AIDS,the individual,family and community: psychosocial issues

Understanding of the psychosocial factors associated with acquired immunodeficiency syndrome (AIDS) at both the individual and societal levels is essential to the design of programs aimed at treating the virus and containing its spread. In Africa, AIDS has profound implications for economic development, the general quality of life, demographic patterns, male-female relationships, child development, and family structure. Relevant psychosocial issues include fear of the unknown and the tendency to depersonalize AIDS victims, burn-out on the part of caretakers, fear of contagion, fear of being around a dying person, helplessness, and anger. Poverty undermines coping capacities and pushes many families affected by AIDS into disorganization and crisis. Moreover, the shame and guilt associated with AIDS in Africa leads many families to isolate themselves from social support. Through trends such as the loss of skilled manpower to AIDS and a need for aging parents to reassume full care of infected adult children, AIDS has disrupted Africa's social system as well. Community education is essential to reduce fears related to living amidst those who are infected, sick, and dying and minimize the erosion of societal institutions.     

Why and how do parents decide to adopt? A study on motivations and the decision-making process in becoming an adoptive family

There are several motives underlying the process of deciding to become an adoptive family. However, research exploring this issue is scarce and essentially focused on infertility as the main motivation. The present mixed-method study aims to fill in this gap by exploring, retrospectively, the motives to adopt of 126 Portuguese adoptive parents. The Parents' Interview on the Adoption Process was used to identify the motives to adopt and describe the adoption decision-making process. Seven main motives (biological issues, filling in a void/loneliness, adoption as a life project, expanding the family, philanthropy, contact with the child protection system and parenthood) were identified. These motives can be centred on the self, the child or both simultaneously and are characterized by dynamism, permeability and interconnection. Findings allowed for establishing conceptual considerations on motivations to adopt and recommendations for adoption practice.     

“The Wisdom of Age”: Perspectives on Aging and Growth among Lesbian Older Adults

Older lesbian-identified women are a health disparate yet resilient population about whom knowledge is limited and emerging. Among the areas in need of research are older lesbians’ experiences of later life and stress-related growth. This article presents the findings from a qualitative study that investigated older lesbians’ experiences of adversity and adaptation as they age. In-depth, exploratory interviews were conducted with 12 lesbian-identified women who were between the ages of 65–80. This study applied grounded theory methodology to identify respondents sources of stress and fear, their strengths and coping strategies and how those relate to each other and to their growth in later life. We advance a model of adaptive change that shows how spirituality, social support, and resistance to cultural norms help older lesbian adults cope with loss, illness, and discrimination and develop wisdom in later life. Knowledgeable practitioners can help older lesbian women identify and maintain sources of social support, explore spirituality, and facilitate continuous growth through the end of life. Social workers can advocate for services that are welcoming and affirmative so as to reduce fears of isolation and dependence associated with health decline.     

Family Talk about Internal States and Children's Relative Appraisals of Self and Sibling

This study investigated associations between preschoolers' conversations about internal states and their spontaneous appraisals of self and sibling. Thirty‐two preschoolers (M age = 3.9 years) were observed during naturalistic home interactions with mothers and younger siblings. Various features of mothers' and children's internal state language were coded. Children who talked about internal states to the baby and who talked more about the baby's perspective tended to appraise their sibling negatively relative to self. In contrast, mothers' references to internal states, as well as their promotion and encouragement of the child's own internal state talk, were negatively related to the differences between children's negative appraisals of self and sibling. These results support the social‐constructivist notion that the quality of children's interactions with family members is related to how they construe themselves in comparison to their siblings.     

Professional Perspectives on Decision Making about the Long-term Care of Older People

With the increasing pressure on social and health care resources,professionals have to be more explicit in their decision makingregarding the long-term care of older people. This groundedtheory study used 19 focus groups and nine semi-structured interviews(99 staff in total) to explore professional perspectives onthis decision making. Focus group participants and intervieweescomprised care managers, social workers, consultant geriatricians,general medical practitioners, community nurses, home care managers,occupational therapists and hospital discharge support staff.The emerging themes spanned context, clients, families and services.Decisions were often prompted by a crisis, hindering professionalsseeking to make a measured assessment. Fear of burglary andassault, and the willingness and availability of family to helpwere major factors in decisions about living at home. Serviceavailability in terms of public funding for community care,the availability of home care workers and workload pressureson primary care services influenced decision ‘thresholds’regarding admission to institutional care. Assessment toolsdesigned to assist decision making about the long-term careof older people need to take into account the critical aspectsof individual fears and motivation, family support and the availabilityof publicly funded services as well as functional and medicalneeds.     

Age at placement and adult adopted people's experience of being adopted

Older age at placement has long been recognized as a risk factor in successful adoption outcomes. The findings of the present study emerged as part of a larger study that looked at the adoption experiences and reunion outcomes of 472 adults who had either searched for or been sought by one or more of their birth relatives. As part of the investigation, adopted adults were asked to evaluate their adoption experience. Age at placement was used as a key variable in examining whether or not adopted people felt different to their adoptive family, felt they belonged in their adoptive family, and felt loved by their adoptive parents while growing up. Respondents were also asked to evaluate their overall experience of being adopted. Older age at placement significantly increased the risk of adopted people viewing major aspects of their adoption experience with either mixed or negative feelings.     

