Mental illness etiology beliefs among African American men with serious mental illness and their social support networks

Semi-structured qualitative interviews were conducted with 26 African American men with serious mental illness who were consumers of community mental health services and 26 members of their social support networks. All participants were asked what they believed had caused the consumers’ mental illness. Consumer participants most commonly identified chronic life stressors as a causal factor, while social supports most often identified intrinsic factors such as genetics or biology as causes of mental illness. Some support participants believed that unintentional drug use had precipitated the onset of mental illness or had no causal theories. The fact that some support participants could not identify a causal explanation may indicate failure on the part of mental health care systems to engage with consumers’ social support networks and provide education about mental illness and its causes. The implications of etiology beliefs on mental health service utilization are discussed.     

Competing Values Framework: A useful tool to define the predominant culture in a maternity setting in Australia

Objective

To identify the predominant culture of an organisation which could then assess readiness for change.

Digital Inequality and Place: The Effects of Technological Diffusion on Internet Proficiency and Usage across Rural,Suburban, and Urban Counties*

Recently researchers have made efforts to reconceptualize digital inequality into discrete levels. These levels reflect access to and diffusion of technologies, proficiency in Internet usage, and propensity to take advantage of the opportunities afforded by information and communication technologies for assistance in daily life. We assess the utility of this approach for studying digital inequality across rural, suburban, and urban counties. Based on data from a 2005 nationally representative random sample telephone survey of 2,185 adults, the results provide mixed support for using this approach to studying digital inequality. In particular, we find that rural residents use Internet technologies less for assistance in helping with economics and other daily activities when compared with individuals from suburban and urban areas; however, our results suggest that this relationship is the product of the slow diffusion of advanced technologies to rural areas. The implications of these findings for understanding this under‐theorized form of inequality are discussed, and we make contributions to this literature through empirically addressing issues of digital capital.     

Are Female Executives Over‐represented in Precarious Leadership Positions?

We use a sample of CEO appointments at US corporations over the years 1992–2004 to test the 'glass cliff' hypothesis, which posits that females are appointed to leadership positions at firms that are in a precarious financial condition. Our analysis utilizes three measures of stock-price-based financial performance and two distinct control samples of appointments of males to the CEO position. We find that corporate performance preceding CEO appointments tends to favor females, implying that females (males) are appointed to the CEO position largely at times when the firm is in relatively better (worse) financial health. Disaggregating the data by appointments in up versus down markets, at high-risk versus low-risk firms, and by calendar time yield similar conclusions. There appears to be no glass cliff facing female CEOs at US firms. Our findings suggest a need for additional research to identify where and for what types of positions this phenomenon is prevalent.     

Couples’ Communication About Financial Uncertainty Following the Great Recession and its Association with Stress,Mental Health and Divorce Proneness

Economic uncertainty is typically stressful and conflict-inducing for couples. The findings from the current study, however, suggest that economic uncertainty can also strengthen marriages. The sample included 82 Latino and Caucasian married couples. The couples engaged in a stressful conversation about their economic uncertainty in the wake of the Great Recession. Many of the couples were resilient and even grew from their experiences with the recession. The couples’ resilience and risk when talking about financial uncertainty and stress were revealed in four communicative pathways: unifying, thriving, pragmatic and at-risk. These communicative patterns predicted self-reported and physiological stress, mental health indices and divorce proneness. In general, unified/thriving couples had higher levels of psychological well-being and less self-reported stress, anxiety, and divorce proneness compared to pragmatic and at-risk couples.     

International Adoption: Counseling and the Adoption Triad

Despite a 60-plus–year history of international adoption (IA) placements, the body of research exploring counseling and psychological interventions for those affected by IA is still in its infancy. This critical review of the state of the literature addresses research, theory, and practice relevant to the international adoption triad (adoptive parents, birth parents, and adoptees). We highlight the lack of empirical attention to the clinical needs of birth parents, the tendency to overlook the clinical needs of adoptive parents both pre- and post-adoption, early childhood vulnerability in international adoptees, and adolescent identity challenges and the attendant clinical issues.     

Elsevier's Strategic Partners Forum: A Climate of Change and Challenge

Abstract

Elsevier's Strategic Partners Program (SPP) convened a forum prior to the American Library Association's 2003 midwinter conference in Philadelphia, PA. Two presentations from that forum are published here to indicate the enormous challenges, initiatives, and changes that face all of us in the serials, publishing, and information environments.     

Integrating Children into Families Separated by Migration: A Caribbean-American Case Study

Caribbean peoples have been migrating to the United States for over one hundred years. Since the liberation ofimmigration policy in 1965, migrationfrom the Caribbean has increased considerably and has presented with an interesting permutation. Many single mothers have migrated leaving young children behind until the mother’s situation is stable in the United States. Upon reunification of child and parent, there are reports ofmarked adjustment difficulties. This paper examines one such case, which was presented for mandated treatment. Issues around intention strategy and implementation are explored in detail with references to case history and clinical theory.