When the 13 founders of the American Psychiatric Association came together in 1844, hospitals were small, and the administrative aspects of a superinten dent's job were relatively minor compared with their size and complexity today. Since the turn of the century, administration-the art and the sci ence-has become a specialty of great importance, particularly in big business and government. Business recognizes fully that the success of organizational endeavors depends to a great extent on the talents and energies of top lead ers. As a result, industry spends huge sums of money to train promising young executives and offers generous salaries and benefits to entice them. Anyone who wants to invest in a business first asks: "Who manages this organization, and is this management competitive in today's marketplace?" Although health is today a great industry, emphasis on the executive role has lagged behind that in the general business field. In mental health circles, the strong emphasis on one-to-one therapy has delayed a full appreciation of the influence of organization per se on patient care and treatment. Yet there 1 are now many signs of change. The popularization of behavioral science and the rise of social and community psychiatry have brought organizational con siderations forward. We are increasingly concerned with the human side of enterprise, with worker satisfaction, group dynamics, and organizational morale. Other flags have been unfurled.
This is a reprint of a previously published work. It deals wirh leadership and organizational change in large institutions such as hospitals schools, and prisons, focusing on the strategies and tactics of decentralizing a large bureaucratic organization.
The first-class passengers of hijacked Trans Air Flight 88 thought the nightmare was over when their captors were killed in a daring rescue. But now they are dying one by one, and NYPD Lieutenant Raymond Hyte is the only one with a clue to capture a madman serial killer.
The varied career of Walter Hines Page affected many facets of the American political and social milieu from the end of Reconstruction through World War I. A North Carolinian, Page was one of the first southerners after Reconstruction to argue that sectional hostility was needless, and he constantly worked to restore national union and frequently acted as an interpreter for the North and the South. As a journalist, publisher, reformer, president-maker, and ambassador, he strove to assure both North and South that the southerner was basically an American, that southern problems were national ones, and that education and hard work could recreate the Union. As a young man, Page found the South too stifling to give scope to his ambitions. He left it for good at the age of twenty-nine to make a brilliant career as editor and book publisher in the North. He served as editor of Forum, Atlantic Monthly, and World's Work. Later he founded the publishing firm Doubleday, Page & Company. As a magazine editor he wrote about the problems of the South; as a book publisher he introduced many southern writers to the nation; as a member of several of the most powerful philanthropic boards he sought funds to improve education and public health in the South. As a result of his early support of Woodrow Wilson for the presidency, Page was appointed ambassador to the Court of St. James's from which he fervently advocated the Allied cause. Throughly researching both American and British government documents and private papers, and using interviews with Page's contemporaries, Cooper reinterprets and establishes the significance of Page's career. Originally published in 1977. A UNC Press Enduring Edition -- UNC Press Enduring Editions use the latest in digital technology to make available again books from our distinguished backlist that were previously out of print. These editions are published unaltered from the original, and are presented in affordable paperback formats, bringing readers both historical and cultural value.
An edition of Milton's later work rk includes the text of six books of Paradise Lost, The History of Britain and the whole of Samson Agonistes. Through his introduction, commmentary and full annotations, Tony Davies sets the works in their political and cultural contexts, and discusses such themes as the `heroic'; sexuality and gender; and Milton's interrogation of the meaning of history.
What Americans refer to as the Vietnam War embraces much more than the conflict with North Vietnam. Milton J. Bates considers the other conflicts that Americans brought to that war: the divisions stemming from differences in race, class, sex, generation, and frontier ideology. In exploring the rich vein of writing and film that emerged from the Vietnam War era, he strikingly illuminates how these stories reflect American social crises of the period. Some material examined here is familiar, including the work of Michael Herr, Tim O'Brien, Philip Caputo, Susan Sontag, Francis Ford Coppola, and Oliver Stone. Other material is less well known—Neverlight by Donald Pfarrer and De Mojo Blues by A. R. Flowers, for example. Bates also draws upon an impressive range of secondary readings, from Freud and Marx to Geertz and Jameson. As the products of a culture in conflict, Vietnam memoirs, novels, films, plays, and poems embody a range of political perspectives, not only in their content but also in their structure and rhetoric. In his final chapter Bates outlines a "politico-poetics" of the war story as a genre. Here he gives special attention to our motives—from the deeply personal to the broadly cultural—for telling war stories.
