Experience of cumulative trauma disorders on life roles of worker and family member: a case study of a married couple

The prevalence of diagnosed cumulative trauma disorders (CTD) within the workforce comes at a high price for employers burdened with financial losses from missed work and worker's compensation costs. Research has focused primarily on the impact of CTD on the worker role within the workplace, overlooking the impact on roles across multiple environments [24,35,54]. Furthermore, the influence of CTD on life roles of a spouse has not been examined. This single case study illustrated the experience of CTD within a marital relationship through the use of grounded theory. Results indicated that adaptations to CTD symptoms were least altering to the established routines and roles of the couple. With progression of symptoms, the spouse without symptoms was relied on more heavily for adaptations to manage pain. The results of this study indicate that occupational therapists must examine the client's valued roles and incorporate the family into intervention strategies.     

Evaluating skill acquisition in motivational interviewing: the development of an instrument to measure practice skills

Social work education has long emphasized the need to provide competence-based education. However, little work has been done to identify, validate and evaluate competencies in specific fields such as addictions. The purpose of this study was to isolate a set of substance abuse intervention competencies using Motivational Interviewing that could be used to teach and evaluate students. The research proceeded in three stages. First, a modified Delphi approach involving social work practitioners was used to discern a set of positive and dysfunctional skills related to Motivational Interviewing. The primary researcher taught a graduate social work class aimed at teaching students theory and skills related to this model. Students demonstrated these skills with simulated clients through videotaped interviews. Finally, three observers rated the student interviews using this developed instrument. While inter-observer agreement was lower than anticipated, this study does provide early support for the development of competencies related to specific theoretical frameworks.     

Forecasting Accuracy of Alternative Techniques: A Comparison of U.S. Macroeconomic Forecasts

This article introduces and discusses a new measure of the relative economic affluence (REA) between income distributions with different means. The REA measure D is applied to the U.S. white and black household income distributions of 1967 and 1979. The measure D shows that the REA of the white households with respect to the black households decreased from 1967 to 1979. This conclusion contrasts with those obtained by applications of distance or quasi-distance functions. It is shown in this study that REA measures and distance functions address different and relevant issues. An REA measure deals with the relation “more affluent than” and defines a partial strict ordering over the set of pairs of income distributions—that is, the relation is asymmetric and transitive—whereas a distance function accounts for the dissimilarity between distributions without imposing an ordering relation and hence fulfills the symmetry property.     

A method for obtaining randomized block designs in preclinical studies with multiple quantitative blocking variables

A method is proposed for block randomization of treatments to experimental units that can accommodate both multiple quantitative blocking variables and unbalanced designs. Hierarchical clustering in conjunction with leaf‐order optimization is used to block experimental units in multivariate space. The method is illustrated in the context of a diabetic mouse assay. A simulation study is presented to explore the utility of the proposed randomization method relative to that of a completely randomized approach, both in the presence and absence of covariate adjustment. An example R function is provided to illustrate the implementation of the method. Copyright © 2010 John Wiley & Sons, Ltd.     

Modeling the Effects of Expressed Emotion,Psychiatric Symptomology,and Marital Quality Levels on Male and Female Verbal Aggression

Previous research has linked expressed emotion (EE) levels and psychiatric symptomology, whereas other empirical efforts have examined the relationship between EE and marital relationship variables. Still other research has linked psychological conditions with acts of aggression, and the impact of marital issues within this domain of inquiry also has been explored. The study presented here examined the combined effects of EE, marital quality, and psychiatric symptomology on displays of verbal aggression by both relationship partners. Both husbands' and wives' reports of marital quality were predictive of both husbands' and wives' verbal aggression levels; here, reports of lower marital quality were associated with higher levels of verbal aggression. Additionally, husbands' and wives' reports of psychological symptomology in self and partner were important paths to marital quality, as were husbands' and wives' reports of EE levels. Further, some evidence was generated that supports the mediating role of marital quality with regard to EE and psychological symptomology. However, the overall fit indices of the models tested in this empirical effort were modest. Limitations that concern the instruments utilized in the present study are discussed in this regard.     

The Clinician's Voice and the Limits of Bioethics

The bioethics movement has long promulgated a model of ‘principled decision‐making’ in which ethical dilemmas and conflicts between various rights, interests, and ethical principles are central. In many respects this movement has had a laudatory impact on health care and on health professionals, but we will also argue that the bioethical model of ethical analysis has important limitations. The model's theoretical orientation is discontinuous with the training and skills of health professionals, the manner in which health professionals conceptualise and solve problems that arise in a clinical setting, and the time constraints inherent in most clinical situations. As such, the model is not readily applicable to much of the day‐to‐day work of clinicians and, in particular, to the routine ethical questions and situations that arise in caring for patients. What we suggest is that the bioethical model does not take into account that health care professionals, as part of their daily work, encounter and manage difficult, often conflictual situations and that they do so by bringing to bear conceptual frameworks and therapeutic techniques that have, embedded within them, the ethical values and goals of their own fields, as well as established ways of dealing with problems and addressing competing priorities. We further argue that from a systems perspective, the bioethical model and the pragmatic, problem‐focused ethical decision‐making of clinicians operate on different levels of complexity; whereas the former is especially appropriate for situations that resist consensus or that raise significant issues of public policy, the latter serves as an effective framework in less difficult or complex situations that can be moved effectively toward consensus and closure.     

