The experience of motherhood for alienated mothers

This qualitative study examined the alienated mothers' experience of motherhood. Data were collected by in‐depth semi‐structured interviews with 10 women whose children refused any contact with them. Findings revealed one main theme, ‘Merging vs. detachment’, consisting of four subthemes or motifs in these women's narratives: (i) marriage as an illusion of salvation from an abusive home; (ii) giving birth to a child as compensation for chaotic childhood experiences; (iii) husband exploiting and abusing their sense of failing motherhood; and (iv) the husband and mother‐in‐law expelling the mother. These findings were interpreted within the framework of Bowen's theory. The interpretation suggests that impairment in the mothers' and ex‐husbands' differentiation of the self is manifest in the shattered mother–child relations and in the mothers' loss of their children in the struggle with their mothers‐in‐law. Implications for practice are included.     

Umhlaba 1913–2013

This essay argues that the violent explosion at Marikana is an indication that ordinary South Africans are rapidly losing faith in the democratic institutions and social contract arrangements that underpin the 1994 post-apartheid South African democratic social contract, whether Parliament, the collective bargaining system, or the National Economic Development and Labour Council (Nedlac). Similarly, “legitimate” institutions, such as political parties, trade unions and civic organisations – the organisations which pre-date 1994 – are also increasingly experienced by their members and supporters as not responsive, relevant or accountable. Marikana shows that if democratic institutions and “legitimate” institutions do not become more responsive, accountable and democratic quickly, ordinary people will increasingly look to new ones, including populists ones, or seek answers in violence. The essay concludes that although there are still many democratic and “legitimate” institutions which generate high levels of trust and enjoy widespread credibility and legitimacy, South Africa may have to renew aspects of its democratic social contract, institutions and rules, and in some cases, even create new, more relevant ones.     

A Bioethics Approach to Social Work Practice With Transgender Clients

Increased advocacy for the informed consent model of transgender health care specifies that patients should be in control of access to receiving medical interventions such as hormone therapy or surgery. However, in practice, mental health clinicians, including clinical social workers, are increasingly called upon by medical providers to serve as gatekeepers for these processes. It is frequently the role of social workers to assess transgender clients’ baseline mental health and their understanding of the consequences of treatment, and to forward recommendations to medical providers regarding the readiness of patients to transition. Therefore, social workers assisting transgender clients must be aware of the ethical standards that are particularly pertinent to their work with this marginalized and oppressed population. They must also be prepared to address unique ethical dilemmas that may be especially challenging to resolve. In this article we apply the most commonly utilized bioethical framework known as Principlism to describe the ethical standards and values that are particularly important to consider when working with transgender clients, namely autonomy; beneficence; nonmaleficence; and social justice. Because clinical social workers are frequently in the position of balancing client self-determination with their role as gatekeepers, a framework for resolving resulting ethical dilemmas is described (I CARE) and applied to three case examples.     

Neighborhood history as a factor shaping syringe distribution networks among drug users at a U.S. syringe exchange

Throughout the U.S., high visibility drug markets are concentrated in neighborhoods with few economic opportunities, while drug buyers/users are widely dispersed. A study of Pittsburgh Syringe Exchange participants provides data on travel between and network linkages across neighborhoods with different levels of drug activity. There are distinct racial patterns to syringe distribution activity within networks and across neighborhoods. Pittsburgh's history suggests that these patterns emerge from historical patterns of social and economic development. Study data demonstrate the ability of IDUs to form long-term social ties across racial and geographic boundaries and use them to reduce the risk of HIV transmission.