Theorizing Sexuality, Sexual Abuse and Residential Children's Homes: Adding Gender to the Equation

This article is primarily concerned with emphasizing the importanceof gender in relation to understanding and responding to sexualityand sexual abuse/exploitation issues within residential children’shomes. Initially, past research and inquiry reports are analysedand evaluated, not only in relation to their overall conclusionsand recommendations, but also with regard to their consideration,misrepresentation or omission of gender issues. A theoreticalframework is then drawn up which takes into account historicaldebates and contestations around notions of gender. This illustrateshow gender is frequently conflated or merged with understandingsabout sex and sexuality. This theoretical conceptualizationis then extended to consider the effects of the social constructionof childhood and childhood sexuality, and how sex, gender andsexuality may commonly be represented and understood withinorganizational, public-sphere contexts. Important findings froma recent indepth qualitative research project focused on sexualityissues in children’s homes are then presented thematicallyand through narrative excerpts. These findings are also locatedwithin and made comprehensible in relation to the theoreticalframework previously constructed. The conclusion examines theimplications of the findings presented and their theorization,and briefly evaluates the usefulness of recent policy initiativesintended to improve the care and development of ‘lookedafter’ children.     

Attachment and Coping Strategies in Middle Childhood Children whose Mothers Have a Mental Health Problem: Implications for Social Work Practice

Mental health has implications for the quality of relationshipswithin a family, particularly between parents and children,but also between other family and non-family members. Previousresearch has investigated parental reports of attachment infamilies with mental health problems, but relationship representationsas experienced by these children, especially in middle childhood,have not been so frequently investigated. An understanding ofchildren’s representations of attachment relationshipsand the different coping strategies that may result is importantfor social work practice when offering support, not only tothe children, but also other family members. Methods of investigatingattachment, such as the Separation Anxiety Test, have been usedto understand the relationship issues, fears and coping strategiesof other vulnerable children, and this study was designed specificallyto investigate relationship issues in middle childhood childrenwhose mothers had previously been hospitalized with mental healthproblems. We found that these children tended to be less emotionallyopen and secure, and generated fewer adaptive coping strategiesthan children whose mothers had never had mental health problems.Other themes also emerged from the interviews, such as a senseof trust in the parent–child relationship and the ‘containment’of fears. Implications for social work practice are discussed.     

Foster Carer Strain and its Impact on Parenting and Placement Outcomes for Adolescents

Drawing on recently completed research funded by the Departmentof Health, this article examines the extent of strain on thefoster carers of adolescents, its influence on parenting practicesand the overall impact on placement outcomes. The research find­ingsshow that foster-carers’ parenting capacity was markedlyreduced in a number of specific areas when they had experienceda high number of stressful life events in the six months priorto the young person’s arrival or were under considerablestrain during the placement. Conduct problems, hyperactivityand violent behaviour by the young people increased carer strain,as did contact difficulties with the children’s families.Problems in contacting social workers were linked to elevatedstrain, whilst strain was lessened when carers received helpfrom friends or from local professionals. Signifi­cantlyhigher disruption rates were experienced by strained carersand these placements were also less beneficial to the youngpeople.     

Returning to Normality: Substance Users' Work Histories and Perceptions of Work During and After Recovery

Correspondence to Andreas Cebulla, National Centre for Social Research, 35 Northampton Square, London EC1V 0AX, UK. E-mail: a.cebulla{at}natcen.ac.uk Summary New service provisions designed to improve the employment prospectsof former substance users will enhance the roles and responsibilitiesof Drug Action Teams (DATs), Jobcentre Plus offices and otherproviders and co-ordinators of support services for substanceusers. This paper discusses the findings of a study of 30 currentand former drug and alcohol users, exploring past substanceuse histories and current employment aspirations. The researchinforms new policy initiatives designed to assist substanceusers’ entry or return to work. Differences in presentperceptions of work-readiness were observed, which reflectedusers’ perceptions of the nature of their addiction. Theattribution of blame for the substance dependency to either‘the drug’ or the individual’s psychologywas a critical influence on users’ work-readiness assessments.Work was perceived to benefit recovery from substance dependency.The evidence suggests that substance users’ return towork might be helped by their staged (re-) introduction to thelabour market as well as encouraging the primary labour marketto employ (more) recovering substance users. The research highlightedthe need for joint working between employment services and DATsto help substance users into work and to support their recovery.It also highlighted the need for mutual understanding and recognitionof each collaborator’s expertise.     

