Exploration of Racial Enactments in an Interracial Therapeutic Dyad to Foster the Strengthening of Voice and Identity in African American Male Adolescents

The purpose of this paper is to examine the impact of systemic racism on an interracial therapeutic dyad between a white therapist and an African American adolescent male. Leary (2000 Leary, K. (2000). Racial enactments in dynamic treatment. Psychoanalytic Dialogues, 10(4), 639–653. doi:10.1080/10481881009348573[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) operationalized the term “racial enactments” and made the important point that its “most common” manifestation “has been our relative silence about racial issues” (p. 647). It is the premise of this paper that the youth of color’s subjective experience of racial microaggressions and assaults experienced on a daily basis must be validated and explored prior to a meaningful intersubjective exploration in the clinical encounter. The emphasis in this paper is on the racial enactment that precedes the clinical encounter. A treatment vignette is used to highlight the intersection of social and psychic spheres of human experience and how an awareness of unconscious bias in the therapist can facilitate a more meaningful dialogue in which priority is given to the emergence of a powerful client narrative voice.     

Attitudes Toward Women in Health Care Organizations: A Turkish Case Study

Abstract

The aim of this article is to examine the health care employees’ attitudes toward women in health care organizations in Turkey. It was measured using a 25-item scale by Spence, Helmreich, and Stapp (1973 Spence, J. T., Helmreich, R., & Stapp, J. (1973). A short version of the Attitudes toward Women Scale (AWS). Bulletin of the Psychonomic Society, 2(4), 219–220. doi:10.3758/BF03329252[Crossref] , [Google Scholar]). The study was conducted on 541 employees: 279 males and 262 females. Structural equation model (SEM) was applied to analyze the relationship between gender, marital status, and income and attitudes toward woman. The result of this analysis showed that the relations between gender, marital status, and income and attitudes toward woman were statistically significant. All three hypotheses were statistically supported. This result indicated that employees’ marital status and (monthly) income significantly predicted their scores of attitudes toward woman in a positive direction. Besides, employees’ gender significantly predicted their scores of attitudes toward woman in an inverse direction. Future research can focus on investigating the effects of the attitudes toward women on other elements (e.g., performance, motivation, job satisfaction) or a wider sample to reach more generalized results.     

An additive representation on the product of complete,continuous extensive structures

This article develops an axiom system to justify an additive representation for a preference relation \({\succsim}\) on the product \({\prod_{i=1}^{n}A_{i}}\) of extensive structures. The axiom system is basically similar to the n-component (n ≥ 3) additive conjoint structure, but the independence axiom is weakened in the system. That is, the axiom exclusively requires the independence of the order for each of single factors from fixed levels of the other factors. The introduction of a concatenation operation on each factor A _i makes it possible to yield a special type of restricted solvability, i.e., additive solvability and the usual cancellation on \({\prod_{i=1}^{n}A_{i}}\). In addition, the assumption of continuity and completeness for A _i implies a stronger type of solvability on A _i . The additive solvability, cancellation, and stronger solvability axioms allow the weakened independence to be effective enough in constructing the additive representation.     

Subgame perfect equilibrium in a bargaining model with deterministic procedures

Two players, A and B, bargain to divide a perfectly divisible pie. In a bargaining model with constant discount factors, \(\delta _A\) and \(\delta _B\), we extend Rubinstein (Econometrica 50:97–110, 1982)’s alternating offers procedure to more general deterministic procedures, so that any player in any period can be the proposer. We show that each bargaining game with a deterministic procedure has a unique subgame perfect equilibrium (SPE) payoff outcome, which is efficient. Conversely, each efficient division of the pie can be supported as an SPE outcome by some procedure if \(\delta _A+\delta _B\ge 1\), while almost no division can ever be supported in SPE if \(\delta _A+\delta _B < 1\).     

Conditional expected utility

Let \({\mathcal {E}}\) be a class of events. Conditionally Expected Utility decision makers are decision makers whose conditional preferences \(\succsim _{E}\), \(E\in {\mathcal {E}}\), satisfy the axioms of Subjective Expected Utility (SEU) theory. We extend the notion of unconditional preference that is conditionally EU to unconditional preferences that are not necessarily SEU. We study a subclass of these preferences, namely those that satisfy dynamic consistency. We give a representation theorem, and show that these preferences are Invariant Bi-separable in the sense of Ghirardato et al. (Journal of Economic Theory 118:133–173, 2004). We also show that these preferences have only a trivial overlap with the class of Choquet Expected Utility preferences, but there are plenty of preferences of the \(\alpha \)-Maxmin Expected Utility type that satisfy our assumptions. We identify several concrete settings where our results could be applied. Finally, we consider the special case where the unconditional preference is itself SEU, and compare our results with those of Fishburn (Econometrica 41:1–25, 1973).     

