Culture and Masculinity: When Therapist and Patient are Latino Men

Treating clients from diverse cultural backgrounds, and supervising clinicians who are treating clients of the same ethnicity and gender, are now common experiences in our mental health system. As the growth of minorities in the US greatly outpaces the training of minority clinicians, more attention to these situations is needed. Operating from the premise that interpersonal sensitivity is a fundamental aspect of cross-cultural and cross-ethnic sensitivity, we describe the treatment of a Latino male by a Latino male clinician, in this case both of Puerto Rican descent. We outline the contours of the therapy with a man whose life history included numerous incidents of humiliation and thwarted efforts at efficacy, mastery, agency, and competence, resulting in an adult character structure based on shame and self-doubt. We also discuss the challenges to the clinician posed by working with a man whose traditional upbringing mirrored his own, with all the positives and negatives that must be considered in the countertransference. We describe clinical and cultural reasons for various interventions, and their resulting outcome. The framework of a dynamic interpersonal therapy and the challenges of transference, countertransference, therapist disclosure, and working-through are covered.     

An empirical approach to theoretical perspectives on sentencing in a young offender court

Cette communication présente une analyse de cinq théories des déterminants des decisions des tribunaux à la lumière des donnees quantitatives tirées d'entrevues realisees avec un échantillon de parents de jeunes contrevenants. Les résultats indiquent qu'en dépit des réformes législatives, les infractions liées au statut juridique de la personne demeurent une réalité dans le système judiciaire canadien, et les facteurs associés aux décisions des tribunaux different selon que le délit est de nature criminelle au sens traditionnel ou qu'il est lié au statut juridique de la personne. À la différence de certaines études récentes, les résultats n'appuient pas la thèse libéralo-consensuelle, car diverses variables juridiquement pertinentes n'ont aucune influence sur les décisions du tribunal à l'égard de l'un ou de l'autre type de contrevenant. Par contre, les données relatives aux contrevenants de type traditionnel cadrent assez bien avec l'approche féministe, font penser que les sentences rendues sont plutôt l'inverse ce que prédirait un modèle strictement néo-marxiste et semblent indiquer que les tribunaux entretiennent des liens «flous» avec d'autres secteurs du systeme judiciaire juvénile. D'après les données relatives aux infractions liées au statut de la personne, l'explication des décisions des tribunaux résiderait surtout au niveau des mécanismes de contrôle social. Based on interviews with parents of a sample of young offenders appearing before a family court, this paper presents a quantitative test of five theoretical perspectives on sentencing. The results indicate that despite legislative change, status offenders are still a reality in Canadian courts and factors associated with court outcomes differ depending on whether the offence is of a traditional criminal nature or is a status offence. Contrary to recent research findings, results do not support a liberal/consensus perspective. Legally relevant variables are not found to affect court outcomes for either type of offence. Results for traditional offenders provide considerable support for a feminist perspective on court decision-making processes, suggest that social class effects on court outcomes may be the opposite to that predicted by a strictly neo-Mamian perspective, and provide some support for the notion that courts are ‘loosely coupled’ to other sectors of the juvenile justice system. Results for status offenders point in the direction of a social control explanation for court outcomes.     

A New Era in Governmental Reform: Realizing Community

The good government models of the 1990s realized a focus that included reinventing, reengineer-ing, rethinking, quality, empowerment, and devolution of the organization. These organizational reform ideologies sought to increase involvement, improve productivity, manage performance, and drive results. One essential key that has been disregarded in these government models is the involvement of community in the decision-making process. This paper points to the importance of involving and empowering citizens in the decision-making process, particularly in regard to community justice based on the notion of restorative justice system. Community justice, a modern day reform movement with international proportions, is based on the principles of empowering community, repairing harm caused by a crime or disturbance, and reducing risk to the community.     

