The self-image in the therapeutic dyad: A case example of mutual growth

The therapeutic relationship is seen as a mutual experiencing of self and other which is growth-promoting for the therapist as well as the patient. Work with a borderline woman during a period of two years evoked strong countertransference reactions in the therapist who, at times, experienced the patient as a mirror. A beginning sense of cohesion in the patient's highly fragmented sense of self found a parallel in this beginning therapist's developing professional identity.     

Dying in jail: The phenomenon of adolescent suicide in correctional facilities

Adolescent suicide is increasing in the United States and the incidence of suicide gestures and attempts in juvenile correctional facilities is high. The attitudes of correctional staff toward adolescents and toward suicidal behavior may contribute to the increase. Suicide is often the outcome of a progression of problems that have isolated the adolescent from meaningful social relationships. Correctional staff must be aware of the phenomenon of adolescent suicide and be given training to deal with it effectively within the institution. Institutional staff have commonly seen suicide gestures or attempts as acting out behavior rather than a symptom of low self-esteem or inability to cope with institutional placement. This discussion examines the phenomenon of adolescent suicide and the impact the juvenile justice system has on its occurrence. It will also include an examination of interdisciplinary interventive strategies which can be used in an institutional setting.     

Health in household context: living arrangements and health in late middle age

People living in some arrangements show better health than persons in other living arrangements. Recent prospective studies document higher mortality among persons living in particular types of households. We extend this research by examining the influence of household structure on health using longitudinal data. We theorize that individuals experience role-based household relations as sets of resources and demands. In certain household structures, individuals are more likely to perceive that the demands made on them outweigh the resources available to them. This perceived imbalance poses a risk to individual health. We test our expectations by analyzing the relationship between living arrangements and health using data from waves 1 and 2 of the Health and Retirement Study. We focus on persons ages 51-61 and explore gender differences. We find prospective links between household structure and self-rated health, mobility limitation, and depressive symptoms. Married couples living alone or with children only are the most advantaged; single women living with children appear disadvantaged on all health outcomes. Men and women in other household types are disadvantaged on some health outcomes. Our results suggest that the social context formed by the household may be important to the social etiology of health. In addition, they qualify the well-known link between marital status and health: The effect of marital status on health depends on household context.     

Changes in functional limitation and survival among older Taiwanese, 1993, 1996, and 1999

Using data from the Survey of Health and Living Status of the Elderly in Taiwan, we investigate changes in difficulties in walking and climbing stairs, tasks that represent basic lower-body movements less likely to be influenced by changes in environment and social roles than are activities and instrumental activities of daily living. Results are shown for unadjusted prevalence rates and rates adjusted for changes in population composition. The findings indicate that Taiwan does not appear to be experiencing the improvements in functioning witnessed recently in the United States. Prevalence of functional limitation increased between 1993 and 1996 and between 1996 and 1999. One possible reason is the change in old-age survival, which appears to have benefited those who have functional limitations, especially in a severe form. The Universal Health Insurance programme, established in 1995, may have increased access to care and thus the survival of those in poorest health.     

给老外提建议的窍门

案例：主动提出建议 两年前的一次聚会中，笔者结识了来自新西兰的David。David为人很腼腆也很友善。闲聊中，我（何震）得知他是公安大学英语课的外籍教师，而我本人的本科四年就是在“公大”度过的。David谈到，像国内的其他学生一样，除非是课后一对一的私下交流，否则课堂上学生们一般不太愿意主动发言，也不愿意提问和主动参加各种讨论，他为此颇伤脑筋。这时我突然有个想法：“我要验证一下，如果我主动给David提出建议，他的反应将会是什么？是感到自己被冒犯而气愤？还是不以为然或者欣然接受？”     

Have we come a long way? Using the Survey of Labour and Income Dynamics to revisit the ‘pin money’ theory

Canada has experienced a lengthy period of economic recovery, since the recession of the early 1990s, and many families’ standard of living has improved. I evaluate the ‘pin money’ hypothesis of the feminist scholarship, which is closely linked to what economists often refer to as an ‘added worker effect’. An improved economy may generate incentives for some married women in various occupations to make significant alterations to their labour market connections. Panel data are used to examine the effects of changes to women's hours, for example, whether some respondents opt out or reduce their hours given the rising incomes of economic partners. The methodology involves the use of two panels of the Statistics Canada, Survey of Labour and Income Dynamics and a random effects probit model to estimate various participation equations of labour decisions over time within a household context. While the findings indicate that a small percentage of married female respondents have reduced their hours, there is stronger evidence that women's contributions to household income appear to be essential to family survival.     

Reading Skills in Children with Multichannel Cochlear-lmplant Experience

Forty children with prelingual, profound deafness who received the Nucleus multichannel cochlear implant between the ages of 2 and 13 years participated in this study. The children had an average of 63.3 months (SD=24 months) of experience with their cochlear implants. A majority of the children used simultaneous communication and attended public-school programs at the time of testing. Reading achievement was assessed using the Paragraph Comprehension subtest of the Woodcock Reading Mastery Test-Revised, Form G (1987). This study compared the reading-achievement levels of this group of cochlear-implant users with the results of previous studies of children with profound hearing losses who did not have the benefit of cochlear implants. Results indicated that nearly one half of the children in this study were reading at or within 8 months of their grade level. The reading-grade quotient of .74 was calculated based upon the slope of the regression line for the plot of years in school and reading grade-level achieved. This finding indicates that using a cochlear implant has a positive effect on reading achievement level.     

Project agreements and government procurement

I discuss the recent proliferation of mandatory project labor agreements in government procurement, some of the ensuing litigation, and the effects of such agreements on contractors, workers, and the public.