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PubMed2025

Social Responsiveness as a Mediator in Adapted Cognitive Behavioral Therapy for Autistic Youth with Maladaptive and Interfering Anxiety.

Numerous adaptations to interventions have been included in cognitive behavioral therapy (CBT) for autistic youth. This study examines the degree to which CBT adapted to the social needs of autistic youth confers significant benefit by promoting social responsiveness. A secondary analysis was conducted on a multisite randomized clinical trial (Wood et al. in JAMA Psychiatry 77:474-483, 2020) comparing adapted CBT with standard-of-practice CBT and treatment-as-usual (TA). Autistic youth (N = 167; aged 7-13) with maladaptive and interfering anxiety participated. The adapted CBT (BIACA) uses a modular format, with an emphasis on supplementing common CBT practice elements (reframing and graded exposure) with social skill supports. The primary outcome measure was the Pediatric Anxiety Rating Scale. Social responsiveness was assessed with the Social Responsiveness Scale, Second Edition. Participants' general mental health was assessed as a secondary outcome using the Brief Problem Checklist. Mediation was tested using the SPSS PROCESS macro. Analyses suggested that the effect of adapted CBT on anxiety was mediated by its effects on social responsiveness, with a statistically significant indirect effect. Youth randomly assigned to adapted CBT exhibited better overall mental health at posttreatment compared to those randomized to the other conditions, and this effect was also mediated by improved social responsiveness. CBT adapted to address some of the social needs of autistic youth may enhance mental health outcomes by supporting social responsiveness, perhaps increasing the ease and effectiveness with which some youth can navigate potentially stressful situations such as entering and participating in group activities.

Humans↗
PubMed1992

The biological impact of social responses to the AIDS epidemic.

This paper examines the extent to which social responses to the AIDS epidemic contribute to the continued transmission of the virus, thereby exacerbating the biological impact of the epidemic. Following the model of McGrath (1991), social responses to AIDS are examined in terms of their impact on potential transmission of HIV. Responses are evaluated using established criteria for decreasing disease transmission: eliminating the source of infection, eliminating contact necessary for infection, decreasing susceptibility of hosts, or decreasing the infectivity of infectious persons. The most frequent responses to AIDS have been scapegoating, resulting in ostracism, stigma, and blame; resignation; use of alternative therapies; political mobilization; and research. With the exception of political mobilization in some communities, the social responses to AIDS have not decreased the biological impact of the epidemic, and, therefore, may not be "biologically appropriate".

Acquired Immunodeficiency Syndrome↗
PubMed1978

Corporate social responsibility: an assessment of the enlightened self-interest model.

Much recent discussion of corporate social responsibility has concerned operationality. Many activities subsumed under corporate social responsibility can be shown to be public or partially public goods. The theory of public goods can clarify and explain some complex problems of operationalizing the social responsibility doctrine. An examination of philanthropy provides some behavioral applications.

Fund Raising↗
PubMed2005

The corporate social responsibility of the pharmaceutical industry: idealism without illusion and realism without resignation.

In recent years society has come to expect more from the "socially-responsible" company and the global HIV/AIDS pandemic in particular has resulted in some critics saying that the "Big Pharma" companies have not been living up to their social responsibilities. Corporate social responsibility can be understood as the socio-economic product of the organizational division of labor in complex modern society. Global poverty and poor health conditions are in the main the responsibilities of the world's national governments and international governmental organizations, which possess society's mandate and appropriate organizational capabilities. Private enterprises have neither the societal mandate nor the organizational capabilities to feed the poor or provide health care to the sick in their home countries or in the developing world. Nevertheless, private enterprises do have responsibilities to society that can be categorized as what they must do, what they ought do, and what they can do.

Developing Countries↗
PubMed2004

Corporate social responsibility and the tobacco industry: hope or hype?

Corporate social responsibility (CSR) emerged from a realisation among transnational corporations of the need to account for and redress their adverse impact on society: specifically, on human rights, labour practices, and the environment. Two transnational tobacco companies have recently adopted CSR: Philip Morris, and British American Tobacco. This report explains the origins and theory behind CSR; examines internal company documents from Philip Morris showing the company's deliberations on the matter, and the company's perspective on its own behaviour; and reflects on whether marketing tobacco is antithetical to social responsibility.

