An exploratory study of the impact of an adolescent's eating disorder on Chinese parents' well‐being,marital life and perceived family functioning in Shenzhen,China: implications for social work practice

In this paper, the author reports the results of an exploratory study conducted in Shenzhen, China on how an eating disorder in an adolescent or adult child in the family would affect the parents' well‐being, quality of marital life and the perceived family functioning. Out of 33 patients suffering from eating disorders and referred for family treatment, 18 mothers and 15 fathers participated in this study. The data were gathered using a standardized questionnaire comprising three measures, namely the Symptom Check‐List‐90‐R, the Dyadic Adjustment Scale and the Family Assessment Device. The results of the study have shown that the parents' well‐being was negatively affected, especially for the mothers, whose self‐reported depression and anxiety levels were higher than the fathers'. The parents also perceived family functioning to be less satisfactory since the onset of the disorder, with least satisfaction reported on Affective Involvement, Affective Responsiveness, Roles and Behaviour Control. However, the onset had no negative effect on the parents' marital life. Implications of the study for social work practice are discussed.     

Community care for adults with severe mental disorders in rural China: A case study

In China, family care is the dominant form of care for people with mental disorders. Since 2004, the government has been developing a community‐care model that places more responsibility on community organisations and the local governments at the provincial, municipal and county levels for the provision of formal care. As a large number of people with severe mental disorders live in rural China, this case study was conducted in a rural county in order to examine the development of community care. It was found that, although family care remains dominant, families’ need for formal care is increasing. Community services have improved, but their development is constrained by several contextual and micro factors. In this study, it is argued that the community‐care model introduces a process of reconfiguration of the relative responsibility for care among the family, social organisations and the government, but progress depends on further administrative and fiscal reforms.     

II. The influence of differences in age,sex, and intelligence in determining the attitudes of siblings toward each other 1

This article explores the relational process in a long-term psychodynamic psychotherapy case of a patient with binge eating disorder and the subsequent impacts on treatment when the therapist also struggles with disordered eating. This in-depth case study seeks to examine the reciprocal influence of the subjectivities experienced by the patient and therapist on the formation, maintenance, and quality of the therapeutic relationship and the course of treatment. Drawing on intersubjective theory, a narrowed focus on transference/countertransference dynamics seeks to examine the complexities of a relational approach in the treatment of binge eating disorder. A review of the literature suggests that an exploration of this dimension of treatment breaks new clinical ground and serves to provide more specified and nuanced perspectives for clinicians treating this population. Several clinical vignettes are provided to illustrate the concepts under examination. The use of case composites and thick disguise of patient information has been used to protect confidentiality in this analysis.     

Dyadic Developmental Psychotherapy: an evidence-based treatment for children with complex trauma and disorders of attachment

Dyadic Developmental Psychotherapy (DDP) is a family therapy treatment based on Attachment Theory. It is an integration of several approaches, methods and techniques that have a strong evidence base. The approach was originally developed to treat children with disorders of attachment and has been shown to be effective. It has since been more broadly used to help families with a variety of difficulties, including complex trauma. This paper outlines the primary principles and components of DDP and the evidence to support the effectiveness of the components and, therefore, of DDP.     

Working time: implications for sickness absence and the work–family balance

Olsen KM, Dahl S‐Å. Working time: implications for sickness absence and the work–family balance
Int J Soc Welfare 2010: 19: 45–53 © 2008 The Author(s), Journal compilation © 2008 Blackwell Publishing Ltd and the International Journal of Social Welfare. The article analyses the impact of working time on two outcomes: sickness absence and the work–family balance. Working time is distinguished along two dimensions: irregular versus regular working hours and control versus no control over working time. There are three main findings. First, working irregular working hours with no control over time increased sickness absence, for men. Second, irregular hours, particularly with no flexibility, caused distress to the work–family balance, for both women and men. Third, flexibility in the work schedule when working regular hours had no effect on sickness absence nor on the work–family balance. This last finding may be explained by the institutional setting: employees in Norway already have substantial flexibility in, for instance, access to leave of absence. The findings suggest that increasing flexibility may benefit employees who work irregular hours.     