The Significance of Past Abuse to Current Intervention Strategies with Depressed Mothers in Child and Family Care

Correspondence to Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth, Devon, PL6 7EW, UK. Summary There is now considerable evidence that a high proportion offamilies subject to child and family care social work interventioncontain depressed mothers. There is also evidence that the presenceof clinical depression is associated, amongst these clients,with child abuse. Vulnerability to both depression and childabuse have been traced back to the early child-care experiencesof those who are currently parents, expressed in child abusein terms of intergenerational transmission, although it is alsoclear for both that further factors also contribute to thisvulnerability. Despite the link between maternal depressionand child abuse, we have little evidence about the processesand mechanisms, based on social workers judgements about thesituation, by which families with depressed mothers are morelikely than other clients to be involved with intervention forchild abuse. This paper seeks to ‘map’ the pathwaysand the intermediate mechanisms which provide the link betweenthe experience of past abuse and social workers interventionstrategies. Drawing on theoretically significant factors, itfocuses on the following variables: the experience of past abuse,the mother's attributed character, attachment and bonding, childbehavioural problems and intervention strategy. The paper demonstratesa number of significant ‘paths’ through which familiesbecome subject to one or other intervention strategy. It showsthat, while an emphasis on needs assessment is to be welcomed(Department of Health, 1999), they need to be considered (i)within a theoretical framework which helps social workers makesense of, and respond to situations and (ii) through an understandingof longitudinal dimensions (key factors in mothers' earlierlife) which are aspects of this theoretical understanding.     

Victimization of Juveniles in Out-of-Home Placement: Juvenile Correctional Facilities

The purpose of this study was to draw a picture of the violenceand abuse experienced by youngsters in juvenile correctionalfacilities in Israel. Residents of three types of correctionalfacilities (closed, diagnostic and hostels) for girls and boysindicated whether or not they had personal experiences of eighttypes of victimization by peers and four types of victimizationby staff. The findings showed that all the investigated typesof violence and abuse were present in all three types of correctionalfacilities, though ‘low-level’ acts of violencewere more prevalent than ‘severe’ violence. At thesame time, the findings also pointed to a different pictureof violence and abuse in each type of facility and for eachgender. The findings highlighted the problem of violence andabuse by peers and staff in correctional facilities for juveniles.At the same time, the differential pictures obtained suggestedthat intervention programmes must have both a general componentand a component tailored to the facilities in which they arecarried out.     

The Social Worker as 'Bad Object'

Correspondence to Dr Marguerite Valentine, 56 Osbaldeston Road, London N16 7DR Summary A ‘bad object’ has been defined as an ‘objectwhom the subject hates or fears, who is experienced as malevolent.A bad object may be either an internal or an external object’(Rycroft, 1988, p. 100). This paper explores the circumstancesin which public fears and anxieties over child abuse becomeprojected into the social worker. It discusses how social workersintroject these feelings, become a ‘bad object’,and how social services departments have developed a numberof strategies which defend against feelings of blame and responsibility.The exploration is derived from my own experiences and observations,and applies Kleinian psychoanalytic theory to studies of institutionaldefences.     

