Consent requires a relationship: rethinking group consent and its timing in ethnographic research

ABSTRACT

Activist groups in ethnographic research re-negotiated our Ethics Committee’s expected order of securing consent before data collection, demonstrating the importance of researchers taking time to build relationships first. Although the Ethics Committee expected us to obtain group consent, the literature provides little guidance on how to do this. We developed a Memorandum of Understanding to summarize what forms of participant observation each group agreed to and how we would reciprocate. In this article, we (re)conceptualize consent, using analogies to consent in social contract theory and sexual relations to offer a critical perspective on what constitutes consent. We argue that taking time to build relationships before expecting research participants to consent and replacing informed consent with a negotiated agreement is a more ethical approach. We advocate for Ethics Committees to expand the meaning of ‘informed consent’ and review its timing, especially for ethnographic research with groups.     

Examining risk and protective factors on progression of romantic relational aggression among young adults: Parental control,parental care,and peer social support

Abstract

Romantic relational aggression is related to numerous mental health consequences but risk and protective factors of perpetrating this type of aggression, historically, have been unclear. This study fills in the research gap by evaluating the impact of parental control, parental care, and peer social support on later perpetration in romantic relational aggression among 84 predominately Chinese college students. Results revealed the positive association between parental control and perpetration in romantic relational aggression, however, this association diminished in the presence of high peer social support (HSS). Despite insignificance in the main effect, parental care was negatively correlated with later perpetration in romantic relationship in the HSS group while a positive association was found in the low peer social support (LSS) group. These highlights provided evidences how parental control and parental care during childhood could be risk factors for later romantic relational aggression as well as how current social support from peer could serve as a protective factor on the negative influence from parent–child relationships.     

Obtaining Informed Consent When a Profession Labels Itself as Providing Treatment for Mental Illness

Abstract

This paper examines when informed consent laws mandating explanation of the risks and benefits for proposed treatments (some talk intervention) and alternative to the proposed treatments (e.g., medications) apply to the social work profession. The reasons why an explanation of alternative treatments, including explaining medications, might be part of securing informed consent are proffered. Following this, consideration of how the task of explaining alternatives might be addressed is examined. The particular example of antidepressant medications provides a context for considering how to discuss medications as a treatment alternative. The kind of information a social worker might be obligated to possess and then impart to the client in fulfilling the task of obtaining informed consent is considered.     

Gender Differences in Social Acculturation and Social Capital in Determining Marital and Parental Role Expectations Among People of Mexican Descent

Men and women experience acculturation differently, creating acculturative gaps that may affect traditional family role expectations. In the current study, additive moderation between social acculturation, bonding social capital, and gender in relationship to marital and parental role expectations was explored among Mexican Americans (N = 314). The results indicate that when bonding social capital is at low to moderate levels, women are more committed to marital and parental roles and report more marital reward value as social acculturation increases. However, as bonding social capital and social acculturation increase, women report less marital reward value and marital and parental commitment. The size and quality of personal networks among Mexican American men and women appear to relate to social acculturation’s conditional relationship to family role expectations.     

Personal Social Networks of Women with Co-Occurring Substance Use and Mental Disorders

ABSTRACT

There has been relatively little examination of the social network resources of women with substance use disorder, and even fewer explorations of women with co-occurring mental disorders, such as anxiety, depression, and posttraumatic stress disorder. This study explores the nature of co-occurring mental disorders, social network characteristics and perceived social support in 136 women with substance use disorders. Respondents reported small personal networks that contained both supportive and non-supportive people. Relatives did provide social support, but those who used alcohol/drugs were viewed as tending to interact negatively. Women with dual disorders perceived less concrete, emotional, and sobriety support from some network relationships than the women with substance use disorders only. Implications for research and practice are presented.     

Perceptions of Children’s Parental Preferences in Lesbian Two‐Mother Households

This study explores how lesbian mothers perceive their 3½‐year‐old children’s parental preferences in families in which one mother is genetically linked to the child. Thirty lesbian couples (60 women) were interviewed about their children’s parental preferences, their explanations of why preferences for one parent existed (or not), and their affective and behavioral reactions to such preferences. Many women acknowledged that their children, as infants, preferred their birth mothers due to biological factors (i.e., breastfeeding) or differential time spent with the child. Despite this initial preference, most women perceived little stability in children’s preferences over time, such that children preferred both mothers equally. Findings support the power of “social motherhood” in fostering maternal connections that transcend biological relatedness over time.     

