Time,Knowledge, and Power in Psychotherapy: A Comparison of Psychodynamic and Cognitive Behavioral Practices

Time has long been recognized as a marker of professional control and a tool for the organization of work. Yet we know less about how temporality intersects with experts’ epistemic goals. This article illustrates how the patterning of time in psychotherapy shapes the construction of knowledge about mental illness and how this relationship is mediated by patients’ own interventions. I focus on psychodynamic and cognitive behavioral therapeutic practices and draw on data from ethnographic observations in an outpatient psychiatry clinic and in-depth interviews with psychotherapists. The article details the constitutive relationship between two dimensions of temporality: first, clock time, namely the length of treatment, the length and frequency of sessions, and the flow of the therapy hour, and second, the temporal epistemics of illness, its construction as a phenomenon with a past, present, and future. Clinicians in the two orientations attempt to construct particular temporal landscapes by integrating these two facets of their work. Yet they must always do so in response to patients’ own temporal interventions. By attending both to the organization of professional work and the temporality of illness, this article brings together two largely distinct literatures within medical sociology, namely scholarship on the profession of medicine and social scientific understandings of the temporal dimensions of illness. It shows that temporality is constitutive of how knowledge and power are negotiated in expert work.     

Time and Timelessness in the Psychoanalysis of an Adult With Severe Childhood Trauma

This article is an exploration of the phenomenological experiences of temporality in the psychoanalytic treatment of a patient who suffered severe dissociation. The writer tracked exchanges with an adult analysand who repeatedly suffered childhood attachment losses and sexual and physical traumata. During treatment sessions the patient enacted dissociated alter personality states each with distinct memories. Loewald (1980) contrasted the experience of time as eternity to the fragmented temporality of trauma. Tracking his experience during key sessions, the writer/analyst infers that by repeatedly going back and forth between experiences of sequential time and timelessness, the analyst helped the patient link previously dissociated experiences. This in turn allowed the patient to realize increased coherence and stability of identity and affectivity. The case material is used to consider how multiple temporalities are represented by the patient and the implications of temporality for understanding trauma and deep dissociation.     

Communication Patterns and Direct Social Work Practice with Latinos in the U.S.

Abstract

Although Latinos in the United States are projected to become the largest ethnic and cultural population by the 21st century, there continues to be a paucity of literature on the heterogeneity of this population. This article presents a brief perspective of Puerto Ricans in the U.S. including elements of its cultural value system and its relevance to culturally based differences in patterns of communication. The author identifies several cultural values, how they interface with different patterns of communication among Puerto Ricans and implications for direct social work practice.     

Risk communication in South Korea: Social acceptance of nuclear power plants (NPPs)

The purpose of this study was to examine the effects of perceived efficacy, perceived risk, communication quality, and trust on social acceptance of nuclear power plants (NPPs) in South Korea. The results of this study indicated that perceived efficacy was most strongly related to social acceptance of NPPs. In addition, communication quality and trust mediated relationships among perceived efficacy, perceived risk, and social acceptance of NPPs. These results also provided practical implications for managing risk communication in South Korea.     

Crisis? What crisis?: How European professionals handle crises and crisis communication

A broad study in 43 European countries shows that 70% of communication professionals encounter at least one crisis a year, mostly institutional, related to the performance of the organization or a crisis in management or leadership. Organizational response and image restoration approaches are mainly based on information, sympathy and defense strategies. Traditional media relations and personal communication are the most important instruments used in crisis communication, while social media is used less often. The variation of crisis types, responses and instruments across European regions and types of organization indicate that economic and cultural aspects play a role in defining a crisis and communicating about it.     

Is Strategic Communication too important to be left to Communication Professionals?: Managers’ and coworkers’ attitudes towards strategic communication and communication professionals

The article is based upon empirical data from a Swedish three-year research project entitled “Communicative Organizations”, investigating the value of communication for organizations. The project is involves eleven organizations. Based upon empirical data from a quantitative survey (n = 6486) the perceived value of strategic communication and communication professionals, mainly among managers and co-workers, is analyzed. Two conceptual models are used for analysis: the communicative organization and the four-by-four model of strategic public relations. The results shows that the self-identity of communication professionals and the normative model of strategic public relations partly mirror and partly collide with the perceptions of managers and coworkers. The study confirms that managers and coworkers find communication crucial for their organizations at a strategic level, but that the role of communication professionals is rather unclear. A majority of the respondents do not understand the core role or roles of communication professionals.     

