Changing the Palace Guard: Analysing the Impact of Women's Entry into Medicine

Women's rapid entry into medicine raises important questions about change in this historically male-dominated profession. In addition to shifting the gender balance, do increasing numbers of women signal a more fundamental change in the way in which medicine is organized and practised? A growing body of research suggests such change. Yet there is continuing controversy about the meaning of observed gender differences in practice, whether they reflect an essentially pragmatic response to women's dual workload of family and career, or whether they are the result of underlying differences in attitudes, values and orientations. This article uses data from a survey of a recent cohort of family physicians in Ontario, Canada, to document the extent of gender differences and similarities in medical practice, and their interrelationships to family situation, political attitudes and patient care attitudes. The results show that seemingly related differences in practice are accounted for in different ways: while some are associated with differences in family situation, others are tied to attitudes, while others are a function of gender alone. The results also reveal gender similarities which do not suggest that women are becoming more like men, but that men, and the profession as a whole are changing. We would emphasize the importance of interpreting gender differences and similarities within a broader conceptual understanding of change in the profession.     

Public child welfare workers' perception of efficacy relative to multicultural awareness,knowledge and skills

Maintaining a well trained pool of workers in public child welfare agencies continues to be an ongoing problem. Research suggests that it is critical that we continue to explore the factors associated with worker efficacy. Existing research has found that outcomes for families and children are affected by numerous individual and organizational characteristics including worker's perceived efficacy (Advancement of Social Work Research, 2005; Bernotavicz, 2007; Collier, 2007; Ellett, 2007; Government Accountability Office, 2003; Milner, 2003). This study describes public child welfare workers, and their perceptions of efficacy relative to multicultural awareness, knowledge and skills. Study outcomes have implications for worker training, supervision, and curriculum on child welfare.     

Biological Pre‐emption: “Race”, Class,and Genomics

Genomics is a complex field of study involving researchers and practitioners immersed in the social milieu from which their genetic theories and comprehensions in part emerge. Genomic researchers' embeddedness in social formations with distinct ideologies predisposes them to construct hypotheses about genetics with value‐laden assumptions. Given genomics' inseparability from social influences this article explores how its use with marginalized groups has eugenic implications. Several important links between eugenics and genomics are identified suggesting eugenic implications in genomics.     

Managing the Care Home Closure Process: Care Managers' Experiences and Views

This paper reports case study research that set out to identifywhat care managers do during independent care home closures.Little research has focused on the way in which care homes forolder people are closed in England, or what those involved thinkabout the process. This paper reports the activities and viewsof care managers directly involved in helping older people relocatefrom care homes that were closed by their owners. During suchclosures, residents and their families have no choice but tomove, usually to a deadline, and with little control over theprocess. Care managers have a responsibility to help arrangealternative care for those current residents who are publiclyfunded, and to offer information and support to those fundingtheir own care (the ‘self-funded’). Closure relatedactivities could involve considerable staff time. Care managementarrangements, including the organization of teams and provisionof needs assessments, varied across authorities. The care managersdescribed drawing on emotional counselling and inter-personalskills, as well as practitioner knowledge and experience, particularlywhen offering support and advice about finding appropriate newhomes. Tensions between aims, constraints on their actions andviews of good practice are identified.     

Social workers, parents and stigma

This paper draws on an empirical study of stigma and child welfare services in the United Kingdom, the Netherlands, and Spain. It focuses exclusively on the findings relating to the United Kingdom and shows how stigma continues to be a part of the experience of using and delivering child welfare services, despite the positive determination of policies that this should not be so. More optimistically, however, it is also evident that the experience of stigma and exclusion can be reduced, and the paper concludes by outlining the implications for policy and practice together with those factors which would appear to be most significant in combating stigma.     

A BLUEPRINT FOR INCREASING THE RELEVANCE OF FAMILY THERAPY RESEARCH

Family therapy research and psychotherapy research in general have been criticized for their lack of relevance to clinical practice. This paper presents a fivestage model that family therapy researchers can follow to increase the relevance of their work for clinicians and other consumers of family therapy research. Using lessons derived from private industry, the research model is based on a marketing and developmental perspective.     

Research in family financial counseling

Domains of family financial counseling research are proposed in order to establish criteria for assessing research needs in this relatively new field. Identification of the research domains implies progress for an emerging profession. A survey of the family financial counseling research to date is reported. Results of research in several domains are shown to demonstrate how results from empirical studies can contribute to the theory and practice of family financial counseling.Research conducted under the auspices of Agricultural Experiment Station Research Project 01803, Family Economic Problems and Resource Management.Dr. Williams is an Associate Professor in the Department of Consumer Sciences and Retailing, Purdue University, West Lafayette, Indiana 47907. Her Ph.D. was received from Purdue. Current research interests include income adequacy, economic security, financial problems, and financial counseling.