From delusion to play

Winnicott suggested that delusions are a failed form of play. Using Winnicott's theories of the play space, this paper illustrates through clinical material how the therapist can join a delusion and convert it into an area of play. Discussion includes an analysis of the use of play in working with the transference and countertransference as well as the therapist's resistances to engaging in play.     

The periphery of care: Emergency services for homeless people in rural areas

Until recently, homelessness in rural areas has received little recognition because of overwhelming assumptions about the urban-centredness of homeless people and their needs. This paper seeks to build on recent research that has begun to uncover some of the problems and characteristics of rural homelessness, by suggesting two significant dynamics which together can shape the experience of different groups of homeless people in rural environments. First, rural places reflect particular local qualities which contextualise both the circumstances of homelessness and the provision of services in response to those circumstances. Secondly, the contemporary governance of homelessness unfolds rather unevenly in different rural areas, producing distinct local service environments with varying degrees of ‘insider’ and ‘outsider’ status in relation to joined-up responses to the needs of homeless people. These dynamics are articulated through three case studies: a remote friary in a deep rural area of southern England; a small hostel run by a vibrant non-statutory organisation in a small town in the west of England, and two advice centres in a coastal resort in the north-east of England. Through these case studies we highlight the importance of both local reactions to the homeless other, and local relations between central government funding, local authority initiatives and charitable organisations, in the production and consumption of spaces of care in settings set in, or serving, rural environments.     

'Gentrification' and desire

II y a moins de vingt ans, les vieux quartiers au coeur des villes canadiennes ou vivait la classe ouvrière étaient menacés de démolition. Maintenant à la mode et habités par une population financièrement à l'aise, ces quartiers sont une forme urbaine paradoxale. Il représentent d'une part la montée d'une structure économique désindustrialisée et dénationaliséd dans laquelle les citadins déclassés et les membres de la classe ouvriere sont marginalisés. D'autre part-et c'est là l'objet central de ce texte-il se trouve fossilisé dans les nouvelles textures de ces quartiers une critique immanente du développement urbain moderne. En ce sens, ces quartiers montrent comment, par l'intermédiaire de l'industrie culturelle, les pratiques culturelles marginales engendrent leur propre déplacement.
The old neighborhoods in Canadian inner cities that less than two decades ago were working-class housing threatened with demolition but have lately become fashionable and affluent are a paradoxical urban form. On the one hand, they represent the emerging dominance of a deindustrialized, denationalized economic structure and the irrelevance of working-class and underclass city dwellers to this process. On another hand-this paper's central theme-fossilized in the new landscapes of these neighborhoods is an immanent critique of modern city-building. In the latter respect, these areas illustrate how, by the workings of the culture industry, marginal cultural practice breeds its own displacement.     

The Migrant Mortality Advantage: A 70 Month Follow-up of the Brussels Population

There is considerable evidence that first generation immigrants to developed countries tend to have lower mortality than does the population as a whole at their destination. This advantage is usually ascribed to a selection process which makes migrants more robust than the local population and/or an acculturation process whereby third-world migrants lose their natural healthy life style as they take on modern urban dietary and living habits. We investigate immigrant-local mortality differences using a 6-year follow-up of the complete Brussels population aged 25–55, as enumerated at the Belgian census, 1991. We show that adult migrants have lower mortality than their native-born counterparts, despite their often poorer living arrangements, work status and human capital. This effect differs by origin group. The effects of age on mortality are similar for all groups, with mortality increasing about 8% a year. This increase is slightly greater for the Belgian born than for immigrants, which makes the selectivity explanation unlikely. Years since migration does not significantly increase the mortality risk for most groups, contradicting the acculturation hypothesis. Thus, explanations ascribing immigrants' mortality advantage to migrant selectivity, pre-modern cultural practices, or an artefact of population recording practices are insufficient. We propose, instead, an explanation based on the meaning migration has for the immigrant, and the hope engendered in the move, particularly that from a lesser to a more developed country.     

