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701.
The Subtle and Overt Scale of Psychological Abuse (Marshall, 1999a) is a measure designed to examine previously unevaluated forms of psychological abuse. The scale was originally divided into seven subscales (overt: dominance, indifference, monitoring and discrediting; subtle: undermining, discounting, isolating). A sample of 172 women was used to evaluate the construct validity of this measure. In other words, the internal structure of the measure, its relation to other measures of physical and psychological abuse, and its relationship to other psychological outcomes. Empirical and theoretical approaches were used to replicate and examine the dimensions of this scale. Results revealed that this scale represents a unidimensional construct that is highly correlated to other measures of psychological abuse. Implications for future research and practice are discussed. 相似文献
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703.
Contingent staffing arrangements are defined as conditional and transitory work arrangements. In the drug abuse treatment sector, contingent staffing arrangements have the potential to improve treatment if they are used to increase access to needed services. Alternatively, such arrangements could interfere with the development of consistent, long-term client-staff relationships. Unfortunately, little is known about the consequences of or influences on contingent staff arrangements in this sector. The goal of this study is to examine the conditions under which outpatient substance abuse treatment organizations are more likely to use contingent staffing arrangements. Building on previous research on the social organization of health care structures and practices, we develop a conceptual model based in market economics and institutional perspectives to suggest that treatment organizations choose contingent arrangements in response to market conditions and uncertainty, institutional demands, and client needs. Using data from a nationally representative study conducted in 1988, 1990, and 1995, we find limited evidence that drug treatment units use contingent staff in response to market pressures. Labor market and demand uncertainty, however, are systematically associated with greater use of contingent staff. Study results suggest that expectations and norms from the institutional environment, particularly the organizational context of the treatment unit are strong predictors of the use of contingent staff. By considering both market and social influences of contingent staffing, we contribute to a growing body of research on how markets and institutions interact to influence organizational structures and practices in the health care system. 相似文献
704.
Very Public Scandals: Nongovernmental Organizations in Trouble 总被引:1,自引:0,他引:1
Gibelman Margaret Gelman Sheldon R. 《Voluntas: International Journal of Voluntary and Nonprofit Organizations》2001,12(1):49-66
This paper analyzes, from a cross-national perspective, publicized incidents of alleged wrongdoing on the part of nongovernmental organizations (NGOs). Data were derived from daily, weekly, or monthly newspapers and special nonprofit newsletters accessible through websites. Analysis of media reports of scandals involving NGOs was conducted to identify issues and trends in governance and management problems associated with this sector. The paper focuses on NGOs involved in the financing or delivery of health and human services. After highlighting some of the precedent-setting cases of NGO improprieties in the United States during the 1990s, prominent global cases of wrongdoing during the period 1998–2000 are reviewed. The underlying problems that allowed these cases to occur and their implications regarding NGO credibility and public trust are identified, and strategic options for enhancing accountability presented. 相似文献
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Jannette Alexander Ph. D. 《Clinical Social Work Journal》1989,17(4):321-324
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This paper reports on ten cases in which treatment began with conventional sex therapy and was later modified by incorporating techniques of psychodynamic couple therapy. While the modifications initially led to symptom reversal, the reversal of symptoms activated a recycling sequence of relapses and renewed symptom reversals, ultimately terminating in treatment failure. While the ten couples were heterogeneous in many respects, they did form a distinct clinical group. In common, they demonstrated a set of characteristics laced with hate, love and dependency, which interacted to create what the authors have called "therapeutic gridlock" and "interminable" sex therapy. 相似文献
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710.
Ernest R. Alexander 《Theory and Decision》1975,6(3):363-370
Discussions of decision making by individuals and organizations invariably touch on the issue of uncertainty. Decision theory axiomatizations are based on the assumption that uncertainty cannot be unlimited, but that there must exist a minimal interval of value stability. This note makes explicit that assumption for individual choice. For group and organizational decision making, a proof is presented which deduces a limit to uncertainty from the existence of deliberate social action. 相似文献