The life-course origins of mastery among older people

In this article, we aim to identify the sources of mastery--the understanding that individuals hold about their ability to control the circumstances of their lives. The sample for our inquiry was drawn from the Medicare beneficiary files of people 65 and older living in Washington, DC, and two adjoining Maryland counties. We find that past circumstances, particularly those reflecting status attainment and early exposure to intractable hardships, converge with stressors experienced in late life to influence elders' level of mastery. The impact of past conditions, however, does not necessarily directly affect the current mastery of older people. Instead, the effect of prior experiences on current mastery is mediated by what we refer to as life-course mastery: one's belief that one has directed and managed the trajectories that connect one's past to the present. Our analyses show that life-course mastery largely serves as the mediating channel through which individuals connect their past to their present.     

The dream as a vehicle for the recovery of childhood trauma

Gertrude and Rubin Blanck (1979), drawing on Freud's discovery that a dream may lead to the recovery of forgotten childhood experiences, have shown how certain dreams may provide access to the pattern of the early mother-child relationship and to critical events that occur before the ego is capable of processing experience adequately. Drawing from their considerations, this paper demonstrates how a dream was employed to reconstruct a pattern of early chronic stress trauma which had contributed to a repetitive pattern of self destructive behavior in a depressed woman. This reconstructive effort helped start the difficult work of diminishing the painful impact of the traumatic past and paved the way for a beginning identification with a protective object, the therapist.     

ADOPTION:

In this article, we focus on how understandings of the past influence the process of integrating older special needs children into family life. We present the stories of two families who adopted older special needs children as they reconstructed the past, experinced the present, and projected the future. We draw upon social, pragmatic, and postmodern theories of the past to guide our interpretations and understandings of these families' adoption experiences. The dominant ideology of family influenced their story construction, and it was against this conception that their stories were evaluated. We followed the Litners and the Becks as they used the past to create stories that enabled and disabled their family life in the present and in the future. From the Litners' and the Becks' stories, we learned that when families are too limited by a cultural conception of an ideal adoptive family, their ability to use the past to create stories to help them live in the present and to project a shared future becomes restricted.
Our adoption failed because we understimated the past and overstimated our ability to create stories with happy endings. (Mrs. Beck)     

Transference and countertransference in the treatment of adult survivors of abuse with a somatoform disorder

The understanding of transference and countertransference has changed a great deal since Freud introduced the terms. A case example indicates one way the patient’s and clinician’s past experiences and expectations interact to create a here and now relationship that is highly influenced by transference/countertransference. The understanding of both terms as aspects of a mutually constituted interaction has practice implications for the treatment of adult survivors of abuse who have a somatoform disorder.     

Object relations couple therapy for a married Korean man with sexual dysfunction

This study uses James Donovan's object relations couple therapy to examine the triangle of focus (conflict style, couple characteristics, and family of origin) and triangle of conflict (anxiety, defence mechanisms, and hidden emotions) of a married Korean man with sexual dysfunction (reduced sexual desire, premature ejaculation, and erectile dysfunction). This qualitative study uses thematic analysis to identify, describe, and analyse a family therapy case study. The aim of this study is to examine the couple's interaction patterns and experiences of conflicts related to the husband's erectile dysfunction. The researchers induced patterns or topics by repeatedly reading and comparing the data. Then, they textualised and analysed the relevant data. To ensure the reliability and validity of the data analysis, the researchers conducted shared coding sessions to review and discuss the initial codes and the generated main themes and subthemes, triangulating the qualitative data. Findings show that a newlywed husband's sexual dysfunction is associated with his emotional resistance towards his wife's unilateral pursuit over their sexual relationship and the negative emotions triggered by their dysfunctional interactions. Further, couple characteristics, conflict style (dysfunctional interactions), and family-of-origin factors (transference and patrilocality) influenced their sexual relationship. Therefore, therapists who counsel Korean couples with sexual issues may pay attention to the sociocultural factors, interactional patterns, and psychological factors associated with unresolved issues with their families of origin.     

