Evidence‐Based Treatment

This polemic argues that evidence‐based treatment is only one important consideration when deciding a therapeutic program. The exclusive use of evidence‐based therapy would be detrimental to the development of better psychotherapy. Evidence‐based therapy has an important part to play in the future of psychotherapy. It employs scientific and statistical procedures rigorously. This article is not intended to argue against its use, only to point to the dangers of an evidence‐based dictatorship in which financial and insurance imperatives will force us into using such therapies exclusively. This situation would stifle creativity and the individuality of both the therapist and the client.     

How Does Family Policy ‘Work’? Job Context,Flexibility, and Maternity Leave Policy

Using evidence from Canada and the United States, I review the literature on workplace flexibility and one‐size‐fits‐all federal maternity leave policy as it relates to maternal job context. The literature suggests that job variation is central to accessing work–family policy due to differences in job characteristics, demands, and overriding workplace norms. As a result, the opportunities for and consequences of flexibility and leave vary significantly between high and low wage employment contexts. Accordingly, the evidence suggests that policy development would benefit from taking job context into account.     

Practice‐based Research Networks: Opportunities in Family Therapy?

I would like to continue the discussion of practice‐based research networks (PBRNs). I will provide more detail on what I mean by PBRNs and describe some of the features of existing networks. I will argue that research networks could be a valuable tool for family therapists. But, I also point out that the establishment of the mechanisms and culture necessary for PBRNs to function effectively takes considerable commitment from clinicians and their professional organisations. I will also remount my hobbyhorse and give a more specific account of my thoughts about the use of the internet to provide the necessary infrastructure for these networks.     

The Generality—Specificity Issue in Infants' Emotion Responses: A Comment on Bennett,Bendersky, and Lewis (2002)

Bennett, Bendersky, and Lewis (2002) highlighted a need for revision, or at least clarification, of aspects of differential emotions theory (DET) that relate to the development of facial expressions of discrete emotions. Their article reveals a need for a better theoretical integration of propositions about the emergence of discrete emotions, the generality and flexibility of emotion responding, and issue of specificity in event‐emotion relations. Bennett et al. tested and partly disconfirmed a hard version of an event‐emotion hypothesis that predicts a specific discrete emotion expression for a specific stimulus at a particular age (4 months). They noted that some statements of DET supported their hypothesis, whereas others did not. I clarify the relevant theoretical issues and formulate a soft hypothesis of event‐emotion relations. I suggest methodological changes that may prove necessary to verify or disconfirm hypotheses relating to infants' capacity to encode a specific discrete emotion expression at a given age.     

Editorial

In this paper I shall provide a self‐reflective account of the development of a psychoanalytic psychotherapy service for the parents and carers of children considered to be at risk of abuse or neglect by social workers or child mental health professionals. I will discuss some of my thinking in setting up such a service and the difficulties, both clinical and operational, that I have encountered. I will draw tentative conclusions about the effectiveness of once‐weekly psychotherapy for parents in protecting their children from harm and promoting their development. I will illustrate the difficulties and my conclusions with clinical material.     

From the Islamic Republic to the Green Movement: Social Movements in Contemporary Iran

The Islamic Revolution of 1979, the student protests of 1999, and the Iranian Green Movement are among the most important social movements in contemporary Iran. This tumultuous history makes Iran a prime candidate for any analysis of social movements and collective action. However, a comprehensive assessment of the relationship between studies of Iranian social movements and the larger literature on collective behavior and social movements is yet to be conducted. I divide the literature on Iranian social movements between works focusing on the Islamic Revolution and those addressing movements in post‐revolutionary Iran with a focus on the Iranian Green Movement and point out the major foci of each category. Analyses of the Islamic Revolution mostly emphasize the role of grievances, political opportunities, and Shi'a ideology. Works on post‐revolutionary movements are mainly concerned with analyzing the role of political opportunities and internet and communication technologies. Overall, studies of Iranian social movements seem to be moving towards more connection with and application of mainstream theories of social movements. Nevertheless, I identify four areas with room for improvement: (a) a continuous connection to and dialogue with the mainstream literature on collective behavior and social movements; (b) an emphasis on the use of cutting‐edge analytic techniques, especially quantitative ones; (c) increasing the number of studies that address issue‐specific social movements such as the women's and LGBT rights or environmental movements; and (d) conducting more comparative studies on Iran and a variety of different societies. In addition, I suggest that the scholarship on social movements in contemporary Iran can benefit studies of social movements in general by testing and modifying theories in a sociopolitical setting that is different from where they originally focused on.     

Shadow employment in post-transition—Is informal employment a matter of choice or no choice in Poland?

