Building relational possibilities: theoretical roots of infant mental health practice in the case of Alycia

The practice of infant mental health (IMH) has evolved from a combination of theoretical frameworks focused upon early relationships and the complex interplay between individuals and their internal and external worlds. The main components of IMH practice: developmental guidance; emotional support; parent–infant psychotherapy; concrete support; and advocacy, demonstrate a connection between psychoanalytic theoretical frameworks and social work values and forms the basis of practice for IMH therapeutic programmes. This paper will trace the theoretical roots of IMH practice and utilise a clinical case example to illustrate the ways in which insights from object relational, self psychological and attachment theories are integrated into IMH home visiting practices.     

An Interview with Joyce Edward: Exemplary Clinician, Advocate, and Scholar

Over the years, noteworthy social workers have been interviewed for the Clinical Social Work Journal. This article features an interview with Joyce Edward who is recognized for her many extraordinary contributions to clinical social work. Joyce has co-written or co-edited three exceptional books for the social work clinician, she has been an esteemed teacher and a vocal activist for quality mental health care. In this interview Joyce reflects on family influences, her work as a social caseworker, the psychoanalytic luminaries with whom she trained, her concerns about the clinical education of today's social work students, and finally, her perspective on managed mental health care.     

Children’s Mental Health Providers’ Perceptions of Mental Health Literacy Among Parents and Caregivers

Mental health disorders are prevalent among children, yet many do not receive treatment. Parents and caregivers play a vital role in recognizing mental health disorders in children and accessing treatment. But a substantial number of parents lack essential knowledge of children’s mental health disorders, including risk factors, symptom recognition, and treatment options. Little focus has been given to parents in the children’s mental health literacy literature. The purpose of this article is to begin filling that gap by using a survey to describe the perceptions of child and family mental health providers’ perceptions regarding the amount, accuracy, and origin of mental health literacy in the parents of the children they treat. The impact of those perceptions on the work of providers is also explored. Eighty-seven mental health providers completed a survey to assess their perceptions of parent mental health literacy in the area of children’s mental health. Providers perceived parent mental health literacy as low, inaccurate, and inconsistent. In addition, providers indicated that parents rely on informal sources of support, such as friends and family for information about children’s mental health. Implications for social work researchers, practitioners, and the children and families they serve are discussed.     

Bargaining With Time: An Interview With Helen Pavlin

Helen Pavlin is an accredited mental health social worker and family therapist and accredited family dispute resolution practitioner in private practice in Darwin. She has been involved in social work and family therapy since the early 1970s in Australia and internationally. In 1996 she received the 50th Anniversary Commemorative Medal from the Australian Association of Social Workers. She is one of the assessors and associate editors for the Australian and New Zealand Journal of Family Therapy. In 2007 Helen received the Journal Award for her outstanding contribution to the family therapy field in Australia. She is an accomplished writer and a member of the Australian Society of Authors. Her poems and book reviews have been published frequently in ANZJFT.     

Finding a Sociological Voice: The Work of Mirra Komarovsky*

This article offers a biographical sketch of Mirra Komarovsky in the framework of an analysis of her work as a researcher, writer, teacher and feminist. It demonstrates how the cultural conflicts that existed while she was a college student laid the foundation for her later sociological research. It also illustrates the particular dynamics of a woman's career in sociology, especially with regard to the influence of social supports on a woman's sense of “finding her voice.” Her work after retirement suggests that this period may have particular significance in the lives of academic women. The theoretical foundation and methodological characteristics of her work are additional foci of this article.     

The Portrayal of Children's Mental Health and Developmental Issues from 1890 to 1920 in Mass Print Magazines in North America

Children's mental health and development issues are considered a significant concern today. A century and more ago children's mental health and developmental disorders were likely understood differently. This paper examines the portrayal of children's mental health and developmental disorders in all 41 accessible articles on the topic indexed in the Reader's Guide to Periodical Literature from 1890 to 1920. It focuses on these three decades as a time of fundamental economic, political and social transition before the first text in Child Psychiatry was published and the first professorship in the field established. It was also before the beginning of the influential child guidance movement. In particular, the research asks (i) what were the ‘disorders’ discussed and of what were they said to consist?, (ii) what was said to cause them? and (iii) what was thought best to be done about them?     

Integrating feminist and sociological thought: The life and work of helena Znaniecka Lopata

This work is a biographical essay on the academic career of Helena Znaniecka Lopata, a noted sociologist in her own right and the daughter of Florian Znaniecki, a principal contributor to qualitative and humanistic sociology. Lopata’s story documents the difficulties of establishing a career in a social climate that did not place high value on women beyond their wife and mothering roles. Once she defied her cultural expectations, she also had to overcome the shadow of her father’s legacy and, finally, she had to find acceptance for doing research on women’s everyday life experiences. Lopata’s work provides important insights into the sociological study of social roles and of gender as a structural component of stratified social systems. She has published articles on the women’s movement, politics and the family, and the abortion controversy. Her book,Feminism and the Women’s Movement: Dynamics of Change in Social Movement Ideology and Activism, is forthcoming from Unwin Hyman. A version of this paper was presented at the 1989 Annual Meeting of the American Sociological Association, San Francisco, CA.     

