Marriage and family therapists evaluate managed mental health care: a qualitative inquiry

This study examined the experiences of 26 marriage and family therapists working in managed mental health care. A qualitative strategy was used to explore therapists' perspectives regarding practice in a managed care environment. Using an open-ended, semi-structured, mailed questionnaire four themes emerged from the data. These are the adaptations of clinical practice, issues of treatment duration/abandonment, effects of managed care on the therapeutic relationship, and issues of diagnosis. Recommendations are drawn from the findings and discussed.     

The Structure of Russian Organizations

This paper examines the extent to which the structure of Russian organizations is similar to that observed among organizations in the West. Data were obtained in 1995 from a sample of organizations in the greater Moscow area by means of a structured interview schedule administered to the chief executive officer within each organization. The interview schedule contained measures developed by the Aston Group which have been used widely in previous research. The structure of Russian organizations was evaluated in terms of a causal model based upon consistent findings of previous research in this area. The results suggest that the structure of Russian organizations differs in important ways from the type of structure observed in most Western organizations. The major differences are that size, specialization and formalization are positively associated with centralization in Russian organizations. It is suggested that the historical tradition of centralized rule in Russia and the criminal environment of current Russian organizations are, in part, responsible for this difference.     

Contributions of social capital theory in predicting rural community inshopping behavior

The social environment in which the retailer conducts business is not often measured for its fundamental influences on consumers’ local purchasing behavior. This study, using social capital theory as a theoretical framework, examines whether reciprocal actions exist between community members as consumers and retailers and if these actions are persuasive in predicting the economic activity regarded as consumer inshopping. Determinants of inshopping behavior are analyzed from the community member’s perspective in a study of the rural community marketplace. The sample population consisted of consumers living in two rural Iowa communities with populations less than 10,000, agricultural-based economies, and retail mixtures of locally owned and operated small-sized businesses as well as national chain and discount organizations. Structural equation modeling estimated the causal patterns among consumers’ attachment to community with two endogenous variables regarding reciprocity and inshopping behavior. Findings offer supporting evidence that social relationships aid in predicting rural marketplace relationships.     

Folded over non-orthogonal designs

In this article, we use the notion of minimal dependent sets (MDS) to introduce MDS-resolution and MDS-aberration as criteria for comparing non-orthogonal foldover designs, and discuss the ideas and their usefulness. We also develop a fast isomorphism check that uses a cyclic matrix defined on the design before it is folded over. By doing so, the speed of the check for comparing two isomorphic designs is increased relative to merely applying an isomorphism check to the foldover design. This relative difference becomes greater as the design size increases. Finally, we use the isomorphism check to obtain a catalog of minimum MDS-aberration designs for some useful n$n$ and k$k$ and discuss an algorithm for obtaining “good” larger designs.     

A Critique of the New Public Management and the Neo-Weberian State: Advancing a Critical Theory of Administrative Reform

The New Public Management (NPM) has often been favorably contrasted with European Public Administration (EPA). This paper attempts to balance this Anglo-American perspective with a relatively new European critique of NPM which its authors call the Neo-Weberian State (NWS). Despite their differences in some key respects, however, it is argued that the NPM and NWS are similar in their sweeping paradigmatic character, their ambiguities and internal inconsistencies, their inability to go beyond instrumental rationality and incorporate forms of hermeneutic and critical reason, and in their advocacy of bureaucracy via participation under certain historical conditions, hence consistent with Weber’s characterization of modern organization and management. The paper, based on the authors’ rendering of critical social theory, provides a fresh means for bridging the two perspectives.

Participation and well-Being Among Older Adults Living with Chronic Conditions

This study explored the unique contribution of participation (daily activities and social roles) in explaining well-being of older adults living with chronic conditions and examined which aspect of participation (accomplishment of participation or satisfaction with participation) was more important in describing their well-being. Two hundred older adults with chronic conditions completed the following assessments: Satisfaction with Life Scale to measure well-being; Assessment of Life Habits to evaluate two aspects of participation: (a) accomplishment of daily activities and social roles and (b) level of satisfaction with participation; Interpersonal Support Evaluation List to assess level of social support and Affect Balance scale to measure level of balance confidence. In addition, participants’ level of mobility was assessed using the Timed Up and Go test. Regression analysis was performed. Results indicated that number of chronic conditions, social support and satisfaction with participation had a significant contribution to well-being and altogether explained 31% of its variance whereas accomplishment of participation did not play as significant role in the model. In conclusion, participation has a unique contribution to older adults’ well-being where satisfaction with participation rather than the accomplishment of activities is of importance. Additional aspects of participation and level of disability are key factors identified for further inquiry.     

Food Availability in the Heartland: Exploring the Effects of Neighborhood Racial and Income Composition

This article examines the relationships between neighborhood racial and income composition and healthy food availability. We explore the extent to which physical and social isolation affects healthy food availability for groups marginalized by race and class in a context largely missing from the literature. We use census tract data and five‐year estimates from the American Community Survey to produce maps illustrating the patterns of race and income composition in Topeka, Kansas. Included in these maps are data points illustrating the distribution of stores offering healthy foods. We find that, as in the large metro areas analyzed thus far, the distribution of healthy food stores in Topeka is similarly patterned. Blacker (and poorer) neighborhoods tend to have the lowest levels of healthy food availability. We conclude with a discussion of the relevance of this work to the knowledge base regarding food environments and health in the United States.     

STIRring the grid: engaging energy systems design and planning in the context of urban sociotechnical imaginaries

Since the first electrification systems were established in the United States between 1910 and 1930, energy systems governance at the municipal level has included competing visions for how engineering design and energy policy-making should foster particular social outcomes. Using Phoenix as a representative metropolitan area, and the cases of distributed generation and in-home power management devices as examples, this paper explores how the norms and values embedded in energy systems design and planning shape how residents experience change in the energy grid. Through these case studies, the authors argue that such “sociotechnical imaginaries” – collectively formed visions of social life related to science and technology development – are a crucial, yet overlooked, pathway for social science to engage in fostering socially reflexive mechanisms in energy development. To conclude, the authors outline a research program for applying the established methodology of socio-technical integration research (STIR) in order to develop socially reflexive capacities in municipal energy producing, regulating, and planning institutions. Such a program has the ability to produce a deeper intellectual understanding of how energy development occurs, and in doing so generate new pathways for fostering cultural and material changes in the structure of contemporary energy systems.