REFOCUSING FROM CHILD TO MARITAL PROBLEMS USING THE MARRIAGE CONTRACT GAME

Couples experiencing marital distress often request treatment for child behavior problems. These families have been found to respond poorly to behavioral parent-training programs and to reject offers of marital therapy. The Marriage Contract Game (MCG) structures and teaches problem-solving and communication skills; the game can be used to improve the skills of distressed couples and to refocus their attention away from their children and toward their own marriages. A multiple-baseline design was applied to four distressed couples who requested treatment for a target child. Results showed that game play improved couple's problem-solving and positive feeling statements in home discussions of problems, parents' ratings of target children's problems, and, in three cases, couples' perceptions of the difficulty of resolving their problems. Therapists untrained in behavioral methods were able to use the game with success and comfort. While four sessions of the MCG were not sufficient treatment for this population, intervention improved couples' skills and shifted their focus away from child problems and toward their own.     

Effects of exposure to occupational violence and the mediating impact of fear

This paper examines the consequences of exposure to work-related violence and in particular, focuses upon the role of fear (of violence) as a mediating variable. The sample comprises UK public house licensees-individuals who manage public houses and hold the licence permitting the sale of alcoholic drinks on the premises. Questionnaires were sent to 479 licensees and a response rate of 51% was achieved. Each questionnaire measured exposure to a range of violent assaults, fear of violence, general well-being, job satisfaction and organizational commitment. Based upon a final sample of 242 pub licensees, regression analyses showed that as the severity of the violence to which licensees were exposed increased, so fear of becoming a victim and symptoms of impaired well-being increased, while job satisfaction and organizational commitment decreased. Hierarchical analyses showed that fear of violence fully mediated the negative impact of exposure upon each of these other variables. It is argued that the management of fear appraisals should be integrated into organizational responses to work-place violence.     

Countertransference issues for the consultant when a colleague is critically ill (or dying)

This report illustrates how countertransference issues emerged for a consultant therapist whose guidance about practice was sought by an ill and dying colleague. The detechment necessary for consultation was difficult to maintain. Denial, avoidance, and isolation operated for both. Ambivalence about directive behavior developed. Unexpressed grief, shock, feelings of inadequacy, and identification with the colleague intruted but were managed. The occurrence of such countertransference phenomena can be anticipated and understood in a consultation process that represents one valuable, underutilized, and important means of encouraging quality clinical practice under extremely painful circumstances.     

Urbanism and Social Psychological Well-Being: A Cross-Cultural Test of Three Theories*

Three competing theories of how urbanism affects social-psychological well-being are tested using data from London, England; Los Angeles, California; and Sydney, Australia. Path analyses are conducted using visiting friends, visiting kin, and marriage companionship in the different paths. It is found that determinist theory can be rejected because most-urban people do not have fewer social relations than less-urban people; in fact, they may have more. Subcultural theory received some weak but mixed support, and compositionalist theory generally is not supported. The three metropolitan areas do not differ markedly from each other in the paths they show. The best predictor of well-being is the quality of people's social relationships.     

The relationship between socioeconomic status and infant mortality in a metropolitan aggregate, 1989–1991

This paper presents the results of an ecological analysis of the relationship between infant mortality and economic status in a metropolitan aggregate comprised of seven of the larger cities in Ohio during the three years centering on the 1990 census. Using a summary income score derived for the census tract of mother's usual residence, the census tracts in the seven metropolitan centers were divided into broad income groupings and three-year average infant mortality rates were computed for each area, by age, sex, race, and selected causes of death. The most important conclusion to be drawn from the data is that in spite of some remarkable declines in overall levels of infant mortality during the past few decades, there continues to be a very clear and pronounced inverse association between income status and infant mortality. The general inverse association is observed for both sexes, for whites and nonwhites, and for all major causes of infant death. At the same time, the data reveal notable differences in the magnitude of the relationship by sex, and especially by age at death, race, and cause of death. Explanations of these differences are suggested, and a conclusion notes some of the difficulties encountered in developing programs aimed at closing the infant mortality gap between the richest and poorest segments of the society.This is an expanded version of a paper presented at the annual meetings of the Eastern Sociological Society in Baltimore, Maryland (March 17–20, 1994).     

Causes and Consequences of Migration in the Jequitinhonha Valley of Minas Gerais*

This study documents the recent development and expansion of temporary inter-regional labor migration in central-west Brazil. Several explanations for the expansion of this movement are investigated, including the financial crises that have affected Brazil's recent social and economic development. Temporary and permanent movement typologies are also examined in an attempt to discern why this region is now characterized by temporary rather than permanent moves. I suggest that permanent moves occurred primarily as a response to structural changes, while temporary movement resulted at least partially because of the country' recent economic crises. Examination of the consequences of this movement (for example, remittance usage) indicates that this temporary migration is more of a survival plan than a mobility strategy.     

HOME-BASED MARITAL THERAPY FOR MULTIPROBLEM FAMILIES*

This paper describes a project designed to reach low-income, multiproblem families, utilizing couples therapy in the home. By targeting a population of young couples under the age of 30 and with children no older than 7 years, the project aimed at prevention of severe family dysfunctioning and child disturbances. The major characteristics noted in the literature on multiproblem families are reviewed here, as are the treatment goals and techniques with such families. Most programs working with multiproblem families have focused primarily on the parental functioning in family therapy, and little has been reported on work with the couple in multiproblem families. The project described here used home visits by a male-female therapist team, including frequent individual and couple sessions. Therapeutic techniques based on modeling, role playing and demonstration were emphasized. In addition, tasks which increased the individual and couple functioning of the spouses were designed and successful completion was reinforced. An attempt was made to integrate the couple into the community and to create a network of support outside of the family, including friends and community services.     

INTERACTION MODELS FOR THE LATIN SQUARE1

This paper presents a general method for testing if a particular type of interaction is present in latin square models with one observation per cell. Computing instructions are given along with a detailed numerical example. A data analysis approach is explained where an experimenter can use various models to determine whether interaction is present. If there is interaction, then a procedure is given for examining a number of models to decide what factors (row, column, treatment) are interacting. In addition, a number of sets of latin square data from the literature are reanalysed to determine if they contain interaction.     

The effects of user-generated design modifications in a general hospital

The present study investigated the effects of relatively minor design modifications in one wing of a local hospital on the organizational climate of the institution and the behavior of various user groups. Results showed that the changes had positive effects for patients and staff members on mood and morale and on the perceived quality of health care, while visitors reacted negatively to the modifications. Use of the more public areas of the experimental ward increased as a result of the alterations, especially in the evenings when more visitors were present. The positive effects occasionally spread to other wards as well.The research reported in this paper was funded by Grant SOC7508784 from the National Science Foundation.     

Young Children in Rural Areas: Implementing the Children Act

SUMMARY. This article is based on the results of the first stage of a study of the Children Act (day care and preschool education), and looks at how the Children Act 1989 has been put into practice with respect to services for children under eight, in rural local authorities in England and Wales. It considers the duties given by the Act to local authorities from a rural perspective, including providing a range of services for children in need, reviewing the services that are available for all young children, and setting standards for day care services provided by the voluntary and private sectors. It concludes that although the Act has helped to focus attention on the needs of children in rural areas, there is a danger that nothing will be done to meet them because of the principle of targeting resources on children who are most in need. Rural isolation was rarely specified as an indicator of need, and other criteria often had an urban bias which may work against the development of services in rural areas. The article also argues that there is a particular need to develop new models of service delivery and ways of providing training and support to early years workers which are appropriate for rural areas.