Remission from Depression in the DSM: Moving from Rhetoric to Restoration

The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders, uses the term “remission” to describe the reduction of depressive symptoms. This paper argues that by categorizing someone who no longer has depressive symptoms as “in remission,” that person may feel indefinitely tied to his or her diagnosis. Considering the unfortunate stigma associated with mental illness, permanent linkage to diagnosis through records and professional memory may cause individuals to internalize pathology. In fact, the language of the diagnosis can affect self-perception in sensitive souls for a lifetime. As an implication for practice, we propose that cognitive and narrative therapy approaches, mood-memoirs, and use of metaphor present alternative uses of language that can reduce power imbalances between clinicians and clients, providing a bridge to healing.     

Educated Caring: The Emergence of Professional Identity Among Nurses

This article examines the formation of occupational identity in a nursing program. The normative and ideological dimensions of this process are revealed in the program’s goals and the views of educators and students through qualitative data from observations and 30 in-depth interviews. Educators seek to socialize students toward professionalism to raise the occupation’s status by emphasizing the scientific and technical basis of nursing. Yet students uphold a gendered discourse by identifying a normative dimension of caring as central to their occupational identity. The dilemma between professionalism and caring is reconciled as students construct an occupational identity based on “educated caring,” where these two dimensions are equally valuable and significant.

When the main job tasks are perceived to be ‘irrelevant’ in the workplace: the internal uselessness of corporate social responsibility work in Japan

ABSTRACT

Despite a symbolic shift toward ‘emotional taint’ in dirty work literature, the role of the workplace has not been studied in relation to socially admired professions, such as corporate social responsibility (CSR) work. This article carries out an in-depth, critical examination of CSR as an emotionally tainted occupation in Japan. Its findings, substantiated by an analysis of 34 CSR workers’ rhetoric, help conceptualise ‘internal uselessness’. This emerges when workers feel their organisations publicly foster an image of their work that is decoupled from its internal reality, assigning them chief tasks they consider irrelevant. This leads to negative consequences that damage their workplace social relationships, professional aspirations and emotional well-being. The findings ultimately show that these CSR workers in Japan attempt to counterbalance internal uselessness through a social quest with peers outside their workplace, but also manage their emotions by rationalising their job status as inescapable, influenced by situated commitment norms.     

The Process of Personal Transformation for Adolescents Practicing Mindfulness Skills in an Alternative School Setting

This qualitative study examined the experiences of alternative school students as they participated in a mindfulness skills program. A 7-month school-based mindfulness skills program was integrated into the Grade 10 curriculum for high school students (N = 19; 10 boys and 9 girls, ages 15–17). Students engaged in mindfulness practices twice weekly during class time. Students practiced breath awareness, and seated, walking, and lying mindfulness meditation during the course of the program. Students completed initial and final questionnaires about their experiences as well as written journal entries based on their experiences in the program. At the completion of the program, 14 of the 19 program completers were interviewed (6 boys and 8 girls). Data analysis yielded two broad areas of perceived benefits of participation in the mindfulness skills program: intrapersonal benefits and interpersonal benefits. Intrapersonal benefits included themes of self-awareness and self-regulation (including cognition, emotions, and behavior). Interpersonal benefits included themes of building relationships (with peers, family members, and teachers) and learning to trust. These findings may be useful when planning school-based mindfulness programs and may serve as a guide for researchers studying mindfulness practices for youth.     

The Prevalence of Uncorrected Refractive Errors in Adolescents Incarcerated in a Youth Detention Center

The purpose of this study was to determine the number of residents requiring corrective lenses in a youth detention center for juveniles from 12 to 18 years old over a 2-year period. A greater number of adolescents incarcerated for criminal activity in a detention center had uncorrected refractive errors (34.87 %) as compared to a comparable population in the public school system (22 %). The prevalence of significant refractive errors among incarcerated adolescents in this study is significantly higher than has been reported previously. The current study found a refractive error rate of almost 35 %. This difference can be explained by a number of factors in their social environments and identifies an area for potential intervention to reduce antisocial behavior in this population.     

$$D_s$$-optimality in copula models

Optimum experimental design theory has recently been extended for parameter estimation in copula models. The use of these models allows one to gain in flexibility by considering the model parameter set split into marginal and dependence parameters. However, this separation also leads to the natural issue of estimating only a subset of all model parameters. In this work, we treat this problem with the application of the \(D_s\)-optimality to copula models. First, we provide an extension of the corresponding equivalence theory. Then, we analyze a wide range of flexible copula models to highlight the usefulness of \(D_s\)-optimality in many possible scenarios. Finally, we discuss how the usage of the introduced design criterion also relates to the more general issue of copula selection and optimal design for model discrimination.     

Central State Steering of Local Collaboration: Assessing the Impact of Tools of Meta-governance in Homelessness Services in England

Much of the discussion of state steering of service delivery networks to encourage collaboration at the local level has been theoretical. This study builds on this analysis systematically to assess the relationship between meta-governance tools of central government steering and the extent of local collaboration, using the case of homelessness services in England. Contrary to the pessimist expectations of some contemporary theory, central government funding tools and facilitating the transfer of best practice encourages collaboration. However, simple information provision and authority based tools are only partially effective, risking tokenistic compliance. Authority tools are more effective when combined with other tools.

Accountability in the Shadow of Hierarchy: The Horizontal Accountability of Agencies

In the Netherlands, new accountability arrangements are created as remedies for the accountability deficit of agencies. These arrangements are of a ‘horizontal’ nature, as the agencies account for their behaviour towards accountees that are not their hierarchical superiors: clients, stakeholders or peers. This paper provides an inventory and qualitative assessment of horizontal accountability arrangements. It is argued that they have added value because they stimulate learning. However, horizontal accountability is not a substitute for hierarchical accountability. Horizontal accountability arrangements operate ‘in the shadow of hierarchy’: they gain significance through complex interactions with traditional forms of accountability.

Citizen Support for Hospital Privatization: A Hierarchical Cross-National Analysis

The movement for a new public management (NPM) holds that citizens will put aside partisan and ideological differences to support more efficient service delivery. Focusing on hospital privatization, a multi-national sample is utilized to investigate this assertion. Generalized hierarchical linear modeling (GHLM) is employed as the method of statistical analysis. The findings with regard to privatizing hospitals reveal that citizens develop their policy position by reference to a combination of symbolic political variables, service demand, self-interest, information levels, and political efficacy. The results cast doubt on the assertion that partisan differences will be set aside as citizens consider privatization reforms.