Dealing with austerity measures within armed forces: The Dutch case

This article studies how Dutch military personnel respond to austerity-related discontent. Based on the online survey (N = 579) conducted among military personnel we investigate 4 response strategies to austerity measures applied in the Dutch armed forces: voice (collective protest), exit (leaving the organization), silence (deliberately deciding not to protest), and neglect (engaging in anti-organizational behavior). We focus on how personnel combine these strategies and apply cluster analysis to identify 6 typical response patterns that we label as protesters, escapers, quiescents, conformers, obstructionists and combaters. We investigate how personal characteristics and perception of unique military environment influence the response of military personnel. We conclude that clusters we described are not only distinct in their behavior—their personal characteristics and perceptions differ as well.     

Fostering Marginalized Youths’ Political Participation: Longitudinal Roles of Parental Political Socialization and Youth Sociopolitical Development

This study examines the roles of parental political socialization and the moral commitment to change social inequalities in predicting marginalized youths' (defined here as lower-SES youth of color) political participation. These issues are examined by applying structural equation modeling to a longitudinal panel of youth. Because tests of measurement invariance suggested racial/ethnic heterogeneity, the structural model was fit separately for three racial/ethnic groups. For each group, parental political socialization: discussion predicted youths' commitment to produce social change and for two groups, longitudinally predicted political participation. This study contributes to the literature by examining civic/political participation among disparate racial/ethnic groups, addresses an open scholarly question (whether youths' commitment to create social change predicts their "traditional" participation), and emphasizes parents' role in fostering marginalized youths' civic and political participation.     

Patient role orientations,doctor-patient fit,and visit satisfaction

Abstract

Two studies were conducted using the Patient-Practitioner Orientation Scale (PPOS), an instrument that measures the role orientations of patients. In the first, 297 students responded to a pool of 61 items concerning their attitudes about doctor-patient relationships (e.g., about power-sharing and the importance of physicians' supportiveness). The scale was reduced, and associations between PPOS scores and gender, race, country of origin as well as Health Locus of Control were found. In Study 2, 90 additional students filled out the PPOS, read two doctor-patient scenarios, and rated their satisfaction as if they had been the patient. In one, the physician exhibited a controlling style, and in the other a more open style. As predicted, patient-centered physicians generated higher satisfaction, and patients were most satisfied with a physician whose style matched their own role orientation. These studies suggest the potential usefulness of the PPOS as an indicator of patient attitudes and doctor-patient fit, and as an predictor of visit satisfaction.     

Slim Futures and the Fat Pill: Civic Imaginations of Innovation and Governance in an Engagement Setting

Innovation politics is seen as an ever more central area of public policy, and as a key means for shaping societal futures. Particularly in Europe, with its history of controversial public debates about innovations, the idea that scientific progress is automatically equated with societal progress seems hard to sustain. Broader public participation within techno-scientific governance seems necessary; though who is to participate in which form often remains unclear. Increasingly, when the innovation process is discussed in both policy and academia, the question of when public engagement should take place in the innovation process is addressed using common models such as ‘upstream engagement’. However, these discussions about public engagement often assume a top-down approach, and pay little attention to citizens' perspectives. To address this gap in the literature, this article will ask the following questions: what tacit understandings of techno-scientific innovation and governance do citizens have; and how do they relate their understandings of the form, structure and dynamics of these innovation processes to their visions of governance and participation? How do specific cultural forms of conceptualising innovation open up or close down particular possibilities of governance and public participation, hence privileging the involvement of certain actors and not others? To address these questions, we analyse the discussions in a long-term public engagement setting involving both genome scientists and citizens in Austria.     

Social Capital and Community Group Participation: Examining ‘Bridging’ and ‘Bonding’ in the Context of a Healthy Living Centre in the UK