How Multinational Drug Companies Say One Thing about Their Products to Physicians in the United States, and Another Thing to Physicians in Latin America
How Multinational Drug Companies Say One Thing about Their Products to Physicians in the United States, and Another Thing to Physicians in Latin America
This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1976.
In April 1586, Queen Elizabeth I acquired a new and exotic title. A tribe of Native Americans had made her their weroanza—a word that meant "big chief". The news was received with great joy, both by the Queen and her favorite, Sir Walter Ralegh. His first American expedition had brought back a captive, Manteo, who caused a sensation in Elizabethan London. In 1587, Manteo was returned to his homeland as Lord and Governor, with more than one hundred English men, women, and children, to establish the settlement of Roanoke, Virginia. But in 1590, a supply ship arrived at the colony to discover that the settlers had vanished. For almost twenty years the fate of Ralegh's colonists was to remain a mystery. When a new wave of settlers sailed to America to found Jamestown, their efforts to locate the lost colony of Roanoke were frustrated by the mighty chieftain, Powhatan, father of Pocahontas, who vowed to drive the English out of America. Only when it was too late did the settlers discover the incredible news that Ralegh's colonists had survived in the forests for almost two decades before being slaughtered in cold blood by henchmen. While Manteo, Sir Walter Ralegh's "savage," had played a pivotal role in establishing the first English settlement in America, he had also unwittingly contributed to one of the earliest chapters in the decimation of the Native American population. The mystery of what happened to the Roanoke colonists, who seemed to vanish without a trace, lies at the heart of this well-researched work of narrative history.
Words Unbound draws on Milton Burke’s thirty years of teaching experience to help educators bring Inferno alive for today’s young reader. In a conversational, “colleague-to-colleague” style, Burke shares the interpretations, questions, and exercises he found effective in his high-school classroom, emphasizing group discussion to help students, no matter their religious or philosophical moorings, engage meaningfully with the notoriously difficult text.
In the moral vacuum and world of shifting values following World War I, Aldous Huxley was both a sensitive refl ector and an articulate catalyst. This work provides a highly illuminating analysis of Huxley's evolution from skeptic to mystic. As Milton Birnbaum shows, in a perceptive interpretation of Huxley's poetry, fi ction, essays and biographies-what evolved in Huxley's moral and intellectual pilgrimage was not so much a change in direction as a shift in emphasis. Even in the sardonic Huxley of the 1920s and 1930s, there is a moral concern. In the later Huxley, there are traces of the satirical skepticism which delighted his readers in the decades preceding World War II. A man of letters, a keen observer, seeker of new ways while profoundly knowledgeable in the truths of ancient wisdom, Huxley tried to achieve a symbiotic synthesis of the best of all worlds. In clarifying and interpreting Huxley's intellectual, moral, and philosophical development, Birnbaum touches upon all the subjects that came under the scrutiny of a singularly encyclopedic mind. This book is of great worth to those interested both in Huxley the brilliant satirist and in Huxley the seeker of salvation. In his search, Huxley typifi ed the modern quest for values. Milton Birnbaum's study is an invaluable guide in that journey. His new introduction takes account of research and analysis of Huxley that has occurred since this book's original publication.
