To limit the skyrocketing costs of their employees' health insurance, companies such as Dow, Chevron, and IBM, as well as many large HMOs, have increasingly hired physicians to supervise the medical care they provide. As Elaine Draper argues in The Company Doctor, company doctors are bound by two conflicting ideals: serving the medical needs of their patients while protecting the company's bottom line. Draper analyzes the advent of the corporate physician both as an independent phenomenon, and as an index of contemporary culture, reaching startling conclusions about the intersection of corporate culture with professional autonomy.

Drawing on over 100 interviews with company physicians, scientists, and government and labor officials, as well as historical, legal, and statistical sources and medical trade association data, Draper presents an illuminating overview of the social context and meaning of professional work in corporations. Draper finds that while medical journals, speeches, and ethical codes proclaim the independent professional judgment of corporate physicians, the company doctors she interviewed often expressed anguish over the tightrope they must walk between their patients' health and the corporate oversight they face at every turn. Draper dissects the complex position occupied by company doctors to explore broad themes of doctor-patient trust, employee loyalty, privacy issues, and the future direction of medicine. She addresses such controversial topics as drug screening and the difficult position of company doctors when employees sue companies for health hazards in the workplace.

Company doctors are but one example of professionals who have at times ceded their autonomy to corporate management. Physicians provide the prototypical professional case for exploring this phenomenon, due to their traditional independence, extensive training, and high levels of prestige. But Draper expands the scope of the book—tracing parallel developments in the law, science, and technology—to draw insightful conclusions about changing conditions in the professional workplace, as corporate cultures everywhere adapt to the new realities of the global economy. The Company Doctor provides a compelling examination of the corporatization of American medicine with far-reaching implications for professionals in many other fields.

ELAINE DRAPER is a visiting scholar at the Institute for the Study of Social Change, University of California, Berkeley, and assistant professor of sociology at California State University, Los Angeles.

The vast disparities in college attendance and graduation rates between students from different class backgrounds is a growing social concern. Economic Inequality and Higher Education investigates the connection between income inequality and unequal access to higher education, and proposes solutions that the state and federal governments and schools themselves can undertake to make college accessible to students from all backgrounds.

Economic Inequality and Higher Education convenes experts from the fields of education, economics, and public policy to assess the barriers that prevent low-income students from completing college. For many students from disadvantaged socioeconomic backgrounds, the challenge isn’t getting into college, but getting out with a degree. Helping this group will require improving the quality of education in the community colleges and lower-tier public universities they are most likely to attend. Documenting the extensive disjuncture between the content of state-mandated high school testing and college placement exams, Michael Kirst calls for greater alignment between K-12 and college education. Amanda Pallais and Sarah Turner examine barriers to access at elite universities for low-income students—including tuition costs, lack of information, and poor high school records—as well as recent initiatives to increase socioeconomic diversity at private and public universities. Top private universities have increased the level and transparency of financial aid, while elite public universities have focused on outreach, mentoring, and counseling, and both sets of reforms show signs of success. Ron Ehrenberg notes that financial aid policies in both public and private universities have recently shifted towards merit-based aid, away from the need-based aid that is most helpful to low-income students. Ehrenberg calls on government policy makers to create incentives for colleges to increase their representation of low-income students.

Higher education is often vaunted as the primary engine of upward mobility. Instead, as inequality in America rises, colleges may be reproducing income disparities from one generation to the next. Economic Inequality and Higher Education illuminates this worrisome trend and suggests reforms that educational institutions and the government must implement to make the dream of a college degree a reality for all motivated students.

STACY DICKERT-CONLIN is associate professor of economics at Michigan State University.

ROSS RUBENSTEIN is associate professor of public administration at Syracuse University and a senior research associate at the Center for Policy Research.

CONTRIBUTORS: Stacy Dickert-Conlin, Ross Rubenstein, Eric P. Bettinger, Ronald G. Ehrenberg, Dan Goldhaber, Robert Haveman, Michael Kirst, Bridget Terry Long, Amanda Pallais, Gretchen K. Peri, Amy Ellen Schwartz, Sarah E. Turner, and Kathryn Wilson.

Immigration is often discussed in broad, statistical terms, with a focus on how it affects labor markets, schools, and social services. But at its most basic level, immigration is a process that affects people and their identities in deeply personal ways. In To Be an Immigrant, social psychologist Kay Deaux explores the role of both social conditions and individual capacities in determining how well immigrants adapt to life in their new homelands, and makes a strong case for the relevance of social psychology in immigration studies.

