How Do the Professional Lives of Family Therapists Affect their Private Relationships: A Qualitative Study

This article is based on a qualitative research project about how the professional lives of family therapists affect their private relationships. The overarching research question was: How does your professional work as a family therapist affect your private relationships? To answer this question, semi‐structured qualitative interviews were conducted with four therapists from two different Family Counseling Services. Through the use of interpretative phenomenological analysis, three main findings were identified: (1) family therapists’ knowledge and values are a basis for interpersonal encounters; (2) participants describe resonance in relation to clients’ stories; and (3) therapists can be challenged in managing confidential knowledge particularly where they belong to the same communities as clients. The study also explores societal expectations and discourses that accompany the role of therapist, which can affect therapists’ freedom of movement in their private lives. These issues are discussed in relation to family therapy theory and relevant research.     

“I’ve changed my mind; I don’t want to go home”

Abstract

This article considers the motif of porosity and its opposite, impenetrability, in relation to the home or places where we feel at home. It discusses ambiguities in how the physical boundaries of the home—but also of the perceived human subject—are portrayed in the technology-pervaded world of the dystopian science fiction narrative Total Recall. Tracing the story from the 1966 novel by Philip K. Dick, through the 1990 film to the recent remake (2012), allows for a consideration of the changes in our understanding of how the boundaries between the home and its other are culturally conceived and what happens when the integrity of these boundaries are put into question. Despite their differences, we argue that all three narratives use the built structures of walls and the imagery of the container as a way of portraying the basic conflict of an outer world that tries to take possession of the protagonist’s inner life. Tracing narrative shifts, we suggest, can become a vehicle for understanding the ongoing negotiation of boundaries of the “self,” the human body, the home and even the city, and the implications these cultural negotiations have across the period from 1966 to 2012.     

The DYNAMO-HIA Model: An Efficient Implementation of a Risk Factor/Chronic Disease Markov Model for Use in Health Impact Assessment (HIA)

In Health Impact Assessment (HIA), or priority-setting for health policy, effects of risk factors (exposures) on health need to be modeled, such as with a Markov model, in which exposure influences mortality and disease incidence rates. Because many risk factors are related to a variety of chronic diseases, these Markov models potentially contain a large number of states (risk factor and disease combinations), providing a challenge both technically (keeping down execution time and memory use) and practically (estimating the model parameters and retaining transparency). To meet this challenge, we propose an approach that combines micro-simulation of the exposure information with macro-simulation of the diseases and survival. This approach allows users to simulate exposure in detail while avoiding the need for large simulated populations because of the relative rareness of chronic disease events. Further efficiency is gained by splitting the disease state space into smaller spaces, each of which contains a cluster of diseases that is independent of the other clusters. The challenge of feasible input data requirements is met by including parameter calculation routines, which use marginal population data to estimate the transitions between states. As an illustration, we present the recently developed model DYNAMO-HIA (DYNAMIC MODEL for Health Impact Assessment) that implements this approach.     

The Transition to Parent Care: Costs,Commitments, and Caregiver Selection Among Children

This research traced the process of caregiver selection among adult children longitudinally, investigating how transitions to parent care were influenced by previous constellations of caregiving costs and commitments within sibling groups. The authors used data from 6 waves (1998–2008) of the Health and Retirement Study, selecting a sample of families (N = 641 parents comprising N = 2,452 parent–child dyads) in which they observed at least 1 adult child becoming a caregiver to a previously self‐sufficient parent. Among cost‐related factors, this transition was predicted primarily by between‐sibling differences in previous geographical distances to the parent and, to a lesser extent, competing demands in work and family spheres. The indicators for caregiving commitments showed the importance of reciprocity, path dependency, and parental expectations as motivational forces affecting the process of caregiver selection among adult children. Gender effects revealed the primacy of the mother–daughter tie, as daughters were overrepresented only in transitions to mother care.     

Fertility and women's employment reconsidered: A macro-level time-series analysis for developed countries, 1960–2000

This paper examines causality and parameter instability in the long-run relationship between fertility and women's employment. This is done by a cross-national comparison of macro-level time-series data from 1960 to 2000 for France, West Germany, Italy, Sweden, the UK, and the USA. By applying vector error correction models (a combination of Granger-causality tests with recent econometric time-series techniques) we find causality in both directions. This finding is consistent with simultaneous movements of both variables brought about by common exogenous factors such as social norms, social institutions, financial incentives, and the availability and acceptability of contraception. We find a negative and significant correlation until about the mid-1970s and an insignificant or weaker negative correlation afterwards. This result is consistent with a recent hypothesis in the demographic literature according to which changes in the institutional context, such as changes in childcare availability and attitudes towards working mothers, might have reduced the incompatibility between child-rearing and the employment of women.     

Bildung und Gesundheitsungleichheit im Alter: Divergenz, Konvergenz oder Kontinuit?t?

It is well established that health at an old age is influenced by education acquired earlier in life. Empirical evidence on the extent of health decline across educational levels, however, is heterogeneous. It remains unclear whether the health gap between individuals with high and low levels of education increases in old age (divergence), decreases (convergence), or whether it remains constant (continuity). In the present study, we investigate the effects of education on health changes with data from two waves (2004, 2007) of the Survey of Health, Ageing and Retirement in Europe (SHARE) for respondents aged 50?C80. We estimate OLS regression models drawing on 12 indicators of physical, mental and cognitive health. Our aim is to obtain more generalizable results about the age trajectories of health inequality. We find that divergence is the main pattern of health decline across educational levels: The health gap between individuals with high and low educational levels increases for the indicators of grip strength, limitations of general and of instrumental activities of daily living, mobility limitations, depressive symptoms, numerical ability, and time orientation. For single indicators, however, we also observe continuous (chronic diseases, subjective health assessment, memory) and convergent (fluency of speaking) patterns.