Advertising↗
PubMed1999

Improving the social responsiveness of medical schools: lessons from the Canadian experience.

The recent Canadian experience in promoting social accountability and social responsiveness of medical schools has been one of steady improvement in certain institutions, against a background lacking overall national policy direction. Canada has several distinct advantages in trying to devise means of enhancing social accountability of medical training and health services, including a strong national system of publicly supported and financed health care of high quality, a network of excellent academic medical centers, and well-established accreditation bodies. A review of the literature, complemented by a new survey of Canadian medical schools, confirms that some of the centers, conscious of the need to promote social responsiveness, are developing innovative programs to do so. Future progress toward the goal of social responsiveness of medical schools on a pan-Canadian basis will require a more cohesive approach involving systematic sharing of best practices among academic health centers, effective alliances with other health professionals to promote these objectives, and support by federal and provincial ministries of health. Canadian awareness of an international movement tending to similar objectives would support the efforts of Canadian health professionals engaged in practices of enhanced accountability.

Canada↗
PubMed2002

Organizational rationality, performance, and social responsibility: results from the hospital industry.

Drawing on stakeholder theory and Weber's distinction between formal and substantive rationality, we posit that: (1) for-profit organizations manage stakeholders in ways that result in the organization being more efficient and less socially responsible than organizations that are not as profit oriented, and (2) organizations with major corporate relationships that are not local manage stakeholders in a manner that results in the organization being more efficient and less socially responsible than organizations without such arrangements. We test these hypotheses with 1994 data on 4,705 of the nation's short-term general hospitals using two measures of hospital efficiency and four measures of social responsibility. Results confirm that for-profit hospitals and hospitals lacking local ties are managing stakeholder relationships in ways that increases the efficiency of these hospitals but decreases their social responsiveness. We conclude by speculating that organizational efficiency and social responsibility may be inversely related and then summarize some of the academic, managerial, and policy implications, with emphasis on the implications for stakeholder theory.

Community-Institutional Relations↗
PubMed1999

Measuring social responsiveness of medical schools: a case study from New Mexico.

Medical schools can assess their social responsiveness by gauging the degrees to which the health needs of the populations and communities they serve frame their missions and endeavors in education, service, and research. Beyond considering these traditional academic missions, medical schools can also assess how well they apply their expertise to needed reform of the health care delivery system and to the formation of health policies aimed at improving community health status. This article summarizes the means by which a medical school's social responsiveness can be judged in each of the above areas, and it presents examples of successes and failures in such responsiveness by the University of New Mexico School of Medicine. It concludes with lessons learned that can guide future innovations in social responsiveness of medical schools.

Curriculum↗
PubMed1996

Meanings of political participation among black and white women: political identity and social responsibility.

This study examined the correlates of midlife political participation among 64 Black and 107 White women of the college classes of 1967-1973. Compared with White women, Black women scored higher on political participation, generativity, power discontent, and politicization. Factor analysis of personality and political attitude variables yielded three factors labeled Political Identity, Power Discontent, and Social Responsibility. Adult political participation was regressed on level of student activism and index scores of political identity, power discontent, and social responsibility. For both racial groups, social responsibility was associated with midlife political participation. For White women, political identity was also related; for Black women, student activism bore a significant relationship. The findings suggest that Black and White women's historical and political contexts imbued their political activities with different meanings.

Adult↗
PubMedDate not supplied

Is globalisation outpacing ethics and social responsibility in occupational health?

INTRODUCTION: The definition of globalisation is varied. However, one certainty is that in a globalised world the borders are porous in many aspects; people movement, goods exchange, knowledge sharing and redistribution of labour. The concept of globalisation, its impact on society, and its direction leads to a two-sided argument. Could this be the effect of globalisation on ethics and social responsibility, as it is perceived? This paper endeavours to further our understanding of the dynamic relationship of globalisation, ethics and social responsibility in occupational health. METHOD: The multidisciplinary activity approach to occupational health was used. The globalisation, ethical and social responsibility relationship of the activities in occupational health was analysed using a schematic map of the direct and indirect influences. RESULTS: The analysis revealed areas that can be clustered to address the interaction between driving forces in occupational health ethics and social responsibility for a healthy workforce. DISCUSSION: Each cluster is discussed highlighting areas of concern. In the discussion proposals are made on how we can modify the way we think in order to avoid repeating mistakes. Suggestion is made of using an innovative method borrowed from other disciplines and adopted for use in occupational health. A partnership approach is proposed and explored on how it will be applied in situations of unequal balance of power.