“A Geography of Disparate Spirits”: Pathology as Oppression in “A Woman is Talking to Death” and “Mental”

This article foregrounds Judy Grahn's commitment to social justice and chiefly considers her nine-part poems: “A Woman is Talking to Death” and “Mental.” These poems illuminate the socially constructed nature of mental illness and challenge readers to consider how and why the characters within them are deemed mentally ill. Little, if any, scholarship has been devoted to using Grahn's poetry, and particularly “Mental,” as a framework for analyzing the pathologization of people, especially women, relative to the system of mental health. Her work remains relevant to critical conversations that illuminate contemporary issues of oppression that still haunt us today.     

Unintentional injury: A major health problem for young children and youth

This article reviews data on childhood injury and explains how unintentional injuries have become the leading health problem for young children in the United States and a major health problem in teenage years. The article discusses the major types of childhood injuries, trends over time, and variations by location and social, behavioral, and familial risk factors. Results of epidemiological and sociobehavioral research on injury are followed by a discussion of policy considerations in the attempts to deal with childhood injury and its consequences. This includes a discussion of major ways to prevent injuries, a review of government activities, and recommendations for future efforts. Her research interests include child safety, preventive health behaviors, access to health care services, and health policy. She received her Ph.D. from Brown University in sociology in 1976. Her research interests include child safety, preventive health behavior, international health, and alternative health care models. She received her D.Sc. from Johns Hopkins University in 1985.     

Do working mothers have healthy children?

This paper examines the effects of maternal employment on children's physical and mental health. The data used are from the Health Interview Survey 1981, Child Health Supplement. A health production model is developed on the basis of Becker's household production theory. The results reveal that a mother's employment is a significant factor affecting her child's physical health. Use of physician services, prices (i.e., CPI used as a proxy variable), sex of the child, receipt of Medicaid, the number of relocations, the mother's education, the mother's health status, breast-feeding practices, and the birth weight of the child are other important variables explaining the health status of children. The role of each of these factors varies according to the marital status of the mother.The authors wish to thank anonymous reviewers for their helpful comments resulting in a much improved product.She received her Ph.D. from Cornell University in 1990. Her current research interests include health care of children and elderly, teen pregnancy and welfare use, children and divorce, and immigrant consumers.She received her Ph.D. from Northwestern University in 1983. Her research includes long-term health care for frail and ethnic elderly, health insurance purchases for the elderly, and health services utilization by the employed and working poor.     

Using psychometric analysis to evaluate the construct validity and reliability of the Coping Response Indices

The Coping Response Indices developed by Billings and Moos (1984a) are frequently used in stress research in the social science and clinical fields. These indices were originally developed in a clinical setting using a conceptual process rather than psychometric methods. This study investigates the factorial structure of the Coping Response Indices scale using a nonclinical sample. Principal components analysis with varimax rotation yields three distinct dimensions within the scale. Considerable support is found for the conceptualization of the Coping Response Indices, as proposed by Billings and Moos. There is also some indication, however, that the conceptualization and measurement of the indices need further revision and testing, especially if they are to be used in social science research. Her research interests include economic strain, stress and coping, and child functioning in diverse family structures. She received her Ph.D. from Oregon State University. Her research focuses on vulnerable children and families, life-span caregiving issues, intergenerational relations, and prevention of child abuse and neglect. She received her Ph.D. from Oregon State University. Her research focuses on family resource management, work, stress, and families, and multiple role management. She received her Ed.D. from Utah State University.     

Training Graduate Social Work Students for Child Advocacy in Community Mental Health

A project aimed at training graduate social work students for child advocacy in Community Mental Health was developed and implemented through the cooperation of the School of Social Work, the Children's Treatment Center, and the Rock County Guidance Clinic. The training model was the practicum or field work experience approach. The training was concerned with providing students with knowledge and skills in child advocacy, for the treatment of severely disturbed children, and for providing services to a Black and disadvantaged population. The primary objectives were training professionals for the mental health field and to provide mental health services to children.     

Mental Health Knowledge Gaps in the Child Protection Work with Parents: A Narrative Review of the Social Work Literature

This is a narrative review of the latest peer-reviewed social work literature on the child protection work with parents. Aiming to identify knowledge gaps, the study researches the mental health aspects of the implicit or explicit theoretical perspectives underpinning the assessment and intervention with parents. An electronic database search extracted 38 peer-reviewed journal articles. It was found that the theoretical perspectives the publications adopted were the managerial, the critical, the humanistic, the psychodynamic and the behavioural. The study identified mental health knowledge gaps in the assessment and intervention work with parents across all theoretical perspectives and stressed the need for process and effectiveness studies on the work with parents, under explicit theoretical perspectives. The study finally highlights the need for the social work profession to increase its mental health literacy through mental health education for students and practitioners alike.     