The pharmaceutical industry has long and vehemently insisted that it has the willingness, the dedication, and the ability to police itself to insure that the public will not be unnecessarily harmed or defrauded. As the record shows with painful clarity, however, virtually no industry or professional group has ever adequately policed itself, and the pharmaceutical industry is no exception. Where the most flagrant abuses have been exposed and corrected, major credit must probably be divided among the media that publicized the situation, consumer groups that applied pressure, government officials who took actions that were often unpopular, and individual members of the pharmaceutical industry who had the courage to face up to their social responsibilities. In this book, the authors turn their attention to what happened in Third World countries when, because of worldwide pressures, the multinational drug companies largely corrected their notorious abuses. On the basis of painstaking research, much of it conducted in a great many Third World countries, the authors conclude that a plethora of small local firms have filled the dishonest sales channels vacated by the multinationals. The authors show in great detail how local drug firms in the Third World have taken advantage of loose regulatory practices and unscrupulous behavior on the part of regional and national health care professionals to promote the sale of dangerous or worthless drugs as remedies for diseases for which they were never intended. Warnings of bad side effects are omitted from promotional literature, drugs are sold that have not had proper trials, and drug firms have often bribed government officials, doctors, and hospital administrators in order to gain favorable treatment in the importation and sale of their products. Among the many topics treated in this book are the controversy over inexpensive generic drugs (including disclosures of fraud and bribery in the U.S. Food and Drug Administration), the actions of consumer groups, and the key role of government in preventing abuses by drug firms. The authors describe a remarkable attempt in Bangladesh, one of the poorest of all the developing countries, to develop a high-quality local drug industry. They also present as case histories reports on three extremely important drug products or groups—the dipyrones (for control of pain and fever), high-dosage estrogen-progesterone hormone products (for use in pregnancy tests), and clioquinol or Enterovioform (for treatment of diarrhea)—all of which were or still are centers of worldwide, heated controversy.
Englishness and Post-imperial Space: The Poetry of Philip Larkin and Ted Hughes probes into the English mindset immediately after the British withdrawal from the colonies, and examines how the loss of power and global prestige affected contemporary poetry, particularly that of Philip Larkin and Ted Hughes. Frustration and disillusionment, even anger, characterised the era and many of the literary works the period produced. Most writers became insular and were obsessed with the ‘English’ elements in their writing. The great, international and cosmopolitan themes (of Eliot, for instance) were replaced by those of narrow domestic importance. It is in such a context, this book argues, that Larkin and Hughes returned to the old England, most notably to the themes of gradually vanishing pristine landscape and national myths and legends, to the archetypal English customs and conventions. It examines their poetry mainly from the perspective of Englishness, a burgeoning area of academic interest. Intricately connected with the values emanating from England as a geographical and socio-cultural space, Englishness as a concept is intrinsic to the identity of a people who gradually became globally powerful. The loss of empire dealt a severe blow to this sense of the self. This book explores the dynamics of the representation of this sense of loss and the frustration it produced in the poems of Larkin and Hughes.
Milton A. Rothman was best known to generations of science-fiction readers for a single classic story written at age 19: "Heavy Planet," published under the byline of "Lee Gregor" in 'Astounding Science Fiction' in 1939 at the beginning of the Golden Age and kept in print for decades in the classic anthology 'Adventures in Time and Space'. He was also a pioneer of early fandom, a founder of the Philadelphia Science Fiction Society, a fanzine publisher, and a World Science Fiction Convention chairman. After World War II, he became one of the country's leading nuclear physicists, but continued to write science fiction throughout his life. Here, for the first time, all his science fiction stories are collected in one volume, giving a clear picture of the author's development from youth to old age, reflecting lifelong preoccupations with physics, mathematics, music, the futility of war, and, of course, science fiction itself. Here is an authentic voice from the early years of the modern science fiction field. Features an introduction by science fiction master Frederik Pohl, and afterwords by son Tony Rothman as well as fan and fellow author Robert A. Madle. Edited by Darrell Schweitzer and Lee Weinstein. An earlier version of this book appeared as "Heavy Planet and Other Science Fiction Stories." Included are: MILT ROTHMAN, by Frederik Pohl HEAVY PLANET SHAWN'S SWORD ASTEROID FLIGHT TO GALILEO POWER PLANT LAST NIGHT OUT FORMULA FOR GALAXY 1 FORMULA FOR MURDER GETTING TOGETHER FUSION PRIME CRIME THE ETERNAL GENESIS HOLOCAUST SKYLARK VS. THOUGHT THE MUSICIAN THE BRIDGE EDWARD: A NEW BALLAD THE REUNION THE DIRECT LINE THE HIDDEN WORLD OF MILTON ROTHMAN, by Tony Rothman MILTON A. ROTHMAN—SCIENCE FICTION PIONEER, by Robert A. Madle
