Are Hearing Voices Networks Compatible with Cognitive Behavioural Therapy for Psychosis?

The most extensively evaluated intervention for auditory hallucinations is Cognitive Behavioural Therapy for Psychosis (CBTp), which is usually delivered in statutory settings by experienced clinicians. In contrast, peer support networks, such as the Hearing Voices Network (HVN), operate informally using peers to normalise and manage voices. This article compares these two approaches to identify points of synergy and difference. Its analysis suggests the two approaches share many features, but also deviate in important ways that could compensate for each other. Instead of competing with each other as might first be thought, they may actually be complementary. Further, HVN may align comfortably with the values and principles of social work. Social workers seeking to engage with voice hearers may be advised to study the underlying principles of each approach to guide the way in which they can capitalise on intervention opportunities to better assist voice hearers.     

The Gender Revolution: A Framework for Understanding Changing Family and Demographic Behavior

This article argues that the trends normally linked with the second demographic transition (SDT) may be reversed as the gender revolution enters its second half by including men more centrally in the family. We develop a theoretical argument about the emerging consequences of this stage of the gender revolution and review research results that bear on it. The argument compares the determinants and consequences of recent family trends in industrialized societies provided by two narratives: the SDT and the gender revolution in the public and private spheres. Our argument examines differences in theoretical foundations and positive vs. negative implications for the future. We focus primarily on the growing evidence for turnarounds in the relationships between measures of women's human capital and union formation, fertility, and union dissolution, and consider evidence that men's home involvement increases union formation and fertility and decreases union instability. Although the family trends underlying the SDT and the gender revolution narratives are ongoing and a convincing view of the phenomenon has not yet emerged, the wide range of recent research results documenting changing, even reversing relationships suggests that the gender approach is increasingly the more fruitful one.     

Tobacco Control and Smoking Cessation Efforts in an Inner-City African American Community

This paper describes the conceptual framework that guided the development and implementation of a large-scale, community-based health initiative to lower the prevalence of smoking in an urban African American community. This project developed culturally-sensitive approaches to reducing smoking in the community and to promoting tobacco control efforts developed and implemented by community members. A randomized clinical-trial methodology was used to test the efficacy of the culturally-sensitivey community-developed smoking cessation interventions in lowering smoking rates as compared with a self-help approach. Two theoretical models guided the intervention strategies: a macro-level model applicable to the community as a whole, and a psychological process model applicable to individuals. The community model was based on community systems theory and incorporated the Readiness for Change Model which was applied in both the individual and organizational models. In addition, culturally-sensitive data collection methods were developed to improve the reliability and validity of project data, especially in determining the smoking prevalence rates and smoking behaviors of hard-to-reach, inner-city African Americans. Since the health of individuals is related to the health of their communities, smoking cessation and tobacco control activities that are integrated into the framework of the community (Le., churches, city-council, housing developments, community organizations), and incorporate culturally-relevant and specific interventions can be effective methods for achieving behavioral and societal change.     

Book Reviews

Abstract

This paper explores the emergence of the social work profession in Western Australia from beginnings in the 1920s through to 1970 when the first local graduates gained employment. The authors illustrate how WA's history both connects with and diverges from patterns of the profession's development in more populous states, througt, the use of interviews conducted with pioneering social workers These oral histories illuminate how gender, class and other markings of privilege and power framed, and were framed by, the education, practice, sites of practice and career paths of social workers in the early years. Two interacting themes identified in this research were restricted employment possibilities for social workers in the State and a lack of locally available professional education until the mining boom of the sixties. The paper concludes by listing six lessons for current practitioners: the transcendent importance of reading contexts; identifying and developing relevant sites of practice; maintaining flexible boundaries of professional practice; being able to articulate a dynamic value base to drive practice; the importance of practitioners in shaping education, and continuing practitioner reflexivity.     

Three Journeys Toward The Reflecting Team

The experience of familiestrainee and supervisory therapists involved in reflecting team work are explored through the metaphor of ‘journey’ and by asking a small number of our colleagues and clients about their experiences. Ideas gained from this approach are tentatively used to raise some questions about the reflecting team specifically and the current direction of family therapy. More rigorous research into this area is invited.     

The Development of Intergroup Forgiveness in Northern Ireland

As societies like Northern Ireland, Israel, and South Africa strive to resolve social conflict, there is growing theoretical and empirical interest in the role of intergroup forgiveness. This study examined intergroup forgiveness among 340 young adults in Northern Ireland. A short form of the Enright Forgiveness Inventory explored possible influences on propensity to forgive. All participants were Catholic and female (mean age 17.36 years), and had experienced verbal or physical injury or bereavement due to the Northern Irish political violence. Overall forgiveness levels were low in comparison with previous studies of interpersonal forgiveness but similar to previous studies of intergroup forgiveness in Northern Ireland. The strongest (negative) predictor of forgiveness was the perceived degree of hurt caused by the injury .     

Criteria families use to select nursing homes

The study is conducted to determine families' rankings of characteristics they consider most important when selecting a nursing home. Friedman's two-way analysis of variance is used to test for differences in the rankings. In response to a mailed survey, 231 families rank the characteristics in the following order: quality of care, appearance, atmosphere, location, reputation, building safety, quality of food, cost, and activities. Relationships are also found between the rankings and the demographic characteristics: gender, marital status, education, income, number of homes available, patient/respondent relationship, and distance respondent lived from the chosen home.     

Interpolating demography with families and households

This paper argues that the field of household and family demography serves a critical role in the development of our understanding of the determinants and consequences of population trends. Like the community, families and households are situated between the two levels at which demographic research is ordinarily conducted — the individual and the nation-state. The results of the papers in this issue are used to illustrate the critical ways that intergenerational and gender relationships shape demographic processes.