Sustaining an intimate and sexually fulfilled marriage or partnership in older adulthood with a disability: Perspectives of social workers

ABSTRACT

The American portrayal of sex is often left for only the young, attractive, and able-bodied. In contrast many studies have found that older adults with disabilities in marriages and intimate partnerships have sexual desire and sexually active lives. Social workers are often burdened with balancing the sexual intimacy desires of their older adult clients with disabilities, alongside the need to protect them from sexual abuse and exploitation, particularly among those who may lack the capacity to consent due to cognitive impairment. This phenomenological study aimed to understand the lived professional experience of social workers (N = 5) in supporting married and intimately partnered couples in which at least one person was an older adult with a disability to understand the clients’ needs and common social work practice methods used to address their needs. Inductive coding was used to identify themes and subthemes. Their role included helping their clients to learn about their ability to have sex, consenting to sex, negotiating accommodations for intimacy and sex with their spouses, and counseling those who took on caregiver roles for their spouses. Social workers reported that individual diagnosis, such as dementia, should not alone determine one’s ability to consent to sex.     

Feeding the Hand that Bit You: Lesbian Daughters at Mid-Life Negotiating Parental Caretaking

SUMMARY

Like other women in our culture, lesbians find parental caretaking is a gendered expectation that often falls to them. This article explores how we negotiate competing demands and integrate our parents' needs into our lives. The daughter/parent relationship may have been strained by parental homophobia, exclusion of our partner, “splitting” between our lesbian and birth family lives, and physical distance. We may recall feelings of metaphorical and physical caretaking not offered to us when we came out, when lack of parental support may have brought financial abandonment and emotional upset. Inversion of the relationship into the child as parental caretaker, fraught with mixed emotions, can bring resolution of long-held resentments and pain.     

Facial emotion identification and sexual assault risk detection among college student sexual assault victims and nonvictims

Objective: High rates of sexual victimization among college students necessitate further study of factors associated with sexual assault risk detection. The present study examined how social information processing relates to sexual assault risk detection as a function of sexual assault victimization history. Participants: 225 undergraduates (M_age = 19.12, SD = 1.44; 66% women). Methods: Participants completed an online questionnaire assessing victimization history, an emotion identification task, and a sexual assault risk detection task between June 2013 and May 2014. Results: Emotion identification moderated the association between victimization history and risk detection such that sexual assault survivors with lower emotion identification accuracy also reported the least risk in a sexual assault vignette. Conclusions: Findings suggest that differences in social information processing, specifically recognition of others' emotions, are associated with sexual assault risk detection. College prevention programs could incorporate emotional awareness strategies, particularly for men and women who are sexual assault survivors.     

Lived experience of Iranian bisexual women: a thematic analysis

Abstract

Normative homo-sociality, physical sex-segregation and other oppressive gender politics in Iran raise questions about the development of bisexuality as an “identity” among Iranian women. This study examines the lived experience of Iranian bisexual women. Six self-identified bisexual women were recruited by two announcements in Iranian LGBTI community social media. After in-depth online interviews, data were coded and analyzed by inductive thematic analysis method. Seventeen themes in three broad patterns (identity, social structure and relationship) are found across and within the data. Themes such as biphobia, confusion and self-definition are in concordance with studies of the western bisexual population. Themes related to social structure are unique and reflect the particular socio-cultural condition of non-heterosexual women in Iran.     

Policy is not enough – the influence of the gendered workplace on fathers’ use of parental leave in Sweden

ABSTRACT

Paid parental leave for fathers is a promising social policy tool for degendering the division of labor for childcare. Swedish fathers have had the right to paid parental leave since 1974, but they take only one-fourth of leave days parents take. There are strong cultural norms supporting involved fatherhood, so couples typically want to share leave more than they do. This article explores how workplaces can constrain Swedish fathers’ use of state leave policy, in ways that fathers can take for granted, a topic that has received less attention than individual or family-related obstacles. Based on interviews with 56 employees in five large private companies, we found that masculine workplace norms can make it difficult for fathers to choose to take much leave, while aspects of traditional workplace structure building on these norms can negatively affect fathers’ capabilities of taking much leave. Workplace culture and structure seemed to be based on assumptions that the ideal worker should prioritize work and has limited caregiving responsibilities, setting limits to fathers’ ability to share leave with mothers. Gender theorists suggest such assumptions persist because of male dominance at the workplace and the endurance of gendered assumptions about the roles of men and women.     

How discrimination in adoptive,foster, and medical systems harms LGBTQ+ families: Research on the experiences of prospective parents

Abstract

LGBTQ+?people face multiple challenges to parenthood because of barriers such as discriminatory legislation and policies influencing foster parenting, adoption, and reproductive health services. This study documents these obstacles and examines their impact through a grounded theory analysis of interviews of LGBTQ+?prospective parents. Stressors included social isolation, unnecessary medicalization, prohibitive financial costs related to accessing social and medical services (sometimes across state lines), and being denied services, parental leave, and insurance coverage. Findings indicate that heteronormative attitudes and discrimination can lead to debilitating and enduring harm upon the economic, emotional, and relational well-being of growing LGBTQ+?families.     

