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Catholics for a Free Choice (CFFC) performs considerable advocacy online, through its website as well as through press releases and interviews that appear at other sites. Opponents to CFFC also frequently post online. This article analyzes this online debate to explore how it is conceptually framed. CFFC presents a discourse that is promoted as finding ideological consistency between Catholic values and being prochoice, and which addresses a greater social good beyond the Church per se. In making these self-referential claims, CFFC could be viewed as a “community of discourse” (Wuthnow 1989) that reckons with “problems of articulation” by dealing with both specific and broader tensions. Online opponents to CFFC likewise could be viewed as communities of discourse that promote themselves as having the true Catholic values that serve the greater good. On balance, CFFC online would seem to reflect the larger quandaries of abortion discourse, whereby the Internet can offer a representative depiction of democratic free speech articulated on this controversial issue. Yet at the same time, there is little evidence to date that this online debate is changing anyone's mind or building a new consensus, despite some efforts on the part of CFFC to do so.

Foundation social work practice education is critical to the preparation of BSW practitioners for professional practice and the establishment of a theoretical and skill base upon which graduate students may build competencies in the advanced curriculum. Issues in the foundation practice curriculum may hinder this development. The common factors model holds promise as an organizing framework for foundation social work practice education. This model may help to resolve some key issues in social work and social work education, and may provide a useful, coherent, and empirical base for the foundation practice curriculum. © Taylor & Francis Group, LLC.

The organization is often the overlooked level in social work's ecological perspective. However, organizational realities exert a profound influence on human development and well-being as well as the nature and quality of social work practice. This article describes a model of teaching organization theory and practice which requires master's social work students to assess their school of social work as well as their field placement agencies. Teaching organization theory and practice experientially may help students understand how organizations influence practice and empower them to see organization practice as a legitimate and important aspect of their work.

Discussions pertaining to culture, power and/or identity frequently create tensions that are enacted by dyads and groups within schools, workplaces and communities. Although tensions can easily escalate into conflict or violence, we have observed that these tensions can serve as prompts that promote a change process. When individual perspectives are challenged, some participants are able to dissemble their views and consider other perspectives from which new understandings and views emerge. At times, when groups seem to be on the threshold of overt conflict, some participants engage in processes that examine the tension, explore new possibilities, and alter the view of one's subjectivity. We suggest that these activities occur as momentary states in psychological spaces conceptualized as third spaces (Bhabha, The location of culture. London: Routledge, 1994). In this paper, we use concepts from psychodynamic and social theories to describe the conditions that coalesce to form states of mind (nepantla) (Anzaldua, Borderlands/La Frontera: The new mestiza. San Francisco: Aunt Lute Books, 1999; Interviews Entrevistas. New York: Routledge, 2000) and the ability to engage in new relational possibilities (third space activities) with dyads and groups, outside of psychotherapy. The conditions include: critical consciousness, regulation, recognition, and responsibility. We then describe how such momentary experiences can subsequently result in an examination of one's subjectivity, particularly as it pertains to issues regarding culture, power, and identity. Throughout the paper we provide four examples from various settings to illustrate these concepts and processes. Given the increasing racial/ethnic diversity of clients and clinical social workers in North America, this concept of third spaces holds particular relevance for contemporary clinical social work practice., (C)2008 Kluwer Academic Publishers

Many children who experience trauma demonstrate it through posttraumatic play (PTP). This type of play is seen by professionals as a repetitive reenactment of the traumatic event within the child's play. Reliving the event in this way may serve to retraumatize the child and lead to other psychiatric or behavioral problems. This article examines the issues surrounding childhood trauma and PTP. It uses a case study to illustrate the phases of a play therapy approach that incorporates Ericksonian principles, in order for the child to achieve resolution and acceptance. The countertransference issues that a clinician may encounter also are discussed.

This study compared the perception of social support and the degree of internalized homophobia for two demographically similar groups: lesbians with planned families and lesbians who did not have children. Results found that lesbians with planned families perceived significantly less social support from friends overall, from gay men and lesbian friends specifically, and more support from their families-of-origin than lesbians who did not have children. Lesbians with planned families also reported significantly higher internalized homophobia specific to disclosure of sexual identification. The authors suggest that selective disclosure may be an adaptive response rather than a true measure of internalized homophobia.

This naturalistic study of diagnostic practice in residential treatment agencies for children investigated the use of the DSM-IVconduct disorder diagnosis and its association with residents' externalizing behaviors. The conduct disorder (CD) diagnosis was a poor predictor of participants' externalizing behaviors during their first few months in residence. Additionally, the assignment of the diagnosis was associated with the gender and race of study participants. Decisions of admissions personnel and practitioners in residential treatment facilities regarding their externalizing clients may not be well-served by use of DSM diagnoses. Assessments of caregivers may prove a useful adjunct to DSM diagnoses. © 2007 Springer Science+Business Media, LLC.

