A review of the biopsychosocial aspects of caregiving for aging family members

With the ever-increasing growth in the aging population, the need for care providers will also continue to rise. Many of these caregivers will provide informal care to family members and friends at a price to their own physical, psychological, and social well-being. This article examines the phenomenon of caregiving and provides a review of the biological, psychological, and social impacts of caregiving to care providers. George Engel’s biopsychosocial model is explored to examine the biological, psychological, and social factors that can affect a caregiver’s health and well-being. This article further explores social work practice implications and strategies for future intervention to reduce caregiver burnout and aid in their self-preservation.     

Intervening in the School-Family-Clinic Triangle*

Ideas from family therapy have recently been applied to school and learning problems. A systems view has been advocated rather than the more traditional individual one long used by teachers, parents and school psychologists. This paper describes a model that enables school problems to be formulated systematically and details the implications of this model for designing interventions. A new project in Perth that combines simultaneous interventions in family, social and educational systems is described and its work is illustrated with a case example.     

Object relations family therapy as a model for practice

This paper provides an introduction to a new approach to the practice of family therapy called object relations family therapy. It is viewed as especially appropriate for social work practice due to its ability to combine individual, couple and family modalities. In addition it permits work on multiple levels of latent and manifest content. Its derivatives in the work of the objects relations theorists, Klein, Fairbairn, Guntrip, Winnicott and Bion are described. Illustrative case examples are provided.     

Sociobiology misses the mark: An essay on why biology but not sociobiology is very relevant to sociology

This essay takes the position that sociologists need to pay more attention to biology, but that the biological perspective provided by sociobiology is not the perspective that is the most relevant. The reductionist nature of sociobiology is noted and the treatment by sociobiology of altruism, religion, homosexuality, the maximization of inclusive fitness, group versus individual inheritance, and the genetic inheritance process itself is critiqued. Sociobiology’s strong emphasis on ultimate causation and the denigration of proximate causation is treated as particularly problematic. The paper ends with a plea that sociologists pay more attention to the research that shows the interactional effects of biological, psychological and social processes. Best known for his work on mental illness and on gender and marital roles, he also has published extensively in the area of family, crime, and aging. While an undergraduate student in the 1950s, he was trained in biology and has had a strong interest in biological issues since that time.     

Labor force participation and fertility: a social analysis of their antecedents and simultaneity.

The nature of the relationship between labor force participation and fertility is examined for 172 families residing in the Chicago metropolitan area. The sample represents a marriage cohort. The data was collected during the 6th year of marriage (1978). The average age of the wife was 27, that of the husband 29. About 15% of the sample was black, the rest white. The median years of schooling completed was 13 for the wife and 14 for the husband. Median family income (less wife's earnings) was US$15,000; approximately 96% of the husbands and 53% of the wives were employed. The hypothesis is that family decisions are socially constructed through husband and wife interactions wherein individual needs and desires of the spouses are resolved by means of give-and-take and mutual influence. Economic factors, societal forces, group pressures and physiological concerns are presumed to work through the psychological characteristics of the spouses and the social interactions transpiring between them. The is, the exogenous determinants are assumed to constitute the setting or context for individual and social decision making. They either enter as inputs to joint decision making or else shape the needs, desires, or other psychological reactions of spouse prior to decision making. In this study, the specific phenomena to be explained are wife's labor force participation and family size. Also tested is the effect of psychological investment in these 2 issues and the impact of the role relationship between the spouses. The hypotheses are scrutinized at 2 levels of analysis: the individual spouses and the husband-wife dyad. Comparisons are made among social psychological models, wherein either the husband of wife provides information as they perceive their relationship and a sociological model wherein group constructs are formed with the husband and wife acting as informants on the pattern of norms guiding their relation. A A strutural equation methodology is employed to better model measurement error and errors in equations imultaneously. The results show that labor force participation of wife and fertility do not appear to be causally related. Rather, social forces within the family function as common antecedents, thereby producing a spurious observed bivariate association. This implies that labor force participation and fertility decision entail joint decision making and influence. Another implication is that the decision process seems to be neither atomistic nor necessarily sequential. The present study also differs from previous efforts in the methodology employed. Variables were operationalized in concert with sociological theory--social variables were used to explain social outcomes.     

