The Relationship Between Family Mealtime Interactions and Eating Disorder in Childhood and Adolescence: A Systematic Review

During childhood and adolescence, family meal frequency has been found to have an inverse relationship with disordered eating behaviour. Also, family interactional patterns differ in families where there is a child with and without an eating disorder. This paper examines the relationship between family mealtime interactions during childhood and adolescence and eating disorder behaviour through a systematic review of the literature. The method was an asystematic electronic search of PsycInfo, Medline and Web of Knowledge undertaken in April 2012. Ten studies demonstrated a significant relationship between family mealtime interactions and disordered eating behaviour. Families where there is a child with an eating disorder display less positive interactions during mealtimes. While the findings can be linked to family based treatment for anorexia nervosa there is a need for prospective research in this area.     

Violence prevention in the schools: Implications for occupational therapy

The prevalence of violence in the United States has begun to take its toll on the youth in schools. As children spend the majority of their waking hours in school, it is there that programs to prevent violence should be implemented. Various factors compiled from the literature including traits of children "at risk", lack of adult supervision, and architectural barriers, are identified as contributing to on-campus crime. Skills training for educators, school officials, parents, and children, in addition to reduction of architectural barriers, are discussed as methods to promote awareness and prevention. Implications for occupational therapy practitioners are discussed.     

Postdivorce Adjustment in Singapore: Factors,Themes, and Positive Growth

Although there is a fairly large literature on postdivorce adjustment in the United States, comparatively little research has been conducted on the topic in Singapore. In addition, the majority of research to date has focused on the negative impacts of divorce and has tended to ignore potential positive growth opportunities that might result from the experience. This study seeks to address this gap in the literature through a thematic analysis of interviews with divorcees in Singapore. Specifically, this study identifies factors contributing to positive postdivorce adjustments within the multicultural, multiethnic, and multireligious context found in Singapore. A review of participant responses identified 15 specific factors related to the potential for experiencing a positive postdivorce adjustment. Further review indicates that these factors can be grouped into 6 themes that could specifically inform counselors and other mental health professionals working in Singapore to assist with the adjustment process.     

Working with parents to reduce juvenile sex offender recidivism

Although there is very little research in the area of including parents in juvenile sex offender treatment, one of the factors that might be worth exploring is how the parental relationship may aid in successful relapse prevention. Since the family environment is a potential risk factor for adolescent sex offenders, integration of relapse prevention into daily family life may be a significant part of these youths' success or failure in the community. This article focuses on the concept of including parents in juvenile sex offender treatment. Issues addressed include what treatment providers can do to involve parents in relapse prevention, treatment providers' misconceptions about the inclusion of parents in treatment, a rationale for including parents in treatment, and research regarding different parenting styles.     

Untreatable families? Suggestions from literature

The purpose of this paper is to highlight insights from literature, which suggest that some families are unable to respond to intervention and treatment. Discussion of this aspect of family functioning is notably missing from the discourse on family preservation. There will be an outline offered of the factors that may be contributing to this reality, one consequence being that children wait indefinite periods of time for lasting arrangements to be formulated for their future. Suggestion will be offered as to how concurrent planing approaches may help to achieve timely decision-making and lasting outcomes for children.     

Psychosocial Factors Related to Gambling Abstinence and Relapse in Members of Gamblers Anonymous

Problem gamblers account for almost one-third of the industry’s total revenue with the adverse effects of problem gambling including significant financial loss, legal and occupational difficulties, family problems, psychological distress and suicide. As such, it is important to understand the influential factors in gambling abstinence and relapse, which will assist in the development of relapse prevention methods in therapeutic treatment regimes. This paper reported the role of a set of seven predictors in distinguishing between abstinent and relapsed gamblers among 75 Gambling Anonymous (GA) members (55 males; 20 females; Mean age 45 years) in Southeast Queensland. The measures taken were meeting Attendance and Participation, Social Support, God Belief, Belief in a Higher Power, Working the 12-steps of Recovery, Gambling Urges and Erroneous Cognitions. Discriminant analysis revealed that the variables separating the two groups were significant, suggesting that GA members achieving abstinence could be distinguished from those who relapsed, with Attendance and Participation, and Social Support contributing the greatest influence on member’s ability to abstain from gambling. The findings suggested that GA member’s involvement in meetings, and support from family and friends had significant impact on their gambling abstinence. In contrast, increased gambling urges and erroneous cognitions increased the chance of relapse.     

A nursing tool for adherence and recovery in psychosis: a pilot study

Clients with psychotic disorders are at great risk for relapse and rehospitalization. This risk is magnified by poor adherence to medications, as well as refusal to accept optimal treatment planning, including more beneficial atypical medications. Adherence can be even more compromised because of clients' poor insight into these illnesses and their inability to recognize the potential for recovery that exists when taking medications as prescribed. This poor insight makes effective collaboration in treatment more difficult and is an exceptionally troubling impediment to successful treatment. Currently, there are few effective strategies to improve insight into psychosis. We have developed the Levels of Recovery from Psychotic Disorders Scale (LORS) as a teaching tool. It is designed to identify strengths and weaknesses in insight in order to provide the basis for an intervention to enhance and promote change. This article reviews the relevant literature on adherence and insight in this population of clients with psychotic disorders. It also reviews a pilot study comparing the LORS to the BASIS-32. The findings provide the basis for future studies using the LORS to enhance insight, adherence, and recovery.     

