The Hungry‐for‐Attention Metaphor: Integrating Narrative and Behavioural Therapy for Families With Attention Seeking Children

Many families come to treatment with concerns about attention‐seeking children. This paper examines the dominant socio‐cultural and biological influences on individual parent and child narratives about attention‐seeking behaviour and explores the misalignment between the two. A case study illustrates the reconstruction of the dominant problem‐saturated story through the hungry‐for‐attention metaphor. Finally, the author proposes an integrative approach to combining narrative practices with behavioural interventions for families and professional caregivers.     

Theory as Story: A Postmodern Tale

After locating postmodernism in its historical and epistemological contexts, this article takes the postmodern position that the behavioral theories that have informed clinical social work practice over the last century are stories with texts written by authors whose place in historical time, life experience, and personal proclivities shaped both the plots of the stories and the manner in which they were told. A review of the most influential theory-stories lays the groundwork for addressing two questions: What can postmodernism do for clinical social work? And what can clinical social work do for postmodernism?     

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.     

The Ethics of Relational Leading: Gender Matters

This article is concerned with the ethical implications of conceptualizing and enacting leadership as a relational practice, rather than as a heroic‐individualistic performance. Using a small empirical study, it explores the possibilities and challenges of becoming an ethical subject against the pressures on leaders to instrumentalize and masculinize their relational work. Ethics is understood as a critical reflexive practice through which leaders come to understand the effects of their conduct and are able to transform or restyle themselves. This fashioning of an ethical subject is discussed in relation to the construction of masculinized certainty and feminized self‐doubt. The article concludes with some tentative thoughts about the capacity of embodied subjects to transgress dominant modes of being and acting.     

Cancer as a Life Transition: A Relational Approach to Cancer Wellness in Women

Receiving a diagnosis of cancer is a traumatic event and changes one's life forever. The period of initial diagnosis and treatment is indeed a life transition, regardless of the prognosis. It precipitates a change in self-perception, physically, emotionally, and interpersonally. It changes how a woman sees herself, her family, and her world. Simultaneously the woman is confronted with many decisions to make regarding treatment options and the management of personal, familial, and work related responsibilities. People have the opportunity to reflect on old decisions and to make new decisions. Inevitably one is confronted by mortality. The management of this illness is done in the context of a complex network of relationships with family, friends, coworkers, doctors, other medical personnel, and clergy. Often it is the clinical social worker who is in the position of facilitating access to and participation in resources for care. Many women join healing communities or wellness centers to find a model of care and achieve a state of well-being that utilizes and encourages the support of these relationships. Understanding the importance and impact of these relationships can help clinical social workers facilitate cancer wellness in their clients and advocate better on their behalf. The intent of this paper is to understand the concept of cancer wellness as a relational approach and to promote its place in integrative clinical social work practice.     

From Story to Science: The Contribution of Reading Fiction and Hybrid Stories to Conceptual Change with Young Children

This quasi‐experimental study with 34 preschoolers explores how fictional and hybrid storybooks contribute to conceptual changes in preschoolers' understanding of lunar concepts. Interviews and children's drawings before and after reading sessions provided the data. Findings revealed that (i) young children have intuitive knowledge and alternative explanations from their experiences and lay culture, (ii) storybook messages and illustrations cause misconceptions and (iii) hybrid stories increase protoscientific explanations among children of both genders. Combining accurate scientific information and enjoyable context makes hybrid storybooks effective edutainment for preschoolers.     

Gender and Disability in Male‐Dominated Occupations: A Social Relational Model

Evidence from male‐dominated sectors points to high levels of disability and the disabling nature of working environments. However, research of this nature assumes a medical model of disability that does not account for the social construction of disability or the lived experiences of disabled employees. Using data from seven focus groups (n = 44) and semi‐structured interviews with professional transport employees with life‐long hidden ‘impairments’, including dyslexia, dyscalculia, dyspraxia, ADD/ADHD and Asperger syndrome (n = 22), this paper explores the lived experiences of men and women working in a sector traditionally dominated by men, the transport industry. Key themes include homosociality, public–private divide and the impact of changing work practices. Further, the data revealed how those with hidden ‘impairments’ in part construct their identities in relation to both non‐disabled colleagues and those considered stereotypically representing disability (wheelchair users). This study furthers understandings of the relationality of gender and disability in the workplace, and the lived experiences of disabled employees.     

