COURSEWORK AND SELF-STUDY IN THE FAMILY TREATMENT OF ALCOHOL AND DRUG ABUSE: EXPANDING HEATH AND ATKINSON'S CURRICULUM

In designing a course on the family treatment of alcohol and drug problems, a number of important issues and topics need to be addressed. A design by Heath and Atkinson (1988) provides an excellent, innovative model for such coverage. These authors, however, had to contend with certain constraints that have had a bearing on the course content and how it is taught. The present paper offers some revisions and alternatives to Heath and Atkinson's model in order to make it generalizable to a greater number of contexts. For clinicians who are less interested in teaching such a course, the two papers, combined, could serve as a guide for self-study in this area.     

HETEROGENOUS COUPLES IN HETEROSEXUAL MARRIAGES: GAY MEN AND STRAIGHT WOMEN*

This article, which is based on in-depth interviews of gay men who had been married, focuses on the nature of the spousal relationship and the almost inevitable marital disruption. It describes the conditions which bring about the man's disclosure of his homosexuality, the means of disclosure he uses, the wife's response, and the interactional effects the disclosure and response have on the marriage relationship. Most of the marriages ended in divorce. Regardless of whether the wife was accepting or rejecting of her husband as a homosexual, she appeared to be an enabler of his transition to a homosexual lifestyle. Implications for counseling are discussed.     

REVISITING THE AGENT OF SOCIAL CONTROL ROLE: IMPLICATIONS FOR SUBSTANCE ABUSE TREATMENT

The agent of social control role and its responsibilities and goals provide an important function in social work practice. Workers in varied positions often combine this role with others that define the profession. Yet in the not too distant past, a debate arose as to whether this role, focusing on promoting and protecting the general welfare of society, could be congruent with also fostering the improved functioning and self‐determination of individual clients. Periodically, this topic emerges to challenge the appropriateness of these dual activities in satisfactorily and equitably serving both constituents.

Within the field of substance abuse, court‐mandated referrals have established a need for practitioners to perform social control tasks to monitor and report clients' compliance with and progress in treatment. This has created a conflict for many who consider their practice to be client‐centered. This article will explore the dilemmas experienced in attempting to simultaneously carry out both roles and the guidance provided from the National Association of Social Workers (NASW) Code of Ethics. In addition, proposed strategies to reduce the duality of difficulties will be summarized.     

THE ROLE OF PARENTS IN THE MAINTENANCE OF SECOND GENERATION VIETNAMESE CULTURAL BEHAVIORS

Although previous research shows that biculturalism is adaptive for the children of immigrants, in the United States there is a great deal of pressure for assimilation. This study examines whether parents who model cultural behaviors and encourage interaction with co-ethnics increase the likelihood that their adult children will engage in cultural behaviors. Data are from a survey of second generation Vietnamese members between the ages of 18 and 30 (N=66) living in Atlanta. Results indicate parents' cultural behaviors (speaking and reading) affect adult children's cultural skills and the ethnic composition of their social networks enhances the likelihood that their children's networks are ethnically based. Moreover, the parents' influence is direct, not mediated by children's social networks. Mothers exert stronger influence than fathers, but respondents' own gender does not predict cultural retention. We discuss results in terms of implications for maintaining ethnic cultures in a context that encourages assimilation.     

REAL WAGE AND EMPLOYMENT UNCERTAINTY AND THE LABOR FORCE PARTICIPATION DECISIONS OF MARRIED WOMEN

This paper argues that an important factor in a married woman's decision to enter the labor force is the degree of uncertainty associated with expectations offuture wages and (husband's) income, and that high levels of uncertainty during the 1970s may have contributed substantially to the growth in participation in that decade. We apply a model of autoregressive conditional heteroskedasticity to aggregate time series data to measure the level of uncertainty in each period. Our estimates support our hypothesis that the level of uncertainty is an important determinant of labor force participation for married women.     

CHILDHOOD SEXUAL ABUSE AND COUPLES' RELATIONSHIPS: FEMALE SURVIVORS' REPORTS IN THERAPY GROUPS

Therapy videotapes from five therapy groups for female child sexual abuse (CSA) survivors were analyzed for emerging themes of couples' difficulties reported by clients. Subsequently, the thematic categories were applied to sessions selected from an additional four groups and then correlated with CSA-specific variables. The two most frequent relationship themes were difficulties with emotional communication or intimacy, and polarized positions on control. Whereas these two themes were correlated with survivors' CSA characteristics, sexual difficulties were correlated with survivors' level of current traumatic symptomatology. Results are discussed in terms of implications for the treatment of CSA survivors and their partners.     

