Principles versus procedures in making health care coverage decisions: addressing inevitable conflicts

It has been suggested that focusing on procedures when setting priorities for health care avoids the conflicts that arise when attempting to agree on principles. A prominent example of this approach is “accountability for reasonableness.” We will argue that the same problem arises with procedural accounts; reasonable people will disagree about central elements in the process. We consider the procedural condition of appeal process and three examples of conflicts over coverage decisions: a patients’ rights law in Norway, health technologies coverage recommendations in the UK, and care withheld by HMOs in the US. In each case a process is at the center of controversy, illustrating the difficulties in establishing procedures that are widely accepted as legitimate. Further work must be done in developing procedural frameworks. The opinions expressed are the authors’ own. They do not reflect any position or policy of the National Institutes of Health, US Public Health Service, or Department of Health and Human Services. This research was supported by the Intramural Research Program of the NIH Clinical Center.     

Family in transition: parents,children and grandparents in lesbian families give meaning to ‘doing family’

Lesbian parents, their children and grandparents ‘do family’ in rich and diverse ways. This article draws on innovative grounded theory research using qualitative, multi‐generational family interviews with twenty lesbian‐parented families living in Victoria, Australia. The intersection between the public and the private in lesbian family life has been seriously neglected by family researchers, and in particular the perspectives of family members other than the lesbian parents themselves. This article addresses the question of ‘How members of lesbian‐parented families define and describe their family’, and the results reported here focus on children's and grandparents' views, because they are the voices less well represented in the literature. Children and grandparents straddle both mainstream and marginalized spaces as they negotiate contemporary family life. We examine the interface and tensions between the traditional and the transformative, and the implications of these findings for family therapists are briefly discussed.     

Sex differences in the personal costs and benefits of relational and physical aggression in high school

While recent research using peer ratings demonstrates positive relations between youth's reputations for aggression and popularity, it is not clear whether aggressive youth themselves make these links. Using youth's self‐reports, this study assessed the associations of relational and physical aggression with indicators of both personal gains in peer relations (perceived popularity and receipt of prosocial attention) and personal costs in terms of retaliation or depressive responses (peer victimization and depressive symptoms) in a large sample (n=455) of eighth‐ to tenth‐grade students. Regression analyses reveal that more relationally aggressive youth report more prosocial attention but also more relational (but not physical) victimization. In contrast, more physically aggressive youth report more depressive symptoms and physical (but not relational) victimization. Findings suggest that some costs of aggression (victimization) are higher for boys while others (depressive symptoms) are greater for girls. Group differences were also found for aggressive, victimized, and aggressive/victimized youth compared to the typical low aggressive/low victimized youth. These data suggest that the costs of relational and physical aggression may outweigh benefits except for aggressive non‐victimized boys. Aggr. Behav. 32:409–419, 2006. © 2006 Wiley‐Liss, Inc.     

Moral Injury,Chaplaincy and Mental Health Provider Approaches to Treatment: A Scoping Review

Journal of Religion and Health - The aim of this research was to describe the evidence examining the approaches taken by mental health providers (MHPs) and chaplains to address symptoms related to...     

Criteria‐based content analysis of true and suggested accounts of events

Worldwide, the criteria‐based content analysis (CBCA) is probably the most widely used veracity assessment technique for discriminating between accounts of true and fabricated events. In this study, two experiments examined the effectiveness of the CBCA for discriminating between accounts of true events and suggested events believed to be true. In Experiment 1, CBCA‐trained judges evaluated participants' accounts of true and suggestively planted childhood events. In Experiment 2, judges analysed accounts of recent events that were experimentally manipulated to be a (a) true experience, (b) false experience believed to be true and (c) deliberately fabricated experience. In both experiments CBCA scores were significantly higher for accounts of true events than suggested events. However, this difference was not significant for participants classified as experiencing ‘full’ memories for the suggested event. Self‐report memory measures supported the findings of the CBCA analyses. Taken together these results suggest that the CBCA discriminative power is greatly constrained. Copyright © 2008 John Wiley & Sons, Ltd.     

Social Interaction During Computer-based Activities: Comparisons by Number of Sessions, Gender, School-level, Gender Composition of the Group, and Computer-child Ratio

This study assessed the quality of social interactions that occur in group-based computer learning contexts. Gender comparisons of interactions were examined across 3 sessions with 116 preschoolers (M age?=?4.9 years) and 108 fifth and sixth-grade (M age?=?11.7 years) Canadian children from southwestern Ontario, when children had access to one computer per child (parallel computer) or one computer per group (integrated computer), and when they worked with same-gender or mixed-gender peers. Preschoolers engaged in more collaborative behaviors in mixed-gender than same-gender groups, while elementary children engaged in collaborative behaviors more often in integrated than parallel computer conditions. In mixed-gender groups, boys were more likely than girls to dominate the computer in elementary school while girls were more likely than boys to dominate the computer in preschool.     

Assessing ADHD-related Family Stressors with the Disruptive Behavior Stress Inventory (DBSI): A Replication and Extension

The Disruptive Behavior Stress Inventory (DBSI) was developed to provide information related to the occurrence and severity of stressors that result from having a child with ADHD. Data provided in the initial 2002 study by Johnson and Reader (Journal of Clinical Psychology in Medical Settings, 9, 51–62) provided good preliminary support for the reliability of the DBSI, as well the ability of the scale scores to differentiate primary caregivers of children with and without a history of ADHD. The present study was an attempt to replicate major findings of the 2002 study using an additional larger sample and extend it by conducting item-level analyses to determine the degree to which individual DBSI items differentiate primary caregivers of children with and without a history of ADHD. Results provided additional support for the reliability and validity of the DBSI by replicating major findings from the 2002 study and further suggesting that a large majority of the 40 items individually differentiate between primary caregivers of children with and without a history of ADHD.     

The Siblings of Individuals with Mental Retardation: A Quantitative Integration of the Literature

The sibling relationship has recently become the focus of much research in developmental psychology. The family system perspective implies the presence of a sibling with mental retardation will impact on the psychological development and functioning of their typically developing siblings. Past reviews of the literature have found this impact to be negative but there is the suggestion of positive consequences to having a sibling with mental retardation. The present meta-analysis sought to quantitatively integrate 25 studies and 79 effect sizes from the literature on the siblings of individuals with mental retardation. A small negative effect for having a sibling with mental retardation was discovered that could not be attributed to a publication bias or some other artifact. This negative effect was greatest for direct observation measures, measures of psychological functioning, especially depression, and for children. Limitations to this meta-analysis and directions for future research are discussed.