Ethical Issues in Family-Centered Primary Care

In 1969 a new primary care medical specialty, family practice, was formally created. One element in the development of this specialty from the roots of general practice was an understanding of the importance of family process in health and health care. Family physicians are now trained to work with families in the provision of primary medical care, and many provide some formal family counseling and therapy. The family physician who works with families faces many of the same ethical conflicts with which family therapists are confronted. The primary relationship of the family physician to his or her patients, however, as the provider of continuing health care, modifies these conflicts and creates new and vexing problems.     

The Ramsay Family in Virginia Woolf''s To the Lighthouse: A Study of Arrest at Stage Three of Family Development as Delineated in Solomon''s "A Developmental, Conceptual Premise for Family Therapy"

The five stages of family development and their phase-specific tasks as delineated by Michael A. Solomon in an article that appeared in this journal (1973) are given dramatic representation by Virginia Woolf in her novel To the Lighthouse (1927). The novel begins with the Ramsay family system arrested at the third stage of development; and it is only after the death of Mrs. Ramsay that the remaining family members begin to attend to the phase-specific tasks of stages four and five, and family development commences.     

Type A behaviour,financial performance and organizational growth in small business firms

Eight hundred randomly selected members of the Smaller Business Association of New England were mailed the Jenkins Activity Survey (JAS) and a biodata questionnaire. A total of 368 chief executive officers completed both instruments, representing a response rate of 46***.0 per cent. Based on the JAS, 82 per cent of the respondents were characterized by the Type A or coronary-prone behaviour pattern. Corporate performance was plotted against Type A and B scores. Firms run by Type As showed a higher return on investment and greater five-year growth in sales revenue than firms run by Type Bs, but this pattern was found only for the Job Involvement subscale.     

Selecting trainee conference interpreters: A preliminary study

This study developed and assessed a set of psychometric tests to aid selection of candidate simultaneous and consecutive interpreter trainees. Three kinds of test were used based either on text materials, linguistic subskills or speed stress Twelve tests in all were administered to 29 trainees beginning an intensive course. The test scores were correlated with judges' ratings in the final interpreting examination. Students who passed the examination had higher mean scores on all tests than those who failed (significant for seven tests). Test scores were positively inter-correlated. Of the two factors characterizing the pattern of correlations, the first loaded highly on completion/detection tests and simultaneous examination ratings; the second loaded highly on recall tests and consecutive examination ratings. Text-based tests were more predictive than subskills or speed stress tests. It is concluded that tests would aid candidate selection, and estimates of improved selection are given. The relationship between test type and interpreting is discussed together with possible reasons underlying differential performance on tests of the same kind.     

DETERMINANTS OF R AND D COMPENSATION STRATEGIES IN THE HIGH TECH INDUSTRY

This study indicates that sales volume, stage in the product life cycle, profitability and turnover are all important predictors of the method and magnitude of financial rewards provided by high tech firms to R and D employees. The most favorable situational factors for R and D incentive compensation are a low sales volume high tech company, operating in the growth stage of the product life cycle, with high turnover rates, and capable of linking profitability to incentive rewards such as bonuses.     

The psychiatrist,the counselor,and the school

Based on a general systems analysis model, the holistic approach to counseling spans every level and interaction effect from the gene to the interpersonal to the community and beyond. One of the major functions of the counselor in this approach is opening and maintaining communications among groups in the various school and community subsystems. The author of this article, a psychiatrist, stresses the use of the holistic approach in (a) the training and role of the psychiatrist, (b) the school and its subsystems, (c) the role of the guidance counselor, and (d) the interaction between the guidance counselor and the psychiatrist.     

The counselor's role in collective negotiations

The impact of professional negotiations on the current educational scene is examined and related to clarification of the school counselor role. Role confusion continues in the school situation, and negotiations may well be the way to bring about a change in the status quo. Negotiations for counselors are explored from the standpoints of dimensions of negotiations, implementation of negotiations, and attitude of professional associations. Conclusions are that negotiations have significant implications for counselor role delineation.     

Technology and guidance: a balance

The following symposium discusses the place of technology in guidance and some of the concerns involved. Tiedeman, a leading authority on technological applications in guidance, takes the position that guidance technology is an important new development. Schmidt, who has written widely in the areas of psychology and counseling, questions the place of technology in guidance and society and underlines some of the concerns related to the adoption of technology. The authors' discussions of “one-way” versus “two-way” thinking and the problem of control over the technology should be of interest to readers concerned with applying technology in guidance.     

Dimensions of counseling for career development

Counseling practice has not reflected current thinking about career development and career process. Four types of career counseling are described: Type 1, a traditional vocational counseling approach which helps the client with a specific decision; Type 2, which is concerned with teaching decision-making skills; Type 3, which views career development as a process rather than an end-point toward which all decisions lead; and Type 4, which focuses on creating in the individual the ability to utilize his own strengths to achieve self-determined objectives and to influence the nature of future opportunities.     

Elephants in the living room

The elephant experience involves too much stimulation or input for a person to integrate. School personnel may help each other and their students to cope more effectively with these experiences by understanding the symptoms, the common sources, and the process of using them constructively. The symptoms are preoccupation, avoidance, overreaction, and flight into activity. Common sources are grades, test scores, and athletic success. The process of using them constructively involves facilitative people, use of personal resources, review of progress toward assimilation, and personal integration of experiential meaning. The elephant experience is seen as a source of learning that may be either devastating or enriching, and the challenge to the facilitator is to help each individual make it constructive.