From communist control to glasnost and back?: Media freedom and control in the former Soviet Union

The last decade has seen dramatic changes in Eastern Europe and the former Soviet Union: the end of the Cold War with the West; the loosening of the Soviet Union's hold on part of Germany; movements for independence by regions in the USSR; and the public rejection of Communism by Czechoslovakia, Hungary, and Poland, as well as by key leaders within the Soviet Union. Radical changes in political philosophy have been accompanied by transformations in mass media communication.These changes are inextricably linked to how public relations is practiced in these nations, many of which are attempting, to varying degrees, to adopt a democratic system of government. This article frames the role of public relations in a self-governing society; discusses three environmental factors that affect the practice of socially responsible public relations, reviews the historical media philosophy of Eastern Europe and the former Soviet Union; and examines examples of media practice that have occurred during the region's transformation and their implications for media freedom and independence, and for the practice of public relations.     

Designing home care benefits: the range of options and experience

This article presents a framework identifying important home care benefit design decisions and reviews existing designs that have been adopted in practice. Four basic designs were identified, based on a review of 55 home care benefits drawn from public programs in the United States and foreign countries, and from private long-term care insurance policies in the United States. Three of these designs-service entitlements, managed-service benefits, and cash disability allowances--have each been adopted by public programs in the United States and abroad, and by private insurance policies in the United States. A fourth design--individualized cash benefits--has been adopted in only one experimental program. The designs observed in practice are remarkably varied, providing evidence that many alternative designs are feasible. Experimentation, particularly with cash disability allowances, is needed to determine the relative costs and benefits of various designs.     

Culture and classification: A history of the Mozbieker community at the cape

This paper reviews the concept of race as applied in southern Africa, and with particular reference to the idea of the “Negro”. After examining earlier work in the field of physical anthropology, more recent theoretical concepts are applied in a critique of modern practice. It is concluded that the revolution in physical anthropological theory has been largely “silent”, with the consequence that new ideas have not been systematically applied in archaeology. It would seem that there is little firm, and still acceptable, evidence for the identity of early farming communities in southern Africa.     

The Fourth Industrial Revolution: Issues and Implications for Career Research and Practice

The accelerating digitization and automation of work, known as the 4th industrial revolution, will have an enormous impact on individuals’ career experiences. Yet, the academic literature in vocational psychology and career research has been remarkably silent on this trend so far. This article summarizes some of the most important issues of the 4th industrial revolution as they pertain to career development. The author then critically reviews how current models and frameworks of career development are suitable for addressing these emerging issues. Opportunities for future career development research and practice are outlined.     

When “citizenship is indispensable to the practice of a profession”: Citizenship Requirements for Entry to Practise Professions in Canada

This paper explores citizenship requirements for entry to practice regulated professions historically in four Canadian provinces. It reviews how common citizenship restrictions have been in Canadian professions, when and where they were implemented, and what rationales were provided for these restrictions. Findings provide support for both Weberian social closure theory which sees such restrictions as the product of professional lobbying, and state‐centred explanations which hold that states regulate professions to facilitate governance. Many citizenship restrictions were historically implemented by state actors. The decline of citizenship restrictions reflects not only changing social attitudes, but changes in state‐profession relations in Canada.     

MSM's Versus Health Care Providers’ Perceptions of Barriers to Uptake of HIV/AIDS-Related Interventions: Systematic Review and Meta-Synthesis of Qualitative and Quantitative Evidence

ABSTRACT

To compare the perceptions of men who have sex with men (MSM) and health care providers (HCPs) on barriers to uptake of HIV/AIDS-related interventions using existing quantitative and qualitative data. Systematic review and meta-synthesis was employed to combine data from both groups. Based on studies focusing on MSM and HCPs, knowledge about the intervention and intervention's cost emerged as major barriers to uptake whereas HIV- or homosexuality-related stigma/discrimination was a barrier in studies focusing on MSM alone. Lack of practice guidelines was barrier among HCPs only. Few studies exist that focus on perceptions of barriers by HCPs.     

On the Project of Using Psychoanalytic Ideas in Systemic Therapy: A Discussion Paper*

Recently in Australian and New Zealand systemic therapy forums, there has been a tentative renewal of interest in psychoanalytic thinking. These local discussions have tended to reference psychoanalytic ideas as part of the struggle to understand emotional experience, and the therapy relationship. This paper reviews the patterns in these discussions, and then considers the wider context of the appearance of this interest in terms of the history and development of systemic theory. Some tentative comments are made about the project of using psychoanalytic ideas in systemic theory and practice.     