Capital Financing↗
PubMed2006

Strategy and society: the link between competitive advantage and corporate social responsibility.

Governments, activists, and the media have become adept at holding companies to account for the social consequences of their actions. In response, corporate social responsibility has emerged as an inescapable priority for business leaders in every country. Frequently, though, CSR efforts are counterproductive, for two reasons. First, they pit business against society, when in reality the two are interdependent. Second, they pressure companies to think of corporate social responsibility in generic ways instead of in the way most appropriate to their individual strategies. The fact is, the prevailing approaches to CSR are so disconnected from strategy as to obscure many great opportunities for companies to benefit society. What a terrible waste. If corporations were to analyze their opportunities for social responsibility using the same frameworks that guide their core business choices, they would discover, as Whole Foods Market, Toyota, and Volvo have done, that CSR can be much more than a cost, a constraint, or a charitable deed--it can be a potent source of innovation and competitive advantage. In this article, Michael Porter and Mark Kramer propose a fundamentally new way to look at the relationship between business and society that does not treat corporate growth and social welfare as a zero-sum game. They introduce a framework that individual companies can use to identify the social consequences of their actions; to discover opportunities to benefit society and themselves by strengthening the competitive context in which they operate; to determine which CSR initiatives they should address; and to find the most effective ways of doing so. Perceiving social responsibility as an opportunity rather than as damage control or a PR campaign requires dramatically different thinking--a mind-set, the authors warn, that will become increasingly important to competitive success.

Commerce↗
PubMed1993

Genetic testing and the social responsibility of private health insurance companies.

In this paper, I have pressed the general question, "Are private health insurers responsible for preventing the problems of equity and access that genetic discrimination would pose?" I have argued that socially responsible insurance companies will avoid genetic discrimination, even if they conceive of their social responsibility in narrow terms. The significance of this point extends beyond the specific question of genetic testing, and bears relevance to broader debates about reforming the nation's health care system. Ultimately, society's attraction to retaining a private health insurance market depends upon private health insurers affirming and meeting responsibilities to the wider society. How society and the insurance industry respond in the face of new genetic testing capabilities will be a moral guidepost indicating how we as a society should devise and implement health care reform.

Delivery of Health Care↗
PubMed2004

[Health promotion: convergence between the principles of health surveillance and socially responsible schools].

The authors discuss the convergence between health surveillance and socially responsible schools from a health promotion perspective in Porto Alegre, Rio Grande do Sul State, Brazil. The aim of health promotion strategies is to provide the population with the necessary means to improve their health. One of the explanatory paradigms for health surveillance is the social production of health, acknowledging the influence of living conditions on the population's health. The main thrust of schools that promote citizenship is social inclusion, achieved through education by recognizing the needs and possibilities of students and empowering citizens by raising awareness of their rights and duties. The convergence between health surveillance and socially responsible schools is demonstrated in four fields of health promotion: development of personal capacities by providing information and health education to empower people for healthier choices; strengthening of community action for better health; creation of health-friendly public and private environments; and construction of healthy public policies, involving both government and nongovernmental organizations.

Community Participation↗
PubMed2002

Effectiveness of the Responsible Social Values Program for 6th grade students in one rural school district.

The present study reports the effectiveness of an abstinence-based program (the Responsible Social Values Program) designed for 6th grade students in a rural school district. To assess whether this 6-hr. abstinence-based program changed students' knowledge of their sexual development during adolescence, attitudes toward early sexual involvement, intentions regarding sexual involvement, views related to expected consequences of being sexually involved, and views related to expected outcomes of being sexually involved, a pre-experimental one-group, pretest-posttest design was employed. Analysis indicated that the curriculum was effective in terms of improving scores for each of the constructs measured. Immediately after the 6-hr. program, more students stated that they planned to avoid having sex until marriage (70%) than prior to the program (50%). Replication with a control group and longer term follow-up testing is necessary.

Adolescent↗
PubMed1999

Measuring social responsiveness of medical schools: a case study from Thailand.

