The effects of a Minnesota Welfare Reform Program on marital stability six years later

Population Research and Policy Review - Do welfare reform policies affect marital stability among two-parent families? Long term findings from an experiment in Minnesota, evaluated via a random...     

Self-regulation of distance in supportive psychotherapy

The authors present the case of a schizophrenic man treated in the setting of a supportive care clinic. The course of treatment from beginning to termination is illustrated by treatment vignettes and by excerpts from the patient's letters to the therapists. Case discussion centers around the handling of the classic schizophrenic conflict over intimacy versus isolation. The authors stress that the therapists must be acutely sensitive to the patient's need and ability to regulate his or her own emotional and therapeutic distance over the course of treatment. They make a case for utilizing this conceptual framework in the treatment of chronic psychiatric patients in supportive clinic settings.     

Sex and sexual orientation as variables in therapists' biases and therapy outcomes

The extent to which the variables of sex and sexual orientation are factors in therapy efficacy and therapist bias are examined through an extensive review of the literature. Data analysis based on a large sample of lesbian women indicate that female therapists, either heterosexual or lesbian, were assessed to be more beneficial than male therapists. However, the author suggests that therapists' sex role ideology may be a more salient factor than sex or sexual orientation in positive therapy outcomes with lesbian women.     

Selves and a Changing Social Form: Notes on Three Types of Hospitality

Taking hospitality as a social form, analysis of three altering types (domestic, airline, the hospice) shows reflections of social and economic forces that change the form and interactions within it and, hence, the selves of the interactants. It is suggested that symbolic interactionists pay particular attention to the dynamics of social forms as a way to link situated activity and larger social and economic forces.     

Measuring the US non-profit sector: a progress report

The input-output model currently used for estimating the size, scope and dimensions of the non-profit sector in the US economy is based on the SIC system. Unfortunately, this system is inadequate to provide detailed information on the non-profit sector. In response, we developed a classification system — the National Taxonomy of Exempt Entities (NTEE) — to define and measure the sector more accurately. This article describes the relationship between the SIC-based measures and the NTEE based measures, and reports on current efforts to link the NTEE system with tax data bases maintained at the Internal Revenue Service.Virginia Hodgkinson is Vice President for Research at Independent Sector, Washington, DC, 20036.Murray Weitzman is a Senior Research Consultant at Independent Sector.     

Young widows' experience with an Internet self-help group

1. Finding empathetic support is an important factor in coping for people with various needs. 2. Support group resources may be limited due to long travel distances, expense of child care, lack of transportation, or no available group for specific needs. 3. Nurses can guide their patients to Internet support groups for self-care when traditional groups are not accessible or applicable to their circumstances.     

Financing Rural New England University Health Services: A Pilot Study

Abstract

Patient satisfaction in university health settings has received little research attention, and it is unclear whether the issue is being addressed in college health clinics. Because providers may make their own evaluations of patient satisfaction in the absence of other information, the authors conducted a study to determine whether healthcare providers at a university health clinic could accurately assess patient satisfaction. Ten providers completed a 10-item questionnaire immediately following the medical encounter to rate their perceptions of selected patients' levels of satisfaction. After seeing a healthcare provider, 201 patients completed a comparable questionnaire indicating how satisfied they were with the experience. Responses of providers and patients were compared, using a paired-sample t test. The results showed that providers' ratings were significantly lower than patients' ratings, indicating that providers were unable to judge patient satisfaction accurately. The results suggest that formal evaluations of patient satisfaction should be included in college health services.     

Counter-story,resistance and reconciliation in online narratives of women in recovery from problem gambling

Based on discourse analysis of website postings to an online gender-specific support group over a 30-month period, this study examines the context and narrative forms through which women tell the stories of their experience of problem gambling and recovery. In response to the hegemony of men-dominated groups and dominant ideologies, women seeking support for their recovery create both online and offline symbolic communities for gendered expression of experience. The oral tradition of Gamblers Anonymous is referenced and reflected in the website postings, providing a coherent narrative structure that is valued in western culture. The online forum references a pragmatic approach that places women's solutions in the public domain, rendering these experiences visible, significant and transformative. A hypothetical model is proposed in which creation of symbolic community and learning to tell a coherent narrative mediate progress from chaos to social and moral reconciliation.     

Reading and Writing,Talking and Listening Introducing Studies in Gender and Sexuality

This essay offers a brief history of how the stereotype “the female homosexual” was created through three installments of psychoanalytic theorizing, starting with Freud's (1920) case study. A second, brief history presents the various strands of critical theorizing that have identified “the female homosexual” as a stereotype. The essay then makes a contribution to current discussion of female homosexuality by suggesting an instinct theory that features ego instincts and sexual instincts interacting (as Freud' theory did before 1920). Reference is made to Takeo Doi's concept of amae (expectation of affection) and to amae as an ego instinct. This theory then is the framework for a clinical v ignette focused on a female homosexual's ego-instinctual needs.