Analyzing welfare effort: An appraisal of comparative methods

How do we measure and rate the social welfare efforts of nations? Most people consider the U.S. and Japan welfare laggards when compared with European countries. This view derives from a widely used measure of “welfare effort”—direct government outlays for social programs as the percentage of a nation's gross domestic product (GDP). This article challenges several assumptions implicit in the conventional measure and suggests an alternative approach in assessing “welfare effort.” By incorporating indirect tax expenditures and controlling for the differences in tax burdens and social need for welfare spending among countries, the alternative measure (the NET index) not only broadens the conceptual boundaries of welfare effort, but also affords a more meaningful standard for comparative analysis. To illustrate, this study compares the welfare effort levels of ten developed nations measured under several versions of the NET index.     

B. Reviews

THE CAMBRIDGE HISTORY OF ARABIC LITERATURE. Volume 1: Arabic Literature to the End of the Unayyad Period. Edited by A.F.L. Beeston, T.M.Johnstone, R.B.Serjeant and G.R.Smith, pp.xvi, 547. Cambridge University Press, 1983. £37.95.

AL‐MAQRIZI'S “BOOK OF CONTENTION AND STRIFE CONCERNING THE RELATIONS BETWEEN THE BANU UMAYYA AND THE BANU HASHIM”. Translated into English, with an introduction and commentary by C.E.Bosworth. (Journal of Semitic Studies, Monograph No.3), Manchester, Department of Near Eastern Studies, University of Manchester, 1980. pp.157.

ARABIC CULTURE THROUGH ITS LANGUAGE AND LITERATURE. By M.H. Bakalla. London, Kegan Paul International, 1984. pp.371, 51, plates, maps.

ARABIC LINGUISTICS: AN INTRODUCTION AND BIBLIOGRAPHY. By M.H. Bakalla. London, Mansell, 1983. pp.742.

LA RELATION DE THOMAS PELLOW: UNE LECTURE DU MAROC AU 18^e SIÈCLE. By Magali Morsy. (Synthèse No.12), Paris, Editions Recherche sur les Civilisations, 1983. pp.254, 17pl. FF.129.

ESPANA Y EL NORTE DE AFRICA: EL PROTECTORADO DE MARRUECOS (1912–56). By Victor Morales Lezcano. Madrid, Universidad Nacional de Educacion a Distancia, 1984. pp.249. Photos., maps, diagrams. 600.00 ptas.

EGYPT AND THE PALESTINE QUESTION 1936–1945. By Thomas Mayer. Berlin, Klaus Schwarz Verlag, 1983. pp.391 (paperback).

SUDAN. By M.W.Daly. (World Bibliographical Series, Vol.40.) Oxford (UK) & Santa Barbara (USA), Clio Press, 1983. pp.xvi, 176, 1 map. £19.50.

THE OTHER FACE OF OPEC: FINANCIAL ASSISTANCE TO THE THIRD WORLD. ENERGY RESOURCES AND POLICIES OF THE MIDDLE EAST AND NORTH AFRICA. By Ibrahim F.I. Shihata. London, Longman, 1982. pp.281 (paperback).

DEVELOPING EDUCATION SYSTEMS IN THE OIL STATES OF ARABIA: CONFLICTS OF PURPOSE AND FOCUS. By J.S.Birks and J.A.Rimmer. (Occasional Papers Series, No.21: Manpower and Migration Series, no.3). University of Durham, Centre for Middle Eastern and Islamic Studies, 1984. pp.33. E2.50.

BIBLIOGRAPHICAL GUIDE TO IRAN: THE MIDDLE EAST LIBRARY COMMITTEE GUIDE. Edited by L.P.Elwell‐Sutton. Sussex, The Harvester Press/New Jersey, Barnes & Noble Books, 1984. pp.462.

ARABISCHE UND PERSISCHE PRIVATURKUNDEN DES 12. UND 13. JAHRHUNDERTS AUS ARDABIL (ASERBEIDSCHAN). By Monika Gronke. (Islamkundliche Untersuchungen, Bd 72), Berlin, Klaus Schwarz Verlag, 182. pp.555.

MYSTICISM AND DISSENT: SOCIORELIGIOUS THOUGHT IN QAJAR IRAN. By Mangol Bayat. Syracuse, N.Y., Syracuse U.P., 1982. pp.xvii, 228. $25.00.

SOCIAL DISINTEGRATION AND POPULAR RESISTANCE IN THE OTTOMAN EMPIRE 1881–1908: REACTIONS TO EUROPEAN ECONOMIC PENETRATION. By Donald Quataert. New York, Columbia U.P., 1983. pp.xxii, 205. $45.50.     

Fatal child abuse-maltreatment syndrome. A retrospective study in Ontario,Canada, 1990-1995

Child death due to repeated episodes of physical assault or neglect has been termed the child abuse-maltreatment syndrome (CAMS). We characterized the injuries in a series of fatally abused or maltreated child to delineate objective diagnostic criteria for the CAMS for use by clinicians and pathologists. All deaths (age <17 years) investigated by the Office of the Chief Coroner for Ontario, Canada during the time period 1990-1995 were reviewed. Cases of CAMS were defined as death due to lethal recent injury or malnutrition in the presence of significant old (healing or healed) injuries indicative of repeated episode of inflicted trauma. The nature and frequency of the various injuries was determined. The frequency of the shaken baby syndrome, and the types and frequency of ano-genital injuries were also studied. Twenty-one cases of fatal CAMS were found in the study period. Most cases had significant recent head injury with intra-cranial hemorrhage (71%). Other significant recent injuries commonly observed included blunt injuries of the skin and soft tissues (67%), blunt abdominal trauma with visceral injuries (14%), and fractures (18%). Eight cases (38%) fulfilled accepted criteria for the shaken baby syndrome. Many children with fatal head injuries had evidence of older head trauma (38% of all cases). A significant minority of cases had evidence of malnutrition due to neglect (10%) or ongoing ano-genital injuries (10%). Most cases of child homicides due to repeated episodes of abuse or maltreatment involve head trauma including shaken baby syndrome. Fractures of long bone and ribs, the classical markers of child abuse, were relatively infrequent compared with head injury. A proportion of cases had ano-genital injuries due to repeated sexual abuse or punitive maltreatment. All clinicians and pathologists must recognize the wide spectrum of injuries in child abuse to ultimate protect the victim or other children in an at-risk situation.     

Social Support, Risk-Level and Safety Actions Following Acute Assessment of Suicidal Youth

The purpose of the pilot study was to examine the interrelationship between social support, risk-level, and safety actions for 2 groups of suicidal adolescents (50 attempters and 50 ideators), who had presented for an acute assessment at an outpatient mental health service. A social support model was proposed in which it was thought that information related to patients' social support would impact upon the types of risk-level and safety actions made by clinicians. Data was collected from a total of 100 patient files, utilizing the acute assessment reports (e.g., reports assessing risk of self-harm). Findings show that groups differed significantly on indices of negative support severity, positive support, and risk-level. Limited support was found for the proposed social support model. Limitations and implications for future research are discussed.