Professional Dissonance

Abstract

Social workers in mental health face a complex climate where they encounter value-laden intervention choices daily. Examples of these choices may include deciding to initiate treatment in spite of a client's wishes to the contrary, making a decision to break confidentiality, feeling pressured to diagnose a client with a reimbursable condition despite a treatment philosophy that may be to the contrary, or feeling the need to “pick and choose” therapy topics in light of severe shortages in benefit coverage. These and other scenarios put social work clinicians at risk for professional dissonance or what has been called a feeling of discomfort arising from the conflict between professional values and expected or required job tasks. The current article explores professional dissonance as a pertinent concept for social work in general, and mental health social work in particular. The theory base of the concept is explored as well as its utility for understanding burn-out in a deeper way.     

Social Workers' Personal Death Attitudes,Experiences, and Advance Directive Communication Behavior

Abstract

This research surveyed 29 social workers to examine their personal death attitudes and experiences in relation to their advance directives communication practice behavior. The study measured death attitudes on 5 dimensions: fear, avoidance, neutral, approach, or escape acceptance of death. Participants' personal experiences with terminal illness and death were also assessed. Advance directive communication practices were operationalized as 7 phases: initiation of the topic, disclosure of information, identification of a surrogate decision-maker, discussion of treatment options, elicitation of patient values, interaction with family members, and collaboration with other health care professionals. Findings suggest that social workers' advance directive communication behavior differs by practitioners' death attitudes and experiences. Implications for social work education and professional development are discussed.     

'She cried a very little': Death,grief and mourning in working-class culture,c . 1880-1914

Working-class attitudes towards death and bereavement in late Victorian and Edwardian Britain have overwhelmingly been discussed in terms of the respectable and the pauper funeral. Analyses of the culture of grief (that is, the emotional responses of the working classes to bereavement) have been reduced to an assumption that material insecurity blunted sensibility. This article argues that the reduction of working-class responses to death to a dichotomy between respectable and pauper funerals has overlooked the cathartic function of the funeral, negated the potential for individuals to invest burial rites with personal meaning, and failed to consider responses to death outside public mourning rites. I contend that languages of grief adopted many verbal and symbolic signs that were often ephemeral to the external observer. Moreover, material anxiety did not limit sensibility; it necessitated flexibility in the articulation of emotion. In conclusion, I argue that the emotional underpinnings of the working-class family need to be re-examined, using a definition of sensibility which acknowledges the mutability of feeling and the malleability of its expression.     

Bounds on the competence of a homogeneous jury

In a homogeneous jury, the votes are exchangeable correlated Bernoulli random variables. We derive the bounds on a homogeneous jury’s competence as the minimum and maximum probability of the jury being correct, which arise due to unknown correlations among the votes. The lower bound delineates the downside risk associated with entrusting decisions to the jury. In large and not-too-competent juries the lower bound may fall below the success probability of a fair coin flip—one half, while the upper bound may not reach a certainty. We also derive the bounds on the voting power of an individual juror as the minimum and maximum probability of her/his casting a decisive vote. The maximum is less than one, while the minimum of zero can be attained for infinitely many combinations of distribution moments.     

The Attitudes of Social Work Students Toward End-of-Life Care Planning

This study examined the attitudes of social work students toward end-of-life care planning, as well as their degree of willingness to engage in this area of social work practice. Factors associated with their attitudes were measured through structured surveys completed by 102 social work students (N = 102) at a school of social work in the southeast. Results indicated that these social work students tended to have positive attitudes toward end-of-life care planning in general. Moreover, these attitudes were positively associated with preference for pain relief treatment, higher levels of comfort when discussing death, more emphasis on self-determination, and apprehension of conflicts of self-determination. The results of this study underscored the increased societal need for recognition of personal preferences in end-of-life care, higher levels of comfort when discussing death, and an increased commitment of social workers' to maintaining the ethical principle of the client's right to self-determination in end-of-life planning. While this is not surprising, it points to a continuing need to re-assess where the field stands in its preparation of social work professionals who will work closely with people who are dying and their families.     

Cognitive dissonance and political attitudes: The case of Canada

While scholars accept that attitudes have an impact on behavior, cognitive dissonance theory asserts that behavior can, in turn, affect attitudes. The theory suggests attitudes may be transformed by the simple act of voting. Informed by dissonance theory and employing election study survey data from three Canadian federal elections, this article considers the impact of cognitive, affective, and behavioral factors on changes in party evaluations, arguing that elections serve as a significant stimulus for attitude change. Dissonance theory is found to be compatible with observed attitude changes between pre- and post-election questionnaires. Findings have implications for the study of attitude formation and change, the effects that campaigns and elections have upon voters, and survey design.     

