Physicians and obligatory social activism

This essay examines the claim that physicians have a special obligation to engage in social and political activism. Four ethical paradigms are considered. Two paradigms, the preventive medicine and the social medicine models, embody a limited professional obligation to advocate the priority of health in society; the justification for a more aggressive stance is limited by the failings of paternalism. The radical model and the heroic model speak to issues of personal virtue rather than professional obligation; they are not strictly comparable.     

In defense of strategic therapy

The practice of strategic therapy has raised a number of critical issues and has stimulated criticism of various sorts. Among the criticisms leveled at strategic therapy are that it involves the taking of too many risks, that it is deceptive, that it is controlling and manipulative, that it is disrespectful, and that it is superficial and narrow. Each of these five major areas of concern is discussed and addressed with case examples to illustrate a rationale and justification for the use of these less conventional methods.     

The child sexual abuse victim: Assessment and treatment issues and solutions

Particular attention is given in this paper to the assessment process with child sexual abuse victims and recommendations are made regarding practical issues both in the assessment and the treatment phases of therapeutic work with child victims.     

Using psychodynamic concepts in strategic family therapy: A suicidal adolescent case

This paper describes the treatment of a suicidal adolescent with strategic family therapy. The cotherapists conceptualized the case psychoanalytically and systemically. They propose that their understanding of psychodynamics enhanced their ability to tailor their interventions to the family's unique style and capacities. Rather than dismiss psychodynamic concepts as irrelevant to strategic family therapy, they maintain that an appreciation of individual members' ego strengths, defenses, affects, and unacknowledged impulses leads to the construction of more effective metaphors and a set of interventions more isomorphic to family patterns.     

A systems approach to identifying knowledge voids in problem solving disciplines and professions: A focus on the management sciences

As problem solving disciplines or professions mature their dependence on experience based knowledge lessens in favor of the science which has evolved. Knowledge for problem solving disciplines or professions, such as engineering or management, can be subdivided into three sectors, data, methodology/theory and applications. This paper discusses the significance of the availability of knowledge in each of these sectors and in each overlap between these sectors. Next the paper discusses and illustrates a systematic approach to meta analyses of past research in a field toward the ends of synthesizing what is known and presenting the results in a manner that is both efficient and effective, and finding and specifying literature voids in each of the above sectors. Such specifications may be viewed as topics with a potential for research. Arnold Reisman is a professor of operations research at Case Western Reserve University in Cleveland, Ohio. He is the founder of and serves on the board of the Greater Cleveland Coalition on Health Care Cost Effectiveness.     

Young People's Perceptions of the Uses and Usefulness of Different Sources of Careers Help

Several research studies have investigated the usefulness of alternative sources of careers information and advice as perceived by the people towards whom they are directed. Less attention has, however, been paid to examining the ways in which such sources are perceived to be useful. This study contributes to both issues by asking 98 fifth- and sixth-formers at one school in south-west England to rate the usefulness of each of six sources of careers help, and to describe how each source is useful or fails to be useful. Results demonstrate that although some sources are rated as more useful than others, each has particular ways of being useful and also particular drawbacks. It is argued that information of this kind is helpful in developing local careers policies and procedures.