Teaching Note—Lessons Learned From Developing and Implementing a Dementia Caregiving Graduate-Level Service-Learning Course

ABSTRACT

This teaching note delineates seven lessons learned when designing and implementing a graduate-level dementia caregiving service-learning course. The course was designed during a 1-year faculty service-learning fellowship and implemented during the summer of 2015. The course used a person-in-environment framework to explain social work practice with family systems affected by dementia. It aimed to increase students’ knowledge about dementia and improve students’ attitudes toward working with people with dementia through respite visits with families affected by dementia. Three recommendations for future course offerings are described.     

Storytelling in Amy Tan’s The Bonesetter’s Daughter: belonging and the transnationality of home in older age

ABSTRACT

Amy Tan’s The Bonesetter’s Daughter is a fictional account of a Chinese American woman and her mother, a first-generation migrant, who is negotiating dementia in later life. Analysis of diasporic novels can provide insight into migrant belonging, especially the emotional geographies of home and emotional subjectivities of ageing that are not commonly or easily elucidated even by qualitative interviewing methods. This article examines Tan’s construction of ageing as an intergenerational, cultural and emotional process, and highlights the role of storytelling as an everyday home-making practice through which the transnationality of home in older age becomes evident.     

Intergenerational Interaction Through Reminiscence Processes

Abstract

Introduction: The interest in intergenerational programmes is increasing. However, there is a need for evaluation and the development of a theoretical framework to explain the mechanism of changes in attitudes of participants which is the purpose of this paper.

Method: From July to December 2002 an intergenerational intervention was conducted with 111 students and 32 elders, who shared their life stories during class time. A Focus group technique was used to evaluate the programme and a theoretical framework was developed to explain the mechanism of changes in attitudes of adolescents towards elders and the attitudes of elders towards adolescents.

Results: The results showed that stereotypes and prejudice exist, from young people towards elders and from elders towards young ones. The theoretical framework developed showed why and how participants changed their views towards each other in an intergenerational programme using reminiscence processes as a means of interaction.

Conclusion: Although the study had some limitations, it was valuable in showing that older people had some negative images of adolescents. It also showed why and how participants changed their view towards each other.     

Intergenerational Activities that Promote Engaging Conversations are Preferred among Young and Older Adults

ABSTRACT

Loneliness negatively affects young and older adults. Intergenerational activities foster social connectedness. Using quantitative and qualitative methods, this study explored which intergenerational activities are most enjoyable for college students and retirement community residents. Demographics, loneliness, enjoyment, conversation level, and type of activity were analyzed. The enjoyment and conversation variables were positively correlated (r = .59, p < .001) which was supported by participants’ narratives. Both populations most enjoyed the activities with higher conversation levels, with the first being committees, followed by meals, one on one activities, and transportation. Retirement communities and universities should promote intergenerational activities, which include meaningful conversations.     

Intergenerational continuity in parenting: a review and theoretical integration

Abstract

Objective: This review evaluates literature on how parenting behaviors are passed from one generation to the next in families by providing a new definitional framework to organize existing work, utilizing this framework to review literature on intergenerational continuity in parenting behaviors, and proposing a new developmental framework for understanding the etiology of intergenerational continuity in parenting behaviors.

Design: The present review examines 31 studies of intergenerational continuity in parenting, summarizes the findings offered by these studies, and integrates this existing literature in a theoretical framework for considering the etiology of intergenerational continuity in parenting behaviors.

Results: Results indicate that parental warmth, hostility, and behavioral control each demonstrate intergenerational continuity, and that internalizing and externalizing behavior serve as potential mediators of intergenerational continuity across all three types of parenting behaviors.

Conclusions: Parenting behaviors falling in the warmth, hostility, and behavioral control domains each demonstrate modest continuity across generations. Internalizing and externalizing behaviors developed by children in response to parenting in their family of origin may persist and cause similar patterns of parenting when these children grow up and start their own families. Partner psychopathology and parenting styles may moderate these externalizing and internalizing pathways to intergenerational continuity in parenting.     

