Complexity,Chaos, and Nonlinear Dynamics: A New Perspective on Career Development Theory

The author presents a theory of career development drawing on nonlinear dynamics and chaos and complexity theories. Career is presented as a complex adaptive entity, a fractal of the human entity. Characteristics of complex adaptive entities, including (a) autopiesis, or self‐regeneration; (b) open exchange; (c) participation in networks; (d) fractals; (e) phase transitions between order and chaos, (f) search for fitness peaks; (g) nonlinear dynamics; (h) sensitive dependence, (i) attractors that limit growth; (j) the role of strange attractors in emergence; and (k) spirituality, are described and then applied to careers. The article concludes with a brief case analysis and implications for practice and research.     

The effectiveness of parenting support

This research review examines what is known about the effectiveness of parenting support, and assesses the international evaluation evidence focusing on primary and secondary prevention programmes. It outlines several factors affecting the success of parenting support interventions in terms of service implementation and delivery, as well as outcomes for children and parents. The conclusions highlight the need for more rigorous UK‐based evaluations, and for further investigation of the support services for specific parenting groups such as very vulnerable families, fathers, and ethnically diverse families. The review also underlines the need for further national policies that address the broader social inequalities affecting the impact of parenting programmes.     

Holding the line online: exploring wired relationships for people with disabilities

Clearly, the Internet represents a huge new step in interpersonal communications. It offers people with disabilities the possibility of confronting the issues of time, space, communication and the body, but what happens when people with disabilities engage with the computer? Do they use the Internet to develop friendships and intimate relationships? Does online communication enhance self‐identity and social being? Do people use the Internet to transcend the vagaries of their frail and vulnerable bodies? Or are they simply ‘holding the line’ online, using the Internet as they would use a letter or a telephone? Is the Internet a chimera, a failed promise, for people with disabilities?     

The views and attitudes of health professionals providing antenatal care to women with a high BMI: A qualitative research study

BackgroundThe prevalence of overweight and obesity is increasing amongst women of child bearing age. The objective of this study was to investigate the views and attitudes of providers of antenatal care for women who have a body mass index (BMI) of 30 kg/m² and over.MethodsA qualitative study using focus groups was undertaken within the department of obstetrics and gynaecology at a large teaching hospital in south-eastern Australia. Three focus group discussions were held. One with hospital midwives (n = 10), one with continuity of care midwives (n = 18) and one with obstetricians (n = 5). Data were analysed using Interpretative Phenomenological Analysis (IPA).FindingsSix dominant themes emerged: (1) obesity puts the health of mothers, babies and health professionals at risk; (2) overweight and obesity has become the norm; (3) weighing women and advising about weight gain is out of fashion; (4) weight is a sensitive topic to discuss; (5) there are significant barriers to weight control in pregnancy; and (6) health professionals and women need to deal with maternal obesity. These themes are drawn together to form a model representing current health care issues for these women.ConclusionHealth professionals, who have a high BMI, can find it difficult to discuss obesity during antenatal visits with obese women. Specialist dietary interventions and evidence based guidelines for working with child-bearing women is seen as a public health priority by health care professionals.     

UNDEREMPLOYMENT AND RACIAL COMPETITION IN LOCAL LABOR MARKETS

The primary concern in this paper is to analyze the effects of black population concentration on black and white men's relative and absolute underemployment levels in labor market areas while controlling for the degree of occupational segregation by race. We draw hypotheses from two primary bodies of research; one literature focuses on general racial competition and the other considers competition to be more limited. Our findings that racial inequality in underemployment levels increases with blacks' population share are most consistent with the general competition model. However, we also find some support for the limited competition model which holds that not all whites benefit from increased competition with blacks. Finally, we find that occupational segregation helps to determine the form that racial discrimination in employment adequacy takes. Where occupational segregation is high, black men hold relatively more low-wage jobs, but where occupational segregation is low, they experience higher levels of unemployment and more disadvantage relative to whites.     

Predictive validity of a functional capacity evaluation: the physical work performance evaluation

The predictive validity of a Functional Capacity Evaluation, the Physical Work Performance Evaluation (PWPE), was examined in 30 workers compensation patients with musculoskeletal dysfunction who participated in an industrial rehabilitation program. Return-to-work recommendations were made by comparing the discharge PWPE to the physical requirements of the job. Kappa coefficients were used to compare PWPE recommendations to actual work at discharge, 3 months and 6 months. Substantial agreement was found between PWPE recommendations at all three follow-up points. This study provides preliminary evidence in support of the predictive validity of the PWPE for making return-to-work recommendations at the conclusion of an industrial rehabilitation program.     

Addressing disproportionality through undoing racism, leadership development, and community engagement

In 2005 the Texas 79th legislature passed Senate Bill 6, which included mandates to address disproportionality. This article will describe how the Texas Department of Family Protective Services in collaboration with Casey Family Programs' Texas State Strategy systems improvement initiative is addressing disproportionality statewide through promising practices and innovations in undoing racism trainings, values-based leadership development, and community engagement strategies.     

Web-based treatment of alcohol problems among rural women

It is estimated that 6 million women in the United States misuse alcohol. Of that number, many live in rural areas and face numerous barriers to treatment. The World Wide Web has the potential to help such individuals overcome these barriers. In light of emergent findings supporting the effectiveness of online alcohol treatment services for women, a randomized pilot study was conducted to evaluate a Web-based, self-guided alcohol treatment program. Eligible women were randomized to standard care or an online treatment program. Web-based treatment components included gender-specific reference modules and decision making modules, an asynchronous bulletin board, and a synchronous chat feature. The average age of the participants (N = 44) was 50 (SD = 11 years), and their baseline Alcohol Use Disorders Identification Test score was 18 (SD = 6), with 8 being the cut-off score for problem drinking. At 3-month follow up, both treatment groups decreased their drinking; however, no significant differences were found between them.     

The relationship between childhood abuse and suicidality in adult bipolar disorder

This study evaluates the effect of childhood sexual and physical abuse on suicidality in adults with bipolar disorder. We conducted a retrospective chart review of adult outpatients (N= 381) with DSM-IV-TR-defined bipolar disorder seeking evaluation and treatment at an academic specialty research program (i.e., Mood Disorders Pharmacology Unit, University Health Network, University of Toronto) between October 2002 and November 2005. Eighteen percent (n = 68) of adult patients with bipolar disorder had a recorded history of childhood abuse (p = 0.009). Sixty-three percent (n = 43) of bipolar patients with a history of childhood abuse reported lifetime suicidality (chi2 = 6.885, df= 1, p = 0.009). Logistic regression analysis indicated that Childhood abuse was a significant predictor of lifetime suicidality in adult bipolar patients (OR = 2.05, CI = 1.19-3.510). Childhood abuse is associated with suicidal ideation and suicide attempts in adults with bipolar disorder. Anamnestic inquiry regarding childhood maltreatment is salient to risk assessment, illness management planning, preventative strategies, and treatment interventions in bipolar disorder.