Spirit Possession and Exorcism in the Treatment of a Bedouin Psychiatric Patient

A male Bedouin psychiatric patient was initially misdiagnosed and treated as a paranoid schizophrenic. The modern mental health care system correctly understood the form of the patient's symptoms, auditory and visual hallucinations. It did not however at first appreciate their content, or cultural significance. The patient had unresolved anger toward his family which was manifested in an angry exchange with his mother. This exchange created guilt and the belief that the patient had sinned against God and was possessed by demons. A psychiatric social worker was able to reconcile the patient with his mother and to incorporate a traditional Bedouin healer, the Dervish, to exorcise the patient. The patient was cured by the Dervish, re-diagnosed as a neurotic by the modern system, and continued successfully with both systems for several months in follow-up treatment before being discharged.     

Re-painting the golden gate bridge: Coordination of services for abducted children reunited with their families

This is a case study of a program implemented to serve abducted children who have been recovered and returned to their families. Development of working relationships between and coordination of mental health, law enforcement, child protective, judicial, mediation and victim assistance services is a process which produced effective readjustment services for children traumatized by abduction and has reduced systems trauma for the children and their families. Trials and triumphs of the continuing and tedious process of re-painting the bridge are reviewed as potential guidelines to be employed for other such coordinated efforts, a concept increasingly viewed as thesine qua non of service in complex and chronic problem situations.Credit for the application of the bridge painting metaphor to the Child Abduction Tast Force process goes to Michael Durfee, MD.The Reunification Project would not have been possible without the dedicated work of Rebecca Refuerzo, LCSW, in establishing the Center's Program, and the clinical expertise of Merilla McCurry-Scott, Ph.D., Jenenne Macklin, LCSW, Melissa Gleason, MSW, and Karina Walters, MSW.The Reunification Program is jointly funded by Find the Children and the U.S. Office of Juvenile Justice Programs.     

Challenging the Silence of the Mental Health Community on Adoption Issues

As traditional secrecy surrounding adoption has waned, the behavioral sciences, particularly the mental health community, have remained largely silent, particularly on postadoption issues. Reasons for this silence are suggested. Research on adoption is difficult to conduct. The mental health community may desire to see adoption as professional problem-solving and as a favor done to all involved. Problems in adoption thus represent both a failure on the part of those professionals and a favor gone bad. Fear that discussing adoption-related problems will lead to adoption itself being labeled as pathological is also likely operating to support the silence. Privacy issues for the adoptive and birth families are also important. Sexuality and childbirth have long been areas not sufficiently addressed, but with the addition of the illegitimacy common in adoption they are even more controversial. Issues of poverty, powerlessness, social class, and race also are difficult to face, as is the business aspect of adoption. Acknowledging the reasons for the silence may be the first step in addressing it. Other steps, such as continuing education programs and publication of information on postadoption issues are also suggested.     

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.     

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.     

Re-Figuring Marked Bodies on the Borders: Breast Cancer and “Femininity”

The author discusses writings by Eve Kosofsky Sedgwick, Kathleen Martindale, Audre Lorde, and Barbara Rosenblum on their experiences with breast cancer, and explores their articulations of the impact mastectomy has had on their sense of femininity in relation to their own identities and body images, and in relation to cultural expectations, and how others perceive them. Their identification of the body as socially produced, and as a site of contestation and multiple struggles, offers a strategic site from which to engage with the violent gender-inflected notion of the ideal female body. Themes addressed include: the process of writing embodied experience to make it real, the body's role in the process of identity formation, the culturally constructed significance of appearance to the individual's sense of femininity, the value of the female body in a capitalistic society, and heterosexism in society and in the health care system.     

Psychosemantics of “One-China” Conception: Fourth-Dimensional Resolution of Taiwan–Mainland Political Deadlock

The political conflicts between Taiwan and the Mainland have progressed, for over 50 years, from the historical hot civil war for the exclusive ownership of one China's territorial sovereignty to the contemporary cold rhetoric circularity around the geopolitical symbolism of the one-China principle. In the process, the United States has been intimately entangled in the disputes in terms of 3 alignment stages--from an unambiguous pro-Taiwan before the 1970s, the ambiguous neutrality in the early 1970s, to the contemporary pro-Mainland China. Despite the fact that during the past 3 decades the United States honored the arms sales and the Taiwan Relations Act commitments in Taiwan's favor, and simultaneously conferred the 3 Nos and 3 communiqués in Mainland China's favor, the cross-Strait tensions have persisted without the prospect of a definitive foreseeable resolution. Further, because of the lack of explicit conception of one China, the United States has to constantly resist the opposing persuasions of the 2 sides, and therefore must continue to rely on the ambiguous dual deterrence strategy for maintaining the dynamics balance over the Taiwan Strait. For such endeavors, the Clinton 4 frameworks and the Bush 5 Taiwan policies have proven to be very effective, but mostly to the extent of assuming a passive role in preventing military confrontations.     

