THE TREATMENT OF BORDERLINE PERSONALITY DISORDER WITHIN A DISTRESSED RELATIONSHIP*

An integrated systemic-psychodynamic approach to the treatment of characterological disorders within conjoint marital therapy is suggested. Spouses' personality disorders may serve a homeostatic function within the marital relationship. Thus, any effort to effect change on either the marital or individual system level must address both the individual and relationship distress. Borderline personality disorder, an extreme characterological impairment, has been considered intractible, although object relations therapists have experienced success in treating such clients. The present paper draws from object relations and systemic therapies in developing a treatment approach to marriages which include at least one borderline spouse. A case example illustrates the conceptualizations and interventions which are proposed.     

Career Development in Middle Childhood: A Qualitative Inquiry

The purpose of this investigation was to explore childhood career development by examining 4th‐ and 5th‐grade students' career and self‐awareness, exploration, and career planning. Responses to written assignments provided qualitative data for analysis. Written narrative data were analyzed using consensual qualitative research methods as described by C. E. Hill, B. J. Thompson, and E. N. Williams (1997). Consistent with theory (D. Super, 1990), children's reflections on prominent career tasks and influences revealed 8 of the 9 (all but curiosity) dimensions of childhood career development as outlined by Super. In addition, participants described their conceptions of work, a domain not explicitly articulated by Super and worthy of further inquiry.     

Mentoring as a Bridge to Positive Outcomes for Teen Mothers and Their Children

This paper compares historical and psychosocial realities of teenage parenting to prevailing contemporary myths. The authors explore the negative consequences of current remedies based on these myths. Community volunteer mentoring programs are suggested as a cost-effective intervention that can benefit communities and promote positive outcomes for at-risk pregnant teenagers. The authors suggest strategies for implementation of a community volunteer mentoring program based on an existing program in an urban community health center. Detailed information for social workers in community agencies is provided with regard to community education, recruitment, training, and ongoing support and supervision of mentors; funding requirements; and program evaluation.     

Interest‐Talk as Access‐Talk: How Interests are Displayed,Made and Down‐played in Management Research

This paper addresses the methodological issue of how researchers gain access and build trust in order to conduct research in organizations. It focuses, in particular, on the role of interests (what actors want or what they stand to gain or lose) in the research relationship. The analysis shows how notions of interests, stake and motive were managed during an action research study in a UK subsidiary of a multinational corporation. The study uses an approach to discourse analysis inspired by the field of discursive psychology to identify four discursive devices: stake inoculation; stake confession; stake attribution; and stake construction. The paper contributes to the understanding of research methodology by identifying the importance of interest‐talk in the process of doing management research.     

It takes a mother to practise breastfeeding: Women's perceptions of breastfeeding during the period of intention

BackgroundIn the Netherlands, 81% of mothers initiate breastfeeding. After one month the percentage of mothers still breastfeeding drops, despite positive intentions. Little is known about women's perceptions of breastfeeding during the period of intention.AimThis qualitative study aimed to gain insight into these perceptions among first-time mothers from middle and high socioeconomic backgrounds in the northern part of the Netherlands.MethodsWe used the theory of planned behaviour as the deductive model. In 2008, 16 in-depth interviews were conducted with 8 mothers who intended to breastfeed. The interviews were conducted at two time points (prepartum and postpartum) and covered the same period (that is, from the time when the intention was formed until after childbirth). The interviews were transcribed verbatim and analysed using grounded theory.FindingsFive inductive themes were identified: combining breastfeeding with work, learning about breastfeeding, making arrangements for childbirth, reflecting on the intention, and becoming a mother. During the extended period of intention, the women anticipated breastfeeding, but were cautious in expressing their intentions. They felt that the experience of becoming a mother would be critical to their breastfeeding outcomes.ConclusionThe theory of planned behaviour has been widely used in breastfeeding research. However, the period of intention is relatively long for breastfeeding. Rather than recommending an intensification of antenatal breastfeeding education, recommendations must incorporate the awareness that practising breastfeeding should not be considered the continuous outcome of the intention to do so – it takes a mother to practise breastfeeding.     

The Distribution of Species Numbers in a Controlled Environment

A model is proposed in which a population of projects is induced to distribute itself optimally over a number of modes (‘species’), consistently with resource constraints, by manipulation of a price vector. A control rule for the price vector is suggested which is shown by the use of a Liapunov function to achieve convergence to the optimum. For a stochastic version of the problem this Liapunov function has a distributional interpretation, leading to the conclusion that the numbers in the various surviving modes are distributed as independent gamma variables in an open model.     

Three approaches to sequential analysis and one to hidden Markov processes

Three approaches to sequential analysis are reviewed: Chernoff's development of the Wald approach, the dynamic programming analysis developed by the author some years ago and a ‘path-averaging’ approach which exploits the random-walk properties of the log-posterior under a given hypothesis. These last two approaches led to explicit determinations of the optimal decision boundary and its associated costs in the limit of a small sampling cost, for a general number of hypotheses. However, the particular interest of the path-averaging approach is that it applies also to state-estimation for a hidden Markov model, where it leads to Eq. (39), which gives an immediate indication of the effectiveness with which the different states are estimated.