Book Reviews 109 Although a survey of human societies in the 1990s would disclose most (although not all) societies to be male-dominated, several authors in this volume stress the importance of studying the reasons for this. Particularly helpful in this type of investigation is the research on non-human primate societies where male dominance is not so evident Archaeology also discloses evidence that patriarchy has not been the norm historically. Sex and gender hierarchies cannot be explained by genitals and chromosomes: the term "gender" relates to social constructions, meaning that gender hierarchies are not natural but are cultural and are consequently subject to change. The emphasis on change in this book prompts the reader to question any previous assumptions relating to gender hierarchies and urges them to consider avenues through which gender hierarchies can be transformed. Gender hierarchies are one of the most pervasive forms of inequality. Gender is used as a basis of a system of discrimination which has led to women being disadvantaged in all spheres of human society, in education, nutrition and employment As such this volume is an important and valuable contribution to our understanding of how this inequality can be challenged in the world today. Reviewed by Christine Marlow, Fulbright Scholar, University of New Mexico, USA (on attachment at School of Social Work, Zimbabwe). Clinical Social Work Supervision (2nd edition), Carlton E Munson, The Haworth Press, New York, 1993, ISBN 1-56024-285-X (p/b), 492 pp inc index, Price N/K. Dr Munson argues that good clinical supervision is a necessity, not a luxury in the current practice world characterised by increasing demands for accountability, extremely complex and difficult situations, and ethical dilemmas. Clinical Social Work Supervision is an attempt to provide social workers with an essential understanding of the supervision process, ways to enhance the value of supervision and the challenges and opportunities for supervision in special settings, client groups, and therapeutic models. The book incorporates research findings, case examples, as well as more theoretical discussions. Dr Munson presents the history of practice knowledge and social work supervision as a basis for understanding current practice and supervision concerns. He then discusses the important role of values and ethics in social work practice and the important role of the supervisor in grounding social work practice within the ethical requirements of social work. According to Munson, supervisors tend to be either active (more direct) or reactive (more indirect) as well as tending to be philosophers, theoreticians, or technicians. Although Munson indicates that the important issue in supervision is the use of the appropriate style as the need arises, 110 Book Reviews he tends to be especially critical of the philosophical and theoretical styles. While supervisees also have a style in supervision, this style is strongly influenced by that of the supervisor. The author provides an excellent discussion of useful techniques which can be used by the supervisor, including an educational assessment of the supervisee, case material, case presentations, questions, contracting and reading. He discusses use of audiovisual and action techniques in some detail. Good supervision should recognise the level of knowledge of the supervise and provide continuity. Although social workers are often reluctant to recognise authority issues, it is important to understand the inherent role of authority in the supervision process and the organisational context Munson argues that both theory and technique are important but warns against using theory in an abstract way not tied to the practice demands facing the supervisee. Supervisors need to be well-grounded in the theories they use with supervisees and to develop useful interventions based on the theory. Evaluation of practice is an essential role of supervision. Effective supervision includes constructive use of criticism of clinical material to promote professional growth. Given the organisational context of most social work practice, supervisors need to help staff deal with administrative matters as effectively as possible. In view of the stressful nature of social work practice, supervisors also need to recognise the signs of stress in their supervisees and themselves and to find appropriate ways to address it. Munson also discusses some of the unique challenges facing social work and supervision in several settings and practice modes, medical, gerontology, criminal justice (especially group homes), rural communities, family practice, and feminist practice. The book concludes with a discussion regarding the need to be specific about both the creative and scientific aspects of practice. I appreciated the author's insistence upon drawing boundaries between supervision and therapy and his concern for techniques used in supervision and teaching in general which tend to blur these distinctions and place students and supervisees in vulnerable positions. In his discussion of administration issues, the author describes several types of administrators. Unfortunately all of these types are extremely negative and give a needlessly problematic image of the situation facing supervisors. In his description of family therapy he presents a very helpful grid for understanding the role of many different family therapy techniques. Munson is very skeptical of the value of role playing in supervision; but students in family therapy classes have found it very useful provided adequate care is taken in the structuring and in the debriefing process. As the preceding description suggests, this is a relatively comprehensive treatment of supervision and should be useful for beginning supervisors and thought provoking for experienced supervisors. The definition of clinical practice used in this book is sufficiently broad to include social work activities with Book Reviews 111 individuals and families in various settings. Given the very complicated situations facing many families in Africa and the limited social work resources available, good supervision would seem particularly important in providing effective services. Reviewed by Mary P van Hook, Northwestern College, Orange City, Iowa, USA. Adjustment in Africa: Reforms, Results, and the Road Ahead, A World Bank Policy Research Report, The World Bank, Washington D C, 1994, ISBN: 0-8213- 2787-9. Price: N/K. Implementing Structural Adjustment Programmes in Africa has not been an easy task. This is clearly demonstrated in the report made on policy research by the World Bank. A study on adjustment was carried out on twenty-nine countries in Africa, and only six showed some improvement in macro-economic policies and stronger results in economic performance. The survey examined macro-economic and sectoral policies and discovered that poor policies were largely to blame because they did not facilitate growth. Heavy government spending also contributed to slow growth in the economy. Those countries with better policies achieved faster growth, but generally government spending was high, increasing from the early 1960s and reaching a peak of 17% of GDP in 1988. Even though Africa suffered a fall in terms of trade between 1970-80, it was still expected to pay for its external loans. The report clearly demonstrates how loans and grants affect public income and how changes in terms of trade have an impact on private income. The report reveals to the interest of the reader how the macro-economic situation reached a crisis proportion in sub-Saharan Africa. Scholars will be interested to see how the report explains the impact of debt crisis in our African countries and how this has led Africa to lose its access to commercial lending. The World Bank explains that the sub-Saharan countries can improve balance of payments by reestablishing a balance between income and spending. It cites pitfalls that befall Africa and goes on to explain some of the inappropriate responses that perpetuate. Sub-Saharan African countries are supposed to have promoted in unleashing markets, accompanied by high rates of investment in order for competition to help them improve their allocation of economic resources. Thereportpointsoutthatthe World Bank in 1991 had recommended countries to try to get price signals right to promote a good business atmosphere. The survey revealed that governments did not handle agricultural and trade issues satisfactorily but did well in reducing administration costs and in the rationing of foreign exchange.