Privacy and privilege: Patients', professionals', and the public's rights

Conflict between the individual's right to privacy and the public's right to know is increasing as insurance companies and other third parties are demanding more information about patients and clients and data banks are storing it for retrieval and later use. Social workers are ethically bound to protect the privacy of their relationships with patients and clients and the confidentiality of their communications. But there are situations in which the obligation to society is deemed greater than the individual's right to privacy, and even in states in which their patients' and clients' communications are granted privilege by law, the social worker can be required by law to divulge confidential information or risk being held in contempt of court. This paper will discuss the individual's right to privacy, privilege and its exceptions, and present examples of court decisions related to these issues.     

Social class and social liberalism

The relationship between social class and politics has been a central concern of political sociologists over the years. Recently various scholars have contended that the last twenty years have witnessed the emergence of noneconomic or social issues (e.g., equal rights, personal freedom) and of a middle class liberalism, especially on these social issues. In fact, it was claimed that this privileged radicalism has led to an inversion of the traditional relationship between class and political ideology, as now it is the middle class which is more supportive than the working class of liberal positions on the important social issues of the day. In this paper we subject these claims to a rigorous empirical test using 1973–1982 NORC data. Our findings indicate that there is little support forclass differences in social liberalism, and that most of the apparent differences are due to education. Furthermore, affluence does not have a consistent effect on social liberalism. Finally, we discuss the implications of our analyses for the nature of class differences in American society.     

CSWJ Forum: Is Clinical Social Work a Profession? Preliminary Considerations

Clinical social work, as it currently exists, is rooted in the formation of a professional association which represents the interests of professionals primarily concerned with direct practice. A diverse group of practitioners now describe themselves as clinical social workers, and clinical social work is increasingly being described as a profession. This article reviews the history of professions, and employs commonly accepted sociological criteria to begin to evaluate clinical social work's current standing as a profession.     

Freud's “Anna O.”: Social work's Bertha Pappenheim

The story of Anna O. has loomed large in psychoanalytic history, but few social workers know that the young woman, who was so influential in the development of Freud's thinking, became a pioneer social worker in Germany. The story of the transformation of the troubled young woman, who was actually Joseph Breuer's patient, is the focus of this paper. In addition, some of the facts of the case are discussed as social constructions. Anna O./ Bertha Pappenheim participated in the creation of the talking cure and eventually went on to be a leading feminist, developer of social programs for women, and social reformer.     

An extended formulation of Arrow's theorem for k-social welfare functions

Past studies in social choice theory are generally based on the assumption that any two alternatives must be incompatible. We are concerned with the concept, k-social choice based on the assumption that just k alternatives out of p (1kp–1) are compatible. The purpose of this paper is to show an extended formulation of Arrow's theorem for k-social welfare functions.     

Wilhelm Reich in the alternative therapies and clinical social work

This paper raises questions concerning the use of Wilhelm Reich's discoveries in the alternative therapies as they impinge on clinical social work. Clinical social workers use Reich's theoretical concepts and treatment techniques that come to them second-hand from the alternative therapies. Social work graduate schools appear not to recommend him to students. Reich's theoretical and treatment concepts concerning body or muscular armor and its three-layered structure are discussed. Red and black fascism is related to the secondary layer in discussion of the sociopolitical character. Questions related to orgonomic counseling for social workers are raised and recommendations made for social work to open channels of communication with the American College of Orgonomy.     

Muddying the Waters Does Not Have to Entail Erosion: Ecological Feminist Concerns with Purity

Ecofeminists call attention to the associations that have been made between woman and nature, which can operate as a source of both subjugation and resistance, exploitation, and inspiration. This paper expands upon feminist critiques of purity by phrasing these concerns in an ecological feminist perspective. This theoretical exercise of problematizing the ideal of purity sheds light upon the intersections of human and nonhuman oppression. Preservationist work has tended to employ the logic of purity by focusing on protection of the purity of the wild regions of the earth from the polluting forces of humanity. However, such approaches retain the troublesome nature/culture dualism. The author illustrates how attempts to fragment and radically separate people from the environment can prove to be highly dangerous. She connects the theoretical resistance to purity to the important activist work that is being done to expose environmental racism. Finally, she discusses how muddying the waters and resisting the logic of purity can offer a promising approach to pressing problems revolving around the intersections of human and nonhuman oppression.     

