Clinicians Play with Mud,and It's the Best Thing for Us: An Interview With Alistair Campbell

Alistair Campbell is Research Editor for the ANZJFT. He is a Senior Lecturer in Clinical Psychology and Director of the Psychology Clinic at James Cook University in Townsville. He speaks provocatively with Ben Hansen about research and training in family therapy, about accountability to our clients, and about practice.     

Project Employ: engineering hope and breaking down barriers to homelessness

The homeless population in the US has dramatically increased in the past two decades. People who are homeless often lack skills sets such as stress management and social skills, independent living skills, and skills for vocational and leisure engagement. Best practice vocational education and training programs for individuals who are homeless recognize that success in the worker role often hinges on a person's capacity to manage day-to-day living. Life skills and pre-employment training are essential components of vocational programs but no more important than interpersonal skill development including anger management, developing self esteem and motivation, building goal setting capacity, and skills for money management, personal budgeting and self-advocacy. These areas of performance have all been traditionally included in occupational therapy's domain of practice. This article describes Project Employ, a grant funded supportive employment program that has grown out of collaboration between Duquesne University's Department of Occupational Therapy and Bethlehem Haven, an emergency shelter and residential recovery program and primary service provider for homeless people in Pittsburgh, Pennsylvania. The purpose of this article is to describe the history, structure and outcomes of Project Employ.     

Expertization of Everyone and the Revolt of the Client*†

American society is witnessing a dramatic explosion and dissemination of knowledge, accompanied by the increasing refusal of patients, customers, students, and other types of clients to passively receive the services of the expert in any body of knowledge or skill. There has been an expansive growth of occupational experts and a demand on the part of clients for a change in the relation. Knowledge monopolization is decreasingly possible due to the activities of mass communication and of the literate public, and clients are becoming varied in the amount of knowledge with which they turn to the expert. Thus, while the political and economic groups are increasingly depending on the expert elite for plans and programs, the members at all levels of society are demanding rights of decision making.     

Auctions of companies

Auctions of companies are conducted in ways that contradict received auction theory. The major puzzles are: (1) sellers restrict the number of bidders; (2) sellers restrict the number of bidders; (3) bidders are screened by an initial round of non-binding bids; and (4) bidders offer - and sellers sometimes accept - preemptive bids. Puzzles (1), (2), and (4) are explained by assuming that some information concerning the company can, if released, reduce the value of the company. Puzzle (3) is explained as a way for sellers to select the highest-valued bidders; equilibrium is maintained by using the initial bids to set a reserve price for the final bidding round.     

Using Standardized Clients to Train Social Workers in Intimate Partner Violence Assessment

Evidence-based assessment in intimate partner violence (IPV) is critical to the accurate understanding of risk and to the development of interventions that increase safety. In this study standardized clients (actors) were used to train Army civilian social workers in evidence-based assessment of IPV and in the evaluation of the curriculum's effectiveness. Participation in this training curriculum increased the following: the participants' knowledge about the empirical basis for content areas explored in IPV assessment, their exploration of content critical to an IPV assessment interview, and their interviewing process skills. The results support the effectiveness of using standardized clients in IPV assessment training and evaluation.     

Impact Evaluation of a Cognitive Behavioral Group Therapy Model in Brazilian Sexually Abused Girls

This study evaluated the impact of a cognitive behavioral group therapy model in Brazilian girls who had experienced sexual abuse. The effect of the waiting period before treatment and the enduring effectiveness of the treatment after six and 12 months were also evaluated. Forty-nine female sexual abuse victims between the ages of 9 and 16 completed instruments measuring depression, anxiety, stress, and post-traumatic stress disorder before, during, and after the group therapy. The group therapy had a positive impact on their psychological functioning, significantly reducing symptoms of anxiety, stress, and post-traumatic stress disorder. The therapeutic effects lasted six to 12 months after the treatment ended. The model proved effective for treating young female victims of sexual abuse.     

Heterogeneous Symptom Patterns of Sexually Abused Children in Treatment: Understanding the Complexity of the Problem

A major challenge for clinicians and researchers is the heterogeneity of the severity and type of symptoms presented by sexually abused youth, including those who are subclinical on traditional clinical measures but still present to treatment. Most research continues to treat sexually abused youth as a single population and has not assessed the outcomes or symptom trajectories of various groups of sexually abused youth. Participants included 107 sexually abused children and their nonoffending parents presenting to a cognitive-behavioral group treatment. A cluster analysis using child- and parent-report measures revealed four profiles, including Subclinical, Highly Distressed, Problem Behaviors, and Self-Reported Distress clusters. Hierarchical linear modeling was used to create separate child- and parent-report models of weekly symptomatology to examine differential change over the course of treatment. Contrary to expectation, there was little variation in the weekly rates of change for the different symptom groups; however, all groups evidenced a decrease in symptoms over the course of treatment, including the Subclinical cluster.     

The Use of Psychiatric Medication,Human Capital,and the Amplification of Mistrust

This research investigates the relationships among willingness to utilize psychiatric medication, education, and three forms of mistrust—generalized mistrust, mistrust in physicians, and mistrust in psychiatric medication. Utilizing human capital theory and two waves of the U.S. General Social Survey (N = 2,671), our findings show a curvilinear relationship between willingness to use psychiatric drugs and education, such that individuals with less than a high school diploma and those with a college or advanced degree are more willing to use psychiatric drugs compared to those with a high school degree. Also, the effects of all three forms of mistrust are amplified and have significant, negative effects on the use of psychiatric medication among college graduates. Mistrust in physicians and mistrust in psychiatric drugs matters for high school graduates, while only mistrust in psychiatric medication impacts the use of psychotropics for those with less than a high school degree.