Object relations theory: Cultural and social implications for psychotherapy with individuals who are deaf

The case of Rita highlights the importance of integrating a multicultural perspective with psychodynamic theory for individuals who are deaf or hard of hearing. Social constructivist theory suggests that the meaning and stigma of deafness influences the parent‐child relationship as well as the numerous socialization experiences that an individual encounters. As this paper shows, the Deaf community, with its unique linguistic, cultural, and social processes, played an integral role in developing whole object relations for Rita. This case exemplifies the importance of integrating psychological, sociocultural, and linguistic components, which are essential to the development of those who are deaf.     

Secure Body Attachment and the Prevention of Eating Disorders: A Case Application

Drawing on attachment theory, the author explores the particular physical presence of the body as a significant aspect of the attachment relationship between two people, most notably between two females (the mother and the daughter). Recognizing the nature of one’s body attachment as a protective and a risk factor provides a greater understanding of the potential for resilience, as well as the presence of vulnerability in relationship to one’s body. Through a case application, the author argues that without a model of secure attachment to the body, a female is more likely to develop an attachment to cultural ideals as an extension of primary relationships and at the expense of her own body, moving her from exposure to action in the form of an eating disorder.     

Substance use disorders and referral to treatment in substantiated cases of child maltreatment

Parents with substance use disorders (SUD) require treatment and support in order to provide children with appropriate care and protection. Using the 2012 National Child Abuse and Neglect Data System (NCANDS), this paper analysed 464 313 substantiated child maltreatment reports to determine (i) the proportion and characteristics of reports involving substance abuse; and (ii) the child and caregiver/perpetrator (C/P) characteristics that predicted referral to treatment as recorded in service plans. Findings indicate that 12% (N = 53 234) of maltreatment reports involved C/P SUD. Yet, of those reports, only (19%) (N = 10 088) were referred to substance abuse treatment as part of their service plan, indicating a large gap between those who need treatment and those who receive it. This finding is important given that parental SUD is consistently linked to poorer child outcomes. Amongst other variables, reports indicate that C/P with co‐occurring emotional disturbance were three times more likely to be referred to treatment for SUD as part of service plans. Additional research is needed regarding the characteristics that distinguish C/P who receive referrals for SUD treatment in substantiated cases of child maltreatment.     

Globalisation, social policy and international standard-setting: the case of higher education credentials

Social policies are, to an increasing extent, shaped by international standards and regulations. This international standard-setting can be seen as an attempt to grapple with the challenges of globalisation. However, what is unclear is how far the pressures of globalisation and the processes of international standard-setting leave any scope for policy choice, whether at international, national or sub-national level. This paper focuses on the specific case of higher education. It argues that the development of international standards and the convergence of national standards must be understood by reference to the interests and strategies of various stake holders, including national governments, social elites and higher education institutions themselves. International markets and international standards are politically constructed and neither globalisation nor international standard-setting can be seen as inexorable and apolitical processes.     

ADHD and its comorbidity: an example of gene–environment interaction and its implications for child and family social work

In many of their cases, child and family social workers, particularly those involved with abuse and neglect, will find themselves also working with children who have been diagnosed with attention deficit hyperactivity disorder (ADHD). The paper reviews current understandings and debates about the nature and causes of ADHD. Although modern evidence suggests the neurobiological basis of the condition and the effectiveness of medication in treating the behaviour, it is also recognized that the quality of the child's caregiving and social environment plays a significant role in the aetiology, maintenance and treatment of ADHD. Recognizing the part that psychosocial elements play in understanding the condition, child and family social workers can be valued members of multidisciplinary teams treating ADHD in which they offer support to parents, helping them to understand and manage their ADHD‐diagnosed child.     