“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.     

The Newhalf Net: Japan's “Intermediate Sex” On-Line

After English, Japanese is the most widely represented language on the Internet; yet, because Japanese is not widely spoken outside Japan, very little information exists in English about the ways in which the Internet is being used by queer communities in Japan. This essay looks at how one group within Japan's transgender community is deploying Internet technology. Japan's newhalf (nyuuhaafu) are transgendered men who consider themselves to be a third or intermediate sex, and they work in clearly-defined roles as hostesses, companions, and sex workers within Japan's extensive sex and entertainment industry. The contents of several newhalf Websites are analyzed, and their different applications are discussed. It is suggested that the Internet is being used to disseminate information about sexual services and identities that have a long history in Japan, rather than to encourage the development of more politicized sexual identities.     

Muddying the Waters Does Not Have to Entail Erosion: Ecological Feminist Concerns with Purity

Ecofeminists call attention to the associations that have been made between woman and nature, which can operate as a source of both subjugation and resistance, exploitation, and inspiration. This paper expands upon feminist critiques of purity by phrasing these concerns in an ecological feminist perspective. This theoretical exercise of problematizing the ideal of purity sheds light upon the intersections of human and nonhuman oppression. Preservationist work has tended to employ the logic of purity by focusing on protection of the purity of the wild regions of the earth from the polluting forces of humanity. However, such approaches retain the troublesome nature/culture dualism. The author illustrates how attempts to fragment and radically separate people from the environment can prove to be highly dangerous. She connects the theoretical resistance to purity to the important activist work that is being done to expose environmental racism. Finally, she discusses how muddying the waters and resisting the logic of purity can offer a promising approach to pressing problems revolving around the intersections of human and nonhuman oppression.     

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.     

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.     

Child Care Work: Intimacy in the Shadows of Family-Life

This study analyzes the relationships between child care workers and the families of the children they serve. Because paid child care operates in the borderlands of family, many workers develop intimate relationships—both emotional and physical—with the children they care for and their families. Based on three and a half years of participant-observation fieldwork, and in-depth interviews with child care workers, the researcher examines how worker's subjective meanings are shaped through daily interactions, through organizational processes found in child care centers, and by the gendering of child care as women's work. The child care workers in this study saw themselves in family-like relationship with the families they served. This designation as like-moms and pseudo-parents also meant that workers continually engaged in emotional labor—managing the intimacy they experienced as caregivers against the expectations placed on them as workers.     

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.     

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 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.     

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.     

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.     

Why China failed to create an endogenous industrial capitalism

Conclusion Weber almost anticipated the idea of the high-level equilibrium trap. Speaking about bureaucracy, he observed that as always in the area of'techniques' ... advance proceeded most slowly wherever older structural forms were in their own way technically highly developed and functionally particularly well-developed to the requirements at hand. It is a pity that he did not utilize this insight to analyze what he called the increasing stability of the economic situation under conditions of the economically self-sufficient and socially homogenously composed world-empire of China. Instead he pursued the idea that the absence of self-generated capitalism in China was due basically to the lack of a particular mentality. This inappropriate mentality had several aspects. One was the personalist principle. Others are listed in a catalog of alleged traits of personality taken largely from Arthur Smith's Chinese Characteristics. They include stolidity, patience, dislike of novelty, absence of curiosity, credulity, and a general distrust of and dishonesty towards all. Having acknowledged China's considerable technical endowments and inventions (Weber's own quotation marks), he argued that the magic stereotyping of technology and economics... completely precluded the advent of indigenous modern enterprises in communication and industry. The Chinese world, in a famous phrase, was a magic garden in which the ethical rationality of the miracle [was] out of the question. Certain points of detail may be disputed. Thus the miracles attributed to the piety of sons and the fidelity of widows were entirely ethically rational. But the crucial fact is that this conception of the problem led Weber in practice to place an excessive faith in the explanatory power of an analysis of ideas considered in relative isolation from their socioeconomic context. It probably also weakened his sense of the need to sort out more systematically the somewhat internally contradictory opinions that he held on the more specifically economic aspects of Chinese society.

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Foundations and Their Institutional Context: Cross-Evaluating Evidence from Germany and the United States

According to the relevant literature, the relationship between government and the private foundation sector in Germany is marked by a paradigm of conflict very similar to the one that has often dominated the U.S. discussion of government/nonprofit relationships in the past. More specifically, scholars often hold that the development of foundations in Germany is largely hampered by an administrative and regulatory climate that weakens rather than strengthens the foundation community. Two main arguments are brought forth in this context: First, the expansion of the state bureaucracy into traditional activity fields of foundations crowds out the foundation sector; second, the structure of tax regulations is detrimental to a sound development of foundations. However, while these arguments figure prominently in the policy debate, they have neither empirically nor analytically been substantiated as of yet. Borrowing from organizational theory, this article critically evaluates the arguments in the light of available evidence in an effort to contribute to a better understanding of foundations in an international context.