Childhood maltreatment among Norwegian drug abusers in treatment

This article reports on the investigation of the correlation between the European Addiction Severity Index (EuropASI) and the Childhood Trauma Questionnaire (CTQ) among 102 Norwegian drug abusers admitted to treatment. The aim of the study is to explore how different types and levels of childhood trauma and social and psychiatric factors, medical situation and experienced family history are interrelated. The study addresses three main questions: 1) What is the prevalence of different kinds of childhood trauma among drug abusers in treatment? 2) Does type or level of maltreatment in childhood predict specific substance abuse problems as adults and/or specific social, psychiatric and medical problems as adults? 3) Do substance abuse problems and mental health problems in the primary family predict different types and levels of childhood maltreatment? Twenty‐five per cent of the total sample was included in the high‐level trauma group and 54% in the intermediate‐level group. Females had significantly higher scores than males in all types of childhood trauma. The strongest correlations were found between childhood trauma and lifetime psychiatric problems and psychiatric status during the last 30 days before admission for treatment. More research, and especially prospective studies, is needed to clarify the importance of parents' substance abuse and psychiatric problems in childhood/adolescent compared with trauma in the client's childhood and the client's current psychiatric status.     

Violence Across the Lifespan: Interconnections Among Forms of Abuse as Described by Marginalized Canadian Elders and their Care-givers

Elder abuse is recognized as a major problem, with profoundeffects on the health and quality of life of older persons.In our aging population, elder abuse represents an escalatingclinical issue for social workers and health care professionalswho provide care to older people. A major gap in our examinationof elder abuse is the potential contribution and applicationof knowledge developed within research derived from other formsof family violence. This paper explores the interconnectionsamong various forms of violence across the lifespan, and theexperiences voiced by marginalized elders and their care providers.We interviewed seventy-seven rarely consulted older adults andforty-three formal and informal care-givers of older adultsin focus groups in Ontario and Alberta, Canada. Study findingsrevealed four major themes that describe interconnections amongtypes of abuse: (i) intergenerational cycles of abuse; (ii)violence across the lifespan; (iii) exposure to multiple subtypesof elder abuse; and (iv) ongoing spouse abuse that shifted intoelder abuse. The results from this study indicate that victimsoften ‘suffer in silence’ and cultural factors,ageism and gender are ubiquitous to elder abuse. Recommendationsto reduce elder abuse include education, formal and informalsupports and services.     

Incremental Validity of Stressful Life Experiences in Predicting Psychiatric Comorbidity Among Women in Substance Abuse Treatment

ABSTRACT

The dynamic contribution of stressful life experiences in predicting psychiatric comorbidity continues to challenge clinical practice and research. This study tested incremental validity of stressful life experiences related to psychiatric comorbidity among 128 young women in a Midwestern substance abuse treatment facility. Respondents reported low income, homelessness, and health and mental health issues. Using the Addiction Severity Index (ASI), Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition, Text Revision, and Stressful Life Experience (SLE) Screen as correlates, hierarchical linear regression demonstrated support for incremental validity of SLE uniquely accounting for 6.5% of variance in ASI psychiatric scores. Findings support future use of SLE in clinical settings for assessment and intervention purposes.     

Social Adjustment: The Design and Use of an Instrument for Social Work and Social Work Research

Please address correspondence and reprint requests to: Dr. R. Corney, General Practice Research Unit, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5. Summary This article discusses some of the problems encountered whentrying to assess social adjustment and describes a standardizedsemi-structured interview designed to measure social adjustmentand dysfunction. The interview can be used by social workersas a research tool, a screening device or in making an assessmentThe interview is composed of items grouped under the three headingsof ‘Material conditions’, ‘Social management’and ‘Satisfaction’. Ratings are made on a four-pointscale by interviewers standardized in its use. The interviewwhich takes 40 minutes to one hour to administer, covers housing,finance, occupation, social and leisure activities, and relationshipswith significant individuals in the subject's life.     