According to a dualistic view, shadow employment may follow from two main labour market failures: (i) official market labour taxation distortions make it ineffective for some agents to engage in registered employment due to a tax wedge; or (ii) for some workers regular employment may be unattainable do to some high access costs or demand constraints, which results in seeking earning opportunities beyond the boundaries of the official labour market. Whereas in the first case revenues from unofficial employment should be higher than the corresponding official ones (tax evasion hypothesis), in the alternative explanation labour market tightness seems to be an underlying reason (market segmentation hypothesis).We use a unique data set from a survey on undeclared employment from Poland. Using propensity score matching and decomposition techniques we demonstrate that workers of shadow economy are characterised by slightly higher endowments, while their revenues are considerably lower than among matched official economy counterparts. Although unobservable heterogeneity is considerable, results are robust. Although this is not direct evidence, we believe these results point to the labour market segmentation hypothesis and endangerment with social exclusion.     

Determining the skills for child protection practice: emerging from the quagmire!

This paper, the second in a series of two, presents and analyses the results of an extended literature review undertaken for a Master's dissertation, the purpose of which was to establish the evidence base for the learning and teaching of skills for child protection practice. The review, discussed in the previous paper, was carried out in two stages. An initial search yielded a very small number of studies of direct relevance but they provided the trigger and the key words for a second search. Many potentially useful areas had to be omitted from the second stage because of limited resources, but the two stages in the search generated large amounts of material, much of which was indirectly relevant to child protection practice. The review did not achieve the original aim of determining skills that are identified through research and other evidence as being essential for child protection practice, but it was possible to draw some conclusions. For example, evidence was found of the importance of a range of communication skills, whether these be child focused, carer focused or inter‐professional. Skills in managing conflict and challenge were found to be crucial, with the importance of role clarification being acknowledged. There was some evidence of the use of decision‐making skills and problem‐solving skills, but little research that explored procedural skills. This paper reports on gaps in the literature identified by the review, and indicates where further research would be beneficial. Copyright © 2009 John Wiley & Sons, Ltd.     

The growth of psychoanalytic developmental psychology and the application of technique

The growth of ego psychology theory from Freud to the present has stimulated interest in the development of special techniques of a psychotherapy based on that theory—techniques that have evolved from but are different than those of psychoanalysis proper. Modifications in technical procedures address themselves to developmental failures rather than the resolution of the oedipal conflict. The newer concept of the borderline diagnostic category is understood in terms of the contributions of Kernberg and the Blancks, particularly as it is integrated with Mahler's developmental theory. Clinical examples are presented of some specific techniques of what is now called psychoanalytic developmental psychology.     

STABILIZATION POLICY: A RECONSIDERATION

Should stabilization policy be a macroeconomic priority? Most central banks consider it a goal, but Robert Lucas has contended that policies to stabilize output, even if effective, yield negligible welfare gains. This article critiques Lucas's argument. Existing literature suggests nontrivial benefits from stabilization due to nonlinearity of the social welfare function and of the short‐run Phillips curve. Our analysis and examination of the evidence from periods of prolonged high unemployment also suggest further significant gains to stabilization since the “accelerationist” hypothesis does not seem to hold in times of very low inflation. (JEL E61, E63)     

Mapping social and environmental concerns and the acceptability of genetically modified organisms in the European Union

Simultaneous conflicting attitudes towards an object make both predicting and explaining behaviour a complex endeavour. This paper explores the hypothesis of social ambivalence (so called as well or approach-avoidance conflict) as a phenomenon influencing attitudes towards the environmental effects of the introduction of GMOs (Genetic Modified Organisms). If social ambivalence exists it would be suggestive of an interplay between rational models or behaviour and normative or moral models of behaviour. This paper provides some quantitative analysis based on a representative sample of the European Union, using unique data from the Eurobarometer 58.0 (2002) examining public perceptions of environmental risks. Our findings suggest that GMOs are perceived as having a non-neutral impact on the environmental and social life and that as hypothesized there is evidence of social ambivalence, which appears to be more significant when environmental effects of GM foods are taken into account. Consistently with the hypothesis of interplay between rational and normative models of behaviour, respondents perceive some risks while benefits are not perceived by the public and moral concerns regarding technologies being developed by international corporations are important. A specific type of social ambivalence is found, namely GMO are not accepted for Europeans but they are in less developed countries.     

Curative fictions: The ‘narrative cure’ in Judith Herman's trauma and recovery and Chantal Chawaf's Le Manteau noir

Abstract

The possibility of a so‐called ‘narrative cure’, whereby a survivor of traumatic experience can begin to deal with her past through integrating it into narrative, has become central both to psychotherapy and to literary criticism on writings of trauma as a means of ethical, ‘truthful’ testimony and of healing. This article seeks to question the correlation between testimony and ‘cure’ through analysing the function of the ‘narrative cure’ in a psychotherapeutic text and in a literary text. This highlights how any notion of ‘truthful’ testimony is always underwritten by fiction, which raises crucial ethical questions about the relation between fiction and ‘truth’, testimony and ‘cure’ and psychotherapy and literature. I argue that the ‘narrative cure’ is not a privileged space of curative ‘truth’, but a point of tension between memory and amnesia and between ‘truth’ and fiction; it is precisely this tension, I suggest, which should characterize and structure interdisciplinary responses to trauma.     

