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.     

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.     

The Guijin Therapist and the Nature of Therapeutic Truth: A Relational Perspective

The professional literature is replete with examples of the benefits of the client–clinician dyad being of the same ethnic group. Noted advantages include a perceived implicit understanding of the clients subjective experience and a furthering of the therapists personal and professional growth as a result of the therapeutic interaction. This paper suggests that there are also benefits to the clinician being considered a guijin or outsider to the clients culture of origin. Utilizing a relational perspective with an emphasis on multiple self-state theory, this paper will discuss the advantages of being perceived as an outsider when working with an Asian bicultural client.An earlier version of this paper was presented at the Annual International Conference for the Advancement of Private Practice in Clinical Social Work in Lisbon, Portugal on June 8, 2002.     

Reassessing the developmental needs of children with learning disabilities: Programmatic implications

The complex growth patterns of children with learning disabilities place them at significant emotional and social risk in interpersonal, family, and institutional relationships. Programmatic interventions that address specific ego functions as well as an approach to a remedial and preventive program design to strengthen social and interactional skills are explored. The author proposes a program design to pair schools with community centers in order to provide opportunities for developing these skills.A version of this article was presented at the NASW School Social Work Conference, New Orleans, LA, January 31-February 3, 1985.     

When All That Is Solid Melts Into Language: Judith Butler and the Question of Matter

Judith Butler's analysis of corporeal matters offers an exemplary account of the hidden political agenda within the very grain of representation and discourse. This essay, however, argues that language and its political implications are even more complex and curious than Butler concedes. The author contests the conflation of writing with Culture, as if Culture is the constitutive and enclosed space of productivity and transformation. She argues that the question of Nature has not been provoked in Butler's analysis but answered and dismissed much too quickly. The author extends the problematic of writing to biology and suggests that Nature is literate.     

A Culturally Salient Polish Emotion: Przykro ['Pshickro]

The author analyzes, on the basis of naturally occurring examples, the Polish word przykro, which, she argues, plays an important role in Polish emotion talk. She compares and contrasts this word with its closest English counterparts, such as hurt, offended, sorry, and sad, and she shows how each of these English words differs in meaning from the Polish key word przykro. To be able to show, clearly and precisely, what these differences are, she relies on the Natural Semantic Metalanguage (NSM), based on a set of empirically established lexical and grammatical universals. In doing so, she seeks to demonstrate the explanatory power of the proposed methodological framework (the NSM semantic theory). At the same time the author shows how language-specific lexical categories such as the Polish word przykro are linked with a culture's core values. She also shows the cultural implications of the lexical category hurt in Anglo culture, and discusses the cultural implications of the absence of a word like przykro in English, and of a word like hurt in Polish.     

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.     

The probability of inconsistencies in complex collective decisions

Many groups make decisions over multiple interconnected propositions. The doctrinal paradox or discursive dilemma shows that propositionwise majority voting can generate inconsistent collective sets of judgments, even when individual sets of judgments are all consistent. I develop a simple model for determining the probability of the paradox, given various assumptions about the probability distribution of individual sets of judgments, including impartial culture and impartial anonymous culture assumptions. I prove several convergence results, identifying when the probability of the paradox converges to 1, and when it converges to 0, as the number of individuals increases. Drawing on the Condorcet jury theorem and work by Bovens and Rabinowicz (2001, 2003), I use the model to assess the truth-tracking performance of two decision procedures, the premise- and conclusion-based procedures. I compare the present results with existing results on the probability of Condorcets paradox. I suggest that the doctrinal paradox is likely to occur under plausible conditions.The author wishes to express his gratitude to Luc Bovens, Matthew Braham, Steven Brams, Bruce Chapman, Philip Pettit, Wlodek Rabinowicz and two anonymous reviewers for helpful comments or discussion. A previous version of this paper was presented at the 2002 Annual Meeting of the European Public Choice Society, Belgirate, Lago Maggiore, Italy, April 2002, and at the Sixth International Meeting of the Society for Social Choice and Welfare, held at the California Institute of Technology, Pasadena, California, July 2002.     