Grief and Trauma Group Therapy for Children After Hurricane Katrina

Theoretical and evidence-based group therapy models that address the interplay of grief and trauma are needed for children postdisaster. This article describes a theoretically informed 10-week grief and trauma group model that was evaluated with children in schools after Hurricane Katrina. The foundation of the grief and trauma intervention includes utilizing developmentally specific methods, an ecological perspective, and culturally relevant approaches. The theoretical ordering of themes addressed occurs within three overlapping phases: (1) resilience and safety, (2) restorative retelling, (3) and reconnecting (Herman, 1997 Herman, J. L. 1997. Trauma and recovery, New York: Basic Books.  [Google Scholar]; Rynearson, 2001 Rynearson, R. 2001. Retelling violent death, Philadelphia: Brunner-Routledge.  [Google Scholar]). Techniques from cognitive behavioral therapy and narrative therapy are combined to address loss and trauma.     

Mixed-Status Families and Immigration Interior Enforcement Policies: Effects on Clinical Practice and the Intraethnic Therapeutic Dyad

ABSTRACT

This article explores the sociopolitical and intersubjective enactments that unfolded when working with a mixed-status immigrant family facing parental deportation. Through the integration of a sociopolitical and intersubjective conceptualization, dynamics pertaining to inclusion, exclusion, domination, and subjugation are examined. The psychological exploration of the clinical treatment is guided by Altman’s (2010 Altman, N. (2010). The analyst in the inner city: Race, class and culture through a psychoanalytic lens (2nd ed.). New York, NY: Routledge. [Google Scholar]) three-person psychology and Stolorow’s (1991 Stolorow, R. D. (1991). The intersubjective context of intrapsychic experience: A decade of psychoanalytic inquiry. Psychoanalytic Inquiry, 11, 171–184. doi:10.1080/07351699109533850[Taylor & Francis Online], [Web of Science ®] , [Google Scholar], 1993 Stolorow, R. D. (1993). Chapter 3 thoughts on the nature and therapeutic action of psychoanalytic interpretation. Progress in Self-Psychology, 9, 31–43. [Google Scholar]) theory of intersubjectivity. The analysis also incorporates dynamics pertaining to the ethnocultural transference and countertranference (Comas-Díaz & Jacobsen, 1991 Comas-Díaz, L., & Jacobsen, F. M. (1991). Ethnocultural transference and countertransference in the therapeutic dyad. American Journal of Orthopsychiatry, 61(3), 392–402. doi:10.1037/h0079267[Crossref], [PubMed], [Web of Science ®] , [Google Scholar], 1995 Comas-Díaz, L., & Jacobsen, F. M. (1995). The therapist of color and the white patient dyad: Contradictions and recognitions. Cultural Diversity and Mental Health, 1(2), 93–106. doi:10.1037/1099-9809.1.2.93[Crossref], [PubMed] , [Google Scholar]) and to associative identification processes (Shonfeld-Ringer, 2000 Shonfeld-Ringer, S. (2000). Close encounters: Exclusion and marginalization as an intersubjective experience. Smith College Studies in Social Work, 71(1), 51–59.[Taylor & Francis Online], [Web of Science ®] , [Google Scholar]). The case illustrates how dynamics of racialization, embedded within an increasingly White Nativist, ideological deportation immigration context, infiltrated the intraethnic, therapeutic relational encounter. The therapist took part in an intragroup, racialized reenactment that could have led to the therapist becoming part of the oppressive structure, but the therapist avoided doing so, explaining her internal process for rectifying the situation.     