The coming revolution of biotechnology: A critique of Buttel

Frederick Buttel was one of the pioneers in studying the social impacts of biotechnology, claiming originally that it will involve profound changes in social structure. Recently Buttel turned around his argument proposing that, rather than revolutionary, biotechnology is more a substitutionist technological form to be applied to declining sectors of the economy than an epoch-making technology. This paper provides both external and internal critiques of Buttel's new position based on the concept of the third technological revolution, looking at the impact of new technologies as a global and interrelated phenomenon, and not on an individual case-by-case basis. The concluding section suggests the necessity of bringing into the analysis those living in the Third World: 60% of this population lives from agriculture and will be affected by the deployment of agricultural biotechnologies, whether through substitutionism or through totally new products.     

New dimensions of social movements: The high-level waste-siting controversy

This paper argues that the widespread, irreversible, and catastrophic potentials associated with some contemporary genres of grievances make derivative social movements novel in respects different from those emphasized by French, Italian, and German analysts using the concept new social movements. This European concept distinguishes between new and old protests to emphasize significant changes in the nature of the contemporary state or the value systems of its citizens, a distinction that has not been accentuated in the United States. The argument here is that only certain contemporary technology movements are really novel—and for reasons other than those alleged by advocates of the new social movements.     

Regional Religions?: Extending the “Semi-involuntary” Thesis of African-American Religious Participation

This research examines religious affiliation and church attendance among African-Americans in three different regions of the United States to evaluate the thesis that the Black church represents a semi-involuntary institution shaped by historical dynamics of segregation in the rural South. We extend the analyses of others who have found the rural South to have distinctive church participation patterns by examining two nationally representative data sets (the 1972–1996 General Social Surveys and the 1984 National Alcohol Study). We explore both level and type of church attendance of African-Americans, and how patterns differ by region. Further, we refine prior analyses by (1) differentiating between members of historically White and conservative churches from those in the black mainline, (2) examining racial segregation, and (3) focusing on the type of church attendance (rather than just overall level). Ordinary Least Squares (OLS) and logistic regression models support the thesis that the rural South exhibits some distinctive patterns that make the semi-involuntary institution notion a useful concept, although patterns not predicted by the thesis are also found. The semi-involuntary thesis is also used to illuminate some church attendance patterns observed outside the rural South.     

Love and Sex in Constructing Identity Among Men Who Have Sex with Men

Interviews were conducted with 102 Ontario men who have sex with men who identify themselves as gay, bisexual, and not gay, concerning the meanings and satisfactions associated with their sexuality. Sexual discourses of men who identify themselves in different ways reveal some common criteria for placing self and others into the gay category. Gay, in the everyday speech of these men, appears to refer to an elaborated discourse around the potential for emotional involvement and relationships rather than a reference to an essentialized sexuality. Comparison of men who place themselves inside and outside sexual identity categories shows that many find gay identity to be a horizon of increased possibilities, rather than the limitation critiqued by queer theory. These findings are contextualized in recent debates in identity theory.     

Social factors in facial display and communication: A reply to Chovil and others

This paper discusses the Chovil (1991) study, questioning the assumption that the notion of facial display as communication is incompatible with that of facial display as readout of motivational/emotional response. It is argued that (a) the Chovil paper oversimplifies the view of the competition; (b) social factors can facilitateor inhibit expression depending upon the nature of the emotion being expressed and the expressor's personal relationship with the other; and (c) social factors produce strong social emotions, so that any manipulation of sociality must also manipulate emotion.Preparation of this paper was supported in part by NIMH grant MH-40753 to Ross Buck, and by the University of Connecticut Research Foundation.     