The O. J. Simpson Verdict: Predictors of Beliefs about Innocence or Guilt

This study examined ethnicity and psychological predictors of beliefs in guilt and innocence in the O. J. Simpson trial. A mixed-gender, multiethnic sample of 441 college students completed measures examining trial beliefs, trial-related attitudes, ethnic identification, pro- and anti-Black attitudes, and authoritarian personality traits. Results revealed that: (1) mean differences existed among ethnic groups on all variables examined; (2) proximal attitudes mediated relations between psychological characteristics and trial outcome beliefs; and (3) specific relations depended (to some extent) on ethnic group membership. Differences within and between ethnic groups may reflect schematic differences due to differential experiences with societal institutions, identification with (or rejection of) mainstream values, and race relations in American society.     

Relationships between attitudes toward women's roles in society,and work and life values

This exploratory study examined the relationships between attitudes toward women's roles in society, as measured by the six sub-scales on ward Women Scale (AWS: Spence, J. T., & Helmreich, R. L. (1972). The Attitudes Towards Women Scale: An objective instrument to measure attitudes towards the rights and roles of women in contemporary society. JSAS Catalog of Selected Documents in Psychology, 2(66)) and 20 work and life values, as measured by the Life Roles Inventory-Values Scale (LRI-VS: Macnab, D., Fitzsimmons, G., & Casserly, C. (1985). Administrator's manual for the Life Roles Inventory Values and Salience. Edmonton, AB: PsiCan Consulting). It was hypothesized that more liberal attitudes toward women's roles in society would be associated with higher scores on the social, personal and individual values. Results from a sample of 89 management and health sciences undergraduates generally supported the hypothesis.     

Determinants and Consequences of Jury Racial Diversity: Empirical Findings, Implications, and Directions for Future Research

One of the ideals underlying any jury system is that those groups of citizens charged with the responsibility of deciding cases should be representative of the communities from which they are selected. Anecdotal and empirical data suggest that reality often falls short of this ideal, however, as many empanelled juries are less diverse than community demographics would dictate. This article reviews the obstacles that stand in the way of jury diversity and typically, by association, jury representativeness. These range from system-related problems regarding jury source lists and summonses to more psychological considerations such as the pervasive, yet difficult-to-identify impact of race on attorneys' jury selection judgments. Drawing on psychological theory and findings, the implications of the failure to empanel diverse juries are also examined, both in terms of laypeople's attitudes toward the legal system as well as the actual decision-making performance of juries. Policy changes intended to promote diverse, representative juries are considered, as are specific directions for future research.     

Professional Ideologies and Preferences in Social Work: A British Study in Global Perspective

This paper comes at a time when the social work profession inthe UK is redefining its professional ideology and working practicesin the face of key government initiatives for social work educationand the regulation of practice. It seeks to contextualize and,thereby, inform these deliberations by providing a cross-nationalperspective. Indeed, the search for international perspectivesthat might advise or validate national perspectives on socialwork has become increasingly important (Midgley, 2001). Thepaper uses data from a global study (Weiss et al., forthcoming)that identifies and compares the attitudes of graduating socialworkers at the point of qualification in ten countries representinga diverse range of social, economic and cultural contexts (n= 781). Through a comparison of commonalities and differencesof professional ideologies and practice preferences across samples,the paper distinguishes particular characteristics of the socialwork profession in the UK. Whilst a claim cannot be made tobe representative, the findings present a set of empiricallybased contentions that provide information about what socialworkers are being trained for and what they prefer to do. Findingsreveal a mix of psycho-social orientation, whereby a welfareagenda was preferred—one that co-existed with the espousalof elements of a statutory social work role in terms of ideology,level of practice, choice of technologies, age and populationgroupings and practice strategies. Whilst such a mix appearedcontradictory in conceptual terms, the students appeared toreconcile the dilemma through the espousal of a particular valueposition. A key finding for policy makers and educators, however,concerns the fact that while the UK students felt willing towork through social problems in individual situations, theywere unhappy about the extent to which they were able to utilizetheir therapeutic skills in statutory social work settings.Their preference would be to work in the independent sector.     