Dementia: challenges for social work education in Europe

ABSTRACT

Dementia has been identified as a global challenge across the spectrum of health and social care (World Health Organisation. (2012) Dementia: A public health priority. Geneva: WHO). This paper will explore the implications of this for social work education and the challenges it poses. There is a lack of this focus on social work with older people and people with dementia (pwd) in social work education. Based on calls for an infusion of content on ageing and dementia in social work curricula, paper proposes that we should adopt a person-centred philosophy alongside gerontological social work competencies to achieve this. The specific aim of this paper, therefore, is to explore how we can use these ideas as teaching tools to engage social work students in the discourse on dementia and to develop appropriate skills to work with pwd, their families and carers.     

Intergenerational Community Action and Youth Empowerment

Abstract

Empowerment theory can provide a useful framework for the design and evaluation of intergenerational community-building programs. Using an intervention research approach that draws heavily on empowerment theory, the author designed, facilitated, and evaluated an innovative model for intergenerational community engagement involving undergraduate students and older adult residents of an assisted living facility. This “Intergenerational Community Action Group” met at the assisted living facility throughout a school year to engage in group-building activities, to discuss and choose an issue of concern to them in the community, and to plan and implement an action project to address the issue. This article discusses the use of empowerment theory in intergenerational community action and similar programs, and reviews the empowerment outcomes for youth participants in the Intergenerational Community Action Group.     

Intergenerational Connections Through Book Discussion Groups

Abstract

Learning about intergenerational programming prepares health care professionals to be more competent and compassionate in working with a changing society. A unique teaching approach using intergenerational book discussion groups helps students learn about elders and provides a mutually beneficial experience. Assumptions, myths and biases held by each generation are often dispelled. Values and beliefs are clarified as members from differing generations learn about similarities and honor differences. The assignment becomes more than a technical learning situation and becomes one where friendships evolve and a deep respect for others develops. This article discusses how to plan and implement an intergenerational book discussion group for application within a variety of settings.     

Emancipatory engagement: An urban womanist social work pedagogy

ABSTRACT

Standing on the hope of the initial social work course from 1914 at Morgan College, this article provides insight into the significant learning outcomes of contemporary students in advanced social work practice with urban African American families. This research introduces the conceptual framework of urban womanist social work pedagogy as an inclusive practice-informed knowledge produced through the rituals, traditions, values, culture, and resilience of historically disenfranchised communities. Urban womanist social work teaching methods honor truth telling from the ones who have lived there. Urban womanist social work affirms transformative-centered research, teaching, and scholarship produced through institutions such as historically black colleges and universities (HBCU’s). The students’ reflective narratives reveal a process of transformation, centered in the freedom standpoint, which includes recognizing the location and context of their individual and collective identity as African Americans in the profession of social work. Urban womanist social work pedagogy cumulatively equips our students with intergenerational knowledge that inform their assessment of critical issues in Baltimore’s African American communities.     

Cursed creatives: alienation,sublimation, and the plight of contemporary creative work

ABSTRACT

This paper connects the critical discourse on the ‘creative class’ with a longstanding lineage of thought on creativity in psychoanalysis, demonstrating their combined value in understanding worker subjectivity and exposing the perils of contemporary creative work. Drawing upon object relations theorizing in particular, the argument is made that the ‘objects’ of contemporary creative work coupled with its surrounding ‘potential space’ prove severely impoverished, giving rise to a newfound experience of alienation. Accounts of creative workers are presented to further elucidate alienation’s unconscious correlates, as well as to suggest ways of mitigating creativity’s compromised expression through the process of ‘sublimation’ – a concept central to the psychoanalytic theorizing on creativity, yet wholly absent from the contemporary discourse. Implications for the critical study of the ‘creative class’ are discussed.     

