Cooperating,reflecting, making open and meta-dialogue — Outline of a systemic approach on constructivist grounds

In this paper the authors first describe the theoretical background of their constructivist approach to therapy: the Kiel-Meyn-Consultation-Model. They then outline their guidelines “cooperating, reflecting, making open” for interviewing, briefly describe the “meta-dialogue” and point out some basic helpful attitudes consultants can hold. Annotated excerpts from a consultation are then presented to give an idea of how the model works. The paper closes with summaries of follow-up sessions and their evaluation by the therapist.     

Agreement Between Scales in the Measurement of Breast Cancer Risk Perceptions

The objective of this article is to compare the accuracy and numeric responses of breast cancer risk perception as measured by a frequency scale and percentage scale. A cross-sectional survey was conducted. Perceptions of five-year and lifetime breast cancer risk were measured using a frequency and a percentage scale. Estimation error was calculated as the absolute difference between actual breast cancer risk as determined by the Gail model and perceived risk. Agreement between scales was determined by calculating the mean and standard deviation of the difference between numeric responses. The study was conducted among women enrolled in two primary care clinics associated with an academic medical center. Two-hundred-fifty-four participants were recruited from one of the two participating internal medicine clinics. Inclusion criteria included female gender and age 40-84 years. Exclusion criteria included a history of breast cancer, dementia, or a life expectancy of less than two years. The frequency scale was more accurate than the percentage scale in estimating lifetime risk (p= 0.05), but less accurate in estimating five-year risk (p < 0.02). Only 79 participants (31%) were considered consistent scale users, providing identical responses when using the frequency and percentage scale for a given risk estimate. Although the mean difference (percentage-frequency scale) for estimates of breast cancer lifetime risk was only 2.4, the empirically determined 90% limits of agreement between the frequency and percentage scale for lifetime risk were wide, from -30 to 40. Higher numeracy was associated with consistent use of scales (OR 1.61, 95% CI; 1.09-2.37). We report disagreement in breast cancer risk perceptions when measured by a frequency and a percentage scale. The accuracy and direction of bias associated with each scale varies according to the time frame of risk being assessed.     

Mixture and mixture–process variable experiments for pharmaceutical applications

Many experiments in research and development in the pharmaceutical industry involve mixture components. These are experiments in which the experimental factors are the ingredients of a mixture and the response variable is a function of the relative proportion of each ingredient, not its absolute amount. Thus the mixture ingredients cannot be varied independently. A common variation of the mixture experiment occurs when there are also one or more process factors that can be varied independently of each other and of the mixture components, leading to a mixture–process variable experiment. We discuss the design and analysis of these types of experiments, using tablet formulation as an example. Our objective is to encourage greater utilization of these techniques in pharmaceutical research and development. Copyright © 2004 John Wiley & Sons Ltd.     

What recruiters can't/won't tell you. 6 questions that good headhunters won't answer.

If you're frustrated because a headhunter won't give you certain information about a hiring organization, get over it. There are some very good reasons why a respectable recruiter won't answer particular questions from job candidates. Find out the questions and why they won't answer them.     

Osteoporosis: an invisible, undertreated, and neglected disease of elderly men

This article highlights a silent disease that threatens the health and vitality of older men. Among elderly men and women, osteoporosis is among one of the leading causes of morbidity and mortality in the United States. Once perceived as only a female dominated disease, osteoporosis is now known to be gender blind. The following discussion will review the epidemiology and pathology of osteoporosis, and identify the concerns raised for men, including neglect. Special management considerations for older men and recommendations for future research into this overlooked major health problem will be explored. Better understanding of how osteoporosis affects older men may help to encourage prevention strategies earlier in life, appropriate screening and monitoring, as well as more effective treatment later in life.     

Language and the Shaping of Social Work

This article is concerned with the power of language to shapeand confirm social work’s identity and to control itsessential direction and task. Social work has perennially concerneditself with communication but paid surprisingly little attentionto the more abstract concept of language. The authors tracethe changing language used throughout social work’s UKhistory, placing this into socio-political and socio-economiccontext and analysing the discourses thus created and promoted.We identify three broad periods in the development of socialwork, characterized as the moral enterprise, the therapeuticenterprise and the managerial enterprise. We conclude by connectingthis discussion with some key challenges, issues and dilemmascurrently facing social work in the criminal justice and communitycare arenas, highlighting the language and discourse of punishment,risk management, consumerism and the market economy. The articleconcludes by arguing that social work must reclaim the languageof its activity as it engages with the challenges to its identity.     

Working with Me,Working at Me: Fathers' Narratives of Child Welfare

This article examines the experiences of fathers involved in the child welfare system. Fathers who were interviewed as part of a multiyear Canadian project were atypical in that they were actively engaged with the child welfare system. Their stories show how, although not always physically present, child welfare's ghostly form is still very much a part of the daily lives of fathers and their families. These fathers had to be resourceful and resilient as they endeavored to look “promising” to the child welfare system. The critical analysis offers insights into a more father-inclusive approach to child welfare that has implications for policy and practice development.