What sexual minority youths want in a program to assist with disclosure to their family

Disclosing one's sexual orientation to family members can be a difficult process for sexual minority youths (SMY). There are many decisions to make and factors to consider, such as whom to tell first and how family members may react. SMY are in need of resources to help them through this process, including programs that help them to make decisions about safe disclosure. Through interviews and open-ended surveys with 48 participants, the authors found that overall, SMY want a program that helps them connect with others. There were no strong preferences for facilitators' gender, and participants differed in opinions on facilitators' sexual orientation. However, most agreed that they would like a program that provides education and the opportunity to hear from and share stories with others.     

Overlooking African American Males

ABSTRACT

This study describes a group of seven, urban African American grandmother caregivers' perceptions of family resources. Data for this ethnography design were collected through participant observation, field notes, taped interviews and a genogram to capture those who were available and unavailable to provide support. The identification of themes yielded that grandmothers could only depend upon family members with resources; sons were viewed as most reliable and dependable; and family members were unable to contribute when managing their own problems. The study results suggest intergenerational programs aimed at the family system is important for meeting the needs of grandmother caregivers.     

Longitudinal Prediction of Mid‐Adolescent Psychosocial Outcomes From Early Adolescent Family Help Seeking and Family Support

This study examined whether family help seeking and family support represented the same or distinct constructs and prospective associations between emergent constructs and psychosocial outcomes. Data were from 1,713 school‐based adolescents participating in a randomized controlled trial, in Victoria, Australia. Family help seeking emerged as a single factor, distinct from family support, and was prospectively associated with improved psychosocial outcomes. Father closeness predicted lower depressive symptoms. Family help seeking predicted higher help seeking for peers. Interactions between family help seeking and family support on psychosocial outcomes were not apparent. Findings highlight the importance of examining family help seeking and family support separately in future studies of adolescents' help‐seeking behavior.     

Internalized Other Interviewing in Relational Therapy: Three Discursive Approaches to Understanding its Use and Outcomes

For over 20 years, family therapist Karl Tomm has been engaging families and couples with a therapeutic intervention he calls Internalized Other Interviewing (IOI). The IOI (cf. Emmerson‐Whyte, 2010; Hurley, 2006) entails interviewing clients, from the personal experiences of partners and family members as an internalized other. The IOI is based on the idea that through dialogues over time, one can internalize a sense of one's conversational partner responsiveness in reliably anticipated ways. Anyone who has thought in a conversation with a family member or partner, “Oh there s/he goes again,” or anticipates next words before they leave the other's mouth, has a sense of what we are calling an internalized other. For Tomm, the internalized anticipations partners and family members may have offers entry points into new dialogues with therapeutic potential—particularly, when their actual dialogues get stuck in dispreferred patterns.     

On the Road to Resilience: The Help‐Seeking Experiences of Irish Emigrant Survivors of Institutional Abuse

Understanding how survivors of complex trauma navigate towards resources can inform the design of interventions and health promotion strategies. However, there are little data on the resilience and help‐seeking experiences of this group or others who have experienced institutional abuse in childhood. This empirical study sets out to illustrate the help‐seeking experiences of Irish emigrant survivors of institutional childhood abuse (ICA). Twenty‐two survivors of ICA were purposefully recruited from community organisations in the UK and data were collected via semi‐structured interviews. As a result of negative initial help‐seeking experiences in Ireland, most participants engaged in long periods of self‐management and disclosed information about their childhood as part of a redress scheme in later life. Outside of this scheme, turning points, such as illness or family problems, and the needs of children were influential in seeking help. Peer support networks played an important role as a trusted signposting pathway towards formal interventions. Participants identified interpersonal barriers to formal help‐seeking as helping professionals' failure to share control, insensitivity to identity loss and literacy issues, and the lack of explicit boundaries. The paper concludes with a discussion about the implications for research and future practice.

‘This empirical study sets out to illustrate the help‐seeking experiences of Irish emigrant survivors of institutional childhood abuse’

Key Practitioner Messages:

• Turning points, such as illness and bereavement, and the desire to provide for children, influence the help‐seeking of survivors of ICA.
• Irish emigrant survivors of ICA cite failure to share control, insensitivity to identity loss, literacy issues and the lack of explicit boundaries as barriers to help‐seeking.
• General awareness of ICA can help practitioners in low‐threshold services prevent against culturally insensitive practice.
• Peer support networks can provide uniquely trusted signposting towards formal interventions.

