Examining psychotherapeutic and psychosocial factors in working with immigrant families

In spite of the fact that the United States has been historically associated with immigrants, little is still known about the process of assimilation that immigrant families go through, and a lack of sensitivity to the cultural diversity of immigrant families persists. Some mental health workers still suggest that the same techniques employed in working with American families can be applied to immigrant families. Through years of research, behavioral scientists have come to realize that a different approach to tutelage and psychotherapy is needed if immigrant families are to acculturate smoothly in American society. This paper addresses some problems associated with acculturation, the process of acculturation, immigrant families in transition and perspectives on the effectiveness of psychotherapeutic interventions. Some rudimentary guidelines are presented for understanding immigrant families via a comprehensive assessment battery which can assist in determining the stages of acculturation, the client's social and emotional functioning, as well as any cultural transitional conflicts the client may be experiencing as a result of migration. Moreover, a model for treating immigrant families is suggested.     

Understanding and Working with Haitian Immigrant Families

SUMMARY

This conceptual analysis explores the Haitian cultural experience in the U.S. and offers a model for working with Haitian families. Relevant factors include: (1) an understanding of the history and culture of Haiti; (2) migration patterns of Haitian families to the U.S.; and (3) the experience which most Haitian families must endure upon arrival.     

Understanding Motives for Migration in Working with Immigrant Families

There are good reasons to expect immigrant families' experiences in the host society to differ vastly. What impact might rationales for relocation have on immigrant families' pre-migration and post-migration characteristics in mainstream America? This article reviews existing research by drawing on various migration theories and explores the potential linkage between forces that propelled the move and immigrant families' adaptation patterns that followed. Three non-mutually exclusive principal motives were proposed to explain the substantial differences that exist among immigrants. Also considered are theoretical explanations that would facilitate effective practice and intervention among social work practitioners and policy planners.     

Dating and Mate Selection Among Young Adults from Immigrant Families

In this article the authors examine dating and mate selection preferences and experiences from the perspective of young men and women from immigrant families. Through in-depth personal interviews with 35 second generation youth from diverse cultures, the authors explored: (1) parental influences and expectations of their children's mate choices; (2) the roles of gender, birth order, and length of residency in the United States in expectations for mate selection; and (3) immigrant youth's preferences for marriage partners. The findings showed that immigrant parents hold mostly endogamous views. Youth's dating experiences are influenced by their gender, their birth order, and their family's acculturation. Second generation immigrants generally seek bicultural partners like themselves. Narratives from the participants provide insight into the attitudes that guide mate selection of these young adults from immigrant families.     

Postdivorce Relationships in Families and Children's Psychosocial Adjustment

Divorced mothers and their school-aged children in 50 single-mother families and 37 stepfather families reported on mothers' ex-partner relationships, children's relationships with both parents, and children's well-being. A 2 (family structure) × 2 (gender) multivariate analysis of variance revealed a main effect of gender: Mothers with sons report higher levels of ex-partner relationship satisfaction. An interaction effect was also found: Boys in single-mother families report more acceptance and fewer conflicts than boys in stepfather families. Multiple regression analysis revealed that mother–ex-partner relationships are associated with children's problem behavior, whereas child–nonresidential father relationships are associated with positive aspects of children's well-being. The results indicate that family structure itself is not associated with child adjustment. What matters most is the quality of family relationships.     

Acculturation Risk and Protective Factors and Mental Health Symptoms in Immigrant Latino Adolescents

Abstract

The aim of this investigation was to map factors that predicted internalizing, externalizing, social, and total behavioral problems in immigrant Latino adolescents. Interviews were conducted with 100 foreign-born Latino adolescents. Multiple regression analyses revealed two risk factors, perceived discrimination and parent-adolescent conflict, which were significant predictors of adolescent internalizing, externalizing, and total problems. Interaction terms indicated that adolescents who were highly involved in Latino culture and who experienced high parent-adolescent conflict were at risk for internalizing problems. Familism was a protective factor associated with lower levels of internalizing and total problems. However, the effect of familism was mediated by parent-adolescent conflict.     

Factors Associated with the Poverty Status of Asian Immigrant Householders by Citizenship Status

As a response to changing profiles of the Asian population in the United States, this study examines the demographic, human capital, and acculturation factors that are associated with the official poverty status of Asian immigrant householders by their U.S. citizenship status. From the 1990 Census Public Use Microdata Sample (Census of Population and Housing, 1990a), responses from 229,004 Asian householders are analyzed using hierarchical bivariate logistic regression. The results suggests that high levels of human capital and acculturation reduce the odds of Asian householders living below the official poverty threshold, regardless of their citizenship status. The degree to which the selected variables are associated with poverty status varies by citizenship status.     

