Report on a community based venereal disease clinic for homosexual men∗

The present report describes the organization and operation of a community based venereal disease clinic designed to meet the particular needs of homosexual men. Male same‐sex contact is seen as an important factor in the epidemiology of venereal disease and the community based clinic is described as a potentially important mechanism for control of the disease. Socio‐medical characteristics of male homosexual patients are described. Data are offered to document the prevalence of asymptomatic gonorrhea and the need for screening of atypical sites in this population.     

Probabilistic Inversion in Priority Setting of Emerging Zoonoses

This article presents methodology of applying probabilistic inversion in combination with expert judgment in priority setting problem. Experts rank scenarios according to severity. A linear multi‐criteria analysis model underlying the expert preferences is posited. Using probabilistic inversion, a distribution over attribute weights is found that optimally reproduces the expert rankings. This model is validated in three ways. First, consistency of expert rankings is checked, second, a complete model fitted using all expert data is found to adequately reproduce observed expert rankings, and third, the model is fitted to subsets of the expert data and used to predict rankings in out‐of‐sample expert data.     

Re-Imagining Family Therapy: Choosing the Metaphors We Live By

This paper examines the influence of dominant metaphors in everyday and professional language, and relates this theme to emerging concerns with the historically dominant metaphor in family therapy: the family viewed as a system. Increasing interest is being shown in the development of alternative metaphors, especially those based on aspects of language and literary practice e.g. conversation, discourse, rhetoric, narrative and text. However, the fundamental question remains: how do we choose the metaphors we wish to live by? To address this question, a journey into postmodernist cultural studies is made and the concept of the ethical-poetical imagination is borrowed as a criterion for comparison and choice. From this vantage point, preferences for the metaphorical future of ‘postmodernist’ family therapy are expressed and explained.     

Men together: understanding the gay couple

The present study surveyed male gay couples to determine how their relationships began and were maintained, the types of conflict they experienced, and how the issues of monogamy, sexual behavior and AIDS affected the relationships. Ninety-two couples responded to the survey. The gay bar was the most common initial meeting place and relationships had lasted from less than one to 35 years. Few had had a commitment ceremony, although many reported wanting one if it were available. Most of the close friends of respondents were also gay couples and about two-thirds of family members were supportive of the relationship. The most persistent conflicts centered around finances and relations with family members. Virtually all respondents described their relationships as monogamous, but only about half practiced safe-sex. More attention needs to be given to understanding male couples and to targeting AIDS-prevention messages to them.     

Eye-Tracking Data: New Insights on Response Order Effects and Other Cognitive Shortcuts in Survey Responding

Survey researchers since Cannell have worried that respondents may take various shortcuts to reduce the effort needed to complete a survey. The evidence for such shortcuts is often indirect. For instance, preferences for earlier versus later response options have been interpreted as evidence that respondents do not read beyond the first few options. This is really only a hypothesis, however, that is not supported by direct evidence regarding the allocation of respondent attention. In the current study, we used a new method to more directly observe what respondents do and do not look at by recording their eye movements while they answered questions in a Web survey. The eye-tracking data indicate that respondents do in fact spend more time looking at the first few options in a list of response options than those at the end of the list; this helps explain their tendency to select the options presented first regardless of their content. In addition, the eye-tracking data reveal that respondents are reluctant to invest effort in reading definitions of survey concepts that are only a mouse click away or paying attention to initially hidden response options. It is clear from the eye-tracking data that some respondents are more prone to these and other cognitive shortcuts than others, providing relatively direct evidence for what had been suspected based on more conventional measures.     

The Experience and Practice of Approved Social Workers in Northern Ireland

Correspondence to Dr Roger Manktelow, School of Social and Community Sciences, University of Ulster Magee College, Derry, BT48 7JL, Northern Ireland. Summary This article reports on the first extensive survey of ApprovedSocial Worker (ASW) activity under the Mental Health (NorthernIreland) Order 1986. The integrated health and social servicesorganizational structure, the adverse effects on individualmental health of the legacy of thirty years of civil conflictand the move from hospital to community care are significantfeatures which have influenced the delivery of mental healthsocial work services locally. The practice and experience ofASWs was surveyed by postal questionnaire and user and carerexperience of compulsory hospital admission was investigatedby a series of focus groups. The study revealed that two-thirdsof ASWs had experience of acting as an applicant in compulsoryhospital admission during the past two years. Nearly half (42per cent) of these ASWs had reported experience of between oneand five admissions and one-tenth had completed over twentyadmissions in the two-year period. In only a small minorityof cases did joint face-to-face assessment with the GeneralPractitioner (doctor) take place; nearly half of ASWs reporteddifficulties in obtaining transport; and only one-fifth of ASWshad experience of acting as a second approved social worker.Half of ASWs reported experience of guardianship, either asapplicant or in making the recommendation. Both service usersand carers reported a lack of understanding about the role ofthe ASW and complained about the lack of alternative resourcesthat ASWs could use to prevent hospital admissions. These findingsare discussed and a number of recommendations are proposed forimprovements to approved social worker practice.