Adoptive family life and adoption support: policy ambivalence and the development of effective services

Adoption policy and practice in England is being ‘modernized’ in order to increase the number of permanent placements for children in public care. Success depends on improving adoption services as well as reforming the adoption process itself. To this end the Adoption and Children Act 2002 places new duties on local authorities to ensure greater consistency and quality of service in adoption support as well as in care planning. Questions now arise locally about what priority and focus to give to adoption support. Yet service development is inhibited by the ambivalence of New Labour about exactly what it is that adoption support is supposed to be supporting and how. Funds are limited and service re‐organization is always difficult to achieve. However, mixed policy messages result largely from the ambiguous social role and expectations of adoptive family life and kinship. In law adoption replicates the autonomous normative birth family whilst in policy it provides reparative parenting for particularly vulnerable children. A lack of clarity about the claims for support of those affected by adoption results. This paper argues a fresh case for the distinctive claims of adoptive family life for support. It suggests how new thinking about adoptive family life and kinship might stimulate local service collaboration and effective adoption support.     

Transforming child and family services in urban communities in South Africa: lessons from the South

Post‐apartheid, South African agencies have been required to shift their services in fundamental ways, including offering services in previously un‐resourced areas, honouring the rights of children and families, ensuring that users, staff and governing bodies are representative of the population and providing developmental social welfare services in place of child protection‐oriented interventions only. A study of urban South African child welfare agencies provides insight into the complex task of managing and leading change. In view of overloaded change agenda and resource constraints, managers focused on effecting incremental change and prioritized the most ‘rewarding’ change efforts. Transforming practice towards a developmental approach was less successful. Structural interventions were also not prioritized. Child welfare agencies internationally face demands to transform in response to the effects of local change and globalization. The study's insights might resonate with agencies working for change in other societal contexts.     

The relationship between maternal depression and child outcomes in a child welfare sample: implications for treatment and policy

Maternal depression is an extremely important parenting variable in relation to child general health. This investigation addressed the issue of maternal depression as it relates to the lives of children seen by child welfare authorities. Maternal depression was investigated in the context of the increasing rate of children coming to the attention of the London and Middlesex Children's Aid Society. A variety of child outcomes including those of particular relevance to child welfare, specifically disorders of attachment and neglect and physical abuse, school‐related variables, conduct disorder and psychological distress, were investigated. The relative contribution of maternal depression along with measures of socioeconomic status and social isolation to childhood risk was examined. Results indicated that the rate of maternal depression doubled during the years 1995–2001. Maternal depression was related to children entering care through wardship. Additional poor child outcomes such as attention deficit disorder, conduct disorder and emotional adjustment were also related to maternal depression. The findings are discussed in terms of treatment and policies that can lower the risk to children through effective intervention with depressed mothers.     

Parenting,family functioning and lifestyle in a new culture: the case of African migrants in Melbourne,Victoria, Australia

This study documented the parenting styles among African migrants now living in Melbourne, Victoria, Australia, and assessed how intergenerational issues related to parenting in a new culture impact on family functioning and the modification of lifestyles. A total of 10 focus group discussions (five with parents and five with 13–17‐year‐old children; N = 85 participants) of 1.5–2 hours duration were conducted with Sudanese, Somali and Ethiopian migrant families. The analysis identified three discrete themes: (i) parenting‐related issues; (ii) family functioning and family relations; and (iii) lifestyle changes and health. African migrant parents were restrictive in their parenting; controlled children's behaviours and social development through strict boundary‐setting and close monitoring of interests, activities, and friends; and adopted a hierarchical approach to decision‐making while discouraging autonomy among their offspring. Programmes seeking to improve the health and welfare of African migrants in their host countries need to accommodate the cultural and social dimensions that shape their lives. Such programmes may need to be so broad as to apply an acculturation lens to planning, and to assist young people, parents and families in addressing intergenerational issues related to raising children and growing up in a different social and cultural milieu.     

