Is obesity stigmatizing? Body weight, perceived discrimination, and psychological well-being in the United States

We investigate the frequency and psychological correlates of institutional and interpersonal discrimination reported by underweight, normal weight, overweight, obese I, and obese II/III Americans. Analyses use data from the Midlife Development in the United States study, a national survey of more than 3,000 adults ages 25 to 74 in 1995. Compared to normal weight persons, obese II/III persons (body mass index of 35 or higher) are more likely to report institutional and day-to-day interpersonal discrimination. Among obese II/III persons, professional workers are more likely than nonprofessionals to report employment discrimination and interpersonal mistreatment. Obese II/III persons report lower levels of self-acceptance than normal weight persons, yet this relationship is fully mediated by the perception that one has been discriminated against due to body weight or physical appearance. Our findings offer further support for the pervasive stigma of obesity and the negative implications of stigmatized identities for life chances.     

A Case Against Making the Control of Clients a Negotiable Contingency for Interdisciplinary Teams

Most discussions of interdisciplinary teamsassume that cross-functional teams are desirable.Critical analyses of the fundamental contradictionsinherent in bringing together professionals with diverse ideologies, interests, contingencies, andtechnologies are rare. Even less common are discussionsof the negative consequences of these contradictions forclients. Based on observations in an institution for youth-in-trouble, this paper argues thatthe control of clients is one key process underlyingconflicts and dilemmas in interdisciplinary teams; itbuilds a case against making the control of clients a negotiable contingency for teams. Given theuniversal nature of control mechanisms, those mostdirectly responsible for control have a superiorbargaining position because, in order to be effective,their control routines must be consistent. Althoughthese workers may yield to other treatment ideologiesregarding particular clients, the overall outcome is theenhancement of their interests. Moreover, the outcome of negotiations may generate confusionfor clients because of inconsistencies in theapplication of control mechanisms. Three strategies tominimize interprofessional negotiations regarding the control of clients are discussed: theformulation of clear boundaries between thoseresponsible for control and those who are not; theestablishment of policies to address conflicts betweencontrol and competing treatments; and, client determinationof differential levels of interprofessional coordinationand cooperation.     

The use of client surrogates in determining the reliability of a standardized assessment instrument in multiple, diverse settings

Since its introduction in 1980, the widely-used Addiction Severity Index has been subjected to extensive validity and reliability studies. Reliability procedures have commonly entailed test–retest and multiple judge video reviews, all within controlled environments. The following study uses a method that differs substantially from conventional reliability assessment by employing trained, professional actors as client surrogates to examine the reliability of the instrument when administered in the field, in naturalistic, diverse agency settings. This article details this method, addressing the question, to what extent did this method produce consistent stimuli to enable the measurement of reliability?     

Book Review

Abstract

Kim Witte, Gary Meyer, and Dennis Martell. Effective Health Risk Messages: A Step-by-Step Guide: Thousand Oaks, CA: Sage; 2000. 216 pps; paper, $24.95, cloth, $64.95.     

Recruiting Arab Fathers in a Center for Children at Risk in Israel

Arab society in Israel is positioned between the traditional, collective values of Arab culture and the more prevalent Western individualistic values of the Israeli society at large. This poses a challenge for the welfare services in Israel, especially in the case of Arab clients, who tend to receive and interpret the social workers' messages as contradictory to their cultural norms. Therefore, recruiting Arab fathers for treatment is a particularly difficult task. The article focuses on creating a culturally sensitive process for recruiting Arab fathers for treatment in a center dealing with Arab families at risk in Israel.     

Fathers Under Scrutiny: Nonresidential Fathers’ Perceptions of Visitation Centers

Visitation centers provide a protected environment for meetings between noncustodial fathers and their children. The aim of the study was to analyze fathers’ experiences with the visitation center. This qualitative study is based on 12 interviews with fathers who had been meeting their children in visitation centers. Findings show that the fathers’ experiences were structured by two poles. On one pole were fathers who experienced the visitation center as a hostile place designed for supervision, limiting their parenthood role. On the opposite pole were fathers who experienced the visitation center as a secure and enabling space that helped in the continuity of relationships with their children. Another group of interviewees expressed both dichotomous voices, experiencing the visitation center as a positive opportunity to meet children, but as negative due to supervision. The discussion focuses on masculinity as constructing the fathers’ experiences.