Fiduciary duties of interlocking directors within a nonprofit health system

In response to regulatory and financial pressures, entities participating in the healthcare industry have joined with others in order to maintain, even improve, their market positions. In the non-profit sector of the industry, partnerships, mergers, and acquisitions have included arrangements whereby some corporate partners have interlocking directors. After review of the fiduciary duties of care and loyalty owed by corporate board members, and their application to traditional performance and conflict of interest situations, the authors address two scenarios raising interlocking director issues.     

All in the Family? Family Environment Factors in Sibling Violence

Sibling violence is presumed to be the most common form of family violence and the least studied. Based on data from “Physical Violence in American Families, 1976,” this paper assesses the family environment factors associated with sibling physical violence. Of a range of potential family influences, measures of family disorganization were the most significant predictors of sibling violence, overriding the characteristics of children or particular family demands. What mattered most to the occurrence of sibling violence was a child’s actual experience of physical violence at the hands of a parent, maternal disciplinary practices and whether husbands lose their temper. These findings point to the deleterious effect of corporal punishment, and suggest sibling violence in families is associated with more ominous family and gender dynamics.

Interpersonal problem-solving skills in battered,counseling, and control women

The present study was designed to examine the interpersonal problem-solving skills of battered women, while controlling for the effects of depression and anxiety. Battered, Counseling, and Control women were administered an interpersonal problem-solving inventory and asked to generate as many behavioral options as possible for each problem and then to select the one option they would chose to use in the given situation. All options were rated for effectiveness by two “blind” raters. Subjects were also administered the BETA intelligence test, the Beck Depression Inventory, and the State-Trait Anxiety Inventory Form-Y. Analysis of variance found no significant differences between the groups for intelligence, but the Counseling women were significantly more depressed and anxious than the Battered or Control women. Analysis of covariance (using BDI and STAI scores as covariates) found that Battered women: (1) generated fewer total options, (2) generated fewer effective options, and (3) chose fewer effective options for use in the situation than both Counseling and Control women. These findings provide indirect support for a general problem-solving skills deficit in battered women and reinforce the importance of problem-solving skills training for battered women.     

From adolescence to adulthood: Development of psychopathology in kibbutz and town subjects

The unique contribution of the National Institute of Mental Health—Israeli longitudinal high-risk study is the comparison of the development of children at high risk for schizophrenia from two divergent socialization environments: the Israeli urban nuclear family and the collective education in the kibbutz. The study began with 100 preadolescent children who were followed up into adolescence, with outcomes measured in their 20s and 30s. No difference in the prevalence of schizophrenia was found at the last follow-up phase, with subjects at an average age of 32, but a higher incidence of major depression was found in the kibbutz than in the urban high-risk group. The data suggest adolescence as the period in which the differential effects of environment began to appear. Environmental factors, related to the social structure of the kibbutz, which may have led to this outcome, are discussed.Received Ph.D. in psychology from the Hebrew University, Jerusalem. Engaged in research on socialization in the kibbutz as well as in the NIMH-Israel High-Risk project, and is a practicing psychotherapist.Member of Kibbutz Biet-QeshetAn educational psychologist practicing within the Jerusalem school system. Has taken a leading part in the fourth phase of the NIMH-Israel High-Risk Study and currently completing a doctoral dissertation in psychology.Received Ph.D. from Columbia University. Has served as Chief Scientist of the Ministry of Education of Israel. Involved in the NIMH-Israel High-Risk Study from its start and has served as the Israeli principal investigator during its fourth phase.