Transitional Youth Services: Practice Implications from a Systematic Review

Independent living programs have emerged as the primary intervention to address the needs of foster youth transitioning out of care. Prior reviews of independent living programs have focused on implications for research and policy, but not on direct practice. In order to create effective independent living programs, direct service workers must be provided with concrete practice guidelines for providing effective independent living services. This article summarizes 19 studies on independent living and provides evidence-based implications for each in an effort to begin to fill the gap between research, policy and practice.     

The Diagnosis of Mental Disorders in Clinical Social Work: A Review of Standards of Care

Licensed to diagnose and treat mental disorders, clinical social workers have begun to develop and practice professional standards commensurate with their status as the nation’s largest provider of mental health care. Against the backdrop of malpractice claims and awards, this paper reviews the extant standards promulgated by our professional organizations, regulatory bodies, health-insurance and managed-care entities, and the courts to synthesize standards of care for the diagnosis of mental disorders. The limited available evidence suggests that clinical social workers merit congratulations and concern as we rise to the challenge of addressing those standards in education and practice.     

The Revitalization of Community Practice: Characteristics,Competencies, and Curricula for Community-Based Services

Abstract

A recent move toward community-based services on the part of direct service agencies presents a major opportunity for the revitalization of community practice. Driven by funding from major philanthropic foundations and also by recent changes in federal entitlement legislation, these efforts at system reform are designed to make services for vulnerable populations more effective, accessible, integrated, and comprehensive in the context of the local community. Although this service reorganization requires the type of methods typically found in community practice, direct service workers employed in these agencies usually have not been trained in community work. To begin to address this concern, this article uses a computerized word search to review the community practice and community organization literature. A working definition of “community-based” practice is developed. The extensive literature review yields six characteristics of community-based service delivery: (1) neighborhood-based and family-focused; (2) strengths- and empowerment-oriented; (3) cultural sensitivity and multi-cultural competency; (4) comprehensive services; (5) access to integrated services and supports; and (6) teamwork and leadership skills. The article reviews what scholars have recommended in each of these areas as a way of understanding the characteristics of community-based service delivery and the skills needed by direct practitioners working in community-based programs. The article summarizes innovative curricula and specific courses which demonstrate ways of teaching community skills to direct practice workers. Future work for community practice scholars and educators is recommended.     

Medical management of perimenopausal menorrhagia: an evidence-based approach

About one-third of women report heavy menstrual bleeding at some time in their lives. Menstrual blood loss increases with age. Menorrhagia is usually defined as heavy but regular menstrual bleeding of over 80 ml/cycle. Complaints of menorrhagia are common. Several medical therapies are suitable for perimenopausal women with either regular or irregular heavy bleeding. The most effective is intrauterine levonorgestrel. Other options are oral progestogens, the combined oral contraceptive pill, tranexamic acid, mefenamic acid, danazol and gonadotrophin-releasing hormone (GnRH) analogues. Systematic reviews and randomized controlled trials are discussed.     

Three Voices: Reflections on Homophobia and Heterosexism in Social Work Education

This article reviews recent developments in interprofessional learning in health and social care with a view to identifying the strengths and weaknesses of current initiatives in this area. As the emphasis increases on interprofessional working as a central pillar of intervention across the social work and health professions, corresponding moves have been made to incorporate parallel learning objectives in curriculum guidance issued by accrediting bodies such as the General Social Care Council and the General Medical Council. It is important, however, not to take the assumed benefits of this development as a ‘given’, or to oversimplify the task of turning high‐level aspirations into practically achievable and pedagogically effective learning experiences. This article therefore gives an account of one attempt to deliver realistic and worthwhile practice‐based interprofessional learning opportunities. The development, implementation and evaluation phases of this initiative are considered in order to draw out the key messages as to the strengths and potential shortcomings of this model, and the positive messages for good practice we believe we can offer.     