Managing the introduction of new technology

Most of the existing literature on the implications of new technology focuses on either its ‘impact’ or the social choices that lie behind strategies for its introduction into work organisations. The problems of managing the implementation of new technology have yet to be extensively examined despite this being one of the most critical aspects in the process of technological change. The findings from two case studies are presented which show how managers in the organisations concerned developed contrasting approaches to the problem of implementation in the context of opportunities and constraints presented by product markets and technological advance. Similarities between the two approaches are identified, in particular the role played by top management support in facilitating the acceptance of the new technology. The argument that management is able to develop a single unitary strategy towards the introduction of new technology is rejected in favour of a view of managerial actions as a series of flexible and changing sub-strategies associated with different stages in the process of change.     

Applying a barriers approach to monitoring disabled people's employment: implications for the Disability Discrimination Act 2005

The year 2005 witnessed the passing of the Disability Discrimination Act 2005 through Parliament. The Act responds in part to the perceived need for more proactive legislation that seeks to encourage good employer and service provider practice from the outset and diminish discriminatory action. This article focuses on the employment provisions of the 2005 Act. The article is based on a scoping study carried out during the gestation of the Act that looks at the challenges of applying a barriers approach to a disability employment monitoring schemes. Monitoring schemes have been a key part of recent anti-discriminatory legislation. The text of the Act and its Guidance might suggest that the future of monitoring as an explicit feature of proactive employer practice is uncertain. The article makes clear however the importance of disability employment monitoring if disabled people are to be better represented and receive equitable treatment in the workplace.     

Parenting capacity

We describe an approach to the assessment of parenting for families in which child abuse has been established to have occurred. Neither the category of abuse nor its physical severity adequately predicts the future wellbeing or safety of an abused child. The critical variable in determining the child's future is the level of disturbance in parenting. We argue against the most common approach to assessments of parenting, which is to generate a non‐hierarchical list of issues with the emphasis on relatively concrete and readily measurable dimensions such as social support, parental knowledge about parenting and the child's developmental status. We enhance the standard approach to assessment by organizing it around parenting capacity. We do not attempt to operationalize parenting capacity, de?ning it as the parents' ability to empathically understand and give priority to their child's needs. Adequate parenting requires that the parents be able to meet the challenges posed by their particular child's temperament and development (which may be shaped by the abusive experience) and also to accept and be prepared to address their own intrinsic characteristics which impede their parenting capacity. Parenting capacity is more dif?cult to assess than the more concrete and commonly measured aspects of parenting, but we argue that its assessment should be central to child protection management decisions. Copyright © 2004 John Wiley & Sons, Ltd.     

Bachelorhood and Late Marriage: An Interactionist Interpretation*

This paper summarizes an exploratory investigation of the interactional careers of forty bachelors (men who had reached the age of 35 without marrying), twenty of whom later married. Depth interviewing was used to collect life history data establishing major career lines of specific heterosexual dyads as well as developments in preceding and paralleling universes of interaction. The findings support the contention that continuing social pressures rather than personal abnormalities of individual bachelors ultimately determine marital careers in that bachelorhood and late marriage are interactional products stemming from differential socialization and situational contingencies.     

An Assessment of the Determinants of Religious Participation*

Variations in patterns of church attendance are examined for a 1974 national sample of American Protestants and Catholics. Contrary to past results, socioeconomic status and alienation contribute little, but sociodemographic variables contribute more to the explained variance in church attendance. Region and sex affect church attendance more than education, occupation, or income. Religiosity and confidence in the clergy are the most important determinants of church attendance and together account for half of the total variance explained in church attendance.     

THE FREE-LANCE MUSICIAN AS A TYPE OF NON-PERSON: AN EXTENSION OF THE CONCEPT OF NON-PERSONHOOD

Free-lance musicians are professionally trained artists who lack permanent membership in any musical organization. Although trained to be creative artists, most frequently free-lancers play supporting music for operas, ballets and solo performers on stage, or provide background music for dinners or receptions. As a consequence, their technical skills are devalued by audiences; they often play music below their skill level; spontaneity in interpretation is extremely limited or impossible; they are anonymous to the audience and their playing generally receives an impersonal response; performances serve a functional rather than an aesthetic purpose; and players are interchangeable between groups. As a result of treatment as non-persons, free-lancers hold a sense of low prestige for themselves, and the occupation in many ways serves as a negative reference group for its members. Wide implications regarding non-personhood are drawn for an increasingly mechanized society. Contrary to Goffman's examples, non-personhood is not tied to occupations of limited skill, but rather, can occur in any occupational group under conditions in which individual interpretation, decision making, and power are nullified.