Using E-Health Programs to Overcome Barriers to the Effective Treatment of Mental Health and Addiction Problems

E-Health programs for mental illness and addictive behaviors have recently emerged as potentially useful self-help resources. Health care professionals will soon have the option of referring clients to free-to-end-user online, expert-moderated e-health programs as complementary means of assisting clients. Such programs will have significant implications for developing improved stepped models of care. This article describes various e-health programs and lessons learned related to access, promotion, user demographics, and patterns of use. In addition, validation procedures, effectiveness and attrition rates, fitting and tailoring, and qualitative analyses of social networks are described. It is difficult to validate e-health programs that are completely anonymous and do not require registration, personal interaction, or membership fees. As competition emerges in the budding e-health industry, best practice guidelines will need to be developed for collecting data and evaluating the utility of these programs.     

Narratives of Socialization: Perceptions of Parental Influence After Childhood Divorce

Despite substantial research on the consequences of parental divorce, no studies have investigated offspring discourse about parents’ influences. This study draws on a sample of university students and uses a grounded theory approach to identify four types of socialization narratives. These narratives include (a) fear of unintentional modeling, (b) absence of effective modeling, (c) determination to avoid parental mistakes, and (d) fear of self- or partner change. For the first three types, young adults link perceptions of relationship socialization to a specific parental trait or relationship pattern. The fourth type reflects generalized conclusions about human change over the life course.     

History,Culture and Organization Studies

Research by Barley, Meyer and Gash (1988) showed that the publication of Peters and Waterman's In Search of Excellence (1982) coincided with culture becoming a popular and acceptable topic for organization theorists. This helped establish the dominance of a conception of culture that proffered an instrumental view of the relation between managerial practice and management knowledge, Barley, Meyer and Gash (1988) suggested. They saw this as a relatively recent occurrence. While we do not deny the possibility of the instrumental relation as depicted in Barley, Meyer and Gash (1988), we do not concur with their judgement that the study of culture is a relatively novel interruption of previously more academic concerns. On the contrary, we suggest that, while the relationship between practice and knowledge is borne out by a genealogical analysis of culture, the time period for such analysis should be drawn both more widely and more deeply to be an adequate test of Barley, Meyer and Gash's (1988) hypotheses. We argue that the relationship postulated in the hypothesis supported by their research - that academic research on culture has increasingly been prejudiced by instrumental concerns that developed in the lead up to, and in the wake of, the 'excellence' studies - defies social science traditions. We show this by enlarging the canvass of culture. The purposeful use of organizational culture as a management tool returns culture to those origins revealed by genealogical analysis that uncovers its etymology and sociology.     

After the Honeymoon: The Evolution of Problem Issues in Utah LDS Marriages

The main objective of this study was to extend previous research in the area of longitudinal marital satisfaction by examining how marital issues, including decision-making, activities, affection, conflict, financial matters, stability, and values, changed over the first 5 years of marriage for 242 Utah, Latter-Day-Saint individuals. In addition, this study examined whether change occurs differently for husbands versus wives and for at-risk individuals versus non-risk individuals. The results showed that four marital issues worsened over time (activities, affection, conflict, and stability). Two of the six subscales (activities and affection) were found to differ significantly by gender. In addition, four subscales were significantly different for at-risk couples when compared with non-risk couples (decision-making, activities, conflict, and stability). Limitations and recommendations are discussed.     

Anti-Oppressive Practice and Social Work Students' Portfolios in Scotland

Anti-oppressive practice is seen by social work educators as a key approach to social work in the UK. However, controversies exist about its use in practice. Recent literature has criticised the complexities and problematics of anti-oppressive practice. An examination is made of the content of portfolios completed by social work students undertaking a final practice learning opportunity on a post-graduate programme in Scotland. The findings indicate that students gave considerable attention to power, empowerment and partnership but there was also an apparent general acceptance of agency policies, procedures and wider structural oppression. Also some aspects of social divisions and forms of oppression such as gender, age, disability and language received considerable attention while others such as ‘race’, class, sexuality and religion received less attention. Limitations of the research are noted. Suggestions for improvement in considering anti-oppressive material include a focus on both micro and macro issues, ranging from the structure for the portfolio and the content of supervision discussions through to agency policies and procedures and the national guidelines provided to social work programmes.     

Australian Aborigines: A growing or contracting minority?

The demographic study of aboriginal populations in Australia has been somewhat neglected until the last two decades. The historical study of aboriginal groups, from either the perspectives of epidemiology, morbidity or longevity, as a consequence has received little attention by health, education or welfare professionals until more recently. Some of the current studies, reviewed in this article, link historical approaches made in earlier studies in documenting the ‘dwindling’ presence of Australia's original inhabitants. Recent research highlights a gradually increasing public interest in a supposedly or even theoretically ‘contracting minority group’ with some disturbing implications for government policy‐makers.     

BRASS' RELATIONAL MODEL: A STATISTICAL ANALYSIS

Brass' relational model is based on a linear relationship between the logits of the cumulative probability of dying before age x in a standard mortality distribution and those observed in any population. In this study the appropriate way to estimate the linear parameters associated with Brass' model is clarified. Five methods are presented to estimate the coefficients associated with Brass' relational model. Each method is applied to simulated data to examine the efficiencies of each model in mortality estimation.     

A Measure of Justice: The Rabinal Human Rights Movement in Post-War Guatemala

This article explores one region’s struggle for human rights and legal justice in post-war Guatemala. Rabinal—a target of state-directed genocide in the 1980s—suffered one of the highest fatality levels of the war. In the post-war era, Rabinal human rights activists have led the struggle to demand exhumations of mass graves, build memorials, and push for criminal investigations and trials. Despite some important local victories, few of those responsible for the violence have received punishment. But that does not mean this movement is a failure. Instead, this article highlights the cultural, expressive and inprocess benefits of mobilization. Rabinal activists have restored their sense of agency and confirmed their collective identity as fighters for legal justice. Meanwhile, this local mobilization has contributed to Guatemala’s uneven process of democratization.

Self-concept and psychological adjustment differences between self-identified male transsexuals and male homosexuals

Self-concept and adjustment data from anatomical males seeking sexual reassignment surgery were compared with that from a male homosexual group. Findings indicated that the homosexual group had a better self-image and was better adjusted than the sex change group. Other findings are presented that reinforce the view that the norm violations in homosexuality and transsexualism do not necessarily imply serious character damage.