美国企业研究所

Untested theories and uncontested ideas have gained a hold in the social sciences with serious ramifications for applied disciplines such as psychotherapy. This paper describes the activist turn that has not only subverted the traditional route of knowledge production, but has also changed the profession’s healing telos into a political one. The consequences for practitioners, trainees and clients have been harmful. Many factors have contributed to cementing this new hegemony in place, but chief amongst them is the silencing of all public critique and debate. We explore the potential for a new political thesis—meta-critical post-progressivism—to provide a means of breaking the silence. As an example, we apply the deconstructive method, suggested by the thesis, to shed light on a specific concept and praxis called ‘decolonial/decolonising therapy’. We conclude that a meta-critical lens reveals the power dynamics intrinsic to this novel form of therapy and that such exposure will help classical clinicians and theorists promote public critical debate and withstand specious accusations of bigotry.

Whether each generation of Americans continues to economically surpass the previous one has recently been called into question. We construct a posttax, posttransfer income measure from 1963 to 2023 based on the Current Population Survey Annual Social and Economic Supplement that allows us to consistently compare the economic well-being of five generations of Americans at ages 36-40. We find that Millennials had a real median household income that was 20% higher than that of the previous generation, a slowdown from the growth rate of the Silent Generation (36%) and Baby Boomers (26%), but similar to that of Generation X (16%). The slowdown for younger generations largely resulted from stalled growth in work hours among women. Progress for Millennials younger than 30 has also remained robust, though largely due to greater reliance on their parents. Additionally, lifetime income gains for younger generations far outweigh their higher educational costs.

Are all forecasters the same? Expectations models incorporating information rigidities typically imply that forecasters are interchangeable, which predicts an absence of systematic patterns in individual forecast behavior. Motivated by this prediction, we examine the European Central Bank's Survey of Professional Forecasters and find, in contrast, that participants display systematic patterns in predictive performance both within and across target variables. Moreover, we document a new result from professional forecast surveys, which is that inter- and intra-forecaster relative predictive performance are strongly linked to the degree of difficulty in the forecasting environment. This insight can inform the ongoing development of expectations models. (c) 2025 International Institute of Forecasters. Published by Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Health policy is undergoing a period of rapid transformation, driven by major health reforms, changing market structures, pharmaceutical policy developments, technological innovation, and evolving models of care delivery. These changes have profound implications for health care access, affordability, quality, and health system sustainability. In this editorial, we identify 10 priority areas for health services and policy research that we believe will shape policy debates and evidence needs in the coming years. These priorities are organized across 5 domains: health care access, coverage, quality and delivery system reform; corporatization and financialization of health care systems; pharmaceutical policy and health services research; international comparisons and cross-national learning; and innovation, technological advancements, and resiliency of health systems. Specific areas we discuss include the effects of the H.R.1 on Medicaid coverage and economic security; the future of Medicare Advantage; the impact of immigration policies on access; the consequences of increasing corporatization of health care; reforms to pharmaceutical pricing; the role of international comparative research; and the implications of precision nutrition, climate-related disruptions, and artificial intelligence for health policy and health system performance. Across these topics, we emphasize the need for rigorous, policy-relevant research that moves beyond descriptive analyses to evaluate mechanisms, implementation, and real-world impacts.

This JAMA Forum discusses staffing and policy changes at the US Food and Drug Administration (FDA) over the past year.