Bittersweet and Paradoxical

The American Red Cross is the most active nonprofit organization involved in disaster planning and response in the United States. The organization deployed nearly 50,000 volunteers to provide essential support to victims of some 125,000 domestic disasters, including home fires, hurricanes, wildfires, and floods, in a recent two‐year period. This study asks how American Red Cross disaster response volunteer experiences function to cultivate satisfaction and, at the other end of the spectrum, the kind of dissatisfaction that leads people to quit; it pays particular attention to ways in which volunteer management shapes dissatisfaction and fatigue because of implications for volunteer retention. Paradoxically, the Red Cross facilitates the highly satisfying act of helping victims, but volunteers feel dissatisfied when management practices get in the way of helping. The study suggests voluntary organizations that rely on skilled, long‐term volunteers to deliver services should evaluate and strengthen their communication strategies, recognition practices, and support systems for volunteers in distress.     

Betrayed and Broken: A Study of the Experiences of Victims of Child Sexual Abuse in the Ga Community in Accra,Ghana

ABSTRACT

Child sexual abuse is increasingly becoming an issue of concern in most societies across the globe, including Ghana. This is a phenomenological study that sought to describe the lived experiences of victims of child sexual abuse in Ghana, using the Ga community as a case study. Purposive and snowball sampling techniques were used to identify 17 sexually abused children in the Ga Community. Using the interpretative phenomenological analysis (IPA), four main themes described the experiences of the victims: (a) forced sex (b) incest (c) joleying and (d) transactional sex. The findings illustrate the different circumstances in which children were sexually abused in the community studied. It also presents socio-cultural factors that normalizes the sexual abuse of children in the Ga Community. These findings underline the need for effective preventive programs and community interventions to protect children and support victims of child sexual abuse.     

Experiences of adolescent participation in a four-week community-based workshop designed to improve psychosocial skills: what are the key benefits?

The present study sought to explore the experiences of young adolescents who participated in a community-based workshop designed to improve psychosocial competence. The workshop involved 14 adolescent children aged between 10 and 14 years, who lived in socially disadvantaged areas of Liverpool, UK. Focus groups were employed to assess whether participation in ‘Skills for the Street’ workshops improved adolescents’ psychosocial functioning and personal development. A number of themes were identified in the analyses, including increased confidence, increased self-awareness, admiration and team building. These themes are discussed, and we argue that the findings attest to the benefit of community-based approaches for young people living in socially disadvantaged neighbourhoods in the UK.     

Sibling Incest Dynamics: Therapeutic Themes and Clinical Challenges

Increasing empirical evidence points to the prevalence and devastating effects of sibling incest. The dynamics of incestuous sibling relationships are complex and typically embedded in severely dysfunctional families. Often confused and/or distressed by their incestuous experiences, many victims fail to disclose the abuse. Left undisclosed and untreated, unresolved issues of mutuality and consequent shame and guilt can lead to life-long emotional problems and dysfunctional behavioral patterns that are difficult to repair. Two cases illustrate common therapeutic themes, the importance of timely disclosure and coordinated, multi-dimensional treatment approaches, as well as the therapeutic challenges of assisting sibling incest victims who present for treatment as adults.     

Emerging adult identity following adolescent experiences with psychotropic medications: A retrospective study

This study examines the perceptions of mental illness identity among a group of emerging adults based on their retrospective experiences with diagnoses and psychotropic medication use during their earlier formative adolescent years. A short questionnaire was administered via online social media platforms to volunteers between the ages of 19 and 30 and who self-identified as having taken psychotropic medication between the ages of 12 and 18 (N = 46). Correlation analysis revealed that several variables were associated with a stronger illness identity, including participant’s happiness with their medication experiences, the belief that medication made them more like their “true” selves, and the belief that their diagnosis was accurate. Content analysis of participant narratives suggested themes related to discontinuation and barriers to adherence. These results contribute to the growing knowledge base around lived experiences of psychiatric medication use and suggest further study on how to advance more informed and compassionate mental health care.     

