Fitness and Fatness in Relation to Health: Implications for a Paradigm Shift

Health care professionals most often approach health promotion for large persons in the context that health improvement can be attained only through weight loss. Unequivocal acceptance of the notion that thinness equals health and fitness has been the only health intervention strategy available for many large men and women. The apparent ineffectiveness of traditional diet and exercise programming to reduce body weight has caused many health care providers, obesity researchers, and lay persons to challenge the further use of diet and exercise for the sole purpose of reducing body weight in the large person. A brief survey of the most popular dieting techniques used over the past 40 years shows that most techniques cycle in and out of popularity, and that many of these techniques are hazardous to health. Data from the scientific community indicate that diet and exercise programs for weight loss are ineffective in producing reduced weight maintenance after a period of 3 to 5 years. On the other hand, there are data indicating that overweight men and women can become healthy without losing significant amounts of weight. Furthermore, epidemiological studies indicate that fitness, not fatness, is related to disease and mortality. Any intervention strategy for the obese should be one that promotes the development of a healthy lifestyle. The outcome parameters used to evaluate the success of such an intervention should be specific to disease risk and symptomatologies and not limited to medically ambiguous variables like body weight or body composition.     

Do social work education,job description,and cultural competence foster child‐welfare caseworkers' therapeutic alliances?

We explored whether the strength of caseworkers' engagement with families in the child‐welfare system was associated with the caseworkers' academic degrees, job responsibilities and environments, and/or ethnicity. We extracted data from a national data set describing 1,714 caseworkers. Results confirmed significant association between caseworkers' confidence in their engagement with families and (a) master's‐ and bachelor's‐level social work education, (b) adequate supervision at work, (c) cultural‐diversity training, (d) job focus (screening/investigation, out‐of‐home placement, or reunification), and (e) homogeneous race/ethnicity of caseworker and client.     

Making Professional Decisions in Research: Measurement and Key Predictors

The professional decision-making in research (PDR) measure was administered to 400 National Institutes of Health (NIH)-funded and industry-funded investigators, along with measures of cynicism, moral disengagement, compliance disengagement, impulsivity, work stressors, knowledge of responsible conduct of research (RCR), and socially desirable response tendencies. Negative associations were found for the PDR and measures of cynicism, moral disengagement, and compliance disengagement, while positive associations were found for the PDR and RCR knowledge and positive urgency, an impulsivity subscale. PDR scores were not related to socially desirable responding, or to measures of work stressors and the remaining impulsivity subscales. In a multivariate logistic regression analysis, lower moral disengagement scores, higher RCR knowledge, and identifying the United States as one’s nation of origin emerged as key predictors of stronger performance on the PDR. The implications of these findings for understanding the measurement of decision-making in research and future directions for research and RCR education are discussed.     

The Ethical Challenges of Socially Responsible Science

Social responsibility is an essential part of the responsible conduct of research that presents difficult ethical questions for scientists. Recognizing one’s social responsibilities as a scientist is an important first step toward exercising social responsibility, but it is only the beginning, since scientists may confront difficult value questions when deciding how to act responsibly. Ethical dilemmas related to socially responsible science fall into at least three basic categories: 1) dilemmas related to problem selection, 2) dilemmas related to publication and data sharing, and 3) dilemmas related to engaging society. In responding to these dilemmas, scientists must decide how to balance their social responsibilities against other professional commitments and how to avoid compromising their objectivity. In this article, we will examine the philosophical and ethical basis of social responsibility in science, discuss some of the ethical dilemmas related to exercising social responsibility, and make five recommendations to help scientists deal with these issues.     

Some special forms of aggressiveness in activity group therapy and their impact on the therapist

Internal World and External Reality: Object Relations Theory Applied. Otto F. Kernberg, M.D. (New York: Jason Aronson, 1980.)

Treatment of the Obsessive Personality. Leon Salzman. (New York: Jason Aronson, 1980.)

Social Work Practice: People and Environments. Ed. Carel P. Germain. (New York: Columbia University Press, 1979.)

The Life Model of Social Work Practice. Carel Germain and Alex Gitterman. (New York: Columbia University Press, 1980.)

Social Science Research and Decision‐Making. Carol H. Weiss. (New York: Columbia University Press, 1980.)     

Outcomes Assessment of Role-Play Scenarios for Teaching Responsible Conduct of Research

We describe the summative assessment of role-play scenarios that we previously developed to teach central topics in the responsible conduct of research (RCR) to graduate students in science and engineering. Interviews with role-play participants, with participants in a case discussion training session, and with untrained students suggested that role-playing might promote a deeper appreciation of RCR by shifting the focus away from wanting to simply “know the rules.” We also present the results of a think-aloud case analysis study and describe the development of a behaviorally-anchored rating scale (BARS) to assess participants' case analysis performance.     

Dual-earner couples and the decision to work less: A conceptual model

This paper examines the factors that affect the decision made by dual-earner couples concerning the possibility of one (or both) partners working a reduced-hours schedule. We rely on a comprehensive review of the literature on part-time work among dual-earner couples and on the factors that affect the decisions couples make about their work hours as well as preliminary findings from our ongoing study to consider two key questions: (1) What factors do dual-earner couples take into account when they consider whether one or both might work a reduced-hours schedule? (2) If the couple decides that one partner will work a reduced-hours schedule, how do they decide which partner reduces the hours of employment? Most previous research has focused on the centrality of gender in the decisions that couples make concerning the hours that they work. However, our review of the literature and the preliminary findings of our current research suggest that there are other factors that affect (directly or indirectly) the couples' decisions related to part-time options. Based on this review we present a new decision-making model for two-earner couples that will have implications for future research and policy initiatives. This paper is particularly timely for several reasons: the number of dual-earner couples continues to increase; there is some indication that more employees would choose to reduce their work hours if that were a viable option; and recently, managers and professional workers have become more vocal about their interest in part-time career options.