The purpose of this study was to examine substance abuse treatment referrals that were made by outreach workers in a homeless outreach project. Ten outreach workers completed questionnaires on each of their clients who they had referred to a substance abuse treatment program over the previous year. Additional data was collected on the client's motivation level at the point the referral was made, which agencies the client was referred to, and if the client was rejected from any of the treatment programs. Bivariate correlation analyses were used to examine relationships between the variables. Of 73 project clients who were referred to substance abuse treatment in a one-year period of time, 41% successfully entered treatment. As might be expected, there was a statistically significant relationship between clients' motivation level and completed referral, and between referrals made and program acceptance. This study provides evidence that assertive outreach is effective in engaging and linking homeless persons with substance use disorders to substance abuse treatment services.

Residents (N = 32) of 3 skilled nursing homes participated in a study designed to document the nature of the stressors they experienced and the coping mechanisms they used. Medical issues were the most common stressors. The most common coping responses were prayer, reading, watching television, listening to music, and talking to friends and family. © 2009 by the American Counseling Association. All rights reserved.

The Reading Rescue tutoring intervention model was investigated with 64 low-socioeconomic status, language-minority first graders with reading difficulties. School staff provided tutoring in phonological awareness, systematic phonics, vocabulary, fluency, and reading comprehension. Tutored students made significantly greater gains reading words and comprehending text than controls, who received a small-group intervention (d = 0.70) or neither intervention (d = 0.74). The majority of tutored students reached average reading levels whereas the majority of controls did not. Paraprofessionals tutored students as effectively as reading specialists except in skills benefiting nonword decoding. Paraprofessionals required more sessions to achieve equivalent gains. Contrary to conventional wisdom, results suggest that students make greater gains when they read text at an independent level than at an instructional level.

This study examined student perspectives about writing by interviewing both typically developing and struggling writers in Grades 2 through 8. The findings revealed a progressive developmental pattern of writing knowledge in which novice writers place more emphasis on the physical product and local meaning, while more experienced writers focus on global aspects, such as meaning and communication with an audience. In comparison, struggling writers focus on product over process even at the secondary level. Educational implications are discussed and include careful attention to the developmental level of the students during writing instruction.

Following less than 8 hr of instruction in the use of strategies to facilitate planning, self-regulation, and revising while writing opinion essays, a group of 3 middle school students with learning disabilities (LD) made substantial gains in each of 5 quality traits on which their papers were scored. On average, posttest scores of students with LD were better by 1 point on a 6-point scale than were those scores obtained by a group of LD students who served as controls. Participants' scores approached the level of writing performance exhibited by a group of peers without disabilities. The authors also observed treatment effects for number of functional essay elements; students who received strategy instruction gained an average of 1.3 functional elements from pretest to posttest. However, generalization to narrative writing was not obtained.

Objective: To examine whether an educational intervention that focused on physician communication training influenced physician ernpathic expression during patient interactions. Methods: This study used a quantitative research method to investigate the influence of communication training on physician-expressed empathy using two measures (global and hierarchical) of physician empathic behavior. Results: The differences in global empathy scores in the physician training group from baseline to follow-up improved by 37%, and hierarchical scores of physician empathic expression improved by up to 51% from baseline scores for the same group. Conclusions: The results strongly supported the hypotheses that training made a significant difference in physician empathic expression during patient interactions demonstrated by both outside observer measures of global ratings and hierarchical ratings of physician empathic behavior. Practice implications: These findings have significant implications for program design and development in medical education and professional training with the potential to improve patient outcomes. (C) 2008 Elsevier Ireland Ltd. All rights reserved.

The introduction of conscience clauses after the 1973 US Supreme Court decision in Roe v. Wade allowed physicians and nurses to opt out of medical procedures, particularly abortions, to which they were morally opposed. In recent years pharmacists have requested the same consideration with regard to dispensing some medicines. This paper examines the pharmacists' role and their professional and moral obligations to patients in the light of recent refusals by pharmacists to dispense oral contraceptives. A review of John Rawls's concepts of the “original position” and the “veil of ignorance”, along with consideration of the concept of compartmentalisation, are used to assess pharmacists' requests and the moral and legal rights of patients to have their prescriptive needs met.

