Small Is Beautiful? Emerging Organizational Strategies among Italian Professionals

The traditional debate about professional groups has mainly focused on conflicts between professions and organizations, reinforcing dualisms and dichotomies. Few scholars have investigated the extent to which professionalism and organizations are intertwined while focusing on the case of professionals integrated into large organizations, and even less attention has been paid to emerging forms of organization among self‐employed professionals. Taking as an example organizational trends among architects (liberal professionals) and management consultants (emerging professionals) in Italy, this article investigates how small, flexible, and (often) interprofessional organizations promoted by self‐employed professionals are increasingly instrumental in overcoming market pressures and responding to emerging social needs in times of crisis and austerity.     

Health Outcomes in Individuals with Problem and Pathological Gambling: An Analysis of the 2014 North Carolina Behavioral Risk Factor Survey System (BRFSS)

Problem and pathological gambling refers to subclinical and clinical levels of maladaptive gambling, respectively, and is associated with specific sociodemographic characteristics as well as a number of poor health outcomes. We examined such demographic, physical health, mental health, and health-related behaviors in a sample of 7045 low-risk gamblers and 244 problem/pathological gamblers. Participants completed the 2014 North Carolina Behavioral Risk Factor Surveillance System telephone survey. Using the National Opinion Research Center’s Diagnostic Screen for Gambling Disorders-CLiP, participants were categorized as either “problem/pathological gamblers” or “low-risk gamblers.” Problem/pathological gamblers were younger, more likely to be male, of ethnic minority status, unmarried, and of lower education than low-risk gamblers. No physical health variables differentiated the groups but problem/pathological gamblers reported experiencing significantly more adverse childhood experiences and engaging in significantly more tobacco and alcohol use compared to low-risk gamblers. Moreover, gender moderated relationships between gambling group and several of the alcohol use variables such that male problem/pathological gamblers exhibited greater alcohol use behavior than male low-risk gamblers but no such relationship was present in females. Overall, this study expands the current knowledgebase on disordered gambling and highlights the need to assess disordered gambling in public health samples. Clinical implications are discussed.     

Relabelling in Bayesian mixture models by pivotal units

Label switching is a well-known and fundamental problem in Bayesian estimation of finite mixture models. It arises when exploring complex posterior distributions by Markov Chain Monte Carlo (MCMC) algorithms, because the likelihood of the model is invariant to the relabelling of mixture components. If the MCMC sampler randomly switches labels, then it is unsuitable for exploring the posterior distributions for component-related parameters. In this paper, a new procedure based on the post-MCMC relabelling of the chains is proposed. The main idea of the method is to perform a clustering technique on the similarity matrix, obtained through the MCMC sample, whose elements are the probabilities that any two units in the observed sample are drawn from the same component. Although it cannot be generalized to any situation, it may be handy in many applications because of its simplicity and very low computational burden.     

Making the most of your time: Clinical social work with a borderline patient

If the therapist is to avoid feeling helpless bewildered, and disorganized in response to patients with Borderline Personality Disorder, it is essential that he or she understand as fully as possible the behavior, defenses, and developmental history commonly associated with this syndrome. This paper examines both the diagnostic and the treatment issues from an object relations perspective, including the contributions of social work concepts. A case example is offered.This paper was delivered at the 23rd Annual Meeting of the International Conference for the Advancement of Private Practice, August 1984, in Banff, Alberta, Canada.     

'If you could change one thing...' What community-based researchers wish they could have done differently

Community-based research (CBR) is rapidly gaining recognitionsas an important tool in addressing complex environmental, healthand social problems. CBR attempts to marry community developmentwith knowledge generation. However, little is known about theCanadian CBR context. This paper reports on the analysis ofan element within a web-based survey to investigate the statusof CBR in Canada. The survey included 25 questions. This paperfocuses on responses to one open-ended question (Q20): ‘Ifthere was one thing you could change about [your last CBR] project,what would it be?’ A content analysis approach guidedanalysis and responses were coded into main theme and subthemes.Our collective reflections offer other CBR practitioners anopportunity to more effectively plan future partnerships.     

Kuznets Prize for Makoto Hirazawa and Akira Yakita

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Kuznets Prize for Makoto Hirazawa and Akira Yakita     

Examining the Incidence and Clients’ Experiences of Single Session Therapy in Italy: A Feasibility Study

Single session therapy (SST) postulates that one session can be sufficient for a client to take charge of the process and work toward their own solutions. Research has been conducted worldwide corroborating SST assumptions with several mental health conditions, but not in Italy. For the first time in Italy, this paper aims to explore: (1) if the most frequent number of sessions in traditional psychotherapy (not SST) is one (Study 1); and (2) the satisfaction of clients who attend SST services and the number who consider one session sufficient to address their presenting problem (Study 2). In Study 1, the records of 476 voluntary clients referred to three different traditional (not SST) psychological services in the west-central region of Latium, Italy, were retrospectively screened, and the number of sessions attended by each client recorded. In Study 2, 85 consecutive clients who voluntarily asked for SST with seven mental health professionals across Italy received a link to an online ad hoc survey, 1–3 weeks after the consultation, evaluating their experience. Study 1 found that the most frequent number of traditional psychotherapeutic (not intentionally SST) sessions was one (124 out of 476 clients (26%). Study 2 found that 44 out of 85 clients (52%) considered one session to be enough, as they felt better or much better and chose not to attend further sessions. Of those who asked for a second session (41 clients), 33 clients (80.5%) indicated that the first session was not enough and 8 clients (19.5%) wanted to address a new problem. These results converge with previous international studies and provide encouragement for the use of SST in both private and public psychological services to address the demand for timely mental health services in Italy. Further research is needed to support the efficacy of SST and to evaluate its cost-effectiveness.     

Self-Generated Motives for Not Gambling Among Young Adult Non-gamblers

Motivational models have been shown to usefully describe reasons for engaging in addictive behaviors including gambling disorder. Although most scales designed to measure motives have been derived statistically, self-generated open-ended responses have also shown utility for identifying unique motives for gambling. While the motivational structure for gambling disorder has been extensively explored, there has been a paucity of research examining motives for choosing not to gamble. This is not the case for other addictive behaviors such as alcohol use where motives for abstaining from drinking have been well defined. The primary goal of this study was to qualitatively explore and identify motives for not gambling in a sample of young adult non-gamblers using open-ended responses. A sample (N = 196) of undergraduate current non-gamblers, defined as no gambling activity over the previous 12 months, completed a series of questionnaires on demographics, gambling behavior, and alcohol consumption. Furthermore, they were asked to provide their top three reasons for not gambling in rank order. The results revealed eight specific motives for why participants chose not to gamble: ‘financial reasons and risk aversion’; ‘disinterest and other priorities’; ‘personal and religious convictions’; ‘addiction concerns’; ‘influence of others’ values’; ‘awareness of the odds’; ‘lack of access, opportunity, or skill’; and ‘emotional distress’. Personal and religious convictions reasons were also related to lifetime non-drinking, suggesting that these motives are associated with decreased addictive behaviors in general. Ultimately, these results may help to inform the design of prevention strategies for gambling disorder.