Recognition of Nonverbal Communication of Affect Following Traumatic Brain Injury

Recognition of facial expressions and vocal prosody was examined using the Diagnostic Assessment of Nonverbal Accuracy 2 (DANVA-2) and the Carolina Older Adult Test of Nonverbal Communication (COAT-NC) for 24 individuals with traumatic brain injury (TBI) and 24 matched controls. Results demonstrated that participants without TBI scored significantly higher than participants with TBI when presented with adult photo and voice stimuli. No significant group difference was noted with child photo and voice stimuli. Both groups scored significantly higher on photo subtests than on voice subtests for child and younger adult stimuli. For older adult stimuli, both groups scored significantly higher on the voice subtest than on the photo subtest. For the subjects with TBI, a significant relationship was found between scores on the voice subtests and a functional measure of cognition and communication.     

Traumatic Brain Injury

Abstract

Traumatic Brain Injury (TBI) is a devastating medical condition mat can happen to anyone at anytime, despite precautions. This paper provides details regarding etiology, symptoms, prognosis, and treatment of TBI. Patients and families usually require assistance and direction from several healthcare professionals, including social workers, both during and after the initial period of hospitalization and rehabilitation. After a brief discussion of interventions at several levels, the paper concludes with a focus on both the individual and the family, and how social workers in the hospital or rehabilitation clinic can intervene to assist the patient and family members in learning and using more effective methods of coping. Implications for social work practice are included.     

Personal Responses to Traumatic Brain Injury: A Qualitative Study

This paper reports the findings of a qualitative study of ten persons with traumatic brain injury (TBI) based upon a series of in-depth interviews conducted over a period of 12 months. Data was analysed with procedures similar to those utilised by grounded theory and ethnographic researchers, and resulted in a typology that reflected different experiences of living with TBI as well as different meanings it had for persons with TBI. A thematic analysis of the data yielded information about self, disability and handicap, and involvement in social networks; and, reflected the participants' sense of personal well-being. This analysis provided an alternative to the data yielded by traditional quantitative research designs.     

Alcohol Use after Combat-Acquired Traumatic Brain Injury: What We Know and Don't Know

Military personnel engage in unhealthy alcohol use at rates higher than their same age, civilian peers, resulting in negative consequences for the individual and jeopardized force readiness for the armed services. Among those returning from combat deployment, unhealthy drinking may be exacerbated by acute stress reactions and injury, including traumatic brain injury (TBI). Combat-acquired TBI is common among personnel in the current conflicts. Although research suggests that impairments due to TBI leads to an increased risk for unhealthy drinking and consequences among civilians, there has been little research to examine whether TBI influences drinking behaviors among military personnel. This article examines TBI and drinking in both civilian and military populations and discusses implications for clinical care and policy.     

Traumatic Stress and Affect Management in Military Families

The war-time deployment of a service member creates significant stress for the family system that supports that person’s transition into combat, combat duty, and readjustment into civilian and family life upon return. The stressors associated with the deployment cycle are significant and can lead to depression, anxiety, and behavioral concerns for all family members including the children and partners. A family’s adaptation to these stressors can also impact the functioning of the service member during the phases of mobilization, deployment, sustainment, and reintegration. Social work interventions that offer support to the military family can reduce levels of distress within and between the members and improve overall family functioning. A case vignette will be presented that highlights some of the salient interpersonal challenges that can develop in a military family when a veteran returns home with posttraumatic stress that is left untreated. Recommendations for interventions will be considered through the application of psychoeducational approaches for managing traumatic stress in families.     

Patterns of Change in Families Following Severe Head Injuries in Children

After severe head injuries, children can display behavioural problems for many years. Factors related to the individual have been discussed in other articles, and authors have also suggested that resulting behaviour problems may affect the family. This paper assesses the direct effect of the injury and events around it on the family. The reaction of the family may contribute to the persistence of the behavioural change, rather than just be a result of it. This paper describes the effect of the accident on family relationships and discusses the behaviour of the identified victim in terms of the stage of the family life cycle. The family as a whole, and not just the child, is a victim of the event, and therefore the use of family therapy is an important and appropriate part of treatment. A comparison of family and individual therapy is made, and the problem of assessing whether behavioural changes are related to organic brain injury is addressed.     

LG(BT) Families and Counting

Counting and understanding lesbian and gay families have gained attention over the last decade in popular culture, policy, and academic research. Contentious debates on family values and same‐sex marriage, increasing rates of social tolerance for homosexuality, and a greater general academic attention on issues of sexual orientation have partially spurred this attention in demographic analysis of lesbian and gay families. It is becoming increasingly clear that sexual orientation and gender identity have an effect on demographic processes and life outcomes. Although not perfect, practically speaking, drawing on nationally representative survey data has allowed us to illuminate the presence of same‐sex families and their children. These findings have an iterative relationship with social change, public policy, and increasing tolerance for diversity. This article reviews the recent demographic contributions related to lesbian, gay, bisexual, and transgender (LGBT) families. Due to research concentrations, the content of this article not only mostly addresses what is known about gay and lesbian families but also offers future directions to fill research voids including a call for greater attention to and visibility for families with bisexual and transgender members.     