When Less is More: Lessons from 25 Years of Attempting to Maximize the Effect of Each (and Often Only) Therapeutic Encounter

The three main findings of studies conducted by Hoyt, Rosenbaum, and myself during the years 1986–1990 at the Kaiser Permanente Medical Group, were

• 1 . Single session is the most common length of psychotherapy.
• 2 . The first session in psychotherapy is potentially the most therapeutic and often has the greatest influence on the outcome of therapy.
• 3 . Single session therapy (SST) is the most cost‐effective mode of therapy.

The fact that less is very often better in psychotherapy is by now one of the most validated and consistent findings in evidence‐based psychotherapy research. We now think of it as a very common, very useful way of conducting therapy, employing many different approaches and methods to address a wide range of presenting problems. In retrospect, 25 years later, I believe that the essence of single session therapy is still about being present in each and every session as a whole. The goal has always been to make the most of every therapeutic session, whether seeing a client only once or over a long period of time. In a personal communication in 1978, Haley (in Talmon, 1990) predicted that a ‘single interview could become the standard for estimating how long and how successful therapy should be.’ This article explains why it didn't happen.     

Overrating or Dismissing the Value of Evidence-Based Practice: Consequences for Clinical Practice

Current implementation of the evidence based practice (EBP) model in social work has focused on empirical evidence from efficacy studies, with far less attention to practitioner judgment and client values. Among many clinical social workers the opposite is often true: clinical judgment supersedes the use of scientifically tested techniques. Clinicians may reject EBP as coming out of narrowly focused, possibly irrelevant research, and adherents of EBP run the risk of discounting psychotherapy techniques derived from practice experience or the vast diversity of client situations—both positions threaten our effectiveness. Reasserting clinical judgment and the centrality of clients’ experience into EBP, while enhancing traditional psychotherapy with strong treatment-effectiveness evidence, will improve clinical social work practice, especially in addressing the wide array of human problems and suffering that clients present, especially in the context of globalization and cultural diversity.     

Canadian Fossil Capitalism,Corporate Strategy,and Post‐Carbon Futures

This study investigates the relationship between the carbon extractive sector in Canada and renewable energy development. Specifically, it examines the strategies employed by Canadian carbon‐capital firms to shape and control alternative energy and considers if we are witnessing signs of “transition capture” as some oil, gas, and coal firms invest in a gradual shift toward “climate capitalism.” I investigate first, investments by large Canada‐based fossil fuel companies in renewable energy and second, interlocking directorate relations between the fossil fuel sector and the renewables industry. Findings suggest the possibility of a long‐term strategic orientation toward a climate capitalist model of development by some carbon‐capital firms; however, this alignment remains highly tentative, with evidence pointing to an industry that is largely without plans for energy transition.     

Inclusive Financial Markets: Is Transformation Under Way in Kenya?

Policy emphasis on financial‐sector development has shifted away from microfinance and towards the development of ‘inclusive financial markets’. But, for inclusion to take place, policy must address barriers to access. This article analyses the socio‐economic, demographic and geographical factors associated with financial‐service use across formal, semi‐formal and informal financial services in Kenya between 2006 and 2009, including the new and rapidly growing mobile‐phone‐based payments service – M‐PESA. It finds that, despite an expansion of services, evidence of access barriers is now clearer than it was in 2006. However, there is some evidence that M‐PESA is reversing age as a barrier to inclusion, but, as yet, it is more of a complement than a substitute for formal services.     

What's Wrong with Subjectivity Anyway?

In this paper I look at the current trend toward positivism in the practice of psychotherapy. I use the term psychotherapy throughout, to remind family therapist readers that the problem is not ours alone. I offer a brief, critical literature review. I suggest that the trend towards positivism offers little of therapeutic value and compromises the ethical practice of psychotherapy. The origins of the trend lie in economic rationalism (demonstrated by the sorry state of the profession in the USA), philosophical error (the belief in certain knowledge) and a misplaced faith in method (simple algorithms exist that can transcend even the most complex circumstances). I dispute the validity of these influences and draw upon David Smail's suggestion that the pursuit of objectivity is an attempt to avoid the awkward necessity of making moral judgements. In the last section of the paper I briefly examine a philosophical framework that could serve as a guide to the subjective practice of psychotherapy and I offer a simple subjective metaphor drawn from a work of literary criticism.     

Research: AA is better pathway to abstinence than psychotherapy

Alcoholics Anonymous (AA) is the best way to get to abstinence, according to a comprehensive literature review published last week in the Cochrane Database of Systematic Reviews. The study, “Alcoholics Anonymous and other 12‐step programs for alcohol use disorder” evaluates 35 studies and shows that AA was almost always more effective than psychotherapy in achieving alcohol abstinence, and that it was also less expensive. According to co‐author Keith Humphreys, Ph.D., professor of psychiatry and behavioral sciences at the Stanford University School of Medicine, the reason AA works is the social interaction. “If you want to change your behavior, find some other people who are trying to make the same change,” he said.