Uncertainty and Variability in Health-Related Damages from Coal-Fired Power Plants in the United States

The health‐related damages associated with emissions from coal‐fired power plants can vary greatly across facilities as a function of plant, site, and population characteristics, but the degree of variability and the contributing factors have not been formally evaluated. In this study, we modeled the monetized damages associated with 407 coal‐fired power plants in the United States, focusing on premature mortality from fine particulate matter (PM_2.5). We applied a reduced‐form chemistry‐transport model accounting for primary PM_2.5 emissions and the influence of sulfur dioxide (SO₂) and nitrogen oxide (NO_x) emissions on secondary particulate formation. Outputs were linked with a concentration‐response function for PM_2.5‐related mortality that incorporated nonlinearities and model uncertainty. We valued mortality with a value of statistical life approach, characterizing and propagating uncertainties in all model elements. At the median of the plant‐specific uncertainty distributions, damages across plants ranged from $30,000 to $500,000 per ton of PM_2.5, $6,000 to $50,000 per ton of SO₂, $500 to $15,000 per ton of NO_x, and $0.02 to $1.57 per kilowatt‐hour of electricity generated. Variability in damages per ton of emissions was almost entirely explained by population exposure per unit emissions (intake fraction), which itself was related to atmospheric conditions and the population size at various distances from the power plant. Variability in damages per kilowatt‐hour was highly correlated with SO₂ emissions, related to fuel and control technology characteristics, but was also correlated with atmospheric conditions and population size at various distances. Our findings emphasize that control strategies that consider variability in damages across facilities would yield more efficient outcomes.     

A Model Curriculum for Occupational Social Work

This paper reports the results of a survey experiment in which a national sample of NASW members was presented with systematically altered versions of a summary of a hypothetical study of casework effectiveness and asked to make judgments about the quality of the research, its importance to social work, and its significance for their own practice. It was found that although respondents distinguished between studies with good and bad research designs, their judgments of the quality of the research and its implications for their own practice were significantly influenced by whether the findings were positive or negative.     

An Exploratory Study of the Meaning of Marriage for African Americans

Using specific tenets from symbolic interactionism as a frame, we asked 31 African Americans (18 women and 13 men) including students as well as nonstudents, across a variety of types of relationships and ages, what marriage meant to them. Two major themes, commitment and love, emerged from qualitative content analysis of the meaning of marriage. Other themes, including partnership/friendship, trust, family, and covenant, also emerged as themes, although less frequently. The overwhelming meanings of marriage were positive, with only a few negative instances (i.e., marriage as unnecessary and not fulfilling). Supportive qualitative data are presented for each theme. We discuss implications for the meaning of marriage for African Americans.     

Risk Factors for Infant Mortality in Nineteenth-Century Sweden

This study examines risk factors for infant mortality using individual-level data from a sample of parishes in northern Sweden in the nineteenth century. Sweden is of particular interest because of its unusually regular pattern of infant mortality decline during the century. We follow a sample of women longitudinally through their successive pregnancies and observe the mortality experience of each child. Exploratory and multivariate logistic regression analyses reveal an important intra-familial dimension to infant mortality that appears from the early stages of a woman's reproductive career. In addition, multivariate analyses by birth-order group suggest that ignoring intra-familial correlations of infant mortality may result in incorrect inferences. Siblings' shared probabilities of dying as infants suggest that high-birth-order children were not necessarily disadvantaged in any systematic way.     

H. S. Sullivan and “Interpersonal Learning”

Although many of the basic tenets of Harry Stack Sullivan’s interpersonal theory have been incorporated into the Relational School of psychoanalysis, Sullivan’s original ideas about clinical practice are, in many respects, distinct from the intersubjective perspective of relational psychotherapists. Using three case examples that addressed a similar clinical problem, Sullivan’s approach to clinical practice will be contrasted with contemporary relational approaches.     

“Road Warriors” on “Hair-Tragger Highways”: Cultural Resources and the Media's Construction of the 1987 Freeway Shootings Problem*

Media constructions of social problems usually rework the claims of activists and other primary claimsmakers. However, the news media acted as primary claims-makers in discovering and reporting the 1987 Los Angeles freeway violence problem. The press drew upon cultural resources in constructing this problem, applying a conventional template for social problems stories and using familiar imagery to depict freeway shootings. The social organization of claimsmaking, as well as contingencies in the histories of individual campaigns, affect the choice of cultural resources used to construct social problems.     

Community-based management of psychotic clients: The contributions of D. W. and Clare Winnicott

While the term management connotes images of impersonal care, D. W. Winnicott repeatedly used this term to describe the responsive environmental holding that is central to all human development. Influenced by observations of how normal mothers and families address the physical and psychic needs of children, he and his wife, Clare, a distinguished British social worker, operationalized this concept in finding and supporting facilitating environments with a wide range of disturbed children and adults. Using case material from a contemporary community program for the mentally ill, this paper will review the Winnicotts' important, but often neglected, perspectives on the environmental management of psychotic adults.Presented at the Washington School of Psychiatry, January 14, 1989. I would like to thank Janice Quiter and the Archives of Psychiatry of The New York Hospital-Cornell Medical Center for their assistance in researching the D. W. Winnicott collection.     

On Learning and Teaching Family Therapy

This paper explores some ideas about the process of learning to be a family therapist. It considers the questions: how does one learn to think like a family therapist? How is family therapy best taught? How is it learned? The author's experiences in learning and teaching are described. It is argued that family therapy differs from other approaches to therapy in some fundamental respects, and that learning to ‘be’ a family therapist is a different kind of task than learning to be a practitioner of other therapeutic approaches. The paper examines some key theoretical constructs, especially the idea of ‘levels’ of thinking, which are seen as central to both the learning and practice of family therapy.