Separations: A Personal Account of Bowen Family Systems Theory

This paper is a personal account of my own family of origin research. It explores the impact of separations from parents, nuclear family, and extended family through a Bowen family systems theory perspective using concepts pertaining to Bowen theory such as chronic anxiety, differentiation of self, multigenerational family process, and the emotional system. An outline of the process of doing research in ‘vivo’ with my mother as well as conversations with my supervisor are included. Theoretical differences between individual and system models are discussed. A Bowen theoretical approach to the anxiety of separations is investigated. The efficacy of engaging in family of origin work and the effects of thinking systems is examined in light of how it assisted me to view family members, family system disturbances, and clients’ emotional systems more objectively.     

Factors Preventing Gridlock in Chilean Couples’ Relationships Based on the Discourse of Couples Therapists and Highly Adjusted Couples

The term gridlock describes the occurrence of rigid patterns in couples’ conflict. This study aimed to describe strategies of conflict resolution and gridlock prevention from the perspectives of couples and couple therapists. Participants were couple therapists and highly adjusted couples scored by the dyadic adjustment scale (DAS), distributed according to traditional and non‐traditional position in life and duration of relationships. Conflict gridlock scenarios were used to create video stimulus that were presented to participants. A qualitative methodology was used to analyse couples’ and therapists’ commentaries on the scenarios. Results showed differences in preventing conflict gridlock among sub‐groups of couples. Long‐term traditional couples focused on loyalty to a common project and value sacrificing to a higher good; long‐term non‐traditional couples prioritised caring and validating the bond in the relationship. Short‐term traditional couples focused on mutual love and the relief of hurt while short‐term non‐traditional couples supported the value of equity.     

Confronting Anxiety in Couple and Family Therapy Supervision: A Developmental Supervisory Model Based on Attachment Theory

Referencing relevant supervisory literature and attachment theory, this article presents a developmental couple and family therapy supervisory model that emphasises the efficacy of the supervisory relationship. Issues concerning anxiety, cognition and learning theory are addressed and phases in the supervisory process are identified and described. Cognitive, emotional and social development are linked to attachment theory and discussed in the supervisory context.     

Economic Viability Among Post-Retirement Aged Women

Longer life expectancy has increased concern about living standards among elder women. This paper examines the relation between labor market status and living standard post-retirement. We use data from two national surveys to contrast economic circumstances of post-retirement aged and currently employed women. Financial resources of aged women and factors associated with their magnitude are identified. We examine current economic resources and employee benefits of women who will retire after the year 2000. The paper concludes with a discussion of proactive mid-life strategies for long-term economic stability among women, with emphasis on unique concerns, of black women.     

A Quality Risk Management Model Approach for Cell Therapy Manufacturing

International regulatory authorities view risk management as an essential production need for the development of innovative, somatic cell‐based therapies in regenerative medicine. The available risk management guidelines, however, provide little guidance on specific risk analysis approaches and procedures applicable in clinical cell therapy manufacturing. This raises a number of problems. Cell manufacturing is a poorly automated process, prone to operator‐introduced variations, and affected by heterogeneity of the processed organs/tissues and lot‐dependent variability of reagent (e.g., collagenase) efficiency. In this study, the principal challenges faced in a cell‐based product manufacturing context (i.e., high dependence on human intervention and absence of reference standards for acceptable risk levels) are identified and addressed, and a risk management model approach applicable to manufacturing of cells for clinical use is described for the first time. The use of the heuristic and pseudo‐quantitative failure mode and effect analysis/failure mode and critical effect analysis risk analysis technique associated with direct estimation of severity, occurrence, and detection is, in this specific context, as effective as, but more efficient than, the analytic hierarchy process. Moreover, a severity/occurrence matrix and Pareto analysis can be successfully adopted to identify priority failure modes on which to act to mitigate risks. The application of this approach to clinical cell therapy manufacturing in regenerative medicine is also discussed.     

18世纪世界文学视野中的曹雪芹和《红楼梦》

中国文学和西方文学间一向有种不对等的交流，一般中国学者熟知西方文学经典，但西方人并不掩饰他们对中国文学的无知。这种现象发生在今天，个中原因有其值得探讨的复杂性。中国的文学经典《红楼梦》，是曹雪芹写给自己和知友们看的一部感伤忆旧录，他从来没有、也不屑于承认自己是作家，无意将其发表，更不愿意用它牟利或谋生。这与同时期的欧洲作家有着根本的不同，他们都是很自觉、自知的作家，有鲜明的读者意识和市场考量。我们将曹雪芹与他同时代的西方作家进行比较研究，就凸显出曹雪芹在当时世界作家中的独特地位及创作意义。     

Self-Assessment and Change in One's Profession: Notes on the Phenomenology of Aging Among Mid-Life Women

Using data from a pilot study of mid-life, mid-career women in nursing, this research note suggests further exploration of women's work roles in understanding subjective assessments of self and aging. The analysis shows that among the nurses studied, dynamics of occupational or professional change were related to views of self in the future. These issues of change rather than age graded norms for achievement were paramount in the nurses' self assessment.     

Supporting prostate cancer focal therapy: a multidisciplinary International Consensus of Experts (“ICE”)

Abstract:

Prostate cancer is a common malignancy among men, and the current screening, imaging and sampling approaches aim to detect early-stage, organ-confined disease. In such scenario, focal prostate cancer therapy currently relies on the index lesion concept as the dominant lesion that drives the disease natural history. Focal therapy demands the essential imaging and sampling techniques to strategically locate and qualify the disease, but, despite advances in technology, prostate imaging and biopsy have several limitations that need to be overcome if focal therapy is to be developed further. The I Prostate Cancer Focal Treatment International Symposium was convened to foster discussion on this topic that sits at the crossroads of multiple disciplines (Urology, Pathology, Radiology, Radiation Oncology and Medical Oncology) all of which were represented for this comprehensive multidisciplinary review of the current literature.     

Theoretical Factors Influencing Adolescent Sexual Behavior: Evidence from a Rural Sample Living in Poverty

ABSTRACT

This study of 414 adolescents who resided in rural Arkansas families receiving AFDC was designed to investigate what theoretical factors predicted frequency of sexual intercourse in the past year prior to the study and number of lifetime sexual partners among males and females. Multivariate analyses indicated that elements of bonding were important to the sexual behavior of females, but not males. On the other hand, feelings of frustration influenced male sexual behavior only. The number of sex partners was increased by associations with sexually active peers for both genders while only females made excuses. The only factor which was associated with both sexual behaviors among both genders was having sex to have a baby to love or to draw a partner closer. The family social work implications of these findings were discussed.     

Woman Abuse and Conjoint Therapy: Therapists' Experiences of Engagement

ABSTRACT

Treatment approaches with couples in which woman abuse is a factor have been the subject of much attention and concern in the therapeutic community. We used focus groups to examine therapists' experiences of what they see as impeding or facilitating their ability to engage therapeutically with heterosexual couples when a man has used violence. Results were coded along four categories: contextual issues, the person of the therapist, client characteristics, and strategies for enhancing engagement. Results point to the difficulties therapist participants experienced engaging with males who have been violent with their partner. Strategies which therapists used to enhance engagement are illuminated. We discuss differences between the experiences of male and female therapists, and implications for clinical work and future research.