Acculturation Gap,Intergenerational Conflict,Parenting Style,and Youth Distress in Immigrant Chinese American Families

This study examined mother–child acculturation gaps in relationship to youth distress and the possible mediating role of parent–child conflict and parenting style in a sample of 81 Chinese American families. Hierarchical multiple regression analyses provided partial support for a relationship between acculturation gaps and youth distress. No mediators of this relationship were found; however, post-hoc analyses indicated that intergenerational conflict and parenting style were associated with youth distress above and beyond acculturation gaps. These results suggest that interventions developed to reduce parent–child conflict and increase parental bonding (increase parental warmth and decrease parental overprotection) may be valuable for Chinese American adolescents, regardless of acculturation gap status.     

Working with Immigrant Children and Their Families: An Application of Bronfenbrenner's Ecological Systems Theory

The influx of multicultural and multiethnic immigrants to the United States following the liberalization of immigration law in 1965 has resulted in a high representation of children who reside with immigrant families. As these children are approaching early adulthood, their encounter with various ecological systems is likely to be shaped by their cultural differences and the diversity of family settings. Drawing on the insights of Bronfenbrenner's ecological systems theory, this article highlights the critical function that family social ecology plays in how children of immigrants will fare over their adolescent life course. By providing a comprehensive picture of how immigrant family process takes place, this article suggests how understanding the ecology of immigrant families can help strengthen social work service delivery.     

Psychosocial Factors and Low Back Pain Among College Students

Objective and Participants: The authors evaluated psychosocial factors of stress and their effects on the prevalence of low back pain (LBP) among a population of college students in a major university in Colorado. Methods: This was a nested cross-sectional study of 973 respondents who completed the National College Health Assessment survey. The authors evaluated a subset of questions pertaining to psychosocial stressors against the presence of LBP. Results: The annual prevalence of LBP among the population studied was 42.8%. The stressful psychosocial variables of feeling very sad, exhausted, and overwhelmed were associated with the prevalence of LBP. Conclusions: The prevalence of LBP among this younger population is significant and understudied.     

Understanding Acculturation,Depressive Symptoms,and the Protective Role of Family Involvement Among Latino(a) Immigrant Families

Although the relationship between varying levels of acculturation and depressive symptoms has been established among Latino(a) youth, the positive role of family involvement in relation to depressive symptoms among immigrant Latino(a) families has been studied less. This study draws on a sample of first-generation Latino(a) youth from the Longitudinal Immigrant Student Adaptation Study and explores the relationship between acculturation levels and depressive symptoms, as well as the protective role of family involvement. Although results do not support a relationship between acculturation and depressive symptoms, family involvement was significantly associated with lower depressive symptoms while taking important sociodemographic variables into consideration. Research and practice implications with Latino(a) immigrant families are discussed.     

Attitudes Toward Divorce and Their Relationship With Psychosocial Factors Among Social Work Students

This study aimed to explore attitudes toward divorce and their relationship with general satisfaction with life, spiritual beliefs, parental bonding, and depressive symptomatology among a sample of 210 social work students from two different universities in Florida. Results indicated that the majority of students had favorable attitudes toward divorce overall, perceiving divorce as a solution to unhappy marriage. Participants also reported strong feelings regarding marital obligation and the effect of divorce on children and society. Attitudes toward divorce were associated with spiritual beliefs and parental bonding.     

Masturbatory Behavior and Feelings: An Exploratory Study of Indian Immigrant Men in Australia

ABSTRACT

Objectives: Sexual problems associated with masturbation (especially intense negative feelings) are commonly reported among Indian subcontinental men. Yet there is a paucity of scientific information about masturbatory behavior and feelings. Much of the available information is either from clinic-based studies or from studies involving young Indians. Methods: The present study, using a community sample of Indian men in Australia, aimed to explore their masturbatory behavior and feelings. Results: Overall, 268 men took part in an online survey, and 221 of these men completed the section on masturbation. Some demographic characteristics of the study sample were comparable to those of the Indian community in Australia. A large proportion (n = 174, 79%) reported that they currently masturbate, while the rest said they never masturbated (n = 9, 4%) or did masturbate in the past but not at present (n = 38, 17%). Among those who currently masturbate, the mean age of onset of masturbation was 14.9 years. Married men tended to masturbate less frequently than unmarried men. The most common mode, source of stimuli, and reason for masturbation were using hands (n = 162, 95%), watching erotic material on the Internet (n = 136, 81%), and to gain pleasure (n = 137, 79%), respectively. A high proportion (n = 114, 66%) of Indian men who currently masturbate said that they experienced positive feelings when masturbating. Conclusions: Masturbatory feelings of Indian men were found to differ by length of residence in Australia but not by degree of acculturation or age. The present exploratory study has provided baseline information about masturbation among Indian men and indicates the need for further research.     

