School phobia in a multiphobic family: The family that phobes together...

This article studies a family of three in which the presenting problem was the daughter's school phobia but where parents also had phobias. Approaches to individual psychotherapy of phobias are discussed and strategic interaction principles of family treatment are illustrated.Judith Sherman, a family therapist, also teaches in the Marital and Family Program at Queens College, City University of New York. Ruth Formanek is on the faculty of Hofstra University and in private practice.     

Modeling Two-state Disease Processes with Random Effects

Many chronic medical conditions are manifested by alternating sojourns in symptom-free and symptomatic states. In many cases, in addition to their relapsing and remitting nature, these conditions lead to worsening disease patterns over time and may exhibit seasonal trends. We develop a mixed-effect two-state model for such disease processes in which covariate effects are modeled multiplicatively on transition intensities. The transition intensities, in turn, are functions of three time scales: the semi-Markov scale involving the backward recurrence time for the cyclical component, the Markov scale for the time trend component, and a seasonal time scale. Multiplicative bivariate log-normal random effects are introduced to accommodate heterogeneity in disease activity between subjects and to admit a possible negative correlation between the transition intensities. Maximum likelihood estimation is carried out using Gauss-Hermite integration and a standard Newton-Raphson procedure. Tests of homogeneity are presented based on score statistics. An application of the methodology to data from a multi-center clinical trial of chronic bronchitis is provided for illustrative purposes.     

Mentors for adolescents in foster care

Significant numbers of adolescents in foster placement plan to live independently following discharge. Mentoring is increasingly being used as a support service to assist older foster youths to make the transition to adult living. A survey of 29 child welfare programs indicate that a variety of mentoring models are in use. The main models are transitional Life Skills Mentors, Cultural-Empowerment Mentors, and Corporate-Business Mentors. Mentoring connects foster wards with a cross-section of community citizens who provide a bridge to higher education and employment, and serve as a resource for transitional problem-solving. Information is needed on the impacts of mentor-mentee matches and efforts to sustain mentor-mentee relationships.Based on a paper presented at the Second National Child Welfare Conference, Division of Child Welfare Research, Arlington, Virginia, 1994. The research is supported by Research Grant #90CW1026 entitled Mentors as Resources for Preparing Foster Youths for Independent Living, from the Department of Health and Human Services, Administration for Children and Families, Washington, D.C.the Principal Investigator, Foster Youth Project and Adolescent Mentor Project.     

Preparing social workers for global gaze: locating global citizenship within social work curricula

Institutions of higher education have been particularly vulnerable to the pressures of globalization, resulting in policies and ensuing curricula that look to address the needs of students to be better prepared for living and working in a world in which global awareness, and perhaps even global identity, are requisites for success. Social work education is uniquely positioned to adapt its curricula for successful student outcomes in an increasingly globalized world. The challenges associated with social welfare, which have intensified under globalization, has been a long-standing concern of social work policy and practice. This article suggests strategies for integrating global citizenship education within social work studies, recognizing the affinities that exist between contemporary conceptualizations of global citizenship and social work practice. The article proposes four interrelated components that might be strategically implemented within existing social work curriculum, in consideration of the contextual ethos of the respective school of social work.     

America’s policy thinking in the age of Trump

What is striking in Trumpian economics – supply-side economics too – is the omission of economic growth. There is no awareness that nations at the frontier need indigenous innovation to have ample growth. The take-offs into sustained growth in 19th century Britain and America were fueled by dynamism from the grassroots up. Moreover, this stunted economics has no room for the rewards from participating in the economy besides the market wage – for the satisfaction of succeeding at what one is doing, the sense of flourishing as one’s career unfolds, and the thrill of venturing into the unknown.     

Potency Factors for Risk Assessment at Libby,Montana

We reanalyzed the Libby vermiculite miners’ cohort assembled by Sullivan to estimate potency factors for lung cancer, mesothelioma, nonmalignant respiratory disease (NMRD), and all‐cause mortality associated with exposure to Libby fibers. Our principal statistical tool for analyses of lung cancer, NMRD, and total mortality in the cohort was the time‐dependent proportional hazards model. For mesothelioma, we used an extension of the Peto formula. For a cumulative exposure to Libby fiber of 100 f/mL‐yr, our estimates of relative risk (RR) are as follows: lung cancer, RR = 1.12, 95% confidence interval (CI) =[1.06, 1.17]; NMRD, RR = 1.14, 95% CI =[1.09, 1.18]; total mortality, RR = 1.06, 95% CI =[1.04, 1.08]. These estimates were virtually identical when analyses were restricted to the subcohort of workers who were employed for at least one year. For mesothelioma, our estimate of potency is K_M = 0.5 × 10^?8, 95% CI =[0.3 × 10^?8, 0.8 × 10^?8]. Finally, we estimated the mortality ratios standardized against the U.S. population for lung cancer, NMRD, and total mortality and obtained estimates that were in good agreement with those reported by Sullivan. The estimated potency factors form the basis for a quantitative risk assessment at Libby.