Cut the Crap: Language — Risks and Relationships in Systemic Therapy and Supervision

This article concerns the use of language in both therapy and supervision, and how it contributes to the necessary risk‐taking that will be a part of therapists' and supervisors' repertoires. The focus will be on my own examples in both roles, and will refer to both successes and failures, while questioning the usefulness of either concept. Within a postmodern paradigm, and influenced by thinkers including Foucault and Bakhtin as well as systemic clinicians, I will examine the use of language (including in cross‐cultural settings where risks can sometimes be amplified) and of humour and self while exploring the meanings of identity. I contend that all relationships contain some element of risk and the ways in which we create a safe enough context, through the uses of language as well as nonlinguistic means, are the crucial elements in our endeavours as supervisors and therapists. I favour the idea that therapy is more of an art than a science and that this is most exemplified in the graceful use of language by which we strive to engage rather than alienate people. The article may be considered by some as being useful advice, and by others as a risk too far, such is the controversial nature of language, which highlights the importance of relationships and context.     

“Scissors,Please”: The Practical Accomplishment of Surgical Work in the Operating Theater

The focus of this article is on professional activity in the operating theater. We explore how surgeons and nurses organize their activities, how social interaction is used to help structure and define situations, and how differentials in knowledge are constructed and oriented to. We utilize some ideas and concepts from symbolic interactionism, ethnomethodology, and conversation analysis to analyze small clips of audio‐ and video‐recorded interaction. Focusing on how surgeons and nurses request, provide, and apply surgical instruments, the analysis shows how surgical work is accomplished through talk and bodily conduct. We conclude that, examined in detail, the social interaction between surgeons and nurses is analytically inseparable from the “technical” demands of their work.     

Young people in a city of culture: ‘Ultimate beneficiaries’ or ‘Economic migrants’?

There is burgeoning literature on cities that host major cultural events. However, there is surprisingly very little empirical research focusing specifically on young people and cities of culture, so we have limited knowledge in terms of how young people actually experience and interpret cultural events. Given this, we offer an important and timely contribution to such debates. Our spatial focus is Derry/Londonderry (D/L) in Northern Ireland. During 2013 D/L was the UK’s inaugural City of Culture (CoC). The bid document and legacy plans for CoC stated that young people would be ‘cultural assets’ during 2013 and the ‘ultimate beneficiaries’ of the CoC legacy [Derry City Council 2010. Cracking the Code. City of Culture 2013. Derry: Derry City Council, 2013a. Our Legacy Promise. Building on the Success of 2013. Derry: Derry City Council, 2013b. Legacy Plan 2013–2023. Derry: Derry City Council]. This paper unpacks and analyses the extent to which young people in D/L related to and engaged with CoC and, arguably more importantly, how CoC affected their plans and aspirations for the future. Our research problematises the claim that young people were the ‘ultimate beneficiaries’ of CoC; most strikingly, it shows that young people, despite offering very positive views, both expect and desire to live in cities other than D/L. As such, the debilitating long-standing trend of economic migration of young people will continue raising important issues for local stakeholders.     

Decision Making in Voluntary Career Change: An Other‐Than‐Rational Perspective

The authors present a qualitative study of voluntary career change, which highlighted the importance of positive emotions, unplanned action, and building certainty and perceiving continuity in the realization of change. Interpretative phenomenological analysis was used to broaden theoretical understanding of real‐life career decision making. The accounts of 8 women who had changed careers were explored, and the analysis supported other‐than‐rational perspectives of career decision making. An action‐affect‐cognition framework of decision making is proposed. The framework adds the role of emotion and the importance of self‐regulation to existing theory of career decision making. Implications for career counseling are discussed.     

Image processing through multiscale analysis and measurement noise modeling

We describe a range of powerful multiscale analysis methods. We also focus on the pivotal issue of measurement noise in the physical sciences. From multiscale analysis and noise modeling, we develop a comprehensive methodology for data analysis of 2D images, 1D signals (or spectra), and point pattern data. Noise modeling is based on the following: (i) multiscale transforms, including wavelet transforms; (ii) a data structure termed the multiresolution support; and (iii) multiple scale significance testing. The latter two aspects serve to characterize signal with respect to noise. The data analysis objectives we deal with include noise filtering and scale decomposition for visualization or feature detection.     

LGBTQ Youths' School Athletic Experiences: A 40-Year Content Analysis in Nine Flagship Journals

The majority of youth identifying as lesbian, gay, bisexual, transgender, and queer (LGBTQ) experience harassment in school athletics, which increases the risks of mental health concerns and less physical activity involvement. The authors conducted a systematic content analysis of nine flagship journals to assess the representation of this critical issue within the scholarly literature. Results demonstrate a dearth of academic research within flagship journals, which may deter appropriate school-based initiatives and interventions. Implications for counseling and directions for future research are discussed.     

Cutting out the middlemen: physicians as providers, direct contractors, and payers. Interview by Donna Vavala

While many physicians and physician groups are forging alliances with other groups, with hospitals, and with other elements of the health care delivery system, an Ohio group decided that the loss of autonomy involved in these approaches was not acceptable. Instead, the group became the core of a new entity aimed at restoring physician control over the provision of and payment for health care services. In an interview with the principal of the new organization, Physician Executive learned the basis for the venture.