Repairing ego deficits in children with developmental disorders

Children with developmental disorders have ego deficits which must be addressed before one is able to work with them in traditional dynamic clinical treatment. A review of the literature explores the distortions in personality structure which accompany developmental disorders, a conceptual paradigm for integration of psychodynamic and social learning theory models for understanding this problem, and suggestions for working with these children and their families. Three specific ego functions must be repaired in the initial stages of treatment: control of drive activity, reality testing, and the capacity for identification. Two case examples are used to illustrate how the worker may repair deficits in these ego functions.     

Musculoskeletal injuries associated with selected university staff and faculty in an office environment

A research team with backgrounds in occupational therapy, rehabilitation, policy and rulemaking, and prevention programs affecting occupational health and safety designed, validated, and analyzed an ergonomics survey of university staff and faculty. The purpose of the study was to validate identified risk factors from the literature contributing to work-related musculoskeletal disorders (WRMDs) in an office setting within a university setting. The study was also designed to determine differences between faculty and staff in the university setting and their exposure to physical risk factors to WRMDs. The results suggest faculty have their keyboard in awkward positions more frequently than staff, and staff had more experience with mechanical stress than faculty. The researchers recommend parameters for the design of a university ergonomics program based on employee and education, management commitment, medical case management, problem job identification, and development of solutions.     

Different perspectives: A review of some current literature

Recent literature is contributing new ways of conceptualizing human development which will affect understanding and treating of clients. This paper compares some of the papers in the latest edition of thePsychoanalytic Study of the Child with the work of Daniel N. Stern as presented inThe Interpersonal World of the Infant.     

Tandem treatment: A model for work with parents of troubled children

The complexity of individual work with parents whose children are in treatment because of their difficulties is explicated. An exploratory study of 15 mothers' experiences with such treatment is reported. The focus of the study was on parents' expectations, their relationships with their own and their child's clinician, the process of treatment and termination. The findings are integrated with relevant literature and clinical experience to provide a tandem treatment model in which emphasis is placed on clarifying parents' expectations, working with parents' individual issues as well as their role as parents, and focusing first on their children's problems, then gradually moving to the parents' concerns about their own problems.Ms. Staver is a retired Chief Psychiatric Social Worker, Judge Baker Guidance Center     

RACIAL INEQUALITY IN MEN'S EMPLOYMENT AND RETIREMENT EARNINGS

Data from the New Beneficiary Study for currently married men who began receiving social security benefits in 1980–1981 indicate that the racial earnings gap is greater in retirement than it was in employment. Racial differences in employment and pension earnings are specified by education and employment status. There is, however, a significant net racial effect in predicting social security earnings. Furthermore, education interacts with race in predicting asset earnings, which constitute the major source of racial inequality in retirement. This analysis highlights not only the enduring problem of poverty for African Americans and Latinos who are "working off the books,' without social security benefits, but also the possibility of a "glass ceiling' that limits access to assets for highly educated nonwhites.     

Rapunzel & the Pumpkin-Eater: Marital Systems of Agoraphobic Women*

A fairy tale character and a nursery rhyme are used to dramatize the marital systems of women with agoraphobia. This systems perspective emphasizes that the disorder is more than an individual or intrapsychic one, that it is an interpersonal or marital adjustment and that the phobic symptoms of the wife also provide a defence for her husband. Rapunzel characterizes an agoraphobic woman with severe dependency and separation problems. Her husband may be a Rescuing Prince — protective of her and denying of his own problems; or, a Pumpkin-Eater — sexually inadequate and withdrawn. The marriages involve unconscious transactions promising mutual protection. Finally, some aspects of psychotherapy, both individual and conjoint are examined.