CURRICULUM CHANGES TO MEET CHALLENGES: PREPARING MFT STUDENTS FOR MANAGED CARE SETTINGS

Fledgling therapists who graduate from family therapy traning programs will have to navigate the world of managed care. In this article, faculty of University of San Diego share changes in its accredited training program that prepare students for practice in an increasingly multidisciplinary world where health maintenence organizations and other versions of managed care predominate. The paper touches on contextual issues, provides a detailed outline of coursework presenting basic knowledge and skills involved in clinical pracice in a managed care environment, and comments on clinical placements and the challenge of helping the next generation of clinicans "fit" into the future of health care delivery while maintaining their unique identity as family therapists.     

Foster Carer Strain and its Impact on Parenting and Placement Outcomes for Adolescents

Drawing on recently completed research funded by the Departmentof Health, this article examines the extent of strain on thefoster carers of adolescents, its influence on parenting practicesand the overall impact on placement outcomes. The research find­ingsshow that foster-carers’ parenting capacity was markedlyreduced in a number of specific areas when they had experienceda high number of stressful life events in the six months priorto the young person’s arrival or were under considerablestrain during the placement. Conduct problems, hyperactivityand violent behaviour by the young people increased carer strain,as did contact difficulties with the children’s families.Problems in contacting social workers were linked to elevatedstrain, whilst strain was lessened when carers received helpfrom friends or from local professionals. Signifi­cantlyhigher disruption rates were experienced by strained carersand these placements were also less beneficial to the youngpeople.     

The network of global corporations and elite policy groups: a structure for transnational capitalist class formation?

This study situates five top transnational policy–planning groups within the larger structure of corporate power that is constituted through interlocking directorates among the world's largest companies. Each group makes a distinct contribution towards transnational capitalist hegemony both by building consensus within the global corporate elite and by educating publics and states on the virtues of one or another variant of the neo–liberal paradigm. Analysis of corporate–policy interlocks reveals that a few dozen cosmopolitans – primarily men based in Europe and North America and actively engaged in corporate management – knit the network together via participation in transnational interlocking and/or multiple policy groups. As a structure underwriting transnational business activism, the network is highly centralized, yet from its core it extends unevenly to corporations and individuals positioned on its fringes. The policy groups pull the directorates of the world's major corporations together, and collaterally integrate the lifeworld of the global corporate elite, but they do so selectively, reproducing regional differences in participation. These findings support the claim that a well–integrated global corporate elite has formed, and that global policy groups have contributed to its formation. Whether this elite confirms the arrival of a transnational capitalist class is a matter partly of semantics and partly of substance.     

Vocal determinants of first impressions of young children

Audiotapes of the voices of77 preschool children were prepared. Subjects listened to the tapes, and then provided their impressions of the competence, leadership, dominance, warmth, and honesty of the children. Judgments of the voices' babyishness and attractiveness were also obtained. Perceivers reliably discriminated the children's voices along the dimensions of babyishness and attractiveness. Moreover, analyses revealed that the previously documented impact of these characteristics on first impressions of adults extends to impressions of young children. The similarity of the effects of these characteristics on impressions formed about children to those revealed for adults suggests that vocal qualities may have an impact on personality development via a process of self-fulfilling prophecy.     

When Infants Lose Exclusive Maternal Attention: Is It Jealousy?

To characterize infant reactions to jealousy evocation, 94 6‐month‐olds and their mothers were videotaped in an episode where the mothers directed positive attention toward a lifelike doll, and in 2 contrasting interactions: face‐to‐face play and a still‐face perturbation. Cross‐context comparisons of affects and behaviors revealed that jealousy evocation responses were distinguished by diminished joy and heightened anger and intensity of negative emotionality, comparable to levels displayed during the still‐face episode; heightened sadness, with durations exceeding those displayed during still‐face exposure; and an approach response consisting of interest, looks at mother, and diminished distancing, which was more pronounced than that demonstrated during play. Infants' heightened anger and sadness during jealousy evocation correlated with heightened maternal sensitivity and dyadic vocal turn‐taking, respectively, during play; and infants' diminished joy and interest during jealousy evocation were associated with heightened maternal withdrawal and intrusiveness, respectively, during play. Both fear and mother‐directed gaze were greater in girls. The discussion argues for interpreting the infant's mixed and agitated reaction to jealousy evocation as evidence of jealousy.     

Sticks,stones and broken bones: Military law’s criteria for aggravated assault

In light of recent military court decisions, this article asks whether the Uniform Code of Military Justice should be revised to encompass batteries which do not satisfy the present nineteenth century definition of grievous bodily harm. In answering this question, the article first traces the evolution of the military law of battery. Current medical views on the consequences of a criminal attack, particularly the psychic effects of violence, are then explored, concluded with a discussion of the competing considerations which should affect any decision to change the law. He has also been a visiting Distinguished Professor of Law at the U.S. Military Academy and has written numerous articles on civil-military relations.