The Dark Side of Moral Conviction

Moral conviction forms the foundation for strong, morally vested attitudes and beliefs (i.e., "moral mandates") that have high action potential because they are "oughts" and "shoulds." Although moral mandates may sometimes lead people to engage in prosocial behaviors, they can also lead people to disregard procedural safeguards. This article briefly reviews research that indicates that people become very unconcerned with how moral mandates are achieved, so long as they are achieved. In short, we find that commitments to procedural safeguards that generally protect civil society become psychologically eroded when people are pursuing a morally mandated end. Understanding the "dark side" of moral conviction may provide some insight into the motivational underpinnings of engaging in extreme acts like terrorism, as well as people's willingness to forego civil liberties in their pursuit of those who do.     

The Aging Semantic Differential in Mandarin Chinese: Measuring Attitudes toward Older Adults in China

ABSTRACT

The Aging Semantic Differential (ASD) is the most widely used instrument to measure young people’s attitudes towards older adults. This study translated the ASD to Mandarin and examined its psychometric properties. The Mandarin-ASD contains three latent factors (Personality and Mental Health, Societal Participation, and Physical) that have high internal reliability and reasonable discriminate validity. Social work researchers, practitioners and allied professionals may utilize the ASD-Mandarin instrument to measure young people’s attitudes towards older adults in China. We issue a call for a universal-ASD that can be applied across different cultural contexts.     

Feddersen and Pesendorfer meet Ellsberg

The Condorcet Jury Theorem formalises the “wisdom of crowds”: binary decisions made by majority vote are asymptotically correct as the number of voters tends to infinity. This classical result assumes like-minded, expected utility maximising voters who all share a common prior belief about the right decision. Ellis (Theor Econo 11(3): 865–895, 2016) shows that when voters have ambiguous prior beliefs—a (closed, convex) set of priors—and follow maxmin expected utility (MEU), such wisdom requires that voters’ beliefs satisfy a “disjoint posteriors” condition: different private signals lead to posterior sets with disjoint interiors. Both the original theorem and Ellis’s generalisation assume symmetric penalties for wrong decisions. If, as in the jury context, errors attract asymmetric penalties then it is natural to consider voting rules that raise the hurdle for the decision carrying the heavier penalty for error (such as conviction in jury trials). In a classical model, Feddersen and Pesendorfer (Am Politi Sci Rev 92(1):23–35, 1998) have shown that, paradoxically, raising this hurdle may actually increase the likelihood of the more serious error. In particular, crowds are not wise under the unanimity rule: the probability of the more serious error does not vanish as the crowd size tends to infinity. We show that this “Jury Paradox” persists in the presence of ambiguity, whether or not juror beliefs satisfy Ellis’s “disjoint posteriors” condition. We also characterise the strictly mixed equilibria of this model and study their properties. Such equilibria cannot exist in the absence of ambiguity but may exist for arbitrarily large jury size when ambiguity is present. In addition to uninformative strictly mixed equilibria, analogous to those exhibited by Ellis (Theor Econo 11(3): 865–895, 2016), there may also exist strictly mixed equilibria which are informative about voter signals.

     

Honesty and method

A client must rely on the integrity of the professional money manager through the stages of the investment process: research, recommendation of specific securities, selection of investments appropriate to the investor, trading of the securities, and reporting of how successful the decisions have been. Throughout this process, the investment manager may be confronted with conflicts of interest. The Association for Investment Management and Research (AIMR) is a nonprofit association of money managers that has developed a code of ethics and standards of professional conduct. Its code contains governing principles; its standards provide the minimum rules of conduct. The AIMR Standards work on the assumption that investors will be adequately protected if the appropriate processes are in place and they provide full disclosure. Since the late 1980s, AIMR has been leading an industry effort to include in the Standards guidelines for presenting a money manager's historical performance.     

Does multicultural education affect bachelor of social work students' attitudes? The Taiwanese case of female Southeast Asian marriage immigration

In the past two decades, intra‐Asia cross‐border marriage immigration has become a significant phenomenon. This study collected questionnaire data from Bachelor of Social Work students (n = 1,232) in Taiwan to explore the influences of multicultural education, intergroup contact experience, and demographic characteristics on students' attitudes toward female Southeast Asian marriage migrants. Regression analysis revealed that students' attitudes are improved by direct contact with female Southeast Asian marriage migrants but are not correlated with students' demographic characteristics. Although pre‐college multicultural education improves students' attitudes, college‐level multicultural education adversely affects the attitudes of students who perform poorly in multicultural courses. These findings have valuable implications for social work educators.     