Trauma reactions of bystanders and victims to repetitive abuse experiences

This study investigated psychological distress as measured by the Impact of Events Scale-Revised and physiological reactivity as measured by skin conductance and heart rate in bystanders as compared to direct victims of prevalent forms of repetitive abuse (e.g., bullying). Participants (N = 77) were interviewed twice: once to recall witnessing another person be abused repeatedly over time, and again to recall similar experiences as a victim. Present levels for bystander and victim distress were not significantly different, but distress levels were significantly greater for victim experiences at the time the repetitive abuse occurred. Scores for both groups were comparable to or exceeded scores associated with natural disasters and other life threatening experiences reported in the literature. Findings suggest repetitive abuse may affect bystanders and victims in similarly serious ways at the time the events occur and later in life.     

Experiences of adolescent mothers in Costa Rica and the role of parental support

ABSTRACT

Adolescent pregnancy is often thought of as a social problem, one that can cause the adolescent mother hardship, including poverty, low-educational attainment, and housing instability. Although much research has been conducted about adolescent pregnancy in the developed world, less has considered adolescent pregnancy in the developing world. This qualitative study focuses on women who were impoverished in Costa Rica who had been pregnant in adolescence. The goal of the study was to gain a better understanding of the lived experiences of the mothers, as well as the kinds of support they received during and after the pregnancy. The research sample consisted of 22 female participants who were impoverished and had experienced an unintended pregnancy in adolescence. The key finding from this study was that parental support was the most important factor in mitigating adolescent experiences of stress and negative feelings about their choices related to the pregnancy. The study has implications for the understanding of the experiences of women who are vulnerable with respect to adolescent pregnancies in Latin America and for Latina migrants to the United States.     

The lived experiences of foreign women: Influences on their international working lives

The lived experiences of foreign women were explored to discover influences on their international working lives. Life history narratives were collected in interviews with 12 participants who were female, foreign (nationality differs from their country of employment) and employed or a business owner in the United Arab Emirates. A phenomenological framework of analysis resulted in identification of three emergent themes around life experiences that had shaped participants' working lives: becoming a new generation of expatriates; adjustment to sociocultural change; and centrality of womanhood. The implication of these themes was the influence from lived experiences on the development and professional identity of foreign working‐women. Findings offer insight about influences on the actual and potential economic participation of foreign women for business practitioners and policymakers. A new classification of foreign worker, the ‘foreign working‐woman’ (FW‐W), extends the body of academic knowledge. A research direction is proposed for further international study about influences from life experiences on the FW‐W.     

Communicating risk to parents and those living in areas with a disaster history

This study explored how publics respond to risk communication in high probability but time-indeterminate natural disaster situations when parts of the area have been involved in a similar disaster before. An impending rockslide is expected to produce a tsunami in the fjord around Åknes in Norway. Waves may run up above sea level as high as 82 m or 269 ft. All residents (18 and older) of the four most threatened communities received a questionnaire to determine what they perceived to be useful risk information. Three hundred and eighty-two (43.6% of 875) responded. Results indicated that parents of children living within the tsunami risk zones perceived the risk information to be the most useful. Those who lived in communities that experienced a similar disaster in 1934 reported public meetings less useful than written or mediated information. Publics who lived in communities with such disaster history and those who were not parents posed special challenges in risk communication because they perceived information from the government agencies as lacking in usefulness. Therefore, committing the resources necessary to foster dialogues with a diversity of publics exposed to risk would be well served to fully understand the nature of risk communication responses, and to be able to save human lives.     

Emerging Themes from a Follow-up Study of Canadian Victims of Elder Abuse

A follow-up study took place within the context of a larger national random survey on elder abuse in Canada. Forty-two of the original eighty victims were interviewed and asked to describe their life experiences. Emerging themes are described. There is strong evidence of adaptive strengths of older victims in dealing with their maltreatment circumstances. The author therefore argues that the concept of hardiness is both applicable and useful.     

Stigma as a barrier to engaging in mental health services among adolescents who survive natural disasters

Many barriers impact the utilization of mental health services among adolescents who survive natural disasters. Although stigma has been identified as one of these barriers, minimal work examines the etiological factors that impact stigma and how these factors operate in perpetuating stigma among adolescents after a disaster. Understanding the role that stigma plays is a critical step to raising awareness of the cognitive and behavioral processes that preserve adolescents’ well-being, timely attainment of developmental milestones, and the potential for engagement in meaningful opportunities. We modify an existing adolescent self-stigma model to better understand how youth might respond psychologically to natural disasters both immediately after the event as well as during the long-term recovery phase. Future empirical research should assess the validity of these barriers within the suggested temporal framework. If this proposed conceptual piece is validated, interventions could be designed that directly address the role of stigma.     

