The public sector growth and state autonomy in Western Europe: The changing role and scope of the state in Ireland since 1950

The expansion of the state in advanced industrial societies since 1945 has stimulated studies of the determinants of public sector growth, the nature of state intervention and the capacity for the state to act in a quasi‐autonomous way. The last also provides a means for distinguishing between alternative models of state action. In this article the issues of state expansion and state autonomy are used as the basis for examining the growth of the public sector and shifting activities of the state in Ireland since 1950. It is argued that a state‐centred model best accounts for the behaviour of the Irish state.     

Aligning Ethics with Medical Decision-Making: The Quest for Informed Patient Choice

Clinical evidence suggests that many patients undergo surgery that they would decline if fully informed. Failure to communicate the relevant risks, benefits, and alternatives of a procedure violates medical ethics and wastes medical resources. Integrating shared decision-making, a method of communication between provider and patient, into medical decisions can satisfy physicians' ethical obligations and reduce unwanted procedures. This article proposes a three-step process for implementing a nationwide practice of shared decision-making: (1) create model integration programs; (2) provide legal incentives to ease the transition; and (3) incorporate shared decision-making into medical necessity determinations.     

Lifting the Domestic Violence Cloak of Silence: Resilient Australian Women’s Reflected Memories of their Childhood Experiences of Witnessing Domestic Violence

Recognition is growing that childhood witnessing of domestic violence is tantamount to child abuse due to the damage the experience may have on the witnessing child’s long-term emotional and social wellbeing. This paper helps to lift the cloak of silence that surrounds the child witnessing phenomenon by presenting the recollected adult memories of six female former child witnesses. Utilizing a mixed case-study and consensual qualitative research design, the study’s findings reveal that the potential threat to a child witness’s immediate and long-term wellbeing can be mediated through the progressive development of a range of adaptive coping strategies. Of these, the strategy of establishing a safe place and a supportive relationship outside of the abusive nuclear family home seems pivotal to the witnessing child’s resilient ability to move on and lead a ‘rewarding’ adult life. The paper closes with a discussion on how the research findings can be progressed.     

Automatic Encoding of Ambiguous Child Behavior in High and Low Risk for Child Physical Abuse Parents

Recent theory and research suggest that physically abusive parenting behavior might be understood as originating from: 1) greater accessibility of hostile/negative schema, and/or 2) lower accessibility of benign/positive schema. This study examined whether parents at high and low risk for child physical abuse (CPA) differed in the extent to which they spontaneously encoded ambiguous caregiving contexts in negative versus positive terms. Twenty-five high and forty-one low risk for CPA parents were asked to memorize a set of sentences that described ambiguous caregiving situations. After a brief delay, participants were asked to recall the sentences. During recall, cues were given (e.g., negative and positive words) to facilitate recall. According to the cued-recall paradigm, to the extent that recall was facilitated by negative/positive cues, it was inferred that negative/positive meaning was activated when the ambiguous sentences were encoded. Although all parents tended to recall more information in response to negative relative to positive cues, the influence of cue type on recall was greater for high CPA risk parents. That is, high, compared to low, CPA risk parents obtained significantly higher recall difference scores (M = 4.6 versus M = 2.3); with higher recall difference scores indicating greater recall in response to negative relative to positive cues. Present findings are consistent with the proposition that high and low CPA risk parents differ in how they spontaneously encode information in ambiguous caregiving contexts.     

China-2000: Introduction

This paper argues that, firstly, while economic development in China has been impressive, solutions to a number of critical political and socio-economic problems and issues are still awaiting. And secondly, due to ideological confusion among Party members and government officials, malperformance of the Party and administrative systems, a necessary condition for political upheaval in China, has been, and is likely to remain, serious: In conclusion, it is questionable if political stability and social harmony can be enhanced in China in the near future.