Moving toward recovery within clients' personal narratives: directions for a recovery-focused therapy

Recent literature emphasizes that recovery from schizophrenia involves recovery within one's own narrative of an integral sense of identity, agency, social connection, and worth. While this is intuitively appealing and consistent with a wide range of literature, it raises the issue of how to best help people do this in individual psychotherapy. In this article, we explore how psychotherapy might help people construct new narratives or storied understandings of their lives and thereby promote recovery from schizophrenia. Exemplified with two individual examples, we first discuss the barriers that challenge and the techniques that help psychotherapists seeking to enter into dialogue with people with severe mental illness. We also offer a theoretical model of how the revitalization of dialogues within therapy can be conceptualized as a process that promotes recovery and discuss the objective measurement of such outcomes.     

Navigating post-trauma realities in family systems: Applying social constructivism and systems theory to youth and family trauma

Trauma affecting youth and families takes a variety of forms, from random one-time events such as accidents and natural disasters to chronic and highly personal trauma from child abuse or intimate partner violence. Though trauma has received increasing attention in theory and intervention research over the last several decades, the prevailing theories and treatments have limitations due to a linear perspective focused on the trauma problems of the individual. This is particularly concerning given the high dropout rates for trauma-focused treatments and the complexities of intergenerational trauma that cannot be adequately conceptualised at the level of the individual. To inform and improve family-based treatment of youth and family trauma, this paper proposes a theoretical framework informed by social constructivism and systems theory. Social constructivism upholds that reality is constructed through communication as an adaptive process for survival, with multiple potential realities possible. Systems theory promotes a non-linear view of causality within a system, such that the structure and properties of a system determine outcomes more than the inputs that go into the system. Together, the principles of these meta-theories contradict the orthodox focus on traumatic events causing trauma symptoms, and instead imply that family-based treatment should focus on helping families shift assumptions and dynamics that sustain the problem in the present. The joint application of a social constructivism–systems theory framework for trauma introduces several new principles to inform family-based treatment: (a) post-trauma realities; (b) mutual survival; (c) power–justice balance; and (d) adaptive reorganisation. The implications of these principles for youth and family trauma treatment will be discussed. Future intervention development and research should consider these principles in the ongoing effort to improve family therapy for youth and family trauma.     

Existing and Emerging Methods for Integrating Theories within and between Disciplines

Abstract

Our conceptual systems (including theories, models, policies, and schema) all help us to understand our world. For highly complex situations such as those found in natural systems and service systems, it is important to understand them from an interdisciplinary perspective because these real-world systems do not respect the boundaries of any single discipline. While many conceptual systems exist, they have not proven to be highly effective for understanding issues that are the focus of their disciplines. Still fewer conceptual systems have been developed that cut across disciplinary boundaries — and they have not been shown to be any more effective than their mono-disciplinary companions. This article investigates emerging and existing methods for creating and integrating theories within and between disciplines. This includes ‘soft’ methods (ad-hoc, cherry-picking, and intuitive) as well as ‘rigorous’ (formal grounded theory (FGT), reflexive dimensional analysis (RDA), and integrative propositional analysis (IPA)). The article demonstrates that soft methods are relatively easy to use, but they do not produce conceptual systems of great or lasting value. In contrast, it is proposed that rigorous methods are more likely to yield conceptual systems which are measurably more systemic, more useful, and more effective for understanding and engaging the highly complex systems of our world.     

A qualitative analysis of suicide risk factors,preferred means,and means restriction feasibility within a homeless shelter environment

Suicide completion rates among homeless individuals are approximately nine times higher than the general population. The purpose of this study was to capture the state of social support among homeless individuals, understand how homeless community members support peers in crisis, examine the awareness of suicidal ideation, identify common methods for suicide, and generate strategies for means restriction within a shelter. Twenty individuals residing at an emergency shelter were interviewed. Participants were of diverse cultural identities overrepresented in the sample relative to the general population. Interviews revealed that 40% of participants lacked social support. However, the majority indicated that if they encountered someone at risk for suicide, they would provide support and encouragement to the at-risk individual. Almost half of participants reported knowing of an individual in the shelter who had previously attempted suicide and/or was currently or previously feeling suicidal. Overdose was identified as a primary method for suicide; however, the majority of participants were unable to generate strategies for means restriction. The present study offers a glimpse into the experience of homeless individuals and provides valuable information regarding risk factors for suicide within this highly marginalized and underserved population.     