Family Social Work Intervention to Increase Parental Compliance with Infant Apnea Monitor Use in the Home

ABSTRACT

Home apnea monitoring has been used for many years to continuously supervise infants at an increased risk for Sudden Infant Death Syndrome. While studies are available that discuss the psychological impact on the family of having a monitored infant, this article describes the first empirical investigation designed to promote apnea monitor use. Family social work intervention involving short term case management, behavioral prompting and reinforcement, and follow up support by a medical social worker increased home monitoring from zero hours per day to an average of over twelve hours per day. While more intervention research designed to promote compliance is necessary, in this case a low-cost social work intervention had immediate and dramatic positive results.     

To your happiness? Extra hours of labor supply and worker well-being

Does extra work buy happiness and well-being? Unique survey data are analyzed to consider whether measures of self-reported subjective happiness, psychological health and economic satisfaction bear a net positive or negative relationship with working extra hours. Overtime work hours generally are associated with increased work stress, fatigue and work–family interference. When overtime work is required, this appears to offset the otherwise greater happiness and mental healthiness produced by its additional income. Mandatory overtime work is associated with additional work–family interference and unhappiness for some workers but the opposite for some others. Policies most fruitful for improving individual economic and social welfare should focus on minimizing the incidences where overtime is both mandatory and harmful.     

Individual and couple tastes for children: Theoretical,methodological, and empirical issues

A comparison is made between two alternatives for explaining family size decisions: a psychological model based on the individual needs of the spouses and a social psychological model based on the husband-wife relationship. By use of higher order factors within the context of structural equation models, it is shown that the two approaches can be derived as special cases of a single, integrative framework. In this way, a theory is developed and tested which explicitly represents the family-size decision process as both an individual and joint experience of the spouses.     

Feminism and Family Social Work

The intent of this paper is to explore the applicability of a feminist model for clinical social work mactice with couples and families. A brief overview of the literature relating to feminism social work is presented in preparation for the examination of clinical issues. The feminist critique of traditional family systems theory is summarized and other areas of concern in clinical work with couples and families are explored including family theory and healthy family functioning. A brief overview of feminist family therapy practice literature is provided along with a summarization of training recommendations.     

Mindful of the Intersession Break in Family Therapy: The Time to Think Experiment

The Time to Think Experiment researches the experience of clinicians, consumers, and families of an intersession break, which has been used historically in various models of family therapy training. This qualitative pilot study explores the experiences of 21 clinicians, 19 consumers, and six family members using this break for reflection, across the domains of family and couple therapy, individual therapy, group work, and supervision in a mental health service covering the whole age range. Using a phenomenological design, the analysis included narrative, thematic, content, and comparative techniques. The paper considers the impact of privileging reflection in the therapy process, in a climate where models, work cultures, and general lifestyles may not encourage it. Using the intersession break to create space to ‘be’ in the therapy process is one way to integrate mindful and family therapy practice. The emerging themes of an intersession break to promote a richer and deeper therapy experience, and the apparent shift of responsibility for change from clinicians to consumers is discussed.     

Family Social Work/Family Therapy

The author responds to Witkin's (1993) comparison of family social work and family therapy. The author argues that family social work and family therapy share important commonalities. He challenges Witkin's characterization of family therapy as outdated. Instead, family therapy is characterized as having contributed important writings about gender and culture to its practitioners. The paper ends with reflections on the implications of social justice for clinicians.     

FAMILY THERAPY AND IDEOLOGY*

Contemporary family therapy is examined in terms of its ideological content. The adoption of cybernetics and biological systems theory to the family has led to the erroneous belief that familytherapy is exclusively concerned with natural systems, is process oriented, content relative, and above ideology. This article argues that the family and the enterprise of family therapy are social systems and under the influence of the ideology particular to a given society. The strategic family therapy treatment of a family with a drug-addicted member serves as an example to clarify the ideological themes of contemporary family therapy. These themes are: (a) family reductionism and blaming; (b) the relabeling of personal injustice into communicational terminology; (c) the assumption that the nuclear family is optimal; (d) the conceptualization of therapy as a commodity; and (e) the model of human relatedness and intimacy supported by family therapy.     

Reconstructing the Family's Reality — The Struggle of a Young Anorectic Woman and Her Family's Way of Viewing the World.*

It is argued that systemic family therapy has much to gain from phenomenological social psychology and the sociology of knowledge. The similarities between social psychological concepts of social rule theory and concepts from structural/strategic therapy are discussed, as is the need for an examination of the construction of reality to complete these concepts. The theory of the social construction of reality is presented and its relevance to the ways in which families behave discussed. A case involving a young anorectic woman and her family is presented in detail to demonstrate the process of altering the processes of reality construction in the family so as to allow the members to pursue alternatives.     

