HISTORICAL AND CURRENT FACTORS DISCRIMINATING SEXUALLY FUNCTIONAL FROM SEXUALLY DYSFUNCTIONAL MARRIED COUPLES*

Clinical literature has noted numerous past and current psychosocial factors characteristicof sexually dysfunctional individuals. However, there is almost no empirical documentation of factorsdiscriminating sexually functional from dysfunctional couples. The present study compared the responses of 94 clinical couples accepted for sex therapy with 110 nonclinical couples, selected from the same community. The couples were in their mid-30s, married an average of 12 years, middle income, rather well educated, and over 75% had at least one child. Individuals completed a 517-question Personal History Questionnaire (PHQ), and sex and marital defensiveness scales. The PHQ wasclinically and empirically developed, resulting in 54 internally consistent scales. Major analyses tested the discriminating power of past and current PHQ scales. The best discriminators were sexual functioning scales, historical and affective scales for women, and current and fantasy scales for men. Several surprising results appeared, including the importance of first coitus and the lack of importance of marital satisfaction, communication and sexual history scales. Four conclusionswere discussed relevant to the separation of sex and relationship satisfaction, the separation of sexualfunctioning and sexual satisfaction, and the differential impact of sexual problems on men and women.     

The dynamic nature of the drug use/serious violence relationship: a multi-causal approach

Relying on historical research, a longitudinal data set, and multivariate analyses, the drug-violence relationship is scrutinized. A proposed model is tested and supported, indicating that attitudes toward violence, gender, neighborhood problems, minor delinquency, and victimization were persistent correlates that must be considered within the drug-violence relationship. Parental attachment and importance, exposure to delinquent peers, and drug dealing were also important. Both licit and illicit drug use were significant within the models, although the relationship changed from year to year. In year 1, youth who used drugs reported more violence. In year 2, youth who were not using drugs reported more violence. Association with delinquent peers and initial involvement in drug dealing were likely explanations for this transition. Findings offer support for prevention efforts that disrupt drug markets and target male youth who are involved in crime and drugs, repeatedly victimized, associating with delinquent peers, and developing attitudes favorable toward the use of violence.     

Explaining Intimate Partner Violence: The Sociological Limitations of Victimization Studies

This paper examines whether differentiating among types of intimate partner violence enhances the explanatory capacity of extant empirical models.The analysis uses national-level Canadian data to evaluate an alternative approach to operationalizing intimate partner violence, drawing upon Black's (1990) and Johnson's (1995) theoretical work. The main argument suggests that current efforts to explain intimate partner violence with victimization studies are inadequate because they typically do not measure key sociological variables. The failure to assess the contexts within which different types of violence occur further hinders explanatory efforts.The paper concludes with recommendations for innovative theoretical and methodological strategies to address these limitations.     

A comparison of self-perceived physical and psycho-social worker profiles of people with direct work injury, chronic low back pain, and cumulative trauma

This study investigated the psycho-social factors among injured workers and the influence of their psycho-social profile on the readiness of return to work. Sixty-four subjects with injuries on the upper limbs or lower limbs, low back pain, or cumulative trauma disorder were recruited. The workers' profiles (self-perceived physical health, mental health, and work readiness) together with the impact and types of work injury on the workers' perceived wellness were measured. The regression model of work readiness was constructed to develop a theoretical background for predicting work readiness based on different factors. The results showed that injured workers with chronic injury such as low back pain or cumulative trauma had poorer self-perception of physical health and psycho-social/mental health compared to those with direct trauma. The regression analysis further affirmed that self-perceived pain and physical functioning were significant factors influencing the readiness for returning to work. Workers with low back pain were found to have lower motivation for returning to work. Other factors such as the non-verbal intelligence of the injured workers, their anxiety level, and the support they received from family members were found to have some indirect impact on their ability to return to work, but this was not statistically proven.     

Perceptual deficits and self-esteem in adolescence

This paper attempts to conceptualize the dynamics of selfesteem in an adolescent suffering from a perceptual deficit. The interrelationship between the deficit and the development of self-esteem is discussed from two points of view, that of traditional ego psychology and that of the psychology of the self. In the case illustration given, the treatment methods were heavily influenced by the work of Heinz Kohut and by the insights provided by his psychology of the self.     

The demand to initiate medical care: A morbidity specific analysis

The dependence of the one year probability of utilizing preventive services and the one year probability of utilizing visits for acute micro-organism disease in the Kaiser-Oregon Prepaid Medical Care System on ten (10) explanatory factors has been investigated using a multiple logistic function analysis.Our results demonstrate the importance of disaggregating the population and the type of medical care when investigating the determinants of utilizing service. This is especially important for understanding the underlying structure of medical care utilization decisions.The study also illustrates a potentially fruitful application of the multivariate logistic analysis to the fields of health care planning and policy analysis. The use of specific types of medical care in the short-term is probabilistic and depends on many factors. For most groups, the multivariate logistic approach produces an analysis reasonably consistent with the actual data.Further research is needed to test the predictive ability of these types of utilization models and to investigate the determinants of other morbidity specific types of medical care utilization. The problem will then be to develop a model of the quantity of alternative types of services utilized-conditioned on the number of persons initiating service for alternative health reasons.     

Organizational Effectiveness: An Empirical Comparision of the Goal and System Resource Approaches*

The goal and system resource approaches represent alternative conceptions of organizational effectiveness. The goal approach views effectiveness in terms of internal organizational objectives and performance. Organization-environment relations are the focus of the system resource approach, though previous applications of this perspective have been limited to profit-making organizations. This paper reconceptualizes the system resource approach for use in public agencies and examines the flow of organizational resources as an indicator of effectiveness. Goal approach indicators are matched with system resource measures in examining the convergence and consistency of the two approaches. The convergence of effectiveness measures is examined by observing the correlations between themselves and four organizational decision making variables that had previously been shown to be associated with effectiveness. An examination of the data collected through interviews with representatives of 110 public agencies reveals some consistency but no convergence between the two approaches.     

The family caregiving career: implications for community-based long-term care practice and policy

Informal (i.e., unpaid) long-term care for disabled older adults is often chronic, but it is only recently that research has considered the longitudinal implications of family caregiving. In particular, investigators have conceptualized caregiving as a "career," and within the caregiving career, a number of diverse trajectories and transitions can occur. Following a summary of these findings, this paper considers how longitudinal caregiving research can influence and potentially address key policy and practice concerns, especially in the delivery and support of community-based long-term care (CBLTC) services. It is suggested that with the refinement of the informal long-term care literature, existing policy and practice to support caregiving families can be similarly advanced.     

Beyond a Simple Case of Black and White: Searching for the White Male Effect in the African-American Community

Prior research focusing on risk perceptions has led to the observation that well‐educated and politically conservative white males tend to systematically perceive lower levels of risk from a wide range of hazards when compared to other members of society (e.g., white women, nonwhite women and men). While this “white male effect (WME)” is quite striking given that many policymakers fall into this group, a byproduct of this finding is that it deflects attention from the heterogeneity, in terms of people's concerns about risks, that exists in African‐American and other minority communities. The research reported here set out to explore this heterogeneity by asking a simple question: Can a phenomenon similar to the WME be found in the African‐American community? It can, and its implications for research and practice in risk management are discussed.