Becoming the Family Archivist

The author describes some of the ways in which conventional amateur family histories fail to portray the emotional realities of family life. Recent trends in biography and autobiography are explored briefly, and the possibility of a family history informed by systemic as well as psychoanalytic insights is considered. The author's own work, A Family in Time, attempts such a history. The author outlines his sources of information, both documentary and oral, and the special challenges posed by their interpretation. The decisions governing the ordering and selection of data for publication are explored, the author's aim being to present the facts in such a way that a systemic conception of family process over time will be implicit in the material. Implications for the author, for the family itself, and for therapists working with intergenerational process are briefly considered.     

Patient satisfaction with mental health services: a meta-analysis to establish norms

Patients typically express high rates of satisfaction with their mental health care. This finding and the lack of well controlled studies on patient satisfaction in the literature underscore the need for meaningful guidelines for clinicians and program evaluators in interpreting patient satisfaction data. To address this problem a meta-analysis was undertaken to establish norms on patient satisfaction for various types of mental health programs. Programs were categorized according to three dimensions: inpatient vs. outpatient vs. residential care; chronic vs. non-chronic; and conventional vs. innovative. Meta-analysis procedures were modified to accommodate the single-group study designs that dominate the literature. The analysis revealed that chronic patients express less satisfaction with their treatment compared to non-chronic patients. Innovative programs are viewed more positively than conventional ones. No differences were found in rates of patient satisfaction between inpatient and outpatient programs. Acceptably reliable norms and confidence intervals of patient satisfaction were established for conventional inpatient programs serving either chronic or non-chronic patients; conventional outpatient programs for non-chronic patients; and for all programs combined according to chronic vs. non-chronic, inpatient vs. outpatient, and conventional vs. innovative. However, data were insufficient to compute norms for other program types. The norms thus established can be used for comparative purposes by program evaluators. A cumulative, national data base on patient satisfaction is recommended to further refine these norms.     

The effects of psychiatric symptoms on quality of life assessments among the chronic mentally ill

This study of chronically mentally disabled persons in community residences examined the discriminant validity of subjective quality of life indicators and self-report mental health indices to determine the potential confounding effects of psychopathology on the assessment of quality of life (QOL). Factor analyses and difference-score reliabilities identified a general QOL construct and a general mental health construct with 27% common variance. However, psychiatric symptoms did not significantly (p less than .05) alter the bivariate and multivariate relationships among the QOL ratings, except in the health domain in which the correlations of health-related QOL indicators with global QOL were significantly (p less than .05) attenuated after removing the effects of psychopathology. The results suggest that psychopathology does not introduce bias into the overall structure of QOL data, but they also indicate the importance of controlling for mental health effects in the assessment of patients' self-rated health and satisfaction with health care.     

The Development of Cross-Cultural Talent

正I believe that there are many different elements to an outstanding education today.But the element that may be the most new,the most different from what constituted an outstanding education in the past,is the need to help today’s talents to become cross-cultural talents.     

A meta-analysis of the pique technique of compliance

A random-effects meta-analysis was undertaken to examine the effectiveness of the pique technique of compliance-gaining. Results indicated an overall significant effect of the pique technique on increased compliance rate across 17 comparisons (r = .27). Moderator analyses showed the technique worked significantly better than controls in gaining compliance when a smaller amount was requested, when the reason for the request was included, and when the technique was used in France. In addition, the pique technique was more successful than control requests in terms of the total amount of money or time given by participants and the percentage of participants inquiring about the requests. Theoretical and practical implications for the success of pique technique are discussed for future research.     

Learning to Be a Social Worker in a Non-traditional Placement: Critical Reflections on Social Work,Professional Identity and Social Work Education in England

Drawing upon findings from a national evaluation of student social workers' experiences of ‘non-traditional’ placements with a national charity, this article considers what such placements can contribute to the development of an individual and collective sense of professional identity for social work. This is explored against the background of current developments in social work education in England, including changes to the requirements for practice placements and the introduction of ‘fast-track’ routes to qualification, preparing students for social work in statutory children's services. The article suggests that with the establishment of The College of Social Work and the development of the Professional Capabilities Framework, relevant to all social workers throughout their careers, the profession has an opportunity to promote a concept of social work in England beyond that required by statutory sector employers; and that practice learning in non-statutory and non-traditional settings has an important role to play in this.