EFFICIENCY VERSUS SOCIAL LEARNING: A RECONSIDERATION OF THE IMPLEMENTATION PROCESS

In a complex society committed to democratic norms a social learning perspective on the implementation process is more useful and appropriate than an efficiency, productivity perspective. The norms and assumptions underlying the efficiency emphasis to the implementation process are not applicable; nor do they exist in reality. An alternative set of assumptions based on a social learning approach to implementation is offered.     

The deserving sick: Income-maintenance policy towards the ill and disabled

Illness and disability often result in a serious loss of income. Government response to this problem has been piecemeal, so that there is a patchwork of different programs, some state and some federal, covering particular types of medical disabilities and particular categories of people. This article briefly describes existing programs and then evaluates income-maintenance policy towards the ill and disabled using four broad criteria: clarity of objectives, adequacy of coverage, adequacy of benefits, and equity. The general findings are that extreme program fragmentation in this policy area have led to competing (and sometimes inconsistent) objectives, large gaps in population coverage, benefit levels that do not meet even minimal standards, and tremendous inequities across different programs. Recommendations for improvement include the development of a more workable definition of disability and development of a guaranteed minimum income plan in conjuction with supplementary disability insurance plans.The author would like to thank Randall Bovbjerg and James Vaupel for their thoughtful criticisms.     

Cognitive Heterogeneity and Economic Voting: A Comparative Analysis of Four Democratic Electorates

This article examines the cognitive foundations of economic voting in four diverse democratic electorates: Canada, Hungary, Mexico, and Taiwan. We present a theory of heterogeneous attribution, where an individual's level of political sophistication conditions his or her ability to attribute responsibility for economic conditions to governmental actors. In contrast to previous literature, we argue that higher, not lower, levels of political sophistication prompt citizens to "vote their pocketbook." Using data from surveys done in conjunction with recent elections in all of these countries, we find that more politically sophisticated respondents are more likely to make use of pocketbook evaluations in their decisions to support or oppose the incumbent government. These findings both present a significant challenge to the conventional wisdom on political sophistication and economic voting and shed light on the necessary cognitive preconditions for democratic accountability.     

Motives for maternal filicide: results from a study with female forensic patients

The objective of this study was to examine different motivational factors, leading mothers to commit neonaticidal, infanticidal or filicidal acts. This study was based on data gathered through a retrospective chart review of all filicidal women admitted to the Mid-Hudson Forensic Psychiatric Hospital in New York State (MHFPC) between 1976 and 2000 (n=57). Because our sample was drawn from MHFPC records it excludes filicidal mothers who went directly to prison. Our women were either found not competent to stand trial, or found not guilty by reason of insanity, or were convicted offenders who were seriously mentally ill and were not sent to prison. Fourteen percent committed neonaticide, meaning that they killed their child within the first day of its life; 21% killed the child after the first day but before it reached its first birthday (infanticide); and 65% committed filicide by murdering a child older than one. Two groups of women could be identified as having different motivational profiles: The neonaticidal mothers were mostly troubled by psychosis and social problems while the filicidal women were defined as severely depressed, with a history of self-directed violence and a high rate of suicide attempts following the filicidal offense.     

Designing and Implementing Cross‐Sector Collaborations: Needed and Challenging

Theoretical and empirical work on collaboration has proliferated in the last decade. The authors’ 2006 article on designing and implementing cross‐sector collaborations was a part of, and helped stimulate, this growth. This article reviews the authors’ and others’ important theoretical frameworks from the last decade, along with key empirical results. Research indicates how complicated and challenging collaboration can be, even though it may be needed now more than ever. The article concludes with a summary of areas in which scholarship offers reasonably settled conclusions and an extensive list of recommendations for future research. The authors favor research that takes a dynamic, multilevel systems view and makes use of both quantitative and qualitative methods, especially using longitudinal comparative case studies.     

Emergence of fentanyl-related deaths in Travis County,Texas and surrounding areas: A retrospective review of postmortem fentanyl-related drug toxicities from 2020 to 2022

The opioid epidemic has affected the United States (US) for decades with fentanyl and its analogs accounting for a recent surge in morbidity and mortality. Currently, there is a relative lack of information characterizing fentanyl-related fatalities specifically in the Southern US. A retrospective study was conducted to examine all postmortem fentanyl-related drug toxicities in Travis County, Texas, encompassing Austin (one of the fastest-growing cities in the US), from 2020 to 2022. Fentanyl contributed to 2.6% and 12.2% of deaths submitted for toxicology between 2020 and 2022, respectively, representing a 375% increase in fentanyl-related deaths over this 3-year period (n = 517). Fentanyl-related fatalities primarily occurred in males in their mid-30s. Fentanyl and norfentanyl concentrations ranged from 0.58 to 320 ng/mL and 0.53 to 140 ng/mL with mean (median) concentrations of 17.2 ± 25.0 (11.0) and 5.6 ± 10.9 (2.9) ng/mL, respectively. Polydrug use was present in 88% of cases, with methamphetamine (or other amphetamines) (25%), benzodiazepines (21%), and cocaine (17%) representing the most frequently identified concurrent substances. Co-positivity rates of various drugs and drug classes widely varied over time. Scene investigations reported illicit powder(s) (n = 141) and/or illicit pill(s) (n = 154) in 48% (n = 247) of fentanyl-related deaths. Illicit oxycodone (44%, n = 67) and illicit “Xanax” (38%, n = 59) pills were frequently reported on scene; however, toxicology only identified oxycodone and alprazolam in 2 and 24 of these cases, respectively. The results of this study provide a better understanding of the fentanyl epidemic in this region creating an opportunity to promote increased awareness, shift focus to harm reduction, and aid in minimizing public health risks.     

Nazi race ideologues

ABSTRACT

Stone argues that we need to disaggregate Nazi race ideologues since they do not form one undifferentiated mass. Ultimately, all the Nazis were race ideologues and chief among them were Hitler, Himmler and the other leading figures. All of the leading Nazis, whether they dealt specifically with ‘racial policy’ or not, put forward a racialized ideology, but those who made a name for themselves specifically as race theorists did not therefore all share the same views, nor did they all contribute in equal measure to the regime's crimes. Nor did race science, however deeply it threw its lot in with Nazism, drive the regime as much as did a kind of racial mysticism, or ‘thinking with the blood’. Here Stone suggests how we might evaluate the relative contributions made to the development of the Third Reich and its crimes by race scientists of different stripes, on the one hand, and theorists of racial-political conspiracies on the other.