Open-Ended and Open-Door Treatment Groups for Young People with Mental Illness

The concept of open-ended groups is expanded to include an open-door model (OEOD) wherein members with severe mental illnesses, including schizophrenia disorders and bipolar, can join, leave, and reenter groups as their life circumstances dictate their availability and willingness for treatment. This model is grounded on the work of Schopler and Galinsky's (1984/2006 Schopler, J. H. and Galinsky, M. J. 2006. Meeting practice needs: Conceptualizing the open-ended group. Social Work with Groups, 28(3): 49–68. (Original work published 1984) [Google Scholar]) and Galinsky and Schopler's (1989 Galinsky, M. and Schopler, J. 1989. Developmental patterns in open-ended groups. Social Work with Groups, 12(2): 99–114. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar]) theses on the value and processes of open-ended groups and includes perspectives on mutual aid and group development. Groupwork with the OEOD format is illustrated with examples taken from a group of 79 participants diagnosed with first-episode schizophrenia/schizoaffective disorders, 40 of whom had cooccurring substance abuse. Of the 79 participants in the OEOD group program, 70 (89%) remained in treatment for the maximum of 3 years. The overall value of group treatment for this population is reviewed along with the small number of available publications on open-ended and open-door type groups.     

An Exploration of Mental Health Literacy Among African American Clergy

ABSTRACT

The purpose of this qualitative study was to explore African American clergy's mental health literacy with older congregants 60 years of age and older. Using a grounded theory approach, we recruited a purposive sample of 9 African American clergy representing diverse ages, denominations, locales, and educational levels. Data was coded and classified according to Kevin's (1976) Kevin, R. C. 1976. Factors influencing the judgment and referral of mental health presenting problems by clergymen and psychologists, Unpublished doctoral dissertation: University of Texas, Austin.  [Google Scholar] typology of pastoral counseling and Jorm et al.'s (1997) Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B. and Pollitt, P. 1997. “Mental health literacy”: A survey of the public's ability to recognize mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia, 166: 182–186. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar] conceptual model of mental health literacy. Findings from data analysis revealed study respondents were adherents of Kevin's Religious–Community (R–C) model. Additionally, the following themes emerged: loss of cognitive functioning, psychosocial stressors, religiosity, and appreciation for professional assistance, cultural barriers, and key informants/familiarity with formal mental health providers which partially maps onto Jorm et al.'s conceptual model of mental health literacy.     

Stepwise Psychosocial Palliative Care: A New Approach to the Treatment of Posttraumatic Stress Disorder at the End of Life

Although evidence-based therapies for Posttraumatic Stress Disorder (PTSD) exist for physically healthy populations, these often do not adequately address PTSD in dying patients. Particularly because these interventions require 8–16 weekly sessions, and the median stay in U.S. hospices is 17.5 days (National Hospice and Palliative Care Organization [NHPCO], 2015 National Hospice &; Palliative Care Organization (NHPCO). (2015). NHPCO Facts and figures: Hospice care in America. Retrieved from http://www.nhpco.org/sites/default/files/public/Statistics_Research/2015_Facts_Figures.pdf. [Google Scholar]), there is a potentially serious timing mismatch. Moreover, these treatments may temporarily increase trauma symptoms (Nishith, Resick, &; Griffin, 2002 Nishith, P., Resick, P. A., &; Griffin, M. G. (2002). Pattern of change in prolonged exposure and cognitive-processing therapy for female rape victims with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 70, 880–886. doi:10.1037//0022-006x.70.4.880[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]), resulting in some patients dying in greater distress than had they not received care. The Stepwise Psychosocial Palliative Care (SPPC) model presented in this article compensates for these difficulties by embracing a palliative care approach to PTSD. Although it utilizes techniques drawn from existing PTSD interventions, these are re-ordered and utilized in a time-responsive, patient-centered manner that takes into account prognosis, fatigue, and logistical concerns. The SPPC approach is further considered with respect to existing social work palliative care competencies (Gwyther et al., 2005 Gwyther, L. P., Altilio, T., Blacker, S., Christ, G., Csikai, E. L., Hooyman, N., … Howe, J. (2005). Social work competencies in palliative and end-of-life care. Journal of Social Work in End-of-Life &; Palliative Care, 1, 87–120. doi:10.1300/j457v01n01_06[Taylor &; Francis Online] , [Google Scholar]) and a case study is used to demonstrate its application.     

Fostering Integrity in Postgraduate Research: An Evidence-Based Policy and Support Framework

Postgraduate research students have a unique position in the debate on integrity in research as students and novice researchers. To assess how far policies for integrity in postgraduate research meet the needs of students as “research trainees,” we reviewed online policies for integrity in postgraduate research at nine particular Australian universities against the Australian Code for Responsible Conduct of Research (the Code) and the five core elements of exemplary academic integrity policy identified by Bretag et al. (2011 Bretag, T., Mahmud, S., Wallace, M., Walker, R., Green, M., East, J., James, C., McGowan, U. and Partridge, L. 2011. Core elements of exemplary academic integrity policy in Australian higher education. International Journal for Educational Integrity, 7: 3–12.  [Google Scholar]), i.e., access, approach, responsibility, detail, and support. We found inconsistency with the Code in the definition of research misconduct and a lack of adequate detail and support. Based on our analysis, previous research, and the literature, we propose a framework for policy and support for postgraduate research that encompasses a consistent and educative approach to integrity maintained across the university at all levels of scholarship and for all stakeholders.     

