POSITIVE PRACTICE IN FAMILY THERAPY

Positive practice, a brief integative approach to consultation with families, is described in this paper. A clear distinction is made between the stages of planning, assessment, therapy, and disengagement. Guideliness for progression from one stage to the next are provided. Frameworks for deciding who to invite to preliminary sessions and methods for planning and organizing lines of inquiry are incorporated into this approach to practice. A three-column model is used to construct formulations. The model allows therapists and clients to map information about the pattern of interaction around the presenting problem, beliefs that constrain family members from altering their roles in these problem-maintaining patterns, and factors that have predisposed family members to hold these beliefs. Positive practice offers methods for evolving new behavioral patterns and belief systems within sessions and for arranging homework tasks for clients between sessions. It also incorporates methods for dealing with resistnace, for managing therapeutic crises, for convening indivudial sessions and borader network meetings, for disengaging from the consultation process, and for recontracting for further episodes of therapy. This evolving approach to practice draws on ideas from many traditions within the family therapy field and takes account of recent research relevent to the practice of family therapy.     

The impact of school and college expenditures on the wages of southern and non-southern workers

Based on previous evidence of diminishing earnings returns to greater educational expenditures, the hypothesis that southern schools and colleges have greater returns than non-southern schools and colleges is tested but is not accepted. Per pupil expenditures for both school and college, however, significantly raise earnings for southern male full-time workers. The elasticity of expenditure with respect to the wage for high school graduates is 0.1212 for southerners and 0.0360 for non-southerners, and the elasticity for college expenditure is 0.0468 for southerners and 0.0260 for non-southerners. The author is grateful to Philip R. P. Coelho, W. Lee Hansen, Wayne H. Joerding, Victor J. Tremblay, and an anonymous referee for helpful suggestions and to the Mississippi Research and Development Center for support of this research.     

Hospice of the Red River Valley: A nonprofit's response to for‐profit competition

Research of nonprofit versus for‐profit competition points to potential quality and access advantages of the nonprofit, tied to shared community values leading to enhanced social capital and legitimacy, whereas the for‐profit is known for cost and scale advantages. However, the prevailing mode of thinking in mixed‐form competitive contexts urges nonprofits to become “more businesslike” and imitate for‐profit attributes. This qualitative study of a nonprofit organization facing new for‐profit competition illustrates that while it is possible and advisable to learn from for‐profit competitors, it is not necessary or even desirable for the nonprofit to abandon its own unique advantages. Although nonprofits should be increasingly sensitive to cost and scale advantages, they do not have to imitate for‐profit attributes and play the low‐cost game. A competitive response to for‐profit challenges that is carefully crafted and executed based on the unique advantages of the nonprofit organization can truly win the day.     

Occupational Aspirations,Gender, and Educational Attainment

While in the past women had lower educational attainment than men, women in recent years have caught up to and passed men in educational attainment. Lower occupational aspirations for women compared to men contributed to lower educational attainment in the past. In this article, we use data from the National Longitudinal Survey of Youth to consider whether occupational aspirations still act to lower educational attainment for women compared to men or whether occupational aspirations are currently an advantage for young women. We find that occupational aspirations are an advantage for women for high school graduation but not for college graduation.     

Professional and youth perspectives on higher education-focused interventions for youth transitioning from foster care

Youth transitioning from foster care to adulthood access and succeed in college at much lower rates than the general population. A variety of services exist to support youth with their postsecondary goals, but few if any have evidence for their effectiveness. As part of a National Institute on Drug Abuse-funded intervention development project to design Fostering Higher Education, a structured, testable postsecondary access and retention intervention for youth transitioning from foster care to adulthood, focus groups were conducted with community stakeholders to collect recommendations for how to most effectively structure the intervention. Analyses of focus group findings resulted in four theme groups: (1) general recommendations for intervention development; (2) recommendations for an educational advocacy intervention component; (3) recommendations for a mentoring intervention component; and (4) recommendations for a substance abuse prevention intervention component. These themes offered a variety of important insights for developing interventions in a way that is usable for youth and feasible for communities to implement.     

Refugee resettlement and the Convention on the Rights of Persons with Disabilities

The Convention on the Rights of Persons with Disabilities (CRPD) created pathways for people who are refugees with disabilities to resettle and build new lives. Resettlement country Australia, in response to its CRPD obligations, created greater access to the waiver of visa health requirements for humanitarian entrants. This article chronicles key documents demonstrating that the CRPD has been an effective instrument for improving access to resettlement for people with disabilities. The article also describes new challenges to Australia’s compliance with the CRPD as it fails to address multiple discrimination of people from refugee backgrounds with disabilities, an area of concern to the Committee on the Rights of Persons with Disabilities for which it has issued guidance. This article proposes creating a United Nations High Commissioner for Refugees Resettlement Submission Category for disability to improve resettlement programmes’ compliance with the CRPD.     

