Differentiation of Self and the Process of Forgiveness: A Clinical Perspective for Couple and Family Therapy

In this article we explore the role of differentiation of self in facilitating forgiveness in the context of couple and family relationships. Differentiation is defined from the Bowen perspective as the ability to connect with others without being excessively emotionally reactive to the ebb and flow inherent in all significant relationships (being able to connect to others yet also being able to self‐regulate). Forgiveness is described as the releasing of an emotional injury via a complex psychological and relational process that is less an act of will than a discovery or possibility through understanding and empathy. Differentiation of self is related to emotional intelligence and empathy. The developmental and relational benefits of such are illustrated and discussed. A rationale for viewing differentiation and forgiveness in a contextual, historical, and relational attachment paradigm is suggested. Relevant clinical cases illustrate the dynamics of differentiation and forgiveness as discovery in the context of an understanding and empathic relational environment.     

Bird diversity in a subtropical South-American City: effects of noise levels,arborisation and human population density

Cities are highly modified environments in which the only areas that resemble natural landscapes are urban parks with low human population density. Attempts are frequently made to maintain high bird diversity in cities for aesthetic or educational reasons. However, it remains unclear whether local site characteristics are important in determining bird assemblage composition or whether simplification of the assemblage is an inevitable consequence of the changes associated with human population density. From May 1998 to December 1999, we undertook bird counts at 521 points in Porto Alegre, Rio Grande do Sul, southern Brazil. Our main goal was to understand the pattern of distribution of the bird species richness and density within the city and determine which variables most affect species assemblages. We recorded 132 species belonging to 43 families that are common in Rio Grande do Sul and obtained quantitative data on 121 species in survey sites. The two most abundant species (House Sparrow, Passer domesticus and Rock dove, Columba livia) were exotics. Analysis based on a reduced subset of 134 points surveyed in spring/early summer suggested that there was a North–south gradient in assemblage structure. Variation in assemblage structure was also affected by the number of trees, urban noise and human population density. However, human population density had a much smaller effect on richness and assemblage structure than variables subject to management, such as tree density and noise levels. These results suggest that complex communities may be maintained in densely populated urban areas of sub-tropical South-America given adequate urban planning.     

Vegetation composition and structure of woody plant communities along urban interstate corridors in Louisville,KY, U.S.A.

Urban forests adjacent to interstate corridors are understudied ecosystems across cities. Despite their small area, these forests may be strategically located to provide large ecosystem services due to their ability to act as a barrier against air pollutants and noise as well as to provide flood control. The woody vegetation composition and structure of forests adjacent to urban interstates is an important determinant of their ability to provide these services. However, these forest communities may be particularly susceptible to the introduction of exotic invasive species via the interstate and the surrounding city that can potentially alter current and future forest composition. The purpose of this study was to investigate the distribution of native and exotic woody vegetation and tree regeneration in forests along three interstate corridors in Louisville, KY, and to determine potential factors (e.g., traffic density) that are correlated with patterns in the woody vegetation community. We found the most important determinants of vegetation composition along these interstate corridors were the distance from the city center and the presence of an exotic invasive shrub, Amur honeysuckle (Lonicera maackii). Compared with forested plots within 10 km of the city center, plots further from the city center had 81% lower stem density of Amur honeysuckle, 96% higher tree seedling regeneration, and 51% greater woody plant species richness. The primarily native species composition of adult trees in forests alongside urban interstates in Louisville and the regeneration of native tree species provide optimism that these forests can maintain native species while experiencing multiple impacts from the interstate as well as from the surrounding city, emphasizing their important potential for maintaining natural forest functions across the urban landscape.     

Risk Factors for Clinically Significant Intimate Partner Violence Among Active‐Duty Members

Hypothesized risk factors for men's and women's clinically significant intimate partner violence (CS‐IPV) from four ecological levels (i.e., individual, family, workplace, community) were tested in a representative sample of active‐duty U.S. Air Force members (N = 42,744). When considered together, we expected only individual and family factors to account for unique variance in CS‐IPV perpetration. Hypothesized factors from all four ecological levels were related to men's CS‐IPV perpetration bivariately, but, as expected, only individual and family factors accounted for unique variance across ecological levels. For women, only risk factors from the individual and family levels were significantly related to CS‐IPV perpetration even bivariately. Results imply somewhat different risk profiles across gender and identify ecological risk factors of men's CS‐IPV not previously studied.     

Employee exposure to coworker substance use and negative consequences: the moderating effects of work group membership.

The current study assesses: (1) whether the relationship between individual exposure to coworker substance use and negative consequences resulting from exposure depends on work group membership, and (2) whether group-level characteristics moderate the relationship between exposure and consequences. At the group-level, we assessed occupations involving safety risk or high mobility and social factors of drinking climate and group cohesiveness. We conducted Hierarchical Linear Modeling (HLM) across two samples of municipal employees (ns = 650, 878; n of groups = 50, 49). Our results revealed that groups with higher proportions of jobs involving risk (e.g., machine work) and, to a lesser extent, groups with a higher level of drinking climate were those most vulnerable to consequences under conditions of exposure. Importantly, our findings controlled for individual risk factors (e.g., personal drinking, job stress). Our discussion examines the implications of this study for theory and policy related to workplace substance abuse.     

THE PHYSICIAN LABOR MARKET IN A MANAGED CARE-DOMINATED ENVIRONMENT

The belief that doctors respond to declining demand by treating patients more aggressively has created skepticism about relying on market forces to restructure physician supply. We argue that even if the physician labor market is dysfunctional under fee-for-service incentives, it can perform better as managed care becomes dominant. Our model implies a nonlinear effect of managed care penetration on incomes. Physicians can offset most or all of initial declines in demand, but cannot insulate themselves indefinitely. This may explain the observation that, until recently, the growth of managed care has not been accompanied by large physician income changes. ( JEL III, J31)     

The coming medical apocalypse.

Is there a medical apocalypse in our future? Will it happen soon? No one can say for sure, but five ominous trends suggest that a medical meltdown could occur at any time. These trends are: (1) The practice of providing medical care becoming too complex from both a business and a legal perspective; (2) Less money being spent on medical care without any corresponding reduction in services provided, creating long-term operating deficits; (3) Investor-owned, for-profit corporations changing the focus of medicine by putting shareholder concerns ahead of patient care; (4) Employment-linked health care insurance creating a growing uninsured population, adding extra financial stress to our hospitals; and, (5) Providers losing faith in their future and becoming increasingly demoralized about practicing the healing arts. These dangerous trends are considered, along with some suggestions that physician executives and organizations might take to protect themselves.