Characteristics of effective providers of marital and family therapy in rural mental health settings

Characteristics of effective providers of marital and family therapy (MFT) in rural mental health settings were investigated. The survey sample included 74 members of the National Association for Rural Mental Health who, through a modified Delphi process, created a composite picture of effective MFT providers. The findings yielded six major rank-ordered characteristics of effective MFT providers in rural mental health settings, with effective skills in MFT ranked first. Rural community understanding, appreciation and participation ranked second. Specific competencies contributing to each major characteristic were also identified and are discussed. Recommendations for use of this information are provided.     

A theory of recovery

1. Mental illness generally involves a loss of self--the meaning and purpose that once defined life are gone. 2. People respond to loss of self by asking "why." 3. Whether or not people find answers to "why" questions, they need to move on to asking, "How do I proceed?" 4. Action based on answers to "how" questions provides new meaning and purpose.     

Civil Society Research Funding from a Global Perspective: A Case for Redressing Bias,Asymmetry, and Bifurcation

This paper adopts a global perspective to review the current situation with respect to the systematic study of civil society. It locates the analysis in a geohistorical framework, arguing that, as a distinct area of scholarship, contemporary civil society research is a two-track post-Cold War phenomenon exhibiting major shortcomings. A new type of dedicated research financing and process of allocation could redress today's research limitations in ways that will beneficially cross-fertilize parallel approaches and epistemological traditions while increasing the spread of centers dedicated to such knowledge generation. The analysis leads to suggestions for a civil society research agenda and investment principles.     

Book Reviews

This article examines some difficulties associated with the Haynes–Stone model and attempts to clarify how the model can be justified as representing the hypothesis that “quantity is demand determined and price is supply determined.” It also argues that the applications of such a model as was done by Haynes and Stone might not have resolved the controversies related to the Phillips curve and the supply function of exports (or imports).     

Accounting for unsafe sex: Interviews with men who have sex with men

Semi‐structured one‐on‐one interviews with 102 gay and bisexual men were conducted to examine the reasoning processes men use to exempt themselves from practicing safe sex. Qualitative analysis of the interviews revealed the following recurring themes: (a) Many men who were in couple relationships avoided condom use for reasons involving intimacy or trust, or because both partners were HIV‐negative; (b) unsafe sex sometimes occurred inadvertently or involuntarily; (c) negative moods and self‐images were associated with unsafe sex; (d) by “intuiting” that their partner was HIV‐negative, participants exempted themselves from the need for safe sex; and (e) when the boundary between safe and unsafe was unclear, participants used a combination of unofficial and official guidelines to determine what is safe.     

Penalized spline joint models for longitudinal and time-to-event data

The joint models for longitudinal data and time-to-event data have recently received numerous attention in clinical and epidemiologic studies. Our interest is in modeling the relationship between event time outcomes and internal time-dependent covariates. In practice, the longitudinal responses often show non linear and fluctuated curves. Therefore, the main aim of this paper is to use penalized splines with a truncated polynomial basis to parameterize the non linear longitudinal process. Then, the linear mixed-effects model is applied to subject-specific curves and to control the smoothing. The association between the dropout process and longitudinal outcomes is modeled through a proportional hazard model. Two types of baseline risk functions are considered, namely a Gompertz distribution and a piecewise constant model. The resulting models are referred to as penalized spline joint models; an extension of the standard joint models. The expectation conditional maximization (ECM) algorithm is applied to estimate the parameters in the proposed models. To validate the proposed algorithm, extensive simulation studies were implemented followed by a case study. In summary, the penalized spline joint models provide a new approach for joint models that have improved the existing standard joint models.     

GAMES AND TRUTHS: Learning To Construct Social Problems In High School Debate

Although social constructionists have taken the process by which people learn to present social problems for granted, these skills are acquired in the course of socialization. Through high school debate, adolescents acquire techniques for making arguments, using evidence, and presenting claims to multiple audiences. In the process, they learn that taking a public position does not necessarily require a deeply held commitment. This model resonates with the institutional structure of politics and law in the United States in which adversaries battle each other in a rule-governed "game,'a contest ultimately evaluated by judges assumed to be impartial. To understand the process by which adolescents gain the skills to construct social problems, I conducted an ethnographic study of debate teams at two high schools. The ability to take both sides of an argument, express ideas with which one does not personally agree, and present powerful, if questionable, evidence, constrained by time, teaches teenagers how to engage in social problem discourse and provides a training ground for moral entrepreneurs.     

Introduction: “There Is a Person Here”: An Interview with Judith Butler

In this interview, the coeditors, along with other contributors, ask Judith Butler a variety of questions regarding queer theory, gender identities, scientific and legal discourse, bodily abjection, race and class positioning, and political organizing. This range of subject matter suggests not only the breadth of Butler's work, but also its applicability to any number of people, whose relation to theory ranges from highly politicized to politically indifferent. The interview demonstrates the responsiveness of Butler's work to cultural translation and political action.