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The Triumph Of Chiropractic - And Then What?, Walter I. Wardwell

The Journal of Sociology & Social Welfare

The evolution of chiropractic from a marginal health profession to the strongest and most popular alternative to orthodox medicine in the United States is examined and compared with osteopathy and naturopathy. Evidence is offered that 1974 was the landmark year for recognition of chiropractors (e.g., accreditation of colleges, reimbursement for services under Medicare) and relaxation of the American Medical Association's policy of active and overt opposition (e.g., elimination from its code of ethics of the tabu on professional association. The public policy question of the future status of chiropractors is raised and alternatives considered. It is concluded that the most …

American Health Care: Paradigm Structures And The Parameters Of Change, Allen W. Imershein

The Journal of Sociology & Social Welfare

Recent commentary on the health care scene in the U.S. has moved increasingly toward explanations of why little or no change has occurred despite many declarations of "crisis." From Alford's (1975) elitist analysis in Health Care Politics to Navarro's (1976) marxist analysis in Medicine Under Capitalism, critics in and out of the social sciences have tried to make sense of the array of current problems and the apparent lack of response to or change in them. These analyses are in striking contrast to earlier commentaries (e.g., Schwartz, 1971; Garfield, 1970; Anderson, 1972; Citizens Board, 1972) which, while highly critical of …

The Public And Care By Non-Physicians: Health Policy Consideration, Bebe F. Lavin

The Journal of Sociology & Social Welfare

In an effort to resolve what some define as a crisis in health care, medical paraprofessionals have become an increasing part of the primary care scene. As the training and use of paraprofessionals expands there has been growing insistence that much of what office-based physicians do could be handled as well or better by these non-physicians. If it is health policy to encourage the use of paraprofessionals to alleviate the shortages and maldistribution of primary care doctors, acceptance of these personnel by the public is a critical issue.

A study of the public in a Midwest area suggests considerable variability …

Organizational Structure And Professional Norms In An Alternative Health Care Setting: Physicians In Health Maintenance Organizations, Judith K. Barr, Marcia K. Steinberg

The Journal of Sociology & Social Welfare

The development of new organizational forms for the delivery of health and medical care in the U.S. includes health maintenance organizations (HMOs), designed to provide a set of comprehensive basic health services to a defined population for a fixed prepaid premium. As complex organizations, HMOs have the potential for limiting the autonomy of professionals working in them. This paper describes the legal requirements and organizational mechanisms under which physicians practice in HMOs and considers the potential for conflict between the organization and professional norms.

On the basis of document and interview data from nine HMOs, it appears that mechanisms developed …

The Paradoxes Of Health Planning, Bonnie Morel Edington

The Journal of Sociology & Social Welfare

The National Health Planning Act of 1974 designated 200 Health Systems Agencies (HSAs) nationally and a State Health Planning and Development Agency in each state. Components of the law are analyzed to illustrate its ambiguities and contradictions. The components analyzed are: the findings which led to the passage of the law; the law's purpose; the ten national health priorities; the National Guidelines for Health Planning; the purposes of the HSAs and the data they are to assemble and analyze. The major contradiction is that agencies designated to focus on cost containment in health care are expected to make health care …

The Good Life: Who's Practicing Healthy Life-Styles?, Ann S. Ford, W. Scott Ford

The Journal of Sociology & Social Welfare

With the birth of scientific medicine in the late 1800s, the responsibility for 'health' was increasingly removed from the individual and replaced by a dependence upon medical intervention and required public health measures. Individual responsibility was viewed largely in terms of assuring accessibility for the individual (and his/her family) to the professional health delivery system. The need for health care, therefore, was seen as episodic necessity -- not as a continuing individual responsibility.

Journal Of Sociology & Social Welfare Vol. 7, No. 3 (May 1980)

The Journal of Sociology & Social Welfare

SPECIAL ISSUE - CHALLENGE AND INNOVATION IN AMERICAN HEALTH CARE POLICY

• Editor' s Introduction
• American Health Care: Paradigm Structures and the Parameters of Change - ALLEN W. IMERSHEIN
• The Public and Care by Non-Physicians: Health Policy Considerations - BEBE F. LAVIN
• Organizational Structure and Professional Norms in an Alternative Health Care Setting: Physicians in Health Maintenance Organizations - JUDITH K. BARR and MARCIA K. STEINBERG - The Paradoxes of Health Planning - BONNIE MOREL EDINGTON
• Veteran's Medical Care: The Politics of an American Government Health Service - JUDITH N. LASKER
• Mission Neighborhood Health Center: A Case Study of the Department …

