Troubled Children,Troubled Marriages — Whose Problem Is It?

Therapists working in Child and Adolescent Services commonly face the dilemma of if, how and when to address marital problems when the presenting problem is with a child. This article examines the different ways that some of the central family therapy models approach this issue. The Structural, Haley-Madanes Strategic and Milan Systemic models share the assumption that the child's symptoms are reflective of underlying family disturbance, with marital problems given a central place in the hypothesising. In contrast, the Solution Focused and Narrative approaches avoid assumptions about the deeper purpose of symptoms, focusing instead on the impact of the problem on family relationships, including the marriage. This emphasis ensures that parents do not receive either a direct or indirect message that their marriage is to blame. Consequently, a safe context is provided for addressing marital disturbance and for understanding its broader social base. Therapy is about noticing and expanding solution behaviours and competencies, rather than drawing out deeper pathologies. Case examples are used to illustrate the clinical applications of a Solution Focused-Narrative approach when children's problems emerge in conjunction with marital problems.     

Abuse of children in day care centres: Characteristics and consequences

While day care sexual abuse cases share features in common with sexual abuse in other settings, many characteristics of abuse in day care settings merit special attention. These factors include the young age of the child victims, the involvement of multiple victims and multiple perpetrators, females as perpetrators, use of extreme threats, severity of the abuse, and in some instances ritualistic activities. Research findings support clinical impressions that children are negatively impacted by sexual abuse in day care. Consequences of abuse in day care include anxiety, excessive fearfulness, behavioural disturbances, sexual acting out and sleep disorders. Parents whose children are abused in day care centres also experience psychological distress with symptom profiles consistent with post-traumatic stress disorder. Abuse of children in day care settings warrants a specialized treatment approach. A major goal of treatment is to decrease symptomatology among all family members.     

Predicting Participation in Environmental Treaties: A World-System Analysis*

Which countries tend to sign international environmental treaties and why? This study tests the ability of quantitative cross-national political and economic analysis to predict participation in international environmental agreements over the period 1963–1987. Cross-sectional ordinary least squares regressions suggest that poor, highly indebted countries that are dependent on very few trading partners and that have repres-sive regimes are far more likely to be nonsignatories. The results suggest strategies for increasing the likelihood that nations will ratify hture environmental treaties.     

TOWARD A SYNTHESIS OF FEMINIST AND DEMOGRAPHIC PERSPECTIVES ON FERTILITY

In explaining fertility and reproduction and emerging patterns of childbearing, both demographers and feminists have centered their thinking on women's status (economic and social), women's changing roles and life experiences (increased labor force participation, increased availability of reproductive options, declining marriage rates in many parts of the industrialized world, and the centrality of women to development), and women as agents in micro- and macrolevel changes in family, fertility, and economic change. Although demography has recently begun to integrate feminist perspectives into fertility explanations, there is not yet a synthesis of feminist theoretical insights with demographic questions. Drawing from recent thinking on global and national political and policy challenges in the less and more developed worlds, to the epistemological shifts in knowledge of reproduction/mothering, to changes in the technologies of reproduction, this article moves toward an integration of feminist and demographic perspectives on fertility.
…far from the economic dependence of women working in the interests of motherhood, it is the steadily acting cause of a pathological maternity and a declining birthrate.
Charlotte Perkins Stetson, Women and Economics , 1899     

Training with o (observing) and T (treatment) teams in live supervision: reflections in the looking glass*

Working with a treatment and observing team at the same time, behind the oneway mirror, offers a variety of ways to: (a) generate multiple realities; (b) work with two different models of family therapy simultaneously; and (c) provide feedback on the teams' own roles, rules and group process. The process that 6 trainees and two supervisors used with T and O teams to examine their own coevolution as a therapeutic system using the Milan model of family therapy and Ericksonian hypnotherapy is described. The article concludes with a discussion of the advantages and pitfalls of this type of dual supervision.     

China's "tidal wave" of migrant labor: what can we learn from Mexican undocumented migration to the United States?

"The purpose of this article is to place Chinese labor migration from agriculture within the context of the literature on labor mobility in developing countries by comparing it to undocumented Mexican migration to the United States. The similarities fall within three general areas: the migration process, the economic and social position of migrants at their destination, and the agrarian structure and process of agricultural development that has perpetuated circular migration. The last section of the article draws upon these similarities, as well as differences between the two countries, to generate predictions concerning the development of labor migration in China."     

Contextualizing the Employment Decisions of New Mothers

This paper suggests that the employment behavior and stated preferences of new mothers are not simply a product of choices that individual women make or characteristics that they have. Rather, using qualitative interview data from a sample of new parents, this paper illustrates some of the interactional and institutional contexts in which new mothers' approaches to paid work are embedded, with a particular focus on gender. Among the themes explored are the influence of husbands' preferences on women's decisions, the role of economic processes in structuring parenting arrangements, as well as the prominence of gendered cultural imagery in new parents' accounts about their work and family arrangements.     

Comparison of indirect and direct approaches to measuring patient satisfaction

One indirect (PSQ) and two direct (CSQ-18B and ERS) measures of patient satisfaction were compared across a series of psychometric, acceptability, and concurrent validity criteria. None of the three measures was significantly related to health status or demographic characteristics. Each measure performed as expected from prior research on their psychometric properties. The scales contrasted, however, in regard to acceptability, with the PSQ being much less acceptable to patients than the other two. The PSQ also produced more missing data. The results on the PSQ reflected patient inconsistency on cross-check items and patients tended to be uncertain in their responses to many items. In multivariate analyses the three measures were used as predictors of patient-rated indices of global service satisfaction. The CSQ-18B and the ERS were significant predictors of patient-rated indices of global service satisfaction, whereas the PSQ was unrelated to these indices. It was concluded that the direct and indirect approaches measure different satisfaction domains. The PSQ likely assesses more generalized attitudes about health services while the CSQ-18B and the ERS efficiently reflect opinions about the specific setting in which they are administered.