Exploring a critical systems perspective

This paper explores the possibilities for a synthesis of recent developments in social theory and systems thinking within a critical systems framework. This approach is neither behavioural nor interpretive but an alternative synthesis from a critical stance. The paper is a defence of systems thinking against charges of scientism and an attempt to extend the approach to encompass interpretive perspectives. The focus is on constitutive processes or ways in which participants contribute through their expectations and interactions to maintaining and changing the social systems of which they form part. Systems thinking applied to social life can be a methodology without positivist preconceptions and can be used to explore the interlocking of objective and subjective dimensions of the social world. It is argued that traditions of systems dynamics have been neglected in social theory and provide a potentially fruitful approach to the analysis of conflict and change. A critical systems approach can be used to provide a topical assessment of rational individualism and Marxism as alternative integrative perspectives.     

The information systems professional as a hermit

In this article, the contributions that Michael Thompson has made to the development of cultural theory are laid out. This is done by highlighting the ways in which Thompson has built upon the grid–group analysis of Mary Douglas. Thereafter, it is shown how cultural theory is compatible with, and can be strengthened by, the complexity theories that have been formulated within the natural sciences. The resulting theoretical framework is then applied to explain the persistent cultural gap between the business planning and the information systems (IS) departments within companies. It will be argued and demonstrated that the IS professional can usefully be understood as following the views and practices characteristic of the hermit, as defined in cultural theory.     

Separation and Post‐Separation Parenting within Lesbian and Gay Co‐parenting (Guild Parented) Families

Gay men and lesbian women have a long history of jointly creating families and co‐parenting their children together. This qualitative study aims to explore the experiences of separation and post‐separation parenting within same‐sex parented families. This involved semi‐structured in‐depth interviews with 22 separated same‐sex parents in Adelaide, Melbourne, Sydney, Brisbane, and regional Victoria. An adaptive theory approach was used for the collection and analysis of the data. The paper explores data from a cohort of six participants who came from three different multi‐parent families who had experienced a separation – either their own, or that of other parents in their parenting group. The term ‘co‐parenting families’ was found to be confusing due to the different connotations within separation/divorce and same‐sex parent literature. Consequently, the term ‘guild parented families’ was created to describe these families. Participants from these multi‐parent families had very different experiences of family formation and separation compared to others within the wider separated same‐sex parent study. Separation of one or more of the parent couples within these families complicated their original plans and kinship ideals. Each of the families resolved this differently in their post‐separation arrangements. After separation, whole family narratives and/or the role of individual parents, were either questioned or revised as a way of resolving the complexity of their new kinship situation. Following separation, parents often relied on Western kinship norms that privilege biological kinship and the dual‐parent family to construct their post‐separation kinship arrangements. More awareness of families that begin with more than two parents is needed within separation research and amongst separation services and service providers.     

An overview of occupational accidents notification systems within the enlarged EU

This paper describes a comparative analysis of the official forms used for reporting occupational accidents within the EU-27 member states. The comparison is based on two analysis grids (coding schedule) created to that effect, which incorporate a set of evaluation criteria and an interpretation key. The results obtained in the analysis allowed for attention to be drawn to the relevant attributes of such forms in terms of their content and format/structure. It also revealed the main similarities and differences between each country, providing a complete assessment of the 27 member states. The discussion gives account of the level of implementation of the "new" Eurostat variables within the European Statistics of Accidents at Work (ESAW). Furthermore, the study shows that certain formats (structure of information fields) appear to facilitate completeness of the information collected. It has also demonstrated that the European harmonisation process is still far from completion, although the newcomer states seem to be adjusting quickly to the process. The findings of this study may bring useful insights to national authorities and European policy-makers, or to employers/enterprises wishing to implement their internal procedures aligned with the ESAW methodology. The scientific community is another interest group, whose research relies on official statistics, preferably comparable across all countries.     