To Be an Immigrant looks at how immigrants are defined, shaped, and challenged by the cultural environment they encounter in their new country and offers an integrated psychological framework for studying the immigrant experience. Deaux argues that in addition to looking at macro-level factors like public policies and social conditions and micro-level issues like individual choices, immigration scholars should also study influences that occur on an intermediate level, such as interpersonal encounters. Each of these three levels of analysis is essential to understanding how immigrants adapt to a new homeland and form distinct identities. As a case study for her framework, Deaux examines West Indians, exploring their perceptions of the stereotypes they face in the United States and their feelings of connection to their new home. Though race plays a limited role in the West Indies, it becomes more relevant to migrants once they arrive in the United States, where they are primarily identified by others as black, rather than Guyanese or Jamaican. Deaux’s research adds to a growing literature in social psychology on stereotype threat, which suggests that negative stereotypes about one’s group can hinder an individual’s performance. She finds that immigrants who have been in the United States longer and identify themselves as African American suffer from the negative effects of stereotype threat more than recent immigrants.
 
More than a discrete event, immigration can be understood as a life-long process that continues to affect people well after they have migrated. To Be an Immigrant takes a novel approach to the study of immigration, looking at how societal influences help shape immigrants and their understanding of who they are.

KAY DEAUX is a Distinguished Professor of Psychology at the Graduate Center,  City University of New York.

More than ever, the economic health of a country depends upon the skills, knowledge, and capacities of its people. How does a person acquire these human assets and how can we promote their development? Securing the Future assembles an interdisciplinary team of scholars to investigate the full range of factors—pediatric, psychological, social, and economic—that bear on a child's development into a well-adjusted, economically productive member of society. A central purpose of the volume is to identify sound interventions that will boost human assets, particularly among the disadvantaged. The book provides a comprehensive evaluation of current initiatives and offers a wealth of new suggestions for effective public and private investments in child development.

While children from affluent, highly educated families have good quality child care and an expensive education provided for them, children from poor families make do with informal child care and a public school system that does not always meet their needs. How might we best redress this growing imbalance? The contributors to this volume recommend policies that treat academic attainment together with psychological development and social adjustment. Mentoring programs, for example, promote better school performance by first fostering a young person's motivation to learn. Investments made early in life, such as preschool education, are shown to have the greatest impact on later learning for the least cost.

In their focus upon children, however, the authors do not neglect the important links between generations. Poverty and inequality harm the development of parents and children alike. Interventions that empower parents to fight for better services and better schools are also of great benefit to their children.

Securing the Future shows how investments in child development are both a means to an end and an end in themselves. They benefit the child directly and they also help that child contribute to the well-being of society. This book points us toward more effective strategies for promoting the economic success and the social cohesion of future generations.

SHELDON DANZIGER is Distinguished University Professor of Public Policy and co-director of the National Poverty Center at the University of Michigan.
 
JANE WALDFOGEL is professor of social work and public affairs at the Columbia University School of Social Work and research associate at the Centre for Analysis of Social Exclusion at the London School of Economics.

CONTRIBUTORS: Debra Donahoe, Jacquelynne S. Eccles,  James J. Jeckman,  Robert S. Kahn,  Thomas J. Kane,  Lance Lochner,  Lisa M. Lynch,  Melvin L. Oliver,  Hillard Pouncy,  Craig T. Ramey,  Sharon Landesman Ramey,  Robert J. Sampson,  Margaret Beale Spencer, Dena Phillips Swanson,  Marta Tienda,  Allan Wigfield,  Barry Zuckerman, M.D.

A Volume in the Ford Foundation Series on Asset Building

Inequality has been on the rise in America for more than two decades. This socially divisive trend began in the economic doldrums of the 1970s and continued through the booming 1980s, when surging economic tides clearly failed to lift all ships. Instead, escalating inequality in both individual earnings and family income widened the gulf between rich and poor and led to the much-publicized decline of the middle class. Uneven Tides brings together a distinguished group of economists to confront the crucial questions about this unprecedented rise in inequality. Just how large and pervasive was it? What were its principal causes? And why did it continue in the 1980s, when previous periods of national economic growth have generally reduced inequality?

