Sharp Right Turn: Globalization and Gender Equity

Research on trends in globalization, particularly its neoliberal variant, has exploded but sources linking these trends to gender equity are difficult to uncover. Discussed mainly in the context of development, gender issues tend to be marginalized from the larger globalization picture. With World Bank as a backdrop, this article disentangles development from the process to inspect the connection between neoliberal globalization (NLG) and gender equity. This is accomplished through three cost‐benefit analyses: an overall evaluation of NLG; how gender equity unfolds under NLG; and how it unfolds under NLG in China. Macroeconomic trends supplemented with examples documenting the plight of women under NLG policies, including garment industry workers in Bangladesh, suggest heightened gender peril ushered in with NLG. China's “state capitalism” modification of NLG, however, tends to mitigate negative consequences for women. A paradigm shift from hegemonic NLG to state capitalism models may offer successful global economic policies that are especially beneficial to women. I conclude with an epilogue reflecting on my original remarks in light of the horrific factory collapse that occurred in Bangladesh less than a month after this address.     

Comparison of Family Therapy Outcome With Alcohol-Abusing, Runaway Adolescents

Treatment evaluation for alcohol problem, runaway adolescents and their families is rare. This study recruited primary alcohol problem adolescents ( N  =   119) and their primary caretakers from two runaway shelters and assigned them to (a) home-based ecologically based family therapy (EBFT), (b) office-based functional family therapy (FFT), or (c) service as usual (SAU) through the shelter. Findings showed that both home-based EBFT and office-based FFT significantly reduced alcohol and drug use compared with SAU at 15-month postbaseline. Measures of family and adolescent functioning improved over time in all groups. However, significant differences among the home- and office-based interventions were found for treatment engagement and moderators of outcome.     

Emotions in the Practice of Systemic Therapy

Emotions are connected to meaning making in human interactions. This can be seen not just in terms of the immediate participants and their developmental history but also through broader cultural, social, and gender lenses. In times of relational tension, which require system flexibility, some emotional interaction can constrain alternative actions or meanings being constructed. Therapists can hypothesize about these emotional dances (including those that are taking place in the therapist/client system) and such hypotheses can inform interventions aimed at generating different emotional sequences. If participants in therapy experience alternative emotional responses as a result of therapeutic intervention, then change can occur (e.g., a greater sense of agency or hope, or a different perception of the situation).     

A Comprehensive Review and a Meta-Analysis of the Effectiveness of Internet-Based Psychotherapeutic Interventions

ABSTRACT

Internet-based psychotherapeutic interventions have been used for more than a decade, but no comprehensive review and no extensive meta-analysis of their effectiveness have been conducted. We have collected all of the empirical articles published up to March 2006 (n = 64) that examine the effectiveness of online therapy of different forms and performed a meta-analysis of all the studies reported in them (n = 92). These studies involved a total of 9,764 clients who were treated through various Internet-based psychological interventions for a variety of problems, whose effectiveness was assessed by different types of measures. The overall mean weighted effect size was found to be 0.53 (medium effect), which is quite similar to the average effect size of traditional, face-to-face therapy. Next, we examined interacting effects of various possible relevant moderators of the effects of online therapy, including type of therapy (self-help web-based therapy versus online communication-based etherapy), type of outcome measure, time of measurement of outcome (post-therapy or follow-up), type of problem treated, therapeutic approach, and communication modality, among others. A comparison between face-to-face and Internet intervention as reported on in 14 of the studies revealed no differences in effectiveness. The findings of this meta-analysis, and review of additional Internet therapy studies not included in the meta-analysis, provide strong support for the adoption of online psychological interventions as a legitimate therapeutic activity and suggest several insights in regard to its application. Limitations of the findings and recommendations concerning Internet-based therapy and future research are discussed.     

Union commitment and membership support for political action: An exploratory analysis

Union political activity has always been controversial, even among union members. Research has shown that a sizable minority of union members question the propriety of union political involvement and disagree with union leaders on public policy issues. It has also shown, however, that union members’ commitment to the union may be positively associated with members’ political support. This study extends this research by statistically estimating the relationship between union commitment and members’ support for their national union’s political involvement. Based on the questionnaire responses of several hundred local union members, the findings support a positive relationship between union commitment and political support. The authors wish to thank John Delaney and Cynthia Fisher and an anonymous referee for their comments on an earlier draft of the paper. They also wish to thank the numerous union participants in the study.     

Briefly Noted

The U.S. Preventive Services Task Force (USPSTF) recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school‐aged children and adolescents. However, there is not enough evidence to recommend tobacco‐cessation interventions in this population, according to the draft recommendation, released in June. The USPSTF is not part of the U.S. government, but its recommendations are taken into consideration by clinical and payer organizations. It only makes recommendations for interventions when it has found adequate evidence that the interventions do more good than harm. In the case of tobacco interventions, the task force found no evidence at all of harms of providing behavioral prevention interventions. However, once kids are already using nicotine, there is not enough evidence to recommend for or against cessation options. The recommendations were first published in the Annals of Internal Medicine and in Pediatrics in 2013; the final draft recommendations were issued in June, for public comment by July 22. For a link, go to https://www.uspreventiveservicestaskforce.org/Page/Document/draft‐recommendation‐statement/tobacco‐and‐nicotine‐use‐prevention‐in‐children‐and‐adolescents‐primary‐care‐interventions .     

