Gay guys using gay language: friendship,shared values and the intent‐context‐effect matrix

This article draws on in‐depth interviews with 35 openly gay male undergraduates from four universities in England to develop an understanding of the changing nature of language related to homosexuality. In addition to finding a diminution in the prevalence of homophobic language, we demonstrate that participants maintain complex and nuanced understandings of phrases that do not use homophobic pejoratives, such as ‘that's so gay’. The majority of participants rejected the notion that these phrases are inherently homophobic, instead arguing that the intent with which they are said and the context in which they are used are vital in understanding their meaning and effect. We conceptualize an intent‐context‐effect matrix to understand the interdependency of these variables. Highlighting the situated nature of this matrix, we also demonstrate the importance of the existence of shared norms between those saying and hearing the phrase when interpreting such language.     

The Interview for Decisional Abilities (IDA): a tool to assess the decisional capacity of abused and neglected older adults

We present the Interview for Decisional Abilities (IDA), a semi-structured tool for use by adult protective services (APS) workers as part of their comprehensive assessments of clients. The IDA was created in response to a Federal mandate to standardize the procedures and competencies of APS agencies with a view to improving client assessments and facilitating cross-jurisdictional research on adult mistreatment. The proximal aim of the IDA is to guide workers in gathering information on the ability of suspected victims of adult mistreatment to make decisions about the risks they face.     

Preparing Social Work Doctoral Students for Teaching

The results of a national survey of 51 social work doctoral program directors indicate that, although the majority of doctoral programs include preparation for teaching as a program objective, they offer limited formal course work and few opportunities for supervised teaching experiences. The authors discuss the results of this survey and make recommendations for better preparing social work doctoral students for their roles as teachers.     

Interpretation and the Therapeutic Relationship: An Attempt at Integration

The term integrative psychotherapy can have a range of meanings. It can refer to integration between therapeutic approaches grounded in different theoretical frameworks as exemplified in Wachtel’s (Psychoanalysis and behavior therapy: toward an integration. Basic Books, New York, 1977) Psychoanalysis and Behavior Therapy. Many therapists informally practice this sort of integration when, in response to problems and issues presented by the patient, they intuitively borrow from a variety of approaches in their clinical work. Therapeutic integration can also refer to attempts at integration within a single broad therapeutic approach such as psychoanalytic or psychodynamic. This is the direction I will take in this article. My goal in this paper is to contribute to the possibility of integration among different theoretical approaches within psychoanalysis in a delimited area. The delimited area that I will focus on is the tension between an emphasis on interpretation and insight versus an emphasis on the therapeutic relationship as the primary agent of therapeutic change. Rather than an “either-or” position, I will show that integrating theories about both aspects of this process leads to a richer, more complex picture of what happens in psychodynamically-informed therapy.     

Serials Review Index

Abstract

The editors scan approximately 120 journals in all disciplines for reviews of serial publications. Journals published since July 2000 were monitored for this installment of Serials Review Index. Suggestions for journals to be included in future columns are welcome. Serials Review 2002; 28:232–239.     

The family caregiving career: implications for community-based long-term care practice and policy

Informal (i.e., unpaid) long-term care for disabled older adults is often chronic, but it is only recently that research has considered the longitudinal implications of family caregiving. In particular, investigators have conceptualized caregiving as a "career," and within the caregiving career, a number of diverse trajectories and transitions can occur. Following a summary of these findings, this paper considers how longitudinal caregiving research can influence and potentially address key policy and practice concerns, especially in the delivery and support of community-based long-term care (CBLTC) services. It is suggested that with the refinement of the informal long-term care literature, existing policy and practice to support caregiving families can be similarly advanced.     

Relation Between Maternal Cigarette Smoking During Pregnancy and Behavioral and Physiological Measures of Autonomic Regulation in Neonates

The effects of maternal cigarette smoking during pregnancy on behavioral and physiological measures of arousal were examined in a sample of 50 neonates. After the effects of alcohol, caffeine, and maternal demographic variables were statistically controlled, regression analyses showed that maternal smoking during pregnancy was predictive of higher heart rates overall and during quiet and active sleep. Maternal smoking during pregnancy was also predictive of lower heart rate variability and an increased number of tremors and changes in behavioral state. These findings suggest that maternal cigarette smoking during pregnancy affects the regulation of spontaneous autonomic activity in neonates.     

Role sequencing: does order matter for mental health?

Role sequencing refers to the ordering of social roles. According to the normative order hypothesis, adults who follow a certain sequencing of their social roles will be better adjusted than their peers who follow other life course patterns. The normative order is defined as first entering the paid labor force, getting married, and later having children. This study tests this hypothesis by analyzing retrospective life history data from three subsamples of adults who completed the 1987--1988 National Survey of Families and Households: (1) married, working parents; (2) divorced, working parents; and (3) married, unemployed parents. The findings indicate significant race/ethnic (black/white), gender, and cohort differences in the type of role sequencing patterns that are conducive to positive mental health. For example, African Americans who work first, then have children, and later get married report better mental health than their peers who followed the normative order White men and women seem to benefit from following the normative course of role transitions. Among women, however, the psychological benefits of following typical life course patterns are especially evident among those born during the baby boom.