Staying put in the Closet: Examining Clinical Practice and Countertransference Issues in Work with Gay Men Married to Heterosexual Women

Gay men married to heterosexual women seek psychotherapy for numerous reasons, not only to find a way out of their marriages. Therapists must identify their countertransference reactions to avoid pushing the patient either to commit to his marriage or leave it. The patient’s underlying problems should be addressed before the patient can explore the fate of his marriage. Therapists also need to be understanding of the patient’s attachment to his wife. In addition, therapists must be aware of the societal implications of homophobia on gay patients. This article discusses motivations for heterosexual marriage among gay men, examines two clinical cases, and addresses practice and countertransference issues. A version of this article was presented at the tenth national conference of the National Membership Committee on Psychoanalysis in Clinical Social Work on March 10, 2007.     

Making Sense of Neoliberal Securitization in Urban Policing and Surveillance

Grâce à une analyse historique des fonctions de surveillance de police civile, cet article examine comment la titrisation civile se déroule en traitant disciplinaire‐surveillance et de sécurité‐surveillance des pratiques distinctes et des appareils qui fonctionnent respectivement à des moyens “centripètes” et “centrifuge” et en reconfigurant triangulation de Foucault de la gouvernance d'une matrice à deux par deux: la souveraineté‐gouvernement et de la discipline‐sécurité. Cet article montre comment la titrisation de police civile s'aligne avec la transformation actuelle du gouvernement à partir d'un centripète (Keynésienne) d'une centrifuge (néolibéral) la rationalité politique. Cela revêt une importance plus large de recherche: où la rationalité politique favorise l’équilibre n'avons‐nous pas trouver une prépondérance de la discipline‐surveillance? Où déséquilibre est promu n'avons‐nous pas trouver une prépondérance de la sécurité‐surveillance? Through a historic analysis of the surveillance functions of civil policing, this article considers how securitization is taking place by treating disciplinary surveillance and security surveillance as distinct practices and apparatuses that, respectively, function in “centripetal” and “centrifugal” ways and by reconfiguring Foucault's triangulation of governance to a two‐by‐two matrix: sovereignty government and discipline security. This article shows how the securitization of civil policing aligns with the current governmental transformation from a centripetal (Keynesian) to a centrifugal (neoliberal) governmentality. This has broader research significance: where governmentality promotes equilibrium do we not find a preponderance of disciplinary surveillance? Where disequilibrium is promoted do we not find a preponderance of security surveillance?     

Partial Identification in Triangular Systems of Equations With Binary Dependent Variables

This paper studies the special case of the triangular system of equations in Vytlacil and Yildiz (2007), where both dependent variables are binary but without imposing the restrictive support condition required by Vytlacil and Yildiz (2007) for identification of the average structural function (ASF) and the average treatment effect (ATE). Under weak regularity conditions, we derive upper and lower bounds on the ASF and the ATE. We show further that the bounds on the ASF and ATE are sharp under some further regularity conditions and an additional restriction on the support of the covariates and the instrument.     

Reducing Boarding in a Post‐Anesthesia Care Unit

When operating room schedules in hospitals are produced, the constraints and preferences of surgeons and hospital workers are a primary consideration. The downstream impact on post‐operative bed availability is often ignored. This can lead to the boarding of patients overnight in the post‐anesthesia care unit (PACU) because intensive care unit beds are unavailable. In this paper, we apply integer programming and simulation to develop improved surgical scheduling assignments. We want to balance new surgeries with hospital discharges in order to reduce the variability of occupied beds from one day to the next and, as a result, to reduce boarding in the PACU.