Examining the Incidence and Clients’ Experiences of Single Session Therapy in Italy: A Feasibility Study

Single session therapy (SST) postulates that one session can be sufficient for a client to take charge of the process and work toward their own solutions. Research has been conducted worldwide corroborating SST assumptions with several mental health conditions, but not in Italy. For the first time in Italy, this paper aims to explore: (1) if the most frequent number of sessions in traditional psychotherapy (not SST) is one (Study 1); and (2) the satisfaction of clients who attend SST services and the number who consider one session sufficient to address their presenting problem (Study 2). In Study 1, the records of 476 voluntary clients referred to three different traditional (not SST) psychological services in the west-central region of Latium, Italy, were retrospectively screened, and the number of sessions attended by each client recorded. In Study 2, 85 consecutive clients who voluntarily asked for SST with seven mental health professionals across Italy received a link to an online ad hoc survey, 1–3 weeks after the consultation, evaluating their experience. Study 1 found that the most frequent number of traditional psychotherapeutic (not intentionally SST) sessions was one (124 out of 476 clients (26%). Study 2 found that 44 out of 85 clients (52%) considered one session to be enough, as they felt better or much better and chose not to attend further sessions. Of those who asked for a second session (41 clients), 33 clients (80.5%) indicated that the first session was not enough and 8 clients (19.5%) wanted to address a new problem. These results converge with previous international studies and provide encouragement for the use of SST in both private and public psychological services to address the demand for timely mental health services in Italy. Further research is needed to support the efficacy of SST and to evaluate its cost-effectiveness.     

Gambling,geographical variations and deprivation: findings from the adult psychiatric morbidity survey

Gambling problems are prevalent in the UK, especially in the most deprived boroughs of the country. Individual-level characteristics may exist alongside a social and geographical gradient. The study aimed to establish whether living in specific geographic areas increases problem gambling likelihood. It used data from the 2007 Adult Psychiatric Morbidity Survey. It adopted a twofold categorization distinguishing recreational from problem/pathological gambling. It used the 2004 Overall Index of Multiple Deprivation to measure deprivation of the district of residence, and primary sampling units, based on postcode sectors, to take into account area characteristics in multi-level mixed-effects regression models. The determinants of recreational gambling operated solely at the individual level. These included male sex, stable relationship and employment, though a number of clinical variables were also important: impulsivity, hazardous use or dependency on alcohol, and current smoking. In contrast, an appreciable proportion of the variance in problem/pathological gambling was explained by area-level clustering. Unlike recreational gamblers, problem/pathological gamblers appear to cluster in specific areas. Thus, there are grounds for restricting the location and density of gambling opportunities and for providing selective prevention programmes targeting geographic areas characterized by contextual determinants.     

Does diversity matter? exploring workforce diversity,diversity management,and organizational performance in social enterprises

This study explores the dynamics of workforce diversity, diversity management, and organizational performance in social enterprises. Semi‐structured in‐depth interviews were conducted with 14 individuals working in the social enterprise sector in Los Angeles, California, including both top management and regular employees. Data were analyzed using thematic analysis rooted in grounded theory. Overall, high levels of diversity in gender, race/ethnicity, education, and sexual orientation were identified in social enterprises, while low levels of age and value diversity were found. Workforce diversity and diversity management were reported to be crucial factors that positively influence organizational performance. Although interviewees considered diversity management to play an important role in promoting organizational performance, they were less likely to implement diversity management themselves. By providing important insights into workforce diversity, diversity management, and organizational performance in social enterprises, this study contributes to an understanding of the dynamics and provides suggestions for sustainability in social enterprises.     

Operationalizing De-commodification and De-familization Outcomes via the Relative Poverty Approach: An Application to Western European Countries

This article develops an approach with which to operationalise the outcomes of de-commodification and de-familisation processes. Since the de-commodification and de-familisation concepts share an emphasis on ‘a socially acceptable standard of living for individuals’ with the notion of relative poverty, the income-poverty indicator has been adopted to develop pertinent national rates. In particular, since de-commodification outcomes concern people with a socially acceptable standard of living independently of sale of their labour power, the national proportions of individuals with an equivalised disposable income above the poverty threshold who have stopped working have been accounted for. On the other hand, given that de-familisation outcomes regard individuals with a socially acceptable standard of living aside from family relationships, the national percentages of persons who actually live alone, or simulated as living alone, with an equivalised disposable income above the poverty threshold have been considered. Moreover, exploiting the equivalised disposable income computation, pertinent micro-simulations are developed to capture the role of the state and the family in de-commodification outcomes, and the contribution of the market and the state to de-familisation outcomes. On the basis of the European Union Statistics on Income and Living Conditions, an empirical application of this approach is then provided. Specifically, data for 16 European countries were used to compute the above-mentioned national rates. Furthermore, we checked whether our outcome figures exhibited any correspondence with the country-groups deriving from the classic welfare regime typologies or more in general with the measures resulting from the social policy structure.     