INTERVIEW MODE EFFECTS IN SURVEYS OF DRUG AND ALCOHOL USE: A FIELD EXPERIMENT

This research explores the impact of interview mode on respondents'willingness to reveal illicit or undesirable behavior and mechanismsby which interview mode influences response tendencies. A fieldexperiment was designed to control mode effects due to samplingand screening so that the impact of response anonymity (throughuse of self-administered questionnaires ([SAQs]) and socialdistance in the interviewer-respondent relationship (telephonevs. personal communication) could be tested. Respondents aged18–45 were randomly as-signed to interview mode: telephone,face-to-face, or self-administered. Admission of illicit druguse and alcohol use was most likely in the personal mode withSAQs, slightly less likely in personal mode without SAQs, andleast likely in the telephone mode. The magnitude of the modedifferentials was larger for blacks than for whites, and largeramong respondents who are more mistrustful of others. Resultssupport the notion that response effects due to mode of interviewderive, at least in part, from interview mode differences inability to assuage respondents' confidentiality concerns. Greatersocial distance between interviewer and respondent in the telephoneinterview, compared with face-to-face communication, makes itmore difficult for the researcher to make convincing confidentialityguarantees. The response anonymity provided by SAQs also appearsto increase respondents' willingness to reveal sensitive behavior,especially among racial/ethnic minorities.     

CREATING HEALING RELATIONSHIPS FOR COUPLES DEALING WITH TRAUMA: THE USE OF EMOTIONALLY FOCUSED MARITAL THERAPY

Emotionally focused marital therapy (EFT), a marital therapy that particularly focuses on the creation of secure attachment, has proven in empirical studies to be effective for distressed couples. This paper discusses the application of EFT in couples where one or both of the partners have experienced significant trauma. EFT, in this context of trauma, incorporates the nine steps of conventional EFT and also encompasses the three stages of the "constructivist" self development theory of trauma treatment. This paper illustrates how the integration of EFT and trauma treatement can prove effective in treating not only relationsip distress but also the individual symptoms of posttraumatic stress disorder (PTSD).     

DIVORCE TRANSITIONS: IDENTIFYING RISK AND PROMOTING RESILIENCE FOR CHILDREN AND THEIR PARENTAL RELATIONSHIPS

This paper gives an account of qualitative research linked to clinical work relating to some of the short-term effects of divorce on children within a British perspective. The transitions that accompany divorce and family reordering are shown by many studies in the United States, Australia, and New Zealand as well as in the United Kingdom to have stressful effects for children that can lead to long-term negative outcomes. Other studies have focused on the differential social and family factors that may contribute to the "differences that make a difference" to whether divorce has harmful effects on children. This paper describes clinical intervention into family relationships in divorcing and postdivorce families and suggests some high-risk issues for children. The focus of the work is one promoting long-term connections between parents and children in reordered+ families. Some interactions that may promote resilience in children as well as in their parents are alluded to briefly.     

THE EFFECTS OF SINGLE MOTHERS' WELFARE USE AND EMPLOYMENT DECISIONS ON CHILDREN'S COGNITIVE DEVELOPMENT

We examine the effects of single mothers' welfare use and employment decisions on children's short‐run cognitive development, as measured by their preschool standardized math test scores. We control for three mechanisms through which these decisions might affect children's outcomes: direct monetary benefits, parental time invested in the child, and nonpecuniary benefits from in‐kind transfer programs such as Medicaid. We employ a correction function approach and control for state‐fixed effects to address the endogenous nature of welfare participation and employment decisions. Our estimates suggest that although each additional quarter of either mother's employment or welfare use results in only a small increase in a child's standardized math test score, the total effects after several quarters are sizable. We allow mothers' decisions to have varying effects on attainment by children's observed innate ability and by the intensity of welfare use and employment. A child who has the mean level of observed innate ability with a mother who simultaneously worked and used welfare in all 20 quarters after childbirth experiences an 8.25 standardized‐point increase in standardized scores. The positive impact is more pronounced for the more disadvantaged children, who tend to be born to mothers with low Armed Forces Qualification Test scores, or have lower birth weights. We also examine the effects using timing of employment and welfare use, as well as children's maturity and gender. (JEL I3, J13, J22)     

IN SICKNESS AND IN HEALTH: THE IMPACT OF ILLNESS ON COUPLES' RELATIONSHIPS

When illness or disability strikes a couple's relationship, a number of significant structural and emotional skews are likely. A normative, preventive framework that addresses the special strains on couples can counteract dysfunctional relationship patterns and enhance opportunities for increased intimacy. This paper addresses key issues regarding intimacy and communication and then identifies key skews and treatment priorities to help couples rebalance their relationship. These include skews regarding (a) whose problem it is, (b) boundary issues, (c) patient-caregiver roles, (d) togetherness/separateness, (e) psychosocial recovery, (f) cognitive impairment, (g) gender, (h) sexuality, (i) belief systems, and (j) life cycle. Particular dilemmas for gay and lesbian relationships are noted. Dealing with these skews can promote a couple's resilience in the face of loss     

