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.     

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.

Teacher training and multiculturalism in a transitional society: the case of the Slovak Republic

The authors explore a number of issues surrounding multicultural education in “societies in transition”, emerging from their experiences during a TEMPUS project that took place in the Slovak Republic. The TEMPUS project entailed the development of a multicultural education curriculum for teacher trainers, as a response to the conditions for entry into the European Union. The paper provides background information on the position of ethnic minorities in Slovakia, in particular the Hungarian and Roma population and the development of policies, especially in education, for combating racism. In examining the challenges to educators in developing a more open system than the command education of the recent past, issues such as the predominance of traditional pedagogies, multiculturalism and antiracism, the problems of “other isms” and of giving voice to minorities are considered.     

Teacher Outcomes from the Second Step Child Protection Unit: Moderating Roles of Prior Preparedness,and Treatment Acceptability

ABSTRACT

Teachers play a critical role in child sexual abuse (CSA) prevention and intervention efforts. We examined the impact of the Second Step Child Protection Unit (CPU) on improving teacher awareness, attitudes, and teacher–student relations for 161 teachers. Teacher baseline scores and treatment acceptability were examined as moderators. Structural equation modeling (SEM) revealed a significant effect of the CPU on teachers’ awareness, attitudes, and teacher–student relations, particularly for teachers with lower prior knowledge, attitudes, and student relationships. Teachers’ acceptability of the CPU also moderated outcomes, where a higher level of acceptability of CSA interventions was associated with an increase in outcomes.     

Pilot testing the detection of elder abuse through emergency care technicians (DETECT) screening tool: results from the DETECT pilot project

Objective: To pilot test the feasibility of implementing an elder abuse (EA) screening tool (DETECT) designed for medics.

Methods: Testing occurred between September 17th, 2015 and October 26th, 2015. MedStar Mobile Healthcare medics completed the DETECT tool when responding to calls for community-dwelling patients 65 years of age or older.

Results: The DETECT tool was used 1,248 times by 97% of medics responding to an eligible 911 call. Medics responded affirmatively to at least one screening item on 209 of the completed screenings (16.8%). Immediately following the introduction of the DETECT tool, there was an increase of 5.4 (226% above baseline) reports per month (p = 0.0056).

Conclusions: The DETECT tool was easily incorporated into medic’s field-based practice and resulted in an increase in medic generated reports of EA to APS. Future research designed to evaluate the tool’s validity and reliability are warranted.     

The demand for leisure time in the presence of constrained work hours

This article presents a labor supply model designed to address situations of overemployment or underemployment in the labor market. Previous labor supply models have taken the possibility of work hour constraints into consideration but typically assumed that the existence of fixed work hours only influenced the decision of labor force participation. This ignores situations in which individuals choose to be employed at fixed-hour jobs even though these jobs do not offer the desired work hours.     

Vegetative characteristics of urban land covers in metropolitan Tucson

In this study we developed a methodology that associated land cover categories to aerial photographs. We selected 4, 42-mile (10 km2) study sites within metropolitan Tucson, Arizona for our pilot study. Land uses within these sites covered the range of landscapes found within Pima County, Arizona, although not necessarily in proportions representative of the metropolitan area. We designated land cover categories within the pilot sites based on recent (March, 1990) aerial photographs and developed a geographical information system (GIS) database of these land cover categories. We measured vegetation attributes on randomly selected samples within each land cover category and classified vegetation occurring on specific land cover categories according to the Brown et al. (1979) system. Our land cover classification system was nominal with a hierarchical structure, facilitating organization and providing flexibility for adding new categories.Our results showed that although neighborhood parks contained the greatest vegetated areas within our four study plots, very low density housing (4 acres/house), rivers whose banks were partially stabilized, naturally occurring washes (with no bank stabilization), and natural open space contained the highest percentage of native vegetation. Within our four study sites, low density housing (4 acres/house), rivers with partially stabilized banks, naturally occurring washes (no bank stabilization), and natural open space land cover categories contained the most area that was covered with vegetation providing escape cover.     

Women's satisfaction with their breast prosthesis: what determines a quality prosthesis?

The aim of this study is to determine what factors constitute a quality prosthesis and ascertain which factors affect prosthesis satisfaction. Sixty-four women who received full funding for their prosthesis and 38 women who received their hospital's usual funding were recruited. Women rated the information provided about breast prostheses very highly, with 85% reporting that it was "very good" or "excellent." Satisfaction was significantly associated with how well the prosthesis fit (1 week, p = .001; 3 months, p = .01), level of comfort (3 months, p=.005), and appearance of the prosthesis when worn (6 months, p = .001). Quality was significantly associated with how well it fit (1 week, p = .001; 3 months, p = .001), how natural it felt (1 week, p = .001; 6 months, p = .01), the weight of the prosthesis (3 months, p = .003), and appearance when worn (6 months, p = .03). The results will be used to improve women's access to a quality prosthesis.     

Gender, Job Searching, and Employment Outcomes among Mexican Immigrants

Past quantitative research has typically disregarded the effect of gender on the relationship between social capital and immigrant adaptation. However, recent theory and qualitative evidence suggest that gender is a significant factor moderating this association. I use Mexican Migration Project (MMP) data regarding Mexican immigrant experiences in the U.S. to examine quantitatively how the process of job searching, and the effects of network-based job searching, vary by gender. Results show no evidence of overall sex differences in the likelihood of using network (i.e., family-based or friend-based) or individual (i.e., non-network) job search methods, but there are sex differences in the processes affecting job search method used. Settlement increases women’s use of their friend networks to obtain work, while for men, it decreases the use of networks of any kind. Contrary to conventional wisdom, women who use network-based job searches are less likely to obtain formal sector employment than women who find work without network assistance. Conversely, using network-based job searches increases the likelihood that men will find work in the formal sector. Since employment in the formal sector is correlated with wages, as well as nonwage benefits, this suggests that using networks in the job search has markedly different effects on the overall economic well-being of male and female Mexican immigrants in the U.S.