Competency-Based Employment-Counseling Model: Local Office Implementation

This article describes the early stages in the implementation of the competency-based employment-counseling model in a local employment office in Kentucky. Preliminary steps taken at both the state and local levels are discussed. The actual application of the model in the Louisville local office is then presented. The conclusions provide several key factors to successful initial implementation.     

Women,Work, and Life Transitions

Work is a positive force in helping women manage the issues and problems caused by separation and loss. The role of the employment counselor can be crucial during the process of transition.     

The Excitation-Adaptation Model of Pediatric Chronic Illness

This article examines the value of the psychosomatic family model for the study of chronically ill children. Four conceptual problems arise in the discussion of this model: the unidirectional causality of the model; the function of the sick child for the family system; the pathology of the family characteristics; and the disease type. In the present study, we propose (a) that a distinction be made between uncontrolled and controlled forms of disease, and (b) that the family characteristics of "cohesion" and "adaptation" be examined in relation to the parental capacity for problem solving and the acceptance or rejection of the child by the parents. This is shown by means of empirical research. In this empirical study, 20 families with a child suffering from controlled asthma are compared with 20 families with a child suffering from uncontrolled asthma. Contrary to the assumptions derived from the psychosomatic family model, the results show significantly more cohesion and structure in the group with a child suffering from controlled asthma. The findings from this study are integrated in a new model for the study of chronic childhood illness —"the excitation-adaptation model." In this model, two circular processes are emphasized involving (a) the progress of the illness and the way in which parents and child deal with medication and medical advice (therapy compliance), and (b) the factors influencing the therapy compliance on the part of the parents, the family, and the child. By studying these factors in connection with the management of the illness, it should become clear whether family characteristics are adaptive or pathological.     

Relational Control Patterns and Expressed Emotion in Families of Persons with Schizophrenia and Bipolar Disorder

The process of relational control, that is, the negotiation of “who's in charge,” was examined in 40 families of persons with schizophrenia and bipolar disorder. Verbal interaction recorded during problem-solving tasks was coded with the Relational Control Coding System (RCCS). Patterning of message and response sequences was compared by diagnosis of the patient and level of expressed emotion (EE) of the family. Results indicated that patients with either diagnosis assert control more than their parents, that high-EE families compete for control more than low-EE families, and that families of bipolar patients compete for control whatever their EE status. The most dramatic differences in control patterns were in the dual-parent, high-EE families of persons with schizophrenia, in which the patients successfully challenged parents for control, and parents often yielded. It was concluded that EE reflects transactional processes in families that vary by diagnosis of the patient.     

Social representations of aggression: Crossing the sex barrier

Controversy over Moscovici's concept of social representations has focused upon the extent to which they can be viewed as enduring cognitive structures characterizing social groups and whether individual members are ‘prisoners’ of their social representations, unable to duplicate the social representations of other social groups. Previous research has established a consistent gender difference in orientation toward aggression with men viewing it as an instrumental act of coercion and women as a temporary loss of self-control. These two social representations, originally recovered from spontaneous conversation, have been measured with a psychometric instrument called Expagg. To examine the mutability of these representations, men and women in the present study were asked to complete the questionnaire either spontaneously or as they believed a member of the opposite sex might respond. Under conditions of same-sex responding the usual significant sex difference appeared. When asked to respond as a member of the opposite sex, men accurately mirrored women's higher expressive total score on the questionnaire but psychometric analysis revealed that there was no similarity in terms of item–total correlations. Women grossly overestimated the degree of men's instrumentality but item–total total correlations revealed a considerable degree of similarity with men's structure. The male representation whether natural or assumed showed higher internal consistency than did the female mode. The results are discussed in terms of differential modes of access to gender-linked representations and the cultural dominance of a masculine and instrumental representation of aggression.