Moderators of Women's and Children's Adjustment Following Parental Divorce

This research sought to determine the strongest moderators of the relationship between the crisis of parental divorce and the psychosocial adjustment of divorced women and their dependent children. The current relationship with the ex-husband was the best predictor of divorcees' adjustment, while divorcees' happiness in their former marriages was most strongly related to their children's adjustment. The results were discussed in terms of their implications for the identification of and interventions with "high risk" divorced families.     

Observed Infant Reactions During Live Interparental Conflict

Associations between interparental conflict and infant reactions were examined. Infants' history of exposure to interparental conflict and infant reactive temperament were examined as moderators. A community sample of 74 infants, aged 6–14 months, participated with their parents. Behavioral observations were made of parents' marital conflict and their infants' reactions. Parents reported on their emotional states during conflict, infants' history of exposure to interparental conflict, and infant temperament. Multilevel modeling indicated that infants showed differential responses to marital conflict; destructive and depressive conflict were associated with increased infant discussion attending and negative reactions, whereas constructive conflict was associated with decreased discussion attending and negative reactions. Infants' history of exposure to marital conflict and infant reactive temperament emerged as moderators.     

Violent Death

ABSTRACT

Approximately 1 in 3 Americans have a loved one die in a sudden violent manner in their lifetime. This article examines the postevent experiences of three groups of survivors: survivors of victims of motor vehicle fatalities, suicide, and homicide. The article takes the position that experiences vary, in part, because each group faces different challenges created by the mode of death. Challenges are classified as trauma reactions, negative social responses, and efforts to make or finding meaning in the tragedy. The manifestations of these challenges are delineated for each group. Obstacles to survivors' movement are described followed by interventions specific to containing or reducing trauma-based reactions, activating social support to buffer and alleviate the effects of negative social attitudes, and creating the possibility for meaning-making through the intense pursuit of what matters now. These interventions increase the probability that survivors can continue to grow and even thrive in spite of and quite often because of their history.     

Longitudinal test of a multiple domain model of adolescent condom use

A comprehensive multiple domain model (MDM) to understand condom use in adolescents was proposed and tested using structural equation modeling of data at three time points. The proposed model integrates social psychological theory, demographic and personality factors, social environment, and situational/contextual variables. Adolescents who were sexually active at time 2 (6 months after baseline) and time 3 (1 year after time 2) and completed surveys at all three time points were included in the analyses (N = 511). An iterative process of model testing resulted in a structural equation model that provided a good fit to the data (CFI = .92, RMSEA = .04). Models comparing gender and race as moderators also were calculated and supported the generalizability of the model. Results provide support for an MDM that goes beyond traditional social psychological models for a broader understanding of condom use in adolescents. Implications for further theory testing and safer sexual interventions are discussed.     

Government guidance for the Care Act: undermining ambitions for change?

The UK Government claims to be creating a historic change to social care in England through the Care Act by putting people in control of their support. However, this is fundamentally contradicted by the draft guidance published to support the Act. This amounts to a formula for maintaining the prevailing resource-limited approach to assessing and meeting needs. This reality is obscured by a welter of choice and person-centred rhetoric. However, it need not be like this. Councils with a genuine commitment to being person-centred could refer directly to the Care Act to create an alternative future, while service users and their allies could bring about systemic changes if they use the Act to establish new rights.     

Mental health interventions for children in foster care: A systematic review

Children in foster care have high rates of adverse childhood experiences and are at risk for mental health problems. These problems can be difficult to ameliorate, creating a need for rigorous intervention research. Previous research suggests that intervening with children in foster care can be challenging for several reasons, including the severity and complexity of their mental health problems, and challenges engaging this often transitory population in mental health services. The goal of this article was to systematically review the intervention research that has been conducted with children in foster care, and to identify future research directions. This review was conducted on mental health interventions for children, ages 0 to 12, in foster care, using ERIC, CINAHL, PsycINFO, PubMed, ProQuest's Dissertation and Theses Database, Social Services Abstracts, and Social Work Abstracts. It was restricted to interventions that are at least “possibly efficacious” (i.e., supported by evidence from at least one randomized controlled trial). Studies were evaluated for risk of bias. Ten interventions were identified, with diverse outcomes, including mental health and physiological. Six interventions were developed for children in foster care. Interventions not developed for children in foster care were typically adapted to the foster context. Most interventions have yet to be rigorously evaluated in community-based settings with children in foster care. Little research has been conducted on child and family engagement within these interventions, and there is a need for more research on moderators of intervention outcomes and subgroups that benefit most from these interventions. In addition, there is no consensus regarding how to adapt interventions to this population. Future research should focus on developing and testing more interventions with this population, rigorously evaluating their effectiveness in community-based settings, determining necessary adaptations, and identifying which interventions work best for whom.     