Positioning urban rivers within urban ecology

Rivers are important components of many urban systems, and research into urban rivers is increasing internationally, both in scope and intensity. As an introduction to a special section on urban rivers, this short article briefly highlights some key trends in urban river research based on a survey of published articles from Web of Knowledge, before summarising the contributions made by the special section papers. In particular, there has been a general increase in work on urban rivers since the 1990s, with a more dramatic increase from 2001. Most published research has concentrated on water quality and its wider environmental implications; ecologically, many studies have focused on autecology, community ecology or river restoration/rehabilitation, with the main emphasis on macroinvertebrates or fish. Geographically, most studies have taken place in North America (mainly the US) and Asia (mainly China). In the large majority of cases research has been on relatively small rivers within urbanised catchments rather than large, heavily urbanised systems within major towns or cities. Given the wide range of topics and studies relating to urban river research, a detailed meta-analysis of the urban river ecology literature would be a useful endeavour. The six papers included in the special section of this issue provide a sample of some of key and emerging themes within recent urban river research, and originate from a session on the understanding and management of urban rivers held at the Royal Geographical Society (with IBG) Annual Meeting in 2010, at Imperial College London.     

Sustainable development and the analysis of rural systems

The theme of sustainable development is proposed as an integrating framework for focusing theoretical and applied research in rural systems. It also serves as a base for public policy involving economic development and environ- mental maintenance. This paper presents a history of the theme of environmentally sustainable development and provides evidence of its continued theoretical and practical significance. The analysis of sustainability of rural systems is illustrated for agri-food systems from the perspectives of stewardship, food sufficiency and community. There is a need for development of analytical tools capable of considering these three components simultaneously.     

The ethics of parimutuel systems

One strand of the moral case for the superiority of parimutuel systems of betting over bookmaking emphasises that, as the name implies, the bettors are betting amongst themselves and that there is no discrimination against any individual bettor or groups of bettors. This claim is undermined by three deviations from the pure parimutuel principle found in many systems. Given that there is a close inverse relationship between the income/wealth of bettors and the average odds of the bets they place, the three deviations—higher deductions from long odds (exotic) pools, higher deductions from pools when longer odds horses win and the paying of minimum dividends—each move a parimutuel system in the unethical direction ofregressive taxation.     

Understanding the use of “twinkie,” “banana,” and “FOB”: Identifying the origin,role, and consequences of internalized racism within Asian America

Where does internalized racism come from? How is it sustained and perpetuated within the Asian American community? What is the role and consequence of internalized racism within the Asian American community? This article reviews the existing literature to map the origin, role, and consequences of internalized racism among Asian Americans. Research on internalized racism must examine more than individual behaviors, otherwise it falls victim to conceiving of individuals as “racial dupes” (i.e., an individual who has been deceived into supporting existing racial hierarchies and systems of racial inequalities). However, the research should also veer away from an over emphasis on individual agency and resistance because doing so ignores the larger structural systems of inequality that exist, via colonial mentality and racialization, which influence individual behaviors. Future research on internalized racism must engage both perspectives to hold accountable the connection between broader racialization processes and everyday interactions driven by internalized racism.     

Mapping the global football field: a sociological model of transnational forces within the world game

This paper provides a sociological model of the key transnational political and economic forces that are shaping the 'global football field'. The model draws upon, and significantly extends, the theory of the 'global field' developed previously by Robertson. The model features four quadrants, each of which contains a dominant operating principle, an 'elemental reference point', and an 'elemental theme'. The quadrants contain, first, neo-liberalism, associated with the individual and elite football clubs; second, neo-mercantilism, associated with nation-states and national football systems; third, international relations, associated with international governing bodies; and fourth, global civil society, associated with diverse institutions that pursue human development and/or social justice. We examine some of the interactions and tensions between the major institutional and ideological forces across the four quadrants. We conclude by examining how the weakest quadrant, featuring global civil society, may gain greater prominence within football. In broad terms, we argue that our four-fold model may be utilized to map and to examine other substantive research fields with reference to globalization.     

