Perceived Obligations of Remarried Households to Provide Financial Assistance to Younger Family Members

Abstract

The purpose of this study was to examine perceived obligations of stepparents to provide financial assistance to adult stepchildren. Building on previous research, this study examined both contextual and ideological variables that may be related to perceptions of normative obligations. College student participants (N = 218) perceived higher levels of obligations to adult stepchildren whose financial need was not their fault as compared to adult stepchildren who were perceived as responsible for having financial needs. Also, perceptions of obligations were negatively related to ideologies consistent with traditional beliefs about marriage and with familism. This study highlights the need for more research and the need for policymakers to attend to how diversity in family structures is likely related to differences in intergenerational transfers.     

Performative identity regulation in rehabilitative home care work: an analysis of how experts’ embodied mediation of the managerial ideology ‘activates’ new frontline identities

ABSTRACT

This article explores how therapists when introduced as new so-called frontline ‘experts’ in home care work, become both discursive and embodied mediators for the managerial ideology of rehabilitation, and how their presence regulates the care aides’ subjectivities at work. We show how the managerial discourse of rehabilitation mobilizes the care aides to transform their identity from traditional nurturing to rehabilitation, as a result of promoting the latter as more professional. While the traditional managers/nurses promote the identity transfer through more classic discursive regulation at a distance from ‘the office’, the therapists do so through what we label performative regulation. Performative regulation is exercised by the therapists performing the desired role at the frontline and thus embodies the ideal and transfers it by embodied practices, not directives. With this notion of performative regulation, the article emphasizes the material, physical, embodied and performative dimensions of professional identity regulation.     

Parent and Stepparent Support and Psychological Control in Remarried Families and Adolescent Empathic Concern

Abstract

Using a symbolic interaction perspective, this study examined the extent to which (a) perceptions of parent/stepparent support were positively related to adolescent empathic concern and (b) perceptions of parent/stepparent psychological control mediated this relationship. Participants were a convenience sample of 72 ninth and tenth grade adolescents residing in remarried family households who completed self-report questionnaires. Results showed that adolescent girls in remarried family households who perceived their residential parent as more supportive reported greater empathic concern and that the relationship was mediated by perceptions of parent psychological control.     

Giving Good Sermons in Therapy

SUMMARY

Social workers and other therapists often deliver “sermons” which are not heard by their clients. Like some preachers who lose their congregations with dull monologues, therapists can lose their audiences through ineffective preparation or poor delivery. The effective preparation and delivery of messages are addressed in the body of literature known as homiletics. This article begins a conversation between practitioners of homiletics and of family therapy. A discussion of the vital elements of an effective sermon as well as its preparation and delivery that makes sense to clients is offered. Vignettes to illustrate various uses of sermons in therapy are included.     

Adoptees' and Birth Parents' Therapeutic Experiences Related to Adoption

ABSTRACT

This study examined adoptees' and birth parents' experiences in therapy, including the perceived level of helpfulness and preparation by therapists relating to adoption issues as a function of the year these experiences occurred. Participants consisted of 152 adoptees and 66 birth parents, with the majority (78%) of the respondents being female. Overall, adoption inquiry, addressing adoption issues, helpfulness, and preparedness by therapists increased from 1965 though the 1990s. Therapists who inquired about adoption (54%) or addressed adoption (72%) were perceived as being significantly more prepared and helpful compared to those therapists who did not inquire about or address adoption issues.     

Risk Management in Treating Child Sexual Abuse Victims and Adult Survivors

ABSTRACT

Before the 1990s, mental health professionals were rarely sued for “talking cures.” Today, hundreds and hundreds of cases have been brought against therapists working with child sexual abuse issues. Risk management needs to accommodate the current wave of lawsuits so that mental health professionals can avoid litigation. This commentary presents some of the issues involved in these cases, and suggests techniques for therapists to utilize for risk management.     

Lesbian Stepfamilies

ABSTRACT

Cherlin's (1978) model of remarriage as an incomplete institution is used to show how lesbian families' experiences are similar to and different from those in heterosexual stepfamilies. We examine how heterosexism and homophobia enhance the marginalization of lesbian stepfamilies. Despite the importance of the partner's role in the family, much of the lesbian stepfamily research neglects her. Ways to involve the partner's perspective in practice and research and to broaden research perspectives on lesbian stepfamilies are suggested.     

“A Very Steep Climb”: Therapists’ Perspectives on Barriers to Disclosure of Child Sexual Abuse Experiences for Men

ABSTRACT

Recent studies indicate that men experience unique barriers to disclosure of child sexual abuse. Blind spots held by mental health providers and social service agencies may inadvertently help produce and sustain these barriers. However, therapists who specialize in treating this population may also hold important insights into the barriers clients face. Because delayed and nondisclosure of child sexual abuse have been associated with negative mental health outcomes for adult survivors, understanding these barriers is critical to improve clinical practice and facilitate help-seeking. Using conventional content analysis, this study examined the perceptions of nine therapists who specialize in the treatment of men who were sexually abused in childhood, many of whom are considered pioneers in the field. Analyses identified nine types of barriers, which were organized into three categories: intrapersonal experience (difficult feelings, lack of language, and self-engagement), social milieu (internalized social stigma, negative responses, social loss or judgment, and masculine identity dissonance), and health care environment (structural barriers, relational challenges with therapists, and unhelpful therapeutic strategies). Implications for future research, clinical training, and clinical practice are discussed.     

