The particular challenges of being adopted

The authors propose that constructivism provides a theoretical framework suitable for the complexities of contemporary social work practice. The specific focus is on the areas of confluence of cognitive‐behavioral and psychodynamic theory and technique. Building on their earlier work on psychotherapy integration, the authors extend their notion of “starting where the client is,” is in fact a constructivist concept, critical to the meaning‐making process. Through the use of case vignettes and a select review of the literature from both the psychodynamic and cognitive‐behavioral traditions, the importance of the active participation of both the client and the therapist are demonstrated. The use of the therapeutic relationship is highlighted in both the psychodynamic and cognitive‐behavioral perspectives, as is the social context of the client.     

Estimating the concordance probability in a survival analysis with a discrete number of risk groups

A clinical risk classification system is an important component of a treatment decision algorithm. A measure used to assess the strength of a risk classification system is discrimination, and when the outcome is survival time, the most commonly applied global measure of discrimination is the concordance probability. The concordance probability represents the pairwise probability of lower patient risk given longer survival time. The c-index and the concordance probability estimate have been used to estimate the concordance probability when patient-specific risk scores are continuous. In the current paper, the concordance probability estimate and an inverse probability censoring weighted c-index are modified to account for discrete risk scores. Simulations are generated to assess the finite sample properties of the concordance probability estimate and the weighted c-index. An application of these measures of discriminatory power to a metastatic prostate cancer risk classification system is examined.     

Voluntary and nonvoluntary childlessness: personality vs. structural implications

"A 'deviant behavior' interpretation of childlessness has led many researchers to view this phenomenon as psychosocial in nature. Married persons who decide to remain childless are seen as having a unique set of personality and behavioral characteristics that go beyond the simple decision not to have children. An alternative explanation for these differences could center around the structural factor of childlessness per se, in that a family with one or more children may be a totally different social system than the dyadic-type relationships which comprise the childless couple. This paper reports research findings from an empirical test of the extent to which a national sample of [U.S.] respondents who are members of voluntary or nonvoluntary childless couples differ in terms of 12 psychosocial characteristics selected either on the basis of past research findings, or predicted on the basis of these findings....Findings showed that the two groups of respondents did strongly differ, but in ways opposite to those predicted on the basis of past research. An argument is presented that these strong, but contrary findings might be better explained by structural, as opposed to psychosocial, factors."     

Business Coach – nicht nur fürs Business

In many organizations business coaching is one of the favorite personnel development tools. The focus is clearly on economical targets. In these days, however, this is not enough to accompany managers successfully. The results of a qualitative empirical study show that not only business related topics but also relevant personal topics of a manager should be integrated into a coaching process to ensure lasting work improvements as well as any necessary individual development.     

Integrating Social Work Perspectives and Models with Concepts,Methods and Skills with Other Professions’ Specialized Approaches

In this article, the authors encourage social work practitioners to identify with and adopt distinctive social work perspectives and practice models rather than solely embrace models or approaches developed by and for other professions. We do so because these perspectives are most responsive to our professions’ mission of social justice and social purpose of paying equal attention to people and their environments. For heuristic purposes, we present and illustrate the ecological perspective and life modeled approach. Since no social work model or approach can take into account every type of life stressor, event and condition, we demonstrate how we can borrow and integrate specialized concepts, methods and techniques from other profession’s approaches. The authors identify five characteristics which borrowed content should meet in order to integrate well with social work models. Accordingly, concepts, methods and skills from a few approaches have particular relevance for social work direct practice: Cognitive-Behavioral Therapy; Motivational Interviewing; Narrative Therapy and Solution-Focused Practice. Moreover, the authors present and illustrate the process of borrowing and integrating concepts, methods and skills from other professions to deepen social work practice.     

Influence at Work: A 25-Year Program of Research

Organization of any kind, from prehistorichunting societies to companies working through theworldwide web, operate with a distribution of influenceand power among their members. This distribution of influence has consequences at three levels: forthe people working in the organization, for theorganization itself, and, from time to time, for membersof society outside the organization. A series of action- and policy-oriented projects on thedistribution of influence were developed by or incollaboration with the Centre for Decision MakingStudies of The Tavistock Institute over a quarter of acentury. They started with a seven-country comparativeresearch on top management decision making, followed bytwo 12-country studies on Industrial Democracy and a5-year longitudinal program in seven companies in three countries. These and two longitudinalprojects in Britian, one on a motor car manufacturer andthe other on an airport, used a similar conceptualframework. The article draws on the evidence from this program of work, describes the evolvingtheoretical model and concludes that organizationalinfluence sharing appears to have made only limitedprogress during the last 50 years. Four explanations are put forward: overidealistic expectations;a tendency to ignore the need for certain necessaryantecedents, like competence; a tendency to act as ifinfluence sharing is not subject to contingencies like the nature of tasks; and probably mostimportantly, the almost universal tendency to designinfluence sharing measures through uncoordinatedmechanistic social engineering.