The physician executive and the future.

In summary, physician managers have a bright future. They are working on one of the most exciting professional interfaces--medicine and management. The future of medicine is both high-tech and low-tech. It will challenge all physician executives. For a few years, health care organizations will experience turbulence and stress. The name of the game for physician managers will be organizational survival. The nation will then move into an era of abundance in medical care, and the management game will switch from survival to thrival. Managers are key players in the world of tomorrow. The physician executive is a manager and therefore a key player. One of the best things about the future of the physician is that he has one.     

Fashion,Postmodernity and Personal Appearance: A Symbolic Interactionist Formulation

A theoretical explanation of fashion change is offered, drawing upon symbolic-interactionist insights on fashion and appearance, and developing macro-micro connections between cultural ambivalence and the negotiation of meaning as inspired by symbolic ambiguity in appearances. The postmodern condition, connected with advanced capitalism, spawns cultural ambivalence and a plethora of clothing styles that emerge, in part, to clarify and lend expression to ambivalence. A broad variety of clothing styles, however, coupled with tendencies toward production of self, contribute to a high degree of ambiguity in individually constructed appearances, the meaning of which must then be collectively negotiated in social interaction. Failure of clothing styles to resolve cultural ambivalence results in fashion change in an ongoing dialectic.     

Restorative Justice and College Student Misconduct

This article reports the findings of a restorative justice program to address student disciplinary problems at Skidmore College. Based on the model of “Community Reparative Boards” developed by the Vermont Department of Corrections for probation cases, the Skidmore Integrity Board is representative board of students, faculty, and staff. The article describes the nature and purpose of the board and reports findings from three recent years of board activity.     

Viewing Telephone Therapy Through the Lens of Attachment Theory and Infant Research

This article discusses the use of the telephone for psychotherapy and applies basic tenets of attachment theory and research on infant development to understand the therapy process. Clinical case examples of four models of attachment (secure, insecure ambivalent, insecure avoidant, disorganized) illustrate diverse patient capacities to use the telephone during a planned 10-week break from ongoing, in-person treatment. It is suggested that telephone therapy may be variously effective based on the attachment system that becomes activated due to the separation, and patients with insecure avoidant or disorganized attachment patterns may have more difficulty managing the alternative treatment modality.     

Sexual decision making and safer sex behavior among young female injection drug users and female partners of IDUs

Data from interviews with 94 young women who were injection drug users (IDUs) or partners of IDUs were analyzed to examine associations between self-reported sexual decision making and condom use, contraceptive use, and relationship characteristics. Most women (73-85%) reported participating in decisions about condom use, contraception, and when to have sex. Adjusting for potential covariates, respondents who reported participating in decisions about condom use and when to have sex were 7 and 19 times, respectively, more likely than others to report recently using condoms. Respondents who reported participating in decisions about contraception were 20 times more likely than others to report recently using contraceptives. Longer sexual relationships were associated with decreased likelihood of condom or contraceptive use.     

Dreams meeting reality? A gendered perspective on the relationship between occupational preferences in early adolescence and actual occupation in adulthood

On the basis of longitudinal data from Sweden (n = 15,211), the article offers a gendered perspective on the relationship between occupational preferences during early adolescence and actual occupations in adulthood. Theoretically the study is based on socialisation theory and devaluation theory. The analyses show that preferences for one’s future occupation were stronger among those who came to make gender-typical choices, than among those who chose a gender-atypical occupation. However, a gender difference was also found in that girls who came to choose a male dominated occupation showed a stronger preference for their future occupation in adolescence, than boys who came to choose a female dominated occupation. Results also showed that at a general level, the occupations in adulthood were even more gender segregated than the preferences in adolescence. This was particularly true for girls, who in adolescence expressed a stronger preference to work in a male dominated occupations, than they would later actually do.     

Green,Yellow, Red: Implementing a New Workflow for Collection Management at College of Charleston Libraries

Abstract

This article summarizes the North Carolina Serials Conference presentation “Green, Yellow, Red: Implementing a New Workflow for Collection Management at College of Charleston Libraries,” a case study evaluating a new workflow created by the Collection and Content Services Department at the College of Charleston Libraries to streamline the renewals process after significant departmental and staff changes. The librarians involved in creating the workflow found that they could not only use it to organize their renewals processes, but also to open communication with faculty regarding underutilized resources.     

Swedish migration policy liberalization and new immigrant entrepreneurs

Sweden has allowed immigrants from any country to obtain residence permits for entrepreneurship since 2008. The aim of this study was to explore the outcome of this policy. The study adds time perspective and superdiversity and operationalizes the mixed embeddedness framework to facilitate a quantitative study on three levels of analysis. Detailed register data for two cohorts of immigrants—those who arrived four years before and those who arrived four years after the reform—are used. The results confirm the usefulness of the mixed embeddedness model, that is the institutional regulative context, economic and social context, and individual resources, in the analysis of immigrant entrepreneurship. However, the study shows that the propensity to engage in entrepreneurship is more affected for refugees and students than for migrants with a residence permit for work and entrepreneurship. This indicates a need for further facilitating the process to immigrate for entrepreneurial reasons.