To Tell or Not to Tell: The Disclosure of Events in the Therapist's Life to the Patient

Happy or disturbing events may occur in a therapist's life during the course of treatment that intrude on the therapeutic process whether or not their true nature is disclosed to the patient. Therapists are not immune from experiencing acute, chronic, and even terminal illnesses, divorce, remarriage, adopting a child, mourning the death of a parent or significant other, or major accomplishments. In many instances such events affect the treatment process by disrupting appointments, necessitating sudden absences, restricting a therapist's emotional availability and physical stamina, or altering the therapist's mood and affect. In other instances, patients may be aware of such events, at least unconsciously, because of subtle changes in the therapist. Drawing on self psychology and intersubjectivity this paper explores the reasons for therapist self-disclosure of these events based on an assessment of the patient's developmental needs and the nature of the transference. It will discuss ways of making such disclosures therapeutic.     

Absence behaviour, turnover and disability: A study among city bus drivers in the Netherlands

Absenteeism, turnover and disability, and relationships between them have been studied among city bus drivers in the Netherlands. The theoretical framework for the study was a cumulative process model of work and health. Absenteeism among these drivers was two to three times as high as the national average, while the risk of disablement was more than twice as high as the risk for male Dutch civil servants in general. Bus drivers who had to leave their job for medical reasons did so at a younger age than other groups of civil servants. The main conditions leading to disablement related to the back, tendons and joints (35%), mental disorders (35%) and cardiovascular diseases (12%). It was shown that long-term absenteeism is a strong precursor of future disability. The research suggests a work-related process of progressive deterioration of health and well-being over a reasonably long period of time. Driving city buses seems to be an occupation with high risks for health and well-being.     

CIGARETTE TAXES AND THE MASTER SETTLEMENT AGREEMENT

In 1998, 46 states and the four major tobacco companies entered into the Master Settlement Agreement (MSA), which stipulated that the tobacco companies pay the states $206 billion over the next several years. Mean cigarette excise taxes rose substantially, nearly 90%, between 1998 and 2002. The goal of our empirical analysis is to assess whether the changes in cigarette excise taxes can be attributed to litigation brought by the states and the resulting settlements. Using a panel data difference-in-difference approach, the evidence suggests that litigation increased excise taxes: state cigarette excise taxes were approximately $0.10 higher post-MSA. (JEL H2, I1 )