Maintaining an Illusion: Abuse, Somatization, and the Elaboration of Meaning

Many clinicians who have treated adult survivors of abuse have known for some time what is now confirmed by the empirical literature: these clients often suffer from a host of physical complaints for which their doctors tell them there is no physical cause. The symptoms as well as the response of the doctors are frequently quite disturbing to the client. Both aspects of the clients' experiences are also very difficult to treat. Relational theory may provide a perspective that will enhance the understanding of somatization in survivors of abuse. The resulting thesis is that somatization may be the result of deficits in meaning, which are in turn due to conflicts between distinct levels of meaning. This theory weds two previously opposed perspectives: the deficit and conflict models of psychopathology. While the hypothesis may be interesting on the level of pure theory, the ultimate aim of the paper is to apply the theory to the treatment of somatic symptoms among adult survivors of abuse, expanding upon existing interventions. First, the clinician must assess for deficits in the levels of meaning, then utilize interventions appropriate to specific levels. To safeguard that no new conflicts arise, the clinician must ensure that the meanings elaborated in treatment support an integration of meaning on all three levels. To this end, he or she must target interpretations to the client's zone of proximal meaning. These principles are illustrated in a case example.     

Efficiency Wages: Signals or Incentives An Empirical Study of the Relationship between Wage and Commitment

Efficiency wage theories arguethat firms induce their employees to work in a moredisciplined way by paying high wages. Two basicmechanisms have been pointed out in economics about how these wage premia motivate employees.The incentives-driven `shirking model' impliesthat employees who have a highly paid job workin a more disciplined way so as to avoid beingdismissed. The ``gift exchange' model is basedon the assumption that high wages change therelationship between employer and employee.Empirical evidence on the incentives approachis mixed and a thorough competitive testingagainst the gift exchange model was notpossible due to the fact that the latter wasnot worked out enough. However, there is a relational theory of efficiency wages which isworked out in detail in order to allow directcompetitive testing. This relationalsignaling approach, as it is called, is basedon framing effects and comes to specifichypotheses about the conditions under whichefficiency wages work. These hypothesescontrast sharply with predictions from theincentives approach. The paper presents anempirical test of the theories and shows thatthe data clearly reject the incentive-basedpredictions and confirm the relationalsignaling predictions.     

我国职业技术教育规模结构效益分析

文章对我国的职业技术教育发展的规模、结构进行概述的基础上,利用灰色关联度分析方法,对职业技术教育的效益进行深入分析,探讨了我国职业技术教育的发展趋势,对促进我国经济发展、调整教育结构具有显见的意义。     

Reconstructing a Sense of Relational Agency in Family Therapy

The concept of agency is relevant in family therapy. As family therapists we approach each family member as a full agent, which means that what each person thinks and feels, makes sense, and that each person contributes in a significant way to the construction of a relationship. A person's sense of relational agency is constructed in relationships through processes of relational influence. Thus, agency is a relational construct and is dependent on bidirectional transactions in a relationship. A person's sense of relational agency refers to the belief a person has about being able to influence another person, that this influence is significant for the other, makes a difference for the other, and contributes to the construction of the relationship. Many family members who enter therapy have lost their sense of relational agency. In this paper we discuss ideas how to reconstruct family members’ sense of relational agency in therapeutic practice.     

Integrating Relational Perspectives in Career Counseling Practice

Sweeping changes in the world of work are transforming the very fabric of career counseling practice as clients cope increasingly with work uncertainty, including unemployment, underemployment, and precarious work. The authors describe how relational perspectives (Blustein, 2011 ; Flum 2015 ; Richardson, 2012 ; Schultheiss, 2003 ) can be infused in career counseling, with a focus on the concerns of an increasingly stressed and anxious client population. To provide a framework for the application of relational perspectives, the authors integrate and present existing relational theories and frameworks in 4 tenets that have particular relevance for career counseling practice. An in‐depth case analysis is provided to illustrate how relational perspectives can be integrated in working with clients experiencing uncertain work and associated relational challenges.     

The social capital of obese persons: implication for self-help/mutual aid groups and social work practice

This study investigates the amount of social capital possessed by obese persons. This is an interesting issue for social work because the relational attitude of users and their social capital are crucial for the efficacy and sustainability of helping actions. The study found that the social capital of a sample of obese persons undergoing obesity treatment in an Italian hospital ward did not differ from that of the general Italian population and no association between the BMI of the obese patients and the characteristics of their social capital was found. Overall the social capital of the obese patients was similar to that of the general population. This can be considered a useful prerequisite for the launching of recovery projects based on the involvement and reinforcement of interpersonal relations, using the social capital of the obese people to communicate and support a course of treatment structured according to the methodology of relational social work, particularly through self-help/mutual aid groups.     