‘The Worst Thing is the Screwing’ (1): Consumption and the Management of Identity in Sex Work

This paper reviews qualitative data from academic research into prostitution, accounts from prostitutes themselves in the UK and Australia, and data from one of the authors' own research in New South Wales to analyse the ways in which female sex workers negotiate and construct their sense of themselves. This analysis is informed by the suggestion that, in the act of commercial sex, the prostitute's own body is being consumed by the client, which can be seen to place certain pressures on the relationship between sex workers' professional and personal identities. Our review suggests that individual workers' tactics for managing the contradictions of working as a prostitute and preserving self‐esteem are both similar and different, even within two broadly culturally commensurable contexts, and, moreover, that not all prostitutes necessarily want to maintain a strict divide between work sex and non‐work sex in every encounter. Moreover, even for those who do, the trials of maintaining the divide are considerable, as is the permeability of boundaries between work and intimate sex.     

Nature,Society, History and Social Change

The Nature, Society and History theme is discussed in terms of the conceptual framework of 'biohistory'. Reference is made to its relevance to human health and well-being, societal metabolism and ecological sustainability. The power of human culture as an ecological force is emphasized. The Nature, Society and History paradigm is discussed in the context of the social changes that will be necessary for the achievement of ecological sustainability. It is suggested that it has an essential contribution to make not only in the academic world, but also in the general community.     

The Exploration of Role Induction as a Potential Method for Improving Men's Perceptions of Career Counseling

The authors explored the influence of role induction on men's perceptions of career counseling and attitudes toward seeking professional help. Two separate role inductions were presented to 268 male college students; the first discussed holistic career counseling, and the second integrated a discussion of male gender role socialization. Results demonstrated that participants who viewed the holistic role induction reported greater valuing of career counseling when compared with a control group. However, results indicated no difference in perceptions of career counseling between a holistic career counseling role induction and one that included socialized male perceptions of counseling.     

Street Youth Labour Market Experiences and Crime*

Dans le cadre de notre recherche, nous étudions la façon dont les expériences dans le marché du travail des jeunes sans‐abri et l'inter‐prétation qu'ils font du chômage sont liées à leur comportement criminel. À partir d'entretiens réalisés auprès d'un échantillon de 200 jeunes homines vivant dans la rue, les données recueillies indiquent que ces jeunes se sentent exclus du marché du travail du fait des expériences négatives qu'ils ont vécues. Ce phénomène est exacerbé par le chômage à long terme, qui détruit la motivation et conduit les jeunes à rechercher d'autres exutoires matériels. En outre, les jeunes en viennent à considérer le système social comme injuste et se sen‐tent inaptes à l'emploi, ce qui augmente le risque qu'ils participent à des activités criminelles. Les jeunes qui restent lies à la société tradi‐tionnelle et continuent de croire à l'idéologie dominante du mérite réagissent par la dépression ou la culpabilité menant à une fuite passive et favorisant le comportement criminel. En revanche, les jeunes qui refusent l'idéologie font étant d'un affect négatif minimal et met‐tent en valeur la supérioritý matérielle et sociale qu'ils accordent aux activités criminelles par rapport à l'emploi qu'ils ont pu occuper avant et qui leur était offert. Les conclusions de cet article s'appuient sur les théories de la contrainte, du contrôle et de la sous‐culture. The research explores how homeless street youths' labour market experiences and interpretations of unemployment are linked to criminal behavior. Using interviews with a sample of 200 male street youth, the data suggest that these youths become alienated from the labour market because of negative experiences in their jobs. This is exacerbated by long‐term unemployment that destroys motivation and leaves the youths looking for other material opportunities. Further, the youths come to see the social system as unfair and themselves as unemployable, making it more likely they will become involved in criminal activities. Those youths who remain bonded to the conventional society and continue to believe in the dominant meritocratic ideology respond with depression and guilt, which lead to a passive withdrawal and inhibit criminal behavior. In contrast, those youth who dismiss the ideology display minimal negative affect and reveal that criminal activities are superior both materially and socially to previous and available employment. Findings are discussed in terms of strain, control and subcultural theories.