Selecting a family therapy model: the role of personality attributes in eclectic practice*

The expanding knowledge and skill bases within the interdisciplinary family therapy profession pose a significant challenge for evolving practitioners, at whatever stage along the professional development process they find themselves. This challenge raises a basic question regarding whether there are any constraining forces to the level of eclecticism in practice towards which one can aspire. This paper empirically explores the role played by the personality attributes of the family therapist in facilitating and/or inhibiting one's adherence to a variety of approaches to family practice.     

The World Fertility Survey: an appraisal of methodology

"In the first half of the article, a broad account of content and procedures is given. In conduct of individual surveys, the achievements of the World Fertility Survey were based on thoroughness rather than technical superiority. The later aspects of the program, including analysis, archiving, and data dissemination, were more innovative and represent models of excellence for similar future enquiries. In overall terms, the program is judged to be an expensive success. In the second half of the article, two methodological issues are discussed in more detail: the collection of retrospective birth histories and the translation of survey instruments into local languages." Comments by Anthony G. Turner (pp. 768-9), Kweku T. de Graft-Johnson (pp. 769-70), Burton Singer (pp. 771-2), and Joel E. Cohen (pp. 772-4) are appended.     

Diet,mortality and life expectancy: a cross national analysis

"There are numerous reasons why mortality and life expectancy vary between countries. Epidemiological studies seem to indicate that dietary variations may be among them. A sample of 51 countries studied with data from the International Comparisons Project and other sources, shows that after controlling for nutrient intake, consumption of medical goods and services, income distribution, weather, and literacy, countries with more meat and poultry in their diet have lower life expectancies after age five. The results for infant mortality and child death between one and five indicate that a more animal-intensive diet may be actually beneficial, especially if fish consumption is increased and meat and poultry consumption reduced."     

The effects of the age and structure of population on family change]

The age structure of a population is one basic factor of population research. It is not only affected by birth, death, immigration, and marriage, but it also reflected in changes of family size. The article analyzed it from two aspects: (1) the age structure of population acts on the size and structure of the family. The younger the age structure, the larger the family size. Otherwise, it is the opposite. According to the 1982 census, 35.4% of the population was 0-14 years in rural areas, and average family size was 4.6; but in urban areas 26.0% of the population was 0-14 years and family size was 3.9. The family was characterized as a nuclear family as industrialization in economic development increased and the population aged. In the 1982 census, 64.7% were nuclear family and 6% were aging population in China. Three- generation families (or more) have decreased dramatically. The change of family size and structure is affected by change of internal family age structure. The younger population (0-14 years) is dependent and 90% live with their parents. The adult population (15-59) years are more affected by marriage, birth and social economic action. Families are established in this age period and give much more effect to fertility. The aging population (over 60) years is facing changes. They appear to be a "Defect" family because the wife or husband has passed away. They change from independent to dependent. 78.3% population over 60 years were dependent on children or social welfare, only 21.7% were independent according to the survey in Beijing Changping County.     

Immigration and the earnings of youth in the U.S.

"This article reports findings that have emerged from an effort made at statistically measuring the effects of immigration on the earnings of U.S.-born youth. The presence of immigrants arriving before 1965 has a positive impact on youth earnings. Recently arrived immigrants impact negatively, however. These results are consistent with recent findings that the skill level of immigrants arriving within the last two decades is lower relative to that of immigrants arriving earlier. The results also show that the negative effects diminish as the youth ages, reflecting skill acquisition and job mobility of the young worker into jobs less vulnerable to competition from immigrant workers."     

Modern family planning,sexual behavior and marriage status among women in Tanzania

"This article looks into sexual behavior and marriage status among women attending Mother and Child Health Care clinics in Tanzania. It looks into the effects of such behavior on the marriage and suggests some policy implications, especially in relation to modern family planning methods. The data which form the basis of this article were collected [in 1987] among 244 women in two urban centers in Tanzania."     

Mixed model for analyzing geographic variability in mortality rates

"A mixed model is proposed for the analysis of geographic variability in mortality rates. In addition to demographic parameters and random geographic parameters, the model includes additional random-effects parameters to adjust for extra-Poisson variability. The model uses a gamma-Poisson distribution with a random scale parameter having an inverse gamma prior. An empirical Bayes approach is used to estimate relative risks for geographic regions and annual rates for demographic groups within each region. Lung cancer in Missouri is used to motivate and illustrate the procedure."     

On estimating census undercount in small areas

"Net undercount rates in the U.S. decennial census have been steadily declining over the last several censuses. Differential undercounts among race groups and geographic areas, however, appear to persist. In the following, we examine and compare several methodologies for providing small area estimates of census coverage by constructing artificial populations. Measures of performance are also introduced to assess the various small area estimates. Synthetic estimation in combination with regression modelling provide the best results over the methods considered. Sampling error effects are also simulated. The results form the basis for determining coverage evaluation survey small area estimates of the 1900 decennial census."     

Medication management, antidepressant drugs, and the elderly: an overview.

1. Several factors may affect an elderly client's use of medications: polypharmacy, potentially leading to interactions; over-the-counter drugs taken without a physician's knowledge; noncompliance or poor compliance with medication regimens; and ageist beliefs. 2. Psychiatric nurses must be aware that the signs and symptoms they observe may be the result of normal physical or biological aging, psychosocial changes, disease-related changes, medication side effects, or a drug interaction. 3. Nurses must ask two questions when psychotropic drugs are used with elderly clients: What will be the onset, duration, magnitude, and characteristic action of a specific drug in an individual; and What are the characteristics of an "ideal" medication?