Double jeopardy: Child maltreatment and mental retardation

The multiple associations between child abuse and neglect and mental retardation are reviewed. These include: (1) mental retardation as an etiological risk factor for child maltreatment; (2) mental retardation as a result of child maltreatment; and (3) mental retardation of a parent as an etiological risk factor for a child's maltreatment. Implications and recommendations for social work practice and research are discussed.     

Partnering for Mental Health Promotion: Implementing Evidence Based Mental Health Services Within a Maternal and Child Home Health Visiting Program

This article details the clinical foundations of a social work focused community-based participatory research project promoting women’s mental health during and around the time of pregnancy. Specifically, we discuss the theoretical, empirical and organizational implementation of an enhanced engagement model of mental health service delivery that integrates evidenced based practices into the structure and services of an existing non-profit maternal and child health home visiting agency. The model is grounded in literature addressing barriers to accessing mental health care among minority women living in low-income communities. We discuss informing the intervention through direct consumer involvement, as well the rationale supporting the inclusion of Interpersonal Psychotherapy and Cognitive Behavioral Therapy into the design and implementation of the model which emphasizes adequate training of staff with varying levels of mental health experience. Finally, we describe typical client situations and responses reflected by the Enhanced Engagement model and discuss future implications of this approach as a way to offer meaningful intervention to women and families who may not have access or eligibility to utilize specialty mental health services.     

The majority legal status of women in southern Africa: implications for women and families

Women in many countries of southern Africa do not have majority status or have only recently gained this right. Majority status grants individuals adult legal status and the right to bring matters to court, own and administer property, have legal custody of children, and contract for marriage. This article summarizes the legal status of women in Botswana, Lesotho, South Africa, Swaziland, Zambia, and Zimbabwe. Lack of majority status contributes to the ongoing risk of poverty for women and makes them overly dependent on men. Compounding the situation in these countries is the presence of a dual legal system. Improving the situation of women and their families involves targeting changes in the legal system, influencing implementation of laws, educating women about their rights, and giving women needed support to seek their legal rights. The legal status of women must be viewed in the context of historical changes in the economic, educational, political, and cultural developments of society.The research for this paper was conducted during her previous faculty affiliation with the University of Michigan, School of Social Work. Her research interests include the impact of social change on women and families, rural mental health services, and health and mental health linkages. She received her Ph.D. from Rutgers University and her M.S.W. from the Columbia University School of Social Work.Her research interests are gender, work and family, culture and power, social transformations in rural and peri-urban communities, critical education, women and community politics, history of women, family and kinship issues, and community-based program development and evaluation. She received her M.S.W. from Dalhousie University, Halifax.     

“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.     

Tensions and paradoxes of humanitarianism. Dialogue with Lilie Chouliaraki

Lilie Chouliaraki is Professor of Media and Communications at the London School of Economics and Political Science. She has a background in Languages and Linguistics and her research has a strong interdisciplinary orientation, drawing on social and cultural theory, moral philosophy and sociology, visual communication and discourse theory. Her main interest lies in understanding how the media shape our ethical and political relationship to distant others; how they inform the ways we witness the vulnerability of these others and the ways we are invited to feel, think and act towards them. In 2006, she published The spectatorship of suffering, which is a seminal piece of work within the field of Media Studies, opening up the domain of mediated suffering studies. In 2013, Lilie published The ironic spectator: solidarity in the age of post-humanitarianism, which was awarded the Outstanding Book of the Year Prize by ICA 2015, and has been widely reviewed and acclaimed. In this recent work, Chouliaraki explores how digital media are today changing the traditional relationship between humanitarian practice and politics, focusing on the ways humanitarian agencies try to - and fail to - combine a dominant market logic with a political vision of justice and social change.     

‘I Will Not Leave My Baby Behind’: A Cook Island Māori Family's Experience of New Zealand Māori Traditional Healing

Traditional healers in many parts of the world have used family focused understandings and interventions well before the emergence of western family therapy theory and practice. This paper gives a detailed account of New Zealand Māori traditional healing work with a Cook Island Māori family in which the eldest daughter was in considerable distress as were her family, who believed that she had become maki tūpāpaku (possessed). This account is told from the perspectives of the child psychiatrist, the traditional healer and the mother of the family. While the intervention bears a superficial resemblance to western family therapy approaches, the theoretical foundation reflects the traditional healer's New Zealand Māori world views in which spiritual understandings are paramount, and concepts of mana, tapu and mauri ¹ guide him in the family healing process. The single session described here can be viewed as an indigenous family therapy intervention involving six generations of family members, both living and deceased, in the one room. Conclusions: Indigenous communities have called for traditional healers to be employed alongside child mental health workers and family therapists who work with their communities. Close and sincere collaboration between an indigenous traditional healer and a health professional can offer a family in distress healing possibilities that may not be available to them in conventional child mental health or other family therapy settings.