Work-injuries and Invalidism in Migrant Families: A Systems View**

Australia has a large non-English speaking industrial work force, with a significant incidence of chronic invalidism following work accidents. Health Services are relatively ineffective in preventing this and often only seem to amplify the problem. The destructive interactions that occur between the accident victim and his family, and health and legal services are described. The phases of this social process, termed the “Accident Victim Syndrome”, are outlined. The implications for effective intervention, for the role in family therapy, and for health care delivery in general are discussed.     

The legacy of Tom Andersen: The ethics of reflecting processes

Tom Andersen and his pioneering work with reflecting conservations has had a lasting influence on the field of family therapy and mental health more broadly. Most family therapists are familiar with his contributions related to reflecting teams; however, fewer are familiar with his conceptualization of reflecting processes, which offer practical ways to approach therapeutic conversations to address challenging problems. This article provides a brief history of Andersen's career and reviews four key elements of his approach, including: (a) his way of being in relationship, (b) appropriately unusual comments, (c) inner and outer dialogs, and (d) ethics of dialogical relating. Finally, this article introduces readers to the context of the video that will be analyzed in the articles that follow in this special section.     

Is occupational stress associated with work engagement ?

The occupational stress is associated with dissatisfaction, excessive demand at work and personal factors. Those factors can reduce work performance and can predispose workers to various diseases. Workers' health may be protected if there is encouragement to face challenges, which may lessen the impact on psychological and somatic stress and thus have greater personal and professional satisfaction. The aim of this study was to evaluate the association between occupational stress and work engagement. Participated in this study 457 male and female workers of a metallurgical industry. Subjects answered personal data, and the Job Stress Scale and Utrecht Work Engagement Scale were applied. Results showed an association between occupational stress and work engagement (P=0,001). The way the individual deals with his frustrations, or rather the work engagement, is associated with the occupational stress.     

Body Dysmorphic Disorder and Its Significance to Social Work

Body dysmorphic disorder (BDD) is a relatively common and often severe psychiatric disorder in which an individual has an excessive preoccupation with an imagined or slight defect in his or her appearance (American Psychiatric Association in Diagnostic and statistical manual of mental disorders. American Psychiatric Association, Washington, 2000). Despite its prevalence in the United States and worldwide, many health care and mental health professionals, including social workers, are unfamiliar with BDD. In fact, BDD is virtually absent from the social work literature and no authors or researchers have considered BDD from a social work perspective. The purpose of this article is to inform social workers about the seriousness, prevalence and treatment challenges of BDD, and to highlight its significance to social work practice and research. A clinical case presentation illustrates an example of how BDD may present in practice and the value of addressing it from a biopsychosocial perspective.     

Culture,the 'sick role' and the consumption of health

This paper revisits Parsons's conception of the 'sick role' and examines the relevance of his writings on the cultural understanding of sickness to the consumption of health in the contemporary era. In terms of current developments, I focus on the development of pro-active approaches towards the healthy body, and the growth of 'information rich' consumers of health care. These have become prominent themes in sociology, and while Parsons's writings are usually viewed as anachronistic I argue they remain highly pertinent to understanding the emergence of informed, body conscious lay people. If Parsons's analysis of health is more relevant to current circumstances than many critics assume, however, it is not unproblematic. The residual categories associated with the sick role obscure the continued utility of his work on the general cultural values informing health care. It is Parsons's analysis of these values, I suggest, that needs rescuing from restricted understandings of the sick role and highlighting as an important resource for contemporary theorists.     

Premature Return to School following a Psychotic Episode

Abstract

A college mental health service professional often finds that a student who has had an episode of psychiatric illness is eager to return to fulltime status before he or she seems ready for this undertaking. The mental health professional may advise that the student stay out of school for a longer period, but often this advice is rejected.

