High school after school: creating pathways to the future for adolescents

This article proposes a strategy for the use of out-of-school time for adolescents, illustrates this strategy in action in Chicago, and discusses the challenges it faces.     

Intimacy boundaries: between mental health nurses & psychiatric patients

This was the first research study in Canada to explore intimacy boundary violations and sexual misconduct between nurses (both RNs and registered psychiatric nurses) and patients. Using a researcher-generated survey, a total of 923 mental health nurses commented on their sexual attraction to patients, and dating and sexual intercourse patterns with patients. The findings indicated that very few nurses had dated or engaged in sexual intercourse with discharged patients, and the few nurses who had done so tended to be younger men prepared at the registered psychiatric nursing diploma level. A small number of nurses believed it was permissible to have a sexual relationship with a patient while the patient was hospitalized, but none reported having a current relationship. Given the severity of this intimacy boundary violation, nurses need to be educated regarding the serious and dangerous psychiatric effects that can result for patients from engaging in a sexual relationship with nurses. The Code of Ethics of the Canadian Nurses Association and nurses' obligation to follow it needs to be reinforced. Nurses engaging in intimacy boundary violations are vulnerable to patient-initiated lawsuits.     

The Public Policy of Motherhood

Parents seeking to balance their work lives with family responsibilities often find the challenge made more difficult by outdated images of the ideal worker, the good mother, and the good father. Social and legal constraints on mothers' choices exacerbate the problem. While other countries have implemented national work/family policies, the climate in the United States seems unreceptive to federal government mandates for meaningful changes in employees' work hours, schedules, and paid leave, or for sweeping new child care subsidies. As a viable interim measure, we propose a statute forbidding discrimination based on family responsibilities, which would tap deeply-felt values about the importance of family caregiving, serve as an important symbolic statement, and be useful to courts.     

Comprehensive model for child services: Parent education follow through program

One program which provides comprehensive child and family services is the Parent Education Follow Through Program. Developed at the University of Florida in 1968 by Dr. Ira J. Gordon and moved to the University of North Carolina in 1977, this program is currently implemented in ten diverse communities across the nation, both rural and urban. Using a theoretical ecological framework, the program focuses on the relationship between the home and the school with attention also given to other systems present in the community as well as at the state and national levels. The major features of the program include the following: (1) comprehensive services (social, psychological, and medical); (2) weekly home visitations by paid paraprofessionals during which home learning activities stressing specific parental teaching behaviors are delivered; and (3) parental participation of various kinds including volunteer, employee and decision-maker. The data that have been collected to measure these program areas have shown that the model has had a positive impact upon children's achievement as well as upon their families, the school, and the community.     

Autonomy and Monitoring on Hospital Wards

This paper describes the systems of relationships and manner of operation of several hospital wards. Data from these settings suggest three concepts of understanding the behavior of the participants. One is elastic autonomy: the autonomy of an actor is not fixed, but expands and contracts according to others' assessments of his professional competence. The second is accountability: an actor is held to be accountable or responsible for his decisions and actions. Third is monitoring: the process by which actors keep track of each other's performance. Contingencies affecting autonomy are discussed, as are the relationships between these concepts and those of bureaucratic theory.     

Marital Therapy: Toleration of Differentness

This paper presents a way of understanding marriage and marital therapy in terms of Satir's concept of differentness. One important impetus toward marriage is the individual's need to feel complete through emotional fusion with the spouse. Individuals choose marriage partners who will give them a sense of completion. Marital balance is sought around the fulcrum of this need for unity. Any disturbance to the myth of unity of the two partners is seen as a personal threat by each. Marital balance or homeostatis is a way the partners disguise the unique differentness of each. Acknowledgement of the differentness and separateness of the other is seen as a threat to the self. The task of therapy is to help partners recognize and tolerate the differentness of the other.     

Termination of one therapist in co-led group psychotherapy

This article describes the termination of one group co-therapist without replacement. The period between J. W's announced departure and actual leaving brought into vivid perspective transference issues toward the co-therapists as a parental dyad. The rupture of this dyad had powerful consequences, which are discussed. In addition the therapist who remained (T.S.) had the unique opportunity to observe the group members reactions to termination after the termination actually took place. The group is presented and some process material is included.     

Occupational status scores: Changes introduced by the inclusion of women

This paper examines the impact of women’s labor force participation on occupational scores by comparing occupational status scores based on the characteristics of the 1970 male labor force with a set of occupational status scores based on the characteristics of the total 1970 labor force. Although the two sets of scores are highly correlated, important differences are found in the scores for specific occupations as well as for major occupational groups. Using the traditional list of 12 major occupational categories, we find that the positions of clerical workers and craftsmen are reversed when status scores are derived from data on all incumbents in the labor force rather than on male incumbents alone. The paper suggests that, with the increased participation of women in the labor force and the concomitant change in the sex composition of the work force, the traditional approaches to the measurement of occupational status based solely on male incumbents may no longer be valid for examining the occupational hierarchy of contemporary American society.