Gentleman bountiful: Repairing the patriarch

Illustrating a patient's use of the transference as a play-ground... an intermediate region between illness and real life through which the transition from one to the other is made (Freud, 1914), the author presents the case of a man in his late fifties attempting to transcend former male role stereotypes. Using the therapist as a transitional object, this patient experimented, both in therapy and in his social activities, with various patterns in relationships with women, becoming increasingly aware of his dominating benevolence and his concommitant denial of dependency needs. Several new ways for viewing both masochistic and acting-out behaviors are proposed, ways that lead to therapeutic responses tending to convert both to reparative regressions.     

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.     

Triangular empathy: “The other” in psychotherapy with individuals

This paper seeks to explore triangular dimensions in individual psychotherapy. In addition to serving as the dyadic object of transference projection and/or as selfobject for a person in psychotherapy, the therapist may be called upon to help the patient work on relationships with certain early, important people or their representations and on the interplay between such relationships and the therapeutic one, that is, in a triangular configuration. Because patients' attempts to introduce others into individual psychotherapy are sometimes experienced by therapists as resistant rather than as integral to the therapeutic process, I propose an empathic reconsideration of such patient efforts to get us to help with the complicated dimensions of human relatedness.     

“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.     

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.     

Psychotherapy as an eductional process

Clients in psychotherapy with social workers, psychiatrists and psychologists learn things that they did not know previously. This learning modifies their view of reality and themselves. Clients learn that their problems are, to an extent universal, interpersonal—both out from themselves and to themselves from others, due to experiences in their past in their families, perhaps solvable by identifying with successful others, often due to unrealistic expectations about themselves, others and existence in general. Successful therapy is marked by culture-building interaction by the client and the therapist with the client's subjective understanding modified to enable greater autonomous action.     

Theory at risk: Accounting for the excellence movement

Amidst widespread concern about educational crisis and the need for reform, the current excellence movement places a pronounced emphasis on rigor, standards, and a core curriculum of basic studies. At issue here is whether major macro-the-oretical perspectives can account for the emergence of this movement. Functional and Marxian theories do not meet this challenge well, especially insofar as they posit a tight, rational linkage between school and economy and downplay the institutional autonomy of the educational system. A status conflict approach, emphasizing middle class mobilization, offers greater insight, though it must be complemented with a recognition of constraints imposed by capitalist organization and the institutionalization of educational myths.     

“Marrying off” children as a developmental stage

Conclusion Marrying off the children is an important developmental stage in adulthood. Part of the very long and complex stage described by Erik Erikson as Generativity vs. Stagnation, this stage, like many earlier life stages, can be understood to give rise to a normative adult crisis that is destabilizing and anxiety-provoking. The marriage of one's offspring requires an ongoing transformation of parental narcissism, part of a developmental process that is intrinsic to parenthood. Issues of selfesteem are revived and reworked during this period. Traditional theory looks to oedipal rivalry or drive conflict of some kind to explain the anxiety at this time. An expanded understanding of narcissism, provided by Kohut and Elson has given us a broader view of these phenomena.The experience of hurt and sadness at a time when there is reason to celebrate can be a profoundly lonely and bewildering experience. As informed clinicians we can alleviate some of the loneliness and guilt about these feelings by understanding the challenge to the self that the marriage of adult children may represent.     

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.     

“Supportive” psychotherapy: A contemporary view

In this paper, a brief review of social work literature regarding the technique of psychotherapy serves as a bridge to introduce the way in which self-psychology and the systematic use of empathy as a mode of listening and responding, had effected the conduct of psychoanalytic psychotherapy. A clinical sample, taken from the treatment of a patient who was diagnosed as having a Borderline Condition, is being used to demonstrate that feeling understood firms up the self in a way that enhances introspection and permits the use of interpretations as the therapist's primary mode of communication. The clinical example also demonstrates that when the therapist maintains an empathic position, the patient, even in once weekly therapy, is likely to develop one of the selfobject transferences. Further, that when empathic interpretations are used as the therapist's primary interventions, structural changes are likely to occur in such a way that treatment results in true healing rather than in the fostering of a life-long dependency on the therapist. Only a brief reference is made to the usefulness of self-psychology to the treatment of patients with higher level psychic organization and the important part that anger plays in the process of psychoanalytic psychotherapy.The Shirley Greenberg Memorial Lecture, Delivered at Simmons College, School of Social Work, Boston, Massachusetts on June 9, 1983.     