Evolution and decomposition of income inequality in Italy, 1991–2004

The aggregate measures of inequality do not display any significant trend in the concentration of equivalent income among the Italian households in the early 2000s. Yet some sizeable shifts in the income distribution seem to suggest that the relative positions of groups of households have changed on the income scale. Through a decomposition analysis of Gini index by income source we find that in the more recent years the income from self-employment is the main disequalizing factor. The decomposition by social groups provides the evidence that it is the group of self-employed and managers who have gained more ground on the income scale. This work has been debated by the three Authors under the coordination of Claudio Quintano. Rosalia Castellano has written Sect. 1, while Andrea Regoli has written Sects. 2 to 6.     

Fight or Flight? Factors Influencing Child Welfare Workers' Propensity to Seek Positive Change or Disengage from Their Jobs

ABSTRACT

This cross-sectional study tests a theory-driven, conceptual model examining factors supporting or hindering child welfare workers' (n = 359) efforts to speak up (voice) or disengage psychologically (neglect) or physically (exit) from their jobs. Based on path analysis results, key findings indicate that workers who feel included in decision-making are more likely to exercise voice and less likely to engage in neglect. In contrast, workers who experienced supervisory and organizational support are less inclined to exit. The findings should be instructive to scholars and practitioners interested in capturing how employees' responses to stressful and complex work environments are expressed.     

What Happens in Their Bedrooms Stays in Their Bedrooms: Staff and Residents' Reactions Toward Male–Female Sexual Intercourse in Residential Aged Care Facilities

This study aimed to investigate and compare the reactions of staff and residents of residential aged care facilities (RACFs) toward male–female sexual intercourse taking place in a private space within the facility. A total of 53 professionals and 47 residents from five RACFs located in Catalonia, Spain, were asked to reflect upon what they would think and do if they entered the bedroom of a resident and found him or her having sex with another resident of the opposite gender. The results suggest that male–female partnered sexual activity would generally be considered acceptable and would be respected, although some respondents called into question the appropriateness of such behavior and stated that they would react in a restrictive way. Overall, professionals appeared to be more accepting and permissive than were residents. Although our findings are broadly optimistic, they also suggest that male–female sexual intercourse may be considered an unwelcome sexual practice by some residents and professionals even if it occurs in a private space within the RACF. The fact that both staff and residents may also react in a negative way to the event could constitute a barrier to sexual expression among institutionalized older people.     

Assessing the Multidimensionality of Coastal Erosion Risks: Public Participation and Multicriteria Analysis in a Mediterranean Coastal System

The complex and multidimensional nature of coastal erosion risks makes it necessary to move away from single-perspective assessment and management methods that have conventionally predominated in coastal management. This article explores the suitability of participatory multicriteria analysis (MCA) for improving the integration of diverse expertises and values and enhancing the social-ecological robustness of the processes that lead to the definition of relevant policy options to deal with those risks. We test this approach in the Mediterranean coastal locality of Lido de Sète in France. Results show that the more adaptive alternatives such as "retreating the shoreline" were preferred by our selected stakeholders to those corresponding to "protecting the shoreline" and the business as usual proposals traditionally put forward by experts and policymakers on these matters. Participative MCA contributed to represent coastal multidimensionality, elicit and integrate different views and preferences, facilitated knowledge exchange, and allowed highlighting existing uncertainties.     

Derrida’s way out of the dead end of contemporary messianism

This article seeks to determine which role Jacques Derrida’s notion of messianicity without messianism (1993) plays within the contemporary discussion of the value of the messianic tradition for political theory. My point of departure is the belief that Benjamin’s, Taubes’, and Badiou’s antinomic approaches to the issue of justice oversimplify some aspects of law. Is there a real need to abrogate the law? I also claim that even Scholem, Rosenzweig, and Lévinas, who believe that a certain law, namely divine law, serves to overcome natural law, fail to provide a consistent account of the interaction between law and justice. This paper is an attempt to demonstrate, firstly, that a messianic narrative that develops a way to achieve justice without needing to turn to transcendence can be found in Agamben and Derrida. And secondly, that they also provide the most complete understanding of the law. They base their arguments on a subtle distinction between the laws in force – which in their messianic narratives must be surpassed – and the force of law, a force that keeps its validity but is not translated into concrete laws [Geltung ohne Bedeutung]. Yet while Agamben considers that even the force of law must be overcome in order for justice to arrive, Derrida says it constitutes the most redemptive stage to which we can aspire. I compare their messianic narratives and claim that Derrida seems to offer a more substantial strategy – not completely exempt from problems, though.