Consistency between Sentiments and Acts

Consistency is a concept central to most social science research. In this paper we challenge the typical simplistic assumptions of consistency between words and deeds. We contend that consistency is a complex concept which must be studied through a situated approach. By employing the literature on motives in sociology and communication, we consider the means by which actors construct consistency and inconsistency in social interaction. Central to this process are anticipated, or actual, calls for accountability. Consistency and inconsistency become issues when we attempt to hold self, or other, accountable.     

“Our Own Little Language”: Naming and the Social Construction Of Alzheimer's Disease

Social meanings and cultural definitions attached to illness, disability, and aging have a powerful influence on the development and operations of medical care as well as the social, behavioral, and therapeutic processes occurring within these settings. Specialized care environments designed to meet the needs of what some would argue is a dramatically increasing population worldwide, those with Alzheimer's disease, have been dominated by a medical model of care where treatment of disease has primacy over person. In contrast to the medical model, the Certified Nursing Assistants (CNAs) at Starrmount (pseudonym) Alzheimer's Unit have socially constructed an alternative to the medical model of care through what I argue is the use of language and a process of “naming and reframing.” In this “different world,” as the CNAs call the world of the Unit, the resident is depicted as a socially responsive actor with a surviving self that is to be treated with respect. Using a symbolic interactionist framework, this paper examines the CNAs' construction and use of a “language of openings”—that is, the language arising out of the lifeworld of the residents—as the counterpoint to the “language of limits” of the medical model. Spoken everywhere but nowhere inscribed as “official” knowledge, this “little language,” as the CNAs speak of it, is the fundamental medium for social interaction in the Alzheimer's Unit.     

Spontaneous self disclosures in psychotherapy

The closeness and intensity of feeling that develops between therapist and patient raises complex issues related to the therapist's neutrality, the transference, the countertransference, the therapeutic alliance, and the very essence of the curative aspects of the relationship. The issue of the relationship of self disclosure and the evolving transference, countertransference complex is discussed. It is suggested that on some occasions, the pressure a therapist feels to spontaneously disclose something intimately personal is an indication that the therapeutic role has become reversed and the therapist is using the process to heal a vulnerability in himself or herself. The patient unconsciously participates in the interest of safeguarding the treatment process. In such instances the self disclosure need not interfere with the evolving transference. It may lead to great spontaneity in the process and to opening areas of affect previously unreachable. Self disclosures cannot be viewed as technical innovations to avoid stalemates in clinical practice. Rather, they are facts of our clinical life, facts that must be explained and understood rather than judged and condemned.     

NATURAL HEALTH DISCOURSES AND THE THERAPEUTIC PRODUCTION OF CONSUMER RESISTANCE

Social critics of the natural health movement charge that it indoctrinates consumers in a therapeutic consumerist ideology. This "dominated consumer" thesis ignores that socially situated individuals must negotiate a plethora of institutionally specific power structures aiming to classify and govern their identities. Accordingly, resistance toward specific institutional constructions of identity can be produced through marketplace ideologies. I explore this understudied ideological effect by analyzing the narratives of women who are using natural health alternatives to resist their ascribed medico-administrative identities. Natural health's therapeutic ideology enables these women to contest the degenerative implications of their medical diagnoses and, conversely, to reconstruct their chronic illnesses as an opportunity for discovering their inner regenerative potential and expanding their spiritual horizons. This analysis has implications for prior studies suggesting that resistance toward the technocratic and bureaucratic aspects of conventional medicine exemplifies a Foucauldian "care of the self." I argue that a postmodern adaptation of Foucauldian theory is needed to address the complex interrelationships among the care of the self, medical consumerism, and the therapeutic ideology of the natural health marketplace.     

Breaking the race barrier

Through the reflective process of analyzing one's own feelings and reactions to the ethnic minority patient, the white therapist develops an inner clarity that serves as a resource to cope with the unique conflicts one must confront in interracial practice. Only when the therapist has come to some resolution of his or her own feelings about the plight of ethnic minorities in this country can this acumen develop. Although the therapeutic skills applied in psychotherapy with ethnic minorities are in no way different from overall therapeutic skills, certain techniques may be especially useful in interracial practice. For instance, a discussion of the meaning of race and ethnicity in the relationship may curtail racial distortion, prevent stereotyping, and lead to the creation of a therapeutic alliance. When dealing with transference and countertransference issues, the therapist must be particularly attentive to the representation of these same distortions and stereotypes. Formulating clinical problems from dual perspectives, theoretical and sociocultural, is an arduous, but necessary task. Finally, the white therapist must be able to view ethnic minority patients as individuals. Although these patients cope with special problems which must be acknowledged and dealt with in therapy, the therapist must realize there is a common ground on which to communicate. On this common ground, therapists discover the foundation of interracial clinical practice is the ability to accept and respect their patients and themselves as individuals who may have similar anxieties, problems, experiences, and goals. It is through the recognition and sharing of the fundamental human bond that ethnic and racial differences, which may have detrimental effects on interpersonal relationships, are transcended.     

