Acceptance and Commitment Therapy,Functional Contextualism,and Clinical Social Work

The practice of clinical social work requires interventions that are consistent with social work values, applicable across a range of presenting problems, capable of being applied in multiple contexts, supported by extensive research, and consonant with social work’s person-in-environment perspective. This article discusses the fit between social work and acceptance and commitment therapy (ACT), a mindfulness-based cognitive behavioral therapy that meets all of these criteria. ACT is based on a philosophy of science, functional contextualism, that focuses on the behavior of individuals within their historical and situational contexts. ACT draws on a comprehensive theory of language, relational frame theory (RFT), which accounts for the influence of culturally shaped language processes on learning and human behavior. ACT and RFT are supported by a growing body of research that supports ACT’s efficacy with a wide variety of problems and suggests that ACT works by its theorized mechanism of change. ACT can be delivered in an array of formats and is easily accessible for those seeking training, and ACT offers a nonstigmatizing, universalizing approach to alleviating suffering that positions social workers and clients as subject to the same, normally occurring processes of human behavior.     

The Ethics of the Child Custody Process: Are the American Law Institute’s Guidelines the Answer?

Our principal ethical concern is that children have greatly differing opportunities to have their developmental needs addressed in the custody process. We illustrate this variation with example cases in five different adult contexts: custodial parent, relocates; natural father disputes an adoption; gay parents break up; “psychological parents” come forward to claim custody or visitation; and the Indian Child Welfare Act of 1978 is invoked and may disrupt a placement. We acknowledge and then evaluate in relation to our cases, the recent guidelines for custody issued by the American Law Institute (Principles of the Law of Family Dissolution: Analysis and Recommendations, 2002). Our recommendations for an ethical process include making the child a legal player.Eleanor Willemsen, Rebecca Andrews and Bethany Karlin are affiliated with Department of Psychology, Santa Clara University. Rebecca Andrews is now at Syracuse University Law School.Address correspondence to Eleanor Willemsen, Department of Psychology, Santa Clara University, 500 El Camino Real, Santa Clara, CA 95053; e-mail: ewillemsen @scu.edu. This research was supported by a grant from the Bannan Center for Jesuit Education of Santa Clara University. We wish to acknowledge Bree Nakashima for her assistance with our legal research.     

Why do “Women’s jobs” have low pay for their educational level?

Jobs held largely by women have low pay for the amount of education they require. Why is this? One hypothesis is that employers prefer to hire men, and all workers prefer better jobs, so that women can get in only when a job's rewards (relative to its skill requirements) are low enough that men no longer want the job. Thus, wages affect sex composition. Others see the causal arrow to run the other way. In this view, the sex composition of jobs affects the wage that employers offer; employers' biased perceptions lead them to see jobs as less important and less payworthy if they are filled largely by women. These explanations are not mutually exclusive; the causal arrow may run both ways (or neither way). In this paper we use CPS data from 1984 to 1991 and a cross-lag panel model to examine these effects. Jobs are defined with a detailed occupational category within a specific broad industry category. We find that jobs with a higher percentage of females at one point have slower wage growth (or steeper wage decline) for both men and women in the ensuing years. But we find no effect of earlier wage rate on later sex composition. For those interested in reducing gender inequality in earnings, these findings suggest the utility of “comparable worth” policies.     

Conquering Stereotypes in Research on Race and Gender

In responding to Epstein's essay "On Boundaries," we argue that the stereotypes that Epstein identifies as an ongoing component of racism served as the foundation of sociological scholarship a mere century ago. Today, we argue, it is the continued use of the term stereotype that serves as our "car window" and can hold us back from truly understanding race and gender. The use of the term stereotype is not (nor has it ever been) a useful analytic tool because the term invokes a individualistic and psychological argument where a sociological mechanism might be more fruitfully employed.     

Prosocial risk taking and interpersonal regret in children: An individual differences study

The relations between prosocial risk taking (taking a risk to benefit another person; PSRT) and interpersonal regret (regret that one's choices have caused a poor outcome for another person) were examined in 192 children aged 7–9. PSRT was measured by children's choices within a gambling task in which one choice guaranteed participants a good prize whereas the other involved risking this prize to help a peer also win a good prize. Interpersonal regret was assessed within the same task by examining children's change in emotion when they learned they would have won a better prize for a peer had they chosen differently. Performance on this task was also examined in relation to sympathy and resource sharing. Findings indicated that the operationalizations of PSRT and interpersonal regret were meaningful. Children who took a prosocial risk were more generous in a resource sharing task. In some circumstances, children who took a prosocial risk were also more likely to experience interpersonal regret than those who did not take a prosocial risk, indicating that experiencing interpersonal regret may be related to individual differences in prosociality. However, experiencing interpersonal regret did not have a direct effect on subsequent prosocial behavior, when measured by resource sharing. We consider findings in relation to a possible distinction between outcome and process regret and the generalizability of the behavioral consequences of regret.     

