The dilemma of primary prevention in mental health services: Rationalize the status quo or bite the hand that feeds you

That primary prevention has been ‘inappropriately marginalised’ is seen to be an inevitable outcome of reliance on government support. Policy makers and service providers can never be expected to give prevention a higher priority than direct service. Preventionists have developed two strategies for doing their work. One, based on the logical positivist ideal, seeks specific causal models for specific disorders. This sort of prevention research, while it will always remain less well funded than direct services, tends not to challenge the status quo belief in individual responsibility, or the acceptable methods of mainstream science, and thus will tend to be more acceptable than other forms of prevention research and services. An alternative, based on a social constructivist paradigm engages in social action research through collaboration with a variety of grass roots organizations and people outside the mainstream of power. This latter approach, brings to preventionists ideas from feminists, ethnic minority leaders, neighborhood organizers, and self and mutual help group leaders. It is a sensible way to use the resources available to those professionals interested in social change oriented prevention.     

Empowerment praxis in community coalitions

Community coalitions address a wide variety of community problems, espousing a community development processes that promotes individual and collective self-determination. They offer a promising venue for the study of empowerment of individuals and organizations. This study utilizes data from members of 35 community coalitions organized for the prevention of alcohol and other drug problems to address the following questions: What individual characteristics are related to the psychological empowerment of coalition members? What organizational characteristics are related to the collective empowering of members? What organization characteristics are related to a coalition being organizationally empowered to succeed in achieving its objectives? At the individual level, psychological empowerment was most strongly related to individuals' participation levels, sense of community, and perceptions of a positive organizational climate. At the group level, the strongest predictors of collective empowering (our operationalization of the empowering organization) were net benefits of participation, commitment, and positive organization climate. Psychological empowerment and positive organizational climate were the two predictors of organizational effectiveness (the empowered organization). Implications and limitations of these findings are discussed.     

Organizational characteristics of empowering community settings: A multiple case study approach

Although empowerment is often cited as a major guiding construct for community psychology, relatively little is known about the characteristics of empowering community settings. The current paper uses a multiple case study methodology to generate a number of key organizational characteristics of empowering community settings to guide future work in the area. In-depth, multilevel, longitudinal research was conducted on three empowering community settings: a religious fellowship, a mutual help organization for persons with severe mental illness, and an educational program for African American students. The organizational features found to characterize all three settings were (a) a belief system that inspires growth is strengths-based, and is focused beyond the self; (b) an opportunity role structure that is pervasive, highly accessible, and multifunctional (c) a support system that is encompassing, peer-based, and provides a sense of community; and (d) leadership that is inspiring, talented, shared, and committed to both setting and members. Limitations of the research are discussed, and directions for future research suggested.     

Speaking truth to power: Empowerment ideology as social intervention and policy

The popularity, and subsequent ambiguity, in the use of the term “empowerment” has created an even greater need for reassessment in the applied context than in the theory and research literatures. This paper outlines some of the areas of community, organizational, and societal level social intervention and policy ostensibly based on the concept of empowerment. These include neighborhood voluntary associations (for environmental protection, community crime prevention, etc.), self-help groups, competence-building primary prevention, organizational management, health care and educational reforms, and national and international community service and community development policies. Issues in applying social research to community organizations and to legislative and administrative policy making are reviewed. Ten recommendations are offered, including the value of a dialectical analysis, for helping researchers and policy makers/administrators make more effective use of empowerment theory and research. Humpty Dumpty: “When I use a word, it means just what I choose it to mean neither more nor less.” King of Hearts: “If there's no meaning in it, that saves a world of trouble, you know, as we needn't try to find any.”—Lewis Carroll Portions of this paper were first presented in the program “Empowerment Theory, Research and policy” at the Biennial Conference on Community Research and Action, Williamsburg, Virginia, June 18, 1993. The author thanks Barbara B. Brown, Jo Ann Lippe, Ken Maton and his students, David V. Perkins, Marc A. Zimmerman, and the anonymous reviewers for their very helpful comments on earlier drafts.     

