Object Relations Family Therapy: Articulating the Inchoate

In recent years there has been a renewed interest in psychodynamic ideas within the family therapy literature. While some authors have explored the usefulness of psychodynamic concepts in the systemic context (Byng-Hall, 1995; Flaskas, 1993, 1996; Luepnitz, 1988, 1997), others have argued that psychodynamic models of family therapy should be given more credence in systemic work with families (Guttman, 1991). This paper describes Object Relations Family Therapy (ORFT), a psychoanalytic model of family therapy, in plain English in order to minimise the obscurity of some of the existing terminology and to emphasise the utility of more contemporary formulations. ORFT addresses the interface between psychoanalytic and systemic theories. It offers a way of conceptualising complex family dynamics at both the interpersonal and intrapsychic levels. It also integrates an understanding of nonverbal, unstated and often implicit processes in its formulation of problem development. The unique contribution of ORFT is elaborated using a clinical example.     

Disability and Dependency: origins and futures of 'special needs' housing for disabled people

In this paper we analyse the provision of housing for disabled people in both its historical and ideological contexts. While the recent extension of part M of the Building Regulations to dwellings by the government represents a significant advance towards the inclusion of disabled people, we argue that the shift in funding of public housing from a 'bricks and mortar' subsidy to Housing Benefit potentially creates greater dependency. This amounts to a policy contradiction in which the government is punishing disabled people for being dependent whilst simultaneously being the cause of their dependency. If this issue is not addressed disabled people will continue to remain excluded, albeit within accessible dwellings.     

When the Learning Disabled Go to College

Abstract

During the last decade, federal laws have provided for remedial education in elementary and secondary schools for students with learning disabilities, preparing large numbers of them for college. Federal law also mandates helping learning-disabled students with their needs once they matriculate. Declining numbers of high school graduates in the aftermath of the baby boom have made more colleges open their doors to these students. The disabilities, and the accommodations they require, arrive in college with the rest of a student's baggage, demanding attention. Colleges and universities have chosen a variety of approaches, from specific remedial programs and individual accomodations according to need to more general programs. Some colleges pretend these disabilities do not exist and seem oblivious to their presence on campus. Learning disabilities can have an impact in every class and lecture hall and can contribute to unhappiness and the college's attrition rate. On the other hand, responsive and responsible programs provide students with the resources for the same education, honors, and opportunities as their nondisabled peers.     

The Politics of Expanding Healthcare Access to the Poor and Informal Sectors

How do the politics of agenda setting and policy adoption operate in the arena of healthcare reform in the industrializing world? Literature on the twenty‐first‐century developmental state emphasizes the role of democratic competition and civil society in causing political parties to take up new agendas, while power resources theory stresses the role of left‐wing political parties and labor unions in policy adoption. Yet, core tenets of these theories have not been considered extensively in light of dynamics in the industrializing world. This article examines the politics of policy adoption in countries that have recently aimed to provide healthcare access and financial protection to the poor and people in the informal sector in Mexico and Turkey. In line with literature on the twenty‐first‐century developmental state, we find democratic competition to play an important role in causing political parties to take up new agendas. However, examination of the cases illuminates surprising dynamics that challenge important elements of sociological theory: right‐leaning political parties played important roles in adoption, while labor unions and left‐wing parties oppose reform in the cases. Public health‐minded physicians leading change teams played important roles in agenda setting and leading the process of implementation.     

Social entrepreneurship as an employment pathway for people with disabilities: exploring political–economic and socio-cultural factors

The current economic climate demands more innovative approaches to increasing labor market participation for people with disabilities. Social entrepreneurship (SE) offers one alternative employment pathway. However, little is known about the broader factors influencing SE for people with disabilities. Using empirical data from focus groups comprised of social entrepreneurs with disabilities and interviews with key stakeholders working in the fields of policy, disability, and business, this research frames its analysis in the intersection of disability studies and entrepreneurship to explore which factors influence the potential for SE to provide equal participation opportunities for people with disabilities in the labor market. Findings suggest that further consideration of political–economic and socio-cultural factors is needed if we are to better understand the potential of SE for people with disabilities.     

Constructing Clean Dreams: Accounts,Future Selves,and Social and Structural Support as Desistance Work

This article investigates the discourse individuals use when talking about desisting from criminal offending. I analyze the links between offenders’ accounts of past negative behavior, their construction of their possible “clean” future selves, and the social and structural conditions in which they were raised and continue to be embedded. Applying Scott and Lyman's (1968) framework on accounts and Markus and Nurius's (1986) framework of possible selves to interview data with twenty‐eight criminal offenders, I illustrate how excuses for past behavior provide a way for people to distance themselves from their past selves in attempts to preserve or re‐create a possible self that is still worthy to be redeemed in the future. This discourse becomes one mechanism that motivates individuals to change their lives—but it can be short‐lived. The analysis highlights how limited structural opportunities influence individuals’ lifestyles and behaviors, how individuals approach the desistance process even in the face of structural deprivation, and how they attempt to sustain this desistance process.     

Lifting the Veil: African American Images and the European American Gaze

Patricia Hill Collins presents and discusses gender and gender role norms, behaviors, and ideologies among African Americans in an interdisciplinary diagnostic endeavor that calls attention to health, economic, behavioral, and psychosocial patterns related to social injustice and inequality. Collins presents several popular culture, mass media, and social science literature topics that call for a progressive Black sexual politics necessary for African American empowerment. A most crucial and apparent point of Collins's discussion is that improvement in the lives of African Americans requires inspection and analysis of gender and sexuality related intragroup variation and diversity. I situate this discussion primarily within a post-civil rights ideological revolution related to the European American “gaze,” multiculturalism, and European American emotional ambivalence toward the Black body. It is proposed that Collins's analysis of the intersectionality of race, gender, and sexuality among African Americans occurs within an American context that reciprocally impacts African American intragroup dynamics.