“You are a Besya”: Microaggressions Experienced by Trafficking Survivors Exploited in the Sex Trade

ABSTRACT

This article exposes the prevalence of microaggressions as experienced by female sex-trafficking survivors in their everyday lives. Using a case example from Nepal, this article investigates the under-researched experiences of microaggressions against trafficking survivors and their cumulative effects on their lives. A participatory action research (PAR) process was used with eight trafficking survivors to delineate and explore categories of microaggressive behaviors to them. The results of the study reveal the occurrence of microaggressive behaviors against sex-trafficking survivors, grounded in experiential evidence in personal narratives. Implications for social work education and practices are discussed.     

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.

     

Surviving incest: Feminist theory and practice

Abstract

In the last few years it has become inescapably clear that incest is relatively common and that it is mainly young girls who suffer this violence from men in their families. This article is based on in-depth interviews with Icelandic and English incest survivors. The material is analysed from a feminist perspective. My understanding of the experience and the effects of incest on the survivors lives, and opens new possibilities for social workers working with them. Consciousness-raising, the women's strength and resistance on the one hand, and equality and validation of their experiences on the other, are the basis of the work. Finally, I maintain that feminist theories and practice open new and timely possibilities for better social work practice generally.     

Integrating Religion and Social Work in Dual Degree Programs

Abstract

This article offers challenges, suggestions and examples for integrating insights from religion and social work in the context of masters level dual degree programs that link social work and other fields of study about religion, such as theology, pastoral counseling, and religious studies. The author first relates some personal and professional experiences regarding his own journey during the past 30 years in trying to find ways to connect religious studies, pastoral counseling, and social work. Next, the article presents suggestions for mutually beneficial ways that fields for studying religion and social work can challenge each other. Finally, several practical suggestions are given for designing integrated religion and social work dual degree programs.     

Group Therapy for Survivors of Severe Childhood Abuse: Repairing the Social Contract

ABSTRACT

This article presents a model for conducting time-limited group therapy with adult survivors of severe childhood abuse who are diagnosed with complex post-traumatic and dissociative disorders. While difficult to engage in mixed groups, these clients can succeed in structured, homogeneous groups focused on responsible participation, social connection and symptom management. Group sessions are organized around verbal promises, “social contracts,” that encourage the client's active, attentive engagement. Gentle confrontation of dissociative defenses is integral to the success of each session. Group guidelines, the provision of structure, and common themes are explained, as are the group therapist's complicated countertransference responses to these clients.     

“I Am Not A Victim. I Am A Survivor”: Resilience as a Journey for Female Survivors of Child Sexual Abuse

ABSTRACT

This study was designed to expand our understanding of the positive aspects of coping and resilience in female survivors of child sexual abuse. Research questions focused on women’s lived experiences of being survivors of child sexual abuse and how they have experienced resilience, developed healthy intimate relationships, and viewed themselves as sexual beings. Using a qualitative research lens of phenomenology, we captured the essence of survivors’ experiences of resilience. Although each woman’s experience was unique, similar patterns of processes and outcomes emerged as meaningful in their development of resilient and healthy sexuality and relationship functioning. However, participants emphasized resilience as a process or journey—recovery from trauma, reconceptualization of self, and development of healthy sexuality included deliberate efforts occurring over time. Implications for future research and practice using a positive lens of resilience are provided.     

Responding to People Sleeping Rough: Dilemmas and Opportunities for Social Work

Abstract

Rough sleeping refers to the state of being literally without shelter or residing in shelter not fit for human habitation. People who sleep rough are thought to be a group who experience a range of complex problems in addition to their homelessness. Despite their small numbers relative to the broader homeless population, rough sleepers have been identified as a target group for policy and practice intervention. This article critically examines outreach responses directed toward people sleeping rough. Moving beyond traditional charity approaches or interventions that “move people on”, emerging models of “assertive outreach” have been implemented in Australia as part of broader strategies to reduce homelessness. Challenging the idea that assertive outreach is a shift from a social work approach, it is argued that interventions to actively end rough sleeping are consistent with social work principles. Indeed, this article takes it that social work must advocate for the provision of affordable housing as central to rough sleeping interventions. Housing not only enables people to achieve human dignity and worth, but the linking of housing with outreach responses to rough sleepers will facilitate a trusting and effective working relationship.     

Acute Stress Disorder Symptoms Among Female Sexual Abuse Survivors Seeking Treatment

ABSTRACT

This exploratory study examined relationships between acute stress disorder (ASD) symptoms and sexual abuse history, distress, and social support among sexual abuse survivors seeking treatment. Participants were 32 women recruited for a pilot study of group treatment for sexual abuse survivors who completed self-report and interview measures. Many participants (37.5%) met criteria for all ASD symptoms. Also, ASD symptoms were significantly related to seeing the self as the causal locus of the abuse, forgetting the abuse for a period of time, and the number of abusers, the distress of a recent life event, other forms of distress, and poor social support, Acute stress disorder may occur among many sexual abuse survivors seeking treatment, requiring special intervention to help these patients to manage their reactions to ongoing stresses.     