The Role of Heritage Camps in Identity Development Among Korean Transnational Adoptees: A Relational Dialectics Approach

This study contributes to the literature on transracial adoptions in two important ways: (1) it compares how parents and transnational adoptees negotiate racial and family identities through the use of heritage camps and (2) it informs that comparison with insights garnered from the theory of relational dialectics. The results, which are based on interviews with Korean-born children and Caucasian-American parents (matched parent-child pairs), suggest that parents utilized camps to both downplay their children's racial differences and give credence to their children's “unique” lives. Adoptees, in contrast, were not concerned with downplaying race; instead, they reported that although camps were fun, they did not impact their sense of identity significantly because they did not do enough to address the racial challenges they faced. These results suggest a potential disjuncture between parental purposes for utilizing heritage camps and the actual experiences of adoptees while at these camps. Moreover, they suggest that additional empirical attention should be paid to adoption policies and practices that explicitly address the racial and ethnic needs of transnational adoptees.     

Spartacus at the Foot of the Alps: A Metaphor for the Fear of Growth

An incident from the Spartacus War (73–71 B.C.) is used as a metaphor to explore barriers to change and fear of growth in the relationship of a woman dying of cancer and her daughter. Paradox in family relationships and the use of metaphors in family therapy are explored, as are fear of the unknown, habitual transactional patterns, embedded personal narratives, and the impact of one's support network on positive change. When mother and daughter retreat behind walls created by psychological and emotional defenses, thoughts are offered on ways to overcome these barriers.     

A Sea of Trouble: A Relational Approach to the Culturally Sensitive Treatment of a Severely Disturbed Client

In this article we will show how a relational approach provides a conceptual framework that shapes and informs culturally sensitive practice with a severely disturbed client. We argue that a relational approach facilitates therapeutic action through the intense focus on countertransference, the close attention to enactments, and the therapist's authenticity and self-disclosure. Additionally, we emphasize that a therapeutic matrix that includes the cultural, racial, socioeconomic, and institutional factors, increases the likelihood clinicians will attend to what Perez-Foster calls their dissociated and disavowed personal values. We present a case that had a less than satisfactory outcome where the therapist found herself in a sea of trouble. The case illustrates how a relational approach enhanced the therapist's understanding of the case and allowed her to continue to work with a difficult and challenging client. We conclude by suggesting that our conceptual understanding of this case exemplifies a necessary and appropriate focus for future social work research and practice.     

Work of Full‐Time Mothers: Putting Voice to the Relational Theory of Working

The purpose of this qualitative research was to explore the work experience of middle‐class, Korean full‐time mothers in their 50s. Interviews, observations, and photographs were collected from 11 Korean full‐time mothers to understand their work and career experiences. The data were analyzed by a case study qualitative method of inquiry. The themes that emerged from the data were paths to becoming full‐time mothers, multiple working roles from relationships, dialectical characteristics of work, meaning of full‐time mothering, and regrets and internalized biases for full‐time motherhood. The findings illustrate how full‐time mothers experience a sense of meaning and mattering from their work; how relationships and work are intertwined in their lives; and how gender, social class, and culture influence the work and relationships of full‐time mothers. Implications for counselors and researchers are discussed.     

Using Therapeutic Metaphor to Provide a Holding Environment: The Inner Edge of Possibility

The basic thesis of this paper is that effective use of therapeutic metaphor can provide a holding environment within which the client can both address and recontextualize clinical issues. The use of therapeutic metaphor can serve to bolster the empathic connection between therapist and client, providing the client with a new feeling of being understood, in part through a new use of language. Therapeutic metaphor is also particularly well-suited to promoting dialectical understanding and analysis of everyday problems in living. The inner edge of possibility is a construct that illustrates the link between the clinical efficacy and structure of therapeutic metaphor.     

Mitchell's Relational Conflict Model: An Analysis of Its Usefulness in Clinical Social Work

This article examines the relational conflict model developed by Stephen A. Mitchell. The main concepts of Mitchell's relational conflict model are discussed, particularly early patterns of connection to parental figures and the interactive treatment approach to understanding and changing those relational patterns. The model is contrasted with classical drive and developmental arrest theories in the psychodynamic treatment of psychopathology. We explain how Mitchell's model, in keeping with a social work perspective, takes into consideration the social, cultural, and environmental factors as well as the intrapsychic. We discuss how patterns of relating are reworked throughout the life course, and we explore the potential for individual agency in constructing new patterns of relating. We also highlight the social constructivist aspects of Mitchell's approach which are congruent with current contemporary trends in social work theory. A case vignette is presented to illustrate the viability of this model for clinical social work practice.     