Emotional Stress and Multiple Sclerosis

ABSTRACT

P.P.S. is a syndrome consisting of the sudden onset of painful swelling and bruising. Symptomatology may become so severe and threatening that in some cases in the past, surgical interference has led to significant scarring and even mutilation. Two cases are presented that illustrate the range of psycho-pathology and the differing psychologic approaches that may be required. Above all, they illustrate the need to exhibit considerable fortitude and conviction, to protect the patient from precedent setting and potentially destructive surgical intervention, that may perpetuate a focus on somatic processes.     

The Productive Aging Concept and Social Work Students’ Perceptions Toward an Older Population

Social work curriculum that offers an optimistic perspective on aging has the potential to help social work students go on to practice in a nondiscriminatory way with older adults. This study introduces social work students to the productive aging concept, an optimistic view to social potential in later life, in lecture format and assesses postlecture changes in their perceptions of older adults. Seventy-two students (16 BSW; 56 MSW) were recruited from a large university in the southeast United States to participate in a lecture on productive aging. A one-group pretest–posttest design was used, and a paired samples t test (n = 72) was used to analyze changes in social work students’ perceptions toward older adults. Negative attitudes toward older adults decreased and positive attitudes toward older adults increased among students following their participation in the lecture on productive aging. This finding suggests the productive aging concept may favorably influence student perceptions of older adults. Future research should aim to investigate ways in which these changes in perception at the college level can translate and self-sustain in social work practice for social work students postgraduation.     

Observing different orders of risk aversion

A decision maker's attitude towards risk is said to be of orderi, i=1, 2, if for every given riskē with expected value zero, the risk premium the decision maker is willing to pay to avoid the risktē goes witht to zero at the same order ast ⁱ. This article presents an experiment testing the order of decision makers' attitudes toward risk. Its major result is that both attitudes exist, each in significant proportions. Moreover, two classes of first-order behavior are defined. The rank-dependent model (Quiggin, 1982) belongs to one, the disappointment aversion model (Gul, 1991) to the other. We show that only the first of these two classes appears among our subjects.     

Dare to Care: Exploring the Relationships between Socio-Moral Climate,Perceived Stress,and Work Engagement in a Social Service Agency

Abstract

Human service professionals working in an interpersonal violence social service agency are at increased risk of experiencing emotional burnout, compassion fatigue, and high levels of stress, which may reduce work engagement, increase turnover, and ultimately negatively affect client outcomes. However, a positive organizational climate has the potential to buffer the negative effects of perceived stress on work engagement. Socio-moral climate is a behavioral-based organizational construct that assumes that workplace practices and procedures can impact employees’ attitudes and behaviors. This exploratory study (N?=?41) investigates the relationships between perceived stress, work engagement, and socio-moral climate in a social service agency serving survivors of interpersonal violence, comparing employees with direct interactions with clients in a shelter to those with indirect contact at a different location. Results of moderation analyses show that socio-moral climate significantly predicts higher work engagement, while perceived stress is negatively associated with work engagement; however, the interaction effect was not significant and there were no differences in perceived stress between both employees. Further research should continue to investigate the role of socio-moral climate on employee work engagement in social service agencies, which could improve the quality of services for their clients.     

An economic analysis of nanofood labeling

The paper examines the economic effects of labeling food nanotechnology products using an analytical framework of heterogeneous consumers and imperfectly competitive suppliers. Labeling results in increased costs for nanofood producers (the cost effect of the labeling policy), reduced consumer uncertainty regarding the nature of the food product (certainty effect), and can affect consumer attitudes towards nanofoods by being perceived as a warning signal (stigma effect). In this context, nanofood labeling can change the perceived quality differences between nanofoods and their conventional and organic counterparts, with such changes being more salient when the stigma effect is large, when consumers have low awareness of food nanotechnology in the absence of labeling, and/or when competition among nanofood suppliers is more intense. Despite its empirical relevance, the impact of a labeling policy on consumer preferences (and the economic ramifications of such impact) has largely been ignored by the theoretical literature on the economics of labels. Our analysis shows that it matters. Specifically, our study shows that the market and welfare effects of labeling are case-specific and dependent on consumer awareness of, and attitudes towards food nanotechnology before and after the introduction of the policy as well as the relative magnitude of the cost, certainty and stigma effects of nanofood labeling. Our analytical findings also suggest that the effects of nanofood labels on consumer welfare are asymmetric with certain groups of consumers benefiting even when labeling has a stigma effect on nanofoods.