Informal Work in Nonmetropolitan Pennsylvania1

Abstract It is well recognized that the informal economy—unregulated economic activities that generate real or in-kind income—features prominently in the day-to-day lives of many in the developing world. Researchers have begun to explore the informal economy in developed countries but this work has focussed primarily on urban areas to the neglect of rural areas. In this paper the nature and correlates of informal work in nonmetropolitan Pennsylvania are described through an analysis of survey data on 505 families. Results indicate that participation in informal activities is widespread, is not more typical of the poor, does not contribute greatly to family income on average but does help many poor families weather difficult economic times, is both economically and noneconomically motivated, and, net of other sociodemographic variables, is positively related to rurality of residence and formal labor supply.     

Clinical supervision: Its role in “Containing” countertransference responses to a filicidal patient

This paper illustrates the role of supervision in processing countertransference responses with might have disrupted the therapist's empathy with a patient who had killed her child. The clinical material demonstrates how the therapist's responses of initial denial and subsequent disgust and fear were dealt with in supervision. As a result, the treatment process led to genuine, albeit limited, therapeutic change in a patient with severe character pathology.This paper is developed from a presentation of the case of Mrs. Jay at Department of Psychiatry Grand Rounds, University of Cincinnati College of Medicine, on May 2, 1989.     

The Social Economy in Bolivia: Indigeneity,Solidarity, and Alternatives to Capitalism

The social economy (SE) is alternatively conceptualized as a third sector (between the private and public sector); or by a typology of the organizations involved (such as cooperatives, non-profit organizations and social enterprises); or by the principles and values driving such activities (such as cooperation, mutual benefit, and democracy). One important consideration is often overlooked, namely that the SE emerges in different forms and with varied emphases depending on location. The SE is ‘place-based’—rooted in specific geographic, historical, cultural, and socioeconomic settings. This article explores the conceptualization of the SE in the Bolivian context from the perspective of government and civil society actors. The research took place after the country recognized the importance of the social, cooperative and community economy in their new constitution and found that the understanding of the SE in Bolivia relates strongly to the country’s indigenous and colonial heritage.     

Trustworthiness in evaluation practice: an emphasis on the relational

As canons for trustworthiness developed explicitly in the discourse of qualitative inquiry, the emphasis was on procedural matters rather than fundamentally relational ones. A nod was made to the relational in such strategies as “member checks” but the issues of how the evaluator actually relates to participants and to the larger communities of practice and discourse—matters subsumed under moral principles and ethical standards—were often marginalized. This chapter posits that the first consideration in designing and conducting rigorous evaluation inquiry, and in critiquing the results of any research, should be the study's trustworthiness. Judging a study's trustworthiness, however, should focus on much more than procedural matters; it should also rely on moral principles and ethical standards which specifically address how we relate to an evaluation's participants. Central to these considerations are cross-cultural sensibilities about the nuanced meanings associated with any principles and standards. The chapter provides a theoretical framework for this position and offers two illustrative examples in the form of dialogues.     

Sustained Empathic Focus and its Application in the Treatment of Couples

Although all psychoanalytically informed approaches to couples therapy recognize the importance of underlying dynamics, there are important differences in the focus of the treatment. This paper suggests a focus that is based on a self-psychological/intersubjective viewpoint. Two concepts that exemplify this model, a sustained empathic focus and an appreciation of the experience of vulnerability, are discussed and applied to a couples session. What is emphasized in this material is a process of focusing on underlying vulnerability, affect and subjective experience.

Cognitive-behavioral treatment for adolescents who sexually offend and their families: individual and family applications in a collaborative outpatient program

This article describes an outpatient treatment program for adolescent sexual abusers that was established by a mental health agency in collaboration with a specialized probation program in the juvenile court. Individualized treatment is based on a comprehensive clinical assessment with the youth and guardian, for which examples are provided. Given the heterogeneity of this population, we describe several treatment strategies directed to various individual or family clinical targets, including psychiatric disorders, sexual deviance and sexuality, normal adolescent development and adaptive skills, and parent and family relationships. Ongoing collaborative and coordination issues are also reviewed. The integration of mental health and probationary services provides a balanced approach to the community management and treatment of the low-risk, primarily first-time, adolescent sexual offender.