Mission Neighborhood Health Center: A Case Study Of The Department Of Health Education And Welfare As A Counterinsurgency Agency, Thomas S. Bodenheimer

The Journal of Sociology & Social Welfare

In the 1960's, working class communities all over the country, particularly minority inner city neighborhoods, exploded in violent anger. The federal government responded with a pacification or cooling-out program: the War on Poverty. The War on Poverty provided federal funds to bring a few programs into the community, to create a few jobs, and to buy off working class leaders who were a threat to those in power. In the course of this program of counterinsurgency, the War on Poverty took over a slogan of the 1960's, "community control," and turned it into its opposite; rather than control by the …

Veterans' Medical Care: The Politics Of An American Government Health Service, Judith Lasker

The Journal of Sociology & Social Welfare

The history of veterans' benefits and services in the United States is reviewed; it demonstrates their responsiveness to dominant political, economic, military and medical interests. The ideological position that social services must be "deserved" is also seen to be an important influence on the V.A. system. The consequent inaccessibility of V.A. medical care to most veterans and almost all non-veterans raises questions about the appropriateness of the V.A. system as a model for national health care.

Changing Physician Ideologies On The Care Of The Dying: Themes And Possible Explanations, John Macdougall

The Journal of Sociology & Social Welfare

An analysis of changing physician ideologies regarding the care of elderly dying patients, as expressed in technical journals read by American physicians. Markedly more titles concerning terminal care are found in Index Medicus in 1968- 78 than in 1960-67. In one journal, physicians are only after 1964 urged to tell patients openly about their condition and after 1969, to improve cooperation within professional teams. Two explanations of these data are tentatively explored: 1) a Parsonian explanation, whereby medical ideologies reflect professional autonomy and the influence of internalized moral norms; 2) a Marxist explanation, whereby medical ideologies reflect physicians' transformation from …

The Impact Of Consumerism On Health Care Change: Alternatives For The Future?, Allen W. Imershein, Eugenia T. Miller

The Journal of Sociology & Social Welfare

The quest for consumer participation in the management of health care delivery may have experienced its first signs of success, but the implications of that success are as yet unclear. The establishment of consumer majorities on the newly developed health systems agency (HSA) boards was seen as an important milestone in the development of the consumer movement in America over the last ten years. The initial wave of optimism over the Great Society programs that in part gave birth to the consumer movement has long since vanished, but some of the organizational results of those attempts at innovation have become …

The Power Of Situations: An Approach To Understanding Powerlessness And Oppression, Dennis Saleebey, Mary Ski Hunter

The Journal of Sociology & Social Welfare

Much of the difficulty people have in organizing, directing, and coping with their lives is, perhaps, directly traceable to their lack of awareness of, and erroneous assumptions about, the interactional contexts in which they seem or feel powerless. This is especially true, but not exclusively so, of the poor and ethnic, sexual, and political minorities. To the extent that powerlessness exists and is implicated in the various miseries of existence, the role of social worker as advocate, broker, counselor, or agent of change might profitably and accurately be defined in interactional, structural terms.

Aspects Of The Sociology Of Psychiatry, Hans S. Falck

The Journal of Sociology & Social Welfare

There can be little doubt that for the social scientist interested in the case of psychiatry there is much to learn. Not only is psychiatry a specialty in medicine, with a variety of subspecialities, is also enjoys links to other professions such as clinical psychology, psychiatric nursing and psychiatric social work. While in some sense this provides psychiatry the opportunity to be the renaissance man in medicine -- a situation which might elicit envy from others less universal and catholic -- it also causes it great difficulties and troubles. Nooone seems to know where psychiatry begins and ends; it suffers …

Game Preferences Of Delinquent And Non-Delinquent Boys, Shraga Serok, Arthur Blum

The Journal of Sociology & Social Welfare

Viewing delinquency as unsocializized behavior and games as a mini-life social situation demanding social conformity, it was predicted that differences would be found between delinquent and non-delinquent boys in their preferences for types of games. Fifty delinquent and fifty non-delinquent boys were studied and findings indicate that: 1) delinquents show greater preference for games of chance and non-delinquents for games of strategy, and 2) delinquents prefer games with low rule specificity and high opportunity for the direct expression of agression, while non-delinquents prefer games with the opposite characteristics.