Foreign architectural and engineering design firms’ competitiveness and strategies in China: A diamond model study

There is an increasing number of Foreign Architectural and Engineering Design Firms (FAEDFs) operating in China as a result of the Chinese government’s efforts to open its construction market to the international community. These FAEDFs face competition from both local and foreign rivals. This study aims to investigate the competitiveness of FAEDFs in the dynamic environment of the Chinese construction market. The diamond model technique is adopted to reveal the development mechanisms for the competitiveness of FAEDFs in China. Data used in the analysis comes from multiple sources including literature survey and interviews conducted at two major cities (i.e. Shanghai and Beijing). Key factors that need to be considered during the formation of strategies for FAEDFs in China are highlighted. The research indicates that there are a number of factors contributing to or impeding the development of the competitiveness of FAEDFs in China. The elements identified in the Diamond model analysis provide critical inputs for FAEDFs to formulate strategies to survive and sustain growth in China.     

Reducing Costs of Employee Alcohol and Drug Abuse:

The implementation of Employee Assistance Programs has resulted in considerable savings for employers providing treatment for alcohol and drug abusing employees, at least in the short term. Despite these interventions, follow-up studies suggest that relapse and lowered productivity continue 10 generate substantial costs to the business sector. This article reviews the relevant EAP literature and highlights the efficacy and utility of implementing programs based upon cognitive problem-solving and social skills training in order to prevent relapse and maximize productivity. The case is made that such training can serve as cost-effective adjuncts to conventional treatment.     

Working with Parents to Reduce Juvenile Sex Offender Recidivism

SUMMARY

Although there is very little research in the area of including parents in juvenile sex offender treatment, one of the factors that might be worth exploring is how the parental relationship may aid in successful relapse prevention. Since the family environment is a potential risk factor for adolescent sex offenders, integration of relapse prevention into daily family life may be a significant part of these youths' success or failure in the community. This article focuses on the concept of including parents in juvenile sex offender treatment. Issues addressed include what treatment providers can do to involve parents in relapse prevention, treatment providers' misconceptions about the inclusion of parents in treatment, a rationale for including parents in treatment, and research regarding different parenting styles.     

What Works in Strategic Partnerships for Children: a Research Review

Strategic partnerships have a key role to play in delivering the government's ‘Every Child Matters’ agenda. There is a developing body of research and other evidence and practice‐informed literature about what works in relation to partnership working. Drawing on a research review commissioned by Barnardos on strategic partnership working for children, this study summarises research findings from a number of sectors relating to the development, delivery and review of effective partnerships. Although there is widespread consensus within the research on the factors contributing to effective partnership processes, there is, currently, relatively little evidence that partnerships lead to positive outcomes for children and young people. © 2006 The Author(s). Journal compilation © National Children's Bureau.     

Suicidal Ideation in the Palliative Care Patient: Considerations for Health Care Practice

In the present study, I outline how four social workers, with experience in working with women who self-starve, commonly known as anorexia nervosa, conceptualise this phenomenon. I conducted single, in-depth interviews with each worker and feminist discourse analysis was chosen as the method of text interpretation. Alternative (non-psychiatric) ways of understanding women's self-starvation were explicitly privileged. Hence, the alternative discourses of feminist and poststructural theories were used to design the research and analyse the data. The literature review outlines the historical ‘discovery’ of ‘anorexia nervosa’ as a discrete illness category. Contemporary and dominant ‘pathological’ perspectives and marginalised ‘cultural’ perspectives are presented. Three dominant themes emerged from the interviews. They were ‘control and perfection’, ‘femininity’ and ‘self-destruction/self-preservation’. These themes are presented, as are their critical implications for social work.     

Revisiting the identity issue in anorexia

Anorexia nervosa is considered an enigmatic disease with a multitude of predisposing factors and no empirically confirmed effective treatment. However, all people with the disease relentlessly pursue a common idealized goal--the state of severe emaciation. In this article, the perspective that this condition epitomizes a life-time struggle for self-acceptance and self-definition is reexamined. People afflicted with anorexia come to define themselves through their emaciated form, and maintenance of this form becomes their major focus and primary means of fulfillment. Therapy must address the identity issue, which is fundamental to the onset and perpetuation of the disease. Use of interpersonal techniques is advocated as most appropriate in serving this purpose.     