Consistency and Change in Children's Tattling on their Siblings: Children's Perspectives on the Moral Rules and Procedures of Family Life

Children's tattling on their siblings was observed in 39 families when children were 2- and 4- and 4- and 6-years of age. Tattling was more frequent among older siblings, and increased across time, despite a corresponding decrease in sibling transgressions against one another and an increase in parents' negative reactions to tattling. Tattling was largely truthful, implicit in form, and more likely to concern transgressions of what parents also regarded as more important standards. Among 4- and 6-year-olds, tattling was related to children's negative behaviour to one another and equally likely when children faced ongoing conflict issues and when they merely wished to inform parents of sibling wrongdoing. Parents generally allowed their children to tattle on one another, rarely reprimanded tattlers, but responded to the information contained in the tattlers' reports. The parents' responses were related to the quality of their children's tattling, but the children's tattling was unrelated to the likelihood that parents would react either positively or negatively to it. Results are discussed in terms of the place of tattling within the family system, with emphasis on the children's understanding of the implications of their parents' involvement in their own disputes.     

Social Workers' Experiences of Fear

Correspondence to Dr Martin Smith, Emergency Duty Team, Katherine Knapp House, Stretton Close, Tylers Green, Bucks, HP10 8EW, UK. E-mail: msmith{at}buckscc.gov.uk Summary This paper argues that the impact of fear on social workersand social work practice is a relatively neglected topic thatdeserves attention. With this in mind a sample of 60 employeesof social services departments comprising home carers, rehabilitationofficers, receptionists, residential workers in children's homes,special hospital social workers and social workers working inNorthern Ireland were asked to talk of a time in their workwhen they had experienced fear. Eighty-two fears were reported.These comprised fear of being assaulted, fear of being killed,fear of losing control/being overwhelmed, and fear of disapprovaland rejection by seniors and managers. The social workers interviewedappreciated talking openly about their fears in a manner andcontext that was acceptable to them. It is recommended thatfurther work be undertaken to build upon this research so thatfear in the professional context becomes acknowledged as a realityand the need to share the experience becomes an accepted partof practice.     

Who's afraid of growing old? Gay and lesbian perceptions of aging

This article is a study of how gay men and lesbian individuals perceive the aging process. The findings indicate that gay men have more negative views of how gay society views growing older and how they view their own growing older than do lesbian respondents. Gay men were also found to be more ageist, have a greater fear of negative evaluation by others, and give more importance to their own physical attractiveness. Implications for social work practice with elder homosexuals are addressed.     

Being other: Intersubjectivity,allocentrism and the possible

This paper engages with the issues of intersubjectivity by raising three main questions about it: What is the status of the other and of the perspective of the other? How would a social ontology that starts from the other look like? and What is the relation between intersubjectivity and the possible? In addressing these questions, I propose four main approaches to self–other relations, each one focused on a different set of theories of intersubjectivity: cognitive (being self), pragmatist (becoming other), dialogical (becoming self), and allocentric (being other). Their main premises, processes, theories and proponents, as well as implications for ethics and the emergence of novelty, are reflected on in turn. Allocentrism emerges as a useful way to shift the focus from self to other in discussions of intersubjectivity, as an ontological condition of the possible, but also as a difficult position to adopt in practice, particularly in polarized societies.     

Negative Feelings and Help Seeking Among Older Adults With Chronic Conditions

Older adults with chronic conditions are at greater risk of negative affect, though few studies have focused on older adults’ perspectives on how chronic conditions affect their mental well-being. This study involved in-depth interviews that explored how older adults describe their feelings about chronic conditions, the context within which they experience these feelings, and their experiences with help-seeking for negative feelings. Participants reported that older adults experience a range of negative feelings related to their conditions and are only comfortable talking to people who understand their everyday experiences with managing chronic conditions. The findings have implications for health self-management.     

Children's awareness concerning emotion regulation strategies: Effects of attachment status

The current study evaluated the effects of preschoolers' attachment status on their awareness concerning emotion regulation strategies. A total of 212 children between 3 and 5 years participated in this study and completed two self‐report tasks. The first was the Attachment Story Completion Task (ASCT), which assessed children's internal working models concerning parent–child attachment; the second evaluated children's ability to generate emotion regulation strategies in relation to three negative emotions (anger, sadness, and fear). Statistical analyses involved a mixed models multilinear regression approach controlling for age and gender. The results consistently revealed that the insecure avoidant group was significantly less likely than securely attached children to generate both comforting and self‐regulatory strategies. Surprisingly, the insecure ambivalent group showed no deficits across measured outcomes. When the analyses were conducted separately for each negative emotion, findings for co‐regulatory strategies for fear, and self‐regulatory strategies for anger also suggested that avoidantly attached children exhibited the lowest levels of awareness compared with children from the secure attachment group. These findings stress the importance of children's attachment status, and implicitly, the quality of the parent–child interactions for children's awareness of emotion regulation strategies related to negative emotions.     

