The Devil is in the Detail: Clinicians,Academics and Researchers Resolving the Problems of Clinical Research

The difficulties associated with conducting valid family therapy research within a clinical practice discourage many potential researchers. This article will describe collaboration between a group of academics, researchers and clinicians who decided to explore the process and efficacy of systemic family therapy conducted within a working private practice. The specific questions we are addressing are, whether the requests clients bring to their first session of therapy can be reliably classified by practitioners, whether these requests change over time, and whether the nature of the request is associated with therapist and client ratings of therapeutic outcome. Additional questions about the form and nature of the therapeutic alliance as experienced by both client and practitioner are also being explored. This paper will map the passage of the work from inception to its current state where over 140 clients are active participants. In doing so attention will be paid to the obstacles encountered: practical, financial and ethical, and the solutions devised to address these.     

Life satisfaction and family strengths of older couples

The purpose of this study was to examine the relation between family interaction quality of married elderly and their offspring and life satisfaction of older persons. Information was obtained by means of mailed questionnaires completed by both spouses of 68 married, retired couples living in Georgia and North Carolina who were identified through churches, senior centers, and congregate housing units and through personal contacts. For the total sample, health status was the strongest predictor of life satisfaction followed by certain family strengths factors and job prestige, respectively. Males and females differed concerning which variables contributed most to explaining variance in life satisfaction. Variance in life satisfaction of males was best explained by job prestige, family strengths, and financial help given. Variance in life satisfaction of women was best explained by their perception of their health, family strengths, and job prestige.     

Graduate Training and Initial Job Placement*

This study examines the extent to which professional credentials accrued during graduate school are related to postgraduate employment. The undergraduate and graduate records, demographic characteristics, and initial job placements of 711 Ph.D. recipients from the University of California, Santa Barbara, are analyzed. We find that several aspects of graduate training (e.g., holding research assistantships) have greater influence on the initial placement of women than men. Further, coauthored publications with the mentor influence the initial placement of men and women somewhat differently. Given the importance of initial placement in determining career productivity (e.g., Long and McGinnis, 1981; Reskin, 1978). these differences may have considerable impact on professional life chances.     

Experiences of rural male caregivers of older adults with their informal support networks

More male caregivers are assuming primary caregiving roles for older adults with chronic health conditions. One of the main sources of support for many caregivers is the assistance that is provided by members of their informal support network. Little is known about the relationship between male caregivers and their informal support networks. This qualitative study examines the experience of male caregivers with their informal support networks, specifically looking at two phenomena: (1) Perceptions of the male caregivers about the willingness of their informal support networks to provide caregiving assistance and (2) Willingness of the male caregivers to ask their informal support networks for assistance. Twenty male caregivers were recruited across a rural Midwestern state. Each male caregiver engaged in two interviews that lasted between 60 and 120 minutes. Seven themes emerged from the data about the male caregivers experience with their informal support networks. Results from this study have implications for geriatric health professionals who work with male caregivers to obtain the necessary amount of caregiving assistance.     

Intercounty Variability of Net Migration at Older Ages as a Path‐Dependent Process

This article seeks to identify factors associated with the formation and development of nonmetropolitan destinations for older in‐migration, thereby explaining why some U.S. counties are more likely than others to be nonmetro retirement destinations. We contend that most nonmetro retirement destinations are established and developed over time through a path‐dependent process. When amenities are commodified as recreation and tourism, migration streams tend to be established that ultimately produce sustained in‐migration of older persons to selected destination communities. We use data from a variety of official sources and a spatial statistics methodology to examine intercounty variability in net migration rates at ages 60–74. Our findings are consistent with the aforementioned path‐dependent development framework. Counties with a long history of population growth, previous experience attracting older in‐migrants, attractive natural amenities, and a developed recreation and tourism industry are those most likely to be retirement‐age migration destinations. In contrast, agricultural heartland and relatively large population size are associated with lower rates of older in‐migration. Older in‐migration should be seen as neither a panacea for strapped rural communities nor a “pensions and care issue.” Older migrants can be “gray gold,” but they can also pose challenges, such as possibly increased demand for public services as they age in place.     

A Model for Setting Performance Objectives for Salmonella in the Broiler Supply Chain

A stochastic model for setting performance objectives for Salmonella in the broiler supply chain was developed. The goal of this study was to develop a model by which performance objectives for Salmonella prevalence at various points in the production chain can be determined, based on a preset final performance objective at the end of the processing line. The transmission of Salmonella through the broiler production chain was modeled. The prevalence at flock level was calculated from the measured prevalence at sample level. The transmission model is based on data on the occurrence of Salmonella collected in the Dutch broiler production chain during several years. The developed model can be used by policymakers and industry to determine economically and politically acceptable performance objectives for various points of the production chain and to draw conclusions about which interventions are most appropriate.     

Race, Class, and Gender Differences in High School Seniors' Values: Applying Intersection Theory in Empirical Analysis

Objective . This article demonstrates how intersection theory can be applied in empirical studies by testing whether an individual's race, class, and gender have interactive effects. Methods . Data on high school students' ratings of the importance of equality, money, career, and family from the Monitoring the Future study are used. A stepwise regression model is employed to determine first whether additive effects exist in the data, and then whether interactions exist among race, class, and gender characteristics. Results . Previous findings of additive effects were generally confirmed in the first stage of the regressions, with some exceptions. For the money and family values, significant interactions exist between some pairs of characteristics, but three-way interactions were not significant. For equality and career values, no significant interactions were found. Conclusions . Although there are times when additive models are sufficient to describe differences among groups, the omission of interaction terms can sometimes lead to misleading conclusions about the effects of race, class, and gender. Using intersection theory in empirical models will guard against this oversight and may lead to a broad theory of when significant race, class, and gender interactions should be expected.     

‘Now I See The Difference’ — The Use Of Visual News Of Difference In Clinical Practice

Differences between events, values, attitudes and relationships provide therapists with the most meaningful data in the search for a circular perspective. Systems change is believed to be dependent on the reception of relevant information by the system. Traditionally, information has been collected verbally and Tomm (1984) outlines a schema of the types of difference questions. However, clinical practice suggests that these questions are not suitable to all clients. Difference questions may be confusing and unproductive when working with young children whose language skills are not fully developed and auditory memory limited. Adults whose verbal skills are limited or whose primary mode for processing information is not auditory, also have difficulty. An alternative visual method for collecting news of difference is proposed, using Tomm's (1984) categories as a basis. Case examples are given of this technique, at the stage of data collection and as a way of marking and reinforcing change through the course of therapy.