Student Response to Three Types of Orientation Programs

A high proportion of positive responses was obtained from students who participated in three different types of pre-college orientation programs. Small group approaches consistently elicited more favorable responses than assemblies or large groups. Greater faculty involvement resulted in participants' noting an increased academic emphasis. Participants believed they had benefited in some way from programs which varied considerably as to length, activities, organization, and purposes.     

The Heart of the Matter: An Essay about the Effects of Managed Care on Family Therapy with Children*

This essay is based on a pilot study that examined the effects of managed care on the treatment of children and families, with special attention to community mental health. We embarked on the pilot study to test the accuracy and generalizability of our impression that family therapy and other systemic practices have been marginalized in ordinary clinics and agencies, and to understand the reasons why. We interviewed managed care providers, researchers, family therapy trainers, and clinicians in the Northeast. Our findings led to seven themes that support our impression that, even though there is a consensus about the need for coordinated family-based services, there is a disconnection between state policies, contractual requirements and what is actually occurring at the implementation level. This study suggests that our knowledge of human systems may be in danger of being disqualified and lost, with damaging consequences for the care of children. Yet, as systemic thinkers and practitioners, it is our belief that ethical and effective treatment need not be at odds with care that is cost-efficient. The direction of our future research will be to study whether the involvement of all stakeholders at all levels of planning and training leads to systemic family-based practices that consistently save costs and provide high-quality care.     

The role of self-esteem in the experience of envy

It is the thesis of this paper that although analysts have always recognized that narcissistic injury may trigger envious feelings, the significance of self-esteem as both a motivator and response to envious feelings has not yet been sufficiently explored. Traditional drive-defense or object instinctual explanations tend to diminish awareness of the importance of self-esteem in the experience of envy. The focus on drives or repetition of early patterns of object relations does not always take into account the significance of the cycle in which damaged self-esteem leads to envy, the component parts of which may cause further damage to self-esteem, leading to more envy, and so on. I am suggesting that it is often an attempt to avoid painful injury to one's self-esteem, as well as the related attempt to maintain a positively colored sense of self, and not a repression of drives or a repetition of some aspect of early object relationships which must be understood in order to fully comprehend both feelings of envy and the need to keep such feelings out of conscious awareness.