HEALTH CARE REFORM IN THE UNITED STATES: IMPLICATIONS FOR TRAINING AND PRACTICE IN MARRIAGE AND FAMILY THERAPY

Americans are spending 12-14% of their income on health care, and costs are rising about 11-12% per year. These increases are fueled by many social problems and are not limited strictly to health matters. Many alternatives have been examined to limit the rapidly increasing costs. The long-term results of these efforts are likely to be a reduction in health care benefits for many and the continued development of a two-tier system of health care. This article addresses the place of mental health care in general and marriage and family therapy in particular in the emerging system. Suggestions for training and practice for the new health care system are given.     

Politics and ideology in migration policy formulation: the case of Kuwait

In 1716, 3 prominent families of the original Kuwaitis agreed that 1 family would control finance and commerce, another seafaring activities, and the 3rd the government. This continued allegiance has been instrumental in shaping migration policy in Kuwait. Migration to Kuwait began in the 1930s-1940s to meet labor needs of the oil industry and the social infrastructure. This began a steady increase, with several setbacks in the early 1970s, of the migrant population. Between (1959-1964), Kuwait had to determine how it would exist and operate as an independent state. The new state established migration policy based on a need for national identity and on weighing the interests of 4 political groups: the ruling family; the wealthy merchants; the Arab Nationalist Movement; and Kuwaiti Nationalists. 3 migration laws emerged which satisfied the 4 groups and in some form continued into the 1980s. These laws basically allowed the continuation of free immigration of labor with the government controlling entry, movement, rights, and employment of the migrants while stressing neutrality and reciprocity with other states, especially Arab states. 1 law greatly limited the number of citizenships to nonKuwaitis and guaranteed economic control and major share of profits to Kuwaitis. Between 1965-1984, many changes to migration policy occurred for political, demographic, and economic reasons. 1 such change was an amendment restricting naturalization to Muslims, thereby not allowing naturalization of the growing Asian migration population, to preserve their cultural authenticity. By 1984, following 1 rebalance of the distribution of Kuwaitis and nonKuwaitis, economic declines, and security threats, migration policy shifted back to population balance. Kuwaiti history shows, however, that experimenting with migration policy and population balance cannot establish internal political and social cohesion. This is a revised version of a paper originally presented at the 1987 Annual Meeting of the Population Association of America (see Population Index, Vol. 53, No. 3, Fall 1987, p. 409).     

Well‐being among adolescent boys

Most studies on mental health in the adult population have found a significant relationship between mental health and social class. No study has thoroughly examined this relationship in the adolescent population. This article, based on the Bachman, O'Malley, and Johnston “Youth in Transition” data set, tests the social class/mental state relationship among adolescents. Three separate measures—well‐being, psychiatric symptoms, and depression—are used to indicate mental state. Social class is based on a composite measure of socioeconomic level that exists within the “Youth in Transition” data set. Surprisingly, no relationship was found. These results persisted even when more traditional measures of social class based on parents’ education and the Duncan ranking of the fathers’ occupations were substituted for socioeconomic level. An alternative explanation supporting social stress is discussed in light of Thornberry's developmental hypothesis.     

Economy,Society and Welfare: A Study in Social Economics. Joseph S. Berliner. New York,Praeger Publishers, 1972. 216 Pages, $13.50. Hardbound

This paper calls on schools of social work to provide more workers for practice in rural settings. It reviews the basic character of rural areas and the need for systematic intervention and program development to alter the disproportionate amount of social and economic problems existing there. The use of rural settings for student practice is reviewed, including concepts such as the community of communities, models for designing practice experiences, the role of the educator, and positive features and barriers found in providing social services.     

未来的石油资源——油砂

假如伊斯兰酋长们关闭了油管,或者中东的石油被抽干之后,您是否想知道您的座驾将使用哪里产出的汽油?您是否想知道,从现在起大约20或者30年后,您的孩子们用什么粮食来供给自己的车辆?     

Special Issue Introduction: Exploring the Lived Experiences of Intra-EU Mobility in an Era of Complex Economic and Political Change

This paper introduces the special issue on ‘Intra-EU mobilities in times of crisis'. Intra-EU mobility has emerged as an ambivalent phenomenon. On the one hand, EU-wide opinion polls still depict freedom of movement as the most positive aspect of European integration. On the other hand, with nationalism and xenophobia on the rise, migration and mobility are increasingly problematized and challenged. Shifting attention from the master narratives about intra-EU mobility, the aim of the special issue is to bring to the fore the lived experiences of the key actors as recounted in a period of multiple European crises which, in turn, represent the visible and mediatized manifestations of more complex and deep-seated processes of political and economic change. Here we provide a chronological periodization of intra-EU mobility trends over recent decades and how they intersect with major geopolitical events, aiming to contextualise the special issue articles which are then presented.     

A Case of Mistaken Identity? A Comparison of Professional and Amateur Problem Gamblers

Professional gamblers are more likely than amateur gamblers to meet criteria for problem gambling but minimal research has examined their gambling behavior and its consequences. This study compared gambling behavior, problem gambling symptoms, related harms, recognition, and help-seeking among problem semi/professional gamblers (PPGs/PSPGs) and problem amateur gamblers (PAGs). Surveys completed by 57 self-identified professional gamblers, 311 semi-professional gamblers and 4226 amateur gamblers were analysed. PPGs/PSPGs were significantly more likely than PAGs to be male, younger, never married, speak a language other than English at home, and have higher psychological distress, compared to PAGs. PPGs/PSPGs were more likely to gamble more frequently on many skills-based forms, but most also participated in several chance-based forms. PPGs’/PSPGs’ most common problematic gambling form was electronic gaming machines and they were more likely to have problems with sports betting than PAGs. Most PPGs/PSPGs reported coming out behind on all gambling forms over the previous year. PPGs/PSPGs were more likely than PAGs to report chasing losses and numerous detrimental financial gambling consequences. This group’s self-identification as PPGs/PSPGs is clearly inaccurate and perhaps a means to avoid stigma, elevate status and support problem denial. PPGs/PSPGs may represent an extreme example of gamblers with erroneous cognitions and beliefs who lack the required discipline and skill to be successful professional gamblers. The findings identify a group of problem gamblers who may benefit from interventions to dispel their mistaken self-identity, and emphasize the need for more rigorous confirmation of professional gambler status in future research.