SEX-DIFFERENCES IN WAGES AND EMPLOYMENT: A TEST OF THE SPECIFIC CAPITAL HYPOTHESIS

This paper investigates the effect of sex-differences in turnover on the wages and employment of women relative to men. Using data from the 1967 Survey of Economic Opportunity, it is estimated that at least two-thirds of the relative wage differential between men and women within occupations is accounted for by sex-differences in turnover and training. In addition, the relative number of women employed in an occupation varies inversely with the amount of on-the-job training, as measured by the rate of wage growth experienced by white males in the occupation. No attempt is made to compute possible biases arising from the interaction between market discrimination and sex-differences in labor force behavior.     

RISK TAKING IN CONTESTS AND THE ROLE OF CARROTS AND STICKS

We study contests in which contestants choose both work effort and the variance of output (risk). Winner-take-all contests generate incentives for contestants to engage in costly risk taking, which is inefficient if the contest organizer values the aggregate output of all contestants. The addition of a penalty for ranking last (retaining a prize for ranking first) enables the organizer to independently control contestants' incentives to exert productive effort and to increase output variance. In this way, the organizer can eliminate risk-seeking behavior in settings where it is wasteful, but also control risk seeking when it is desirable, such as in research tournaments. ( JEL J33, C72)     

INTIMATE JUSTICE: CONFRONTING ISSUES OF ACCOUNTABILITY, RESPECT, AND FREEDOM IN TREATMENT FOR ABUSE AND VIOLENCE

Intimate justice theory is a set of nine interrelated concepts that describe the ethical dimensions of equality, fairness, and care in ongoing partnerships. Understanding ethical dimensions involves examining internalized beliefs and behavior in terms of their motivation and impact on the partner, particularly as they empower, disempower, or abuse power. The concepts of intimate justice theory are applied to confront disempowerment and abuses of power, to challenge internalized beliefs about how one should treat one's partner, to explore how internalized beliefs were developed through experiences in the family of origin, and to develop an awareness of the linkages between intimate partner abuse and social injustice. This article demonstrates how therapists can utilize three of the concepts-accountability, respect, and freedom-to structure the opening phase of treatment for abuse and violence. The primary focus of the opening phase is on establishing accountability for change in the abusive man and protecting the safety of the injured partner. This involves challenging the abuser's sense of entitlement and working to rethink what respect is and restoring freedom to his partner. The discussion incorporates the findings of an exploratory, qualitative study that investigated the experiences of 30 abusive men and their partners who were clients in a university-based counseling clinic. The article elaborates six interventions that can be utilized in clinical settings to structure treatment with abusive men.     

THE ROLE OF TEMPORALITY IN MEDIATED COMMUNICATION AND TECHNOLOGY CONVERGENCE

This article examines two components of temporality that have implications for electronically mediated communication. One is the dichotomy of simultaneous/non-simultaneous communication and then the varying degrees of non-simultaneity that are possible. The other is the fundamental difference between timed and untimed communication. Timed communication is temporally based and sequential, while untimed communication, such as print and still image content, is spatially based. The article argues that there are two fundamental types of mediated communication: communication mediated across time and communication mediated across space. The implications of temporality for both forms of mediated communication are examined in detail. The implications of temporality and mediated communication for multimedia, technology convergence, and research are discussed.     

ABUSE AND VIOLENCE: THE DARK SIDE OF THE FAMILY AN INTRODUCTION

This is a very upsetting topic we are taking on here. It is a dangerous topic. It is polarizing. It is very, very important.     

THE CORRELATES OF HEALTHY FAMILY FUNCTIONING: THE ROLE OF CONSENSUS AND CONFLICT IN THE PRACTICE OF FAMILY THERAPY

The present study explores the relative importance of individual, dyadic and triadic measures of intrafamily functioning in predicting family health. Using self-report data from 78 families, it was found that dyadic measures pertaining to marital quality and parent-child relationships were more powerful predictors than either individual measures of emotional maturity, anxiety, self-esteem or locus of control, or triadic measures of the families' hierarchical alignments. The study also found that while mothers' and fathers' assessments of intrafamily functioning were more important than the childrens' (except for the childrens' view of parent-child relationships), the parents differed in that marital quality was more important to the mothers' evaluations of the family unit while parent-child relationships were more important to the fathers'. Compositely, the findings suggest that family health is a complex multidimensional phenomenon, and that change in a particular dimension of family life may not necessarily be greeted with consensual validation or repudiation by all family members.