Applying health determinants and dimensions in social work practice

Dimensions and determinants related to physical health, mental health and well-being can be used as tools in social work practice. These frameworks are useful for assessment, planning and intervention activities in complex client situations, alerting social workers to consider diverse features and processes that influence well-being in people's lives. They can be applied in social work with individuals, families, groups, and communities. In our view health and well-being need to be viewed holistically, broadly and in each unique situation, changing over time over the life course. Literature based on key word searches of concepts we use in our teaching and research and that has informed our conceptualisation of dimensions and determinants in physical health, mental health and well-being, is reviewed. A case illustration is presented to illustrate how the dimensions and determinants are used to inform practice and compare and apply alternative frameworks. Finally, the implications of these and other frameworks for social work, not only in health care settings, but also in other fields of social work practice, are discussed.     

Significant Others and Gambling Treatment Outcomes

Aims This study investigates the effect of significant others on treatment outcomes among treated pathological gamblers. Design This is a cohort study of individuals who received gambling treatment. Setting Oregon Problem Gambling Services (OPGS) for gamblers and their family members. Participants 4,410 adult gamblers who were discharged from treatment between August, 2001 and April, 2007. Measurements OPGS enrollment forms provided gambler gender, age, ethnicity, education level, employment status, gambling-related debt, and whether the gambler had a significant other at the time of enrollment. Termination forms provided information on the type of discharge (successful/unsuccessful) and treatment length (in days). Participation of the gambler’s significant other in the family treatment program was identified. Findings Results showed that age, ethnicity, gambling debt, and having a significant other are associated with the odds of successful treatment. Education level moderates the effect of having a significant other on treatment success. Age, ethnicity, education, employment, and having a significant other participate in treatment significantly impacted gamblers’ length in treatment. Conclusions These findings indicate that there may be a benefit to integrating significant others in gambling treatment methods. Significant others may act as social supports for gamblers seeking treatment, and involving loved ones in gambling treatment models may positively affect gambler treatment outcomes.     

The Ethics of Relational Leading: Gender Matters

This article is concerned with the ethical implications of conceptualizing and enacting leadership as a relational practice, rather than as a heroic‐individualistic performance. Using a small empirical study, it explores the possibilities and challenges of becoming an ethical subject against the pressures on leaders to instrumentalize and masculinize their relational work. Ethics is understood as a critical reflexive practice through which leaders come to understand the effects of their conduct and are able to transform or restyle themselves. This fashioning of an ethical subject is discussed in relation to the construction of masculinized certainty and feminized self‐doubt. The article concludes with some tentative thoughts about the capacity of embodied subjects to transgress dominant modes of being and acting.     

Nested or Networked? Future Directions for Ecological Systems Theory

Bronfenbrenner's ecological systems theory (EST) is among the most widely adopted theoretical frameworks for studying individuals in ecological contexts. In its traditional formulation, different levels of ecological systems are viewed as nested within one another. In this article, we use Simmel's notion of intersecting social circles and Bronfenbrenner's earlier writing on social networks to develop an alternative ‘networked’ model that instead views ecological systems as an overlapping arrangement of structures, each directly or indirectly connected to the others by the direct and indirect social interactions of their participants. We redefine each of the systems discussed by EST—micro, meso, exo, macro, and chrono—based on patterns of social interaction, and then illustrate how this alternative model might be applied in the classic context of the developing child. We conclude by discussing future directions for how the networked model of EST can be applied as a conceptual framework, arguing that this approach offers developmental researchers with a more precise and flexible way to think about ecological contexts. We also offer some initial suggestions for moving a networked EST model from theory to method.     