Individual and Family Factors Related to Psychosocial Adjustment in Stepmother Families With Adolescents

This article presents additional data analyses from an earlier study on risk and resilience factors linked with adjustment in stepfamilies with adolescents. The primary objective addressed how individual and family-level factors impacted adjustment in a sample composed of 3 members (biological father, stepmother, and adolescent) from a subsample of 39 stepmother families. Multiple regression results showed that each stepmother family member's adjustment is affected by both shared and nonshared processes. Results also highlighted the role of triangulations and role ambiguity in the psychosocial adjustment of stepmother family members.     

Relationships Between Psychosocial Risks and Stress in Homeless Children

Homeless children are typically exposed to the worst environmental conditions associated with poverty. Despite recent attention to psychosocial risks associated with homelessness, limited attention has been paid to stress-related symptoms in homeless children. Better understanding of homeless children's experience of stress could point the way toward improvement of services for them. The purpose of the present exploratory study was to assess associations between child psychosocial risk factors and emotional and behavioral symptoms of stress in homeless children. Twenty-two homeless mothers of 29 children between the ages of 2 and 10 were surveyed about known psychosocial risks for homeless children and completed the Pediatric Emotional Distress Scale (PEDS), a 17-item measure of stress-related symptoms in children. Findings suggest that the stress-related symptoms of these children are related to the cumulative effects of environmental risk factors. The PEDS appears to be a sensitive measure of stress in children, and its brevity provides an advantage in assessments in high-stress situations. More developmental work with low-SES samples, however, is recommended.     

Working with Military Families Through Deployment and Beyond

Military families experience considerable stress, periods of long separation, and changes to the family system due to family members planning to enter a war zone, actively living in a war zone, and reuniting after being in a war zone. Anticipation and understanding of the stages of deployment improves family, couple and individual functioning. The issues that the family and the couple are confronting at each stage of deployment: pre-deployment, deployment, and post-deployment are presented. Clinical interventions for the family and the couple are presented at each stage of deployment. Additionally, the impact of the service member’s war time experience on the family, couple, and her/himself is discussed.     

Midlife and Older Gay Men Living with HIV/AIDS: The Influence of Resiliency and Psychosocial Stress Factors on Health Needs

HIV/AIDS research has mostly focused on younger gay men. This cross-sectional study originated from a larger study of 316 respondents to include a subsample of 38 midlife and older gay men living with HIV/AIDS. The study explores physical and mental health utilization rates, including physical and mental health status. Resiliency, internal health locus of control beliefs, and psychosocial stressors of age and sexual orientation discrimination, stigma, and internalized homophobia were also examined. A total of 65.8% of the HIV/AIDS participants received no mental health services the past year, despite reporting higher mental health distress. Of those reporting an HIV status, 10.5% indicated having no health visits in the preceding year and more delays in seeking care when needed and unmet health needs for which services were not sought. Participants reporting higher resiliency indicated less mental health distress and better health access indicators. Stigma and internalized homophobia negatively affected resiliency. Implications for practitioners working with midlife and older gay men are provided.     

Integrating Pharmacotherapy and Psychosocial Interventions in the Treatment of Individuals with Alcohol Problems

Abstract

Both research and clinical experiences suggest that there are separate and overlapping benefits of medications and psychosocial treatments for alcohol problems. Evidence has shown that medication(s) combined with a moderate intensity psychosocial therapy can produce outcomes beyond what each of these approaches can produce alone. Taking medication can be helpful in facilitating longer periods of abstinence that in turn affords practitioners a greater opportunity to enhance patients' individual and social coping resources and to increase their motivation to change. Combining effective pharmacological and psychosocial interventions may provide the impetus to integrate alcoholism treatment into the general health care delivery system, thereby helping to increase the accessibility of care and well-being for individuals seeking or needing help with alcohol problems.