Approaches to dealing with the problem of return to school following an academic leave prompted by a psychotic episode include the requirement that the student maintain a minimum time out of school and be in treatment during the attempt to return to academic life. The assessment of a student's psychological status at the time of a proposed return often raises the problem of dual agency. Although the college mental health professional is apt to place a high value on maximizing the student's chances of having things work out to his or her liking, the administrator to whom the mental health professional is ultimately responsible is probably inclined to place the needs and well-being of the campus community above those of the student seeking to return.

While the proposed return of a student to academic work following a psychotic episode poses many difficult questions, considerable experience is available to aid in the task of those charged with making this decision. The authors propose two helpful approaches.     

Robert W. Cox and the Idea of History: Political Economy as Philosophy

Abstract

Within the discipline of international political economy (IPE), the work of Robert Cox is usually associated with the tradition of historical materialism, especially its Gramscian-inspired version. In this paper, however, I explore some of the less visible elements of Cox's thought. In particular, I highlight a variant of historicism which, although not without a connection to Gramsci's conception of the philosophy of praxis and absolute historicism, is more fully aligned with the work of Collingwood, Vico, Braudel, and Carr. I identify this as a variant of historical idealism, and I suggest that it is this element of his thought which provides a deep intellectual coherence to his work across the different stages of his career. Furthermore, I argue that this use of the idea of history distinguishes Cox's approach from more radical and constructivist accounts of world order, and allows him to connect his framework of historical structures to his method of diachronic change, which centres ultimately on his conception of intersubjectivity. I close by suggesting that Cox's interest in civilizations is deeply connected to these formative historicist influences, which in turn helps to account for why his later work resonates less well with much contemporary historical materialist IPE analysis.     

The Origins of Sociability

Reading this latest work of Bowlby's gives us a sense of completing an inevitable circle. Here he deals fully with what has always really been his core concern—the nature of the child's tie to his mother. We associate his work, however, mainly with the rupture of that tie. His fruitful work on separation of mother and child, with its only partly intended results in the care of sick and separated children, has materially affected the work of other researchers and practitioners. In the interim between the publication of his famous monograph, “Maternal Care and Mental Health” and this new book, we have had from him and many others increasingly refined analyses of the effects of maternal deprivation on children of various ages and in various situations. In fact the literature was becoming too large and repetitive for the ordinary practitioner.     

Stress and Safety for Gay Men at Work Within Masculinized Industries

Lesbians and gay men still have concerns related to being openly gay at work and maintaining health and wellness. A gay man working within a masculinized industry (historically male-dominated and higher risk, with an emphasis on authority and masculinity) may have additional concerns that are augmented by the nature of his work and related to maintaining safety and reducing stress experienced on the job. The purpose of this article is to examine some of the safety and stress concerns gay men in these industries may face. Fictional, composite cases—derived from relevant news stories and literature published in academic journals—were analyzed through a guided inquiry process based loosely on Riessman's (1993) narrative evaluation. Discussion and implications focus on policies, practices, and future directions for research that may help to ameliorate some of the issues faced by gay men at work within masculinized industries.     

The assessment of functional work capacity in the South African mining industry

Overall physical work fitness is a prerequisite in numerous industries. Apart from improved productivity, it remains fundamental with regards to the maintenance of good health and safety. To address worker fitness in the mining industry, AngloGold Ashanti and Anglo Platinum Mining Houses developed a Functional Work Capacity (FWC) test battery. The FWC test battery consists of 19 work simulations representing the required functional work capacity to cope with all types of physical work tasks and work environments in the mining industry. This assessment tool is not only used to evaluate injured or medically affected workers for alternative placement but also to ensure that the new employee is placed in a job matching his physical capacity. This paper reviews the design process and application of the FWC test battery in the mining industry.     