‘Cultivating our humanity’ in child and family social work in England

The goal of the social work reform process was to provide a generic framework and single professional body within a broad conception of generic social work. However, debates about the role and nature of social work continue to exist. This paper explores whether contemporary child and family social work is inclined at times to make use of a less humane social work practice with families and children. The policy context and the culture of child and family social work are considered. Implications for social work education are identified. The key message of this paper is twofold. There is a tendency in contemporary child and family social work to become synonymous with a particular version of child protection. The type of child protection adopted tends to be authoritarian with at times a limited consideration of the humanity of parents and adult carers in particular.     

The role of attachments in female adolescent development

Traditional theories of normal adolescent development have incorrectly underscored the importance of the individuation as the psychological goal. This paper will discuss how adolescent girls use their relationships to clarify their identity and differentiate themselves from their families of origin. Girls use friends, as journals, to achieve self differentiation in the context of their relationships. The clinical implications of this newer model, with its emphasis on attachments rather than on separation, will be considered, and group therapy recommended as the treatment of choice for adolescent girls.She is also in private practice in individual and group therapy.     

Being neither Pollyanna nor Henny Penny: Responding to McDonald and Jones

Abstract

This paper provides an account of the earliest contributions to family theory and practice by social workers, beginning in the late nineteenth century. The paper argues that the first widespread practice of ‘family work’ by the helping professions was carried out by social workers, primarily women, despite this being rarely acknowledged in the family therapy literature. An analysis of gender and its place in the development of professional status and the ownership of ideas is provided.

Summary

This paper has traced the place of the family in social work theory and practice since the beginnings of the profession, with a particular focus on theoretical developments in social work in the United States. A number of points have been argued. Firstly, there is significant historical evidence that social workers, most of them women, pioneered family work many decades before the term ‘family therapy’ was invented. This directly challenges the claim made by a number of family therapy historians that work with families was pioneered by psychiatrists in the 1950s and 1960s. It is argued here that this discrepancy is largely a result of differences in professional power and gender status.

Secondly, it is argued that the impact of psychoanalytic theory on social work was profound, not only in terms of how it might have distracted the profession from further developing its early family systems focus, but also in how its multidisciplinary practice tended to place social workers, again mostly women, in somewhat limited and prescribed positions.

In addition, it is argued that social work's emphasis on the family and family intervention has waxed and waned due to these concepts not appearing to fit neatly into divisions between fields of practice, such as casework, group work and Community development. While social work struggled with finding a place for the further development of family social work theory, the rapidly growing domain of family therapy quickly colonised this field of practice, giving little credit to the ground already laid by social workers.     

In-home family therapy: indicators of success

In this study, we explore how specific individual, family, and family-within-community characteristics, as well as aspects of in-home family therapy, relate to responses to treatment. The Child and Adolescent Functional Assessment Scale scores and Global Assessment of Functioning scores were used as outcome measures. Results revealed significant differences between pre- and post-scores for clients receiving in-home family therapy services, providing an initial indicator of treatment success. In addition, primary family caregiver social support, role performance in school/work, and self-harmful behavior were indicative of successful outcomes. Clients with higher problem levels had the greatest rates of change, and clients receiving more hours of services fared better in therapy.     

Doing Fatherhood Online: Men's Parental Identities,Experiences, and Ideologies on Social Media

Online discourse about parenting has grown with the expansion of social media technologies. With a community of “dad bloggers” developing in North America, further investigation into how men write about fatherhood on the Internet is needed. In this article, I present a qualitative analysis of 201 blog posts written by 40 dad bloggers. Adopting a social psychological perspective, I examine how fatherhood is constructed across lines of identity, experience, and ideology. My findings illustrate how dad bloggers reinforce and reshape family discourses in their writing about parental role models, becoming a father, work–family balance, generativity, and “good” and “bad” dads. Social media use is discussed as a part of fathering in everyday life and as a tool to display, promote, and normalize involved fatherhood.     

Employment Among Current and Former Welfare Recipients: A Literature Review

ABSTRACT

The primary goal of welfare reform is to move recipients from welfare to work. Several factors influence the employment of welfare recipients. The purpose of this content analysis is to offer a comprehensive understanding of employment characteristics and important personal, family, and employment characteristics that either promote or deter employment among current and former welfare recipients. Social workers need a comprehensive understanding of these factors in order to design policy and social work interventions. This article is a content analysis of the results of empirical research studies. Implications and recommendations are offered based on the review of empirical research on current and former welfare recipients.