Intervention with Families in Extreme Distress (FED)

The FED (Families in Extreme Distress) Project described in this article was developed as an intervention model for families in extreme distress. The concept of families in extreme distress includes not only those families which have been widely regarded as multi-problem families for decades, but also those which may appear to be like any other middle class family. The dis- organization in family functioning that is created by an interaction of many problems results in a durable distress which is repeated throughout successive generations. The intervention design of this project was structured and short- term, and each family in the group met once a week in their own home for ten sessions with a therapeutic team composed of three workers. The target of the intervention was the functioning of the entire family as a unit; and goals included clarifying boundaries, strengthening roles, and developing a communication system. Analysis of the therapeutic sessions revealed several techniques which are useful for intervention with the FED population. The intervention process with these families should be multilevel and case management should not only include providing family therapy, but also advocating and mediating with various institutions in the community, as well as making connections for financial assistance.While some major policy changes may be required to meet the finan- cial and manpower needs involved in such a model, this demonstra- tion project indicates that investing the right resources is worthwhile for effecting change within the FED population.     

Suffering in the Shadows: Interviews with Wives of Combat Veterans Suffering from Post-Traumatic Stress Disorder and/or Traumatic Brain Injury

The body of research examining issues confronting combat veterans of the Afghanistan and Iraq wars continues to grow. However, this research focuses primarily upon veterans with very less attention given to the challenges confronting their spouses. Using a semi-structured interview methodology and a feminist perspective, this study examines what it means to be a wife of a combat veteran who suffers from post-traumatic stress disorder (PTSD) and/or traumatic brain injury (TBI). Our findings indicate these women—who experience tremendous emotional, financial, and social challenges that arise from being the caregiver for their husbands—feel isolated from and abandoned by both the military community and the civilian community. Furthermore, the social and emotional disconnection of these women experience amplify the stresses they confront in daily life—stresses that are unique to their relationship to being with a combat veteran spouse who has PTSD and/or TBI. We argue future research should build upon this exploratory study to better understand how both the military community and the civilian community impact the subjectivity of these women and their efforts to reintegrate themselves and their families into civilian life.     

Adolescents from Stepfamilies,Single-Parent Families and (In) Stable Intact Families in The Netherlands

This aiticle 'examines the effects on intimate relation- ships, relational attitudes, and well-being of growing up in: stepfami- lies after divorce, single-parent families, instable intact families, and stable intact families. Data are used from the national panel study USAD (Utrecht Study of Adolescence Development), a study of de- velopments as they occur in the life course of young people during h e 1990s. Results are presented from 2,064 respondents between 15 and 25 years of age, about their well-being and their development in inti- mate relationships and their views on (marriage) relationships. On a number of topics their parents are interviewed as well. From the analysis, it is clear that young people who lived in single- parent families and in stepfamilies significantly differ from young people who lived in stable intact families. Young people from single- parent families are more likely to start their relational career sooner and reported more problems with intimate relations than youngsters from stable intact families. Youngsters from stepfamilies have more modem views on relations than people from intact families. Adolescents from instable intact families have moderate scores. Most of these effects re- main when the results are adjustdfor differences in social class, family income and the parental views on family life.     

Adolescent Educational Outcomes in Blended Families: Evidence from Swedish Register Data

Using Swedish register data, this article examines the association between having experienced the birth of a younger half-sibling and two educational outcome measures among Swedish 9th graders from 1998 to 2007. The data set, with the full population of 9th graders (N = 874,812), enables us to differentiate between adolescents with maternal as well as paternal half-siblings. The results show that adolescents in postseparation families with half-siblings have lower overall grades and are less likely to be eligible for school continuation after 9th grade than those without half-siblings. The results point to interesting gender patterns both by the sex of the child and whether the half-sibling is maternal or paternal.     

The Secondary Traumatic Stress Scale (STSS)

SUMMARY

The Secondary Traumatic Stress Scale (STSS; Bride, Robinson, Yegidis, & Figley, 2004) is an easy to administer 17-itemself-report measure of secondary trauma. Bride et al. (2004) reported a measure of three domains of traumatic stress specifically associated with secondary exposure to trauma: intrusion, avoidance, and arousal. The STSS was reported to have high levels of internal consistency reliability and indicated evidence of convergent, discriminant, and factorial validity. The purpose of this paper is to examine the reliability and validity of the STSS with a national, random sample of mental health social workers. To assess the fit of the data to the three-factor structure proposed by Bride et al., a confirmatory factor analysis was performed on data from 275 social workers who indicated exposure to client trauma. The model fit the data adequately although high factor intercorrelations strongly suggest a unidimensional scale. Subsequent confirmatory factor analysis of a unidimensional scale and a second order factor analysis yielded similar results. Findings indicate the need for further scale validation. Challenges remain for measuring and distinctly differentiating between secondary trauma symptoms of arousal, avoidance, and intrusion. Implications and suggestions for future research are discussed.     