The Changing Environment of Adoption Practice: Focus on Intercountry Adoption to the United States

This article reviews the history of domestic and international adoption, examines international agreements and U.S. statutes that govern intercountry adoption, and assesses the current landscape of adoption agency practice, with major emphasis on the United States. The article focuses specifically on environmental factors that have driven change in both practice and policy concerning international adoption. The theoretical lens of population ecology offers a helpful perspective on the demographic and cultural trends that have transformed adoption and adoption agencies, particularly as they shifted toward international placements beginning in the mid-twentieth century.     

Partnership with parents in planning the care of their children

Working in partnership with parents is a guiding principle of the Children Act. This principle is made more concrete through specific requirements of the Act, such as those relating to care plans and reviews for children looked after by the local authority. This article examines the extent to which working in partnership with parents has been translated into practice, using some of the findings from a major research evaluation of child care planning under the Children Act.     

An Exploration of Common Elements in Dialectical Behavior Therapy,Mentalization Based Treatment and Transference Focused Psychotherapy in the Treatment of Borderline Personality Disorder

A number of leading practice models have been found to be effective in the treatment of Borderline Personality Disorder (BPD). These include Dialectical Behavior Therapy, Transference Focused Psychotherapy and Mentalization Based Treatment. This article reviews the current evidence for these dominant practice models, and concludes that no single treatment has been found to be consistently superior in the treatment of BPD. Given the lack of evidence priviledging one single model of treatment, and the fact that it is not always feasible or desirable for social workers to practice using pure manualized treatment models, there is a need to develop more integrative approaches to treatment with this vulnerable population. By highlighting specific similarities and differences between practice techniques, this paper attempts to pave the way toward developing a more integrative treatment approach to working with individuals with BPD, an approach where interventions are selected based on appraisal of the evidence, clinical expertise, and client need.     

When Is Research Good Evidence? Issues in Reading Research

Although using published research is only one part of the evidence-based practice process, clinical social workers more often doubt their abilities in this area than in client assessment or in the individualizing of treatment approaches to fit client preferences, values and resources. This article reviews the nature of research and the reason it is often a preferred source of information; common flaws to watch for in published research; types of research studies and how different kinds of studies are viewed by those interested in treatment outcome research; and the elements of a published research report that must be considered when deciding on its usefulness for decision-making about practice. It will also include discussion of the controversies that surround these topics, which are significant. While readers will have been introduced to these topics in their professional education, when knowledge is not used it is often not well-remembered. Few clinicians find that reading, assessing, or conducting research is part of their daily work, which is one reason why the discussion of evidence-based practice and other approaches to the use of research in clinical practice can be anxiety-provoking. This “refresher” emphasizes that critical thinking skills, which clinicians often have in abundance, are the single most important element in using research to inform practice.     

On ‘problems and solutions’. The reproduction of problems for rural communities in Britain during the 1980s

Rural studies have long taken an interest in the problems besetting rural people, and in the ways in which these problems have been addressed by policy-makers. This paper briefly reviews the conventional analyses of problems and policy solutions in rural Britain during the 1980s and also raises the question of how rural researchers should regard the ‘problematic’ in these contexts. The move from regarding problems as the result of the structuring of opportunities to regarding them as a far more complex set of experiences and reactions to changing social, economic, political and cultural practices, raises interesting issues about the nature of power in rural lifestyles. It is argued that existing interpretative discourses of rural problems should be augmented by further study of problematic experiences relating to social constructions of belonging, feeling welcome, and cultural competence, and that the interconnected nature of power in politics, practice and discursive expectations about rural lifestyles will be an important subject for future research on these issues.     

Practice teaching and knowledge

This paper asserts that levels of knowledge about practice teaching are low. It briefly reviews three areas; ideologies and paradigms of practice teaching, development of new structural arrangements and the processes of teaching and learning as experienced by students and practice teachers. An agenda for future inquiry is suggested.     

Brief Family Therapy: A Critique of Kinston and Bentovim

There has been a growing interest in the use of brief family therapy with children. Despite this increased interest, research into the effectiveness of this approach appears to have lagged behind clinical practice. The present paper critically reviews a study by Kinston and Bentovim (1978) which could be viewed as typical in the area of brief family therapy. Analysis of Kinston and Bentovim's investigation revealed serious methodological deficiencies and raised some important clinical issues in brief family therapy studies. These include the importance of training in family therapy, the use of a consistent theoretical framework, and flexibility in the application of techniques. On the basis of this review, recommendations are made that future investigations of brief family therapy follow the guidelines necessary for valid psychotherapy research.     

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.