Inducing fertility change

This paper explores the inducement of fertility change in situations where actual fertility levels do not coincide with socially optimal fertility levels. The motivating example is that of higher than socially optimal levels of fertility in LDCs, but the approach is equally applicable to contexts of lower than socially optimal levels of fertility in DCs. The paper proposes a prisoner's dilemma characterization of higher than socially optimal levels of fertility in LDCs and offers a resolution of the dilemma, and hence a possible route to fertility-reduction policies, through the generation of mutual altruism. The prisoner's dilemma characterization hinges on the assumption that there is some social sharing of the costs associated with a given level of fertility but less or none with respect to the benefits. The mutual altruism solution depends on representing an agent's preferences as a specific convex combination of his/her and the other agent's original utilities. The unique critical level of such altruism is identified and hence a stopping rule is provided. Several examples from the array of extensions and possible implications of this approach are discussed briefly.     

Hidden Agendas in Beratungs-und Veränderungsprozessen

Consulting and organization development claim to boost the client organization’s efficiency — this official goal is frequently foiled by hidden agendas which are not officially communicated. Hidden functions of consulting are to prove to the management’s legitimacy, to explain the failure of change processes, to strengthen the initator’s position in internal power struggles or to relieve the system from conflict. On the consultants’ side there is a tension between professionalism on one side and the necessity to secure follow-up projects and to sell standard products on the other side. The authors present possible interpretations for such hidden agendas and illustrate them with case studies from their practical experience as consultants.     

The development of a reliable change index and cutoff score for the SCORE-15

The Systemic Clinical Outcome and Routine Evaluation version 15 (SCORE-15) is a measure used to assess family-level change in family therapy. The SCORE-15 has been demonstrated to be a reliable and valid measure, with high clinical utility; however, the SCORE-15 lacks the ability to determine whether the change in family functioning during the course of therapy is clinically significant. This study aimed to establish a reliable change index (RCI) and clinical cutoff score so that researchers and clinicians can determine clinically significant change in family therapy. US samples of 71 clinical participants and 244 community participants completed the SCORE-15. Results indicated a cutoff score of 40.37 and an RCI of 9.52. Consequently, family members who improve their SCORE-15 score during the course of therapy by at least 9 points and who cross the threshold of 40 during the course of therapy are considered to have experienced clinically significant change.     

What to expect physiologically when you're expecting couples in therapy: A Changing Hearts and Minds in relationshiPS (CHAMPS) descriptive study

Recent efforts to improve marital therapy interventions have begun investigating psychophysiologic processes in therapy. These studies are novel and represent initial investigations into relevant phenomena associated with the therapy process. Grounded in Polyvagal Theory, this study introduces an on-going multimethod couple therapy process research (CHAMPS) and highlights the importance of establishing norms among distressed couples in therapy, which can provide context for other studies' results and instigate further investigation of physiology in marital therapy. Using a sample of 24 married, heterosexual couples (N = 48), we examine trends in markers of sympathetic (SNS) and parasympathetic nervous system (PNS) functioning; namely, electrodermal activity (SNS), cardiac impedence (SNS), and respiratory sinus arrhythmia (PNS) before and during therapy sessions and shifts in these measures over the course of four therapy sessions. We discuss clinical implications and provide recommendations for further investigations.     

Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations

Despite strong indications of elevated risk of suicidal behavior in lesbian, gay, bisexual, and transgender people, limited attention has been given to research, interventions or suicide prevention programs targeting these populations. This article is a culmination of a three-year effort by an expert panel to address the need for better understanding of suicidal behavior and suicide risk in sexual minority populations, and stimulate the development of needed prevention strategies, interventions and policy changes. This article summarizes existing research findings, and makes recommendations for addressing knowledge gaps and applying current knowledge to relevant areas of suicide prevention practice.