Social and Behavioral Sciences Commons^™

"New" Directions In The Welfare Reform Debate: The Problems Of Federalism, W. Joseph Heffernan

The Journal of Sociology & Social Welfare

This paper reviews the problem of federalism and welfare and presents statistical data about the relative welfare practices among the states over the last 25 years. The relevance of these problems and practices to the current hopes for welfare reform and policy conflicts within Congress are discussed.

Community Mental Health: A View From American History, Mary Ann Jimenez

The Journal of Sociology & Social Welfare

The limitations of the movement for deinstitutionalization of the chronically mentally disordered have been the subject of a repeated series of investigations and analyses in the last 10 years. These critiques can be summed up in the undeniable observation that the chronically mentally disordered have by and large failed to benefit from deinstitutionalization in the ways that the original advocates and planners of this policy had hoped. The promise of community mental health, at least as articulated by the scores of witnesses before Congressional committees in the early 1960's, has not been realized for this population.

Unemployment And Social Integration: A Review, Loring Jones

The Journal of Sociology & Social Welfare

A review of the literature identifies the loss of work as a stressful life event that has been linked to a number of psychosocial ills. The paper examines the loss of social relationships, a major noneconomic cost of unemployment, as a major contributor to the development of those ills. Practice implications of this finding are identified.

Book Review: The Truly Disadvantaged: The Inner City, The Underclass, And Public Policy By William Julius Wilson, James Jennings

Trotter Review

William Julius Wilson’s The Truly Disadvantaged represents the debate of the last 10 to 20 years about race, poverty, and public policy. Part of Wilson’s rationale for the book is the belief that conservative policy analysts and ideologues have gained the upper hand in presenting their case about black urban poverty. He hopes to provide a framework of liberal analysis that will allow a better understanding of the causes of the intensifying black poverty.

Strategic Planning In Human Service Agencies, Stephen A. Webster, Mary Wylie

The Journal of Sociology & Social Welfare

Recent public policy initiatives including deinstitutionalization, deregulation, decentralization, and privatization have resulted in: (a) rapid growth in the number of private not-for-profit organizations; and, (b) competitive environments. These conditions have forced agencies to examine their planning processes to determine if agency goals are appropriate for meeting market demands. An exploratory study of 154 human service agencies examined if and how strategic planning was used to respond to these conditions. The Chief Executive Officers for those agencies reported that strategic planning was replacing incremental planning as a preferred planning model. However, the choice resulted because of pressure from outside influentials not …

"Our Town": A Case Study Of Ideology And The Private Social Welfare Sector, William M. Epstein

The Journal of Sociology & Social Welfare

This case study explores the relationship between ideology and the performance of the voluntary social welfare sector in Western New York. Data were collected from the directors of 22 of the largest and most important voluntary social welfare agencies relating to their own social attitudes and those of their boards. The common expression of similar agency attitudes toward a variety of social policies were in narrow conformity with the conservative values of the current national administration. The common core of conservative values, suggesting that the agencies perform an ideological role within the community in addition to their service role, may …

Challenging The Proposed Deregulation Of P.L. 94-142: A Case Study Of Citizen Advocacy, James G. Mccullagh

The Journal of Sociology & Social Welfare

Public Law 94-142, The Education for All Handicapped Children Act of 1975, considered by many to be the most significant federal legislation for children in need of special education, was proposed for deregulation by the Reagan administration in 1982. This study examines actions taken by citizen advocates-consumer/advocacy/parent (CAP) organizations and groups, parents, and other advocates for exceptional children-who gave testimony in opposition to the proposed changes at public hearings held by the United States Department of Education in late 1982. The most controversial proposed rules were withdrawn on September 29, 1982, while the remaining proposed changes were not implemented. Citizen …

The Army's Command Sergeant Major Problem, John C. Bahnsen, James W. Bradin

The US Army War College Quarterly: Parameters

No abstract provided.

