Clinical and Ethical Considerations for Delivering Couple and Family Therapy via Telehealth

Studies have generally supported telehealth as a feasible, effective, and safe alternative to in‐office visits. Telehealth may also be of particular benefit to couples/families interested in relational treatments, as it addresses some of the barriers that may be more prominent for families, such as childcare and scheduling difficulties. Therapists interested in expanding their practice to include telehealth should understand ethical and practical considerations of this modality. This article discusses areas unique to the delivery of telehealth to couples and families. Each broad domain is then elaborated upon with case examples from actual clinical practice and specific recommendations for addressing potential difficulties. Authors recommend further empirical research examining differences in modality outcome, as well as feasibility of the suggestions proposed here.     

Reflecting on the Past: A Content Analysis of Family Therapy Research from 2000‐2015

In this content analysis, researchers examine articles published from 2000 to 2015 in three family therapy journals, yielding a total of 948 empirical articles. The purpose is to provide an overview of the research being published, assess who is publishing, and investigate the current state of clinical effectiveness research in marriage and family therapy (MFT). Most first authors were affiliated with MFT programs and primarily included diversity and couples in their research. There was a significant increase of research on clinical process—though the number of clinical outcome studies held steady. There were no significant changes with regard to research funding. Implications support the use of innovative research methods to provide evidence of clinical effectiveness.     

H-Day 1967 – An alternative perspective on “propaganda” in the historiography of public relation

This article presents an alternative perspective regarding the concept of “propaganda” in the historiography of public relations. Recent scholars of public relations have rightly criticized early attempts to write the field’s history as a linear progression, from propaganda to excellence. At the same time, however, the same recent scholars have come to accept a linear conceptual change, and that “propaganda” became an impossible term in liberal democratic countries in the 1960s. By using the empirical case of the massive communication efforts initiated by the Swedish Commission on Right-Hand Traffic, which was assigned to implement right-hand traffic in 1967, this article shows that the concept of “propaganda” both occurred frequently and was used in a neutral sense. To deepen the understanding of this alternative perspective, the article both presents how the historical actors conceptualized their work, and describes how the communication work of the Commission was performed.     

Que faut‐il voir dans les écarts de rémunération entre les travailleurs immigrés des pays du Golfe: l'effet d'a priori patronaux ou la simple conséquence de coûts d'opportunité différents?

Les auteurs s'intéressent aux disparités salariales entre les différents groupes de migrants qualifiés qui travaillent en grand nombre pour le secteur privé dans les États du Conseil de coopération du Golfe. Ils se demandent notamment si la prime salariale des Occidentaux (par rapport aux travailleurs venus d'Asie ou d'autres États arabes) découle d'éventuels a priori des employeurs. L'analyse, qui repose sur des données de 2012–2014 et sur deux méthodes de décomposition classiques, infirme l'hypothèse: les caractéristiques observables relatives à la productivité expliquent entre un tiers et trois quarts des écarts; le coût d'opportunité de la migration, supérieur pour les Occidentaux, explique la portion restante.     

Patterns of alcohol use and marijuana use among students at 2- and 4-year institutions

Objective: The objective of this study was to understand substance use patterns of alcohol, marijuana, and simultaneous alcohol and marijuana (SAM) use among 2- and 4-year college students. Participants: Participants were 526 young adults aged 18–23 (n?=?355 4-year students; n?=?171 2-year students) recruited from February 2015 to January 2016 who were participating in a larger longitudinal study. Methods: Latent class analysis (LCA) was used to identify past-month classes of alcohol, marijuana, and SAM use. Results: Among both 2- and 4-year students, a four-class solution yielded the best-fitting model, with 2-year classes tending to include greater marijuana use and less alcohol use and 4-year classes tending to include heavy alcohol use. Demographic characteristics were largely similar across classes. Conclusions: Classes of alcohol, marijuana, and SAM use differed by education status. Screening and prevention efforts for 4-year students may need to be tailored for the needs of 2-year students.     

Toward total student health: A qualitative pilot study

Objective: Colleges should aim to cultivate healthy behaviors among students by addressing alterations in wellness students view as important. The purpose of this study was to determine the self-perceived wellness-related concerns and behaviors of college students. Participants: Thirty-seven undergraduate students participated in this study between January and March 2017. Methods: Focus groups served as a data collection method. Groups were recorded and transcribed verbatim. Directed and conventional approaches to data analyses were employed. Results: Participants expressed concern regarding four campus wellness topics: nutrition, economics, mental health, and campus safety. Participants offered solutions for improving campus wellness, representing a fifth theme. Conclusions: Health concerns for college students and realistic solutions to address concerns were identified across focus groups. Overall, students cared about their own health, as well as the well-being of other students. Future directions include conducting a Web-based survey among students to assess prevalence and impact of select health and wellness topics.     

Health insurance literacy: A mixed methods study of college students

Objective: This study examines the health insurance literacy, or the ability to use health insurance effectively, of college students. Participants: A total of 455 students from a large, public university completed an online questionnaire in November 2016. Methods: A questionnaire examined students’ knowledge of commonly encountered health insurance terms and ability to apply that knowledge to determine cost-sharing in a clinical setting. Results: The majority of students were able to correctly identify the most commonly encountered terms, but could not identify terms related to plan types and options. Eighty-eight percent of students could not determine their cost-sharing for two presented scenarios. Approximately half of the students indicated they had been confused about their health insurance plan, with one-quarter of students stopping or delaying medical care due to confusion. Conclusions: Outreach and education for students should target specific deficits in knowledge such as those identified in this study.     

Resistance as Sacrifice: Toward an Ascetic Antiracism

Often described as an outcome, inequality is better understood as a social process—a function of how institutions are structured and reproduced, and the ways people act and interact within them across time. Racialized inequality persists because it is enacted moment to moment, context to context—and it can be ended should those who currently perpetuate it commit themselves to playing a different role instead. This essay makes three core contributions. First, it highlights a disturbing parity between the people who are most rhetorically committed to ending racialized inequality and those who are most responsible for its persistence. Next, it explores the origin of this paradox—how it is that ostensibly antiracist intentions are transmuted into “benevolently racist” actions. Finally, it presents an alternative approach to mitigating racialized inequality, one that more effectively challenges the self‐oriented and extractive logics undergirding systemic racism, rather than expropriating blame to others, or else adopting introspective and psychologized approaches to fundamentally social problems, those sincerely committed to antiracism can take concrete steps in the real world—actions that require no legislation or coercion of naysayers, just a willingness to personally make sacrifices for the sake of racial justice.     

Living with dementia,interdependence and citizenship: narratives of everyday decision-making

This article argues that interdependent relationships are key in realising inclusion and citizenship for people living with dementia. We focus on decision-making as one aspect of everyday life which reflects opportunities and challenges associated with citizenship. Accounts of everyday decision-making from people living with dementia provide insight into strategies for negotiating responsibilities as they shifted with dementia. An inductive, secondary data analysis developed decision narratives from the data of 61 interviews conducted in the United Kingdom. The interviews were with 12 people with a diagnosis of dementia plus their nominated care-partner in a qualitative study which focused on information management and sense of self. The secondary data analysis identified strategies for inclusion, emphasising relational interdependency amidst challenges. The five-stage framework of an Ethic of Care positions this interdependency as a response to barriers to inclusion and citizenship. Interdependency, therefore, emerges as key to realising relational citizenship.