Precinct Domestic Violence Teams: Whose Goals Should Determine Program Activities?

ABSTRACT

This article describes an urban community's attempts to increase domestic violence survivors' participation in the criminal justice system by combining social work advocacy, specialized police officers, and prosecutors into precinct domestic violence teams. An analysis of the outcomes of 1,057 domestic violence reports found that the presence of the teams did not result in increased survivor participation in prosecution. A survey of 265 of the survivors indicated that prosecution was rarely a goal of the survivors, whose participation was needed to meet the goals of the criminal justice system. This study illustrates the importance of learning the views of people that interventions are designed to help.     

Integrating Pharmacotherapy and Psychosocial Interventions in the Treatment of Individuals with Alcohol Problems

Abstract

Both research and clinical experiences suggest that there are separate and overlapping benefits of medications and psychosocial treatments for alcohol problems. Evidence has shown that medication(s) combined with a moderate intensity psychosocial therapy can produce outcomes beyond what each of these approaches can produce alone. Taking medication can be helpful in facilitating longer periods of abstinence that in turn affords practitioners a greater opportunity to enhance patients' individual and social coping resources and to increase their motivation to change. Combining effective pharmacological and psychosocial interventions may provide the impetus to integrate alcoholism treatment into the general health care delivery system, thereby helping to increase the accessibility of care and well-being for individuals seeking or needing help with alcohol problems.     

Sex,Drugs, Rock ‘n’ Roll…and Children

Abstract

In this article we identify some of the challenges for gay men who desire to create more intimate relationships and more stable families in the evolving and potentially more conducive socio-political environment of the 21st century in the United States. Secondly, we delineate a multi-systemic structural model of working with male couples and families that addresses the interplay of the couple's interactional system with larger religious, civil and social systems. Finally, we demonstrate systemic interventions with a case example of a male couple and their family coping with 21st century challenges.     

Heavy Drinking on College Campuses: No Reason to Change Minimum Legal Drinking Age of 21

Abstract

The recent Amethyst Initiative argues that a minimum legal drinking age (MLDA) of 21 has created a culture of heavy alcohol use on college campuses by making drinking clandestine and extreme. This group and others argue that lowering the MLDA will reduce the problem of “binge drinking” on college campuses. However, such a policy change would remove one of the most researched and supported policies in the nation's alcohol control arsenal. There is little evidence that other interventions or policies are capable of working on the same broad level as MLDA 21, and there could also be a deleterious ripple effect in related legislation because MLDA 21 works in conjunction with other drinking laws. In addition, historic and international experiences with a lowered MLDA indicate there are serious social and public health consequences. Instead of removing efficacious interventions, we must remain committed to implementing and enforcing evidence-based practices and legislation.     

Books Received

Abstract

The generic nature of social work assists social workers to fulfill, variety of tasks and roles, in a range of settings. Social work train in provides workers with a broad range of knowledge and skills, as well as an ability to be both flexible and adaptable across a given range of situations. Such a ‘launching base’ is essential for all social workers, particularly those who work in the resource-starved remote area sector.

Through the author's own insights and experiences on the remote setting of Saipan, a small island located in the western Pacific Ocean this article examines some of the unique personal and professional challenges that confronted him during his stay on Saipan. These accounts are later transposed generally to an exploration of their implications for practitioners who work, or are contemplating working in a remote area.     

Methodological Issues in Conducting Community-Based Health and Social Services Research Among Urban Black and African American LGBT Populations

Abstract

Health and social service utilization experiences of disenfranchised groups have recently gained renewed public attention. Reducing and eliminating racial disparities in health care has become a major national agenda. While a fairly substantial literature on Black and African American health outcomes and social service utilization does exist, and may help to influence interventions to reduce disparities, there is no comparable literature for Black and African American lesbian, gay, bisexual, and transgender (LGBT) persons. In this article the author examines factors affecting research with urban Black and African American LGBT populations. A brief case study is included that demonstrates the viability of the recommended research methods and discusses the possible negative consequences of deviating from these methodological suggestions.     

‘Globalisation’, Governance and social work: Some implications for theory and practice

Abstract

This article focuses cautiously on the implications of ‘globalisation’ for social work theory and practice. In drawing on recent debates it is argued that, despite its contested meaning, ‘globalisation’ points to a range of rapid and fundamental socioeconomic and political transformations that have impacted upon entire regions of the work. Some of these transformations are identified and analysed in terms of their consequences for transnational, national and local populations. It is proposed that the prevailing consequences of globalisation in terms of social inequality and allied modalities of governance are negative, and that this has important implications for the profession of social work. Effective strategies for confronting the challenges posed by ‘turbo capitalism’ may be found in alliances across global social movements and professional groups, including social workers. The challenges are profound.     