Editor's Note, Padraig O'Malley

New England Journal of Public Policy

For months on end we were subjected to the rituals of irrelevance: to posturing as patriotism, incoherence as eloquence, innuendo as nuance, character assassination as candor, sound-bites as substance, carefully memorized one-liners as expressions of spontaneity, self-righteousness as self-deprecation. Misstatement, outright fabrication, deliberate falsehood, and conscious distortion were spewed out by spin-masters, merchants of manipulation, propagandists, pollsters, shysters of the slick and technicians of the fast fix, all in the name of the democratic process. Nor were the two presidential candidates, Michael Dukakis and George Bush, themselves immune to the malaise, proving themselves extraordinarily adept time and again at not …

Roxbury, Boston, And The Boston Smsa: Socioeconomic Trends 1960-1985, Sally Brewster Moulton

New England Journal of Public Policy

Socioeconomic trends for a primarily black and poor urban area, Roxbury, Massachusetts, are compared to those of the surrounding city of Boston and the Boston Standard Metropolitan Statistical Area (SMSA) for the period 1960 to 1985. Patterns in income, poverty, labor force participation, educational attainment, and racial composition are examined for each of the three areas. The chief purpose of the analysis is to determine the nature of gaps between Roxbury residents and the rest of the metropolitan area as well as the ways in which such gaps have changed over time.

The findings indicate that, despite growth in income, …

The Search For A Massachusetts Chancellor: Autonomy And Politics In Higher Education, Richard A. Hogarty

New England Journal of Public Policy

Political scientists have not devoted much attention to the politics of higher education. Their reluctance is hard to explain since the material for study is close at hand and the subject offers ample research opportunities. The search for a chancellor conducted by the Massachusetts Board of Regents in 1986 aroused considerable public attention and controversy. This case study examines that controversy along with the tensions that arise when academic and political forces collide. Few searches in academia are perfect and none is a morality play. This one proved to be no exception. This article is an attempt to reconstruct the …

The Catholic Church And The Desegregation Of Boston's Public Schools, James E. Glinski

New England Journal of Public Policy

Recent studies of Boston 's desegregation crisis, most notably J. Anthony Lukas's Common Ground, have been highly critical of the Catholic church and its local leader, Humberto Cardinal Medeiros, archbishop of Boston. Their criticisms have been that the church, guided by the ineffective leadership of Cardinal Medeiros in an effort to save its own schools, allowed its schools to become havens for those Bostonians attempting to escape busing. This article is an account of the church's effort to develop a desegregation policy that would allow it to preserve its own schools but not at the expense of court-ordered desegregation …

Recent Trends In The Economic Status Of Boston's Aged: Determinants And Policy Implications, William H. Crown

New England Journal of Public Policy

The economic status of the older population has improved significantly since the early 1970s. Yet poverty rates among certain groups of elderly, especially older minorities, have declined very little. To understand the reasons for these seemingly contradictory trends, changes in the income composition of the elderly in Boston are compared to changes in income for the elderly in the United States. This analysis suggests that low-income older persons were largely bypassed by one of the major factors in income growth among the older population — growth in pension income.

Despite the persistence of poverty among significant segments of the older …

Social Democracy, War, And The Welfare State, Paul Adams

The Journal of Sociology & Social Welfare

Many writers have discerned links between the welfare state and social democracy. A few have examined the connections between the welfare state and war. The links connecting war, social democracy, and the welfare state are here examined, and it is argued that all three can be fruitfully understood as aspects of a tendency to state capitalism which prevailed in the first half of the twentieth century but which has increasingly been offset by a countervailing tendency to internationalization. The welfare state and social democracy, as national-state centered phenomena resting on the capacity of individual states to manage their own segments …

Beyond War: Empowerment For Senior Citizens In A Nuclear Age, Susan Rice

The Journal of Sociology & Social Welfare

An educationally focused non-partisan grass roots peace movement is described, as are the empowering effects of being involved in such a group. Beginning attempts to utilize this approach with senior citizens are explored, and further experimentation is encouraged.