A cross‐cultural study of the phasic progression of self‐esteem in teen challenge

An attempt is made to analyze the effects of the Teen Challenge program in the self‐esteem of rehabilitants, and to determine if, indeed, any relationship exists. The importance of self‐esteem as a psycho‐social concept has emerged in recognition of man's needs for feelings of self‐worth. Central to this concept are the seminal formulations of White, Cooley, Coopersmith, Goffmann, and Harris. Additionally, Maslow's “hierarchy of needs” brings this concept into focus. Cooley notes that self‐concept emerges as a result of a series of interactions and appraisals of other people. The self‐concept, as it relates to self‐esteem, is also of major concern to the Teen Challenge program, the subject of this research. Teen Challenge is a therapeutic community seeking the resocialization of drug addicts, criminals, juvenile delinquents, prostitutes, alcoholics and other deviant types. This program is a three‐phase (orientation; training; re‐entry), one‐year residential program which uses the soteriological approach (conversation‐catharsis) as the starter‐mechanism to resocialization. According to a recent, federally funded, follow‐up study, 86 per cent of those who graduated from this program seven years previously had not recidivated. If indeed these statistics are valid, this would merit further research to determine variables significant to the resocialization process. This research assumes that self‐esteem is one such variable, though perhaps only one of many. It is further assumed that this would be low upon entry, and would progress consistently in a positive direction throughout one's stay in the program. Data was collected from centers in six different countries for a cross‐cultural comparison. To avoid contamination, all residents immediately upon entry into the Teen Challenge program in 1975 were tested using the Rosenberg “Self‐Esteem Scale.” Residents were tested again at the mid‐point of their stay using the S.E.S., and retested again when eligible for graduation one year later. Although an analysis of variance did not indicate a consistant increase in self‐esteem as hypothesized, low scores upon induction zoomed up in phase one, dipped slightly during the second phase, then resumed their climb in phase three, reaching an apex at the time of graduation. The over‐all trend for all centers, however, from low to high was highly significant. These results have heuristic potential.     

The Use of Mindfulness Training to Create an ‘Accompanying Place’ for Social Work Students

Social work students experience emotional stress while having to perform and meet expectations from both academy and field. They may often feel physically and emotionally overwhelmed while struggling to make the time and space to fully process the varied experiences involved. There seems to be an unmet need for an ‘accompanying place’ where thoughts, feelings and dilemmas can be observed in a non‐evaluative way. Mindfulness has evolved lately as an efficient therapeutic technique in therapy. This paper describes a technique that applies mindfulness meditation in a group format in order to create a broader and richer learning experience that answers students' emotional needs. The group met for eight weeks. Its goals were to enhance self‐awareness and increase emotional support in handling field and academic stressors while experiencing different states of consciousness. Findings show that students were able to acquire new knowledge about themselves, experience autonomy in learning self‐containment and regulation, and gain insights regarding their professional self‐concept. Significance for social work training is discussed.     

A GENOGRAM WITH AN ATTITUDE

The approach described in this paper is predicated on the fundamental belief that in order to become competent and ethical practitioners, students must understand themselves and how they see others. They must be given tools and skills that facilitate examinations of their own assumptions and beliefs about themselves, other, and how the world works. It is also essential that students examine how these assumptions and beliefs will influence the way they choose to conduct therapy. Once they are aware of their biases, they must learn to choose to consciously influence themselves in a way that permits their clients the largest room for change within the clients' own contexts of belief, understanding, experience, and possibility. In this paper I describe the use of the genogram as a tool to facilitate the process of gaining self knowledge. This tool has been used in a multicultural counseling course, as well as in professional development workshops for psychologists, mental health counselors, and marriage and family therapists.     

The Effective Social Worker

Abstract

Client and worker interchange is at the core of the social work effort. The practitioner, in using the self as a tool, must manifest a fundamental grasp of the treatment configuration that is empirically based, relevant, and guided by a professional code of ethics. Successful therapeutic outcomes in psychosocial treatment depend on a number of variables, such as, client and worker characteristics, worker efficacy regarding the structure of treatment, length of therapy, behavior acquisition procedures, treatment technologies, and level of intervention. Behavioral therapy is a proven valuable interventive tool. A profile of the relevant skills along with a brief aggregation of empirical support provides the behavioral social worker with an understanding of the essential elements of the behavioral treatment structure in addition to empirically appropriate interventive methods.     