     

Stigmatizing Indebtedness: Implications for Labeling Theory

Given the low visibility of indebtedness and normative expectations regarding the use of credit and the accrual of debt, questions arise as to whether or not being unable to manage one's finances responsibly should necessarily lead a person to feel shame. Findings from a study, based on forty‐six interviews with members of Debtors Anonymous (DA), exploring the relevance of labeling theory to individual perceptions of one's indebtedness as shameful are presented. Shame is revealed to be a key element in the labeling process. How stigmatized labels arise in interaction, how such labels affect a person's thoughts, feelings, and actions, and how gender affects labeling experiences are discussed. Insights into the interconnections between labeling and shame show the labeling process to be considerably more complex than suggested in the original version of labeling theory.     

Family Members' Reports of Non-Staff Abuse in Michigan Nursing Homes

Recent research showed that mistreatment of nursing home residents by other residents may be highly prevalent. The present study examined the issue from family members' perspectives. The data came from the 2005 and 2007 random-digit dial telephone surveys of Michigan households with a family member in long-term care. Based on family members' reports, about 10% of nursing home residents aged 60 and over were abused by non-staff in nursing homes (e.g., other residents and visitors) during the past 12 months. Family members were more likely to report non-staff abuse when the nursing home residents were younger, were female, had behavior problems, and had greater level of physical functioning. Family members who reported staff abuse were four times more likely to also report non-staff abuse.     

Relational Ethics,Depressive Symptoms,and Relationship Satisfaction in Couples in Therapy

The purpose of this study was to examine depressive symptoms and relationship satisfaction as problems related to relational ethics in one's family of origin and current partner relationships in a sample of 68 other‐sex couples seeking therapy at a large university clinic. We used the Actor Partner Interdependence Model to analyze dyadic data collected prior to beginning therapy. Specifically, we found significant actor effects between relational ethics in one's family of origin and depressive symptoms, as well as between depressive symptoms and low relationship satisfaction for both male and female partners. We also found significant partner effects for relational ethics in current partner relationship, depressive symptoms, and low relationship satisfaction. Clinical application of contextual therapy theory is discussed.     

Evaluating Therapeutic Intervention with Sexually Abused Children

The progress of sexually abused children attending community-based treatment programmes run by selected voluntary agencies was evaluated on several different dimensions. By the end of the treatment programmes, improvement was apparent in the children's scores on the Children's Depression Inventory and self-esteem scores and in behaviour (CBCL) reports from parents. Young people over the age of 11 years reported for themselves improvements in the CBCL total problem and internalizing scores, but no improvement in the externalizing scores. The reasons why many therapists had difficulty providing all the necessary information were explored in interviews with senior managers and suggestions are made for improving the ways in which abused children's progress through treatment can be evaluated. © 1997 John Wiley & Sons, Ltd.     

Family Support Groups for Family Members of Mentally Ill Offenders: Therapeutic Factors

This study investigates therapeutic factors of a Family Support Group (FSG) intervention for family members of mentally ill offenders. Seventeen family members completed the ‘Group Therapeutic Factors‐Client Questionnaire’ (GTF‐CQ‐28) during four sessions of two FSGs. Results indicate that family members experienced the following therapeutic factors over the course of treatment: the relational climate, interactional confirmation, expressing and experiencing mutual positive feelings, forgetting own problems, hope from seeing progress in others, guidance from therapists, and getting interpersonal feedback treatment. The therapeutic factors, including learning by observation, support from the group, and universality of problems, correlated with a decrease in self‐blame, improved emotional well‐being, and experiencing less loss of control over one's life, respectively. Further, family members were satisfied with what the FSG has provided for them personally and for the relation with their relative. Finally, clinical implications of the FSG are discussed. The study sheds light on valuable therapeutic factors within an FSG and the important role of therapists.     

Adolescents With Nonresident Fathers: Are Daughters More Disadvantaged Than Sons?

This study examined sons' and daughters' involvement with nonresident fathers and associated outcomes (N = 4,663). Results indicated that sons and daughters reported equal involvement with nonresident fathers on most measures of father investment, although sons reported more overnight visits, sports, and movies and feeling closer to their fathers compared to daughters. Sons and daughters generally benefited from nonresident father involvement in the same way in internalizing and externalizing problems and grades. Feeling close to one's nonresident father, however, was associated with lower internalizing problems for daughters than sons. These findings suggest that nonresident fathers should be encouraged to be equally involved with their sons and daughters, as such involvement was associated with higher levels of well‐being for both sons and daughters.     