An area of major neglect in the massive literature on juvenile delinquency …

Day Care: A Spectrum Of Issues And Policy Options, William Roth

The Journal of Sociology & Social Welfare

Currently, debates about the merits of one form or another of day care frequently miss some significant issues and hence some of the important policy options may be ruled out or in for the wrong reasons. Here, child day care is layed on a spectrum one end of which offers maximum market freedom in the form of income redistribution, a negative income tax, children's allowance, or other transfer assistance, to be spent on the market if so desired for day care services, and on the other end of the spectrum a system of comprehensive child day care centers. In between …

The Deinstitutionalization Of Juvenile Status Offenders: New Myths And Old Realities, C. Aaron Mcneece

The Journal of Sociology & Social Welfare

Claims are being made for deinstitutionalization that obscure some of the lesser known, negative effects. Within the juvenile justice system, for example, many juveniles who were previously institutionalized as juvenile status offenders are being relabelled and institutionalized as jivenile delinquents. In the state system studied in this report, the total number of juveniles in institutional programs did not decrease during the period of "deinstitutionalization."

Demographic Correlates Of Self-Esteem Among Black And White Afdc Recipients, Srinika Jayaratne, Wayne A. Chess, Julia Norlin, John Bryan

The Journal of Sociology & Social Welfare

This study was concerned with the extent to which different demographic characteristics would offer explanations with regard to self-esteem among black and white AFDC recipients. Basically, the analysis revealed no differences in self-esteem between the black and white women in this sample. The major correlates of self-esteem for whites were work and education, whereas, the major correlates of self-esteem for blacks were the presence of children and work.

Procedures For The Maintenance And Generalization Of Achieved Behavioral Change, John S. Wodarski

The Journal of Sociology & Social Welfare

Procedures for the maintenance and generalization of achieved behavioral change in anti-social adolescents are reviewed. A review of follow-up studies which provides the rationale for the incorporation of such procedures in practice is initially elaborated. Specific items discussed are possible avenues to the maintenance and generalization of behavior: social networks, peers, and parents; training socially relevant behaviors; changing the conditions of training; gradually removing or fading the contingencies; delayed reinforcement; and self control procedures. Throughout the manuscript relevant case illustrations are reviewed.

Work Ethic And Work Incentives: Values And Income Maintenance Reform, Beverly G. Toomey

The Journal of Sociology & Social Welfare

Although the American belief system surrounding the concept of work has been analyzed and challenged by social scientists seeking solutions to the problem of poverty, the strength of the work ethic philosophy is still evident in public resistance to welfare reform which would support adequate income maintenance and government efforts at job creation. This paper discusses the relationship between the work ethic philosophy, job creation programming and welfare reform. It reviews relevant theoretical and empirical literature and identifies some misconceptions which continue to hamper policy formulation and program development in welfare reform.

Employment, Theory And Practice In Qualitative Medical Sociology, Mary Jo Deegan

The Journal of Sociology & Social Welfare

Applied qualitative medical sociology is almost an unheard of phenomenon. When it is done, however, It is usually accomplished by sociologists employed in academic institutions. Here we discuss the possibility of such a specialty, building upon the established literature and resources, as a potential area of employment and expanded sociology practice. Three "types" of approaches: symbolic interaction, phenomenology and Marxism are used to suggest the diversity and resources available in qualitative sociology.

The Occupational Prestige Of Social Work, Gerald L. Euster

The Journal of Sociology & Social Welfare

A survey of two hundred and fifty six social work educators pertaining to the prestige of social workers indicated that social workers were viewed as havinq less prestige than fourteen of the twenty-two occupations with whom they were compared. Factors both contributing to and lessening the prestige of social work were identified, as well as suggestions for enhancing social work's prestige.