Problems of the Healthy Lifestyle Discourse

Strategies for the prevention of disease and the promotion of health have a long history of individual-level interventions with the promotion of ‘healthy lifestyles’ being the primary target. The focus at an individual level devoid of social context has provoked a sociological critique of the prevailing healthy lifestyle discourse. This critique emphasises the social causes of health-related attitudes and behaviours in society, and the ideology of individual responsibility and ‘victim blaming’ that an individualist approach entails. At the same time, the prevailing notion of ‘health’ has been scrutinised within the framework of health promotion stressing a definition emphasising well-being and quality of life. This ‘positive’ definition of health broadens the possible reach of ‘healthy lifestyles’. Theoretical models emphasising structural aspects of the lifestyle construct have been produced. In this article, it is argued that while these models are based on the work of Bourdieu and his concept of habitus, they nevertheless overlook the importance of power and symbolic dominance in relation to the construction of ‘healthy’ and the understanding of lifestyles.     

Study of postures in sugarcane cutters in the Pontal of Paranapanema-SP, Brazil

The expansion of sugarcane monoculture in Brazil in the last decades has pointed out to the necessity of considering the question of sugarcane cutters occupational health. In this work we present a cross-sectional study aiming to examine the occupational posture of a group of sugarcane cutters, which work in a cane field located in the region of Pontal do Paranapanema- SP, Brazil. The study was made using the Ergonomic Analysis of Work - EAW methodology and the postural analysis method by Win-OWAS. Through the obtained records of postures, it was observed that during a workday the sugarcane cutters remain standing erect on two legs or in one leg 66% of the time and that their trunk remain tilted and in rotation, according to 63% of the positions categorized. It was also observed that the sugarcane cutter trunk performs repetitive and boundless movements during his routine of work, which can expose this individual to additional wear of their musculoskeletal functions. The activities in which the individual engages have favorable or adverse influence on his posture. The repetitive movements involved in specialized occupations are equivalent to repeated exercises, thus may be responsible for the excessive development of certain muscle groups. The study suggests that the postures adopted by sugarcane cutters can overload their musculoskeletal system and predispose the cutters to work-related musculoskeletal diseases.     

Putting Adam Ferguson in his place

This paper re-conceptualizes the relationship between Ferguson's life and work by locating him in his biographical and geographical context for the purposes of better understanding his proto-sociological writings. Ferguson's work is relatively unknown outside limited sets of literature and current representations of the link between his life and work risk misplacing him as both Scotsman and sociologist. The popular portrayal suggests there is a strong connection between his Highland background and his famous book An Essay on the History of Civil Society. It will be argued that this claim reproduces the social construction of space in Scottish society and is based on stereotypical views of his birthplace and upbringing. Ferguson did not construct an autobiographical narrative to offer his own understanding of the link between his life and work. This reflects the strengths and weaknesses of sociology as it was developing in the eighteenth century. The 'self' was not recognized as an object of intention or symbolic construction. Ferguson's writings analysed modernity as it was emerging in eighteenth-century Lowland Scotland and contrary to common opinion, there was no self-identity as a Highlander to shape his understanding of that social process.     

THE PROBLEM OF TEMPORALITY IN THE WORK OF GEORG SIMMEL

While Georg Simmel's work is predominantly recognized as contributing to the formal analysis of social interaction and temporally is an issue not conceived of as a feature of his work, formal analysis is not incompatible with a temporal approach to the study of social life. This article discusses issues of temporality as they appeared in the work of Georg Simmel by first presenting some general comments about his work and its status within the discipline, as well as some problems present in his writings that contribute to confusion regarding his views on temporality as well as formal sociology itself. Next, his views on temporality as they relate to his dualistic perspective are discussed. This is followed by a discussion of his evolutionary epistemology, which is also relevant to the issue of temporality in his work. In conclusion, the ways in which Simmel's view of temporality could enhance current sociological inquiry are discussed.     

