Stress and Pressures in Mental Health Social Work: The Worker Speaks

Two-thirds of councils with social services responsibilities(CSSRs) took part in a UK survey of mental health social workers.A one in five sample of front line workers was drawn, and 237respondents completed a questionnaire and diary about theirwork context and content, and their attitudes to their work,their employer, mental health policy and the place of mentalhealth social work in modernized mental health services. Thequestions, that called for free-text responses, were completedin detail and at length. This paper reports the results of aqualitative analysis of these responses using NVIVO software.The paper is structured around the themes emerging from theanalysis: pressure of work; staffing matters; job satisfactionand well-being; recruitment and retention issues; and beingvalued. The conclusions are that the social workers value faceto face contact with service users, and that their commitmentto service users is an important factor in staff retention.The most unsatisfactory aspects of their work context arisefrom not feeling valued by their employers and wider society,and some of the most satisfactory from the support of colleaguesand supervisors. Without attention to these factors, recruitmentand retention problems will remain an unresolved issue.     

Enabling Adults with Learning Disabilities to Articulate their Housing Needs

Correspondence to Dr Alex McGlaughlin, Department of Social Sciences, The Nottingham Trent University, Burton Street, Nottingham NG1 4BU, UK. E-mail: alex.mcglaughlin{at} ntu.ac.uk Summary This study is about involving adults with learning disabilitiesin service planning by asking them to articulate their own needsin relation to housing. It also identifies some of the barriersto meeting the housing needs of this group. The views expressedindicate that ordinary housing with small numbers is the preference,and that appropriate support is highly valued. This suggestsa need for housing of a supported living model or similar. Theservice users in this study were clearly able to verbalize theirpreferences as well as to think through potential options. However,there is also clear evidence that they feel powerless in makingchoices, with decisions being taken on their behalf by professionalsand carers. This demonstrates the need for a cultural shiftwhereby the voices of adults with learning disabilities areheard and acted upon.     

Female crack users and their sexual relationships: The role of sex‐for‐crack exchanges

This study challenges the image of female crack users as exchangers, or women who exchange sex for crack. Between June 1997 and February 1999, quantitative interviews were conducted with 150 active female crack users, one half of whom also completed a qualitative interview. Data analysis involved contingency analysis, bivariate logistic regression analysis, and the constant comparison method. Exchangers (n = 65) were younger, and were more likely to have been homeless and to be single than were nonexchangers (n = 85). Exchangers also were more likely to report infidelity and less likely to communicate with their most recent steady partner about the partner's relationship expectations. Sexual behaviors differed by partner type among the exchangers and nonexchangers. These findings provide a comprehensive picture of female crack users. Additionally, the findings indicate the importance of designing interventions that capture the complexities of the women's sexual relationships.     

Economics,ecology and entropy: The second law of thermodynamics and the limits to growth

The second law of thermodynamics has played an important role in ecological economics as providing a justification for the view that economies have limits to growth. Yet beyond basic textbooks statements of this law, we seldom find informed philosophical examinations of the meaning and metaphysical justification for the second law. In this paper we shall examine some challenges which have been made to the limits to growth (Limitationist) position by those criticizing the scope and application of the second law of thermodynamics and we shall in turn defend Limitationism against these criticisms.     

Mortality Increase in Late-Middle and Early-Old Age: Heterogeneity in Death Processes as a New Explanation

Deviations from the Gompertz law of exponential mortality increases in late-middle and early-old age are commonly neglected in overall mortality analyses. In this study, we examined mortality increase patterns between ages 40 and 85 in 16 low-mortality countries and demonstrated sex differences in these patterns, which also changed across period and cohort. These results suggest that the interaction between aging and death is more complicated than what is usually assumed from the Gompertz law and also challenge existing biodemographic hypotheses about the origin and mechanisms of sex differences in mortality. We propose a two-mortality model that explains these patterns as the change in the composition of intrinsic and extrinsic death rates with age. We show that the age pattern of overall mortality and the population heterogeneity therein are possibly generated by multiple dynamics specified by a two-mortality model instead of a uniform process throughout most adult ages.     

Attitudes About Remarriage in Malta

This study investigated the attitudes about remarriage of married and previously married Maltese people. Respondents were selected using stratified random sampling; 810 men and 1,196 women answered a questionnaire by means of computer-assisted telephone interviewing. The majority (67.4%) of respondents did not consider remarriage. Remarriage was more likely to be considered by respondents who were younger, previously married, nonparents, had children who were not all born within marriage, and were of higher socioeconomic status. The study highlights the differences in attitude according to gender and marital status. The fact that pro-remarriage attitudes were endorsed by 32.6% of respondents and that these were more likely to come from nontraditional family forms suggests that family life in Malta is no longer dictated by normative social imperatives. The need for the legal protection of families headed by cohabiting partners is highlighted.     

Beyond the Myths: Equality,Impartiality, and Justice

Violence against women is as much a matter of equality as it is an offence against human dignity and a violation of human rights. As the Supreme Court of Canada has repeatedly recognized, eliminating myths and stereotypes from the law constitutes an important part of remedying the law’s historically inadequate response to violence against women. The author explores how the concepts of impartiality, equality, and justice shed light on the ways in which myths and stereotypes distort the truth-finding process and perpetuate discrimination. Looking toward the future, further equality-informed legislative amendments, judicial education, and international norms, such as those set out in the Convention on the Elimination of All Forms of Discrimination against Women (1979), will provide key means of ensuring that myths and stereotypes are fully and permanently eradicatedfrom the law. The goals of equality and justice for all require nothing less.