Three phase development of caring capacity in primary caregivers for relatives with Alzheimer's disease

Multiple, open-ended, qualitative interviews were conducted with 16 primary caregivers for relatives with Alzheimer's disease in order to describe caregiver self-development through the caregiving journey. Caregiver change is traced up to five years after the care recipient's death. Caregivers' capacity for caring was found to be at the core and to unfold in three phases: development of caring capacity for the care recipient, development of capacity for self-care, and development of caring capacity for others. The four elements of caring capacity (perception, motivation, competency, action) are expressed in relation to the care recipient, to the self, and to less familiar “others”. The caregiving experience tends also to prompt caregivers to become caregivers for humanity and to expand their sense of self. This may lead to the development of the altruistic self, which incorporates both a selfless concern for the welfare of others and a self-directed concern for one's own welfare.     

Paying for Sex While Traveling As Tourists: The Experiences of Israeli Men

This qualitative study explored the experiences of 15 Israeli men who paid for sex while traveling as tourists abroad, based on in-depth, semistructured interviews with them. The findings focus on three major aspects of the participants’ experiences: the meaning of sex for them and their reasons for wanting to pay for it; the problems involved in paying for sex; and paying for sex while traveling abroad as a preferable option to paying for sex in Israel. The discussion offers sociological and psychological intersubjective explanations for the men’s preference to pay for sex as tourists overseas.     

The potential for construction resource planning

The need for construction resource planning to avoid non-completion of, or delays to, projects and potential damage to an economy by trying to undertake programmes for which resources are not available is stressed. Then the availability, and method of application, of data for national use is considered followed by the problems of transferability of data from one country to another. Examples are given of the range of data for a specific country, of the broad labour inputs to construction for a number of countries of different characteristics and of key material requirements for twenty categories of housing over eight countries. The conclusion is that it is now possible to undertake resource planning for any major project or development plan anywhere in the world, though refinement of the available data and an increase in the volume of data is desirable. The authors suggest that a focal point for the collection of data and a clearing house for its use be established.     

Systemic Therapy and Aged Respite Care A Neglected Area

This paper discusses how placing an elderly individual in nursing home respite care can lead to the emergence of major marital issues for an elderly couple. It illustrates how one can intervene systemically to change the context of this event, so that it is freeing for the individuals concerned rather than punishing. The discussion focusses on the main developmental issues for the aged and how these need to be considered for therapy and there is a review of research on the effects of out of home placement on individuals and their carers. The main techniques discussed are the use of letter writing and reflexive questioning to provide avenues for alternate explorations for the individuals concerned. These techniques were used to help a husband and wife escape repeated serious escalations that became depleting and damaging to them personally and to their relationship. There is brief comment also on the lack of attention given to psychotherapy for the elderly, with some suggestions for change.     

The incidence of metabolic risk factors in an inpatient psychiatric setting

Our study examines risk factors for metabolic syndrome on admission to an acute psychiatric facility and the incidence of medical referrals at discharge. Data on demographics, risk factors for metabolic syndrome, other health risk factors, medications, related diagnoses, and primary care providers and referrals were collected from 125 psychiatric patient charts. Comparison analysis was done for two groups: those with two or more risk factors for metabolic syndrome and those with less than two risk factors. Differences between groups were statistically significant for age, waist circumference, body mass index, high-density lipoprotein, triglycerides, and fasting glucose levels. Few patients were referred to their primary care provider for follow-up care. This study has clinical implications for improving assessment of psychiatric patients at risk for developing metabolic syndrome, for designing interventions to help patients adopt lifestyle changes to mitigate these risks, and for working toward fuller integration of psychiatric and primary care.     

The School-to-Work Transition From a Learning Theory Perspective

Learning is essential not only for students to develop the basic employability skills required for the school-to-work transition, but also for the development of work habits, beliefs, interests, and values. Career development counselors can apply a learning perspective to (a) use assessment instruments for stimulating new learning, not merely for matching existing characteristics to current environments, (b) achieve emotional and performance outcomes as well as cognitive outcomes, and (c) measure success by the extent to which clients continue to be engaged in learning activities leading to the creation of satisfying lives for themselves, not merely by measures of decisiveness and congruence.     

Need-service matching in substance abuse treatment: Racial/ethnic differences

This study examines the impact of ancillary health and social services matched to client needs in substance abuse treatment for African Americans, Latinos and Whites. The study uses data collected from 1992 to 1997 for the National Treatment Improvement Evaluation Study, a prospective cohort study of substance abuse treatment programs and their clients. The analytic sample consists of 3142 clients (1812 African Americans, 486 Latinos, 844 Whites) from 59 treatment facilities. Results show that racial/ethnic minorities are underserved compared to Whites in the substance abuse service system. Different racial/ethnic groups come into treatment with distinct needs and receive distinct services. Although groups respond differentially to service types, substance abuse counseling and matching services to needs is an effective strategy both for retaining clients in treatment and for reducing post-treatment substance use for African Americans and Whites. Receipt of access services was related to reduced post-treatment substance use for Latinos. Study findings are relevant to planning special services for African Americans and Latinos.     