Infants' ERP Responses to Novel and Familiar Stimuli Change Over Time: Implications for Novelty Detection and Memory

Detection of novelty is an important cognitive ability early in development, when infants must learn a great deal about their world. Work with adults has identified networks of brain areas involved in novelty detection; this study investigated electrophysiological correlates of detection of novelty and recognition of familiarity in 9‐month‐old infants, using event‐related potentials (ERPs). Infants were familiarized with an event in the laboratory, then ERPs were recorded as they viewed repeated presentations of pictures of this familiar event and a novel event, along with single presentations of 30 trial‐unique events. A middle‐latency negative component was sensitive to degree of novelty, differing in amplitude and latency by stimulus condition and across repeated presentations. Long‐latency slow‐wave activity also related to stimulus condition. Findings have implications for our understanding of infants' detection of novel information and the processes that render the novel familiar.     

Family formation among women in the U.S. military: Evidence from the nLSY

Although female employment is associated with lower levels of completed fertility in the civilian world, we find family formation rates among U.S. military women to be comparatively high. We compare enlisted women with civilian women using the National Longitudinal Survey of Youth (N = 3,547), the only data set to measure simultaneously the nuptiality and fertility of both populations. Using propensity score matching, we show that the fertility effect derives primarily from early marriage in the military, a surprisingly “family‐friendly” institution. This shows that specific organizational and economic incentives in a working environment may offset the more widespread contemporary social and economic factors that otherwise depress marriage and fertility.     

WAR PROGRAMMING: The Propaganda Project and the Iraq War

The invasion of Iraq was justified to the American people by a sophisticated propaganda campaign that reflected a think tank's vision for a new foreign policy. One objective of this article is to set forth a theoretical argument for analyzing modern propaganda campaigns as a feature of mass-mediated discourse crafted by think tanks and highly organized claims makers. We propose that the current structure of policy and critique is now institutionalized and formatted as War Programming, which connects criticism within a narrative sequence, including critiques and reflections about journalistic failings. The scope of the action is so immense that it precludes and preempts its critique. The second objective is to show how the rationale for the invasion was developed as a "public conspiracy" over a decade by the members of the Project for a New American Century (PNAC). The third aim of this article is to describe and clarify why the PNAC plans for Iraq and an imperialist foreign policy received very little news media coverage. Qualitative content analysis of news materials suggests that the news sources and media shared a logic and perspective about "timely and entertaining news." The PNAC plan was not publicized by the major news media because it fell outside the focus of the Bush administration's propaganda campaign to demonize Iraq and its leader Saddam Hussein, who was held to be responsible for attacks on the United States. The implications of such a well-organized propaganda campaign for future news coverage of war are discussed.     

Applications of bivariate and univariate local lyapunov exponents

Chaotic systems are characterized by sensitivity to initial conditions, and this property can be measured by global Lyapunov exponents, which are measures of the average divergence rate of initially close trajectories. Wolff (1992) introduced local Lyapunov exponents and used them to obtain two diagnostic plots for differentiating between stochastic and deterministic time series. We extend the definition of the local Lyapunov exponent and the diagnostic plots to accommodate time series that arise from bivariate maps and investigate the behaviour of the local Lyapunov exponents and the corresponding diagnostic plots for some dynamical systems and stochastic time series. We consider the application of these diagnostic plots to some heart rate variability data.     

Verbal Behavior and Initial Exposure to Delayed Reinforcement

The Analysis of Verbal Behavior - Ten subjects responded under a tandem fixed-ratio 1 not-responding-greater-than-t schedule of point delivery during one 75-min session in which the delay was...     

Donor-Funded Government—NGO Partnership for Public Service Improvement: Cases from India and Pakistan

The paper explores donors' efforts to promote government—NGO partnership for the purpose of improving public services. Following a brief discussion of partnership, two illustrations support a relative definition of partnership and its added value. The examples represent alternative approaches to improving public services through partnership work, the choice of which may depend on (1) the will of the partners to change—particularly government, (2) the preexistence of effective public services, and (3) depth of mobilization and social capital sought. The examples similarly reveal alternative approaches to addressing partnership challenges either bureaucratically or through behavioral norms and organization culture. Implications of donors' participation in such partnerships are highlighted.