Examining the Incidence and Clients’ Experiences of Single Session Therapy in Italy: A Feasibility Study

Single session therapy (SST) postulates that one session can be sufficient for a client to take charge of the process and work toward their own solutions. Research has been conducted worldwide corroborating SST assumptions with several mental health conditions, but not in Italy. For the first time in Italy, this paper aims to explore: (1) if the most frequent number of sessions in traditional psychotherapy (not SST) is one (Study 1); and (2) the satisfaction of clients who attend SST services and the number who consider one session sufficient to address their presenting problem (Study 2). In Study 1, the records of 476 voluntary clients referred to three different traditional (not SST) psychological services in the west-central region of Latium, Italy, were retrospectively screened, and the number of sessions attended by each client recorded. In Study 2, 85 consecutive clients who voluntarily asked for SST with seven mental health professionals across Italy received a link to an online ad hoc survey, 1–3 weeks after the consultation, evaluating their experience. Study 1 found that the most frequent number of traditional psychotherapeutic (not intentionally SST) sessions was one (124 out of 476 clients (26%). Study 2 found that 44 out of 85 clients (52%) considered one session to be enough, as they felt better or much better and chose not to attend further sessions. Of those who asked for a second session (41 clients), 33 clients (80.5%) indicated that the first session was not enough and 8 clients (19.5%) wanted to address a new problem. These results converge with previous international studies and provide encouragement for the use of SST in both private and public psychological services to address the demand for timely mental health services in Italy. Further research is needed to support the efficacy of SST and to evaluate its cost-effectiveness.     

In Their Own Words: Adopted Persons’ Experiences of Adoption Disclosure and Discussion in Their Families

This study explored adoption disclosure in a sample of 18 adult adoptees who were adopted as infants. A qualitative analysis of semistructured interviews with adoptees was used to learn about participants’ experiences of adoption disclosure. The majority always knew they were adopted, were able to talk openly with parents about adoption, and had positive feelings related to learning about their adoption. Those who were dissatisfied with their disclosures reported that their parents were uncomfortable with discussing adoption and withheld information. Based on the findings, suggestions are provided for parents and adoption professionals on ways to improve the management of the disclosure process.     

A Case Study of Workers’ Development in a Technologically Changing Work Activity

ABSTRACT

The study addresses the problem of how to characterize individual workers’ development while they are engaged in a work activity that is changing. The site of study was a machine shop. Machining work has undergone rapid technological changes, with many of the changes occurring within the working lives of individuals. The work expands our understanding of cognition and shows it as multifaceted, embodying knowledge and skill, as well as identity formation. The work also contributes to a better understanding of how knowledge and skills generalize from one situation to another.     

A Qualitative Study of “fa’a’amu” Kinship Care Experiences in Tahiti

“Fa'a'amu” is a type of adoption commonly found in French Polynesia involving open, informal adoption arrangements, in which the child maintains ties to the family of origin. Although the function that child circulation plays in Oceanic societies has been widely documented by anthropologists, the implications of fa'a'amu at the individual level have yet to be examined. To address this gap, an exploratory qualitative study was conducted to 1) examine the lived experiences of adults who were fa'a'amu as children, and 2) identify experiences and characteristics associated with positive psychosocial and mental health outcomes in adulthood. The sample consisted of 22 Tahitian adults, who had been fa'a'amu during childhood. Applying a developmental and attachment lens, we explored how participants experienced relationships with birth and adoptive families, and how being fa'a'amu impacted their sense of well-being, attachment, identity, and belonging. Data was collected through The Adult Attachment Interview and the Fa'a'amu Experience Interview, which were coded using thematic analysis. Factors associated with positive outcomes in adulthood included early age at adoption, sensitive fa'a'amu parents, positive or benign relationships with birth parents, and respect between fa'a'amu and birth families. Factors associated with emotional distress included late age at adoption, abandonment and rejection, exploitative fa'a'amu parents, and conflict between birth and fa'a'amu families.     