Dealing with the past in the transition from care. A post-structural analysis of young people's accounts

Young people experiencing the transition from care often are weighed down by their past, both through their early experiences, but also by the way their past is made relevant in encounters with others. The aim of this article is two-fold. Firstly, to present a critical discursive analysis of young people's accounts of themselves in the transition from care. Secondly, to shed light on three different ways of making the transition from care; transition through a break with the past after moving out, transition through continuing change and transition as a way of dealing with the risk of further problems in their lives. The study is qualitative and includes 27 young women and men recruited from three child welfare institutions in the Oslo region of Norway. A multi-method approach including interviews, observations and documents has been used. The analytical framework is inspired by poststructuralist theory.¹     

Bilingual Education in the United States: A window on the Latvian situation

In this paper, we look at US experiences with bilingual education, both past and present. We especially focus on various theoretical models and their applications. After a discussion of these models and applications, we identify a number of best practices.     

Integrating a family-centered approach into social work practice with families of children and adolescents with disabilities

This article identifies a family-centered practice construct for working with children and adolescents with disabilities and their families. The experiences of these families have shifted considerably over the past 30 years. A legislative and historical context provides the basis for an understanding of present policies and practices that influence current approaches to service delivery. Though family-centered practice is emphasized in various practice settings, there is still a need to integrate this philosophy into social work practice with children and adolescents with disabilities and their families. In order to enhance the ability of the social worker to integrate this construct into practice, a framework for exploring the experiences of children, adolescents and families is provided. This framework provides an overview of factors related to the individual child, the family and siblings for the social worker to consider when working with these families. The social worker's role as collaborator, advocate, team member and family resource is highlighted.     

Women’s Accounts of Heterosexual Experiences in the Context of Menopause

ABSTRACT

A number of biomedical models of female sexuality have emerged during the past few decades, and these have been challenged by feminist theorists who have tended to focus on the influence of contextual issues that mediate women's sexual experiences. In this article, a qualitative analysis of accounts relating to heterosexual experiences obtained from 25 menopausal women in Ireland through in-depth interviews is presented and considered in light of existing theoretical perspectives on sexuality. The average age of women in the sample was 54.2 years, and a diverse range of socioeconomic backgrounds was represented. We found that in describing their contemporary sexual experiences, contextual issues were brought heavily to bear as participants drew on discourses of personal history and biography, including previous relationships, to explain their current sexual experiences. However, a few women foregrounded physiological and biological reasons associated with hormonal changes to explain alterations in their sexual relationship, although overall, these were featured to a far lesser extent compared with their prominent position in biomedical menopause literature. A dominant feature of data was the influence of the discourse of the male sex drive, and many women explained their lesser interest in sexual activity compared with that of their partner in terms of men's nature. The findings suggested that for participants, anxiety around sexuality was socially produced either through the expectation to satisfy a partner, or by dominant discourses that defined sexual engagement as “healthy” and sexual apathy as “unhealthy.”     

Integrating a Family-Centered Approach into Social Work Practice with Families of Children and Adolescents with Disabilities

Abstract

This article identifies a family-centered practice construct for working with children and adolescents with disabilities and their families. The experiences of these families have shifted considerably over the past 30 years. A legislative and historical context provides the basis for an understanding of present policies and practices that influence current approaches to service delivery. Though family-centered practice is emphasized in various practice settings, there is still a need to integrate this philosophy into social work practice with children and adolescents with disabilities and their families. In order to enhance the ability of the social worker to integrate this construct into practice, a framework for exploring the experiences of children, adolescents and families is provided. This framework provides an overview of factors related to the individual child, the family and siblings for the social worker to consider when working with these families. The social worker's role as collaborator, advocate, team member and family resource is highlighted.     