Family Process and Child Development in Unlabeled (Normal) Families*

Preliminary data are reported from an ongoing project devoted to the study of normal families. The research emphasizes the effects of system-level variables and the micro patterns of conversational interaction on the development of children within the family. Our theoretical model focuses on the individuation process, and the way in which accuracy of interpersonal perception and mutual validation among family members contribute to and are affected by the personal development and functioning of individual family members. The data derive from two-hour interviews with 99 families in their homes, plus psychological, sociometric and achievement data on an adolescent girl in each family. We have found both structural factors and patterns of conversational interaction among parents that distinguish families of the adolescent girls who score high on the individual functioning measures from families of adolescent girls who score low on these same measures.     

Parent–Adolescent Discrepancies in Perceived Parental Sacrifice and Adolescent Developmental Outcomes in Poor Chinese Families

Parents and adolescents perceive family processes differently. This study examined how convergence and divergence of parent‐perceived and adolescent‐perceived parental sacrifice influenced adolescent developmental outcomes in a sample of 275 poor intact Chinese families in Hong Kong. The results of polynomial regression analyses indicated that the interaction of fathers’ and adolescents’ perceptions of paternal sacrifice negatively predicted adolescent resilience and cognitive competence. Similar findings were identified in maternal sacrifice. Cluster analysis further showed that adolescents exhibited greater resilience and cognitive competence in families with parent–adolescent convergent perceptions of high levels of parental sacrifice than did those in families with parent–adolescent divergent views. Theoretical, methodological, and practical implications of the results are discussed.     

Increased Urge to Gamble Following Near-Miss Outcomes May Drive Purchasing Behaviour in Scratch Card Gambling

Previous research into scratch card gambling has highlighted the effects of these games on players’ arousal and affective states. Specifically, near-miss outcomes in scratch cards (uncovering 2 of 3 needed jackpot symbols) have been associated with high levels of physiological and subjective arousal and negative emotional evaluations, including increased frustration. We sought to extend this research by examining whether near-misses prompted increases in gambling urge, and the subsequent purchasing of additional scratch cards. Participants played two scratch cards with varying outcomes with half of the sample experiencing a near-miss for the jackpot prize, and the other half experiencing a regular loss. Players rated their urge to continue gambling after each game outcome, and following the initial playing phase, were then able to use their winnings to purchase additional cards. Our results indicated that near-misses increased the urge to gamble significantly more than regular losses, and urge to gamble in the near-miss group was significantly correlated with purchasing at least one additional card. Although some players in the loss group purchased another card, there was no correlation between urge to gamble and purchasing in this group. Additionally, participants in the near-miss group who purchased additional cards reported higher levels of urge than those who did not purchase more cards. This was not true for the loss group: participants who experienced solely losing outcomes reported similar levels of urge regardless of whether or not they purchased more scratch cards. Despite near-misses’ objective status as monetary losses, the increased urge that follows near-miss outcomes may translate into further scratch card gambling for a subset of individuals .     

Adolescent Violence—Strategies,Outcomes and Dilemmas in Working with Young People and their Families

MATTERS is a program of Berry Street, and has been in existence since 1990. The service is funded to address parent/adolescent conflict and the service delivery model has developed over time in a direction which incorporates family therapy and conflict resolution techniques. Many families come to the service seeking assistance for problems regarding violence, and increasingly around a young person's violence to parents and other family members. In some instances, violence has been present over a long period and has become normalised within the family's experience. When working with families who present with problems of adolescent violence, the service aims to find a pathway for the young person/family to confront violent behaviour and move to a different position about the meaning of violence in their lives. This paper describes the team's approach to working with adolescent violence, utilising ideas from narrative family therapy and psychodynamic theory, and incorporating issues of power in society, culture and gender. Outcomes, dilemmas and future directions are also discussed.     

Social Networks and Employment: Outcomes (Part 2)

In this second article, we continue to survey research that addresses work and employment from a social network perspective. Building on a companion article in this volume, which explores in‐depth the main network mechanisms presented in the literature, this article reviews studies addressing how social networks may shape key employment outcomes for both individuals and organizations. Network access and activation may shape individuals' selection into employment opportunities in addition to a variety of post‐hire outcomes including employee performance, promotion, rewards, job satisfaction, and termination. Organizations too may be influenced by their network position and by the activation of certain ties, ultimately affecting key outcomes such as firm performance, innovation, and learning measures. We conclude by discussing promising areas for future research on how social networks interact with employment.     

Supporting Ally Development with Families of Trans and Gender Nonconforming (TGNC) Youth

This article is a call to the field of counseling to bridge the research on trans and gender nonconforming (TGNC) youth identity development, family acceptance, and ally development to promote TGNC-affirming family, school, and community environments for TGNC youth. Opportunities and challenges counselors face in supporting ally development of families of TGNC youth are described. Interventions and strategies are described and recommendations for counselors working with the family members of TGNC youth are provided.