The Warfare-Welfare Tradeoff: Consequences Of Continuing The Nudear Arms Race And Some Policy Alternatives, Sam Marullo

The Journal of Sociology & Social Welfare

This paper provides a survey of the positive functions of the nuclear arms race for segments of society and society as a whole. The analysis of the positive functions does not serve as a justification for the status quo, but is undertaken to point out the numerous constraints mitigating against change. Massive social forces operate in such a manner as to continue and expand the arms race, indicating large scale social changes are required to stop it. A series of policy alternatives are enumerated as functional alternatives which would have fewer negative consequences while preserving our national security.

Making War Thinkable, Shimon S. Gottschalk

The Journal of Sociology & Social Welfare

This paper identifies significant cognitive elements in Western thought which appear to undergird and lend an aura of legitimacy and credence to discussions of defense, armaments, and the preparation of war.

Social Work Concerns Related To Peace And People Oriented Development In The International Context, Daniel S. Sanders

The Journal of Sociology & Social Welfare

It is the thesis of this paper that the social work profession along with other human service professions has the potential of making a vital contribution in promoting peace and people oriented development and that the ultimate test of the profession's contribution to individuals, families, and communities in varying contexts is the ensuring of human survival and the enhancing of the quality of life for all people.

Transcending Despair: A Prelude To Action, Norman N. Goroff

The Journal of Sociology & Social Welfare

The central thesis of this essay is that in order to feel empowered to work for the elimination of nuclear weapons, persons need to face and transcend their despair when they contemplate the nuclear destruction of the planet. The repression of fear of nuclear disaster results in a sense of powerlessness to do anything about the inevitable destruction and consequently nothing is done, thereby allowing the "Lovers of Death" (Fromm, 1964) to build bigger and better ways to destroy the planet.

Exposure Of Young Welfare Recipients To Family And Peer Receipt Of Welfare And Unemployment Benefits, Viola E. Shuart, John H. Lewko

The Journal of Sociology & Social Welfare

The current study examined exposure to family and peer receipt of unemployment and general welfare benefits for a sample of 262 unemployed youth between 16 and 24 years of age who were in receipt of social assistance. The findings reveal that exposure to receipt of benefits was most pervasive through peers, with moderate exposure via siblings and minimal exposure via parents. The findings are discussed in relation to existing explanations which suggested that the receipt of benefits is intergenerationally transmitted. It is recommended that future investigations of the cultural transmission of poverty and receipt of benefits include the influence of …

Welfare Workers As Surplus Population: A Useful Model?, Paula Dressel, Mike Sweat, Michelle Waters

The Journal of Sociology & Social Welfare

Analysts of organizational and employment issues in social welfare are in need of a more critical orientation for framing debate. We propose that an understanding of welfare workers as surplus population offers critical insights into a number of longstanding welfare concerns, including political coalitions, professional standards, and worker burnout. Empirical evidence is presented to undergird the credibility of the surplus population argument.

Editor's Note, Padraig O'Malley

New England Journal of Public Policy

On occasion, the New England Journal of Public Policy will devote an entire issue to consideration of a public policy matter of major importance. The AIDS epidemic is such a matter, with a likely impact of overwhelming consequence well into the twenty-first century. The epidemic raises fundamental questions regarding the nature of individual freedom, our responsibilities to others, the always delicate balance between private rights and the public interest, and society's obligation to its "out" groups — whose members it has stigmatized, discriminated against, ridiculed, and treated as less than full and equal citizens. Indeed, it requires us to ask …

The Acquired Immunodeficiency Syndrome In New England: An Epidemiological Review Of The First Six Years, Laureen M. Kunches, Jeanne M. Day

New England Journal of Public Policy

Between 1981 and 1987 — the six-year period following initial recognition of the acquired immunodeficiency syndrome (AIDS) — 1,475 cases were reported among residents of the six New England states. Of nearly 40,000 cases nationwide, 3.8 percent occurred among New England residents, though the region 's population represents 5.5 percent ofthe total United States population. The groups most affected include homosexual or bisexual men (65 percent) and intravenous drug users (20 percent). However, in the two southernmost states — Rhode Island and Connecticut — 32 to 40 percent of all cases have used intravenous drugs. In these states, the male:female …

The Quest For An Aids Vaccine, Robert T. Schooley

New England Journal of Public Policy

More than fifty thousand cases of AIDS have been reported in the United States since the disease wasfirst described in 1981. Many times this number of people are infected with human immunodeficiency virus (HIV), which has been identified as the agent responsible for the illness. The seriousness of the disease, coupled with the relatively rapid spread of HIV, has fueled the effort for development of an effective vaccine.