Reviewing the best current evidence, the essays in Uneven Tides show that rising inequality is a complex phenomenon, the result of a web of circumstances inherent in the nation's current industrial, social, and political situation. Once attributed to the rising supply of inexperienced workers—as baby boomers, new immigrants, and women entered the labor market—the growing inequality in individual earnings is revealed in Uneven Tides to be the direct result of the economy's increasing demand for skilled workers. The authors explore many of the possible causes of this trend, including the employment shift from manufacturing to the service sector, the heightened importance of technology in the workplace, the decline of unionization, and the intensified efforts to compete in a global marketplace. Uneven Tides also examines the equally dramatic growth in the inequality of family income, and reviews the effects of family size, the age and education of household heads, and the transition to both two-earner and single-parent families. Although these demographic shifts played a role, what emerges most clearly is an understanding of the powerful influence of public policy, as increasingly regressive taxes, declining welfare benefits, and a stagnant minimum wage continue to amplify the effects of market forces on income.

With the rise in inequality now much in the headlines, it is clear that our nation's ability to reverse these shifting currents requires deeper understanding of their causes and consequences. Uneven Tides is the first book to get beyond the news stories to a clear analysis of the changing fortunes of America's families. It should be required reading for anyone with a serious interest in the economic underpinnings of the country's social problems.

SHELDON DANZIGER is professor of social work and public policy and faculty associate in population studies at the University of Michigan.

PETER GOTTSCHALK is professor of economics at Boston College, and research affiliate at the Institute for Research on Poverty at the University of Wisconsin.

Many Americans seem convinced that government programs designed to help the poor have failed. Social Programs That Work shows that this is not true. Many programs have demonstrably improved the lives of people trapped at the bottom of the social and economic ladder. Social Programs That Work provides an in-depth look at some of the nation's best interventions over the past few decades, and considers their potential for national expansion.

Examined here are programs designed to improve children's reading skills, curb juvenile delinquency and substance abuse, and move people off welfare into the workforce. Each contributor discusses the design and implementation of a particular program, and assesses how well particular goals were met. Among the critical issues addressed: Are good results permanent, or do they fade over time? Can they be replicated successfully under varied conditions? Are programs cost effective, and if so are the benefits seen immediately or only over the long term? How can public support be garnered for a large upfront investment whose returns may not be apparent for years? Some programs discussed in this volume were implemented only on a small, experimental scale, prompting discussion of their viability at the national level.

An important concern for social policy is whether one-shot programs can lead to permanent results. Early interventions may be extremely effective at reducing future criminal behavior, as shown by the results of the High/Scope Perry preschool program. Evidence from the Life Skills Training Program suggests that a combination of initial intervention and occasional booster sessions can be an inexpensive and successful approach to reducing adolescent substance abuse. Social Programs That Work also acknowledges that simply placing welfare recipients in jobs isn't enough; they will also need long-term support to maintain those jobs.

The successes and failures of social policy over the last thirty-five years have given us valuable feedback about the design of successful social policy. Social Programs That Work represents a landmark attempt to use social science criteria to identify and strengthen the programs most likely to make a real difference in addressing the nation's social ills.

JONATHAN CRANE is director of the National Center for Research on Social Programs in Chicago, Illinois.

CONTRIBUTORS: Clancy Blair, Gilbert J. Bovin, Frances A. Campbell, Patricia Chamberlain, Barbara Devaney, Marcella Dianda, Lawrence J. Dolan, Phyllis L. Ellickson, George Farkas, Nancy A. Madden, Lawrence M. Mead, Kevin Moore, Craig T. Ramey, Arthur J. Reynolds, Steven M. Ross, Lawrence J. Schweinhart, Robert E. Slavin, Lana J. Smith, Barbara A. Wasik, David P. Weikart.

Trust plays a pervasive role in social affairs, even sustaining acts of cooperation among strangers who have no control over each other's actions. But the full importance of trust is rarely acknowledged until it begins to break down, threatening the stability of social relationships once taken for granted. Trust in Society uses the tools of experimental psychology, sociology, political science, and economics to shed light on the many functions trust performs in social and political life. The authors discuss different ways of conceptualizing trust and investigate the empirical effects of trust in a variety of social settings, from the local and personal to the national and institutional.

Drawing on experimental findings, this book examines how people decide whom to trust, and how a person proves his own trustworthiness to others. Placing trust in a person can be seen as a strategic act, a moral response, or even an expression of social solidarity. People often assume that strangers are trustworthy on the basis of crude social affinities, such as a shared race, religion, or hometown. Likewise, new immigrants are often able to draw heavily upon the trust of prior arrivals—frequently kin—to obtain work and start-up capital.

Trust in Society explains how trust is fostered among members of voluntary associations—such as soccer clubs, choirs, and church groups—and asks whether this trust spills over into other civic activities of wider benefit to society. The book also scrutinizes the relationship between trust and formal regulatory institutions, such as the law, that either substitute for trust when it is absent, or protect people from the worst consequences of trust when it is misplaced. Moreover, psychological research reveals how compliance with the law depends more on public trust in the motives of the police and courts than on fear of punishment.