Preface

Being raised by a single mother is one factor that has been suggested as contributing to the plight of African American males. Yet few studies have focused specifically on African American single mothers' experiences with raising sons. This qualitative study explored the following questions: (1) What are the experiences of African American single mothers in the raising of their sons? (2) What coping strategies do African American single mothers use in the raising of their sons? Two rounds of unstructured open-ended interviews were conducted with 11 African American single mothers of at least one son. Implications for family therapy based on the interviews are presented.     

Spartacus at the Foot of the Alps: A Metaphor for the Fear of Growth

An incident from the Spartacus War (73–71 B.C.) is used as a metaphor to explore barriers to change and fear of growth in the relationship of a woman dying of cancer and her daughter. Paradox in family relationships and the use of metaphors in family therapy are explored, as are fear of the unknown, habitual transactional patterns, embedded personal narratives, and the impact of one's support network on positive change. When mother and daughter retreat behind walls created by psychological and emotional defenses, thoughts are offered on ways to overcome these barriers.     

Barriers to involvement in nonmetropolitan LGBTQ organizations

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) organizations are spaces in which LGBTQ individuals can access support and community, yet they have received little empirical attention, particularly outside urban areas. Given the benefits of LGBTQ community involvement, this study examined the barriers to involvement in nonmetropolitan LGBTQ organizations. Three qualitative methods were employed: interviews, focus groups, and participant observation sessions. Thematic analyses identified eight barriers originating within the individual (managing one's LGBTQ identity, individual characteristics), organization (lack of diversity, group dynamics, lack of awareness of programs, workplace/school climate), and community (size, hostility). Implications for reducing barriers in nonmetropolitan LGBTQ organizations are discussed.     

Language Reversion among People with Dementia from Culturally and Linguistically Diverse Backgrounds: The Family Experience

Abstract

Culturally and linguistically diverse (CALD) older people with dementia, along with their families, face many unique challenges and have unique needs. One such challenge is language reversion, an issue that has received little research attention. This paper presents the findings of an exploratory study of the experiences of family members of people with language reversion emanating from dementia. Using a qualitative, phenomenological approach, in-depth interviews were conducted with seven participants. The study found that the presence of language reversion created additional challenges for family members of someone with dementia, particularly if the family member did not share the person's first language. Community-based aged care services have the potential to offer valuable support, but barriers of negative past experiences, lack of communication, stigma, cultural understanding, and locality need to be overcome. While further research is recommended, these findings have implications for both policy and social work practice in community-based aged care with CALD populations.     

Preschoolers' perceptions of neighborhood environment,safety, and help-seeking

Studies that focus on children's safety and well-being often focus on neighborhoods as the unit of analysis, as it is within these geographic confines that children spend much of their time. Such studies have shown that neighborhoods directly and indirectly influence children's safety and well-being. Much of this research has focused on census data and/or caregivers' perceptions of neighborhood characteristics. Less attention has been given to the neighborhood experiences and perceptions of children themselves, especially young children. The current study utilized two techniques for interviewing pre-schoolers (aged 4 and 5): individual interviews incorporating drawing and focus groups integrating a story and a puppet. The current study highlights the important of incorporating children's perceptions and offers new measures of doing so. In the current study, very young children were put in the center of the exploration and the findings stress that children's experiences in their neighborhood were geographically limited. They talked about their homes, preschools, and the playground. In part, this finding may be indicative of the lack of child-friendly spaces and resources for children in the neighborhood. In addition, the current study shed a light into children understanding and ability to discuss safety and help seeking, which are key concepts to any future planning of prevention and intervention efforts with children. Delve into the individuals to whom children said they turned for help revealed extremely limited list of family members, which raises concerns about the support networks available to the children and their families. This study suggests that the inclusion of young children's perspectives may facilitate programs and initiatives aimed at improving their safety and well-being by identifying sources of protections and threat from children's own perspectives.     

Battered Immigrant Mexican Women's Perspectives Regarding Abuse and Help-Seeking

SUMMARY

A qualitative, pilot study employing in-depth ethno-graphic interviews was conducted to examine perceptions and attitudes towards abuse and the help-seeking behaviors of a sample of ten battered immigrant Mexican women. Findings indicated that participants' attitudes about seeking help were influenced more by cultural factors (e.g., gender-role expectations, famialism) than by psycho-social stres-sors (e.g., immigrant status, financial dependency). Children's welfare played a salient role in women's decisions about seeking help, both as a deterrent and a motivating factor. Women's attitudes about their own abuse were more tolerant than their attitudes about hypothetical situations involving others. Changes in women's attitudes about abuse reflected changes only after some type of intervention had taken place. The majority of the women in the sample had misconceptions or were uninformed about shelters. Suggestions for further research and intervention with this population and a model of internal and external determinants of help-seeking behavior are presented.