Reconnecting Past,Present and Future Lives: Therapy with a Young Person who Experienced Severe Childhood Privation

This case study describes therapy over a three year period with a young adopted person who presented as highly suicidal, with a childhood background characterised by severe privation and abuse. The paper describes the use of a visual Life line, designed to assist the young person in reconnecting and honouring different parts of her life. A flexible and client centred therapeutic approach is also described.     

Money in marriage: how patterns of allocation both reflect and conceal power

This paper examines perceptions of money within marriage, focusing upon the concepts of control and ownership. It considers the criteria involved in Pahl's (1983; 1989) typology for the allocation of income, and their ability to capture the dynamic perceptual elements associated with change. These issues were explored by means of data from semi-structured interviews, using mainly middle-class couples (thirteen women and nine of their partners) in the 30–50 year age-range. Most of the women were in the process of returning to the labour market following an absence of at least eight years. The findings demonstrate, on the one hand, that Pahl's revised typology (1989), which includes an emphasis on the person possessing overall control, can be used to trace major shifts in the balance of economic power as a function of the life-cycle and associated changes in the source of income. On the other hand, the findings also show that a couple's report of their financial arrangements, concerning the Spooling’ of income, can yield the erroneous impression that resources are equally shared. In particular, the ‘rights’ of ownership associated with having earned the income may remain hidden, and lead to patterns of overall control with potential consequences for a non-earning, dependent partner.     

The Structure of Mental Health: Higher-Order Confirmatory Factor Analyses of Psychological Distress and Well-Being Measures

Social Indicators Research - This paper addresses the question of whether psychological distress and subjective well-being are the opposite poles of the same axis of mental health or independent...     

Issues in Qualitative and Quantitative Risk Analysis for Developmental Toxicology1

The qualitative and quantitative evaluation of risk in developmental toxicology has been discussed in several recent publications.(^1–3) A number of issues still are to be resolved in this area. The qualitative evaluation and interpretation of end points in developmental toxicology depends on an understanding of the biological events leading to the end points observed, the relationships among end points, and their relationship to dose and to maternal toxicity. The interpretation of these end points is also affected by the statistical power of the experiments used for detecting the various end points observed. The quantitative risk assessment attempts to estimate human risk for developmental toxicity as a function of dose. The current approach is to apply safety (uncertainty) factors to die no observed effect level (NOEL). An alternative presented and discussed here is to model the experimental data and apply a safety factor to an estimated risk level to achieve an “acceptable” level of risk. In cases where the dose-response curves upward, this approach provides a conservative estimate of risk. This procedure does not preclude the existence of a threshold dose. More research is needed to develop appropriate dose-response models that can provide better estimates for low-dose extrapolation of developmental effects.