Much is now known about the life cycle of the virus, and about its structural components. This information, and information about methods of transmission of the virus, form the basis for a …

Aids: Prophecy And Present Reality, Victor De Gruttola, William Ira Bennett

New England Journal of Public Policy

Mathematical modeling of the AIDS epidemic can be useful for policymakers even though precise projections are not possible at this time. Models are useful in establishing ranges for current and future prevalence of HIV infection and incidence of AIDS, as well as in predicting the effect of a given intervention strategy. Most decision makers are using models implicitly when they use epidemiological information as a basis for policy; formulating a model explicitly permits examination of the underlying assumptions. By creating and testing a variety of models, an investigator can determine whether the models reflect more the underlying assumptions or the …

Understanding The Psychological Impact Of Aids: The Other Epidemic, Marshall Forstein

New England Journal of Public Policy

HIV has created two epidemics, one of disease, the other the consequence of the psychological response to that disease. Thus far, behavioral change is the only effective means of interrupting the transmission of HIV. The underlying psychological dimensions of the societal and individual responses to AIDS are discussed, with suggestions for how both rational thinking and irrational fears and anxiety contribute to the development of public policy. Examples are given of how short-term solutions to reduce anxiety may actually create long-term problems, potentially increasing the risk of transmission of HIV. Specific psychological mechanisms that contribute to the epidemic of fear …

U.S. Women And Hiv Infection, P. Clay Stephens

New England Journal of Public Policy

Women are inadequately provided with HIV services and education and are differentially denied access to these. Divisions of race, ethnicity, economic class, and religion, among others, are compounded by sexual discrimination within each of these categories.

Review of current data on women with AIDS reveals that the reporting methods used convey a false impression that women are not at significant risk. Moreover, the persons indirectly affected by AIDS are predominantly women — mothers, sisters, partners, family members, teachers, and human service workers. Thus, AIDS is more of a women's issue than the statistics imply.

Women, as a gender-defined class, face …

List Of Terms

New England Journal of Public Policy

Lists and defines terms relevant to the study of HIV/AIDS that are used throughout this issue of the New England Journal of Public Policy.

Aids: An Overview, Loretta Mclaughlin

New England Journal of Public Policy

"We stand nakedly in front of a very serious pandemic, as mortal as any pandemic there ever has been," said Halfdan Mahler, director-general of the World Health Organization (WHO). "I don't know of any greater killer than AIDS, not to speak of its psychological, social and economic maiming. Everything is getting worse and worse with AIDS and all of us have been underestimating it, and I in particular. We're running scared. I cannot imagine a worse health problem in this century." When asked to compare AIDS to other epidemics, such as smallpox, that have infected and killed over the course …

Neuropsychiatric Complications Of Hiv Infection: Public Policy Implications, Alexandra Beckett, Theo Manschreck

New England Journal of Public Policy

The human immunodeficiency virus (HIV) infects the central nervous system (CNS), causing symptoms in most persons with AIDS-related complex (ARC) and AIDS, and in a significant proportion of those classified as asymptomatic seropositive. The most common clinical syndrome secondary to CNS infection is known as HIV encephalopathy. When sufficiently disabling, HIV encephalopathy is known as AIDS dementia, and must be reported to the Centers for Disease Control as a case of AIDS.

AIDS dementia is a complex of cognitive, affective, behavioral, and motor symptoms which varies widely in its presentation. In some persons, cognitive impairment predominates, manifesting in a loss …