An Exploratory Study of the Meaning of Marriage for African Americans

Using specific tenets from symbolic interactionism as a frame, we asked 31 African Americans (18 women and 13 men) including students as well as nonstudents, across a variety of types of relationships and ages, what marriage meant to them. Two major themes, commitment and love, emerged from qualitative content analysis of the meaning of marriage. Other themes, including partnership/friendship, trust, family, and covenant, also emerged as themes, although less frequently. The overwhelming meanings of marriage were positive, with only a few negative instances (i.e., marriage as unnecessary and not fulfilling). Supportive qualitative data are presented for each theme. We discuss implications for the meaning of marriage for African Americans.     

Gender differences in perceptions of aftercare supports and services

Youth depart residential care with many continued risk factors, unique needs, and challenges as they reintegrate into the home, school, and community settings. Currently, there is limited research on needs and best practices in aftercare services and supports for youth departing from residential settings and even less is known about how these differ by gender. While preliminary studies have explored perceptions of need during reintegration and aftercare by youth and caregivers, little is known about how these may differ by gender or if perceptions change over time after experiencing the initial transition period. One way to address this knowledge gap is to identify how prepared males and females feel for reintegration in critical life domains, their beliefs about aftercare, and preferences regarding potential services or supports to aide in the reintegration at discharge. Therefore, the purpose of this study was to explore if males and females differ on preparedness for reintegration across critical life domains, beliefs about aftercare, and preferences regarding potential services or supports to aide in the reintegration at departure from a residential treatment facility (N = 132). Overall, very few differences were found between males and females at departure. Implications, limitations, and future research are discussed.     

Risk Factors for Infant Mortality in Nineteenth-Century Sweden

This study examines risk factors for infant mortality using individual-level data from a sample of parishes in northern Sweden in the nineteenth century. Sweden is of particular interest because of its unusually regular pattern of infant mortality decline during the century. We follow a sample of women longitudinally through their successive pregnancies and observe the mortality experience of each child. Exploratory and multivariate logistic regression analyses reveal an important intra-familial dimension to infant mortality that appears from the early stages of a woman's reproductive career. In addition, multivariate analyses by birth-order group suggest that ignoring intra-familial correlations of infant mortality may result in incorrect inferences. Siblings' shared probabilities of dying as infants suggest that high-birth-order children were not necessarily disadvantaged in any systematic way.     

H. S. Sullivan and “Interpersonal Learning”

Although many of the basic tenets of Harry Stack Sullivan’s interpersonal theory have been incorporated into the Relational School of psychoanalysis, Sullivan’s original ideas about clinical practice are, in many respects, distinct from the intersubjective perspective of relational psychotherapists. Using three case examples that addressed a similar clinical problem, Sullivan’s approach to clinical practice will be contrasted with contemporary relational approaches.     

“Road Warriors” on “Hair-Tragger Highways”: Cultural Resources and the Media's Construction of the 1987 Freeway Shootings Problem*

Media constructions of social problems usually rework the claims of activists and other primary claimsmakers. However, the news media acted as primary claims-makers in discovering and reporting the 1987 Los Angeles freeway violence problem. The press drew upon cultural resources in constructing this problem, applying a conventional template for social problems stories and using familiar imagery to depict freeway shootings. The social organization of claimsmaking, as well as contingencies in the histories of individual campaigns, affect the choice of cultural resources used to construct social problems.     

Community-based management of psychotic clients: The contributions of D. W. and Clare Winnicott

While the term management connotes images of impersonal care, D. W. Winnicott repeatedly used this term to describe the responsive environmental holding that is central to all human development. Influenced by observations of how normal mothers and families address the physical and psychic needs of children, he and his wife, Clare, a distinguished British social worker, operationalized this concept in finding and supporting facilitating environments with a wide range of disturbed children and adults. Using case material from a contemporary community program for the mentally ill, this paper will review the Winnicotts' important, but often neglected, perspectives on the environmental management of psychotic adults.Presented at the Washington School of Psychiatry, January 14, 1989. I would like to thank Janice Quiter and the Archives of Psychiatry of The New York Hospital-Cornell Medical Center for their assistance in researching the D. W. Winnicott collection.     

On Learning and Teaching Family Therapy

This paper explores some ideas about the process of learning to be a family therapist. It considers the questions: how does one learn to think like a family therapist? How is family therapy best taught? How is it learned? The author's experiences in learning and teaching are described. It is argued that family therapy differs from other approaches to therapy in some fundamental respects, and that learning to ‘be’ a family therapist is a different kind of task than learning to be a practitioner of other therapeutic approaches. The paper examines some key theoretical constructs, especially the idea of ‘levels’ of thinking, which are seen as central to both the learning and practice of family therapy.