Disrupting Power and Privilege in Couples Therapy

Power disparities underlie many of the issues that couples bring for therapy. People in relationships are not equal; often one partner is systematically conferred unearned advantage and dominance. This article synthesizes results from three qualitative research studies to propose a social justice approach for clinical practice with couples. Interventions are suggested to keep issues of power and privilege a central focus while addressing the ordinary issues partners present for therapy.

Commentary on Treatment of Infertile Couples Using Reproductive Technologies: A Complex Matrix

The impact of the reproductive technologies upon infertile couples who require them is both ubiquitous and profound. There is a confluence of issues that co-exist for women and men who use reproductive technologies which creates a complex matrix for both the analytically informed social work clinician and those seeking infertility treatment. The unique merger of life stage issues, identity issues, cultural pressures, and responses to the physical and emotional demands of the necessary technologies, serves to amplify the intensity of encounters in this analytic triad. Consideration of attachment theory while utilizing intersubjective systems theory provides a system of treatment which offers comfort and a place to mourn the multiple losses of repetitive failures of attempts to conceive.

Winnicott,Tomkins, and the Psychology of Affect

Donald Winnicott’s work is rather well-known to most clinicians, and many of his concepts––e.g., facilitating environment, spontaneous gesture, going-on-being, impingement, annihilation, True and False Self––are utilized clinically and theoretically. Silvan Tomkins and his colleagues provide a profound understanding of the psychology of affect, and their work furnishes a lens through which Winnicott’s ideas can be further appreciated. The author suggests such an integration is crucial not only to deepening our understanding of Winnicott’s concepts, but also to enhancing the clinical dimension of affect theory. This discussion also has important implications for social work with respect to both treatment issues as well as prevention and early intervention programs.

What is Adult Attachment?

This paper explores the concept of adult attachment. Although attachment theory is now getting a great deal of attention, there is not yet a clear picture of what it means to be attached in adulthood or what the clinical applications of the approach might be. Using Bowlby’s distinctive ethological-evolutionary framework and updating it with findings from neurobiology and attachment research, it is proposed there is an attachment behavioral system that operates throughout the lives of adults and that this changes the way we understand our clients’ distress and carry out psychotherapy.

Myths of Women and Their Reflection in a Therapy Group

One essential dilemma for modern clinical social work involves the relationship between the processes taking place inside the self and the social, cultural, and political developments affecting a person from the outside. The group-analysis approach focuses on four levels of relationships and communication within the group, among others a primordial level of shared myths, archetypical images, and the collective unconscious as an important component of psychotherapy. This article describes group-analysis therapy with women, analyzing a therapeutic process that used social myths to explore the formative institutionalization processes participants had undergone, thereby expanding themselves, growing, and changing.

Clinical Social Worker as Patient Advocate in a Community Mental Health Center

As a profession, social work has always advocated for clients. Yet clinical social work settings often ignore this important aspect of practice. For mental health services in public agencies, patient advocacy is a particularly vital element because these systems are not always responsive to the individual client. The clinical social worker, trained in advocacy, systemic intervention, and psychotherapy, is the professional most qualified to fill this role. The author summarizes the history of advocacy, provides a conceptual framework for the clinical social work advocate, and provides examples from 20 years of experience as a patient advocate in community mental health.

Laugh and the World Laughs with You: An Attachment Perspective on the Meaning of Laughter in Psychotherapy

From infancy laughter is a right-brain-to-right-brain attachment behavior mutually aroused and regulated within the caregiver–infant partnership. Laughter continues to be attachment behavior throughout life with potential for enhancing attachment bonds or for defending against them. Laughter in psychotherapy has primarily been viewed as a discharge phenomena with typical interpretations focused on the humor that elicits the laughter rather than the meaning of the behavior itself. Viewing laughter as attachment behavior in psychotherapy provides the clinician with valuable insight about its meaning and management within the therapeutic relationship.

Therapeutic Ambition,Uncertainty, and Psychotherapy with Heterosexually Married Gay Men: A Short Commentary

A Short Commentary on the article 'Staying Put in the Closet: Examining Clinical Practice and Countertransference Issues in Work with Gay Men Married to Straight Women' by Edward Alessi. The focus is upon countertransference issues, especially therapeutic ambition, in working clinically with heterosexually married gay men. The work of the interpersonal school is emphasized as providing a creative approach to therapeutic ambition with Otto Allen Will's concept of the governing principle of uncertainty.

Engaging Absent Fathers in the Treatment of Children

Absent fathers are often excluded from the treatment of their children for various reasons. They are often marginalized by mothers, and unintentionally excluded by clinicians. Absent fathers are also excluded from treatment in fear that their presence might undermine the competencies of single mothers, which social service agencies serve to empower. This article will discuss the potential benefits of including absent fathers in family therapy, and how to work with them once engaged in treatment.

The Unbearable Fatigue of Compassion: Notes from a Substance Abuse Counselor Who Dreams of Working at Starbuck’s

Current research has determined that a larger percent of social workers and other counselors are affected by PTSD types of symptoms when working with traumatized clients than the general population. While much of this research addresses workers in specific trauma areas like sexual assault centers or child welfare agencies, little specific thought has been given towards the special stress that working with Substance Abuse Disorders (SA) and trauma may present. This paper takes a brief look at the issues of vicarious trauma and compassion fatigue with SA practice and describes future investigation pathways toward this goal.