Intergenerational interaction between old and young in creative task

By comparing intergenerational to same-generation interactions in creative activities, we aimed to reveal characteristic behaviors of older and younger adults in intergenerational interactions using a wooden block task. Four categories (“Proposal request”, “New proposal”, “Reactions to proposal”, “Assessments of partner’s behavior”) were extracted from conversations during task performance. In intergenerational groups, the ratio of utterances of “Proposal request” (encouraging a new proposal to partner) were higher than in same-generation groups for older adults. In intergenerational groups, older people assumed the role of encouraging younger people to suggest new ideas, and older people’s such empathic behaviors might provoke lively arguments.     

‘Do you really want me to tell ya!’ critical learning in engaging young people in contact with the justice system as peer educators with social work students

ABSTRACT

This paper outlines and evaluates an active and experiential learning project, which gave young people involved with the justice system, a voice as peer educators engaging with social work students outside of the traditional educational institution. The project had two key interconnecting elements. Firstly, by engaging a hidden population of young people in a realistic and meaningful way, it enabled them to share their experiences, and allowed students to understand the complexity of what it means to be socially excluded. Secondly, through this active participation process the young people began to see education as a desirable goal.

The project took place over three months and included 10 social work students and 13 young people involved with the justice system. Creative use of multimedia facilitated production of a learning resource to capture the young people’s lived experiences with statutory social work and justice systems. Young people were fundamentally challenged in their beliefs about themselves being involved in education to achieve a qualification. Students were challenged in their creativity and versatility responding to the task, when collaborating with ‘hard to reach’ young people. They were furthermore challenged in terms of their attitudes and assumptions in relation to offending and social justice.     

Conserving Habitus: Home,Couplehood and Dementia

ABSTRACT

Compared to research on home in circumstances of aging, place and care, our knowledge about home in relation to couplehood is limited despite increases in the percentage of married and cohabiting older people in the UK. Specifically, our understanding of the experience and meaning of home for couples where one partner has dementia remains under-explored. This article presents a scoping review of published empirical literature to examine older couples’ experiences of home in dementia. The literature identified and reviewed through searching academic databases and Google Scholar is interdisciplinary and a thematic analysis suggests interactions of couplehood, home and dementia. To discuss these interactions, we use Bourdieu’s framework of field, capital, practice and habitus. We observe that habitus may gradually alter and fracture. But, in locating and supporting the performance of (adapted) everyday relationships and domestic practices, home has a distinct role in contributing to conserving habitus and in turn continuity of relationships and home. The gradual fracturing of habitus with the progression of dementia however also suggests that the continuity of relationships and home remain contingent, but this needs further investigation. It is an element of home futures that cannot remain invisible.     

The post-80s generation: exploring the attitudes toward family and housing

ABSTRACT

Previous literature has paid attention to housing pathways and cohort features of young people, but studies connecting the two themes are lacking. This paper offers a perspective on the cohort analysis of young people based on their housing choices and aspirations. With empirical evidence from a two-round social survey, this study explores the ‘not leaving home’ pattern of the housing choices of young people in Hong Kong. With some supplementary subgroup analysis, the cohort label of a ‘post-80s generation’ in Hong Kong is challenged. Contradictions are revealed in the views of our young people about housing and family life, and further analysis is conducted to examine the impacts of economic and sociocultural factors in the local context of Hong Kong. This study argues that we need to look beyond the shared features and subgroup differences and consider how sociocultural factors, particularly gender, marriage, education, and social norms, interact with economic factors to shape housing choices, aspirations and apparent contradictions in the viewpoints of young people regarding their personal development and housing futures. In doing so, the paper also engages with debates around intra and intergenerational dynamics and inequalities. The paper focuses on Hong Kong but these debates have international resonance.     