Predatory,developmental, and other apparatuses: A comparative political economy perspective on the Third World state

Disappointment over the contributions of Third World state apparatuses to industrial transformation and the increasing intellectual dominance of neoutiliarian paradigms in the social science has made if fashionable to castigate the Third World state as predatory and rent seeking. This paper argues for a more differentiated view, one that connects differences in performance to differences in state structure. The incoherent absolutist domination of the klepto-patrimonial Zairian state are contrasted to the embedded autonomy of the East Asian developmental state. Then the internal structure and external ties of an intermediate state — Brazil — are analyzed in relation to both polar types. The comparative evidence suggests that the efficacy of the developmental state depends on a meritocratic bureaucracy with a strong sense of corporate identity and a dense set of institutionalized links to private elites.     

The Impact of Assessment Procedures on the Relationship between Paper and Pencil and Behavioral Indicators of Social Skill

This study investigated the relationship between paper and pencil measures and molecular behavioral indicators of social skills in three widely used assessment options. A total of 221 students engaged in either a get acquainted or role play interaction, in which they were given instructions and knew they were being observed. A third group engaged in a waiting period interaction, in which they were given no instructions to interact and had no knowledge of being observed. Results showed that subjects in the get acquainted and role play situations scored higher on several measures of social skills than those in the waiting period situation. In addition, there was most variability in the measures of social skills in the waiting period situation. In general, trait measures exhibited poor correspondence with behavioral measures of social skills in all situations. However, state paper and pencil measures of social skills exhibited strong correspondence with behaviors in the waiting period, but not in the get acquainted or role play situations. Implications for the assessment of social communication skills through commonly used assessment procedures are discussed.     

Toward a political economy of crime

Summary As Gouldner and Fredrichs have recently pointed out, social science generally, and sociology in particular is in the throes of a paradigm revolution. Predictably, criminology is both a reflection of and a force behind this revolution.The energing paradigm in criminology is one which emphasizes social conflict-particularly conflicts of social class interests and values. The paradigm which is being replaced is one where the primary emphasis was on consensus, and within which deviance or crime was viewed as an aberration shared by some minority. This group had failed to be properly socialized or adequately integrated into society or, more generally, had suffered from social disorganization.The shift in paradigm means more than simply a shift from explaining the same facts with new causal models. It means that we stretch our conceptual framework and look to different facets of social experience. Specifically, instead of resorting inevitably to the normative system, to culture or to socio-psychological experiences of individuals, we look instead to the social relations created by the political and economic structure. Rather than treating society as a full-blown reality (reifying it into an entity with its own life), we seek to understand the present as a reflection of the economic and political history that has created the social relations which dominate the moment we have selected to study.The shift means that crime becomes a rational response of some social classes to the realities of their lives. The state becomes an instrument of the ruling class enforcing laws here but not there, according to the realities of political power and economic conditions.There is much to be gained from this re-focusing of criminological and sociological inquiry. However, if the paradigmatic revolution is to be more than a mere fad, we must be able to show that the new paradigm is in fact superior to its predecessor. In this paper I have tried to develop the theoretical implications of a Marxian model of crime and criminal law, and to assess the merits of this paradigm by looking at some empirical data. The general conclusion is that the Marian paradigm provides a long neglected but fruitful approach to the study of crime and criminal law.     

Queering Identities: The Roles of Integrity and Belonging in Becoming Ourselves

This article presents a picture of the complexities and contradictions in the daily lives of people in the Seacoast area of New Hampshire who identify as, or are identified as, lesbian, gay, bisexual, transgender queer, questioning, and allied people (LGBTQQA). In this study, the author uses a grounded theory approach to focus on the Create Our Destiny conference. Clear patterns emerged, such as the importance of coming out, labels, and gender identity. A common theme underlying these areas was the tension people experienced between seeking a sense of belonging and maintaining their personal sense of integrity. This study shows that people in the Seacoast want to be fully and wholly themselves, or as the author represents their interests, to strive toward singularity. The author argues that striving towards singularity requires people to grapple with their unexamined codes and principles, such as those pertaining to compulsory heterosexuality and gender duality, by increasing and valuing self-awareness and reflexivity.     