If national health insurance becomes a reality, what options should be considered for the coverage of prescription drugs? The authors—whose Pills, Profits, and Politics has had a dramatic effect on physicians, pharmacists, patients, and the drug industry as well as on federal and state legislators—insist that the major objective must be the best possible health care. But holding down costs to patients and taxpayers must also be a goal. To complicate matters further, the advantage of each likely option—including price controls, the use of formularies, drug utilization review, patient cost-sharing, and the use of low-cost, generic-name products—is offset by a disadvantage, even a danger. If drug prices are slashed too much, the industry will lose many of its incentives to develop better drugs for the future. Particular attention is focused on the so-called drug lag—the lengthy delays in licensing of new drugs, even after they have been used with apparently good results in other countries. Pills and the Public Purse also addresses the seldom-appreciated fact that investing tax dollars in needed drugs may save taxpayers in the long run by minimizing unnecessary physician visits and hospitalization. Pills and the Public Purse challenges Congress and such agencies as the Food and Drug Administration and the Health Care Financing Administration to enact policies that put the interests of the public before those of government, industry, physicians, and pharmacists. This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1981.
Milton A. Rothman was best known to generations of science-fiction readers for a single classic story written at age 19: "Heavy Planet," published under the byline of "Lee Gregor" in 'Astounding Science Fiction' in 1939 at the beginning of the Golden Age and kept in print for decades in the classic anthology 'Adventures in Time and Space'. He was also a pioneer of early fandom, a founder of the Philadelphia Science Fiction Society, a fanzine publisher, and a World Science Fiction Convention chairman. After World War II, he became one of the country's leading nuclear physicists, but continued to write science fiction throughout his life. Here, for the first time, all his science fiction stories are collected in one volume, giving a clear picture of the author's development from youth to old age, reflecting lifelong preoccupations with physics, mathematics, music, the futility of war, and, of course, science fiction itself. Here is an authentic voice from the early years of the modern science fiction field. Features an introduction by science fiction master Frederik Pohl.
How Multinational Drug Companies Say One Thing about Their Products to Physicians in the United States, and Another Thing to Physicians in Latin America
How Multinational Drug Companies Say One Thing about Their Products to Physicians in the United States, and Another Thing to Physicians in Latin America
We need scarcely note that the topic of this book is the stuff of headlines. Around the world, political, economic, educational, military, religious, and social relations of every variety have a racial or ethnic component. One cannot begin to understand the history or contemporary situation of the United States, the Soviet Union, China, Zimbabwe, South Africa, Great Britain, Lebanon, Mexico, Canada-indeed, almost any land-without careful attention to the influence of cultural and racial divisions. Preparation of this new edition has brought a strong sense of deja vu, with regard both to the persistence of old patterns of discrimination, even if in new guises, and also to the persistence of limited and constraining explanations. We have also found, however, rich new empirical studies, new theoretical perspectives, and greatly expanded activity and analyses from members of minority groups. Although this edition is an extensive revision, with reference both to the data used and the theoretical approaches examined, we have not shifted from our basically analytical perspective. We strongly support efforts to reduce discrimination and prejudice; but these can be successful only if we try to understand where we are and what forces are creating the existing situation. We hope to reduce the tendency to use declarations and condem nations of other persons' actions as substitutes for an investigation of their causes and consequences.
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