Young Mothers’ Experiences of Receiving the Baby Bonus: A Qualitative Study

The year 2014 marked the abolition of the Baby Bonus and its replacement with a substantially reduced parenting payment. While often criticised as “middle-class welfare,” or publicly denounced due to its purported misuse by disadvantaged mothers, this paper argues that the Baby Bonus provided valuable financial assistance to families experiencing high financial stress. To investigate young women's experience of receiving the Baby Bonus, 19 semistructured interviews were conducted with young mothers in Melbourne who had recently had babies. Many were experiencing financial stress and this payment provided much needed financial support for the basic costs arising from having a baby. Several mothers perceived work as a luxury that was out of reach due to high childcare costs relative to their earning capacity and therefore saw Paid Parental Leave as a further privilege unavailable to them. Our results suggest that while the concerns of policymakers to achieve the best use of scarce resources are critical, it should also be acknowledged that the policy change may have serious implications for many young mothers and may exacerbate disadvantage, and young mothers’ sense of alienation, ultimately leading to greater inequalities.     

The Impact of Family Therapists’ Adult Attachment Styles on Their Career Choice and Approach to Therapy: An Interpretive Phenomenological Analysis

Attachment theorists have highlighted the role of the therapist in providing a ‘secure base’ for therapy. This raises the question of how therapists with insecure as well as secure attachment styles manage the integration of their personal experience and their therapeutic work. This study explored the relationship between family therapists’ adult attachment styles, influences on their career choice and their approach to therapy. Participants’ (n = 11) attachment styles were previously assessed using the self-report Experiences in Close Relationship questionnaire. Three participants were assessed as having a ‘secure’ attachment style; three were ‘preoccupied’, three ‘fearful’ and two ‘dismissing’. They were interviewed about their practice and the impact of past or current relationships on their development as therapists. Interpretive Phenomenological Analysis was used to analyse the verbatim accounts into cluster of master themes and subthemes. The analysis identified two master themes: understanding one’s self and the impact of family of origin experiences, and the integration between personal experiences and therapeutic work. There were differences in responses relating to the therapists’ attachment styles. Therapists with ‘secure’ adult attachment styles were aware of their challenges and able to utilise their experiences in their practice and respond sensitively to their clients. Conversely, those with ‘insecure’ styles have difficulties in mentalisation and in using counter-transference responses in their practice. We suggest that family therapists, social workers and others engaged in therapeutic work with families should undertake an exploration of the ‘self’ of the therapist in the context of their own family relationships and adult attachment styles as part of their training and continuing professional development.     

A Longitudinal Study of Website Accessibility: Have Social Work Education Websites Become More Accessible?

This study (N = 45 schools) sought to determine the accessibility of baccalaureate social work program websites in 2003 and 2008 using Priority 1 checkpoints from the World Wide Web Consortium 1.0 guidelines. Paired t-test results indicate that the mean accessibility scores of five of the nine items (plus the website accessibility scale as a whole) was statistically higher after five years. However, 75.6% of programs still had one or more Priority 1 accessibility barriers in 2008 and thus did not meet the lowest W3C accessibility guidelines. This highlights the need for more education about barriers to accessibility and methods for making websites more accessible.     

The Joy of Social Work Administration: An Exploratory Qualitative Study of Human Service Administrators’ Positive Perceptions of Their Work

Positive organizational psychology suggests that researchers should focus on the rewarding elements of work life, yet those in the fields of social work and nonprofit administration have not conducted research in line with this admonition. Indeed, the current focus on administrative challenges and problems may be part of the reason there is currently a leadership crisis in human services nonprofits. This article describes an exploratory qualitative study of human service executives’ perceptions of their work, focusing on what brings them joy in their jobs. We found five categories of joyful experiences. Implications for future practice, education, and research are included.     

Dignity and Dirty Work: Nurses’ Experiences in Managing Genetic Termination for Fetal Anomaly

Qualitative research was conducted with forty-one female registered nurses from four Canadian hospitals who manage the genetic termination (GT) procedure for women who end a wanted pregnancy due to fetal anomaly. Based on the sociological concept of dirty work, interest focused on nurses experiences with work that is viewed as unpleasant and undesirable, work that others would prefer not to do or even know about. The absence of institutional support led to a number of problems for the nurses. They readily discussed situations fraught with dilemmas and frustrations, yet they described this work as professionally rewarding and personally gratifying. They found strategies to respond to the dirty work aspects of their job. Particularly, the quality of care they were able to provide transformed their job from dirty work and led them to find dignity and satisfaction.     

