Aetiology of anorexia nervosa in Hong Kong: a social work qualitative inquiry

This paper reports the results of a qualitative inquiry into the aetiology of anorexia nervosa in Hong Kong. These results are part of our main research project about family treatment and families with a daughter suffering from anorexia nervosa. This present qualitative study adopts a multiple case study approach (n = 8) and employs a multiple‐source data collection method, involving pre‐ and post‐family treatment interviews, clinical observations of the participants during the treatment sessions and home visits, as well as detailed field notes. The findings indicate that there are biological, psychological, socio‐cultural and familial interpretations of the aetiology of anorexia nervosa. This study challenges the dominant discourse on anorexia nervosa in Hong Kong, which states that the root of the disease lies in a desire for slenderness and beauty, and suggests instead that the aetiology of anorexia nervosa can be discovered only if approached from the systems level. Implications for social work practice are highlighted.     

From child rescue to family protection: The evolution of the child protective movement in the United States

The child protective movement, an offshoot of animal protective work, initially adopted a punitive, law enforcement emphasis. Under the leadership of the Massachusetts Society for the Prevention of Cruelty to Children, anti-cruelty work took on a broader focus based on prevention rather than punishment. The new approach stressed the need to maintain and enrich family life through broad social supports, relying on family casework and social reform. “Normal family life,” a vaguely denned but firmly middle-class notion, was established as the ideal to which social agencies should subscribe in their drive to protect children and insure an orderly society. Child protection, formerly isolated from the child welfare movement, gradually became a part of it.     

The child and adolescent social perception measure

Tests currently available for measuring children's sensitivity to nonverbal aspects of communication have been criticized on methodological and conceptual grounds. The Child and Adolescent Social Perception Measure (CASP) was developed to meet the need for a clinically useful measure which examines social perception within a semi-naturalistic context. The CASP consists of 10 videotaped scenes, each of which lasts 19–40 seconds. The verbal content was removed through electronic filtering so that the ability to receive and interpret nonverbal social cues could be measured without bias from verbal cues. Children are shown the scenes and then questioned about the emotions portrayed. Based on standardization with 212 children and adolescents ages 6 to 15 years old, reliability (interrater, test-retest, internal consistency) and initial validity information are reported.Portions of this paper have been presented at the Congress of the World Federation of Occupational Therapists, London, England, 1994, and at the joint conference of the Canadian and American Occupational Therapists, Boston, 1994.We acknowledge funding from the Glenrose Rehabilitation Hospital Research Grants Program. We thank each of the actors and actresses who generously volunteered their time to produce the videotape; the students and teachers in the schools who participated in the collection of the normative data; and the research assistants who worked many hard hours to make this all possible (Janet L. Smith, Kara Ryan, Dixie McLean, Kate Murie, Taslim Pardhan).     

Conditions Facilitating Participatory-Democratic Organizations*

This paper examines “alternative institutions” in a variety of institutional domains as participatory-democratic modes of organizution. Grounded in comparative data, it posits structural conditions, both internal to an organization and in its environment, which support or undermine the achievement of its collectivist-democratic ideals. While the literature on social movement organizations well demonstrates the fragility of democratic systems and their tendency toward oligarchization, goal displacement, and organizational maintenance, this work suggests, in propositional form, conditions which militate against these all-too-common transformation patterns.     

Educational needs of inpatients with severe & persistent mental illness: a partial replication

Although a great deal has been written about the importance of patient education, few replications of past research have been conducted to increase clinicians' confidence in the conclusions of previous studies. This is especially true of studies conducted in clinical settings where findings may or may not be generalizable to other institutions. This partial replication study tested whether previous findings about patient education in an outpatient setting were applicable to an inpatient setting using a modified version of the instrument. A 1998 study published in this journal suggested that differences may exist between the perceived health education needs of outpatients and their health care providers. In this partial replication, we examined the differences between the educational needs of inpatients and those perceived by their attending nurses. As in the original study, we found discrepancies between patients' actual needs and nurses' perceptions of those needs, supporting the importance of assessing patients' health educational needs in the treatment planning process.     

Effects of mediator competence and mediation process on user satisfaction with child custody,finances, and property outcomes

This study draws on survey data from 205 family mediation service users concerning their satisfaction with the outcomes of mediation to address two research questions: (a) how satisfied are service users? and (b) what factors account for users' satisfaction with the outcome of child custody arrangements and the allocation of finances and property? Overall, users' level of satisfaction with outcomes was high. While the mediation process explained a significant variance in satisfaction with the outcomes for child custody and for finances and property, the mediator's perceived professional competence did not predict user satisfaction with the outcomes for either issue. This study contributes to our knowledge on the significance of mediators' process skill, specifically their calm and clear responses to the socioemotional needs of the mediated parties, on the service outcomes for both types of dispute. The implications for mediation training are discussed.