The Importance of Source and Credibility Perception in Times of Crisis: Crisis Communication in a Socially Mediated Era

Social media are invaluable sources of information during organizational crises. Although recent research confirms this fundamental role in crisis communication, this article is aimed at deepening the understanding about the role of the source of information in this socially mediated era by comparing the organization and the employee as communicators. As social media lack traditional gatekeeping processes, dynamics of both source and content credibility are assessed. The findings, based on an experimental design, advocate that judgments of organizational reputation are not only dependent on the crisis-response strategy, but also depend on the source and perceptions of source and content credibility.     

Challenges of multimodality: Language and the body in social interaction

This article reflects on recent challenges emerging from the study of language and the body in social interaction. There is a general interest in language and the body across disciplines that has invited a reconceptualization of the broader issues relative to action, cognition, culture, knowledge, social relations and identities, spatiality and temporality. The study of social interaction focuses on how multimodal resources – including language and bodily movements – are holistically and situatedly used in building human action. This article discusses some consequences and challenges of putting the body at the center of attention: it repositions language as one among other modalities, and invites us to consider the involvement of entire bodies in social interaction, overcoming a logo‐centric vision of communication, as well as a visuo‐centric vision of embodiment. These issues are developed through a series of conversation analytic studies, firstly of classic topics in linguistics like deixis, then of more recent topics, such as mobility and sensoriality.     

Do women have longer conversations? Telephone evidence of gendered communication strategies

We investigate whether there are systematic gender differences in communication behavior by telephone. First, we report a study of anonymized billing records of 3103 subscribers to a large mobile operator in Italy and Greece over 2 years from 2006 to 2008. Faced with identical tariffs, women make fewer calls than men, and their calls last 16% longer controlling for other factors. Secondly, we report a study of some 92,000 person-days of calls to call-center employees of a large consumer services company operator at four sites in Germany. Calls randomly allocated to women last 15% longer than those of men controlling for other factors. There is no evidence, however, that this results in the women being any less effective employees than the men; indeed, in operations involving sales where it is possible to measure productivity by this criterion, female employees make slightly more sales per shift than men. It appears instead to reflect systematic gender differences in communication strategies, though it may reflect also an element of preference by both men and women for speaking to women. The findings of both studies are highly statistically significant and are found across all age groups. The magnitude of gender differences is sensitive to the costs of communication. The results have implications for possible explanations of gender clustering in the labor market.     

Becoming,Being and Having Been: Practitioner Perspectives on Temporal Stances and Participation across Children’s Services

This article is based on a study of the changing meanings and experiences of citizenship and participation for young people in transition from primary to secondary school. One of the primary concerns of the study is to better understand how different professional practices impact upon young people’s uptake of participation and adoption of civic identity. To gain some insight into this area the article first looks at the contexts in which participation work is developing and the interrelationships between these developments across children’s services. How different practitioner’s conceptualise participation is tied into different assessments of young people’s or children’s capacity. Recasting questions of capacity as dialogues across differing temporal stances can offer practitioners new ways to reflect upon the power negotiations within their relations with young people. The key role temporality plays in configuring power relationships and transactions is explored as it arises within practitioner life history interviews. The shifts between temporal stances that young people experience as they interact with different practitioners are illustrated through fieldwork data.     

Listening to Lesbian Couples

Abstract

Lesbian couples experience many strengths in relationship. This qualitative analysis focused on the communication competence of 10 long-term lesbian couples (dyads) together for 10 years or longer. They were interviewed jointly in two semi-structured interviews, methodologically using a combination of ethnography and phenomenology from a feminist perspective. The couples described a communication process that constructed and conveyed meaning. These dyads managed conflicts by avoiding contemptuous language and through negotiating skills. Additionally, they maintained an empathic attunement to each other by attending to nonverbals and respecting differences. This article explores these themes and provides implications for professionals working with all couples.     

