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.     

Gender and the residential telephone, 1890–1940: Technologies of sociability

Recent work on gender and technology debunks the claim that household technologies have liberated women from domestic work. The history of telephone use in North America suggests, however, that global conclusions about gender and consumer technologies may be misleading. Although marketed primarily as a business instrument and secondarily as an instrument to facilitate housework, the telephone was, in a sense, appropriated by women for social and personal ends. This paper explores the affinity of women for the telephone, how women in the half-century before World War II used the telephone, and why. It suggests that there is a class of technologies that women have exploited for their own, gender-linked, social and personal ends.     

Antisocial behavior in adoptees: Patterns and dynamics

A recurrent pattern of provocative, antisocial, delinquent behaviors has been found by the senior author and others to be characteristic of clinically referred adopted children and adolescents. Although the parents often defensively insist that adoption is not relevant to the child's problems, the child himself frequently reveals obsessive fantasies about his birth parents. The underlying psychodynamics include the child's inability to integrate two sets of parental images—often one bad and the other good—into a single realistic image, and resultant impairment in the development of the superego. A negative self-image is often mirrored by the adoptive parents' projection of their own unacceptable impulses onto the child and the birth parents. The paper concludes with a discussion of implications for post-adoption counseling, clinical treatment, open records, and screening of potential adoptive parents.     

Social Class,Cultural Repertoires,and Popular Culture: The Case of Film

This research examines two different conceptions of the relationship between social class and familiarity with popular culture in the United States. Specifically, it focuses on differences between members of the upper-middle class and members of the lower-middle class in terms of their film viewing practices. The data for this analysis was obtained from a survey of 364 individuals randomly selected from two neighborhoods in a medium-sized city, one predominantly upper-middle class and the other predominantly lower-middle class. Members of the upper-middle class view more art films, as well as more classic films and blockbuster films, than members of the lower-middle class. These differences are largely attributable to the fact that members of the upper-middle class view more films both in theaters and on videocassettes than members of the lower-middle class. Moreover, these differences are reduced, but not entirely eliminated, by the fact that members of the lower-middle class view more films on television than members of the upper-middle class. Finally, these differences in the film-viewing practices of the members of these two social classes, as identified by their neighborhood of residence, obtain even controlling for a series of demographic and socioeconomic background variables.     

The Use of Coercion in the Treatment of Incarcerated Juveniles Adjudicated on Sexual Offenses: Consequences and Implications

Since the inception of specialized treatment for juveniles accused of and adjudicated on sexual offenses (JASOs), denial has been an organizing principle. Most clinicians believe that breaking through denial is a necessary prerequisite for successful treatment. Unfortunately, there is little empirical evidence to support this claim. Further, when admitting to one's sexually offensive behavior in treatment becomes paramount, the risk that other therapeutic issues are missed or ignored increases. This article calls attention to the dangers of coercion, in its varied forms, when attempting to get youth to take responsibility for their sexually offensive behavior. Based on interviews with 40 incarcerated JASOs, the author suggests that using presumptive realities as an organizing principle rather than denial, helps to focus treatment providers on their role in the therapeutic process. In using presumptive realities the JASO's story or interpretation of the abuse event is considered therapeutically relevant and reflective of the context in which treatment occurs.     

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.     

The uninterpreted rage: Protecting the therapeutic alliance in the treatment of borderline patients

After reviewing differing approaches to the treatment of the borderline patient, this paper describes the treatment of a patient whose negative transferences are not interpreted by the therapist; rather, the focus is on maintaining the therapeutic alliance via the awareness of the kinship selfobject function of the therapist and merger with the idealized selfobject.There is no end unless the bottom of the trough has been reached, unless the thing feared has been experienced. (Winnicott in Casement, 1991, pp. 129–130). As a matter of fact in these cases it is of decisive importance for the psychotherapist to remain clearly differentiated from the core of psychopathology—if he cannot achieve this separation and becomes drawn into the patient's delusions, he loses his tie to the healthy remainder of the patient's psyche and thus his therapeutic leverage. The maintenance of a realistic, friendly relationship with the psychotherapist is thus of crucial importance in the treatment of the psychoses and borderline states ... (Kohut, 1971, p. 30).     

Dual relationships: Client perceptions of the effect of client-counselor relationship on the therapeutic process

Sixty-seven former clients of a large metropolitan counseling center were surveyed as to the frequency with which they experienced 21 specific forms of client-counselor contact during therapy. Thirteen behaviors surveyed described forms of social contact and eight behaviors described forms of physical contact. Respondents also evaluated the 21 behaviors as to their presumed effect on the therapy by rating each behavior on a scale ranging from –2, very detrimental, to +2, very beneficial. Four client-counselor behaviors were rated by a majority of respondents as beneficial to therapy, and eight client-counselor behaviors were rated by a majority of respondents as detrimental to therapy.     