Preparing social workers for global gaze: locating global citizenship within social work curricula

Institutions of higher education have been particularly vulnerable to the pressures of globalization, resulting in policies and ensuing curricula that look to address the needs of students to be better prepared for living and working in a world in which global awareness, and perhaps even global identity, are requisites for success. Social work education is uniquely positioned to adapt its curricula for successful student outcomes in an increasingly globalized world. The challenges associated with social welfare, which have intensified under globalization, has been a long-standing concern of social work policy and practice. This article suggests strategies for integrating global citizenship education within social work studies, recognizing the affinities that exist between contemporary conceptualizations of global citizenship and social work practice. The article proposes four interrelated components that might be strategically implemented within existing social work curriculum, in consideration of the contextual ethos of the respective school of social work.     

Assessment of long-term work attendance within human service organisations

Terms and theories of work attendance vary according to their use and focus. This paper analyzes long-term work attendance in relation to social, psychosocial, and health-related factors. Register-based and questionnaire-based data covering 3,804 human service organisation workers over a three-year period were analyzed at individual and work-unit level. The results showed positive relationships between work attendance and male gender, high income, work commitment, job satisfaction, and having positive feelings towards work. High work attendance combined with work commitment, stress, or pain did not show any negative long-term effects upon short-term or long-term sick leave. Instead, work attendance seemed to be more associated with stable patterns of behaviour. Register-based measures of work attendance (at most 4-7 days of sick leave per worker per year) may be a useful tool in managing psychosocial work environment and related behaviour, but their inability to encompass information regarding individual health and disease must be borne in mind.     

Viewing the child as a participant within context

This paper explores tensions between the social nature of learning and the current emphasis upon individual support. The paper contrasts the focus upon context in discussions with parents and practitioners, with the focus upon the individual within formal and informal written documents. The analysis is partly situated within the first author’s experiences as a parent researcher, drawing additionally upon ethnographic research carried out with families involved in early intervention, including an evaluation of over 150 pages of documentation provided by a parent. It identifies the need for assessment and evaluation to focus upon and record the broad range of context that influences learning.     

Factors affecting post-permanency adjustment for children in adoption or guardianship placements: An ecological systems analysis

Despite a growing body of research on post-permanency adjustment for children adopted from public child welfare agencies, many studies lack a systematic review using a theoretical framework. To develop promising post-permanency services for adopted children with special needs and their families, the first step is to examine risk and protective factors affecting adoption or guardianship adjustment. This study systematically reviews and synthesizes current empirical studies investigating post-permanency outcomes using an ecological systems analysis, with an integration of family theories. A search of five electronic databases and relevant child welfare books identified 36 empirical studies on post-permanency adjustment. Risk factors include some individual factors such as caring for a child with special needs, raising children with a multiple placement or maltreatment history and involving parents with no parenting experience. Living in a family experiencing boundary ambiguity and lacking social support are also risk factors. Protective factors include having adoption preparation and having a child living with married parents, as well as a high level of adoption openness and the availability of formal and informal social support. Implications for child welfare practice and policy also are discussed.     

SPIRITUALITY AND FAMILY THERAPY: SPIRITAL BELIEFS,MYTHS, AND METAPHORS*

The field of marriage and family therapy is evolving toward theoretical and practical models with an ecosystemic focus which encourage an awareness of different levels of system interaction yet therapists have rarely been encouraged to explore the spiritual dimension of their clients' lives, even though doing so may enrich the understanding of the metaphors and meanings which inform their existence and perhaps, their problems. This paper challenges therapists to consider the spiritual belief systems of their clients which have contributed to the development or maintenance of the presenting problem. The authors present case examples and specific suggestions for clinical practice.     

Toward an “Awareness” of the Relationship between Task Performance and Own Verbal Accounts of that Performance

The existence of learning without awareness has been debated for many years. Learning without awareness is said to occur when an individual''s behavior has been affected without that individual being aware of the conditions affecting the behavior, of the relationship between those conditions and the behavior, or of the fact that the behavior has changed. This paper describes a series of experiments investigating this phenomenon. The findings support the existence of “learning without awareness.” However, it is argued that the term “awareness” should be discarded as it is misleading. Instead, the results of the experiments are discussed in terms of behavior for which the individual does not provide a complete verbal account.