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131.
Social values and status cause diverse obstacles for escaping abuse (e.g., belief in the sanctity of marriage vs. financial necessity to stay for survival). India provides a unique opportunity to explore the interplay of status and corresponding patriarchal values in relation to the incidence of domestic violence and how it is viewed, coped with, and psychologically impacting native women. Sixty-four women of Tamil Nadu, India were surveyed. Women of higher status were found to be less likely to acknowledge abuse as a societal problem, accurately identify abuse events, and seek help or report abuse. Women who had more realistic conceptions of abuse were more likely to seek help but also likely to experience more severe psychological distress. All of the women surveyed had symptoms of post-traumatic stress disorder that were exacerbated by unsuspected variables. The implications of these findings are discussed in light of public health strategies.  相似文献   
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This study describes past-year prevalence and effects on mental health and drinking outcomes for harassment and discrimination in the workplace (HDW) in a nationally representative random digit dial phone survey conducted in 2003-2004 (n = 2,151). HDW measures included experiences and perceptions of sexual harassment (SH) and generalized workplace harassment (GWH), and perceived harassment or discrimination because of race or ethnicity. Prevalence was examined by sex, race, age, occupation, marital status, and education. Effects of HDW were assessed controlling for demo-graphics and job and life stressors. Experiencing multiple types of HDW was common. SH was more prevalent among women, and Blacks and those of other or mixed race or ethnicity experienced the highest levels of HDW overall. HDW variables explained additional variance in problem drinking and mental health beyond life and job stressors, particularly for women. This study demonstrates that HDW is a prevalent problem associated with poor mental health and problem drinking in the U.S. workforce.  相似文献   
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Kelly and Lamb (2000) recently provided a summary of the attachment literature and a set of guidelines for visitation and custody for young children in divorced and separated families. Here, Solomon and Biringen review the same literature with an eye to critically evaluating these guidelines, especially the suggestion that more, rather than fewer, transitions between parents are appropriate for very young children. Three types of empirical findings raise questions regarding the appropriateness of Kelly and Lamb's guidelines. These include differences in the development of infant-mother and infant-father attachments, young children's sensitivity to overnight separations from the primary caregiver, and the possibility of infant preferences for primary versus secondary caregivers in times of stress. The authors argue that considerably more rigorous research is required before submitting Kelly and Lamb's suggestion to social policy.  相似文献   
134.
Controversy among scientists over appropriate use of the ocean for waste disposal impedes U.S. policy in this area. The problem arises in part because scientific uncertainty over the fate and effects of wastes released into the ocean requires a large element of judgment, and hence value, when the uncertain science is applied to policy. Scientists often supply that judgment and so impose their values, though seldom explicitly, on policy. Further, science often determines policy because many perceive it as an objective basis for decisionmaking and so less subject to the debate that arises from weighing public preferences in policymaking. Thus, scientists' values rather than the public's come to set policy. The resulting policy may elevate one expert's values over another's. Then as values and so interpretation of science shift, policy changes. Or, as in the case now with arguments over the ocean's ability to assimilate many anthropogenic wastes, conflicting science, really conflicting values, results in an agreement and policy inertia. These problems are partially circumvented when scientists make the nonscientific factors behind their reasoning clear. These factors may then be evaluated by the public along with the supporting scientific evidence. Thus, weighing the welfare of society rather than resolving conflicts among scientists becomes the focus of policy.  相似文献   
135.
This article examines the Mexican and Argentine cases of market reform and argues that despite important differences in regime type and in recent economic and political trajectories, the decision-making process in the two countries came to display important common features. In both cases, economic crises and debt negotiations played key roles in propelling technocratic reformers into positions of policy predominance; both exhibited exclusionary technocratic decision-making styles in which small technocratic elites insulated themselves from both extra and intra state pressures. While policy isolation was no doubt necessary for the successful implementation of market reforms, this style may be counter-productive to political stability over the long term. Judith Teichman is Professor of Political Science at the University of Toronto. Her articles have appeared in such journals asLatin American Research Review, Latin American Perspectives, Mexican Studies/Estudios Mexicanos, andThe Canadian Journal of Political Science and in edited volumes. She is the author ofPolicymaking in Mexico: From Boom to Crisis andPrivatization and Political Change in Mexico and is currently carrying out a comparative study of the structural adjustment policy process in Mexico, Argentina, and Chile.  相似文献   
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A rationale for including analyses of outcome in evaluation of the impact and equity of changes in health care policy for the poor is presented. We first discuss problems in defining equity in and access to health care. Equity in access to health care requires equality of access only to those services that are believed to be efficacious. Three cost-containment strategies (restrictions in eligibility, coinsurance, and capitation) are then examined, and their limitations are discussed. Finally, directions for future research focusing on outcomes are suggested. Rather than using access to care to assess outcome, outcome is viewed as the framework for assessing access and equity.  相似文献   
140.
One hundred and thirty mothers of adolescent sexual perpetrators were interviewed. Mothers of incest perpetrators (n = 48) were compared to mothers of non-incest perpetrators (n = 82). Results indicated that significantly more mothers of incest perpetrators reported having been physically and sexually abused, having a sexual dysfunction, and having been in prior psychotherapy. With regard to their sons, a higher percentage of mothers of incest perpetrators reported that they believed their son had committed the sexual offense, was in need of treatment, and had a history of being physically abused. Additionally, a significantly lower percentage of incest perpetrators had involvement with the juvenile justice system.  相似文献   
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