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.     

Social Defenses Against Organizational Learning

It is argued that for organizational learning to occur maladaptive social defenses within the organization have to be altered. The origins of the concept of social defenses are traced through the work of Jaques and Menzies. A new concept of system domain, and related concepts of system domain fabric, and system domain defenses, are proposed in order to account for the difficulties in sustaining organizational change in organizations that share a similar primary task. Organizational learning is defined as occurring when there is co-evolution of organizational container and contained. The article distills variables from three successful consultancy/action research projects which are characteristic of organizations that are learning, and it is hypothesized that the creation of organizational awareness is necessary for organizational learning to occur.     

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.     

The development of a capacity for concern in antisocial children: Winnicott's concept of human relatedness

Winnicott's refreshing view of clinical practice includes the unique notion that delinquency is a sign of hope. Several of Winnicott's interpersonal concepts fit together to develop this thought: holding environment, capacity for concern, the use of the object, and hate in the counter transference. In this paper these four concepts are described and the case of a ten-year-old antisocial youngster is used to illustrate Winnicott's thinking and tie some of his illusive ideas into a difficult but familiar kind of practice situation. The therapeutic approach used was a mixture of case management and play therapy. What is different however is the way in which the therapist interpreted the youngster's behavior and stimulated his rich fantasy life.     

The Paradoxes of Modernity: Scientific Advances,Environmental Problems,and Risks to the Social Fabric?

Recent reviews have contrasted U.S. sociologists' empirical work on technological risks with the theoretical risk work of Giddens and Beck, but the reality is more complex. Most U.S. sociologists are less likely than Giddens or Beck to see risks as transcending socioeconomic and other divisions, but the United States–based work tends to interpret the trustworthiness of scientific–technical expertise in ways that lie between the arguments of Beck and Giddens. An examination of early nuclear technologies indicates that the United States–based perspectives provide a better fit, for theoretical as well as empirical reasons. The development of nuclear technologies was mixed, rather than high or low, in its competence and trustworthiness, and it created social and environmental risks that did not so much transcend social divisions as to reinforce them.     

Making Minorities: Cultural Space,Stigma Transformation Frames,and the Categorical Status Claims of Deaf,Gay, and White Supremacist Activists in Late Twentieth Century America

This article compares the efforts of movement activists in three dissimilar groups to replace a stigmatized status with a valued one by portraying their groups as resembling established minorities (claims of contiguity in cultural space) and as differing from groups stigmatized as deviant (claims of distance). The most common claims assert similarity to African Americans, and frequently incorporate civil rights themes (exemplifying frame diffusion). Tactically, these minority status claims exploit both the resonance of cultural pluralism and state recognition of minorities. Strategically, minority status framing enables stigmatized groups to claim legitimacy without changing — simultaneously asserting both normality and difference.     

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.     

The VFW — A case study in the “iron law of oligarchy” and goal displacement

The iron law of oligarchy is applied to the VFW. Using participant observation and qualitative interviews, membership of the VFW is dichotomized into a leadership oligarchy and a drinking membership. Opinions of members of the two groups about the purposes of the organization and about each other are documented. An historical analysis traces the change in organizational goals over time from promoting nationalism, fraternalism, and special benefits for members to political advocacy of veterans' rights.     

Words of power: The power of words

Conclusion The original hapiness of words (Foucault) is gone ; there are no innocent languages (Barthes) anymore. All are related to social experiences, because a language originates in and has its primary reference to the everyday life. (Berger and Luckman, 1967, p.38) Any language is related to a given society, and both language and society are shaped by history. Obviously, American and French histories have been quite different.     

Rescue Fantasies in Child Therapy: Countertransference/Transference Enactments

When the focus of the child treatment is on the therapist being a good object, this can accentuate a possible countertransference difficulty of the therapist becoming the protector of the child from the bad object. This countertransference can often resonate with rescue fantasies in the child. This paper will explore the topic of rescue fantasies in child treatment, while addressing the issue of coinciding fantasies existing unconsciously in both the therapist and child, leading to their enactment. A case of a nine-year old boy is presented which demonstrates how interpretation and resolution of rescue fantasies can lead to a deepening of the treatment.