Pivotal partings: Forced termination with a sexually abused boy

The termination phase of therapy is an integral part of the treatment process engendering its own unique set of dynamics. However, the potential eruption of new material dislodged by the trauma of the impending loss may in some cases require a reassessment of discharge goals and consequent alteration of treatment modality. The likelihood of new material surfacing at this critical juncture is perhaps highest among the caseloads of therapist trainees, wherein the termination date is forced by the time-limited nature of the learning contract. In the following article, supervisor and trainee detail the process of therapeutic shift from a dynamic to a crisis-oriented modality in the case of a young boy whose central trauma emerged during termination.     

More on plurality and authorship in science: A reply to Tang

Understanding the “political economy” of the research environment is at the core of getting clear on the ethical aspects of authorship. Questions about who should be an author on a scientific paper are complicated by the fact that authorship is used to determine credit inside science and by outside institutions whose interests and standards often differ dramatically. Much of the research ethics community seeks to impose an elite ethical consensus on scientific fields. I argue that this approach undermines the scientific autonomy of research communities. In contrast, we should develop bottom-up strategies that empower local communities and associations.     

Sources of socialization for interpersonal trust: an exploration of low-income Black adolescents’ experiences

Much of the literature on interpersonal trust is quantitative in nature, using scales developed primarily with White middle-class and upper-class adults. To understand how another racial group of a different socioeconomic background and age views interpersonal trust, we considered the experiences of 22 low-income Black adolescents. The adolescents participated in a relationship education program and were interviewed about their interpersonal trust experiences. Results of a qualitative data analysis revealed that most adolescents defined interpersonal trust based on honesty and fidelity, with a particular emphasis on monogamy in romantic relationships. Adolescents identified direct messages from family members and personal relationship experiences as sources of socialization for interpersonal trust. Although some adolescents reported that the relationship education program enhanced their understanding of and willingness to trust, others maintained that trust can only be learned through personal experiences. Though the adolescents generally trusted family members, they experienced challenges trusting friends and romantic partners. Despite this, adolescents considered interpersonal trust a vital and a necessary part of romantic relationships. We discuss implications of the findings for relationship stability and satisfaction.     

Social innovation and ICT in social services: European experiences compared

Innovation in social services and social policies in the European welfare systems is an evolving phenomenon stimulated by socio-demographic, cultural and economic changes. Many social service innovations are linked to disruptive technologies, especially the introduction of information and communication technology (ICT). To discuss the effects of disruptive technologies on health and social services, this article first proposes a framework consistent with the social innovation paradigm. Secondly, based on case-studies, it investigates different models of social and health service innovation driven by technology. The article shows advantages and disadvantages of service innovation driven by technology, and offers some final remarks about future challenges for ICT in health and social services. More evidences of effectiveness and efficiency are necessary to promote public and private investment to implement solutions on a wider scale. However, the impacts of technology-based solutions cannot be measured only in terms of economic aspects but also taking into account whether new technologies really provide the opportunity for citizens to have a better life and advocacy for their rights.     

Graphical methods for comparing confounding in two or more designs

In many circumstances it is necessary to design an experiment with partial confounding of parameter estimates. In this situation, one would like to have tools to assess and compare candidate designs graphically. In this paper we discuss two graphical representations of design properties, and illustrate their application with two examples.     

Golden wedding couples

The implications of retirement for marital and family relationships were explored in golden wedding couples, against a background of those few studies that have so far examined relationships in long-married couples. Older couples can be described in two domains: behavioral and affective. Five activity types are derived from the amount or diversity of shared activities between spouses during a typical day. These types interact with the degree of intimacy measured on two instruments. It was concluded that retirement does not affect intimacy directly, but that it does indirectly through extra time and proximity which provide opportunity for enhancing prevailing intimacy between partners or for magnifying irritations.     

Events and experiences impacting the development of clinical self confidence: a study of the first year of client contact

Research was conducted to identify the events and experiences influencing the development of clinical self-confidence during the first year of client contact for beginning marriage and family therapists. Thirty-nine recent graduates of a master's degree training program participated in a semistructured interview in which they were asked to describe the influences on their clinical self-confidence. Through qualitative analysis, four event and experience categories emerged as exerting the most influence on confidence at this stage of professional development: supervision, contact with clients, contact with peers, and personal life stress. The authors recommend providing strength-focused supervision, acknowledging the effects of client contact, encouraging peer contact, and attending to personal life stress.