The prevalence rates of pathological gambling: A look at methods

Planning the gambling environment requires protection of the public's health, safety and welfare. Whereas most public gaming provisions and statutes address the public's fears of organized crime as well as some welfare needs, rarely do they safeguard the public's health regarding the spread of the mental disease known as pathological gambling. Measurement of the prevalence and incidence of this disease would enable policy planners to evaluate both the state's responsibility for an epidemic and the adequacy of publicly funded treatment programs. The purpose of this paper is to examine the methods which underlie three different estimates of the prevalence rate of pathological gambling and to critique them in the light of sound epidemiological procedure. In 1975, the Institute for Social Research (ISR) of the University of Michigan conducted a national survey and a survey of the state of Nevada on behalf of the U.S. Commission on a National Policy Toward Gambling. Using discriminant function analysis coupled with subjective inspection of cases in the at-risk pool, the researchers estimated rates of probable and potential pathological gamblers. In 1984 and 1985, this author surveyed residents in the Delaware Valley and the state of Ohio using the cumulative clinical signs method which also posited rates of probable and potential pathological gamblers. In 1986, researchers at the Office of Mental Health for the State of New York employed a formal screening device to survey residents and proposed a rate of probable pathological gamblers and a rate of problem — although not pathological — gamblers. All three approaches produced different estimates. The utility of prevalence and incidence rate research in this field is threatened by a lack of consensus about the proper epidemiological procedure to be employed in arriving at these estimates. There is also confusion about the distinction between a probable and a potential pathological gambler. The planning purpose, method, validity and reliability of prevalence rate research about pathological gambling are addressed in this paper.     

“FOB” and “Whitewashed”: Identity and Internalized Racism Among Second Generation Asian Americans

An analysis of 184 in-depth interviews with grown children of Korean and Vietnamese immigrants finds that the racial beliefs, meanings, and stereotypes of the mainstream society shape how they think about coethnics, generate local identities, and deflect stigma from themselves. We examine the terms FOB (Fresh Off the Boat) and whitewashed that were commonly deployed to denigrate coethnic others as too ethnic or too assimilated while casting those at the bicultural middle as the normals. We describe how this system of intraethnic othering serves as a basis for sub-ethnic identities, intraethnic social boundaries, and the monitoring and control of social behavior. We draw on the concept of internalized racial oppression in framing our findings.     

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.     

The Practice of Multimodal Approaches, the Challenge of Cross-Cultural Communication, and the Search for Responses

The development of multimodal approachespresents an opportunity for human beings to increasetheir competence in managing complexity, while at thesame time brings a challenge of cross-culturalcommunication. Some claim that two approaches have beenproposed for tackling this challenge: an approach offrameworks and an approach ofdiscourse. Some go further to contenddropping frameworks and taking up discourse. This paper argues that, if it istrue that there exist these two approaches, neither theframeworks nor the discourseapproach alone is sufficient. It is suggested thatresearchers and practitioners may be better equipped byparticipating in discourses with and among frameworks.Employing three metaphors, this paper proposes that, inthe way force-fields andconstellations require and imply each other, both frameworks anddiscourse are necessary for human beings to act as aPeircian fiber-cable in socialproblem-solving.Requests for reprints should be addressed to Zhichang Zhu, Department of Information Systems, Lincoln School of Management, Lincoln LN6 7TS, United Kingdom.     

New-class dissent among social-cultural specialists: The effects of occupational self-direction and location in the public sector

Recent research suggests that new-class dissent is concentrated among the social-cultural specialists Kristol identifies as the principal critics of a business culture. Kohn's research on the micro-foundations of authoritarian conservatism suggests a plausible explanation centered on the subjective effects of occupational self-direction, a variable curiously missing from other models of new-class dissent. An alternative explanation, derived from state-centered theories of the new class, points instead to the concentration of these social-sicence and arts-related occupations outside the commercial economy. Using covariance structure analysis of new survey data, this study finds that occupational self-direction entails a propensity to question systemic inequities and a reluctance to blame the victims of poverty and discrimination. The antibusiness animus of Kristol's counterelites, conversely, arises in spite of, not because of, their highly self-directed work, reflecting instead their concentration in the public and nonprofit sectors.     

