Behavioral adjustment of Chinese adoptees: The role of pre-adoption experiences

PurposeIn the current study we examined associations between children's pre-adoption experiences (type of pre-adoption care and early deprivation) and their adaptive and maladaptive behavioral adjustment. Associations with prosocial behavior, attention problems, internalizing and externalizing behavioral problems were investigated.MethodsParental ratings of pre-adoption experiences and behavioral adjustment of 891 adopted Chinese girls aged between 4 and 12 year were obtained. The children were adopted from institutional care (n = 595), foster care (n = 66) or a combination of institutional and foster care (n = 228). Prosocial behavior was assessed using the Strengths and Difficulties Questionnaire (SDQ). Attention problems, internalizing and externalizing behavioral problems were assessed using the Child Behavior Checklist for ages 4–18 (CBCL). In addition to the main effects of pre-adoption experiences, we tested interaction effects between pre-adoption experiences and age at adoption, controlling for several family and child background variables.ResultsHierarchical regression analyses revealed that type of pre-adoption care was not associated with behavioral adjustment. Early deprivation, on the other hand, was negatively associated with prosocial behavior, and positively associated with attention problems, internalizing and externalizing problems. Interaction analyses revealed no significant associations.ConclusionsThe results showed that pre-adoption deprivation increased the risk for less optimal behavioral adjustment. The effects however were small, leaving room for other explaining factors both in the pre- and post-adoption environment of the child.     

Social skills of adopted Chinese girls at home and in school: Parent and teacher ratings

This study examines adopted Chinese girls' social skills at home and in school as well as the effect of pre-adoption adversity on these skills. Parent ratings of 869 girls and teacher ratings of 611 of the 869 girls were obtained using the Social Skills Rating System for parent (SSRS-P) and teacher (SSRS-T) respectively. The girls were adopted on average at 15.6 months (SD = 13.9) and were in three age groups, including preschool, elementary school, and secondary school. Data on five indicators of pre-adoption adversity (i.e., signs/symptoms, delays at adoption, initial refusal/avoidance of adoptive mothers, crying/clinging behaviors, and age at adoption) were obtained from the same adoptive parents 2 years prior. Findings suggest that both parents and teachers rated the girls as either similar to or better than US norms on the SSRS. Parent–teacher agreement on SSRS subscales was significant but modest (rs = 0.12–0.25). Two indicators of pre-adoption adversity (i.e., delays at adoption and initial refusal/avoidance of adoptive mothers) predicted poorer social skills at home; two other indicators of pre-adoption adversity (i.e., signs/symptoms and age at adoption) predicted poorer social skills in school.     

Decision making processes and alcohol use among college students

Abstract

Objective: The neurobiological model of risk-taking and the dual-process model of decision making each provide possible explanations of risky behavior among youth, but their interconnections have rarely been explored, especially among college students, a time of increased alcohol use. Participants: n?=?382; Mage?=?19.25, SD?=?1.33. Method: Participants completed a survey about their deliberative and intuitive decision making style (based on the dual-process model), their socioemotional and cognitive control processes (based on the neurobiological model), and alcohol use. Results: Structural equation modeling showed that dual-process variables and neurobiological variables were positively related. Deliberative decision making and cognitive control were negatively related to alcohol use whereas intuitive decision making was not. Comment: Discussion focuses on the integration of theoretical models with real-world health behaviors and considers implications of the current findings in terms of prevention and intervention to reduce drinking among college students.     

The Changing Face of Public Adoption Practice

ABSTRACT

A study analyzing the workload of California's public adoption workers revealed how much adoption practice in the public sector has changed in recent years. Using focused discussion groups, this study found that compared to practice of an earlier time, (1) children available for placement come from more problematic families and are more difficult to place; (2) some decisions traditionally with the domain of adoptions are now being made by other social workers; and (3) increased oversight by the judicial system has had several unanticipated consequences, including adoption work taking on a “paralegal” quality and judges making traditional casework decisions.     

Observing Different Faiths,Learning About Ourselves: Practice with Inter-married Muslims and Christians

Abstract

Advanced care planning and end-of-life decision making are part of contemporary debates about death and dying. A data-mining study reviewing medical records of patient deaths in hospital investigated these issues and the utilisation of social work services. Findings indicated that the majority of records included some form of documentation about end-of-life care, including cardio pulmonary resuscitation (CPR) orders and that family members and surrogate decision makers were more likely to be consulted than patients about these plans. The incidence of referrals to social workers was found to be highest “out-of-hours”. Key social work interventions were identified, including establishing the reliability of surrogates' decisions through social work assessment. This paper discusses elements that contribute to a supportive environment for patients and family members to facilitate the decision making process, including the need for a broader ethical discourse to accommodate the increasing complexity of end-of-life decision making in hospital settings.     

Foster Care to Kinship Adoption: The Road Less Traveled

ABSTRACT

Although a rather extensive literature concerning informal kinship care and kinship foster care has emerged over the past 30 years, much less is known about the children and families involved in kinship adoption. This article pays particular attention to recent research that investigates placement decisions and outcomes for former foster children adopted by relatives. This review suggests conclusions similar to broader reviews, in that kinship placement tends to show some consistently favorable outcomes across a range of study populations and methods. Financial need may be the greatest concern for relatives who adopt. The Fostering Connections to Success and Increasing Adoptions Act of 2008 expands adoption subsidies and provides states with the option of providing ongoing subsidies to certain relatives who take guardianship of family members from the foster care system. However, relative caregivers often are not well informed about financial supports afforded them by federal and state policies. Specialized programs for kinship adoptive families are still limited. Much of the growth of kinship placement has been due to the absence of other placement options for many children and value-based decision making that places a premium on kinship, rather than on evidence of the advantages of kinship adoption.     