Evaluating from the outside: conducting cross-cultural evaluation research on an American Indian reservation

There is limited guidance for conducting competent and responsive cross-cultural evaluation research with American Indian communities. The authors draw on Fisher and Ball's Tribal Participatory Research Model to highlight ways in which this project is attempting to be culturally appropriate and sensitive as they partner with an American Indian community to implement and evaluate a youth-based initiative. Challenges encountered during the evaluation are shared, as well as the authors' collective responses to such challenges. Implications for future cross-cultural evaluation researchers are also discussed in light of these experiences.     

Cognitive-behavioral treatment for adolescents who sexually offend and their families: individual and family applications in a collaborative outpatient program

This article describes an outpatient treatment program for adolescent sexual abusers that was established by a mental health agency in collaboration with a specialized probation program in the juvenile court. Individualized treatment is based on a comprehensive clinical assessment with the youth and guardian, for which examples are provided. Given the heterogeneity of this population, we describe several treatment strategies directed to various individual or family clinical targets, including psychiatric disorders, sexual deviance and sexuality, normal adolescent development and adaptive skills, and parent and family relationships. Ongoing collaborative and coordination issues are also reviewed. The integration of mental health and probationary services provides a balanced approach to the community management and treatment of the low-risk, primarily first-time, adolescent sexual offender.     

Effectiveness of couples treatment for spouse abuse

Despite its controversy, carefully conceptualized and delivered couples treatment appears to be at least as effective as traditional treatment for domestic violence, and preliminary data suggests that it does not place women at greater risk for injury. However, the body of research on which these conclusions rest is sparse. Only six experimental studies have been done, each using different eligibility criteria, outcome measures, and treatment approaches. Thus, further study of this modality is warranted. Marriage and family therapists have an important part to play in continuing to develop and test innovative ways of helping couples end violence and improve their relationships--an endeavor that promises to improve the quality of the partners' lives as well as those of their children.     

Empowering Community-Based Programs for Youth Development

This article discusses the need for community-based programs for youth and their families and urges the social work profession to resume its historical leadership in such programs while incorporating recent theory and practice. The authors describe the reasons why social workers abandoned neighborhood-based youth development services, the intended outcomes of such services, and current societal and professional trends that support a revival of social work’s involvement in youth development. They discuss one school of social work’s current participation in a youth agency partnership and examine implications of the suggested revival for social work education. Collaboration among families, schools, diverse community services, agencies, and educators is emphasized.     

Being,feeling and acting: A qualitative study of Swedish home-help care recipients' understandings of dependence and independence

This article contributes to the debate on dependence and independence through a study of how a group of 29 cognitively healthy Swedish home-help care recipients between the ages of 77 and 93 perceive their situation. Two overall themes with regards to how the constructs of dependence and independence are understood were found. One of them concerns how being in need of help can be justified (i.e. the why of receiving help) and the other how the very situation of being in need of help and care can be regarded (i.e. the how of receiving help). The study reveals a clear distinction between receiving help and care and feeling dependent, as well as between receiving help and care and being able to remain an active agent. On the basis of these findings we argue for the fruitfulness of distinguishing between ‘being’, ‘feeling’ and ‘acting’ as aspects of dependence and independence.     

Validation of the Career‐Related Parent Support Scale Among Chinese High School Students

The Career‐Related Parent Support Scale (CRPSS; Turner, Alliman‐Brissett, Lapan, Udipi, & Ergun, 2003 ) was translated and modified to form the 24‐item Chinese version of the scale. As in the case of the original CRPSS, the Chinese version includes 4 subscales (Instrumental Assistance, Emotional Support, Verbal Encouragement, and Career‐Related Modeling). The Chinese version of the CRPSS was validated in this study with a sample of Hong Kong high school students (N= 677). Reliability analyses showed that the total scale and subscales were internally consistent. The results of the exploratory factor analysis and confirmatory factor analysis suggested that the Chinese version of the CRPSS provided adequate indicators of Chinese adolescents’ perceptions of parent support for their career aspirations.