The Psychology of the Psychopharmacology Triangle

Abstract

The psychopharmacological triangle generated by recent changes in mental health practices requires social workers to deepen their understanding of the psychological meanings of such treatment. Many clients receive concurrent psychotherapeutic and psychopharmacological interventions from different providers, creating a triangular treatment relationship. To facilitate a successful outcome, social workers will need to understand how meaning, transference and countertransference are stimulated by this arrangement. The literature on these issues as well as clinical experience will highlight specific issues requiring attention. By attending to these dynamics, the social worker can maximize the chances for a successful treatment outcome.     

The nature and context of cross-border social work in Ireland

This article is concerned with mapping cross-border social work in Ireland. After a short background section on the nature of the Irish border, it evaluates and assesses the main areas of collaboration in social work. It argues that this type of work has been largely led by special project funding and is dependent on the skills, knowledge and commitment of a small number of individuals who have driven cross-border projects. Whilst there is a clear rationale for collaboration in social work programmes, it is contended that this method of working lacks an overall coherence and is in danger of disappearing when special funding programmes come to an end. The article contends that there is a fundamental desire for close co-operation, but as cross-border social work has not been embedded into the routine business of health boards and trusts the impetus is constantly undermined. It is concluded that cross-border social work programmes will remain marginal and insignificant until they are mainstreamed rather than bolted on as an afterthought to existing programmes.     

Electronic Data Interchange: Research Review and Future Directions*

For nearly two decades, electronic data interchange (EDI) has been widely viewed as a technology pivotal to supply chain management that has also provided benefits to firms on multiple levels. Despite a substantial body of literature, there are a number of conflicting and inconclusive research results in this field. In this study, we synthesize the diverse body of research in EDI by organizing the literature into an initial theoretical framework. Based on a meta‐analysis of results from the empirical literature, we seek to clarify conflicting results from the literature in order to develop a more unified theoretical framework of contextual variables associated with EDI adoption factors and outcomes. From a managerial standpoint, our literature‐based framework offers a set of guidelines for making successful EDI adoption and implementation decisions.     

Strengthening implementation success using large-scale consensus decision-making - A new approach to creating medical practice guidelines

A study involving over 2000 stoma care nurses in the development of best practice guidelines for the assessment of peristomal body profiles, patient engagement and patient follow-up was conducted in 2018. The study was designed to develop guidelines for stoma care treatment and product selection and to decrease the evidence to implementation gap. The project built on research evidence from a literature review of 77 articles. The results of the literature review were then used to inform a series of Delphi surveys sent out to stoma care nurses through Association and industry list-serves in 11 languages. The Delphi surveys were followed by a face2face professionally facilitated discussions among nurse-research experts. The project concluded with a facilitated consensus dialogue among 960 stoma care nurses from 25 countries, resulting in an implementation plan to ensure the guidelines become a normal part of routine patient care. The study resulted in a set of medical practice guidelines for stoma care nurses, designed to improve patient outcomes and patient quality of life, that were accepted and adopted into routine medical practice across 25 countries. This article describes the study and how the process used, coined the ‘Modified Delphi Process’ by the process designer, led to faster implementation than is generally experienced in the medical community.     

The opportunity to contribute: disability and the digital entrepreneur

ABSTRACT

A range of scholarly work in communications, informatics, and media studies has identified ‘entrepreneurs’ as central to an emerging paradigm of digital labor. Drawing on data from a multi-year research project in the virtual world Second Life, I explore disability experiences of entrepreneurism, focusing on intersections of creativity, risk, and inclusion. Since its founding in 2003, Second Life has witnessed significant disability participation. Many such residents engage in forms of entrepreneurship that destabilize dominant understandings of digital labor. Most make little or no profit; some labor at a loss. Something is being articulated through languages and practices of entrepreneurship, something that challenges the ableist paradigms that still deeply structure both digital socialities and conceptions of labor.

Disability is typically assumed to be incompatible with work, an assumption often reinforced by policies that withdraw benefits from disabled persons whose income exceeds a meagre threshold. Responses to such exclusion appear when disabled persons in Second Life frame ‘entrepreneur’ as a selfhood characterized by creativity and contribution, not just initiative and risk. In navigating structural barriers with regard to income and access, including affordances of the virtual world itself, they implicitly contest reconfigurations of personhood under neoliberalism, where the laboring self becomes framed not as a worker earning an hourly wage, but as a business with the ‘ability’ to sell services. This reveals how digital technology reworks the interplay of selfhood, work, and value – but in ways that remain culturally specific and embedded in forms of inequality.     

Central State Steering of Local Collaboration: Assessing the Impact of Tools of Meta-governance in Homelessness Services in England

Much of the discussion of state steering of service delivery networks to encourage collaboration at the local level has been theoretical. This study builds on this analysis systematically to assess the relationship between meta-governance tools of central government steering and the extent of local collaboration, using the case of homelessness services in England. Contrary to the pessimist expectations of some contemporary theory, central government funding tools and facilitating the transfer of best practice encourages collaboration. However, simple information provision and authority based tools are only partially effective, risking tokenistic compliance. Authority tools are more effective when combined with other tools.

An Evaluation of a Community Collaboration Approach to Psychosocial Rehabilitation

ABSTRACT

This article reports on the results of a multiagency collaboration demonstration project that was designed to replicate the salient features of an exemplary practice, single-agency program of psychosocial rehabilitation for persons with serious mental illness (SMI). The community collaboration extended over two phases for 2 years and involved over 20 mental health service providers. The demonstration project itself was designed to be a replication of the Village Integrated Services Agency (Village ISA) of Long Beach, California. Additionally, this article reports the results of a rigorous evaluation of the project. The treatment group outcomes were substantially superior to all control group measures at or beyond the 0.05 level of significance. With due regard for limitations imposed by a small sample size (n = 50), the project demonstrates that the replicated model of intervention can be effectively implemented through a collaborative organizational structure involving a coalition of agency service providers.     

An Evaluation of the Effectiveness of an FE/HE Partnership in the Delivery of a Preparation for Practice Module within an Undergraduate Social Work Degree Programme

The Preparation for Practice module at the University of Ulster is delivered to 170 first year students via a collaborative arrangement between higher and further education institutions. In each of the five sites, students receive large group and small group teaching facilitated by social work training agency workers and academic tutor dyads. An evaluation of the module sought the perceptions of the agency and academic facilitators regarding the overall collaborative arrangement and the model of co-teaching involving social work academics and agency partners. Respondents were asked to complete a semi-structured questionnaire, which generated data from a Likert scale and also invited qualitative commentary. The Likert scale data were analysed via SPSS and the qualitative information was scrutinised using a manual thematic analysis technique. Findings indicated that continuous communication, consistency in programme content and the acknowledgement of the differences in organisation resources were key to a successful collaborative arrangement. It was also noted that a co-teaching model should be viewed as a positive vehicle for achieving module objectives in a safe learning environment.     

CSCW环境下MIS系统的关键技术

计算机支持的协同工作(CSCW)概念的引入,使计算机的工作方式发生了根本改变.协同工作环境下,MIS系统必须具备身份识别、权限检查、优先权、共享信息空间、自由浏览等许多全新的功能.要实现这些功能,CSCW-MIS系统必须解决群接口、并发控制、协同管理等三大关键技术.