EMPLOYER CHOICES IN EAP DESIGN AND WORKSITE SERVICES

In today's complex private healthcare market, employers have varied preferences for particular features of behavioral health products such as Employee Assistance Programs (EAPs). Factors which may influence these preferences include: establishment size, type of organization, industry, workplace substance abuse regulations, and structure of health insurance benefits. This study of 103 large employer purchasers from a single managed behavioral healthcare organization investigated the impact of such variables on the EAP features that employers select to provide to workers and their families. Our findings indicate that for this group of employers, preferences for the type and delivery mode of EAP counseling services are fairly universal, while number of sessions provided and choices for EAP-provided worksite activities are much more varied, and may be more reflective of the diverse characteristics, organizational missions and workplace culture found among larger employers in the US.     

Employment and unemployment patterns in the U.S. and Europe, 1973–1987

Employment trends in the United States and Europe are compared using Bureau of Labor Statistics data. These data set the stage for a discussion of the difference in employment growth between the U.S. and Europe. Also included are some elements that may partly explain the U.S. and European differences in job growth. In conclusion, labor market problems still remain even with the tremendous job growth in the U.S.     

Accessibility and clarity of state child welfare agency mission statements

The authors reviewed 40 mission statements guiding U.S. public child welfare practice for accessibility, clarity, and values. Nine of the 40 state-administered child welfare agencies had not posted their missions on the Web as of October 2002, and 30 mission statements required a 12th-grade or college reading level for easy comprehension. The mission statements most often expressed the goals, values, and processes of safety, permanence, well-being, family preservation, cultural competence, self-sufficiency, and partnership. Mission statements can be an important tool for improving child welfare outcomes by providing direction; therefore, agency administrators should consider how clear and accessible their state agency mission statements are.     

The gender identity of pedophiles: what does the outcome data tell us?

The aim of this study was to determine whether pedophiles have a different gender identity profile compared with non-sexual offenders. Participants were 87 male adult subjects, divided into three groups: (a) 27 pedophiles who abused male victims, (b) 30 pedophiles who abused female victims, and (c) 30 non-sexual offenders. The gender identity factor was measured with the Mf scale of the MMPI and the Bem Sex Role Inventory (BSRI). Results indicated no significant inter-group differences in terms of gender identity. However, the order of the three groups regarding scores on the Bem-Masculinity and the Mf scale was as predicted. Conceptual and empirical elements related to gender identity are addressed in order to shed light on potential disturbances in the gender identity of pedophiles.     

Singlehood

This study reports some of the results of an inquiry into objective social isolation and feelings of loneliness in a stratified sample of 556 adults (unmarried, divorced, widowed, and married men and women). Given a recent marked increase in the number of singles in the Netherlands, special attention is paid to the single respondents. The results of this study give evidence that unmarried, divorced, and widowed people are, on the average, lonelier than married people. Within the subgroup of unmarried and divorced people living alone, some men and women were found who could be described as “creative singles.” The analysis shows that “creative singles” seem to be able to cope with their situation of living alone. For example, they report few feelings of loneliness, in contrast to the situation of the rest of the group of people living alone.     

Survivors of suicide. Emerging counseling strategies

1. Effective intervention with survivors of suicide requires knowledge of the diverse sequelae of response including blame, anger, guilt, shame, search for why, and feelings of stigmatization. 2. Fearing blame and stigmatization, survivors of suicide may be reluctant to contact helping professionals. 3. Duration and intensity of bereavement is mediated by the survivors' nature of the relationship with the deceased and their perception of the preventability of the death. 4. Group counseling is an effective intervention because it addresses the issue of disenfranchised grief.     

Hard Living,Perceived Entitlement to a Great Marriage,and Marital Dissolution

Using the two waves of the National Survey of Families and Households (NSFH), we examine the effects on marital dissolution of couple's gender attitudes, perceived unfairness, marital disagreements, and relationship alternatives, exploring whether these dimensions of marriage influence marital dissolution, net of serious forms of hardship commonly noted in divorce research. With event history methods, we find that husbands’, but not wives’, perceived disagreements and alternatives are associated with higher odds of marital dissolution, though couples' marital happiness strongly mediates the effects of husbands' dissatisfaction. Wives' traditional attitudes are associated with lower odds and husbands' with higher odds of marital dissolution. We find no significant effects of unfairness perceptions on divorce. A nonviolent relationship is associated with lower odds of marital dissolution, but accumulated assets and debt and husbands' drug or alcohol abuse are not associated significantly with marital dissolution. Our analysis contributes to divorce research by demonstrating the importance of gender attitudes and low physical conflict and by showing that instances of perceived dissatisfaction might not matter for couples as much as marital happiness as an influence on divorce.     

The analytic template: Help or hindrance in the conduct of psychotherapy?

This paper explores the impact of psychoanalytic theory and practice on the conduct of psychotherapy. A brief review of the origin of the interface between the two modalities begins the discussion and case examples are used to highlight differences and commonalities. While recognizing the vast contributions made by psychoanalytic theorists to the field of psychotherapy, an attempt is made to establish an arena of legitimacy for the pursuit of psychotherapy. The role of goals is proposed as defining of the psychotherapeutic enterprise.