Absent Role of the State: Analysis of Social Support to Older People with Disabilities in Rural China

China is experiencing rapid population ageing and already has 44 million older people with disabilities aged over 59 years. Yet social support of these older people with disabilities is undeveloped and not well researched. This article contributes by using a disability rights framework (right to life and protection, economic security and social support) to analyze local cases in rural China. It finds that, although the family is still the main provider of economic and care support to rural older people with disabilities, the absence of a state role in welfare provision has negative impacts on the well‐being of older and younger generations in rural families.     

COVID-19 pandemic and the determinants of depressive symptoms among senior citizens of India: An empirical investigation

The COVID-19 pandemic inflicted multiple threats to individuals' physical, mental, and financial health conditions. The pandemic-related restrictive behaviors pose serious consequences for public health and increase the risk of mental illness among individuals, particularly among older citizens. The combination of their pre-existing illnesses, social isolation, COVID fear, and financial adversity frequently aggravates their condition and leads to depression and mental illness. Thus, the present study investigates the mental health status and the determinants of depressive symptoms among older adults of Bhubaneswar during the COVID pandemic context. The study used the Geriatric Depression Scale (GDS-15) to measure their depressive symptoms. The social isolation parameter is measured with the De Jong Gierveld Loneliness Scale. Financial self-efficacy, COVID-19-related psychological fear, and comorbidity health status are other determinants considered. A chi-square test and multinomial logistic regression (MLR) models are adopted to find the probable risk factors that may influence depressive symptoms among older people. The results indicate that comorbidity health conditions, a social isolation mindset, and financial efficacy issues are the significant determinants that drive an older person towards different depression categories. The improvement of these influential factors can lead senior citizens to avoid any health emergency like COVID pandemic. In the event of a public health emergency, such as COVID pandemic, the government could use the study's findings to devise methods for assisting the elderly. Society as a whole should be aware of these findings, which can lead to depressive symptoms, and offer support to the elderly. Future research may concentrate on identifying the causes of depressive symptoms in different age groups or in the presence of specific comorbidity health conditions. Future research may also investigate the factors influencing depressive symptoms in a specific occupation.     

Reducing Burglary and Fear among Older People: An Evaluation of a Help the Aged and Homesafe Initiative in Plymouth

Despite their low levels of risk, older people have been targeted by a number of crime reduction initiatives. This article describes an evaluation of one burglary reduction initiative in Plymouth that involved the local Plymouth Homesafe scheme and Help the Aged. The scheme clearly targeted the more vulnerable groups within the community, and clients were extremely positive about the service and its implementation. However, there was little evidence that they expressed lower levels of fear of crime than did older people in general. This leads to a discussion of different levels of vulnerability and the way different subcategories of client perceived and benefited from the scheme.     

The Relationship between Social Networks and Volunteerism among Seniors

ABSTRACT

The aim of this article was to examine the role of social networks in the fostering of volunteering as a social activity among older adults. Two different data sources were used. First, a secondary analysis was conducted of 2,057 Spanish respondents to the Survey of Health, Ageing and Retirement in Europe, previously published in 2013. The features of the social networks of volunteers and non-volunteers (network structure, interaction and quality) were analyzed. Second, a questionnaire was administered to 152 older volunteers in Spain to determine the role played by social networks in the recruitment of older people to volunteer work by looking at which network members had suggested volunteering, among other variables. The analysis of the two datasets found that the low participation of older Spanish people in volunteering is related to the structure of their social networks. While the social networks of older Spanish people are mostly comprised of family members, recruitment to volunteering tends to happen through relationships with friends and acquaintances rather than relatives. Future research in this area should consider the impact of gender on the uptake of volunteering and address other issues such as the role of social networks in the benefits that people get from volunteering.     

Social Workers' Responses to Experiences of Fear

Correspondence to Martin Smith, EDT c/o Social Services Department, Easton Street, High Wycombe, Buckinghamshire, HP11 1NH. E-mail: msmith{at}buckscc.gov.uk Summary This paper follows on from the paper ‘Social workers’experiences of fear’, written by the same authors, reportingon a research study that showed how social workers interviewedexperienced fears of assault, death, losing control and rejectionfrom their seniors during their working hours. Now, from thesame study, examples are given that illustrate ways in whichparticipants were affected by, and responded to, these fears.Substantive quotations from in-depth interviews are providedshowing effects of fears as being physical, cognitive and emotionaland as manifesting themselves differently with the passing oftime. Also given are examples of what it was that participantsfound to be helpful, or unhelpful, when attempting to deal withtheir fears and particular attention is paid to supervisionin this respect. The paper argues that drama therapy literaturehas much relevance to the management of fear as participantsoften reported different parts of themselves performing roleswhen affected by and responding to fears. Implications for socialwork training are considered in this light. Generally, it isclaimed that the more social workers can learn about fear andits manifestations and implications in their work, the betterthey will be able to respond to it and deal with it.