The contributors to this volume demonstrate the growing analytical sophistication of trust research and its wide-ranging explanatory power. In the interests of analytical rigor, the social sciences all too often assume that people act as atomistic individuals without regard to the interests of others. Trust in Society demonstrates how we can think rigorously and analytically about the many aspects of social life that cannot be explained in those terms.

KAREN S. COOK is the Ray Lyman Wilbur Professor of Sociology at Stanford University.

CONTRIBUTORS: Michael Bacharach, Jean Ensminger, Diego Gambetta, Robert Gibbons, Russell Hardin, Carol A. Heimer, Jack Knight, Roderick M. Kramer, Gerry Mackie, David M. Messick, Gary Miller, Victor Nee, Jimy Sanders, Dietlind Stolle, Tom R. Tyler, Toshio Yamagishi.

A Volume in the Russell Sage Foundation Series on Trust

Social science research often yields conflicting results: Does juvenile delinquent rehabilitation work? Is teenage pregnancy prevention effective? In an effort to improve the value of research for shaping social policy, social scientists are increasingly employing a powerful technique called meta-analysis. By systematically pulling together findings of a particular research problem, meta-analysis allows researchers to synthesize the results of multiple studies and detect statistically significant patterns among them.

Meta-Analysis for Explanation brings exemplary illustrations of research synthesis together with expert discussion of the use of meta-analytic techniques. The emphasis throughout is on the explanatory applications of meta-analysis, a quality that makes this casebook distinct from other treatments of this methodology. The book features four detailed case studies by Betsy Jane Becker, Elizabeth C. Devine, Mark W. Lipsey, and William R. Shadish, Jr. These are offered as meta-analyses that seek both to answer the descriptive questions to which research synthesis is traditionally directed in the health and social sciences, and also to explore how a more systematic method of explanation might enhance the policy yield of research reviews.

To accompany these cases, a group of the field’s leading scholars has written several more general chapters that discuss the history of research synthesis, the use of meta-analysis and its value for scientific explanation, and the practical issues and challenges facing researchers who want to try this new technique. As a practical resource, Meta-Analysis for Explanation guides social scientists to greater levels of sophistication in their efforts to synthesize the results of social research.

"This is an important book...[it is] another step in the continuing exploration of the wider implications and powers of meta-analytic methods." —Contemporary Psychology

THOMAS D. COOK is at Northwestern University.

HARRIS COOPER is at the University of Missouri.

DAVID S. CORDRAY is at Vanderbilt University.

HEIDI HARTMANN is at Institute for Women's Policy Research.

LARRY V. HEDGES is at University of Chicago.

RICHARD J. LIGHT is at Harvard University.

THOMAS A. LOUIS is at University of Minnesota.

FREDERICK MOSTELLER is at Harvard University.

Some theorists claim that democracy cannot work without trust. According to this argument, democracy fails unless citizens trust that their governing institutions are serving their best interests. Similarly, some assert that democracy works best when people trust one another and have confidence that politicians will look after citizen interests. Questioning such claims, Democracy and the Culture of Skepticism, by Matthew Cleary and Susan Stokes, suggests that skepticism, not trust, is the hallmark of political culture in well-functioning democracies.

Drawing on extensive research in two developing democracies, Argentina and Mexico, Democracy and the Culture of Skepticism shows that in regions of each country with healthy democracies, people do not trust one another more than those living in regions where democracy functions less well, nor do they display more personal trust in governments or politicians. Instead, the defining features of the healthiest democracies are skepticism of government and a belief that politicians act in their constituents' best interest only when it is personally advantageous for them to do so. In contrast to scholars who lament what they see as a breakdown in civic life, Cleary and Stokes find that people residing in healthy democracies do not participate more in civic organizations than others, but in fact, tend to retreat from civic life in favor of private pursuits. The authors conclude that governments are most efficient and responsive when they know that institutions such as the press or an independent judiciary will hold them accountable for their actions.

The question of how much citizens should trust politicians and governments has consumed political theorists since America's founding. In Democracy and the Culture of Skepticism, Matthew Cleary and Susan Stokes test the relationship between trust and the quality of governance, showing that it is not trust, but vigilance and skepticism that provide the foundation for well-functioning democracies.

MATTHEW R. CLEARY is assistant professor of political science in the Maxwell School of Citizenship and Public Affairs at Syracuse University.

SUSAN C. STOKES is professor of political science at Yale University.

A Volume in the Russell Sage Foundation Series on Trust