Ergonomic evaluation of laparoendoscopic single-site surgery ports in a validated laparoscopic training model

Although laparoendoscopic single-site surgery (LESS) is feasible among expert laparoscopic surgeons, it poses many technical challenges not seen in conventional laparoscopy (CL). Recent technological advancements in single-incision instrumentation have created more interest and widespread usage of LESS. However, neither LESS nor its novel instrumentation have been thoroughly studied or evaluated using human factors and ergonomics techniques. Consequently, the aim of this study was to compare the physical performance of LESS to CL using a standardized task. Wrist and elbow angular movements, range of motion and physical discomfort were assessed for 24 novice participants. There were no significant differences for physical comfort/discomfort ratings or elbow and wrist flexion/extension range of motion between CL and LESS. However, wrist radial/ulnar range of motion was significantly greater in LESS compared to CL (p < 0.05). Additionally, wrist radial/ ulnar range of motion was significantly greater using the SILS Port compared to the GelPOINT (p < 0.05). Although further investigation is needed, LESS resulted in greater wrist deviation and range of motion due to the close proximity of the instruments, restrictive nature of the single-port devices, and the need to achieve adequate instrument triangulation and visualization.     

Feasibility and Validity of Geographically Explicit Ecological Momentary Assessment With Recall‐Aided Space‐Time Budgets

We employ data from the Adolescent Health and Development in Context Study—a representative sample of urban youth ages 11–17 in and around the Columbus, OH area—to investigate the feasibility and validity of smartphone‐based geographically explicit ecological momentary assessment (GEMA). Age, race, household income, familiarity with smartphones, and self‐control were associated with missing global positioning systems (GPS) coverage, whereas school day was associated with discordance between percent of time at home based on GPS‐only versus recall‐aided space‐time budget data. Fatigue from protocol compliance increases missing GPS across the week, which results in more discordance. Although some systematic differences were observed, these findings offer evidence that smartphone‐based GEMA is a viable method for the collection of activity space data on urban youth.     

A Preliminary Analysis of Procedures to Teach Children with Autism to Report Past Behavior

The Analysis of Verbal Behavior - Deficits in reporting past behavior may have implications for a child’s social development and safety. Behavioral interpretations of memory and research on...     

Are Disinhibited Social Behaviors Among Internationally Adopted Children Mediated by the Attachment Environment or by Children's Difficulties with Inhibitory Control?

Internationally adopted children show higher rates of disinhibited social behavior (DSB). Two competing explanations for DSB include difficulties in attachment specifically and deficits in inhibitory control more generally. This four-wave longitudinal study (a) documented the persistence of DSB among internationally adopted children and (b) tested the relative contributions of attachment environment versus inhibitory control difficulties in the persistence of DSB. Improvement in DSB was found 3 to 4 years post-adoption for the sample as a whole, although heterogeneity within the sample was present. Results from structural equation modeling and another test of mediation both indicated that the association between early deprivation and DSB was mediated by general difficulties with inhibitory control, not by attachment environment.     

Social,behavioral, and biological factors,and sex differences in mortality

Few studies have examined whether sex differences in mortality are associated with different distributions of risk factors or result from the unique relationships between risk factors and mortality for men and women. We extend previous research by systematically testing a variety of factors, including health behaviors, social ties, socioeconomic status, and biological indicators of health. We employ the National Health and Nutritional Examination Survey III Linked Mortality File and use Cox proportional hazards models to examine sex differences in adult mortality in the United States. Our findings document that social and behavioral characteristics are key factors related to the sex gap in mortality. Once we control for women’s lower levels of marriage, poverty, and exercise, the sex gap in mortality widens; and once we control for women’s greater propensity to visit with friends and relatives, attend religious services, and abstain from smoking, the sex gap in mortality narrows. Biological factors—including indicators of inflammation and cardiovascular risk—also inform sex differences in mortality. Nevertheless, persistent sex differences in mortality remain: compared with women, men have 30% to 83% higher risks of death over the follow-up period, depending on the covariates included in the model. Although the prevalence ofriskfactors differs by sex, the impact of those riskfactors on mortality is similar for men and women.