Mechanisms behind Prolonged Effects of Parental Divorce: A Phenomenological Study

Much research has been aimed at evaluating the effect of divorce on children. The effects via the perceptions of adult children of divorce, however, are substantially underrepresented in this literature. Further, the studies that are published are out of date (often 20 years old), thus leading to questions as to whether the effects are the same as described. The purpose of this phenomenological study was to obtain a retrospective analysis directly from adults who experienced their parents’ divorce in childhood to understand what aspects of the divorce, either positive or negative, followed them into adulthood. Specifically, we were interested in learning the mechanisms contributing to such effects. Eight women and 1 man participated in semistructured interviews. Participants identified communication and support as key factors in their experience, both positively and negatively. Implications for clinical treatment are presented.     

Using expressive arts in relapse prevention of young psychotropic substance abusers in Hong Kong

Art therapy has been empirically assessed as an effective form of relapse prevention for substance abusers who are relatively treatment resistant, defensive and unexpressive. In Hong Kong, the use of expressive arts in substance abuse treatment and relapse prevention programs has become increasingly popular in both residential and community-based services. However, unlike in the West, no empirical research has yet been conducted to validate and assess the effectiveness of such therapy within a Hong Kong context. This study adopted a two-group pre- and post- with 6-month follow-up experimental design to examine the effectiveness of an art-based relapse prevention group compared with a cognitive–behavioral relapse prevention group for young psychotropic substance abusers in a community-based outpatient service. The study included both a quantitative questionnaire and qualitative in-depth interviews with each participant. With 6 members in each of the group, only the qualitative data were discussed. The qualitative data revealed that the art-based relapse prevention group was particularly effective for the male participants, who were less verbal and sociable or had a strong sense of inadequacy and guilt about their delinquent behavior. In the experience of the participants, ‘family’ was a double-edged sword in terms of their growth and development. They had no choice but the victims bearing the lack of guidance and sense of loneliness in family conflicts or divorces. However, at the same time, family care, love and support were the greatest motivating factors to keep them abstinent. Therefore, the integration of art- and family-based interventions in drug relapse prevention programs is highly recommended.     

Intergenerational correlation of labor market outcomes

This paper contributes to the relatively limited literature on the correlation of labor market outcomes of parents and their children. This literature is relevant to the larger literature on intergenerational income mobility since correlation in intergenerational labor market outcomes is one of the potential factors contributing to the intergenerational correlation of permanent incomes. In this paper, we consider the time spent in unemployment by both sons and daughters, while accounting for the potential endogeneity of education. Using the Household, Income and Labour Dynamics in Australia data, we find evidence of a positive correlation of labor market outcomes between fathers and sons and, to a lesser extent, between mothers and daughters. In addition, the results reveal a significant relationship between parents’ and children’s education levels, indicating that there is an indirect association of parental education with their children’s labor market outcomes through education.     

Co-evolving with Anorectic Families Difference is a Singular Moment

An individual practitioner's development as a family therapist occurs in the context of the family therapy movement, most manifestly present in its literature and in seminars and workshops offered by its leading exponents. The process by which the therapist interacts with the broader field and consequently incurs shifts in perspective is rarely decribed, or theoretically elucidated. In this current paper, the author's changing orientation to the treatment of anorexia nervosa is viewed via theoretical discussions and case illustrations. The concept of co-evolution, as defined by both Bateson and Jantsch, is invoked to explain how interaction with other practitioners and literature can produce changes in therapeutic emphasis, and Prigogine's concepts of dissipative structures and bifurcation points are utilised in locating both therapeutic and theoretical shifts in time. The discussion briefly considers how therapists can co-evolve with conservative work situations to produce broader contextual changes.     

Engaging families in child welfare services: an evidence-based approach to best practice

Successfully engaging clients in the helping process is a critical task for child welfare practitioners. Drop-out and noncompliance rates in child welfare services are high and lead to high rates of removal of children from their families and to eventual termination of parental rights. Although no known interventions guarantee treatment compliance, this review of the empirical literature delineates critical components of engagement in child welfare services. Effective engagement strategies, including service components and caseworker qualities and behaviors, are identified as contributing to the positive case outcomes of treatment compliance, family preservation, and placement prevention. The unique needs of neglectful parents are also examined, with recommendations for practice.     

Exploring the factors influencing relapse and recovery among drug and alcohol addicted women

1. Both women who were in treatment for relapse to and in sustained recovery from drugs and alcohol had multiple co-occurring addictions such as relationship, spending, food, and shopping that complicated the recovery process. 2. Depression is a major trigger for relapse in women with alcohol and drug problems. Recognition and treatment of depression is critical to achieve successful outcomes of treatment for these women, and teaching them to monitor their mood changes and seek help will improve the chances of preventing relapse. 3. Subjects in neither the relapse nor recovery sample recognized the significant influence of current violent partnerships or the ending of a violent relationship on their relapse or recovery.     

The emerging self in conceptualizing and treating mental illness

1. The course of severe mental illnesses is more heterogeneous than previously thought and is influenced by many complex, interacting factors. 2. The experience of self and capacity to cope of people with mental illnesses contribute to the recovery process. 3. Changes in traditional treatment models and a focus on broader societal interventions are needed to facilitate recovery. 4. Psychiatric nurses play an important role in these new developments as evident, for example, in the 3R Program (relapse, recovery, and rehabilitation).