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.     

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.     

Snarls,Quacks, and Quarrels: Culture and Structure in Political Process Theory

Political process theories of social movements have relied on a set of oppositions between culture and structure that has limited their capacity to capture the supraindividual, durable, and constraining dimensions of culture. The solution is not to abandon an emphasis on objective political structures in favor of potential insurgents' subjective perceptions of political opportunities, but rather to probe the (objective) resources and constraints generated by the cultural dimensions of political structures. Such a perspective would pay closer attention to the cultural traditions, ideological principles, institutional memories, and political taboos that create and limit political opportunities; and would link the master frames that animate protest to dominant political structures and processes.     

Durkheim'sdivision of labor in society

The source of social life, according to Durkheim, is the similitude of consciousnesses and the division of labor. The former is best evident among primitive societies where a mechanical solidarity, evidenced by repressive law, prevails; the latter in advanced societies where populations evidence greater dynamic density, and juridical rules define the nature and relations of functions. In combating individualism and basing the existence of societies on a consensus of parts, Durkheim refutes his positivistic emphasis which denies the relevance of ends to a scientific study of society. In his discussion of social ends is a latent anti-mechanistic trend. The theory of unilinear development is established on deficient ethnographic data. It assumes the absence of division of labor among primitive societies and of any mechanical solidarity among modern societies. Repressive and restitutive law Durkheim seeks to use as indexes of mechanical and organic solidarity, but he does not establish with any precision the perfect associations which he assumes obtain between his types of solidarity and of law.Reproduced from theAmerican Journal of Sociology, Vol. 40 (1934), pp. 319–328. (© 1934 by the University of Chicago. All rights reserved.)     

Wherein Lie the “Secrets of Life”?: An Argument Against Biological Essentialism

There is a very strong trend in American culture to impute fixed, stable, and universal properties to a wide range of behaviors and conditions, thereby essentializing their qualities and locating them within nature. Both persons with disabilities and queers have been designated as nature's deviants. The author explores parallels and points of divergence in the responses of both disability rights and queer rights activism and scholarship to this assigned classification. She further illuminates this exploration by drawing upon insights derived from growing up with a congenital disability. As a child, the author felt that her body was a text composed, crafted, and edited by those who had the power to manipulate it. Recently, she entered a lesbian relationship, and together she and her partner planned a commitment ceremony that allowed her to reclaim her own body, because the body of the text that ensued was one of their own creation.     

A token of loving: From melancholia to mourning

This paper explores the work of mourning for what was missing in childhood. Specifically, it addresses patients who did not have good enough parents and who present in treatment in a state of melancholy or despair. The paper delineates phases of the treatment process and highlights Winnicott's token of loving as the vehicle of healing in the therapeutic relationship. Through dreams and case material the paper illustrates the process of recovery.     

Goffman revisited: Relatives vs. administrators in nursing homes

This case study applies Goffman's total institutions paradigm to a skilled nursing facility and shows that his characterization of relatives as collusive agents in a betrayal funnel is more accurate in the prepatient phase than after admission. When they encounter administrative resistance to their suggestions, some relatives become militant reformers. This paper describes ten gatekeeping tactics employed by administrators to neutralize such relatives, and four gatestorming tactics utilized by relatives to affect change. The author concludes that while Goffman's work is still relevant, his tendency to stereotype total institutions is misleading and his manner of reporting field work obscures the true role of the participant-observer.     

“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.     

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.     

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 relationship between dissociative-like experiences and sensation seeking among social and problem gamblers

The present study examined the relationships between dissociative experiences, sensation seeking scores, and gambling behavior. On the basis of the frequency of their gambling behavior and responses to the Gamblers Anonymous Twenty Questions, subjects were designated as either problem gamblers (N=30) or social gamblers (N=30).Those designated as problem gamblers responded yes to an average of 12.17 questions on the Gamblers Anonymous Twenty Questions as compared to the social gamblers who averaged 1.90 yes responses. Responses on the Twenty Questions correlated strongly with the frequency of gambling behavior and dissociative experiences. Problem gamblers reported a significantly greater number of dissociative experiences than social gamblers (p<.01). Problem gamblers scored significantly higher than social gamblers on the Total Sensation Seeking Scale, and the Boredom Susceptibility, Experience Seeking, and Disinhibition subscales. Clinical implications and recommendations for future research are discussed.     

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.