A Curriculum for Graduate-Level Marriage and Family Therapy Education*

The Delphi technique of refining group opinion was used to develop a graduate level marriage and family therapy curriculum. Opinions were synthesized from a national panel of 20 AAMFT Approved Supervisors and 25 training directors of graduate-level marriage and family therapy programs. Three rounds of questionnaires were employed and 101 content areas met the criteria for inclusion into the final curriculum. Discussed are the similarities and differences of this curriculum and the current “model” AAMFT curriculum. It is hoped that the curriculum devised from this study will lead to the continued rethinking, refinement, and evolution of marriage and family therapy education.     

Gender Mainstreaming in Theory and Practice

This article utilizes the findings of a recently completed,eight-country research project to visit some key issues in thetheory and practice of gender mainstreaming. The research resultsindicate that gender mainstreaming is a diverse entity whenlooked at from a cross-national perspective but rather hollowwhen considered within the national setting. To the extent thatthere is a "common core" to gender mainstreaming in action acrosscountries, it lies in the tendency to apply the approach ina technocratic way and to be nonsystemic in compass. The argumentis advanced that this is at least in part attributable to particularitiesin the development of mainstreaming. The article suggests thatgender mainstreaming is underdeveloped as a concept and identifiesa need to elaborate further on some fundaments. In particular,the conceptualization of mainstreaming needs to be rethoughtwith special attention devoted to the understanding of the problematicof gender inequality that underlies it and the articulationof the relationship between gender mainstreaming and societalchange.     

From probation to prevention: protecting college students and workers from animal hazards

OBJECTIVE: Our objective was to develop an organized system to assess individual and group exposure to animal hazards on a college campus. MAIN POINTS: The scope and complexity of college health services continue to expand as campuses confront unforeseen exposures and disease entities. Of great concern are students and faculty who are exposed to potentially life threatening and other serious conditions during their academic work. CONCLUSION: A college health service developed an effective animal-hazard surveillance questionnaire that could be scanned and analyzed for individual and group exposure to hazards and the presence or absence of protective measures. The college then provided appropriate preventive services.     

The role of social work in the ICU: reducing family distress and facilitating end-of-life decision-making

The costs associated with Intensive Care Units (ICUs) are high and at times invasive ICU care may not be beneficial, particularly for those patients admitted to ICUs who have little hope of recovery. The process of clarifying medical goals for these patients is often facilitated by addressing psychosocial factors. Social workers in the ICU are uniquely qualified to assess and address many of the complex psychosocial circumstances and can clarify potential misperceptions, enhancing communication among patients (if capacitated), their families, and the medical team members. This can not only help improve quality of life for very sick and dying patients in the ICU and their families, but may also reduce the likelihood of decision-making conflicts from arising. Further studies need to be done to investigate the effectiveness of social work interventions in reducing family distress, avoiding care that is unwanted by patients, and demonstrating cost-saving benefits.     

Comment

We propose a sequential test for predictive ability for recursively assessing whether some economic variables have explanatory content for another variable. In the forecasting literature it is common to assess predictive ability by using “one-shot” tests at each estimation period. We show that this practice leads to size distortions, selects overfitted models and provides spurious evidence of in-sample predictive ability, and may lower the forecast accuracy of the model selected by the test. The usefulness of the proposed test is shown in well-known empirical applications to the real-time predictive content of money for output and the selection between linear and nonlinear models.     

Whither Risk Assessment: New Challenges and Opportunities a Third of a Century After the Red Book

Six multi‐decade‐long members of SRA reflect on the 1983 Red Book in order to examine the evolving relationship between risk assessment and risk management; the diffusion of risk assessment practice to risk areas such as homeland security and transportation; the quality of chemical risk databases; challenges from other groups to elements at the core of risk assessment practice; and our collective efforts to communicate risk assessment to a diverse set of critical groups that do not understand risk, risk assessment, or many other risk‐related issues. The authors reflect on the 10 recommendations in the Red Book and present several pressing challenges for risk assessment practitioners.     

THE ROLE OF MARITAL STATUS IN HEALTH SERVICES EXPENDITURES FOR PSYCHIATRIC OUTPATTIENTS

This study tested the hypothesis that married psychiatric outpatients would have lower total health services expenditures than divorced or separated patients. Chart review of the 471 individuals attending an academic medical center outpatient psychiatric clinic during 1994 identified 131 married, 40 separated, and 93 divorced patients. Separated men had significantly higher average total charges ($16,890) than married ($5,279) or divorced ($5,539) men by one-way ANOVA (p < .05). The nonparametric Mann-Whitney test also showed that separated men had higher charges than married or divorced men. There were no differences between marital status groups for women.