Perplexing or distressing episodes in supervision: How they can help in the teaching and learning of psychotherapy

Difficult times in the supervision of psychotherapists are shown to have the potential for making positive contributions to the teaching/learning process. The concept of parallel process is central to this paper, along with emphasis on the supervisor's self-awareness and use of her inner experience, positive and negative countertransference, and Kohut's concept of the selfobject transferences. A number of case examples illustrate these ideas.An earlier version of this paper, entitled Parallel Processes and the Impact of Supervision on Treatment, was delivered at the Psychotherapy Institute Symposium in Berkeley, California, on November 4, 1984.     

The impact by race of changing long-term care policy

Long-term care policy has evolved with little attention to racial differences in the need for and use of services. Using 1987 National Medical Expenditure Survey data on nursing home care, formal in-home personal care, and informal-only help, a model was created to show how different races would use each type of care if: (1) a universal home-care benefit was established, (2) existing Medicaid home-care benefits were ended, or (3) the income level for Medicaid eligibility was substantially reduced. Expanded community care benefits would primarily serve severely disabled older whites. Reductions in long-term care benefits or eligibility would disproportionately impede access to long-term care for severely disabled older African-Americans. These differences indicate that race must be taken into account in long-term care policy initiatives.     

Engagement with Non‐State Service Providers in Fragile States: Reconciling State‐Building and Service Delivery

The OECD questions whether non‐state services in fragile states may delegitimise the state in the eyes of citizens, arguing that ‘state‐building’ depends on governments’ engagement in service management. This article reviews the available evidence to identify what types of engagement are feasible and most likely to contribute to service delivery, or not to damage it. It considers the capacity requirements and the risks associated with state intervention through policy formulation, regulation, contracting and mutual agreements, and concludes by identifying ways of incrementally involving the state, beginning with activities that are least likely to do harm to non‐state provision.     

Mother–Adolescent Conflict: Stability,Change, and Relations with Externalizing and Internalizing Behavior Problems

Stability and change in mother–adolescent conflict reactions (CRs) and the prediction of CRs from adolescents' earlier behavior problems (and vice versa) were examined with 131 mothers and their adolescents (63 boys). Dyads engaged in a 6‐min conflict discussion twice, 2 years apart [M age was 13 at Time 1 (T1)]. Non‐verbal expressive and verbal CRs during the conflict discussion were coded. Mothers, fathers, and teachers reported on adolescents' problem behaviors. There was inter‐individual (rank‐order) stability for adolescents' CRs whereas mothers' reactions were less stable. Mean levels of mothers' negativity, anger, and positive reactions and adolescents' negativity declined with time. Mothers’ CRs, more often than adolescents’ CRs, predicted and were predicted by adolescents’ problem behaviors in zero‐order correlations. In structural equation models with the stability of the constructs accounted for, adolescents' externalizing problems at T1 predicted higher maternal anger at Time 2 (T2). Mothers' anger and positive CRs at T1 predicted fewer T2 adolescents' internalizing problems. Stability and change in CRs are discussed.     

Changes in European and Australian companies when they choose a ‘Big 5' auditor?

Empirical profiling of 193 companies in six countries that choose to change auditors to a ‘Big 5' firm permits managers who are responsible for such decisions to benchmark their financial context. In particular, the level of debt, returns, and taxes observed when companies choose to change auditors to a Big 5 firm are quantified, as are the significant changes observed in size, dividends, and the operating income-to-total capital ratio. Of particular interest are reasonably consistent declines in 5-year average effective interest incurred post-change.     

Responses to poverty in post-apartheid South Africa: some reflections

I discuss in this article the challenge of addressing people's psychosocial needs when the causes of problems are environmental or structural. I argue that poverty can be addressed only by tackling its structural causes and removing social inequalities. In so doing, I argue that a range of antipoverty measures introduced by the government have proved ineffective, including neoliberal measures to foster economic growth, such as GEAR and ASGISA, public works programmes, social security, and poverty alleviation projects (PAPS) which, while mildly effective, were poorly administered. My strategy of choice is an 'all hands to the pumps' approach involving participatory community development, social action, policy change and joint partnership between civil society, the state and the private sector. I do not suggest particular approaches or solutions but highlight the role of social workers and community development workers in poverty alleviation.     

Testing the Cultural Theory of Risk in France

Cultural Theory, as developed by Mary Douglas, argues that differing risk perceptions can be explained by reference to four distinct cultural biases: hierarchy, egalitarianism, individualism, and fatalism. This paper presents empirical results from a quantitative survey based on a questionnaire devised by Karl Dake to measure these cultural biases. A large representative sample (N = 1022) was used to test this instrument in the French social context. Correlations between cultural biases and perceptions of 20 social and environmental risks were examined. These correlations were very weak, but were statistically significant: cultural biases explained 6%, at most, of the variance in risk perceptions. Standard sociodemographic variables were also weakly related to risk perceptions (especially gender, social class, and education), and cultural biases and sociodemographic variables were themselves inter correlated (especially with age, social class, and political outlook). The authors compare these results with surveys conducted in other countries using the same instrument and conclude that new methods, more qualitative and contextual, still need to be developed to investigate the cultural dimensions of risk perceptions. The paper also discusses relationships between perceptions of personal and residual risk, and between perceived risk and demand for additional safety measures. These three dimensions were generally closely related, but interesting differences were observed for some risk issues.     

Including ADHD?

This article tries to make sense of the recent rise of Attention Deficit Hyperactivity Disorder in Britain by focussing on the contribution of the press, parents organisations, 'experts' and the drug companies, in the context of the current marketisation of education and health services. It draws on findings from a research project which studied press coverage of ADHD, and argues that the existence of active parents' organisations pushing for medical diagnoses and drug treatment for their children presents a challenge to our thinking about inclusion.     

‘Talkin' Jockney’? Variation and change in Glaswegian accent1

This paper presents an analysis of language variation and change in a socially stratified corpus of Glaswegian collected in 1997. Eight consonantal variables in read and spontaneous speech from 32 speakers were analysed separately and then together using multivariate analysis. Our results show that middle‐class speakers, with weaker network ties and more opportunities for mobility and contact with English English speakers, are maintaining traditional Scottish features. Working‐class adolescents, with more limited mobility and belonging to close‐knit networks, are changing their vernacular by using ‘non‐local’ features such as TH‐fronting and reducing expected Scottish features such as postvocalic /r/. We argue that local context is the key to understanding the findings. Mobility and network structures are involved, but must be taken in conjunction with the recent history of structural changes to Glasgow and the resulting construction of local class‐based language ideologies which continue to be relevant in the city today.