Is Managed Mental Health Treatment Psychotherapy?

The corporate takeover of mental health treatment has dramatically affected mental health treatment. Two essential constituents of psychotherapeutic process, the relationship between patient and therapist and the special communicative process associated with a talking treatment, have been significantly compromised. Therapists and patients are being forced to consider whether in the absence of confidentiality, self determination, and a secure treatment partnership managed mental health care can be called psychotherapy. Drawing on several detailed sessions from the managed treatment of a young woman, the writer concludes that the answer is no.     

The Opinions of Minorities About Preparing for Work: Report of the Second NCDA National Survey

A report of the 1989 NCDA survey of the perceptions of American adults of their career planning, the nature of their workplaces, and the availability of and utility of occupational information is presented. The survey, which was administered by the Gallup Organization, included an oversampling of Hispanics, African Americans, and Asian-Pacific Islanders. Although the results for all groups including Whites are presented, the emphasis is upon the perceptions of minority groups.     

Dropouts and continuers in Gamblers Anonymous: Life-context and other factors

The design, aims and rationale are outlined of a follow-up study of dropouts from Gamblers Anonymous. A cohort of those attending for the first time and dropping out after more than one meeting was contacted and the cooperators given a structured interview examining factors which may have contributed to decisions to dropout. A comparison group of continuers from the same meeting who had been totally abstinent for at least a year were given the same structured interviews. This first of four parts examines life context factors making it more difficult to maintain attendance, commitment to the treatment program, perceived pre-meeting expectations and reasons for coming, impacts of the first meeting, effects of pressures to maintain attendance and the influence of spouses.     

Statistical and Historical Analyses of Nations Which Deviate From the Size-Density Law

We examine nations which deviate significantly from the ?2/3 sizedensity slope previously observed for the aggregated political subdivisions of 98 modern nations and previously derived from the theory of timeminimization. We correct Stephan’s original list of deviant nations, demonstrate that all slopes more negative than ?2/3 were due to the erroneous inclusion of cities in the original data sets, develop a theory to account for the less negative deviant slopes, and test the theory both through statistical manipulation of current data and through analysis of available historical data.     

Perceived importance of “social goals” in business organizations

Business organizations operate within a complex socio-technical environment. Interactions between these socio-technical dimensions and the managers' personal value systems are thought to influence managerial role patterns and decisions. This paper investigates shifts in perceived importance of “social goals” from a set of organizational goals. The research concludes that there has been no significant changes occurring in either the ordering or the clustering of organizational goals.     

Determinants of sexual arousal and accuracy of its self-estimation in sexually functional males

Men with and without sexual dysfunction present with varying patterns of agreement between subjective estimates of sexual arousal and more objective psychophysiological measures of the same construct. This relative accuracy seems to be associated with sexual function, with men who have sexual dysfunction presenting less accurate estimations (mostly reporting below measured arousal levels). The purpose of this study is to clarify the processes underlying sexual arousal and the accuracy of its self-estimation. We looked at potential predictors of sexual arousal (subjective and physiological) and accuracy in estimating objective sexual arousal in a sample of 60 sexually functional males. Predictors included pre-existing sexual attitudes (erotophobia), both trait and state positive and negative affect, self-focused attention, and interoceptive awareness. Results indicate that this sexually functional sample generally reported below their own erection level. Interestingly, trait negative affect was associated with somewhat lower levels of subjective arousal and higher levels of physiological arousal. On the other hand, state positive affect facilitated both subjective and objective arousal and increased somewhat the accuracy of estimates of erectile responding. Pre-existing sexual attitudes as well as variations in self-focused attention and interoceptive awareness evidenced little effect on sexual arousal or the accuracy of its estimation.     

Sociology and political arithmetic: some principles of a new policy science

This paper advances the position that sociology needs to develop an approach to research which focuses on fundamental social problems. In doing so it shares many of the intellectual values and goals of political arithmetic while seeking to move methodologically beyond it. Since such problems are complex they will require, typically, interdisciplinary input and a concomitant approach to the development and appraisal of theories. We are not, therefore, advocating the primacy of sociology but arguing that it has a distinctive part to play in addressing the fundamental problems of the twenty-first century. However, a policy-oriented sociology has also to take up the task, so clearly defined by the tradition of political arithmetic, which is to hold governments to account. Consequently a central principle of a new policy science is that it should contribute to democratic debate about policy.