Are older adults networked individuals? Insights from East Yorkers’ network structure,relational autonomy,and digital media use

ABSTRACT

Networked individualism is a critical concept about the transition of the societal shift from geographically bounded local groups to the contemporary network society comprised of sparse, permeable, and dynamic communication networks. An underlying assumption about networked individuals thus far in the literature is that they are at a younger age. There are fears that older adults have been left behind in this transition to networked individualism. In this study, we are the first to inquire to what extent ? and in what ways ? are older adults networked individuals. Using in-depth interviews with 41 older adults living in the East York area of Toronto, we used a combination of quantitative coding, thematic analysis, and individual profiling to analyze their social network structure, relational autonomy, and digital media use. Our findings render a rather complex and nuanced picture, showing three types of older adults along the spectrum of networked individualism: networked individuals, socially connected but not networked individuals, and socially constrained individuals. Although most participants are socially connected, those who are networked individuals actively manage and navigate multiple, diverse, and non-redundant social networks. Digital media use is neither necessary nor sufficient in qualifying a person as a networked individual as the great majority of East Yorkers ? even if not networked individuals ? integrate digital media into their everyday lives.     

The Marital Attitudes Scale: Assessing and Treating Ambivalent Clients

This article explores the complexities of the couple relationship commonly observed in the clinical settings of couple therapists. Whether described as the “push–pull” of the couple dyad, the mixed agenda couple, the couple that is leaning out versus leaning in, or the ambivalent couple, the literature suggests that this dynamic is to be assessed and explored before fully engaging in relational therapy or pursuing separation or divorce. The Marital Attitudes Scale is a 48-item self-report inventory that was normed with a clinical and nonclinical population at 2 clinical training sites. The inventory adheres to a cognitive-behavioral theoretical orientation with 4 subscales and a total score that measure cognitions, emotions, behaviors, schemas, and total scores relative to the ambivalence or the absence of commitment in the couple relationship. The instrument uses the frame of preambivalent, or committed to the relationship; ambivalent, ambivalently committed to the relationship; or postambivalent, no longer committed to the couple relationship. The inventory has evidenced good validity and reliability and is considered to be a useful inventory for assessing the degree of commitment to the relationship when a couple engages in therapy. This article explores the development of the inventory, its cognitive-behavioral theoretical orientation, the literature around the theme of marital dissolution, the concept of relational ambivalence, and the interface between assessment and therapeutic engagement.     

Investigating the Risks of Spiritual Leadership

The spiritual leadership literature suggests that such leadership has a positive influence on organizations’ productivity and profitability as well as on employees’ enjoyment and well‐being. In a qualitative study conducted at a Swedish abbey for nuns, using interviews, observations, correspondence, and documents, this research indicates that spiritual leadership may pose negative risks to organizations and their leaders. Risks in spiritual leadership that are indicated include a culture of narrow‐mindedness and leadership rotation failure that can lead to rigidity and to the leader's work overload because of the demand for limitless empathy and for personal sacrifice. The findings should be viewed as an inspiration for further research.     

The practical utility of the Welch Emotional Connection Screen for rating parent–infant relational health

Emotional Connection (EC) measured by the Welch Emotional Connection Screen (WECS) was related to the Parent–Infant Interaction Rating System (PIIRS), a 5‐point adaptation of the rating system developed for the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (e.g., NICHD Early Child Care Research Network, 1999, Developmental Psychology, 35, 1399). Parent–infant dyads (n = 49 mothers; 43 fathers) were videotaped during face‐to‐face interaction at infant age 6 months; interactions were coded with both the WECS and PIIRS. At age 3, mothers completed the Child Behavior Checklist. WECS ratings of EC were associated with PIIRS rating items for both mother–infant and father–infant dyads. Mother–infant EC related positively to maternal sensitivity and positive regard for child, child positive mood and sustained attention, and dyadic mutuality, and negatively with maternal intrusiveness. Father–infant EC related positively to fathers' positive regard for child, child positive mood and sustained attention, and dyadic mutuality. Mother–infant EC predicted child behavior problems at age 3 better than mother–infant PIIRS ratings of dyadic mutuality. With fathers, neither EC nor dyadic mutuality ratings predicted mother‐reported child behavior problems. Findings highlight the practical utility of the WECS for identifying potentially at‐risk dyads and supporting early relational health.