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.     

CURRICULUM CHANGES TO MEET CHALLENGES: PREPARING MFT STUDENTS FOR MANAGED CARE SETTINGS

Fledgling therapists who graduate from family therapy traning programs will have to navigate the world of managed care. In this article, faculty of University of San Diego share changes in its accredited training program that prepare students for practice in an increasingly multidisciplinary world where health maintenence organizations and other versions of managed care predominate. The paper touches on contextual issues, provides a detailed outline of coursework presenting basic knowledge and skills involved in clinical pracice in a managed care environment, and comments on clinical placements and the challenge of helping the next generation of clinicans "fit" into the future of health care delivery while maintaining their unique identity as family therapists.     

THERAPIST-CONDUCTED CONSULTATION: USING CLIENTS AS CONSULTANTS TO THEIR OWN THERAPY

Using qualitative research methodology, the authors developed an in-session therapeutic procedure called the therapist-conducted consultation (TCC) which is designed to enhance the therapist-client collaborative relationship. In the TCC, the therapist and client(s) relinquish their traditional roles and discuss the client's treatment. During this process, clients are invited to (a) share their perspective of treatment, (b) assess whether treatment is meeting their goals, and (c) suggest how treatment could change to improve their experience. The three-stage model of the TCC that resulted from the research is presented with a case example.     

An application of catastrophe theory to management science process

Practicing management scientists often complain of the alleged irrational behavior on the part of the managers they are trying to serve, particularly when a manager suddenly and unexpectedly shifts behavior from one of support to one of resistance. The authors feel such behavior is only believed to be irrational because the management scientist is using the wrong mental model when projecting past behavioral patterns into the future. This paper attempts to solve this problem by using the newly developed catastrophe theory to develop a different model where sudden shifts in behavior are considered perfectly rational and explainable. The basic implication that is drawn from this new model is that successful implementation of management science depends on a sequence of interactions with the ultimate model user and that care in the structuring of these interactions can greatly enhance the probability of eventual user acceptance.     

Econometric analysis and managerial decision making

Econometric analysis is concerned with the quantitative relationships between economic variables and it can provide an important input into the decision making process of managers. Typically econometrics differs from other apsects of management science in that it considers problems primarily, though not exclusively, from a background of economics rather than of other disciplines and behaviour is usually dealt with at higher levels of data aggregation than the individual firm.This paper considers some applications of typical econometrics to the general area of managerial decision making, where primarily the techniques have a role to play in assisting the general process of data analysis. Initially discussion is pointed towards the use of the analysis for predictive purposes and the contrast with time series methods. Subsequently examples are presented where the objective is to obtain a better understanding of individual economic relationships that aim to be important inputs into the decision making process, for example cost and revenue analysis. Finally, an example is given of how these ideas contribute more generally to the activity of model building for the firm as a whole both for the purpose of forecasting and policy simulation.     

Local volunteers respond to the Rena oil spill in Maketū, New Zealand

Following the MV Rena grounding and oil spill in the Bay of Plenty, New Zealand in October 2011, the Māori community of Maketū were quick to respond to the arrival of oil on their beaches. They asserted their rangatiratanga by establishing their marae as a base and successfully coordinated a clean-up by more than 450 volunteers, feeding these volunteers every day. We interviewed 11 clean-up leaders and volunteers in Maketū to gather information about how the oil spill affected people in the community and how they ensured the success of their clean-up efforts. Many volunteers returned to help with the clean-up day after day over several weeks. Concepts of kaitiakitanga and manaakitanga underpinned the work of the Maketū clean-up organisers. Participants attributed the success of the Maketū clean-up to the speed with which they responded, the support they received from their community and local businesses, and their local knowledge.