Steps Together: Children’s Experiences of Participation in Club Activities With the Elderly

The amount of time that children and elderly people spend alone has grown in recent years in Finland. Based on sociocultural theory, children’s development and learning occur in close interaction with the surrounding society, place, and time. The aim of this study is to research children’s experiences of participation in club activities for children and the elderly. The qualitative research data were collected by observing activities and interviewing children. The key factors in supporting children’s participation were common interests in rewarding activities. A warm atmosphere and humor during activities were also found to be important elements in creating positive interactions between children and the elderly.     

Raising Children in Heterosexual and Same-Sex Families: French-Canadian Women’s Shared Maternal Experiences

In recent years, there has been growing interest in studying coparenting across family structures. However, to date little is known about how women coparent with other women in stepfamilies. To better understand the lived experience of women who coparent with other women in either heterosexual or lesbian stepfamilies, this exploratory qualitative study interviewed 15 adult women individually. The data analysis helped us identify the main trends pertaining to the manner in which participants conceptualize their maternal role and how they share and divide the maternal territory among the various women involved in parenting (step)children. Findings revealed 3 main themes: (a) the internalization of societal expectations about motherhood, (b) stepmotherhood is a coconstructed role that depends on consensus support, and (c) the role and importance of communication in dividing and sharing the maternal territory.     

Business in Social Work Education: A Historically Black University’s Social Work Entrepreneurship Project

The destabilization of the current economy has sparked increased interest in entrepreneurship, especially for underrepresented minority social work students. The entrepreneurial thinking of these social work students entering social work programs at historically Black colleges and universities needs to be fostered in a learning environment. This article describes a historically Black university’s creative social entrepreneurship venture in response to the Social Work Congress’s 2010 imperative “Business of Social Work—Infuse models of sustainable business and management practice in social work education and practice.” The social entrepreneurship project uses the interprofessional collaborative educational model and attempts to provide meaningful and relevant education to social work students interested in social entrepreneurship through the collaborative efforts of the university’s School of Social Work and the School of Business and Management.     

‘Meeting Face to Face Creates New Insights’: Recruiting Persons with User Experiences as Students in an Educational Programme in Social Work

Even though empowerment and involvement of users have, for a long time, been important goals for educational programmes in social work, these programmes have only to a very little extent availed themselves of the resources that people with user experiences have to offer. This article will present a course that is part of the bachelor programmes in social work and social education at Lillehammer University College in Norway. Persons with user experiences were recruited and took part in a course on equal terms with the bachelor students. Four lecturers from the college, including the author as the project leader, carried out the planning and implementation of the course. The article gives an account of the experiences gained from the course as expressed by the students.     

Gender Bias in Parental Investments in Children’s Education: A Theoretical Analysis

Human capital accumulation is one of the main engines of economic growth. Thus, many LDCs have introduced laws over the past 30 years for compulsory education and have increased their investment in public schooling. Nevertheless, the level of education in most poor countries is still very low, particularly for girls. The goal of this article is to develop a model of household decision-making in order to better understand what variables affect parents’ decision to educate girls less than boys. In the first part of the paper, a unitary model, a non-cooperative household model, and a bargaining model are developed and compared to explain factors that might produce gender bias in investment in education. As a result, the number of years of education for male and female children depends on the different costs and returns of educating girls and boys and, in the non-consensus models, on each parent’s preferences and decision power. The second part of the paper contains a simulation of the models assuming different policies for increasing women’s education using figures from the Living Standard Measurement Studies of Cote d’Ivoire.     