Attitudinal and behavioral differences between cigarette users who do and do not identify as “smokers”

Objective: The current research aimed to understand differences in smoking-related identity among college students and to illustrate the distinct characteristics of nonidentified smokers (NIS). Participants: Students from 2 colleges in Massachusetts (N = 538; April 2016). Methods: Respondents reported by online survey whether or not they had smoked a cigarette in the past 30 days and if they self-identified as smokers. Nonsmokers (NIS) and identified smokers (IS) were then compared on their smoking attitudes and behavior. Results: NIS made up 12.5% of the sample and 64% of all tobacco users. NIS perceived themselves as less addicted and were more confident in their ability to quit smoking. They also were less likely to smoke alone, buy their own cigarettes, or have friends who smoked. Conclusions: College health officials can best motivate NIS to quit smoking by focusing on peer norms and the potential of long-term addiction.     

Woman Abuse and Conjoint Therapy: Therapists' Experiences of Engagement

ABSTRACT

Treatment approaches with couples in which woman abuse is a factor have been the subject of much attention and concern in the therapeutic community. We used focus groups to examine therapists' experiences of what they see as impeding or facilitating their ability to engage therapeutically with heterosexual couples when a man has used violence. Results were coded along four categories: contextual issues, the person of the therapist, client characteristics, and strategies for enhancing engagement. Results point to the difficulties therapist participants experienced engaging with males who have been violent with their partner. Strategies which therapists used to enhance engagement are illuminated. We discuss differences between the experiences of male and female therapists, and implications for clinical work and future research.     

Deaf Families’ Unique Experiences and Obstacles

ABSTRACT

This article focuses on deaf children of deaf parents who grew up using American Sign Language (ASL) in deaf culture. Deaf children of deaf parents described their unique experiences of struggling with obstacles, including quality of education, low expectations from professionals, unwanted sympathy, mental health therapists’ lack of cultural competency, and not being asked for valuable perspectives or advice. The advice from deaf children of deaf parents is included in the article. By bringing greater attention to this population, mental health, school, and other professionals can increase their awareness of deaf families’ unique needs in their work environment.     

Adolescents Seeking Mental Health Services

Summary

Inner-city adolescents receiving mental health services often get inadequate medical care. However, when those who seek counseling are asked about their health concerns, they say they want to discuss them with their therapists. Based on responses to a clinical self-assessment questionnaire (Adquest), adolescent mental health clients reported sleep difficulties, weight and eating concerns, and frequent headaches and stomachaches. Age and gender differences in patterns of vulnerability and willingness to talk were explored.     

Implications of the Memory Controversy for Clinical Practice: An Overview of Treatment Recommendations and Guidelines

SUMMARY

The controversy surrounding delayed and recovered memories of incest/child sexual abuse has had a profound impact on clinical practice. This article first provides an overview of the positions taken by both sides in the dispute, the “false memory proponents and the traumatic stress proponents”. It then presents the major findings of several of the professional task forces charged with reviewing the controversy and arriving at recommendations for research, clinical practice, and forensic practice regarding delayed recall of memories for sexual abuse. The current status of scientific and clinical knowledge is discussed, especially in terms of its implications for therapists and clinical practice. Nineteen recommendations and practice guidelines are presented for therapists working with individuals who report or suspect childhood sexual abuse on the basis of continuous and/or recovered memory.     

Young Adults' Perceptions of Parents' Responses in Stepfamilies

Abstract

Stepfamily relationship research has emphasized the stepparent role and relationships between stepparents and stepchildren, neglecting the study of bioparent-child relationships in stepfamily households. In this study, 28 young adults from stepfamilies participated in group interviews, that focussed on their perceptions of parental responses in childhood stepfamily situations. A number of themes emerged around parental responses experienced as hurtful or helpful. These included the importance for children of parental attention and communication, perceptions of loyalty, discipline issues, parental decisions related to transitions and the ongoing relationship with the non-resident parent. It is argued that the bioparent-child relationship may be more important to child wellbeing than the stepparent-stepchild relationship; and that increased research emphasis on this biological dyad will contribute significantly to an understanding of healthy stepfamily adjustment.     