In the United States, the number of HIV/AIDS cases among women of color is increasing, with African American women now comprising 60% of all female AIDS cases. Scholars have attributed this imbalance to social factors. The aim of this study was to explore the impact that relationship power has on heterosexual women's ability to practice safer sex. Five focus groups were conducted with 24 African American women, aged 18-57 years, residing in public housing in rural North Carolina over a six-month period in 2000. Findings suggest that women maintain their independence, despite inequities in relationship power and remain strong to make a better life for their families. Recommendations are made to promote and build upon this social identity that women have in order to help them practice healthier behaviors.

The influence of health and socioeconomic status on perceptions of aging and adaptation strategies of older African/Caribbean-American women was examined. Responses of 38 women (average age = 77.3 years) to: “What do you like and dislike about growing old?” and To what would you attribute your long life? were analyzed. Respondents were classified as: financially independent/healthy, financially dependent/healthy, financially independent/not healthy and financially dependent/not healthy. Narratives revealed declining health and restricted financial resources limited perceptions of opportunities for well-being. Despite differences in health and financial status, groups had some common strategies: avoiding risk behaviors, holding moral beliefs, optimism, altruism and spirituality. It was concluded that health and socioeconomic status had some influence on perceptions of aging and adaptation strategies.

This study applied word count strategies developed by expressive writing researchers to examine whether the words students use to describe and reflect on their field practicum experiences would predict practicum supervisors' ratings of their performance. The weekly journals of 66 students who completed a practicum at a mental health or school setting were analyzed using a computerized text-analysis program. As expected, positive emotion words and "insight" words were positively correlated with almost all dimensions of evaluation, with the exception of organizational ability, and "we" words were associated with dimensions that focused on interpersonal relations. These findings further support the view that positive emotion words and "insight" words are powerful markers of cognitive broadening and behavioral flexibility and that "we" words index feelings of affiliation and belonging. As one might expect, there was an increase in "we" words and a decrease in "anxiety" words over the course of the internship. © 2009 Elsevier Inc. All rights reserved.

An adjusting-delay procedure was used to study the choices of pigeons and rats when both delay and amount of reinforcement were varied. In different conditions, the choice alternatives included one versus two reinforcers, one versus three reinforcers, and three versus two reinforcers. The delay to one alternative (the standard alternative) was kept constant in a condition, and the delay to the other (the adjusting alternative) was increased or decreased many times a session so as to estimate an indifference point--a delay at which the two alternatives were chosen about equally often. Indifference functions were constructed by plotting the adjusting delay as a function of the standard delay for each pair of reinforcer amounts. The experiments were designed to test the prediction of a hyperbolic decay equation that the slopes of the indifference functions should increase as the ratio of the two reinforcer amounts increased. Consistent with the hyperbolic equation, the slopes of the indifference functions depended on the ratios of the two reinforcer amounts for both pigeons and rats. These results were not compatible with an exponential decay equation, which predicts slopes of 1 regardless of the reinforcer amounts. Combined with other data, these findings provide further evidence that delay discounting is well described by a hyperbolic equation for both species, but not by an exponential equation. Quantitative differences in the y-intercepts of the indifference functions from the two species suggested that the rate at which reinforcer strength decreases with increasing delay may be four or five times slower for rats than for pigeons.

This study examined whether the experience of the death of a parent in childhood increases risk for adult psychopathology. Participants consisted of 3481 men and women gathered through the Baltimore Epidemiologic Catchment Area study in 1981 and followed through 1994-1995. The Diagnostic Interview Survey was administered by trained interviewers and was used to assess DSM-III disorders including major depression, panic, and anxiety disorders. Maternal death was not a predictor of adult psychopathology. The death of the father during childhood more than doubled the risk for major depressive disorder in adulthood. This study did not find any significant interactions between gender of the deceased parent and gender of the participant nor did the current age of the participant or their age at the time of the death of a parent affect risk for adult psychopathology. The long-term effect on adult depression of the experience of the death of the father in childhood is attributed to likely financial stresses, which may have continued for years and possibly into early adulthood, complicating the family's adaptation to the initial loss.

The recent attention given to false confessions and convictions underscores the need for a valid and applicable system of credibility assessment. The current study demonstrates the effectiveness of assessment criteria indicative of deception (ACID) training in increasing rater's ability to discriminate between honest and deceptive transcripts. ACID generates credibility assessment through analysis of behaviors related to memory and impression-management as they occur during the course of an investigative interview. Raters were taught that honest responses are longer, more vivid, and more spontaneous than deceptive responses. Conversely, deceptive responses are shorter, less vivid, more rigid, more carefully phrased, and less likely to change during the course of an investigative interview. Trained raters were able to correctly identify 77% of transcripts as honest or deceptive, whereas untrained raters correctly identified 57%. Future research should focus on using the ACID technique in more realistic situations and should involve training of professional investigators.