The trend toward multiple authorship in social work: A British and US comparison

This article provides a comparative analysis of publication trends in social work in the US and Great Britain. This exploratory effort seeks to identify possible explanations for the phenomenon of multiple authorship, the implications of multi-authored scholarship, and some of the potential ethical questions that may arise from such collaborations in regard to what constitutes legitimate contributions to a scholarly article or book. To the extent that common trends are emerging across international boundaries, the incentive for heightened communication and collaboration may be increased in an effort to identify implications and derive solutions to common problems.     

SCHOOLING THE INFORMATION SOCIETY? The place of the information superhighway in education

Despite a history of educational resistance to technology, the internet and, in turn, the information superhighway, have been popularly heralded as having the potential to transform schools the world over. In doing so there has been a conspicuous lack of critical examination of the information superhighway's role in education. This article therefore contrasts popular conceptions of the 'educational' superhighway with the likely social and cultural implications of the 'wired' school. From this perspective the article first examines three central claims that are popularly made about the information superhighway in education: namely, the unbridled access to information it will afford teachers and learners; the potential for interactive communication with other individuals; and the equality it will imbue. These popular discourses are then contrasted with two fundamental characteristics of the information superhighway which are often overlooked by its advocates: the different quality of learning experienced 'on-line' and the educational implications of the inherent economic nature of the emerging information superhighway. The article then concludes by suggesting an alternative approach to examining the implementation of the information superhighway in an educational context.     

‘We have very different positions on some issues’: how child welfare workers in Norway and England bridge cultural differences when communicating with ethnic minority families

This article compares how child welfare workers in Norway and England experience and cope with communication problems resulting from cultural differences. This study is based on in-depth, semi-structured interviews with 53 front-line child welfare workers and draws on social theories that understand communication as a social act. We show cross-country variations in child welfare workers' perceptions of the communicative problems and coping mechanisms. In Norway, social workers think that minority parents' perceptions on children's needs and child-rearing and parents' lack of understanding of the child welfare system were challenging. Social workers in England perceive the physical abuse of minority children as problematic. They are also concerned about carers' fears of social workers forcing majority cultural values on minority families. While social workers in both countries spend more time with minority families, their approaches dealing with communication challenges correspond to their different problem perceptions. Social workers in Norway act as cultural instructors: they focus on the needs of the minority child and instruct parents about Norwegian values and the Norwegian welfare system. Social workers in England are cultural learners: they focus on practising in anti-oppressive ways, while protecting ethnic minority children from physical abuse. Both approaches avoid going into real communication about perceived problems and what a child might need. We also discuss the implications of these findings on social work practice.     

The effects of CSR communication in corporate crises: Examining the role of dispositional and situational CSR skepticism in context

Although consumer skepticism about corporate social responsibility (CSR) is on the rise, research is sparse on the psychological dynamics of this skepticism, particularly when CSR communication serves as a company’s crisis response strategy. Employing two between-subjects design experiments, this study aims to fill this gap by looking at the role consumer CSR skepticism plays in consumer reactions to CSR communications in different types of crises. The study 1 results show that dispositional CSR skepticism did not moderate the effect of crisis type on attitudes and intentions when CSR was used as a post-crisis response strategy. The study 2 findings, however, indicated that situational CSR skepticism significantly mediated the impact of crisis type and CSR motives on purchase intentions only when the crisis stemmed from some accidental rather than preventable circumstance. Theoretical and practical implications are discussed.     

THE NEW MEDIA AND OUR POLITICAL COMMUNICATION DISCONTENTS: DEMOCRATIZING CYBERSPACE

This article argues that the new interactive media have a 'vulnerable potential' to enhance public communications and enrich democracy, which can be realized only through appropriate policy support and imaginative institution building. After outlining the main shortcomings of the prevailing political communication system, certain elements of redemptive potential, inherent in distinctive features of the Internet, are identified. The policy implications of this analysis are then drawn for the public-service obligations of mainstream media, to ensure open access to new media platforms, and to create a 'civic commons' in cyberspace.     