The Vulnerabilities of Children whose Parents have been Sexually Abused in Childhood: Towards a New Framework

Correspondence to Carol-Ann Hooper, Department of Social Policy and Social Work, University of York, Heslington, York YO10 5DD, UK. E-mail: cah13{at}york.ac.uk Summary Concerns about the parenting capacity of adults with a historyof childhood sexual abuse have often been framed in individualizingand pathologizing ways. This paper draws on qualitative researchwith twenty-four women survivors of childhood sexual abuse todevelop a new framework for understanding the possible vulnerabilitiesof their children that may help inform anti-oppressive practice.The framework places the mother-child relationship in its broadercontext, taking account of the role of the immediate family,the extended family, the community and the state. Within eachlevel of context we identify the range of issues that couldcontribute to children’s vulnerability, elaborating theprocesses involved. Some issues recur within different contexts,for example the impacts of survivors’ issues around attachment,and others connect across contexts, such as the impact on childrenof deterioration in their mothers' mental health when appropriateservices are not available. All of these issues may affect survivors’well-being and access to social support and hence their abilityto care effectively for their children. Ways of supporting bothsurvivors and their children involving greater collective responsibilityfor children, effective collaboration between mental healthservices and child-care services, and professional responseswhich take account of contextual issues are identified.     

Physical and Sexual Abuse,Battering, and Substance Abuse

Abstract

Women born before 1945 are the older women of today. Many of these women were subjected to childhood physical and sexual abuse and spouse battering at a time where there were no laws to protect them and few people discussed such subjects. Some of these women became substance abusers or lived with substance abusers. While there are retrospective studies on the experiences of adult women who suffered abuse in the family, little is known about the experiences of women over the age of 60 years.

Similarly, there is information on substance abuse among young and middle-aged women, but very little information on or about older womens' experiences with substance abuse. In this study, we review the literature on abuse and substance abuse. We present three clinical cases of older women who have experienced various forms of abuse and who in turn abuse substances. The cases are analyzed. Assessment, treatment, and evaluation methods for social workers are discussed.     

Adverse Childhood Experiences and Substance Use History among Vulnerable Older Adults Living in Public Housing

ABSTRACT

Previous research shows strong correlations between adverse childhood experiences (ACE) and later life health. The current study examines the relationship between ACEs and substance use among older adults living in public housing. Results show that about one-third of participants had four or more ACEs, and ACE score predicted likelihood of substance use history. Over half of older adults with four or more ACEs experienced substance abuse in their lifetime compared to one out of ten older adults with less than four ACEs. Findings shed light on a vulnerable group and point to next steps in research and practice.     

The Abduction of Credibility: A Reply to John Paley

Correspondence to Liz Kelly, Child and Woman Abuse Studies Unit, Ladbroke House, 62-66 Highbury Grove, London, N5 2AD Summary This response takes issue with John Paley's paper ‘SatanistAbuse and Alien Abduction’ (this issue) in a number ofareas: his definition of Satanic ritual abuse (SRA); the parallelshe draws between SRA and alien abduction; his assertions thatthere is no evidence of SRA and that accounts of SRA can beviewed as urban legends; and his ‘temporal lobe connection’conclusion.     

The Trouble with Harry: Why the 'New Agenda of Life Politics' Fails to Convince

via e-mail: paul.garrett{at}nottingham.ac.uk Summary Harry Ferguson (2001), referring largely to Britain and Ireland,maintains that social work should be committed to a ‘newway of thinking’ which is rooted in ‘life politics’.This idea, uncritically grounded in the ideas of Anthony Giddensand Ulrich Beck, fails to convince because: the assertion thatwe are now living in a ‘post traditional order’is undermined by the resilience of key historical forms of regulationand control which continue, for example, to limit women's choicein the sphere of reproductive rights; identified changes inthe texture of family relations are not evidenced by research;the ‘life politics’ perspective places too greatan emphasis on human agency, choice and volition and not enoughon structural constraint; the structural location of the ‘lifepolitics’ proponents is not interrogated; the analysisis too stridently dismissive of the idea that ‘emancipatorypolitics’ should be social work's primary orientation.     

