Is Who Delivers the Treatment More Important than the Treatment Itself? The Role of The Therapist in Common Factors

In this article, we discuss the role of the therapist in change in couple and family therapy. We argue that the therapist is a key change ingredient in most successful therapy. We situate our discussion in the common factors debate and show how both broad and narrow common factor views involve the therapist as a central force. We review the research findings on the role of the therapist, highlight the strengths and weaknesses of this literature, and provide directions for future research. We then use this review as a foundation for our recommendations for theory integration, training, and practice.     

Beyond Happiness: Minority Stress and Life Meaning Among LGB Individuals

ABSTRACT

Scholars have recently started to examine how minority stressors are associated with wellbeing outcomes among lesbian, gay, and bisexual (LGB) people. Such studies have examined mainly hedonic wellbeing, and those that have investigated eudaimonic wellbeing have tended to use composite measures. The present study draws from this literature to examine how minority stressors are associated with a key indicator of eudaimonic wellbeing: life meaning. Drawing from the minority stress model, we examined these associations using structural equation modeling among 266 LGB adults. Expectations of rejection and identity concealment, but not discrimination or internalized homophobia, had significant negative associations with life meaning. Discrimination had negative indirect associations with life meaning via expectations of rejection and concealment. Our results highlight the nuanced relations that exist between minority stressors and life meaning and highlight the need to move beyond composite measures of wellbeing. Implications for clinical practice and directions for research are discussed.     

Social Construction and Policy Implementation: Inmate Health as a Public Health Issue*

Objectives. This article develops and tests a concise multi‐stage approach for assessing the impact of social construction on the implementation of public programs designed to benefit negatively constructed groups. The framework suggests that negative constructions lead to policy choices that create problems in the implementation process. These problems prevent the accomplishment of key subobjectives necessary for ultimate program success. Methods. We test the utility of the framework in an analysis of a key public health issue—the spread of HIV/AIDS and tuberculosis in prisons. Despite great strides in the treatment and prevention of these diseases outside prison walls, the incidence and severity of both in the incarcerated population has increased dramatically over the last five years. We hypothesize that the problem of inadequate funding, arising from the negative social construction of this unique target population, is to blame. Results. In an analysis of 50 state correctional systems, we find that states with the most negative constructions of criminals and potential criminals spend dramatically less on inmate health, relative to other states. Conclusions. Our analysis suggests that inadequate funding levels in states with negative constructions of criminals and potential criminals jeopardizes the implementation of prison programs targeted at the prevention and treatment of HIV/AIDS and tuberculosis.     

Beliefs of Guilt and Recommended Sentence as a Function of Juror Bias in the O. J. Simpson Trial

During the week of April 9, 1995, 125 male participants completed a questionnaire assessing attitudes toward the O. J. Simpson trial. Specifically, participants reported their belief in the defendant's guilt or innocence, stated how fair they perceived the trial to be, and recommended a sentence should the defendant be found guilty of the crime. Additionally, participants completed Kassin and Wrightsman's Juror Bias Scale and the revised California F scale. Overall, results showed that participants' scores on both scales were positively correlated with their beliefs in the defendant's guilt, perceived trial fairness, and more severe sentence recommendations.     

Itinerant Children in the Schools: A Neglected Social Issue

A hitherto neglected area of social and educational research has been the problems faced by itinerant children in their social development, personal adjustment and educational progress. These problems are likely to grow with the increasing mobility of the Australian population. This article briefly explores the issue and reviews research undertaken with geographically mobile families and children of defence force personnel. It recommends further research to delineate the extent of the problems, identify cause-effect relationships and help children and their families to cope with the effects of mobility.     

Strengthening the Systemic Ties that Bind: Integrating Common Factors into Marriage and Family Therapy Curricula

Specific models guide the training of marriage and family therapists (MFTs) as they offer both structure and organization for both therapists and clients. Learning models may also benefit therapists‐in‐training by instilling confidence and preventing atheoretical eclecticism. The moderate common factors perspective argues that models are essential, but should not be taught as “the absolute truth,” given there is no evidence for relative efficacy of one empirically validated model versus another, and no single model works in all instances. The following article provides a blueprint for infusing a common factors perspective into MFT programmes by reviewing innovations in course design, outlining specific teaching strategies, and highlighting potential implementation challenges.     

Living a Calling,Life Satisfaction,and Workplace Climate Among a Lesbian,Gay, and Bisexual Population

Previous research on calling has resulted in a model that relates living a calling to life satisfaction through job satisfaction and life meaning. However, no research has examined this model in a lesbian, gay, bisexual (LGB) population. With a sample of 171 sexual minority adults, the current study aimed to (a) test the fit of an established model of living a calling and life satisfaction and (b) examine how having a supportive LGB workplace climate functioned within this model. Results revealed an excellent fit of the model and that a supportive LGB workplace climate predicted both living a calling and job satisfaction. In addition, the relation of living a calling to life satisfaction was fully mediated by life meaning and job satisfaction, and the relation of climate to life satisfaction was mediated by job satisfaction. These results suggest an expansion of the potential utility of the calling construct to an LGB population.     

Dynamic Pricing and Inventory Management with Regular and Expedited Supplies

We consider a periodic‐review inventory system with regular and expedited supply modes. The expedited supply is faster than the regular supply but incurs a higher cost. Demand for the product in each period is random and sensitive to its selling price. The firm determines its order quantity from each supply in each period as well as its selling price to maximize the expected total discounted profit over a finite or an infinite planning horizon. We show that, in each period if it is optimal to order from both supplies, the optimal inventory policy is determined by two state‐independent thresholds, one for each supply mode, and a list price is set for the product; if only the regular supply is used, the optimal policy is a state‐dependent base‐stock policy, that is, the optimal base‐stock level depends on the starting inventory level, and the optimal selling price is a markdown price that decreases with the starting inventory level. We further study the operational impact of such supply diversification and show that it increases the firm's expected profit, reduces the optimal safety‐stock levels, and lowers the optimal selling price. Thus that diversification is beneficial to both the firm and its customers. Building upon these results, we conduct a numerical study to assess and compare the respective benefit of dynamic pricing and supply diversification.