Essay/Comment. Instruments of ‘Instant’ Change? A Question of Timing

Much current writing and a good deal of training in family therapy tends to focus on ways of intervening that can assist, facilitate, and hasten change. Less attention tends to be given to an equally important question: “WHEN is the right moment for this particular intervention?” The expert and gifted therapists who are the writers and teachers have generally acquired exquisite skills in timing (including assessment). Their writing tends to take these skills for granted and more attention tends to be given to the instruments to be used than to the question of timing. Some training in timing may be possible. At least some extended reflection on the question of timing may increase the dialogue around the use of powerful interventions which, if introduced rashly, can alienate clients, and even at times bring the field of family therapy into some disrepute.     

Dangerous Climate Change: The Role for Risk Research

The notion of "dangerous climate change" constitutes an important development of the 1992 United Nations Framework Convention on Climate Change. It persists, however, as an ambiguous expression, sustained by multiple definitions of danger. It also implicitly contains the question of how to respond to the complex and multi-disciplinary risk issues that climate change poses. The invaluable role of the climate science community, which relies on risk assessments to characterize system uncertainties and to identify limits beyond which changes may become dangerous, is acknowledged. But this alone will not suffice to develop long-term policy. Decisions need to include other considerations, such as value judgments about potential risks, and societal and individual perceptions of "danger," which are often contested. This article explores links and cross-overs between the climate science and risk communication and perception approaches to defining danger. Drawing upon nine articles in this Special Issue of Risk Analysis, we examine a set of themes: limits of current scientific understanding; differentiated public perceptions of danger from climate change; social and cultural processes amplifying and attenuating perceptions of, and responses to, climate change; risk communication design; and new approaches to climate change decision making. The article reflects upon some of the difficulties inherent in responding to the issue in a coherent, interdisciplinary fashion, concluding nevertheless that action should be taken, while acknowledging the context-specificity of "danger." The need for new policy tools is emphasised, while research on nested solutions should be aimed at overcoming the disjunctures apparent in interpretations of climate change risks.     

Gay and lesbian perceptions of discrimination in retirement care facilities

Much research on older gay, lesbian, bisexual and transgender (GLBT) adults has focused on refuting the widely held misconceptions people have about GLBT lifestyles. To date, however, few studies on older GLBTs have examined their social and health care needs. Further, most studies have collected survey samples of older GLBT adults in large metropolitan areas and have not specifically addressed discrimination or bias in retirement care facilities. In the current exploratory study on perceptions of discrimination and bias in retirement care facilities, we surveyed a wide age range GLBT adults in a smaller metropolitan area of fewer than 400,000 people to discover the perceptions of both younger and older GLBTs. We surveyed perceptions of discrimination in retirement care facilities, sources of perceived discrimination, and suggestions for how discrimination might be reduced or eliminated in those settings. Respondents indicated that administration, care staff, and residents of retirement care facilities themselves were all potential sources of discrimination, and that education addressing awareness and acceptance of GLBTs is one potential remedy for discrimination against GLBTs in retirement care facilities. Respondents also indicated a strong desire for the development of GLBT-exclusive or GLBT-friendly retirement care facilities. Chi-square analyses of responses to the discrimination questions and respondents' demographic characteristics revealed significant differences with regard to age, income, gender, community size, and education level of the respondents.     

Beliefs, death, anxiety, denial, and treatment preferences in end-of-life care: a comparison of social work students, community residents, and medical students

This study examined cultural and religious beliefs, death anxiety, denial, and medical treatment preferences in end-of-life care in a sample of social work students, community residents, and medical students in a mid-western city of 49,000. Results indicated that most social work students, community residents, and medical students preferred palliative as opposed to life-prolonging care during terminal illness. The three groups differed in cultural and religious beliefs and all three reported a moderate amount of death anxiety. Students reported less denial of terminality than community residents. Implications for personal and professional preparation to provide end-of-life care are discussed.     

Safety culture: Key theoretical issues

The organizational preconditions to major systems failures are seen as increasingly important for risk management. However, existing empirical attempts to study safety culture and its relationship to organizational outcomes have remained fragmented and underspecified in theoretical terms. This is despite the existence of a number of well-developed theories of organizationally induced accidents and disasters. Reasons for this disfunction of theory and practice are first considered. The paper then outlines four key theoretical questions for safety culture researchers: the fact that culture acts simultaneously as a precondition both for safe operations and for the oversight of incubating hazards (the paradox of 'safety' culture); the challenge of dealing with complex and ill-structured hazardous situations where decision makers are faced with deep forms of uncertainty represented by incompleteness of knowledge or ignorance; the need to consider the construction of risk perceptions in workgroups, and to view risk acceptability as the outcome of a process of social negotiation; and the fact that institutional politics and power are critical for determining the achievement of safety culture goals, and in particular that of organizational learning.     

Family group conferences: evidence,outcomes and future research

This is the second article of a two‐part review of the literature relating to family group conferences (FGCs); it explores outcomes and challenges in implementing FGCs. The complex data relating to outcomes, drawing on a range of national contexts, is presented. The challenges of researching outcomes and the role of longitudinal and randomized, controlled trials are considered. The article concludes with a discussion of the implementation of FGC policy and practice in the contemporary context.     

Reason-based judgments: Using reasons to decouple perceived price–quality correlation

Many models of consumer behaviour assume that people evaluate price and quality independently. However, evidence shows that consumers perceive price and quality as positively related even when they are weakly correlated in the real markets. This paper explores whether this perceived relationship can be cognitively de-coupled by providing explicit reasons why low price and high quality may be compatible. The participants were asked to rate existing stores and fictitious stores in a two-dimensional price–quality space. When the participants were given plausible reasons why the seemingly high quality fictitious stores could have lower than average prices, their judgement of the price–quality relationship was significantly less correlated than when these stores were judged without such reasons. Therefore, the demonstrated phenomenon of reason-based judgments can be used to attenuate the typical price–quality overestimation, or heuristic, which has important implications for decision making research and marketing practice.