BUILDING ON PRETREATMENT CHANGE TO CONSTRUCT THE THERAPEUTIC SOLUTION: AN EXPLORATORY STUDY

This paper reports the authors' "accidental" discovery that change in the problem situation frequently occurs prior to the first session, and that clients can often recall and describe such changes, if prompted. The authors describe one technique for eliciting reports of pretreatment change from clients, and discuss the results of an informal survey of 30 families who responded to this intervention. Rather than discounting pretreatment change as a "flight into health," it can be framed in Batesonian terms as a "difference that makes a difference."     

Riparian woody plant diversity and forest structure along an urban-rural gradient

Changes in riparian woody plant assemblages are anticipated in the southeastern United States due to increases in urbanization rates. Because riparian forests serve important roles in maintaining water quality and biodiversity, understanding how they respond to urbanization is crucial. The objective of this study was to examine forest structure and woody vegetation diversity indices of riparian communities in response to an urbanization gradient in West Georgia, USA. Measures of forest structure and diversity were compared to measures of urbanization and land cover. Although Liquidambar styracifluaand Quercus nigrawere dominant species in the forest stand and regeneration layer for all riparian communities, the invasive, non-native shrub Ligustrum sinense was the most dominant species observed in the regeneration layer for urban, developing, and agriculture communities. The proportion of non-native species in the forest stand and regeneration layer decreased and Shannon diversity of the regeneration layer increased with increasing distance from the urban center. Shifts in diversity indicate that anthropogenic disturbance may subdue the ability of diverse communities to resist non-native plant invasions.     

Informal Care Intensity and Caregiver Drug Utilization

Providing informal care has negative health consequences for informal caregivers. If these health consequences increase drug utilization among caregivers, estimates of health care savings from informal care—mainly realized through reductions in utilization among care recipients—should consider the increased drug costs incurred by informal caregivers. This paper evaluates whether more intensive informal caregivers have higher drug utilization than less intensive caregivers, controlling for initial health status and other factors. We find that informal care intensity is associated with higher drug consumption. An increase of 10% of total informal care per day is associated with a 0.7% increase in drugs. The small magnitudes indicate that, in this application, it is not important to consider caregiver drug utilization when quantifying the net savings to the health care system of informal care. For individual caregivers, such as those who take multiple drugs per month and/or have no drug coverage, the increase in drug utilization associated with intensive caregiving is likely to be costly.     

Crisis management during "live" supervision: clinical and instructional matters

In this article, we illustrate two examples of "live" supervision with marriage and family therapy trainees whose clients presented in the therapy room in immediate crisis. The case examples, one a client with suicidal thoughts and the other a parent who had struck her child, demonstrate how the university-based therapy team managed the recursive clinical and supervision processes that unfolded during the sessions. We present the case examples from the perspective of both supervisees and supervisor, discussing how our different experiences of the supervision unfolded in real time. Case discussion and reflections later in the article illustrate the need for an open, transparent, dialogical process throughout supervision. A case is made for supervisory participants to create alternative formats in which multiple supervisory voices can be heard.     

Gender differences in moral judgment: Implications for clinical practice

While the potential for gender bias in psychotherapy is commonly recognized, most of the literature addressing this problem has concentrated on the assessment process. Therapists are left with few guidelines regarding the avoidance of bias in ongoing therapeutic relationships. This article reviews alternative explanations of gender difference in moral judgment with particular attention to their clinical relevance. The writer suggests that therapists' conceptions of these differences, as well as their own moral judgment, may be a potent source of gender bias. Understanding these differences is conceivably a powerful means of averting their contaminating effects on clinical theory and practice.     

Social Entrepreneurship: An exploratory citation analysis

Research on Social Entrepreneurship became a growing field of interest during the past decades. However, as the heterogeneity of investigated topics is rather large the purpose of this contribution is to provide an overview of the current state of research on Social Entrepreneurship. In doing so previous research is structured to identify major contributions and thereby key discussion lines within this field. Based on a bibliometric citation analysis of 129 core papers and 5,228 cited references, five topic clusters are identified within the field of Social Entrepreneurship: 1) Definitions and conceptual approaches, 2) Impetus, 3) Personality, 4) Impact and performance, and 5) Future research agenda. By reflecting the literature of each discussion line, a framework for the advancement of Social Entrepreneurship research is provided.