dynamic between extreme Islamist and extreme Right-Wing or anti-Muslim protest groups, there has to date been scant interrogation of the concept itself or of its application. In this article, we make a series of six proposals as to how we might enhance the conceptual clarity of these conversations about “cumulative extremism.” Our aim in doing so is to increase the likelihood that the concept might become a useful addition to the debates on extremism rather than becoming, to borrow a term from John Horgan—something of an “explanatory fiction”—an idea that appears to enable us to explain a great deal, but whose explanatory value is largely lost because there is insufficient scrutiny of the claims that it is used to make and whose liberal application becomes increasingly conducive to poor science.     

Off-Label Prescribing: A Call for Heightened Professional and Government Oversight

Under current U.S. law, physicians may prescribe drugs and devices in situations not covered on the label approved by the Food and Drug Administration. Those supporting this system say that requiring FDA approval for off-label uses would unnecessarily impede the delivery of benefits to patients. Patients do benefit from off-label prescribing that is supported by sound scientific and medical evidence. In the absence of such evidence, however, off-label prescribing can expose patients to risky and ineffective treatments. The medical community and federal authorities should more actively promote patients' interests in receiving beneficial off-label treatments. To exercise responsible self-regulation, members of the medical community must determine whether available evidence justifies specific off-label uses and must promote information-gathering when the evidence is inadequate. Physicians should also discuss with patients the uncertainties accompanying off-label uses. Federal authorities should more closely monitor the effects of off-label prescribing and adopt other measures to reduce harm and enhance benefits produced by off-label prescribing.     

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.     

The Relation of Antisocial Behavior Patterns and Changes in Internalizing Symptoms for a Sample of Inner-city Youth: Comorbidity within a Developmental Framework

Research examining the relationship between internalizing symptoms and antisocial behaviors has generally been cross-sectional in design. Thus, although extant data have substantiated a strong correlation between internalizing symptoms and antisocial behaviors, few studies have focused on describing the nature of the co-occurrence over time. This study examined the relation between growth in internalizing symptoms and longitudinal patterns of antisocial behavior in a sample of 283 inner-city males and their caregivers assessed as part of a longitudinal developmental risk study. Participants were assessed annually in four waves. Non-offenders and escalating offenders had lower levels of internalizing problems at wave 1 than did chronic minor and serious-chronic-violent offenders. Results revealed a developmental trend of decreasing internalizing problems across study years for most participants, as would be expected, with adolescents participating in serious, chronic, and violent patterns of antisocial behavior displaying greater internalizing problems than those participating in stable patterns of less serious or no antisocial behavior. Further, when there was escalation of seriousness and frequency of antisocial behavior, there also was increased internalizing problems relative to non-escalating juveniles. Results are discussed in the context of developmental psychopathology.