The 2011 Great East Japan Earthquake and Tsunami: The highest casualties and largest reconstruction funds—Characteristics of major disasters and future challenges in developed countries

The 2011 Great East Japan Earthquake was a disaster that led to the greatest number of casualties related to any form of natural disaster seen in developed countries since World War II. Furthermore, this earthquake occurred in an area where tsunami countermeasures had been prioritized. This disaster, therefore, led to the question “Is it impossible to reduce the number of victims of huge catastrophes, even in cases in which advanced disaster prevention measures have been taken?” Part of the reason this particular earthquake caused the largest number of deaths was because the tsunami that followed — which exceeded the “design load” of the seawall — hit the urban area. In addition, the tsunami, which also exceeded the “estimated loads” of the established disaster prevention plan, caused many “evacuation failures.” Another factor that contributed to the deaths was that the disaster prevention measures, up to that point, had relied primarily on the recognition that disasters could be prevented by the development of “hard,” or tangible, disaster prevention facilities in addition to “soft,” or intangible, measures, such as issuing warnings, without imposing space restrictions. Another characteristic of the Great East Japan Earthquake was that the largest reconstruction budget associated with any disaster in postwar Japan was compiled for it. Although the reconstruction project was over-specified for the disaster-afflicted area in terms of scale, cost, and duration of reconstruction, many unused land areas were also created in the new urban areas created during the reconstruction project. Furthermore, the reconstruction projects undertaken with the huge reconstruction budget were not based on the “choice to rebuild the lives” of the disaster-afflicted areas and the victims, but were rather implemented while simultaneously “marginalizing” said victims and areas as a whole. The over-specified reconstruction projects and the associated marginalization of disaster victims tend to exist in a mutually regulated relationship. Therefore, there are concerns about the future sustainability of the noted disaster-afflicted areas, which are already suffering from a severe population decline. Based on the previously presented discussion, it is possible to highlight various issues associated with disaster measures implemented in developed countries. First, regardless of how advanced disaster measures are, a “surge in disaster damage” can occur, which can lead to a “black swan” event. Therefore, it is necessary to formulate disaster prevention measures based on the assumption that such crises will occur in the future. Second, it is necessary for developed countries to determine how best to formulate reconstruction policies to avoid marginalizing disaster victims as well as to prevent over-specified reconstruction. In examining these two issues, the common problem that arises is how to conduct “risk assessment and enable its acceptance” most calmly immediately after a disaster and then formulate disaster prevention measures based on such assessment. Finally, the future of disaster sociology is detailed in this work. More specifically, in order for disaster sociology to escape its “marginal” status in sociology, it is necessary to consider “disaster” in the context of both a social structure and a social change—similar to how risk theory views the issue.     

When the levee breaks: treating adolescents and families in the aftermath of hurricane katrina

Hurricane Katrina brought to the surface serious questions about the capacity of the public health system to respond to community-wide disaster. The storm and its aftermath severed developmentally protective family and community ties; thus its consequences are expected to be particularly acute for vulnerable adolescents. Research confirms that teens are at risk for a range of negative outcomes under conditions of life stress and family disorganization. Specifically, the multiple interacting risk factors for substance abuse in adolescence may be compounded when families and communities have experienced a major trauma. Further, existing service structures and treatments for working with young disaster victims may not address their risk for co-occurring substance abuse and traumatic stress reactions because they tend to be individually or peer group focused, and fail to consider the multi-systemic aspects of disaster recovery. This article proposes an innovative family-based intervention for young disaster victims, based on an empirically supported model for adolescent substance abuse, Multidimensional Family Therapy (MDFT; Liddle, 2002). Outcomes and mechanisms of the model's effects are being investigated in a randomized clinical trial with clinically referred substance-abusing teens in a New Orleans area community impacted by Hurricane Katrina.     

Adolescent experiences with online racial discrimination: Implications for prevention and coping

Online aggression represents a wide range of negative experiences, including online discrimination targeting individuals based on race, but adolescent perspectives are not well-represented. We interviewed 15 adolescents regarding their experiences with online racial discrimination. After a phenomenological analysis, four main themes emerged: types of online racial aggression, processes supporting online racism, personal coping, and strategies to prevent online racial aggression. These themes provided insights into adolescent experiences, including feelings about targeted online racial discrimination, intersectionality with sexual harassment, and comfort through processing with friends. This study highlights adolescents' thoughts regarding advocacy, education, and social media reform to prevent online racial aggression. Future research should ensure that youth voices from minoritized racial backgrounds are integrated into efforts to address these critical social issues.     

