GAPS between MFT supervision assumptions and common practice: suggested best practices

This article summarizes gaps between assumptions that appear in the literature, research, and accepted standards for marital and family therapy (MFT) supervision, and the common practice of supervisors. Issues that stem from these gaps are highlighted and recommendations are made for closing them. In an effort to refine the standard of practice for MFT supervision, best practice recommendations are offered for MFT supervision.     

Beyond enmeshment: evidence for the independence of intrusiveness and closeness-caregiving in married couples

In a 1996 article on family theory, we (Green & Werner) proposed that family enmeshment should not be equated with high cohesion and that the construct of enmeshment fails to discriminate between two distinct relationship processes: Closeness-caregiving and intrusiveness. In this study, our model of these two independent dimensions of family connectedness was tested by assessing spouses from 264 couples, using the California Inventory for Family Assessment (CIFA). The CIFA scales showed acceptable reliability. Significant interspouse validity correlations also were obtained. As predicted by our theory, factor analyses distinguished dimensions of intrusiveness (blurring of boundaries) from dimensions of closeness-caregiving (such as warmth and nurturance). On all but two factors, behaviors of only one spouse (but not of both) had interpretable loadings. That is, in most areas, the two spouses' behaviors did not load together to form meaningful factors. The latter finding suggests that family systems theory--with its central notion of reciprocally contingent behaviors between family members--may be useful in understanding only a few dimensions of spouses' behavior (such as reciprocal aggression) whereas personality-in-context theories may be better for understanding most other dimensions (such as warmth and nurturance).     

Work stress and musculoskeletal disorder etiology: The relative roles of psychosocial and physical risk factors

The intense battles preceding the recent promulgation of OSHA's Ergonomics Program Standard serve as a case study demonstrating the growing understanding that MSD causation, development, and exacerbation are the result of the combined contribution of (and possibly interaction between) a wide range of biomechanical and psychosocial stressors. The best designed studies, those that adequately measure both biomechanical and psychosocial exposures, strongly support this hypothesis. Work stress is one of the results of this stressor combination and is part of the physiological pathway to MSDs and a wide range of other occupational diseases. Prevention efforts geared to a single or single class of exposure may be only partly effective, ineffective, or even counter productive. The most effective control strategies are rooted in on-going, participatory ergonomics programs, incorporating a joint labor/management ergonomic team; this blueprint for intervention necessarily addresses the roots of both physical and psychosocial work stress experienced by workers.     

The power of outcomes: FOTO Industrial Outcomes Tool -- Initial assessment

OBJECTIVE: To demonstrate how outcomes assessment can assist in describing clients receiving rehabilitation in occupational health rehabilitation clinics and to describe the preliminary assessment of internal consistency reliability and construct validity of the FOTO Industrial Outcomes Tool. METHODS: 266 adults referred for acute work rehabilitation (AWR), work conditioning/hardening (WC/WH) or a Functional Capacity Evaluation (FCE) comprised the data set. Clients were treated between July 1998 and January 1999 in 15 clinics from 6 states by 46 clinicians participating in the Focus on Therapeutic Outcomes (FOTO) national rehabilitation database beta test. For AWR and WC/WH, clients completed a health status questionnaire on intake and discharge, and health status was assessed prior to the FCE. Comprehensive demographic data were collected describing the clinics, clinicians, clients and work status collected 2 weeks following discharge. RESULTS: Internal consistency reliability coefficients for the health status scores ranged from 0.57 to 0.89. Construct validity was supported. CONCLUSION: Results demonstrate the power of collecting outcomes from a variety of constructs for clients receiving industrial rehabilitation services. Initial reliability and construct validity findings were adequate and support continuing data analyses.     

Neighborhood disadvantage, stress, and drug use among adults

This paper explores the relationships among neighborhood disadvantage, stress, and the likelihood of drug use in a sample of adults (N = 1,101). Using the 1995 Detroit Area Study in conjunction with tract-level data from the 1990 census, we find a positive relationship between neighborhood disadvantage and drug use, and this relationship remains statistically significant net of controls for individual-level socioeconomic status. Neighborhood disadvantage is moderately associated with drug related behaviors, indirectly through increased social stressors and higher levels of psychological distress among residents of disadvantaged neighborhoods. A residual effect of neighborhood disadvantage remains, net of a large number of socially relevant controls. Finally, results from interactive models suggest that the relationship between neighborhood disadvantage and drug use is most pronounced among individuals with lower incomes.     

Sticks,Stones and Semantics: The Ivory Tower Bully's Vocabulary of Motives

This ethnography focuses on the techniques of normalization used by university professors who are accused by their colleagues of bullying behavior. We examine how the organizational structure and institutional values of the university provide protective coloration for academic intimidation and discourage both the detection and effective labeling of such behavior. In noting that attempts to label bullying behavior frequently fail because the judgments are seen as mere matters of opinion in an environment whose principal currency of exchange is opinion itself, we modify and extend Sykes and Matza's discussion of neutralization techniques to academic settings. While we cannot speak to the presence or absence of guilt feelings on the part of alleged academic bullies, or to whether neutralization techniques successfully assuage such feelings, we can nevertheless discern the operation of these techniques to resist the imputation of unflattering social identities and/or to lay claim to public identities that are highly esteemed within the academy. Moreover, we identify three additional techniques of normalization that are employed by alleged ivory tower bullies: appropriation and inversion, in which accused bullies claim victim status for themselves; evidentiary solipsism, in which alleged bullies portray themselves as uniquely capable of divining and defining the true meaning-structure of events; and emotional obfuscation, which takes the form of employing symbols and imagery that are chosen for their perceived ability to elicit an emotional response on the part of an academic audience.     

"It's not cricket": colonial legacies and contemporary inequalities

Cricket has been historically significant in defining notions of English national identity and continues to feature in debates over the inclusion/exclusion of immigrants in British society. British-African-Caribbean players are well represented in the English game but participation appears mediated by ethnic group membership. This contemporary pattern can only be understood when contextualized within the historical development of cricket in the Caribbean and, in particular, the struggles between whites and blacks and between the white elites. Over-representation in certain cricketing roles has been an ever-present feature of this negotiation; contemporary inequality is, therefore, largely a consequence of the legacy of British Imperialism.