Challenges to Aging in Place: Understanding Home Maintenance Difficulties

Age-related declines in capabilities may compromise older adults' ability to maintain their homes thus threatening successful aging in place. Structured interviews were conducted with forty-four independently living older adults (M(age) = 76.1, SD = 4.7) to discuss difficult home maintenance tasks and how they managed those tasks. Solutions to managing difficulties were categorized as person-related or environment-related. The majority (85%) of responses were person-related solutions. An understanding of the specific challenges that older adults face in maintaining their homes can guide redesign efforts and interventions to effectively support older adults' desire to age in place.     

Challenges to Aging in Place: Understanding Home Maintenance Difficulties

Age-related declines in capabilities may compromise older adults’ ability to maintain their homes, threatening successful aging in place. Structured interviews were conducted with 44 independently living older adults (mean age = 76.1, standard deviation = 4.7) to discuss difficult home maintenance tasks and how they managed those tasks. Solutions to managing difficulties were categorized as person-related or environment-related. The majority (85%) of responses were person-related solutions. An understanding of the specific challenges that older adults face in maintaining their homes can guide redesign efforts and interventions to effectively support older adults’ desire to age in place.     

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.     

Longitudinal Test of a Multiple Domain Model of Adolescent Condom Use

A comprehensive multiple domain model (MDM) to understand condom use in adolescents was proposed and tested using structural equation modeling of data at three time points. The proposed model integrates social psychological theory, demographic and personality factors, social environment, and situational/contextual variables. Adolescents who were sexually active at time 2 (6 months after baseline) and time 3 (1 year after time 2) and completed surveys at all three time points were included in the analyses (N = 511). An iterative process of model testing resulted in a structural equation model that provided a good fit to the data (CFI = .92, RMSEA = .04). Models comparing gender and race as moderators also were calculated and supported the generalizability of the model. Results provide support for an MDM that goes beyond traditional social psychological models for a broader understanding of condom use in adolescents. Implications for further theory testing and safer sexual interventions are discussed.     

Mediators and moderators in the evaluation of programs for children. Current practice and agenda for improvement

The author examines the role of mediators and moderators in the evaluation of programs for children. The terms are defined and examples of each are presented. Using bibliometric analysis, the author examines how evaluators use mediators and moderators in treatment studies in education, juvenile justice, health care, child protection, and mental health. The use of mediators and moderators is sporadic and vague at best. An agenda for improvement is outlined that includes greater use of program theory and intensive case studies to find out why researchers in prevention and health promotion incorporate mediators and moderators more effectively in their evaluations.     

Therapeutic Responses to Communities Affected by Disasters: The Contribution of Family Therapy

This article is underpinned by the premise that for recovery, healing and post‐traumatic growth to occur after traumatic events such as technological and natural disasters, massacres and terrorist attacks, effective therapeutic services need to be offered at both the individual and community level. Frequently, responses to such traumatic instances have been conceptualised as discrete, polarised interventions offered by various groups of health and welfare professionals at various points post the traumatic event. Traditionally when therapeutic interventions are considered, many practitioners assume that the response would, and should, focus primarily and narrowly, on individuals or their families and the symptoms of post‐traumatic stress. Conversely, the perceived role of community wide interventions has been unnecessarily limited to disaster relief or organised emergency responses most usually offered at the time of the crisis. The consequence of these limited understandings is an apparent failure to explore fully the therapeutic or mediating role of social or community support in surviving trauma. Interventions encompassing the level of community might be therapeutic in two fundamental ways. First, if practitioners embraced ideas from systemic family therapy literature, ideas that acknowledge the importance of social networks, this would encourage a more holistic vision of resilience and recovery. Second, if practitioners recognised that whole communities and social networks might also be traumatised, they could provide support and interventions oriented toward healing at this broader level.     

Lessons from Post-War Experience: An Alternative Care Interventions for War-affected Children in Pakistan

This qualitative research analyses the literature and lived experiences of war-affected institutionalized children of Pakistan. It is well documented that war-affected children face a unique set of adverse childhood events that have lasting effects on their social, emotional, physical, and cognitive well-being and development. War-affected children of Pakistan exposed to childhood trauma require enhanced interventions during and after conflict to mitigate the compounded and lasting detriments to their well-being and development. Social-Ecological interventions for this war-affected population needs trained social workers, psychologists, and child-rights activists to approach all angles of their humanitarian needs in collaboration with NGOs, governmental agencies, and other stakeholders. The findings strengthen the argument for supporting familial attachment through community-based integrated interventions both during and after armed conflict for the orphaned children of Pakistan in alternative care. The goal of this article is to inform policy implementation and provide recommendations for additional support to this population.