The use of the dream in the promotion of ego development

Two functions of dreams, described but not stressed by Freud—the dream as a way of remembering early childhood experiences and the dream as an attempt to master painful stimuli—are considered in this paper in terms of their significance in the treatment of patients whose preoedipal developmental difficulties have resulted in distortions or deficiencies in psychic structure. By providing access to that period of life before semantic communication a time of profound developmental import, certain dreams can illuminate critical experiences of that period. They may lead to the discovery of positive experiences which can be utilized as a starting point for the fostering of more positive object representations or they may lead to the understanding of early traumatic experiences which can be dealt with retrospectively in the therapeutic situation.     

Parallel process: Emotional and physical digestion in adolescents with eating disorders

Abstract

This paper explores the emotional processes involved in psychoanalytical psychotherapy with adolescents with eating disorders. The central discussion is of two clinical examples, both of whom were seen by the author at the initial point of engagement with the therapeutic process. Through paying attention to the qualities of transference and countertransference, the idea of parallel physical and emotional processes is seen to emerge as central to the understanding of these two young people and their difficulties. The second half of the paper goes on to develop a comparison between the characteristics of the object relations of the two adolescent patients and the quality of early object relations in babies who have feeding difficulties. The latter is discussed with reference to infant observation, particularly the author's study of 'Five infants at potential risk'. The conclusions drawn are, first, that the therapist needs to take into account, in the countertransference, the 'pull' towards responding to the patient collusively, or through repeating an invasive experience and, second, that the patterns of object relations which are seen in the adolescents and experienced by the therapist in the countertransference relate to prototypes of specific defensive configurations that can be described, through observation, as occurring in early infancy.     

Reconsidering Worlds of Pain: Life in the Working Class(es)

This paper focuses on the early goals, past educational experiences, familial support, and current career goals of a sample of 80 White middle-class and working-class parents in a medium-sized northeastern city in the United States. The research will help determine whether members of the working class have lived in or still live in worlds of pain. Middle-class parents overwhelmingly report having had high goals and aspirations in high school, positive experiences in school, and supportive parents and role models in their families. Moreover, they report being satisfied in their current occupational positions. The working-class parents present a more complex pattern: For each of the areas studied—early goals, schooling, familial support, and job satisfaction and future goals—some of the working-class respondents report better experiences than the others. A more inclusive sampling strategy proved useful in this study in documenting the varied life experiences and attitudes found among members of the working class. These findings provide support for and modification of Rubin's (1976, 1994) portraits of the working class.     

Influence of early romantic relationships on adolescents’ sexism / Sexismo en la adolescencia: influencia de las primeras relaciones de pareja

Abstract

The aim of this study was to analyse the influence of romantic relationships on adolescents’ sexism. We primed some of the participants with their past and/or present relationship experiences before assessing their sexism. A sample of 130 adolescents (67 boys and 63 girls) from Spanish high schools participated in the study. Half of them were asked to report on their relationship experience first before responding to an ambivalent sexism inventory. The other half of the sample responded first to the sexism inventory and then reported on their relationship experience. The results of this study showed that when participants’ relationship experiences were primed, they reported higher endorsement of sexist beliefs: boys reported higher BS and HS, whereas girls reported higher BS.     

Unravelling Cultural Constructions in Social Work Education: Journeying Toward Cultural Competence

Cultural understanding is often so deeply internalised it is difficult to know when and how values, beliefs and traditions were learned and even whether the ingrained messages carried from the past remain relevant in the present. Finding creative and culturally inclusive ways for students to unravel the origins of their own cultural constructions evolved into an assignment for a family course in social work education at the University of Otago, New Zealand. The student group were distance taught, mature students, most of whom were working in social service settings. Students self‐selected into groups and were asked to research, analyse and present their understanding of the influence of a culturally specific and influential myth, legend or fairytale. A key requirement was that this occurred within the context of working with families. Students were required to examine how the messages from well known ‘stories’ are perpetuated and how these then influence social work practice. This method of assessment was monitored and evaluated in terms of the students' experiences along with the learning outcomes for the course. It is the rationale, the process, and evaluation of this assignment that will be discussed in this paper.     