Attachment Repair in Couples Therapy: A Prototype for Treatment of Intimate Relationships

This paper describes a prototype for the treatment of intimate relationships that takes into account how to evaluate attachment styles in the couple relationship and in psychotherapy, and how to integrate this understanding into clinical practice. It is important for the couple’s therapist to understand attachment, its neurobiological underpinnings, and its origins in early development. Secure attachment in an adult relationship may be challenged if one or both partners have experienced disruption of a primary attachment relationship. The goal of successful treatment is to restore the normative growth of intimacy, empathy, understanding, healthy dependency, and connection.

The Monster Within: Countertransference Reflections on a Gay Adolescent’s Struggle with Sexual Identity

This paper concerns the author’s countertransference reflections on her work with a gay adolescent who identifies with powerfully destructive internal objects, including Hitler and the Monster. The author describes her countertransference inquiry through which she experiences her own potential destructiveness in order to help accommodate her adolescent patient’s rejected and disowned self states.

Effects of International Volunteering and Service: Individual and Institutional Predictors

Despite unprecedented recent expansion of international volunteering and service (IVS), there has been relatively little research on impacts. This paper proposes a conceptual model for impact research based on existing research evidence published in English. The model suggests that outcomes for host communities, volunteers, and sending communities vary depending on individual and institutional attributes and capacity. How institutions structure and leverage individual capacity influences who participates and how they serve, and shapes the impact of volunteer action. The conceptual model provides directions for future research.

Culture and Stigma: Popular Culture and the Case of Comic Books

This paper argues that a better articulated conception of stigma can enhance the analysis of popular culture. Beginning with the work on stigma by Erving Goffman and other scholars, the article contends that the stigma sometimes attached to the production and consumption of popular culture is distinct from the low status associated with certain forms of popular culture. Unlike low status, stigma discredits cultural forms and practitioners often rendering them problematic. This reassessment of stigma is applied and developed further through a study of comic books, showing the various ways stigma can operate in popular culture. The analysis suggests that stigma significantly impeded the evolution of the comic book as an art form, illustrating the potential negative effects of stigma in popular culture.

Efficient nonanthropocentric nature protection

This paper analyzes nature protection by a social planner under different ‘utilitarian’ social welfare functions. For that purpose we construct an integrated model of the economy and the ecosystem with explicit consideration of nonhuman species and with competition between human and nonhuman species for land and prey biomass. We characterize and compare the efficient allocations when social welfare is anthropocentric (only consumers have positive welfare weights), when social welfare is biocentric (only nonhuman species have positive welfare weights) and when social welfare is nonanthropocentric (all species have positive welfare weights). Not surprisingly, biocentric social welfare calls for suspending all economic activities. It is more important, however, that both anthropocentrism and nonanthropocentrism make the case for nature protection through different channels, though. Our analysis suggests that one may dispense with the concept of nonanthropocentric social welfare provided that in the anthropocentric framework the consumers' intrinsic valuation of nature is properly accounted for.

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Sustained Empathic Focus and its Application in the Treatment of Couples

Although all psychoanalytically informed approaches to couples therapy recognize the importance of underlying dynamics, there are important differences in the focus of the treatment. This paper suggests a focus that is based on a self-psychological/intersubjective viewpoint. Two concepts that exemplify this model, a sustained empathic focus and an appreciation of the experience of vulnerability, are discussed and applied to a couples session. What is emphasized in this material is a process of focusing on underlying vulnerability, affect and subjective experience.

What is child care? Lessons from time-use surveys of major English-speaking countries

This paper examines the definition and measurement of time devoted to child care in the diary-based surveys administered by the United States, Canada, Australia, and Great Britain. Detailed analysis of the relationship between measures of care activity and supervisory care in the American Time Use Survey (ATUS) illustrate the larger conceptual issues at stake.

Marketing Models: The Culture of Mathematical Economics

This paper explores the culture in which academic economists work, and tries to show how an appreciation of this culture makes their work more understandable and valuable to mainstream sociology. Economists are not interested in representing reality, but in constructing models that simplify reality to isolate mechanisms that account for observed phenomena. Economists have a distinctive epistemic culture, sustained by the discourse through which they talk and think about their work. This discourse mediates the relationship between the mathematical models they devise and the economic phenomena to which they apply. This study reveals economists' culture based on in-depth interviews with academic economists and an ethnographic study of economic departments in Israel.

Earnings,Effort, and Work Flexibility of Self-Employed Women and Men: The Case of St. Croix County,Wisconsin

Data collected on self-employed women and men in one county allow examination of work effort, housework effort, housework hours, and preference for flexible work on earnings. Regressions indicate housework effort of self-employed women contributes to their lower earnings. Housework hours do not supporting the view women select self-employment to find flexible work. Housework hours do reduce the earnings of self-employed men, which could reflect their stronger commitment to housework combined with less flexible work. A Oaxaca decomposition suggests less tenure and greater housework effort are important contributors to lower earnings of self-employed women. Ranges that measure earnings may contribute to the insignificance of work effort, normalized work effort, and preference for flexible work hours. (J16, J23)

The scoring rules in an endogenous election

Plurality rule is mostly criticized from being capable of choosing an alternative considered as worst by a strict majority. This paper considers elections in which the agenda consists of potential candidates strategically choosing whether or not to enter the election. In this context, we examine the ability of scoring rules to fulfil the Condorcet criterion. We show for the case of three potential candidates that Plurality rule is the only scoring rule that satisfies a version of the Condorcet criterion in two cases: 1) when preferences are single-peaked and, 2) when preferences are single-dipped.

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