Survivors of Woman Abuse

Abstract

The feminist social work and related literature on abused women has focused on women's processes of empowerment but has overlooked the question of women's movement from individual survival to collective resistance. In this feminist qualitative study, I explore the processes through which survivors of abuse by male partners become involved in collective action for social change. Using story telling as a research method, I interviewed 11 women about the processes, factors, insights, and events that prompted them to act collectively to address violence against women. I found that women's movement from individual survival to collective action entails significant changes in consciousness and subjectivity. Women's processes of conscientization are complex, contradictory and often painful because they involve political and psychic dimensions of subjectivity, protracted struggles with contradictions and conflict, and resistance to knowledge that threatens to unsettle relatively stable notions of identity. I suggest that feminist social work theory and practice must take into account three interrelated elements of women's transformative journeys: the discursive and material conditions that facilitate women's movement to collective action; the social, material and psychic costs of women's growth; and the multifaceted and difficult nature of women's journey in recognizing and naming abuse, making sense of their experiences, and acting on this knowledge to work for change. I recommend that feminist social work practice with survivors recognize that survivors can and do contribute to social change, and develop new, more inclusive liberatory models of working with survivors of abuse.     

Computer-based Information Systems and Human Service Organisations: Emerging Problems and Future Possibilities

Abstract

Standardised case management systems were designed to address poor outcomes for abused or neglected children. Their introduction has been controversial, with some social workers identifying them as undermining the social worker–service user relationship, and professionalism. This paper reports on a qualitative study of service users of two widely used systems in Australia: “Looking After Children” (LAC) and “Supporting Children and Responding to Families” (SCARF) (both based on adaptations of United Kingdom systems). There has been relatively little evaluation of the long-term use of these systems relevant to Australian social work. The experiences of service users can contribute to debate because they provided lived experiences of these systems and family members' inclusion is a central goal. Children, young people, and parents reported positive experiences of case-managed interventions: the goals of the intervention were usually clear, processes productive, and relationships with social workers possible. However, service users did identify barriers to participation, limitations in assessment, and described diverse experiences of interventions. While these findings challenge critics, they also suggest that LAC and SCARF could be further developed to better meet expectations of families.     

Therapeutic Applications of Online Gaming

ABSTRACT

This article discusses online gaming in the twenty-first century, describes online gaming, considers negative and positive aspects of gaming, and proposes several possible research, practice, and educational strategies for subsequent development of this genre into a useful tool for human service interventions. Positive characteristics of online gaming environments such as high levels of social interaction and the potential for transformative experiences strongly suggest that many clients will be utilizing such environments. In addition, practitioners must not only learn to assess client use of gaming but also develop the necessary knowledge and skills to utilize online games as therapeutic tools.     

The Parenting Task: Parent's Concerns and Where They Would Seek Help

ABSTRACT

Governments are concerned to promote positive parenting but it is difficult to know how and where to target the necessary support. How should we listen to the concerns expressed by parents themselves? Social work and health care professionals and those involved in developing parenting programmes tend to base their interventions on their experiences with families already in crisis. This paper reports on a survey of the views of two groups of parents: a community sample and a small group of parents involved in a young parent's project. Issues, which concern the parents, are identified as well as consideration of which agencies might be best placed to address these. Parents were most likely to approach their children's school or doctor for information, advice, or support. Parents were found to be reluctant to approach social work agencies.     

Challenges Experienced at Age 100: Findings From the Fordham Centenarian Study

ABSTRACT

This article examines the challenges experienced by very old individuals and their consequences for well-being and mental health. In order to capture unique issues experienced in very old age, 75 participants of the population-based Fordham Centenarian Study answered open-ended questions on everyday challenges. Theme-based coding was then used to categorize and quantify responses. The challenges mentioned most often were challenges faced in the functional (e.g., physical health/activities of daily living restrictions, mobility, sensory impairment), psychological (e.g., loss of well-liked activity, dependency, negative emotions, death), and social (e.g., family loss) life domains. Functional challenges were negatively associated with aging satisfaction and positively associated with loneliness. Psychological challenges were positively linked to aging satisfaction. Social challenges were marginally related to loneliness. Notably, challenges were not related to depression. In conclusion, the challenges experienced in very old age are multidimensional and multifaceted, unique in nature, and have differential relations to mental health. Functional, psychological, and social challenges affect very old individuals’ lives and therefore need to be better understood and addressed. Given their consequences, it is imperative for policy makers to develop an awareness for the different types of challenges faced by centenarians, as there may be unique policy implications related to each.