A quantitative theory of preferences: Some results on transition functions

We investigate a general theory of combining individual preferences into collective choice. The preferences are treated quantitatively, by means of preference functions (a,b), where 0(a,b) expresses the degree of preference of a to b. A transition function is a function (x,y) which computes (a,c) from (a,b) and (b,c), namely (a,c)=((a,b),(b,c)). We prove that given certain (reasonable) conditions on how individual preferences are aggregated, there is only one transition function that satisfies these conditions, namely the function (x,y)=x·y (multiplication of odds). We also formulate a property of transition functions called invariance, and prove that there is no invariant transition function; this impossibility theorem shows limitations of the quantitative method.Research supported in part by the National Science Foundation.     

The making of race in colonial Malaya: Political economy and racial ideology

The conventional interpretation of the race problem in Peninsular Malaysia (Malaya) is founded upon the supposedly inevitable frictions between ethnic communities with sharply divergent cultural traditions. In this view, assimilation between the indigenous Malay population and the descendants of immigrants from China and India was always a remote possibility. In this paper I argue that modern race relations in Peninsular Malaysia, in the sense of impenetrable group boundaries, were a byproduct of British colonialism of the late nineteenth and early twentieth centuries. Prior to 1850, inter-ethnic relations among Asian populations were marked by cultural stereotypes and occasional hostility, but there were also possibilities for inter-ethnic alliances and acculturation. Direct colonial rule brought European racial theory and constructed a social and economic order structured by race. A review of the writing of observers of colonial society provides a crude test of this hypothesis.     

Psychoanalytic perspectives on child abuse

This paper examines the application of selected concepts from classical psychoanalysis, ego psychology, object relations theory, and self psychology to the assessment and treatment of child abuse. Child maltreatment is conceptualized as deriving, in part, from impaired symbiotic and separation-individuation experiences. The role of certain defense mechanisms employed by the formerly abused parent in perpetuating intergenerational cycles of abuse is explored. Disturbances in the development of the nuclear self (as postulated by Kohut) in abusive parents are considered. Fairbairn's model of the inner object world is used to illuminate scapegoating processes. The concept of protectiveness is discussed in relation to the abused child's use of primitive defenses and inhibition of autonomy. Countertransference issues are viewed in relation to the problem of workers' burnout.This paper was written for completion requirement for the degree of M.S.W. at Hunter College School of Social Work. The auther wishes to express her appreciation to Phyllis Caroff, Richard Gaines, Mary Beth Globenfelt, Arthur Green, Wendy Kamaiko, Jeffrey Seinfeld, and Anna Clare van Dalen for their assistance and generous contributions to this paper.     

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.     

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.     

Fit and Skill in Employee Selection: Insights from a Study of Headhunters

We draw upon evidence from a qualitative study of headhunters to provide insights into the character and importance of candidate fit and skill for the selection of a broad range of white-collar employees. Headhunters suggest that the fit of a job candidate is assessed at two levels, one corresponding with a general compatibility with organization-level norms, culture, and strategy, the other corresponding more closely with traits and characteristics of the person or persons with whom the job candidate actually interviews. Skill—a factor which is largely neglected by those who tout the importance of fit—also plays an important and independent role in employee selection. Stalls that influence the selection of employees from a pool of candidates tend to be highly specific if not idiosyncratic, and take the form of what headhunters call hot buttons. We conclude by discussing the conceptualization, causes, and implications of fit; we also consider how the importance of fit and hot buttons challenges the explanatory logic of standard accounts of labor-market success.     

Is Managed Mental Health Treatment Psychotherapy?

The corporate takeover of mental health treatment has dramatically affected mental health treatment. Two essential constituents of psychotherapeutic process, the relationship between patient and therapist and the special communicative process associated with a talking treatment, have been significantly compromised. Therapists and patients are being forced to consider whether in the absence of confidentiality, self determination, and a secure treatment partnership managed mental health care can be called psychotherapy. Drawing on several detailed sessions from the managed treatment of a young woman, the writer concludes that the answer is no.