The Science of Practice and the Practice of Science: Pierre Bourdieu and the History of Science

Pierre Bourdieu is one of the most celebrated and widely known French sociologists of his time. During his long and very productive career, Bourdieu worked not only on very diverse areas of sociology, such as art, religion, the legal system, and education, but also on the culture of the Kabyle, on the marriage strategies of bachelors in Southern France, and on the sociology of the French intellectuals of his era. However, despite his international influence, his work has remained virtually unutilized within most contemporary historiography of science. This article aims to fill this lacuna. After a short presentation of his main theoretical concepts, I discuss Bourdieu's work on scientific practice. I then present his more historically oriented work and finish by suggesting some ways Bourdieu's insights can be useful for history of science.     

Talking about sexual identity with older men

How do social workers begin to talk about sexual identity when conducting assessments with older men? This paper focuses on work with older gay men and highlights the importance of talking about sexual identity in order to prevent it being rendered invisible. While there may be some risks associated with openly identifying as gay, such as homophobic violence, being open about one's sexuality is important for maintaining self-esteem and mental health. Despite the obstacles facing social workers in talking to older men about their sexual identity, it is essential that they do not ignore this aspect of people's lives. Therefore it is important that social workers open themselves up to the possibility that an older man might be gay or bisexual and help construct environments that enable the disclosure of this aspect of his identity.     

‘His Complete History’? Revisioning,Recreating and Reimagining Multiple Lives in Frederick Douglass's Life and Times (1881, 1892)

Frederick Douglass's final autobiography, Life and Times of Frederick Douglass, remains a critically neglected work. On first glance, the Frederick Douglass of editions of this work published in the 1880s and 1890s seems to be a million miles away from the fiery, charismatic radical of the 1840s and 1850s. Probe deeper, however, and continuities remain vis-à-vis Douglass's commitment to literary experimentation in radical recreations, representations and reimaginations of an ever shifting and even contradictory public selfhood. Thus, Douglass's final work performs the deflating but fascinating work of a magician seeming to reveal the secret of his trick as he provides his readers with a self-reflexive, hybrid work in which he refuses to shy away from the ambiguities and ambivalences of his multiple existences.     

Briefly Noted

Last week, Safehouse, a Philadelphia nonprofit that will open a supervised injection site in the city (see ADAW, Oct. 15, 2018), has hired an executive director, Jeanette Bowles, Ph.D. According to radio station WHYY, Bowles will help with fundraising and finding a site. “I believe in it so much,” Bowles said. “We see this working in other places, and the evidence supports it so strongly, that we don't have progress in public health without some controversy and scrutiny accompanying it.” Whether the Department of Justice will allow the site to operate remains unclear. “I've joined the team that respectfully disagrees with the Justice Department,” Bowles said. “Sitting in the office and doing the work separate from the community has never been my approach or style,” she said. “Being embedded with the community and developing those relationships and having my feet on the ground has always been most important to me. That's how the best public health work is done, through building bridges with community members.” Bowles earned a bachelor's degree from Temple University; obtained his master's in social work from the University of Pennsylvania; did postdoctoral work at the University of California, San Diego; and for her Drexel dissertation focused on opioid overdoses in the Kensington section of Philadelphia. The city, in giving the go‐ahead for the injection facility, said it would have to be run by a private nongovernmental entity.     

Jim

Abstract

Jim is a sixty-two year-old married man who was preparing for retirement. He was changing his work hours from a typical forty to fifty hour work week to approximately twenty hours a week for this final year of employment before retiring. He was planning to use this last year of employment also to prepare to separate and divorce from his wife of thirty-seven years in order that he could live his retirement years in a gay lifestyle.     

Illuminating Clinical Supervision—Past,Present and Future: An Interview with Dr. Lawrence Shulman

In an interview with Dr. Lawrence Shulman, he presents his insights on clinical supervision from a social work and interdisciplinary perspective. Dr. Shulman is a luminary in social work and interdisciplinary supervision, developing the Interactional Model of Supervision. In reflecting on his career in social work research, education, and practice, he shares his thoughts regarding the importance of process-oriented supervision as a needed focus for research and practice. Supportive of integrating art and science in social work practice, he offers his perspectives on the current state of supervision in the evidence-based era.