Reflexivity, its Meanings and Relevance for Social Work: A Critical Review of the Literature

The concept of ‘reflexivity’ has become increasinglysignificant in social work literature in relation to socialwork education, theory and practice. However, our reading ofthe literature indicates that there is a lack of clarity aboutthe concept in terms of who is being exhorted to be ‘reflexive’,when and how. This article addresses these questions througha critical review of social work literature since the 1990sthat discusses the concept of ‘reflexivity’. Giventhat many authors seem to use the concepts of ‘reflexivity’and ‘(critical) reflection’ interchangeably, wealso apply this analysis to ‘reflection’ and ‘criticalreflection’. This article raises important questions abouthow the concepts of ‘reflexivity’, ‘criticalreflection’ and ‘reflectivity’ are definedand the different consequences such definitions might have forsocial work education, theory and practice.     

The Victoria Climbié case: social work education for practice in children and families' work before and since

Based on their research into the Victoria Climbié Inquiry, the authors outline an analysis they undertook of literature which had made substantial comment on either the inquiry itself and/or the subsequent inquiry report. An overview of 18 publications is provided, with four categories of themes emerging. These themes are outlined and then connected with concerns the authors of the current paper identified in journal papers written 10 years or more ago. It is argued that the gap between recognition that society needs competent, well‐trained and skilled social work and other professionals to safeguard the lives of children and families and understanding of what education, training and employment support mechanisms are necessary in order for workers to become and remain well‐trained, skilled and effective, remains as wide as ever. The paper concludes with an outline of teaching approaches the current authors have adopted in pursuit of the kinds of learning opportunities they believe need to be put in place to improve professional practice in children and families' work. These include creative use of child abuse inquiry reports themselves, role plays and simulations and workshops designed to enhance critical reflection skills.     

The analysis of policy implementation models in higher education: the case study of Indonesia

This paper aims to analyse and understand the models of policy implementation in Indonesian state universities during the ongoing process of market-driven reforms and how academics respond to these models. The research undertaken was in the form of qualitative study using semi-structured interviews as instruments to collect data. Interviews were conducted with 30 academics in three state universities in Indonesia. The research demonstrated that policy implementation in Indonesian state universities takes largely a dialectical form which takes place both at macro and micro levels, suggesting a blended application of top-down and bottom-up approaches. The results of this study also confirmed that the interaction between policy and local systems plays an important role for the successful implementation of the policy. Indonesian academics perceived that each of these models has its strength and weaknesses particularly in relation to the aspect of collegiality. It is anticipated that the study will both contribute to a better understanding of the dynamics between governments as policy makers and academics as street level bureaucrats in the implementation of a policy, and offer guidance for policy makers in the formulation and enactment of relevant policies in higher education sectors both in Indonesia and other contexts implementing policy implementation.     

Assessing the value of family safety networks in child protective services: Early findings from Minnesota

The considerable number of families served continues to place systemic challenges on the child welfare system. Jurisdictions are turning to new strategies to increase family engagement in services and to leverage taxed or limited resources. Signs of Safety® is a strengths‐based and safety‐focused approach to child protection work that is grounded in partnership and collaboration. This exploratory pilot study with a referred participant sample used interviews with 26 parents and 32 safety network members to explore respondents' perceptions and use of a safety plan and safety network, core components of the Signs of Safety framework. Findings from this pilot investigation include insights about how safety plans and safety networks are established, how they function, and opportunities for enhancing their use with families with the goal of providing supports that increase the likelihood of continued safety for children after case closure. Preliminary results also suggest these tools may contribute to reduced re‐reports to child protection.     

Children's understanding of mental ill health: implications for risk and resilience in relationships

Research shows that having a parent with a mental health problem has associated risks for children, but some families seem very resilient and do not always suffer these difficulties. In order for social workers to be able to support the development of resilience in families who appear to be at risk, we need to understand what factors may ameliorate some of these risks. Research seems to suggest that children who can conceptualize their parent's mental health problem as something 'outside' their representation of that parent as an attachment figure are likely to have better outcomes than children who see the mental-health problem as part of, and embedded within, their representation of that parent. However, in order to develop an understanding of how this conceptualization affects attachment relationships and outcomes, we need to know what children understand by mental ill health. We also need to consider how this conceptualization might be changed, and it appears that parents, other attachment figures and other support figures may play a key role here. This paper provides a selective review of the research area and discusses the mechanisms which may govern this complex process. The review concludes with recommendations for future research and practice.