Thailand has 13 medical schools, one of which is private. Graduates of the 12 government medical schools must provide service in rural areas for three years after graduation. The Chulalongkorn University Faculty of Medicine (Chulalongkorn Medical School) pursues social responsibility in various ways. For example, it has multiple tracks for student admission, includes a curricular track designed to produce doctors for rural areas, has revised curriculum to make it more relevant to social needs, chooses clinical teaching sites with such needs in mind, and works closely with relevant institutions in the government and elsewhere. Until recently, Thai medical schools evaluated their social responsiveness informally. This evaluation has become much more systematic, however, since 1996, when the Ministry of University Affairs issued policies and guidelines for quality assurance in higher education. As a member of the International Working Party for Measuring the Social Accountability of Medical Schools, Chulalongkorn Medical School recently used the social accountability grid to help assess its performance. It found its social responsiveness to be outstanding in the educational domain, fair in the research domain, and good in the service domain.

Curriculum↗
PubMed1968

The effects of reinforcement on the modification, maintenance, and generalization of social responses of mental patients.

Social greeting responses of three withdrawn, chronic schizophrenics were experimentally modified. Initially, none of the subjects spoke to an experimenter. Prompts and cigarette reinforcement were employed to produce increases in the rates of greetings. Then, the prompts were faded so that the greetings came under the control of the presence of the experimenter. Reversal and subsequent reinforcement procedures were employed to demonstrate that the responses were controlled by their consequences. Next, the schedule of cigarette reinforcement was leaned out so that greetings continued to occur in the absence of cigarette reinforcement. However, low or zero rates of greetings occurred in the presence of a second experimenter. Five new experimenters employed the prompting, fading, reinforcement, and schedule-leaning procedures. Subsequently, all subjects emitted appropriately high rates of greetings in the presence of the second experimenter. Without further application of the experimental procedures, greetings were still occurring in the presence of both the first and second experimenters almost three months later.

Journal Article↗
PubMed2004

Developing cultural competence and social responsibility in preclinical dental students.

Dental student development of cultural competence and social responsibility is recognized by educators as an important element in the overall shaping of minds and attitudes of modem dental practitioners. Yet training modalities to achieve these competencies are not clearly defined, and outcome measurements are elusive. This article shows an effective method to meet these desired outcomes. Sixty-one freshmen (class of 2005) participated in forty hours of nondental community service, and reflective journals were completed by the end of second year. Competency outcomes were measured by selecting key words and phrases found in the individual journals. Key phrases were related to compassion, righteousness, propriety, and wisdom. Also, phrases had to be accompanied by written indications of direct program causation. The combination of active-learning (based upon service learning models) in public health settings outside of the dental realm, accompanied by reflective journaling, enhanced cultural understanding and community spirit in the majority of students.

Clinical Competence↗
PubMed2006

Developing an explicit strategy towards social responsibility in the NHS: a case for including NHS managers in this strategy.

PURPOSE: To explore the concept of corporate social responsibility (CSR) within the UK National Health Service (NHS) and to examine how it may be developed to positively influence the psyche, behaviour and performance of NHS managers. DESIGN/METHODOLOGY/APPROACH: Primary research based upon semi-structured individual face to face interviews with 20 NHS managers. Theoretical frameworks and concepts relating to organisational culture and CSR are drawn upon to discuss the findings. FINDINGS: The NHS managers see themselves as being driven by altruistic core values. However, they feel that the public does not believe that they share the altruistic NHS value system. RESEARCH LIMITATIONS/IMPLICATIONS: The study is based on a relatively small sample of NHS managers working exclusively in London and may not necessarily represent the views of managers either London-wide or nation-wide. PRACTICAL IMPLICATIONS: It is suggested that an explicit recognition by the NHS of the socially responsible commitment of its managers within its CSR strategy would help challenge the existing negative public image of NHS managers and in turn improve the managers' self esteem and morale. ORIGINALITY/VALUE: This paper addresses the relative lacunae in research relating to public sector organisations (such as the NHS) explicitly including the role and commitment of its staff within the way it publicises its CSR strategy. This paper would be of interest to a wide readership including public sector and NHS policy formulators, NHS practitioners, academics and students.

Administrative Personnel↗