Breaking the silence: parentally suicide-bereaved youths’ self-disclosure on the internet and the social responses of others related to stigma

‘Suicide stigma’ contributes to the silencing of parental suicide within family and social networks. This article departs from a narrative theoretical framework on grief and identity to analyse suicide-bereaved youths ‘breaking the silence’ through self-disclosure in self-initiated chat threads on the Internet, which is their way of actively seeking social support, telling of their experiences and opening up space for a renegotiation of the meanings around suicide. The article investigates which narrative frameworks for the interpretation of suicide are operating in these contexts, and whether and, if so, how stigma is reproduced or counteracted. Two frameworks are identified: ‘Who is to blame for suicide?’; and ‘What caused the suicide?’. The former is utilized by the newly bereaved chat-initiators, who attribute blame for suicide to the parent and/or themselves in accordance with stigmatizing discourses. These are reproduced in the responses first and foremost of the non-suicide-bereaved, who construct a dichotomy between the deceased parent as ‘perpetrator’ and the child as ‘victim’ in order to relieve blame. A lack of contact with other suicide-bereaved youths can reinforce feelings of otherness. Identities, however, can potentially be de-stigmatized by the meanings drawn from the latter framework.     

An Exploratory Investigation of Gay Stepfathers' Perceptions of Their Role

Abstract

This phenomenological study explored the gay stepfather role in its definitions, evolution, and factors that influenced how it was assumed and performed. Five gay men, living in a gay stepfamily that included the full or joint custody of the biological children of their partner, were asked to describe their perceptions of their family role in an open-ended, semi-structured interview. Data from all interviews were analyzed using the Atlas ti computer program (Muhr, 1997) that allowed identification of themes held commonly among the participants. Overall, the participants described stepfather roles and stepfamilies in terms that do not appear to be significantly different from heterosexual counterparts. The participants consistently mentioned the need for flexibility and patience in developing various aspects of their stepfather role such as co-parent/caretaker and friend/confidant. All participants discussed commitment to their families and the benefits gained in their stepfather role. Most had an effective, working relationship with the children's mothers. Interestingly, disclosure was not an issue in these families, and they reported feeling supported by extended family members.     

Psychotropic medications in child welfare: From federal mandate to direct care

Background and objectiveChildren in the welfare system are prone to uncoordinated and unmonitored mental health care, including psychotropic medications. To address these issues, federal legislation mandated that state child welfare agencies improve the coordination and oversight of psychotropic medications. However, there is no clear guidance on how to improve these practices, particularly at the level of direct care. We aimed to identify specific areas for improvement through state-wide surveys of four groups.MethodsWe surveyed all known members of four groups working directly with children in foster care in one small northeastern state. Respondents included 209 foster and adoptive parents, 169 child welfare staff, 84 mental health therapists, and 33 clinical prescribers. Survey items addressed practices and perceptions related to sharing of information and cross-system communication and monitoring of medication effects and side effects.ResultsNearly two in five foster and adoptive parents reported not regularly receiving information about the purpose or side effects of psychotropic medications, and they disagreed among themselves on who was primarily responsible for monitoring safety and effectiveness. One-third of child welfare staff and two-thirds of mental health therapists reported that information about psychotropic medications is not regularly shared with the child's provider team. Half of clinical prescribers reported not regularly communicating with child welfare staff.ConclusionsWe identified specific areas for improvement related to communication, sharing of information, monitoring, and role clarification. Strategies to improving these activities are key to ensuring the safe and effective use of psychotropic medications in this population.     

The Mental Health System and Sense of Self Among Adults with Serious Mental Illness

Abstract

Development of a sense of self is a lifelong process. One's sense of continuity in the context of the demands of multiple role identities contributes to both psychological well-being and opportunities for acceptance into valued social roles. The onset of a mental illness can rupture an emerging sense of self and require intense and painful restructuring of one's beliefs and expectations. This study was a secondary analysis of qualitative data from interviews with twenty people who self-identified as having serious mental illness to explore how well the mental health system addresses the ingredients that promote, create, or restore a valued and adaptive sense of self.     

Can Cultural Beliefs Cause a Gender Identity Disorder?

Abstract

Gender identity disorder (GID) is a relatively rare disorder with an unclear etiology. This case report involves a boy from Thailand who was thought by his parents at birth, on the basis of a birthmark, to be the reincarnation of his maternal grandmother. He subsequently demonstrated cross-gender behavior. A link between his parents' cultural beliefs and the boy's cross-gender behavior is explored. Implications for the causes of other cases of GID are explored, and in particular, the question of whether parental expectations, as exemplified by these parents' cultural beliefs, can be a contributor to the formation of GID is considered.     

Obstacles to Help-Seeking for Sexual Offenders: Implications for Prevention of Sexual Abuse

ABSTRACT

Persons with potentially harmful sexual interests such as attraction to minors are unlikely to seek or receive treatment before a sexual offense has been committed. The current study explored barriers to help-seeking in a sample of 372 individuals in treatment for sexual offending. Results revealed that the shame and secrecy resulting from stigma associated with pedophilic interests often prevented our respondents from seeking professional counseling, and only about 20% tried to talk to anyone about their sexual interests prior to their arrest. Barriers to seeking and receiving psychological services included concerns about confidentiality, fears of social and legal consequences, personal shame or confusion about the problem, affordability, and challenges finding competent therapists who were adequately equipped to help them. Understanding and ultimately reducing obstacles to help-seeking can improve the quality of life for people with harmful sexual interests and potentially prevent sexual abuse of children or other vulnerable individuals.