The Influence of Consent on College Students’ Perceptions of the Quality of Sexual Intercourse at Last Event

ABSTRACT. The current study assessed consent's relation to quality of sexual intercourse. College students (n = 640) participated in a survey assessing their most recent intercourse. Hierarchical regression was conducted: alcohol consumption, relationship status, and age were entered in Step 1; the Internal and External Consent Scale factors were entered in Step 2. For women, three internal consent factors explained a significant proportion of variance in quality of intercourse beyond Step 1 (ΔR² = .17, p < .001). For men, one internal and two external consent factors were significant predictors beyond Step 1 (ΔR² = .24, p < .001). Preliminary findings suggest consent is associated with quality of intercourse.     

The Different Meanings of Food in Chinese Patients Suffering from Anorexia Nervosa

Abstract

The metaphoric meanings of food have cast new lights on Social Work intervention with Chinese patients suffering from anorexia nervosa (AN) and their families. Hitherto, there is inadequate documentation on the different meanings of food in families with a daughter suffering from AN in a Chinese context. To fill this knowledge gap, this article reports the 3-year clinical observations of a sample of 34 adolescents and young women suffering from AN, as well as their families under family treatment. These observations show that food can be conceptualized in the following ways: (1) eating as an expression of filial piety; (2) food preparation as part of the woman's nurturing role; (3) self-starvation as refusal to grow up; (4) self-starvation as struggle for autonomy; (5) assignment of food as part of the family hierarchy; and (6) assignment of food as part of parental control. Its implications for clinical social work practice and the roles of social workers in helping are discussed.     

Active parental consent in school-based research. An examination of ethical and methodological issues

To date, most school-based research has used passive parental consent. However, the Family Privacy Protection Act of 1995 aims to change these requirements. The proposed legislation requires written parental consent if minors are to be asked "sensitive" questions as part of any program or activity funded in whole or in part by the federal government. This act is representative of a growing trend toward restricting research involving minors. Whether or not this act is passed by Congress, two lines of concern are highlighted by this legislation. The first deals with ethical issues surrounding consent procedures. For instance, are parental rights compromised when active consent is not mandated? A second line of inquiry pertains to the effect of active consent procedures on response rates and sample bias. In this article, the authors discuss ethical issues surrounding passive and active consent procedures and then report response rates from two projects in which active consent procedures were implemented.     

Children of adult consumers of mental health services: Towards principles of practice

Abstract

This paper discusses the development of a peer support and advocacy Network, Young Mothers for Young Women. The Network evolved through a participatory action research project into young mothers experiences of violence. Through the Network, young women participate in a community development approach to violence reduction. As part of the Network, young women offer peer support to other young women. Network members also engage in ongoing community education and advocacy about issues, such as poverty, isolation and sexism which increase young womens vulnerability to violence. An important aim of this paper is to make visible the dialogue between social workers and young women on which the Network relies. This paper is motivated by the concern that as social work enters an era of increasing accountability it is critical that workers articulate the often invisible role they play in facilitating participatory processes.     

Using a Strengths Perspective for Social Work Practice with Abused Women

ABSTRACT

Recently, a strengths perspective for social work has gained burgeoning interest as an empowering guide for working with clients. While others have led the way in conceptualizing the strengths perspective for social work practice, there is a need to consider its application to different groups. This article describes the significance of using a strengths perspective for social work with women who have been abused by their male partners and how social workers might apply this perspective to multiple levels of intervention with the women.     

College Women's Experiences with Physically Forced,Alcohol- or Other Drug-Enabled,and Drug-Facilitated Sexual Assault Before and Since Entering College

Objective: Research has shown associations between college women's alcohol and/or drug consumption and the risk of sexual assault, but few studies have measured the various means by which sexual assault is achieved.

Participants: The authors' Campus Sexual Assault Study obtained self-report data from a random sample of undergraduate women (N = 5,446).

Methods: The authors collected data on sexual assault victimization by using a cross-sectional, Web-based survey, and they conducted analyses assessing the role of substance use. The authors also compared victimizations before and during college, and across years of study.

Results: Findings indicate that almost 20% of undergraduate women experienced some type of completed sexual assault since entering college. Most sexual assaults occurred after women voluntarily consumed alcohol, whereas few occurred after women had been given a drug without their knowledge or consent.

Conclusions: The authors discuss implications for campus sexual assault prevention programs, including the need for integrated substance use and sexual victimization prevention programming.     

Social Work and Disadvantage: Addressing the Roots of Stigma through Association

Abstract

This paper reports on a small-scale research study that explores the impact of climate change on rural women. Qualitative data were collected through interviews with 7 women, who came from a regional centre and were either employed by women's services or who had activist roles within the community pertaining to women's services. Outcomes of the study identified a range of areas of impact, including increased hardship for rural women, implications of household roles, and subsequent organisational responsibilities. A high level of concern, particularly for the vulnerability of women in crisis, was identified among participants. We contend that the effects of climate change are becoming increasingly relevant to the social work profession and that specific groups such as women are at risk of further disadvantage unless collective action is taken to circumvent the impact of climate change. Strategies for social work practice and policy initiatives are considered.