Social capital has been widely advocated as a way of understanding and building community participation in the interest of health improvement. However, the concept as proposed by Putnam, has been criticised for presenting an overly romanticised account of complex community relations. This paper presents analysis from a qualitative evaluation of a Healthy Living Centre (HLC) in the North of England, to examine the utility of the concept of social capital in this context. We found the concepts of ‘bridging’ and ‘bonding’ social capital were useful – though not without limitations – in helping to make sense of the complexities and contradictions in participants’ experiences of community group participation. 'Bridging' helped provide an understanding of how the decline in shared social spaces such as local shops impacts on social relationships. 'Bonding' highlighted how community group membership can have positive and negative implications for individuals and the wider community. It was found that skilled group leadership was key to strengthening bridging capital. Politically, in the UK, community participation is seen as having an essential role in social change, for example, its centrality to the coalition government's idea of the ‘Big Society’. A micro‐examination of this HLC using the lens of social capital provides a valuable critical insight into community participation. It shows that this kind of initiative can be successful in building social capital, given conditions such as an appropriate setting and effective leadership. However, they cannot substitute for other kinds of investment in the physical infrastructure of a community. Copyright © 2012 John Wiley & Sons, Ltd.     

Beyond Total Effects: Exploring the Interplay of Personality and Attitudes in Affecting Turnout in the 2009 German Federal Election

This article addresses the role of personality traits in shaping electoral participation. Utilizing data from a survey conducted after the 2009 German federal election, we demonstrate that agreeableness and emotional stability increase electoral participation. Yet, the main contribution of this article is to link personality traits to attitudinal predictors of turnout. First, we demonstrate that attitudinal variables, including party identification, civic duty, political interest, and internal and external efficacy, serve as intervening variables that mediate the impact of personality on turnout. Second, we show that personality traits exhibit conditioning effects by increasing or decreasing the impact of attitudinal factors on electoral participation. By and large, the evidence suggests that openness, agreeableness, and extraversion render attitudes (somewhat) less powerful in affecting turnout while conscientiousness and emotional stability increase the impact of certain attitudes. Third, we put indirect and conditioning effects together and find that emotional stability and conscientiousness exhibit particularly interesting patterns of effects: They shape attitudes in a way conducive to higher turnout and make these attitudes more powerful in affecting voter participation.     

Typical Development of Roles and the Impact of Schizophrenia on the Development of Adult Social Roles

Abstract

This chapter is a literature review that explores the nature of interaction between parents and children with emotional disorders, issues between parents and professionals when children are psychiatrically hospitalized, and the nature of parent involvement in child psychiatric settings.     

Index to Volume 112

For various nonnormal distributions, the power of the Student t test can be increased if continuous measures are transformed to ranks before the test is performed. The power of the test can also be increased almost as much and, even more for some distributions, if measures are replaced by dichotomous variables with the values 0 and 1, instead of ranks. Similarly, the power of a significance test of correlation can be increased if scores are transformed to ranks, that is, with the use of the Spearman rank correlation method. Power can also be increased almost as much and in some cases even more if dichotomous variables are introduced, that is, if the phi coefficient is used as a measure of correlation.     

Patients’ intention to speak up for health care providers’ hand hygiene in inpatient diabetic foot wound treatment: a cross-sectional survey in diabetes outpatient centres in Lower Saxony,Germany*

Hand hygiene in wound care by health care providers (HCPs) is a key principle in treating hospitalized patients with diabetic foot infections. This study aimed to estimate the extent to which patients with type-2-diabetes (T2D) intend to speak up for HCPs’ hand hygiene during inpatient foot treatment, test whether this motivation increases given the hospital would invite patients to speak up, and identify associations with socio-demographics, knowledge of hand hygiene requirements, and diabetes-related factors. A questionnaire-survey was conducted in eight diabetes outpatient centres in Lower Saxony/Germany. Intentions to speak up (without and with institutional encouragement) and knowledge about hand hygiene during foot-care were assessed. Analyses of variance were conducted, partly as repeated measures-models with intention-items as within-subject factor. N = 473 patients participated (response = 77.4%). N = 177 (41%) strongly intended to speak up. Institutional encouragement was associated with an increased rate of strong (54% vs. 41%; p < .001) and higher mean intention (M = 3.9 vs. 3.4 with vs. without encouragement [5-point-scales]; F(1, 434)?=?41.5, p < .001). In patients without diabetic foot syndrome, this effect was limited to those with at least medium school education (F(2, 292)?=?4.4, p = .013) and knowledge on HCPs’ hand hygiene (F(2, 294)?=?3.1, p = .047). In conclusion, a majority of T2D-patients in diabetes outpatient centres intend to speak for HCPs’ hand hygiene in inpatient foot treatment, and are receptive to institutional encouragement. However, this presupposes at least medium education and knowledge about hand hygiene, emphasizing that patient empowerment begins with knowledge.