Political attitudes, social participation and social mobility: a longitudinal analysis

It is often suggested that the political attitudes and social participation which have underpinned the welfare-state democracies have depended on large amounts of upward social mobility. The demographic heterogeneity of the service class, according to this view, induced in them a willingness to lead a common political project seeking to establish a common social citizenship. As the amount of upward mobility stagnates or even begins to fall, it has then further been claimed that there might emerge a degree of ideological closure in the service class that might erode their commitment to civic values. The 1958 British birth cohort study is used to investigate this question. Longitudinal data are invaluable here because they allow us to distinguish between two hypotheses: that upward mobility as such has induced in the service class certain attitudes and propensities to participate, or that the more important influence is the early socialization through which upwardly mobile people went. The conclusion of the analysis is that, although the civic values of the service class have not depended on upward mobility, this is much more true of cognitively able people than of others, and so is dependent on the somewhat meritocratic basis of selection into the salariat.     

Patient Compliance and the Role of the Expert

The failure of patients to follow recommendations made to them by health experts usually represents a hazard to the patient's health, a waste of health resources, and a source of frustration to the health expert. Many studies of such failure lead to the conclusion that every patient should be considered as potentially "non-compliant." The most promising site for intervention is in the expert-patient interaction. Viewing compliance as a property of the transaction between expert and client, it is appropriate to see the responsibility for establishing compliance as shared between expert and client. From this viewpoint, several models of the expert-client relationship are reviewed. Three areas of responsibility can be assigned to experts—exploring the individual patient's situation fully; anticipating the patient's difficulties in following recommendations; and communicating information in a way that will maximize its effectiveness. Recognition of these responsibilities will have numerous consequences for those who teach health professionals and for psychologists engaged in the study of communication processes.     

Teaching Note—Incorporating Journal Clubs Into Social Work Education: An Exploratory Model

This article outlines the implementation of a journal club for master's and doctoral social work students interested in mental health practice. It defines educational journal clubs and discusses the history of journal clubs in medical education and the applicability of the model to social work education. The feasibility of implementing journal clubs in a school of social welfare is highlighted. The journal club received high ratings on student evaluations indicating participants thought it was a valuable addition to their education. Journal clubs align with the program mission and goals of the Educational Policy and Accreditation Standards (EPAS) set forth by the Council of Social Work Education (CSWE), and they can be an affordable, easily implemented, and sustainable supplement to traditional research curricula.     

Building the Unsettling Force: Social Workers and the Struggle for Human Rights

Community organizing for human rights provides a platform for social workers to be actively engaged in dismantling systems of oppression. Using a case study of Women In Transition, this article emphasizes strategies for organizing for economic human rights, including opportunities and challenges in using the human rights framework. Recommendations and implications for the social work profession are discussed.     

A brief telephone interview to identify lesbian and bisexual women in random digit dialing sampling

Lesbian health research has most often relied on nonprobability samples that are biased and restrict generalizability. Random sampling could reduce bias, but requires development of a method for fast and reliable screening of a large number of women. We tested the feasibility of using a brief telephone interview to assess sexual attraction, behavior, and identity. Using Random Digit Dialing in a neighborhood of Boston with a high density of lesbian residents, we interviewed 202 women aged 18 to 59. Of the respondents, 33% reported some sexual attraction to other women, 20% reported sex with women since age 18, and 14% identified as a lesbian. The high level of cooperation with the study among eligible women (94%) and the high proportion of women who disclosed homosexual attraction, behavior, or identity show that it is feasible to use a brief screening questionnaire about sexuality of women over the telephone even without building special rapport with the respondents.     

Establishing the Validity of the Affirmative Training Inventory: Assessing the Relationship between Lesbian,Gay, and Bisexual Affirmative Training and Students’ Clinical Competence

This study established the validity and factor structure of the Affirmative Training Inventory (ATI; T. S. Carlson, C. R. McGeorge & M. Rock, unpublished) as a measure of lesbian, gay, and bisexual (LGB) affirmative clinical training. Additionally, this study examined the latent associations among the subscales of the ATI and the Sexual Orientation Counselor Competency Scale ( Bidell, 2005 ) utilizing a sample of 248 master’s and doctoral couple and family therapy students. The findings from this study provide empirical support for the relationship between specific classroom‐related content associated with LGB affirmative therapy and students’ perceptions of their own ability to work competently with LGB clients. This study also found a positive association between the degree to which couple and family therapy programs adopt a LGB‐affirmative stance and students’ beliefs, knowledge, and skills associated with competent therapy with LGB clients.     

Towards a minor global architecture at Lamu,Kenya

Major accounts of globalisation from a built environment perspective bring global cities and celebrity architects into focus. In this paper, I resist this and give an account of globalisation from the perspective of one of its minor architectures. A minor architecture is not a minor architectural language, but rather one that a minority constructs within a major language, encoding it differently and subverting its prevailing myths. The paper investigates this proposition by focusing on Lamu, the historic Islamic seaport and World Heritage Site on the northern coast of Kenya where a skirmish between local, national and global interests is currently underway over the construction of a new deep-water port. The port is a building site, not only of one of globalisation’s major architectures – a port, free economic zone and transportation corridor, but also of one of its minor ones, taking shape through the strategies Lamu’s organisations are deploying to object it. Through the analysis of Lamu in the longue durée – its coastal geomorphology and historic spatial protocols, I read these strategies as contemporary deployments of those long put to work at Lamu, through which land- and sea-based logics have been entangled.     

Mental Disorders Among Non-Elderly Nursing Home Residents

Many Medicaid beneficiaries aged 22 to 64 with serious mental illness may be admitted to nursing facilities rather than psychiatric facilities as a result of Medicaid policies prohibiting coverage of inpatient psychiatric care in institutions of mental disease while requiring states to cover nursing facility care. Using nationwide Medicaid Analytic Extract claims from 2002, we found that nearly 16% of nursing home residents aged 22 to 64 had a diagnosed mental disorder, while 45.5% received antipsychotic medication, but these rates varied widely across states. Further research is necessary to determine whether, among the nation's youngest nursing home residents, care in nursing homes is potentially substituting for care in institutions for mental disease or community-based settings.     

The Emergence and the Effects of Therapeutic Factors in Groups

ABSTRACT

This article explores the emergence of therapeutic factors in domestic violence men's group, as well as their effects on participants and the group. The authors conducted semistructured interviews with 72 men from groups in Quebec, after their fourth session. Thirty-eight of these men were met again, following their 16th session. A critical incident technique permitted us to identify various therapeutic factors. Three key factors are discussed: imparting information, hope, and cohesion. The authors found different processes influencing their development, particularly the roles of the worker, other members, and the group as a whole. These factors helped members meet their objectives and by their interdependency also contributed to group development. The authors made links with mutual aid and identified implications for research and practice.