Journal Of Sociology & Social Welfare Vol. 7, No. 2 (March 1980)

The Journal of Sociology & Social Welfare

Table of Contents

• Work Ethic and Work Incentives: Values and Income Maintenance Reform - BEVERLY G. TOOMEY
• Game Preferences of Delinquent and Non-deliquent Boys - SHRAGA SEROK,
• ARTHUR BLUM
• The Power of Situations: An Approach to Understanding Powerlessness and Oppression - DENNIS SALEEBEY, MARY SKI HER
• Day Care: A Spectrum of Issues and Policy Options - WILLIAM ROTH
• Employment, Theory and Practice in Qualitative medical Sociology - MARY JO DEEGAN
• Aspects of the Sociology of Psychiatry - HANS S. FALCK
• The Deinstitutionalization of Juvenile Status Offenders: New Myths and Old Realities - C. AARON McNEECE
• Factors Associated with Police and …

Factors Associated With Police And Probation/Court Dispositioning: A Research Note, Cheryl Chambers, Richard M. Grinnell Jr., Richard L. Gorsuch

The Journal of Sociology & Social Welfare

This article presents the results of an empirically based study that examined the discretionary process operating within the same juvenile justice system. Assessment of the factors influencing the decision-making process at two points within the same system indicate some consistent factors operating between the two points.

The History And Promise Of Formal Survey Analysis For Social Work, Duncan Lindsey

The Journal of Sociology & Social Welfare

Since its inception social work has struggled with determining the function and status of research in the professional enterprise. The emergence of professional social work was concurrent with the major developments in the methodology of empirical social research and statistical analysis. To understand the current position of research in social work requires tracing back the origins of empirical research with special attention to its connection with the emergence of the social work profession.

The efforts of the survey movement represent the first major attempt to introduce research methodology into the field of social work (Zimbalist, 1977; Young, 1949). In the …

Revolution By Evolution: The Needed Graduate Response To Undergraduate Social Work Education, Roger A. Lohmann

Faculty & Staff Scholarship

This paper is an assessment of the state of the art of graduate social work curricula with particular reference to the lag of such curriculum in responding to the maturation of undergraduate social work education. Advanced standing programs, it is suggested, offer a purely administrative solution to the curriculum question posed by the new continuum of social work education. An ad hoc trial and error problem-solving strategy is called for, on the basis of four assumptions: the primary of the BSW curriculum; and the advanced, specialized and applied science character of graduate social work.

Toward A Full Employment Policy: An Overview, Alvin Kogut, Sylvia Aron

The Journal of Sociology & Social Welfare

Unlike more advanced welfare states, the U.S. has not committed itself to a full employment policy: the full dimensions of unemployment are not revealed and the "manpower" programs reflect a welfare philosophy. While constraints to such a commitment remain formidable, the developments around Humphrey-Hawkins may be a start.

Historic Trends In The Delivery Of Services To Teenage Parents, Nancy Aries

The Journal of Sociology & Social Welfare

This paper will examine the political, social, and economic factors which underlie the transition in services from unwed mothers to teenage parents over the past 15 years. The experience of agencies in the Boston area serves as the basis for this case study. Data have been collected from open-ended interviews with key service providers who have developed and implemented policy related to adolescent parents.

The findings indicate that, prior to 1960, agencies were responding to what was perceived as individual problems or circumstances. Illegitimacy was thought to be an unconscious attempt by white middle class women to fulfill psychological needs. …

Budget Making, Financial Management And Human Services Administration, Roger A. Lohmann

Faculty & Staff Scholarship

Budgeting is one of the fundamental aspects of human services administration in both public and voluntary (nonprofit) social agencies. Yet, for many social workers and other professionals in the human services, budget-making and the other related responsibilities of financial management in social agencies have an air of magic and mystery about them. The focus of this chapter is to demythologize budgeting and other aspects of the financial management process in human service agencies.

A Study Of The Crisis Nature Of The Preparenthood Period And Implications For Preventative Social Work Practice, Julie Jean Colton

Dissertations and Theses

This study addresses the preparenthood period of family life, that period from conception to six weeks after the infant is born. This period was of great interest because in nine years of social work practice I have recognized that families resist change after their particular family system process, even destructive process, is established. I also believe that the order, or disorder, of society depends upon the order of the institution of the family. Other institutions of society depend upon the family for their existence.

Evaluative Styles Of Clinicians In Private Practice, Daniel R. Brophy

Dissertations and Theses

A belief shared by all members of the research team was that evaluation is a tool that can be used to improve the effectiveness of clinical practice. Prompted by this interest, a research project was designed to gather descriptive data about evaluation in the private sector. The research question reads:

To what extent and in what way are licensed clinical psychologists and clinical MSW's in the private sector involved in evaluating their practice?

a. Are these clinicians using formative and/or summative evaluation?

b. What techniques and/or mental processes do they use?