THE MARGINALIZATION OF FAMILY THERAPY: A HISTORICAL AND CONTINUING PROBLEM

Family therapy, and marital and family problems, are mariginalized in the larger fields of mental and physical health care, which is a misfortune both for family therapy and for other mental health professions. The early family therapists, who had multidisciplinary backgrounds, attempted toestablish a new, nondisciplinary paradigm and also tried to expand the perspectives of the more traditional mental health disciplines. More recently, family therapists have exerted greater effortsto establish marriage and family therapy as a differentiated, autonomous profession. These alternatives each involve dilemmas for the family therapy field. The positive side of becoming a distinctive profession is greater internal strength and clear professional identy; the downside is the threat of increased marginalization in rlation to the other professions, a tendency toward intellectual isolation, and hence restricted opportunities for invigorating new challenges. Family therapy now needs to develop new modes of interchange, collaboration, and selective integration with otherhealth care professions. Such interchange will be beneficial both to family therapy and to other professions.     

Industry Response to SARA Title III: Pollution Prevention, Risk Reduction, and Risk Communication

This paper reports results from a survey designed to: (1) evaluate changes in industrial pollution prevention practices since the passage of the landmark environmental legislation, the Emergency Planning and Community Right-to-Know Act of 1986, also known as SARA Title III, and (2) identify those factors that may contribute to an industrial facility engaging in pollution prevention and risk communication activities. The survey was conducted under a Cooperative Agreement between the U.S. Environmental Protection Agency and the Columbia University Center for Risk Communication. Evidence from the survey indicates that a wide variety of waste and pollution reduction activities have been undertaken since passage of the Act. Virtually all facilities surveyed in the pulp and paper, chemical, and petroleum and refining industries reported that they had reduced pollutants or wastes on at least one often measures, including reducing toxic air emissions. Most facilities indicated paying more attention to pollution prevention activities as a result of SARA Title III and half reported that their communication activities have also increased.     

Intention to Change Careers: Determinants and Process

Based on reasearch involving a sample of 180 school teachers, the determinants and process associated with the intention to change careers was examined using path analysis on data from public school teachers. Overall, the empirical analysis provided support for the model and its causal ordering. However, lack-of-fit components suggested that a more complex model with additional paths might be more appropriate. Implications of the findings for research are discussed.     

Metamorphosis: From ‘Nice Girls’ to ‘Nice Bitches’: Resisting Patriarchal Articulations of Professional Identity

This article explores the random strategies women adopt in resisting patriarchal articulations of their professional identity and the kind of organizational discourses women’s resistance brings about. The focus is on describing the context, dynamics of contradictory tensions and ambivalence inherent in situations of resisting. The article draws upon the authors’ own experiences in academia. In addition to participatory observation, the authors are using themselves as research instruments that enable them to highlight the emotions and ambivalent dynamics in the construction of gendered identities and power relations in organizations. The study indicates that there are several sets of rules in motion in one and the same social situation, such as the rules of organizational behaviour, rules of friendship and the rules of gender relations in public places. By describing two overtly sexualized discourses that women’s resistance brought about, the article highlights that organizational sexuality does not necessarily differ in kind or in degree from ‘street sexuality’ or sexuality in semi‐public places. The study’s findings argue that it is important to extend research to both informal and semi‐formal organizational gatherings. These liminal spaces are important sites of communicative struggles over organizational meanings and identities.     

Diagnosis and therapy for the disruptive physician.

A disruptive physician can alienate staff, drive away patients, and even land your organization in a lawsuit. Consider some practical advice on how to identify and deal with disruptive physicians.     

Invertebrate diversity in newly established mulch habitats in a Midwestern urban landscape

The invertebrate fauna in artificial urban habitats has yet to be systematically investigated. The current field study in central Ohio was undertaken to assess the numbers and types of macroinvertebrates in mulched and unmulched plots during a one-year period. Invertebrates quickly infiltrated the plots with bare soil (control) and any of four types of mulch (shredded hardwood, shredded recycled wood, pine bark mini-nuggets, and pea gravel). One month after establishing the plots, invertebrates were present in numbers comparable to subsequent months. Invertebrates found in the plots were primarily saprophytic taxa: millipedes (32.6%), segmented worms (19.8%), isopods (6.7%), and various beetle families (1.5%). Predatory taxa included centipedes (9.8%), ants (9.7%), carabid beetles and staphylinid beetles (7.3%), and spiders (0.9%). Types of invertebrates were similar in all ground cover types, but numbers of invertebrates differed significantly. Invertebrates were present year-round in mulched plots, and plots with organic mulch harbored significantly more invertebrates than plots mulched with pea gravel. Bare soil always contained the fewest number of invertebrates. There was no significant difference in numbers of invertebrates based on the cardinal side of the building.     

Averting Forced Migration in Countries in Transition

Many countries of emigration are in transition from conflict to peace and from authoritarian to democratic governments. Addressing population movements from these countries requires more than economic opportunities; equally important is the establishment of the rule of law, respect for human rights, and, in countries recovering from conflict, reconstruction of destroyed infrastructure and housing. Otherwise, fragile peace and democratization processes can easily break down, creating new waves of forced migrants and hampering efforts towards repatriation and reintegration of already displaced populations. This background paper discusses the nature of forced migration, pointing out that the end of the Cold War has produced new pressures and new opportunities to address these flows. While extremism, particularly rampant nationalism, has provoked massive forced migration in many parts of the world, the changing geopolitical relations has also led to peace settlements in some countries and humanitarian intervention to reduce suffering in others. Addressing forced migration pressures in countries in transition requires comprehensive policy approaches. Four types of best practices are considered in this paper. First, mechanisms to ameliorate the causes of forced movements, including the role that expatriate communities can play in strengthening the rule of law and respect for human rights, particularly minority rights. Second, mechanisms that enhance refugee protection while minimizing abuses of asylum systems, including enhanced respect for the refugee convention, adoption of complementary forms of protection when the refugee convention does not apply, strengthened regional protection, and the establishment of in–country processing of refugee claims. Third, mechanisms to resolve the longer–term status of forced migrants, including decisions on when to cease refugee status and temporary protection and encourage/permit return or integration. Fourth, mechanisms for more effective repatriation when return is possible, particularly programs to help returnees reintegrate and communities reconstruct themselves.     

Increasing the Accuracy of EpiPen Administration With a Brief Behavioral Skills Training Package in a School for Autism

Behavioral staff at a school for children with autism investigated the effects of a brief behavioral skills training procedure to promote the appropriate administration of the EpiPen in an emergency situation by school staff. A 10-item task analysis was created outlining the steps required to use the EpiPen effectively and safely and was validated by the school’s registered nurse. Following a pretest in which members of both groups completed a minimal number of steps, the experimental group was trained via instructions, modeling, praise, feedback, and role playing to correctly use the EpiPen whereas the control group received no such training. Posttest scores indicated that the brief intervention was an effective means of teaching appropriate administration of the EpiPen with school staff.