Six Step Therapeutic Process to Facilitate Forgiveness of Self and Others

This theoretical article postulates a six step therapeutic process to facilitate forgiveness of self and others. The purpose of this article is to provide therapists with the therapeutic process that can be used to assist clients who are working through forgiveness and self-forgiveness. The combination of several therapeutic methods in a specific order might be effective in assisting clients to work through the forgiveness process in a systematic way. A case example that chronicles a client’s experience while working through forgiveness is provided. Lastly, a discussion of implications for practice and further research questions are presented.     

Truth or Fiction: Men as Victims of Domestic Violence?

Recently, claims have been made that womens's violence towards their male partners is a hidden and unacknowledged form of domestic violence. This paper critically examines this claim, arguing that studies that compare men's and women's violence, while showing a similar frequency of violent acts perpetrated by both men and women, also reveal significant differences. A man's violence is more serious in its effects, can employ a wider range of violence tactics and emanates from a more dominant and powerful position in relation to his female partner. A woman's violence, on the other hand, is often in self defence or is an expression of frustration and stress. In contrast to men's violence, women's violence is not usually an attempt to control or dominate their partners. The implications for practice are discussed and therapists are encouraged to differentiate between women who are violent towards an abusive partner versus those whose partners are not abusive.     

Are You Truly a Recovering Dope Fiend? Local Interpretive Practices at a Therapeutic Community Drug Treatment Program

Previous qualitative research on treatment programs for drug addiction/alcoholism has primarily focused on those processes whereby participants are expected to construct a new sense of self according to institutional parameters. The present article builds on that research and explores how contemporary programs attempt to resolve the problem that it is almost impossible to tell if someone has engaged in this self‐construction process. Informed by five months of ethnographic fieldwork at an adult residential drug treatment facility, the article asks: under what circumstances do program members call into doubt a client's efforts to create an institutional self, and how do they express this skepticism? The article reveals that staff and clients employ a set of local interpretive practices about community and emotions to assess whether clients are constructing the institutional self of a “recovering dope fiend.” It specifically considers how they interpret a client's emotional displays to represent that client's current self under construction. That is, a client's ability to control anger appropriately or to handle anxiety demonstrates s/he is effectively “doing the program” of self‐construction.     

Focal psychotherapy and self pathology: A clinical illustration

This paper examines the concept of “focal psychotherapy” as a form of psychoanalytic psychotherapy utilizing essentially the same conceptualization of the therapeutic process as long-term psychotherapy or psychoanalysis, mainly that the primary interventions are interpretive. Since in this treatment process a narrower sector of the psychopathology is reactivated than in long-term psychotherapy, the psychotherapy is restricted to the exploration and working through of a focal conflict precipitated by a recent event which has overwhelmed the patient's characterological defense mechanisms. The case report illustrates the applicability of focal psychotherapy to patients whose core pathology is understood to consist of deficits in the structure of the self rather than structural conflict.     

God as Selfobject and the Therapeutic Potential of Divine Failure

Although early psychoanalytic theorists took a disapproving stance towards religious belief, later theorists recognized the critical support that a relationship with God provides the believer. This shift has allowed social workers to continue utilizing psychodynamic theory without taking a condescending attitude towards their clients’ religious beliefs. Kohut’s articulation of selfobject needs that persist throughout adulthood provided a prism through which to understand the support for the underlying structures of the self that a connection with the divine offers. However, Kohut’s identification of God as a selfobject limits itself to only its supportive element. This article explores the potential for psychological growth inherent in a relationship with God. The ability to acknowledge and mentally process divine failure—those moments where for the believer God does not offer sought after support—seem to be the primary catalyst for exercising this potential growth. Clinical examples are provided to demonstrate how a relationship with God can be addressed in a therapeutic context.     

Silence, Its Use and Abuse: A View from Self Psychology

This article seeks to explore the use and abuse of silence in the therapeutic process. A review of its many meanings will be illustrated by brief excerpts from case material, demonstrating that silence is a fertile mode in which the self may be enriched and strengthened. Silence can be understood as the source of quiet growth in which distortions of the self can be reflected upon and then transformed through greater recognition of opportunity and choice. It is the intention of this note to stimulate discussion of silence from the view point of other theories, as well.     