How do immigrant parents of children with complex health needs manage to cope in their daily lives?

Daily life with children who have complex health needs can be stressful for parents. Immigrant parents are vulnerable to stress because they may lack language skills and knowledge about the health care system and have limited social networks. In this study, we focus on how immigrant parents of children with complex health needs use emotion‐focused and problem‐focused coping strategies to manage their daily life, and how their self‐efficacy and the immigration process may affect their coping. This qualitative study had an exploratory design with individual and focus group interviews. The sample comprised 27 parents—18 mothers and 9 fathers—from Pakistan, Poland, and Vietnam. The findings indicated that the parents' love for their child helps them to cope in their daily life. Newly arrived migrants, single mothers with a severely ill child who lacked support and migrant parents with language difficulties struggle to cope. Some of the stress is related to personal, social and structural problems, and to the insufficient resources available to meet the child's needs. The parents used both emotion‐focused and problem‐focused coping strategies. The parents noted that access to both universal and selective welfare services is an important factor that contributed to their self‐efficacy and coping.     

Success or Failure? Outcomes of Bailees at Hope House Hostel

Correspondence to F. A. Waton, 16 regent Terrace, Lower Haedingley, Leeds LS6 1NP. Summary This article reports research on the short-term outcomes ofa sample of male bailees at Hope House bail hostel (not itsreal name) from 1987 to 1990. The research aims were to: (a)discover if hostel records could be used to evaluate work anddetermine whether clients had ‘successfully’ completedresidency, (b) determine if hostels are more or less likelyto succeed with some clients rather than others, and (c) seeif this method might prove useful in developing a ‘clientprofile’ for success or failure. The sample was divided into ‘successes’ and ‘failures’,based on simple criteria developed with hostel staff. Each groupwas then correlated with a number of other factors staff identifiedas significant determinants of success, as well as standardvaiables. While no clear profile emerges of either ‘success’or ‘failure’, some trends are reported. Most significantly,none of the sample charged with sexual offences, arson or drugoffences were among the failure group, while violent offenderswere disproportionately represented among the failures. Thearticle concludes that research on a nationally representativesample could identify a profile of characteristics useful forscreening potential bailees. Using this, the percentage of successescould be improved.     

Empathic Action and Family Resilience: A Narrative Examination of the Benefits of Helping Others

ABSTRACT

Empathy is identified as a protective factor that has been helpful for children considered at high risk for poor mental health and social functioning due to experiencing stressful circumstances such as family violence, substance abuse of a parent, or poverty. Yet, little is known about its relevance to a family's ability to overcome adversity. This study examined the narratives of 20 resilient families who maintained family functioning despite experiencing a multitude of risk factors including poverty, death of a child, significant health problems, or substance abuse problems. Narrative analysis was used to identify the ways families situated empathic actions within their stories of resilience. Findings suggest families developed increased compassion for others as a result of their own experiences with loss, trauma, or stress and discussed how helping others increased their ability to cope with the challenges they faced. Future research and practice implications are outlined and support the usefulness of strengths-based concepts and interventions.     

Coping skills of ritual abuse survivors: An exploratory study

Abstract

This research project was undertaken with survivors of ritual abuse to explore their coping skills at the time of the abuse and in adulthood around the memories of the abuse. In this qualitative study, data were gathered both from 14 therapists who specialize in treating survivors of ritual abuse and from three survivors of ritual abuse. Data gathering utilized semi‐structured interview schedules and structured coping scales.

Principal findings were that the ritual abuse survivors represented in this study used dissociation as the main coping mechanism both during the time of the abuse and in adulthood around memories of the abuse, that there was a developmental progression of coping skills used by these survivors over time, and that they relied on the use of self‐mutilating behaviors as creative means of affect management. Implications and future research are discussed.