The Person/Environment Dynamics of Employee Empowerment: An Organizational Culture Analysis

Using an organizational culture framework, this case study examines the critical preconditions necessary for employee empowerment and highlights how the multiple cultures within one public bureaucracy differently impacted their implementation. SERVE, a large human service organization, initiated an employee empowerment program that contradicted and thus collided with many elements of its overall organizational culture. Despite the best intentions of the organizational leaders, upper management support, and opportunities for participatory decision making, the organization could not foster the critical preconditions needed for employee empowerment. Leaders had difficulty expanding the employees' power and promoting member inclusion. Concurrently, most employees rejected these new opportunities for control and distrusted the leader's intentions. Yet, despite the widespread rejection of these empowerment initiatives, most employees described their work lives as empowering. The role the local site subculture played in promoting employee empowerment is examined. We discuss how a localized (vs. system-wide) empowerment endeavor may be a more appropriate and feasible focus for public bureaucracies seeking to initiate greater staff empowerment. Particular attention is paid to the interaction between individuals and their environments, and how this interaction affects the empowerment process.     

The meaning of before and after for preschool children

Preschool children's understanding of temporal relationships was examined in terms of their comprehension of sentences containing clauses linked by before and after. The relative importance of order of mention and main-subordinate relations strategies in children's interpretation of temporal order information was also evaluated.Divergent error patterns emerged on the tasks; omissions prevailed on the two tasks involving response to commands, reversals prevailed on the other. Further examination revealed that omissions reflected ambiguity in the linguistic structure of commands. Thus the effect of main-subordinate relations was confounded with directness of command. On all comprehension tasks, however, performance was superior on sentence forms in which order of mention and order of occurrence correspond.     

The actual and retrospective-occupational self-concept dimensions of retired educators

A 20-item adjective checklist was used by 118 retired educators to describe their actual and retrospective-occupational self-concepts. The men made their retrospective ratings for middle-aged and preretired occupational roles. The intercorrelations among the self-concept ratings were multiple-set factor analyzed, and seven common dimensions were identified: (1) stability, (2) conventionality, (3) independence, (4) practicality, (5) status, (6) confidence, and (7) cleverness. The results suggested that the retired educators had used the same dimensions in describing their actual and retrospective-occupational self-concepts. The percentages of variance contributed by the dimensions within the self-concept structures were also reported and discussed within the framework of career development.     

The component awareness and accuracy of dual- and single-jointed actions

The accuracy with which people execute wrist and elbow movements were measured using three main conditions: (i) single-jointed (wrist or elbow) movements to targets, (ii) dual-jointed (wrist and elbow) movements to targets, and (iii) components of dual-jointed movements to targets, when the task for the subject was to perform the elbow or wrist constituent of the action in isolation, without displacing the second joint. Elbow precision was significantly worse under component than dual conditions, which is compatible with the notion that wrist and elbow activity are conjugately, rather than independently, programmed when a dual-jointed action is performed. The pattern of wrist accuracy was divergent, but possible reasons for this were discussed. In all cases, error was measured in terms of deviation from perfect posture; using this index, the hypothesis that incorporating more moving joints into an action serves to increase movement complexity and jeopardise precision was tested, but the results were ambiguous. Discussion also centered on the problems of using performance data to infer changes in motor programming, and the need for rigorous conceptualisation and research in this area.     

Sociopolitical Control for Immigrants: The Role of Receiving Local Contexts

This study examines the individual and contextual factors associated with sociopolitical control expressed by immigrants in southern Spain. We used hierarchical linear modeling to evaluate the relations between individual (community participation, social connectedness, and perceived cultural competence of receiving community services) and municipality characteristics (city community participation, city social connectedness, and city community services’ cultural competence) and immigrants’ feelings of sociopolitical control. Data were analyzed using a two‐level model based on 707 Moroccan immigrants in 25 municipalities. After adjusting for gender, educational level, and psychosocial confounding factors, we observed a positive association between social connectedness and sociopolitical control at the individual level. At the contextual level, we observed a positive association between (a) city community participation, (b) city social connectedness, and (c) city community services’ cultural competence, and sociopolitical control. Indeed, living in a municipality where there are community services with high levels of cultural competence and where, on average, many people participate in organizations and neighbors are connected, was associated with higher levels of perceived control in the sociopolitical domain for immigrants. We also discuss implications for community‐based research and practice.