Individual Differences in Adolescents’ Emotional Reactivity across Relationship Contexts

Understanding individual differences in adolescents’ ability to regulate emotions within interpersonal relationships is paramount for healthy development. Thus, the effect of individual vulnerabilities (depressive affect, social anxiety, self-blame, and coping efficacy problems) on the transmission of emotional reactivity in response to conflict from family to peers (friends and romantic partners) was prospectively examined across six waves of data in a community-based sample of 416 adolescents (M_age Wave 1?=?11.90, 51% girls). Multiple-group models estimated in structural equation modeling suggested that youth who were higher in social anxiety or coping efficacy problems were more likely to transmit emotional reactivity developed in the family-of-origin to emotional reactivity in response to conflict in close friendships. Additionally, those youth higher in self-blame and depressive affect were more likely to transmit emotional reactivity from friendships to romantic relationships.     

The influence of length of marriage and fidelity status on perception of marital rape

To what extent does the length of the marriage or the wife's faithfulness to the husband influence the perception of responsibility or trauma in marital rape? In the current study, each participant was presented with one of four marital rape vignettes. The vignettes varied only in the length of the marriage (3 years or 15 years) and the fidelity status of the wife (continuously faithful or involved in an ongoing sexual affair with another man). Results indicate that both length of marriage and fidelity status significantly influence perceptions of marital rape. Specifically, participants assigned greater responsibility for the rape to unfaithful wives than to faithful wives. This finding is particularly salient for wives in long-term marriages as compared to wives in short-term marriages. Additionally, participants perceived rapes within long-term marriages as more traumatic than rapes within short-term marriages.     

Changing families and communities: an LGBT contribution to an alternative development path

Until now, most discussions on the place of lesbian/gay/bisexual/transgender (LGBT) people in global civil society have focused on their access to citizenship, rather than their socio-economic rights and role in development processes. This article argues that an alternative vision of development should challenge heteronormative family structures; build alternative, queer communities; wage activist, sexually emancipatory campaigns on concrete social issues (as the Treatment Action Campaign has done on HIV and AIDS in South Africa); and rethink existing models of democratic participation. The author emphasises the paradoxes of LGBT organisation in the context of neo-liberalism and globalisation, with an eye toward queering, or challenging heteronormativity in, global social-justice movements.     

Older Youth in Extended Out-of-home Care

The purpose of this study is to examine the permanency experiences of older youth, age 18–21 in out-of-home placements and placement characteristics that influence age of exit from child welfare. Findings suggest a difference between age groups with more 18-year old youth exiting to emancipation than youth who exit at age 21. A higher number of spells in care and a higher number of placement changes during the last spell were associated with exit to emancipation. Additional study findings suggests that youth who leave care before the age of 21 may be more vulnerable than youth who stay through age 21. Implications for practice are discussed.     

Public hospitals as competitors for medicaid revenue: the case study of St. Louis regional medical center

Medicaid revenues may determine whether public hospitals will survive. Public hospitals participate aggressively in the public market competition for their states’ Medicaid dollars. States must decide whether the survival of public hospitals, as providers of last resort to both Medicaid and uninsured patients, is of continuing importance to their Medicaid programs. Cities, if the states were willing, alternatively could voucher uninsured patients and direct Medicaid patients to the private hospitals that would outlive closed public hospitals. In fact, Medicaid's managed care programs already have heightened this competition, by organizing sufficiently large populations of prepaid Medicaid patients to attract networks of private providers to offer discounted prices, in competition with public hospitals for this market.

Although Medicaid has been a comparatively poor payer, nationally, almost half of public hospitals⁷ funding comes from this source of revenue. Urban public hospitals can barely live with Medicaid revenues, but the extent to which they can live without Medicaid revenues is being determined by surprising new turns in market competition for the revenue. A period of expansive and expensive new congressional mandates for the joint federal-state program was followed in the early 1990s by the introduction by the states of Medicaid revenue maximization strategies. The states’ funding levels, the bases for matching federal contributions, were artificially elevated by provider taxes, provider donations, and intergovernmental transfers. The revenue from all these sources was returned to these providers through the Disproportionate Share Hospital subsidy program for Medicaid-dependent hospitals, as soon as the federal revenue match was calculated, based upon the inflated figures. These practices currently are being stymied, and states simultaneously have escalated competitive bidding by private market managed care providers for Medicaid patients. Missouri has been in the forefront of states moving to maximize the federal Medicaid revenue match and to return Disproportionate Share Hospital funds to providers. St. Louis's public hospital, Regional Medical Center, has been weaned off its local government subsidies, as the intergovernmental transfer and DSH enticements compromised the stability of that hospital's revenue picture. Now, unprotected by an integrated healthcare system or other major role in a regional hospital network, this urban public hospital must struggle to survive within its Medicaid managed care competitive market. The question for the state of Missouri is whether perpetuating a future for Regional will ensure its Medicaid patients a traditional caring public medicine alternative as a fallback position, if Medicaid's present foray into the private market goes awry. For Regional and the city of St. Louis, the question is whether they can any longer count upon traditional state Medicaid revenue and financial support.