In the Shadow of Death: Relational Paradigms in Clinical Supervision

The process of clinical supervision is a complex undertaking that is influenced by multiple factors, including the personalities and characteristics of the supervisory dyad, developmental considerations, social attitudes, ecological factors and the parallel process. The supervisory interchange becomes even more difficult and complex when it occurs in the context of HIV and AIDS related practice, which introduces the reality of untimely death accompanied by grief and loss. In this paper, I will review the literature in regards to developmental aspects of the supervisory relationship, transference and countertransference paradigms and the parallel process. These particular issues will be framed within a relational perspective and the ways it shapes the supervisory process. The focus of this paper will be clinical work with clients diagnosed with HIV and AIDS and the impact of death and dying on the supervisory paradigm. The literature review will be elaborated on through a clinical vignette followed by an extended discussion.     

A Comparative Study of Relational Interconnectedness,Merger, and Ego Development in Lesbian,Gay Male,and Heterosexual Couples

Abstract

One hundred ninety participants, including 34 lesbian couples, 31 gay male couples, and 30 heterosexual couples, were administered a series of questionnaires which assessed each partner's perceptions of relational interconnectedness and merger. The Washington University Sentence Completion Test of Ego Development (SCT: Loevinger& Wessler, 1970) was also administered to assess participants' level of ego development. We predicted that lesbian couples would be most inclined to relational interconnection as well as merger when compared to heterosexual and gay male couples, and that merger, postulated as a healthy process, would be positively correlated with ego development across all couples. Couples revealed occasionally experiencing merger and rated this experience as moderately important to their overall sense of relationship satisfaction. Ego development was not significantly correlated with relational interconnectedness or merger. Findings provided partial support for recent reformulations of merger as a healthy versus a regressive or pathological experience and did not suggest strong differences among lesbian, heterosexual, and gay male patterns of emotional connectedness.     

“I Did Not Get that Job Because of a Black Man...”: The Story Lines and Testimonies of Color-Blind Racism

In this paper we discuss the dominant racial stories that accompany color-blind racism, the dominant post–civil rights racial ideology, and asses their ideological role. Using interview data from the 1997 Survey of College Students Social Attitudes and the 1998 Detroit Area Study, we document the prevalence of four story lines and two types of testimonies among whites. We also provide data on ideological dissidence among some whites (we label them racial progressives) and blacks. We show that although these stories, and the racial ideology they reinforce, have become dominant, neither goes uncontested.     

Time Use of Employed Mothers in Korea: A Cross-Cultural Comparison

This study examines the time use patterns of full-time employed Korean mothers who did not use outside household help. To gain insight into the potential work overload of employed mothers, their time use patterns were compared with those of unemployed mothers and of employed mothers in Japan and the United States. Results show that employed mothers in Korea allocate considerably less time to physiological and social and recreational activities than nonemployed Korean mothers. Employed mothers in Korea spend considerably larger amounts of time in work activities and significantly less time in physiological activities than their counterparts in Japan and the United States.     

A Quarter Century of The Analysis of Verbal Behavior: An Analysis of Impact

The Analysis of Verbal Behavior (TAVB) has been published since 1982, and during this time, interest in verbal behavior research appears to have increased substantially within behavior analysis. The purpose of the present analysis was to assess the influence of TAVB on the field by (a) counting citations of TAVB articles in the Journal of the Experimental Analysis of Behavior (JEAB) and the Journal of Applied Behavior Analysis (JABA) from 1983 through 2007, (b) examining which other journals cite TAVB, and (c) calculating impact-factor estimates for 2003 through 2007. Citations of TAVB articles began to appear in JEAB and JABA in the late 1980s to early 1990s, and by the end of 2007, almost a third of all articles published in TAVB had been cited in either JEAB or JABA. Other journals that cite TAVB include The Behavior Analyst and The Psychological Record. The estimated impact factor ranged from 0.267 to 0.600. Strategies for increasing the impact of TAVB are discussed.