‘Globalisation’, Governance and social work: Some implications for theory and practice

Abstract

This article focuses cautiously on the implications of ‘globalisation’ for social work theory and practice. In drawing on recent debates it is argued that, despite its contested meaning, ‘globalisation’ points to a range of rapid and fundamental socioeconomic and political transformations that have impacted upon entire regions of the work. Some of these transformations are identified and analysed in terms of their consequences for transnational, national and local populations. It is proposed that the prevailing consequences of globalisation in terms of social inequality and allied modalities of governance are negative, and that this has important implications for the profession of social work. Effective strategies for confronting the challenges posed by ‘turbo capitalism’ may be found in alliances across global social movements and professional groups, including social workers. The challenges are profound.     

Love and hooking up in the new millennium: communication technology and relationships among urban African American and Puerto Rican young adults

Communication technology is a central feature of young people's lives, but its role in romantic and sexual relationships has not been thoroughly examined. This article describes how young adults use communication technology for partnering across relationship stages (formation, maintenance, and dissolution) and types (serious/casual), and proposes implications of usage in relationships. This study analyzed qualitative data from a five-week, prospective, coital diary method with related debriefing interviews (N = 70) of African American and Puerto Rican men and women aged 18 to 25 years in Hartford and Philadelphia. Cell phones, including calls, text messaging, and mobile Internet, were the most common forms of communication technology used for partnering goals. Participants reported using cell phones to pursue partnering goals across all relationship stages, including formation (meeting, screening, and getting to know new partners), maintaining existing relationships, and breaking up. Cell phone uses depended on the type of relationship (serious/casual) and the participants' intentions and desires. Results indicated that cell phones are an important element of communication among young adults in romantic and sexual relationships. Specific features of cell phone communication shape the process and context of partnering. Future research should explore emerging communication technologies and implications for psychosocial development, dating violence, and sexual behavior.     

Applying marketing management and communication management theories to increase client retention in the short-term insurance industry

Businesses must retain their clients to remain profitable. The academic field of marketing management considers customer relationship management (CRM) as most appropriate to achieve this, while communication management focuses instead on public relations (PR). The purpose of this research was to analyse theories in these two disciplines and derive an integrated theoretical framework of CRM and PR client retention. The framework was then tested through in-depth interviews with short-term insurance clients and short-term insurance providers (brokers and direct insurers) in South Africa to gain perspectives from both sides. The importance of some fundamental elements found in literature were affirmed, two elements’ importance were questioned and it was established that three inconsistencies existed between what providers regard as essential to retain clients and what clients regard necessary for them to stay in a relationship with an insurance provider. This may explain the many unsuccessful client retention efforts of South African brokers and direct insurers. Six new CRM and/or PR elements, not found in literature, are presented in the article for exploration in future research. In order to assist client retention in the very competitive short-term insurance industry, results were applied to the core tenets of Niemann's (2005) SA model for the implementation of strategic integrated communication (IC). Finally, the authors present an integrated approach to client retention strategies in the South African short-term insurance industry, incorporating both marketing and communication theories.     

VIRTUAL COMMUNITY CARE? SOCIAL POLICY AND THE EMERGENCE OF COMPUTER MEDIATED SOCIAL SUPPORT

This article argues that the emergence and growth of internet use in Britain has important implications for the analysis of social policy. It attempts to outline a research agenda for social policy in relation to one particular aspect of internet use, that of on-line self-help and social support - what we term here virtual-community care . The article presents data on patterns of home based internet use in Britain and outlines some contemporary debates in social policy about the importance of self-help and social support. It also considers how the internet is being used for self-help and social support with a particular emphasis on the emerging situation in Britain. Three illustrations of on-line self-help and social support are presented: two from newsgroups, which are part of the 'uk.people.* hierarchy': one concerned with disability and one with parenting issues; and one web based forum concerned with issues surrounding mortgage repossession. Drawing upon this illustrative material the article discusses some emergent issues for contemporary social policy discourse: the rise of self-help groups; the privileging of lay knowledge and experience over the 'expert' knowledge of health and welfare professionals; the nature of professional-client relationships; the quality and legitimacy of advice, information and support; dis/empowerment; and social exclusion.