Comparing the effectiveness of individual and group therapy for students with symptoms of anxiety and depression: A randomized pilot study

Abstract

Objective: To examine the effectiveness of individual versus group therapy for anxiety and depression among university students. Participants: Forty-one university students experiencing moderate to severe symptoms of anxiety and/or depression participated during one of three academic semesters from 2015 to 2016. Methods: Participants were randomly assigned to either 6-weeks of individual or group therapy and completed outcome measures at pre-and-post-treatment. Results: Significant reductions in both depression and anxiety scores were found across time, with no significant difference between group and individual therapy outcomes. Exploratory analysis of attitudes toward therapy found that while individual therapy was rated more favorably than group therapy overall, attitudes toward therapy became more favorable from pre to post-treatment for all participants. An interaction showed differences in attitudes toward individual and group therapy according to participants’ randomly assigned treatment. Conclusions: These findings support the increased usage of group therapy within university counseling centers, with implications for stepped care discussed.     

Contact with Outdoor Greenery Can Support Competence Among People with Dementia

SUMMARY

Dementia disorders are increasing among populations all over the world due to growing life expectancy. Since dementia widely affects cognition, especially short-term memory and orientation, people with dementia are more dependent on provisions from their environment to act successfully than those without dementia. Green environments have been associated with reduced autonomic arousal leading to stress recovery and improved affective state. In this paper we introduce theories and empirical studies about healing and green environment, and present our findings on the impact of plants, and of seeing and being outdoors on the well-being of people with dementia in day care and in residential care. The first study is based on a survey of 65 nursing staff from ten residential care homes. The second study involved 123 people with dementia from two day care units and six residential care units.     

Global Aging and Intergenerational Equity

ABSTRACT

The traditional way of caring for frail elders in long-term care facilities is based in the medical model. This type of care focuses primarily on the biological needs of individual elders. A new paradigm for these care facilities is seen in the idea of culture change. This paradigm implicitly has within it elements of compassion emphasized in the teachings of world religions. The focus of this article is on the thoughts of Hesston College students in a World Religions class who spent two hours a week during the spring term 2003 interacting with frail elders in a long-term care facility. These intergenerational interactions are analyzed from the perspective of six world religions. The article concludes with reference to culture change and intergenerational relationships as related to practitioners, policy makers, and researchers.     

Oppression Pedagogy: Intergroup Dialogue and Theatre of the Oppressed in Creating a Safe Enough Classroom

ABSTRACT

Creation of a classroom environment safe enough for students to expess their perspectives, hear classmates views and engage in classroom dialogue remains a major challenge in social work teaching. Intergroup dialogue and Theatre of the Oppressed are two approaches that effectively meet these challenges. Intergroup dialogue offers a systematic method of creating safety, exploring and owning social identity, engaging in hot topics, and ally building. Theatre of the Oppressed promotes communications that allow creative delving into sensitive topics. Data are presented from a cohort of students in a social work undergraduate oppression class. An ethnographic method was implemented to review student responses to a pedagogical approach that combined intergroup dialogue and Theatre of the Oppressed. Data analysis revealed students’ increased self-reflection and perspective taking.     

Retirement Income Security in the United States of America

Abstract

Population aging in the United States poses a challenge for the present and coming generations: how to financially support the growing numbers of retired people? There is also a need to explore the potential for conflict across generations if young people see themselves as funding a system that may not be able to support them fully when they are older. This paper explores this intergenerational dimension and suggests that such stories of potential conflict are not borne out by research.     

Peer support and food security in deaf college students

Abstract

Objective: The purpose of the study was to investigate whether peer support and demographic characteristics predicted food security among deaf college students. Participants: The sample included 166 deaf college students at Gallaudet University. Methods: Participants completed a bilingual online survey in American Sign Language (ASL) and English. This survey included USDA’s 6-item food security survey, questions about peer support and socio-demographic characteristics. Results: Out of 166 students (mean age =23; SD?=?6), 60.7% were food secure. About 26.4% were at-risk for low food security and another 12.9% had very low food security. The sample included respondents who identified as people of color (54%) and women (52%). Binary logistic regression revealed that compared to people who reported always receiving peer support, people who never received peer support were 16.3 times more likely to experience food insecurity (adj OR: 16.325, 95% CI 1.824–146.107). Conclusions: This study demonstrates a strong relationship between peer support and deaf college students' food security experiences.