Shrewdly irrational

This comment on Professor Etzioni's essay consists of three parts. First, it suggests that much of the evidence he describes, both for and against the rationality hypothesis, is much weaker than it appears. Second, it discusses some additional evidence that poses difficulty for the narrow rationalist view. Finally, it examines Etzioni's caring and sharing evidence, which poses the sharpest challenge of all to the rationalists. It suggests that although caring and sharing is indeed irrational by the conventional standard, there are good reasons why someone who is purely self-interested might wish to become a caring and sharing person. To be such a person, it argues, is to be shrewdly irrational.     

Why Do They Start It? Explaining Reported Early-Teen Sexual Activity

This paper seeks an account of why young teens initiate consensual sexual activity. It does so by constructing statistical models aimed at distinguishing those who report having initiated sexual activity from those who have not in four samples of eighth graders from an Upstate New York county. Theoretical selection of the model variables is guided by insights from problem syndrome, control and differential association theories. From our findings we conclude the following: (1) Risk behaviors foreseen by the problem syndrome approach, including having used marijuana and having been drunk, are significant, powerful predictors of early-teen sexual activity. (2) The social setting of consensual sexual activity differs by sex at the eighth grade level. For example, having a boyfriend is a more consistent, powerful predictor variable for girls than is having a girlfriend for boys and there is evidence to support the hypothesis that boys initiate sexual activity in the context of status-seeking while girls are more likely to do so as a way of attaining approval. (3) Our findings do not give clear primacy to parents or peers as an influence on early-teen consensual sexual activity. Both control theory, usually associated with parental-influence variables, and differential association theory, usually associated with peer-influence variables, receive support. (4) The results of the research spanning a 2-year period of intensive community antiteen-pregnancy efforts by a Zero Adolescent Pregnancy (ZAP) campaign are consistent with the conclusion that such a multifaceted approach might help lower early-teen initiation of sexual activity.     

Qualitative immediacy and the communicative act

Qualitative immediacy (also termed quality in its philosophical sense and esthetic quality) is of fundamental importance within the pragmatic conception of meaning as interpretive act, and yet it has been virtually ignored by social scientists. The concept is traced through its foundations in Peirce's philosophy, its development in Dewey's theory of esthetic experience, and its relation to the general pragmatic conception of the self. The importance of the I in Mead's view of the self is seen as similar to Firstness in Peirce and esthetic experience in Dewey. Those turning to qualitative approaches ought to consider qualitative immediacy as a genuine addition to our understanding of human communication.I am grateful for helpful comments from Milton Singer, Kevin McMurtrey, Benjamin Lee, and Thomas Buckley, and for an opportunity to discuss this paper in the seminar on dialogue at the Center for Psychosocial Studies, Chicago. A postdoctoral fellowship (T32 MH 14668) at the Institute for Psychosomatic and Psychiatric Research and Training, Michael Reese Hospital and Medical Center, and the University of Chicago, provided time for the writing of this paper.     

Touristic authenticity,touristic angst,and modern reality

The tourist has become the symbol of a peculiarly modern type of inauthenticity. This paper explores the criticisms that have been directed at the reality experiences of the tourist. In so doing, the following inexhaustive typology of touristic realities is developed: 1) the first-order or true tourist, 2) the second-order or Angst-ridden tourist, 3( the third-order or anthropological tourist, and 4) the fourth-order or spiritual tourist. Each of these types represents a progressively more intense search for reality through travel. Each is, however, criticized for participating in its own form of inauthenticity.After exploring the reality experiences and criticisms of each of these travellers, the paper turns the tables on the cultured despisers of tourism to argue that perhaps the lowly first-order tourist is not so inauthentic after all. True, this traveller may not be having a real heroic adventure, but such is not the goal. Rather, the reality experienced by the first-order tourist is a pleasurable liberation from the normal concerns of everyday life which simultaneously reaffirms commitment to that reality. Quite frequently the first-order tourist is less concerned about having a real experience in the visited place than in experiencing family and friendship relationships-relationships completely ignored by the anti-touristic tourists in their search for authenticity in someone else's reality.The author would like to thank Peter L. Berger, Harry C. Bredemeier, Warren I. Susman, and M. Kathy Kenyon for their comments and suggestions on earlier versions of this paper. This research was supported in part by NIMH grant no. 5 T32 NH14660.