The development of preferences for specific body shapes

Research with adults has shown a preference for average-weight female figures with waist-to-hip ratios (WHR) of 0.7, and average weight male figures with waist-to-hip ratios of 0.9. This study investigated the development of preferences for WHR sizes as well as preferences for specific body weights. Five-hundred eleven children ranging in age from 6 to 17 were presented with drawings of 12 male and 12 female silhouettes varying in weight and WHR and asked to select one they thought looked the nicest or most attractive. The youngest children showed preferences for the underweight figures, changing to consistent preferences for the average weight figures in the teenage years. The developmental curves for waist-to-hip ratio preferences were linear, changing gradually over time to become more adult-like. Potential developmental models for the development of preferences for specific body shapes are considered in relation to these data.     

Getting away on a sabbatical

When the time came for me to leave on a sabbatical to do research in Mississippi, I had to leave my 32-year-old daughter, who suffers short-term memory loss due to a cancerous brain tumor she had when she was 15. Leaving became a traumatic moment for me as she had just received notice that she could move into an apartment. She had been on a waiting list for a place for over a year. In some ways, I believed that the timing for my sabbatical could not have been worse for our family. Still, my other four children, my husband, and I moved her as we wanted her to have this opportunity for semi-independent living as soon as possible. Two weeks prior to my departure, I began writing a narrative capturing my emotions, detailing how difficult my getting off was for me.     

Freud,Grafenberg, and the neglected vagina: Thoughts concerning an historical omission in sexology

Because similarity between partners has been thought to be related to relationship quality, this study assessed similarities between partners in 44 married, 35 heterosexual cohabiting, 50 gay, and 56 lesbian couples on demographic characteristics, appraisals of relationship quality, and factors predictive of relationship quality. With regard to demographic characteristics: Partners' age was correlated for each type of couple; partners' income, education, and job prestige were correlated only for heterosexual cohabiting couples; and gay partners had the largest discrepancies in age, income, and education. With regard to appraisals of relationship quality: Partners' scores were correlated for each type of couple on relationship satisfaction but for only gay and lesbian couples on love for partner; partners across all couples differed in their assessments of relationship quality. With regard to the predictors of relationship quality: Partner scores were correlated for each type of couple only on shared decision making; these predictor scores were most frequently correlated for lesbian partners; differences between partners were least for lesbian couples on attractions to the relationship and perceived family support and greatest for cohabiting couples on dyadic attachment. Relationship quality was not related to discrepancies between partners' demographic variables but was negatively related to discrepancies in partners' dyadic attachment. In conclusion, partner homogamy was most pervasive in lesbian couples, and for all couples homogamy on dyadic attachment was related to relationship quality.     

On the generic emptiness of the local core of voting games

The local core of voting games is investigated from a genericity point of view. There exist preference profiles for which it is empty and there exist preference profiles for which the local core and its complement are both dense in the set of alternatives. Furthermore the subset of profiles having an empty local core is dense in the whole set of profiles. Some remarks on the choice of the topology are provided.We are grateful to the French Commissariat Général du Plan for financial support and to Norman Schofield for having the opportunity to read McKelvey and Schofield (1986) before the publication. We are indebted to two anonymous referees for helpful suggestions and to Jerry Kelly for important comments and for correcting our English.     

How to open and sustain a drop-in center for homeless youth

Drop-in centers have the potential to facilitate engagement of homeless youth into treatment and back into the mainstream. However, little guidance was found in the literature regarding how to open and sustain a drop-in center for homeless youth. This paper offers such guidance, including information that may be useful for developing a change philosophy that guides the center structure, and for identifying a building and location conducive to facilitate activities and access for the youth. Guidance for structuring the drop-in center and for hiring and training staff is also offered. Since the U.S. suffers from a dearth of services for homeless youth, the direction offered in this paper may help guide those who seek to provide services to these vulnerable and underserved youth.     

Towards a faith-based program theory: a reconceptualization of program theory

A meta-program theory is proposed to overcome the limitations and improve the use of program theory as an approach to faith-based program evaluation. The essentials for understanding religious organizations, their various programs, and faith and spirituality are discussed to support a rationale for developing a faith-based program theory that captures the complex nature of religious program phenomena. Implications for public policy are examined. New concepts based on structural approach and four program theories are formulated for program analysis. Several theoretical concepts for faith-based program evaluation to guide methods for describing patterns that reflect the religious beliefs and values are suggested.     

Evaluation of an upper extremity student-role functioning scale using item response theory

Millions of workers suffer from upper extremity (musculoskeletal) disorders. Many of these workers are predisposed to upper extremity musculoskeletal disorders because of early exposure to ergonomic risks as students. Computer usage for four or more hours remains the greatest risk for upper extremity musculoskeletal disorders for workers and students alike. Developing preventative methods to reduce student exposure, and thus protect future workers from upper extremity musculoskeletal disorders later in life, requires an appropriate measure for upper extremity musculoskeletal disorder prevalence and related limitations for student functioning. Item response theory analysis was used to evaluate and further develop a upper extremity functioning scale for the student role.