Homicide-Suicides Between Adult Sexual Intimates: An Australian Study

Little research that focuses upon homicide-suicides between adult sexual intimates has been conducted to date. Yet U.S., U.K., and Australian studies on homicide and homicide-suicide show that a disproportionate number of those that kill and subsequently take their own lives are the husbands or estranged sexual intimates of their victims. This paper provides some retrospective data on the historical, demographic, and situational traits of this type of homicide-suicide in Australia by looking at what, if anything, differentiates homicides between adult sexual intimates that include the suicide of the offender from those that do not. A lack of significant variation was apparent in histories of domestic violence, alcohol involvement, and unemployment between those who committed suicide and those who did not. However, if the offender was a male estranged from his partner, born outside of Australia, who used a gun as the weapon and killed more than one victim, or was older with an ailing wife, he was more apt to commit suicide. Using anecdotal case study material, causation or explanatory variables are also discussed. These appeared to cluster either around a theme of old age and ill-health or control and pathological-type of possessiveness. The author concludes that more research focusing on the differentiation between the two groups of offenders is necessary in order to better identify contributory variables and to develop risk elements and information for criminal justice practitioners and other service providers.     

Feasibility of validating survey self-reports of mental health service use

Survey respondents may inaccurately report mental health service utilization for motivational and cognitive reasons. There is little evidence on accuracy of self-reports of mental health service use, and this evidence suggests that respondents tend to underreport inpatient utilization. This study addressed the question of self-report accuracy by comparing survey data from a large probability sample to data from computerized records of publicly funded mental health services. Few inaccuracies in self-reporting were detected. However, despite the use of data bases that were unusually appropriate for verifying self-reports, several problems limited the feasibility of validation. Suggestions are offered for increasing the feasibility of validation in future studies.     

Resilient, undercontrolled, and overcontrolled personality prototypes among persons with spinal cord injury

A sample of 199 persons with spinal cord injury (SCI) were assessed on Big Five personality dimensions using the NEO Five-Factor Inventory (NEO-FFI; Costa & McCrae, 1992) at admission to an inpatient medical rehabilitation program. A cluster analysis of the baseline NEO-FFI yielded 3 cluster prototypes that resemble resilient, undercontrolled, and overcontrolled prototypes identified in many previous studies of children and adult community samples. Compared with normative samples, this sample had significantly fewer resilient prototypes and significantly more overcontrolled and undercontrolled prototypes. Undercontrolled individuals were the modal prototype. The resilient and undercontrolled types were better adjusted than the overcontrolled types, showing lower levels of depression at admission and higher acceptance of disability at discharge. The resilient type at admission predicted the most effective reports of social problem-solving abilities at discharge and the overcontrolled type the least. We discuss the implications of these results for assessment and interventions in rehabilitation settings.     

A prospective study of appraisals in childhood posttraumatic stress disorder

This study investigated the predictors of posttraumatic stress disorder (PTSD) in children following a diagnosis of traumatic injury. Children (N=76) aged between 7 and 13 who were admitted to hospital following injury were assessed within a month of trauma for acute stress disorder (ASD), negative appraisals, as well as parental stress reactions. Children (N=62) were re-assessed 6-months later for PTSD and negative appraisals. The majority of the variance of chronic posttraumatic stress was accounted for by negative appraisals about future harm. This study supports cognitive models of PTSD, and suggests that younger children who exaggerate their vulnerability after trauma exposure are high risk for PTSD after trauma.     

Experimental assessment of tinnitus aurium

A 32-year-old male volunteer with an eight year history of chronic unilateral tinnitus (ear-ringing) participated in a behavioral assessment strategy that included a series of measurement and modification procedures. A psychophysical matching technique was employed throughout a planned combination of procedures to assess and manipulate the intensity or loudness of tinnitus responses. Following baseline assessment, measurements were conducted at varying times of the day, concomitant with exposure to music, during progressive relaxation training, and under conditions of caffeine consumption. The value of careful assessment to describe cues and conditions associated with tinnitus and its reduction are discussed with implications for behavior treatment design and evaluation.     

Yes,but how?: Development and evaluation of careers education in higher education by careers advisers

Contrasting approaches to the evaluation of careers education activities are outlined, one based on the organisational needs of careers services (an 'accountability' model), the other based on individual needs of careers advisers (a 'developmental' model). The case is considered for adopting educational research methods developed from the ethnographic research tradition, such as action research, to help careers advisers meet the challenges facing them in the development, delivery and evaluation of careers education in higher education. Practical experience is cited, together with some positive outcomes that have arisen from undertaking fieldwork research. The difficulties and dilemmas in carrying out such research are presented.     

Marketing human organs: The autonomy paradox

The severe shortage of organs for transplantation and the continual reluctance of the public to voluntarily donate has prompted consideration of alternative strategies for organ procurement. This paper explores the development of market approaches for procuring human organs for transplantation and considers the social and moral implications of organ donation as both a “gift of life” and a “commodity exchange.” The problematic and paradoxical articulation of individual autonomy in relation to property rights and marketing human body parts is addressed. We argue that beliefs about proprietorship over human body parts and the capacity to provide consent for organ donation are culturally constructed. We contend that the political and economic framework of biomedicine, in western and non-western nations, influences access to transplantation technology and shapes the form and development of specific market approaches. Finally, we suggest that marketing approaches for organ procurement are and will be negotiated within cultural parameters constrained by several factors: beliefs about the physical body and personhood, religious traditions, economic conditions, and the availability of technological resources.