Consequences of Casual Sex Relationships and Experiences on Adolescents’ Psychological Well-Being: A Prospective Study

Casual sexual relationships and experiences (CSREs) are still considered to be detrimental to the psychological well-being of youth even though findings remain inconclusive. Most studies have focused on emerging adulthood. Using a prospective design based on a representative sample of high school students in the province of Québec, we measured sexually active adolescents’ (N = 2,304) psychological well-being six months after engaging in these relationships while controlling for prior well-being. We analyzed two forms of CSREs, friends with benefits (FWB) and one-night stand (ONS) relationships, as well as levels of sexual intimacy. The results show that CSREs had a small impact (small effect sizes) on subsequent psychological well-being, especially among girls; FWB relationships involving penetrative contact increased girls’ psychological distress and both their alcohol and drug consumption. ONSs including sexual touching increased girls’ psychological distress and their drug use. None of the CSREs influenced boys’ psychological well-being. The findings underscored the importance of using caution when arguing that CSREs are detrimental or harmless to the psychological well-being of adolescents. The results also highlight the importance of taking into account gender and forms of CSREs in prevention and health interventions.     

“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.     

A Developmentally Relevant Approach to Classifying Nonconsensual Sexual Experiences in the Study of Women’s Sexual Well-Being

In this article we propose a sexual developmental approach to classifying the onset of nonconsensual sexual experiences (NSEs) that differs from the traditional age cutoff approach. Online measures of sexual self-schemas, sexual response, and sexual functioning were administered to 797 women with and without NSE histories. Women were grouped based on when their NSEs first occurred in reference to their age of menarche and age of their first consensual sexual experience (i.e., premenarche onset, postmenarche preconsensual onset, postconsensual onset, and no NSEs). Between-group analyses assessed differences in sexual well-being and structural equation modeling (SEM) assessed measurement invariance across the four groups. Women with NSE onset postmenarche but before their first consensual sexual experience reported significantly more conservative-embarrassed sexual self-schemas than did women with no NSEs. Women with NSE onset postmenarche and post–first consensual sex had significantly less sexual satisfaction than did women with no NSE histories. The other groups did not significantly differ from each other. The model demonstrated partial indicator-level metric noninvariance, suggesting that the various indicators of sexuality contributed differentially to the overall sexual well-being across these groups of women. The results support the use of the developmentally informed approach to classifying NSEs when assessing female sexual well-being.     

Young Adults’ Perception of Coping with Parental Divorce: A Retrospective Study

Divorce has long been described as one of the most stressful life experiences. A review of the literature identified numerous studies that have identified detrimental effects of parental divorce on children and adolescents and few that have emphasized possible optimal implications or effective coping with this event. The focus of this study subsequently fell on how young adults had coped with the divorce of their parents during their childhood or adolescent years. Semistructured retrospective interviews were conducted with 15 participants selected by means of snowball sampling in the completion of this study. Findings revealed a set of themes and subthemes relating to adults’ coping with parental divorce during childhood or adolescence as well as a set of factors that could potentially hinder such coping. Effective communication in relationships was highlighted as a particularly valuable coping method. It is hoped that these insights will enable those involved with assisting families during divorce to cope more effectively with this event.     

Who Uses Formal,Early Child Care in California? A Comparative Study of Children from Immigrant and Nonimmigrant Families

The purpose of this study is to examine the predictors of formal, early child care usage and to study the differences between immigrant and nonimmigrant families in their use of formal (center-based, preschool, Head Start, and family child care) and informal child care arrangements (grandparent and nanny) among California’s children. Since the California Health Interview Survey (CHIS) had children from California’s immigrant and nonimmigrant families, the data for 897 preschool age children who attended child care for 10 h or more were retrieved from the CHIS 2005 Child Survey. This study found that immigrants are twice more likely (OR = 2.006; p < 0.005) to use formal child care than nonimmigrant families in California. The study concludes with implications for social work.     

Re-signing: A Cultural-Historical Study of Signs for Supporting Young Children’s Development of Emotion Regulation

Recent cultural-historical literature stresses the need for understanding the role of signs in emotional development. This article examined how the signification of children’s emotions in everyday parent–child interactions creates the conditions for the emergence of intrapersonal emotion regulation. Four families with children ages 3–6 years were studied in Australia. Findings indicated that parents’ re-signing supported the emergence of children’s intrapersonal emotion regulation. We argue that the cultural line of emotional development needs to be foregrounded and the process of development theorized, thus contributing to better understandings of the process, rather than the product of children’s development of emotion regulation.