Disrupted by disaster: shared experiences of student registered nurse anesthetists affected by hurricane Katrina

The purpose of this focused ethnography was to describe the shared experiences of student registered nurse anesthetists (SRNAs) whose senior year of education and training was disrupted by Hurricane Katrina, as well as to determine the storm's psychosocial impact on them. A convenience sample of 10 former SRNAs participated in focus groups that were audiorecorded, transcribed, and qualitatively analyzed. Three major themes emerged from the study: Seriousness of Urgency, Managing Uncertainty, and Stability Equaled Relief. The themes represented how the SRNAs appraised and coped with the stressful events surrounding Hurricane Katrina. The psychosocial impact of Hurricane Katrina on the SRNAs resulted mainly in temporary increased alcohol consumption and short-term anxiety. One person started smoking. The results of this study should serve as a guide to formulate policies regarding the education of SRNAs during and immediately after a disaster and to provide a framework for future disaster studies regarding SRNAs.     

Reflective Narrations of Female Inmates: Dealing with Resistance During Adolescent Mental Health Treatment

Employing a qualitative approach, this study examines the adolescent mental health experiences of incarcerated women. Analysis of themes was presented from 20 semi-structured interviews and two focus groups. Emerging themes illuminated how past relationships and power inequities affect the therapeutic relationship and subsequently the resistance seen in the therapeutic setting. Those practitioners who incorporated techniques that encouraged personal power, relationship development, and expression of feelings were seen more positively and minimized resistance. Biases within the mental health community were seen in the participants' experiences, but most were covert rather than overt. Practice implications are recommended.     

Beyond cognitive deficit: the everyday lived experience of dyslexic students at university

This study explores the lived experiences of three dyslexic university students as they negotiate a number of different learning spaces within their higher education institution. The students completed reflective diaries for a period of three weeks and were subsequently interviewed about the experiences they recorded. The transcribed data from the diaries and interviews were analysed using interpretative phenomenological analysis. The following four themes were constructed following analysis: getting things out of my head; holding back – performance as risk; ever-present inner voices – effort of constant self-monitoring; and not belonging in academic spaces – metaphors of misfit. This study argues that attention to the everyday experiences of students with the dyslexia label is as important as knowledge of cognitive differences in the drive to create a more equitable learning environment in higher education.     

Being Relaxed and Powerful: Children’s Lived Experiences of Coping with Stress

Our aim was to describe and develop an understanding of children’s lived experiences of coping with stress. Twenty‐three Swedish children, ages 10–12, wrote open letters and were interviewed. The phenomenological analysis resulted in three main themes: (i) depending on oneself, others and the world around, (ii) choosing to be a doer and (iii) being in the here and now. We understood the children’s lived experiences of coping with stress as them being relaxed and powerful. The children chose to be active doers or inactive beings and their relationships, as well as their surroundings, helped or hindered their coping. Possible health promotion work is discussed.     

Infant Behavior and Competence Following Prenatal Exposure to a Natural Disaster: The QF2011 Queensland Flood Study

This study utilized a natural disaster to investigate the effects of prenatal maternal stress (PNMS) arising from exposure to a severe flood on maternally reported infant social–emotional and behavioral outcomes at 16 months, along with potential moderation by infant sex and gestational timing of flood exposure. Women pregnant during the Queensland floods in January 2011 completed measures of flood‐related objective hardship and posttraumatic stress (PTS). At 16 months postpartum, mothers completed measures describing depressive symptoms and infant social–emotional and behavioral problems (n = 123) and competence (n = 125). Greater maternal PTS symptoms were associated with reduced infant competence. A sex difference in infant behavioral problems emerged at higher levels of maternal objective hardship and PTS; boys had significantly more behavioral problems than girls. Additionally, greater PTS was associated with more behavioral problems in boys; however, this effect was attenuated by adjustment for maternal depressive symptoms. No main effects or interactions with gestational timing were found. Findings highlight specificity in the relationships between PNMS components and infant outcomes and demonstrate that the effects of PNMS exposure on behavior may be evident as early as infancy. Implications for the support of families exposed to a natural disaster during pregnancy are discussed.