Factitious Illness by Proxy: Understanding Underlying Psychological Processes and Motivations

Children are put at risk of emotional and physical harm when parents seek unnecessary medical care. Understanding why parents seek medical interventions that create risk for their children requires us to consider how past experiences, and the mental representations of these experiences influence current behaviour. Past experiences of danger affect how parents interpret ‘dangerous’ situations in the present and how they organise protection of their child. This article demonstrates how the notion of mental representations (that dispose parents to act in particular ways) can assist in engaging, assessing and treating parents who display factitious illness by proxy behaviour. When classified using the Dynamic‐Maturational Method, the Adult Attachment Interview (AAI) allows both assessment of implicit and explicit representations and also understanding of the developmental process through which parents have learnt to attribute meaning to information and to organise their behaviour. In this case study, psychosocial assessment of the family included an AAI with each parent. The use of this assessment tool both aided the therapy team in the process of case formulation and intervention planning, and had therapeutic value in and of itself. We argue that treatment is more likely to be effective if the parents and professionals have a shared understanding of the parents' intentions and the developmental process that led to unsafe behaviour, which requires change.     

Translations in social work

This article is concerned with the relation between classical texts within social work and the interpretation of these classics in contemporary literature. It aims to explore how classical texts influence and work in our perception of, and writing about, our history, but also how they influence our perception of social work today. A study is made of Mary Richmond’s classic text Social diagnosis [1917. Social diagnosis. New York, NY: The Russell Sage Foundation] and later interpretations of her text in secondary literature. Through this analysis, a grand narrative within the effective history of social work: social work as a ‘borrowing field’ is questioned. Using translation theory as an alternative to the borrowing metaphor, I analyze the transference of ideas and concepts from other disciplines into social work and how these processes have been perceived. The dynamic processes of translation places social work within an interdisciplinary field, where ideas and concepts are continually exchanged between disciplines. It is the thesis of this article that research into authorities within the discipline and early contributions to the development of social work strengthen the discipline’s insight into past and current theoretical contributions within the discipline itself and the knowledge base of social work.     

A role-reversal in the mother-daughter relationship

Psychoanalytic theorists have noted a particular dynamic in the mother-infant relationship in which the emotional needs of the mother predominate. When this situation occurs, the emotional needs of the infant may go unmet, resulting in impaired self-development. Through an integration of the ideas of mainstream psychoanalytic theorists and feminist psychoanalytic thinkers, this paper proposes the idea that, because of the intensity of the mother-daughter relationship, this dynamic may be more prevalent between mothers and daughters than between mothers and sons. A mother-daughter relationship is described in which the mother comes to depend on her daughter for emotional attunement and response, and the mother's selfobject needs predominate. As a consequence, the daughter is unable to develop a cohesive sense of self and experiences difficulty in achieving separation. Two clinical reports are presented to illustrate the way in which this mother-daughter dynamic manifests itself in the patient's life and in the therapeutic relationship. A negative transference dynamic is described resulting from these patient's fear of duplicating their relationship with their mothers in the therapeutic relationship by having to meet the selfobject needs of the therapist.     

Through their eyes: seeing experiences of settlement in photographs taken by refugee background youth in Melbourne,Australia

Although ‘refugees’ are frequently represented in visual media, it is predominantly as the central subject matter and rarely are they positioned as the photographers of their own journeys. In this article, we present photographic images that have been taken by refugee background youth portraying their experiences of the first years of settlement in Australia. We consider how, in our longitudinal research conducted with 120 refugee background youth, visual materials can provide equally important yet different insights in comparison to written or spoken narratives on the experiences of refugee settlement. Through an examination of the photograph’s visual content, we explore the ways in which they portrayed their early experiences of external suburban settlement environments and their depictions of interior spaces and home-making practices. We discuss how these visual insights capture an alternative way of seeing the experiences of becoming at home as the youth become emplaced post-resettlement in Australia. We argue that the photographs taken by these refugee background youth illustrate how visual methods and materials can provide equally important but often overlooked insights into early settlement experiences. Importantly, the photographic images offer a way of portraying the people, places and sentiments that are central to the everyday lives of refugee background youths in ways that oral and written narratives cannot.