A Culturally Competent Family Enhancement and Empowerment Model for African American Parents

The National Association of Social Worker's Standards for Cultural Competence (2002 National Association of Social Workers. 2002. NASW standards for cultural competence in social work practice, Washington, DC: Author.  [Google Scholar]) mandates social work practices that recognize the cultural preferences of different groups in the United States. The NASW Code of Ethic (1996 National Association of Social Workers. 1996. Code of ethics, Washington, DC: NASW Press.  [Google Scholar]) states that social workers have a responsibility to understand culture and its function and to further recognize the strengths that exist in all cultures. This article addresses the void in the social work literature on culturally based and strengths‐oriented family interventions for African American parents. The article describes a culturally competent intervention model developed by the MAAT Center for Human and Organizational Enhancement, Inc. in Washington, D.C. for parents of African American male youths who live in high‐risk environments. The family enhancement and empowerment model (FEEM) is based on Africentric social work principles that are grounded in a strengths perspective. The article describes the FEEM program, including a discussion of practical strategies for building trust and offering support to African American parents and families.     

What Anonymous can tell us about the relationship between virtual community structure and participatory form

As a decentralised virtual community, Anonymous has been characterised by its oppositional tendencies. Helped by a collective persona and horizontal management structure, Anonymous has facilitated a myriad of differentiated agenda. However, we can observe a distinct change in its participatory form over time. So, while Anonymous, more broadly, functions as a virtual community, its means of engagement has shifted from a social movement to a decentralised cell network. This article explores the relationship between these changes, and its evolution as a virtual community. Drawing upon Iriberri and Leroy’s [(2009 Iriberri, A., and G. Leroy. 2009. “A Life-Cycle Perspective on Online Community Success.” ACM Computing Surveys (CSUR) 41 (2): 1–29. doi: 10.1145/1459352.1459356[Crossref], [Web of Science ®] , [Google Scholar]) “A Life-Cycle Perspective on Online Community Success.” ACM Computing Surveys (CSUR) 41 (2): 1–29] life cycle framework, the article maps Anonymous’ development and identifies the structural changes that have led to this transformation in its modes of participation.     

Academic Affiliations of Social Work Journal Article Authors from 1999–2003: A Productivity Analysis from the United Kingdom

ABSTRACT

Following the protocols established by Ligon, Jackson, and Thyer (2007), author affiliations of 639 articles published in five UK social work journals between 1999 and 2003 were tabulated to generate a ranking of universities. Seventy-three universities published three or more articles. The findings are discussed in relation to the earlier article by Ligon et al. (2007) Ligon, J., Jackson, D. L. and Thyer, B. 2007. Academic affiliations of social work journal article authors from 1993–2003: A productivity analysis spanning 25 years of social work scholarship. Journal of Social Service Research, 33(2): 13–20. [Taylor & Francis Online] , [Google Scholar]. It is argued that a globalized approach to the analysis of the productivity of social work academics should be developed. A first step might be the integration of the U.S. and UK productivity analysis for relevant years.     

The Psychotherapeutic Dimensions of Clinical Case Management with a Combat Veteran

This article addresses the overlapping dimensions of clinical case management and psychotherapy. The theoretical framework that is used as the basis of analysis is drawn from the work of D. W. and Clare Winnicott. Kanter has more than adequately demonstrated that these two authors were extremely knowledgeable about clinical case management and psychotherapy. The conclusion of the paper agrees with D. W. Winnicott (1961 Winnicott, D. W. 1961. “Varieties of psychotherapy.”. In Home is where we start from: Essays by a psychoanalyst, Edited by: Winnicott, C, Shepherd, R and Davis, M. 101–111. New York: Norton.  [Google Scholar]) who defined clinical case management as a variety of psychotherapy. The shared psychotherapeutic dimensions of clinical case management are identified as a focus on human development, the importance of the facilitating/holding environment and issues related to transference and countertransference.