Resolving Therapeutic Impasses by Using the Supervisor's Countertransference

The traditional role-set of the clinical social work supervisor has grown to be much more complex. From the exclusive position of teacher, administrator, and overseer she is now an integral part of a system wherein she is influenced not only by the therapist, client, and her own promptings but is a prime source of feedback to the client through the supervisee.As clinical social workers have shifted their conceptualization of therapy to a two-person psychology, this perspective has emerged as part of the supervisory process. Now the supervisor's countertransference responses to the supervisee, to his client, and to their interaction have assumed importance in supervisory work. This article is an attempt to demonstrate through case illustrations how the supervisor's disclosure of countertransference responses to the supervisee can strengthen the supervisory alliance which then enables the client and therapist to resolve therapeutic impasses.     

Rural development and the regional state: Denying multifunctional agriculture in the UK

Under the emerging rural development paradigm, we argue that to be multifunctional an activity must add income to agriculture, it must contribute to the construction of a new agricultural sector that corresponds to the needs of the wider society and it must reconfigure rural resources in ways that lead to wider rural development benefits. By evaluating UK rural policies on the basis of whether or not they attempt to meet these conditions, this paper shows that an implicit recognition of agriculture's multifunctional character has occurred recently through the shift from a sectoral to a regional and territorial perspective that reintegrates farming into rural development. However, in practice, and especially in England, the UK government has been unable to turn multifunctional activities into a real rural development option. In fact, by continuing to support agri-industrial/retailer interests on the one hand, and post-productivist— environmental and amenity— interests on the other, the State is governing mostly by setting up competitively organized ‘projects’ and schemes that continue to justify the concentration (and limitation) of resources allocated to agriculture. Based upon a critique of policy developments over the past decade, this paper emphasizes the need for more innovative forms of state innovation that provide opportunities for new, creative and more spatially embedded forms of supply and demand management in agri-food. In the conclusions, the paper also argues that more critical research is needed to uncover the existing and potential role of both governments and producer networks in progressing sustainable rural development through agricultural multifunctionality.     

How Does Learning Impact Development in Infancy? The Case of Perceptual Organization

Pattern perception and organization are critical functions of the visual cognition system. Many organizational processes are available early in life, such that infants as young 3 months of age are able to readily utilize a variety of cues to organize visual patterns. However, other processes are not readily evident in young infants, and their development involves perceptual learning. We describe a theoretical framework that addresses perceptual learning in infancy and the manner in which it affects visual organization and development. It identifies five kinds of experiences that induce learning, and suggests that they work via attentional and unitization mechanisms to modify visual organization. In addition, the framework proposes that this kind of learning is abstract, domain general, functional at different ages in a qualitatively similar manner, and has a long‐term impact on development through a memory reactivation process. Although most models of development assume that experience is fundamental to development, very little is actually known about the process by which experience affects development. The proposed framework is an attempt to account for this process in the domain of perception.     

Defending the American Dream: Coverage of the Jonathan Pollard Spy Case

This article contemplates the journalistic coverage of American espionage as an attempt to maintain consonance with broader cultural discourses about what it means to be an American. Tracking the American press coverage of the Jonathan Pollard spy case, the article demonstrates that the press turns espionage into a phenomenon upholding fundamental American beliefs in openness, sincerity, and straightforwardness. It shows that, rather than represent espionage as a phenomenon embodying deceit, secrecy, and immoral action, the press turns espionage into a phenomenon that communicates that one is what one says one is and that one's self presentation reflects one's insides. Ultimately, however, this representation of espionage undermines a full understanding of how—and why—spying works in culture.     

Participatory Design in Women’s Organizations: The Social World of Organizational Structure and the Gendered Nature of Expertise

Participatory design is an approach to designing technological systems that differs from traditional approaches to design in many respects. The goal of participatory design is to encourage users of technological systems to actively participate in the process of designing technological systems. The end goal of participatory design is to enable users of technological systems to articulate their needs, and to develop technological systems that account for those needs. In this paper I attempt to extend the analysis of gender as a factor in participatory design initiative by focusing on the challenges of implementing participatory design in the context of non-profit women’s organizations. The context for my discussion is set by outlining a recent initiative to design a nationwide feminist computer network in Canada. Scholarship on participatory design, feminist organizing and the implementation of computer systems in non-profit organizations is discussed in relation to original research carried out in the Canadian province of Newfoundland. Organizational structures that differentiate feminist non-profit organizations from other organizational forms and the gendered nature of expertise are identified as particular challenges that must be addressed in order for participatory design to be successful when women’s groups are the participatory designers.