An exploratory investigation of social workers’ knowledge and attitudes about autism

ABSTRACT

Although researchers continue to generate knowledge concerning autism, few have investigated social workers’ understanding about this condition. In this exploratory study, we surveyed licensed social workers (n = 793) to examine social workers’ understanding and attitudes about autism. Overall, we found social workers have accurate knowledge and hold strengths-based attitudes about autism and persons on the autism spectrum. Factors significantly associated with accurate autism knowledge were having special training in autism, having present clinical involvement with autism, and knowing someone on the autism spectrum. Implications for social work practice, education and training, and future research, are discussed.     

There are no Answers,Only Choices: Teaching Ethical Decision Making in Social Work

Abstract

In teaching students about ethical decision making in social work, it is essential that the students are able to recognise the moral implications of their work and develop a deep understanding about ethical issues and their personal responsibility for making ethical choices. Thus, more than a “how to do it” approach is needed and teaching students about values and ethics is an essential thread that runs through our experience-based social work education program. The present paper describes a learning unit that sought to teach students about ethical decision making as a critical thinking process and, in so doing, to integrate students’ knowledge and experience of values, ethics, policy, and research in the final year of study. The relationship between values, ethics, policy, research, and social work practice provided an ideal context within which students could learn to integrate their knowledge and experience and apply it directly to their fieldwork practice. The paper ends with our critical reflection on this teaching experience and a critique of decisionist ethical frameworks.     

The Lichtenberg Financial Decision Screening Scale (LFDSS): A new tool for assessing financial decision making and preventing financial exploitation

ABSTRACT

One of the challenges in preventing the financial exploitation of older adults is that neither criminal justice nor noncriminal justice professionals are equipped to detect capacity deficits. Because decision-making capacity is a cornerstone assessment in cases of financial exploitation, effective instruments for measuring this capacity are essential. We introduce a new screening scale for financial decision making that can be administered to older adults. To explore the scale’s implementation and assess construct validity, we conducted a pilot study of 29 older adults seen by APS (Adult Protective Services) workers and 79 seen by other professionals. Case examples are included.     

The Reflexive Producer: The Influence of Farmer Knowledge Upon the Use of Bt Corn*

Abstract This paper examines the influence of farmer knowledge upon decision making processes. Drawing upon the sociological debates around the ideas of reflexive modernity and biotechnology as well as from classic adoption and diffusion studies, I explore the influences upon farmers' use of Bacillus thuringiensis (Bt) corn. Utilizing survey data gathered from corn farmers in Minnesota and Wisconsin, I argue that farmers are ‘reflexive’ actors who actively negotiate between ‘expert’ and ‘local’ knowledges when deciding to plant Bt corn. Furthermore, I hypothesize that farmers are more likely to be influenced by their first‐hand or local experiences than by state or expert observations.     

Adoption by Lesbians and Gay Men in Europe: Challenges and Barriers on the Journey to Adoption

No psychological research has been done investigating the experiences of adoption by sexual minorities living in Europe. This qualitative study is the first cross-national research within the European context giving the floor to LG (lesbian and gay) adoptive parents in order to explore the main challenges they encountered in the transition to adoptive parenthood. Sixty-two LG adoptive parents (16 lesbians and 46 gay men) living in Belgium (n = 14), France (n = 26), and Spain (n = 22) participated in this study. Semi-structured interviews were conducted in order to gather information about two key steps in the adoptive path: the decision making and the adoption process itself. Results revealed that while choosing to adopt, LG adoptive parents experienced numerous self-doubts and emotional conflicts driven by introjected heteronormative assumptions about family. During the adoption procedure, they were confronted with a large number of challenges and legal roadblocks connected to their sexual minority status. Exploring the experience of the first generation of LG adoptive parents in Europe provides insight into the great impact that the sociolegal context has on their lives. Findings suggest the necessity of promoting practice geared not only to fight discrimination but also to provide better support to LG people throughout the adoption process.     

Food: Sustenance and Symbol

Abstract

College students often delay or avoid seeking testing for sexually transmitted infections (STIs), even if the services are readily available. We used in-depth, semistructured interviews to survey 41 college students aged 18 to 23 years about factors that influence decisions about STI testing. We grouped statements into 9 themes that represent influences on the decision. The most frequently mentioned factors were negative consequences of testing and perceived vulnerability to infection; other issues that influenced decision making included perceived benefits, perceived severity of diseases, public knowledge and opinion, social norms, provider characteristics, test-site characteristics, and personal considerations. Social stigmas and negative consequences appear to represent significant barriers to college students' being tested, which could increase the risk of spreading infections to others. Clinicians and health educators should raise students' awareness of the need for screening and should work to reduce the barriers to screening, including social stigmas and negative consequences.     

Where You Lead,I Will Follow: Exploring Sibling Similarity in Brain and Behavior During Risky Decision Making

This exploratory study examined whether social learning increases similarity in adolescent siblings’ behavior and neural patterns during risky decision making. Participants included 86 adolescents (43 sibling dyads; younger siblings: M_age = 12.2 years; 22 females; older siblings: M_age = 14.6 years; 20 females) who completed questionnaires, and a decision‐making task during an fMRI scan. Younger siblings became more similar to their older siblings’ risky decision making after observing their older sibling take risks). Younger siblings who reported greater modeling of their older sibling, and less differentiation from them, showed increased neural similarity to their older siblings in the ventromedial prefrontal cortex, and the right anterior insula and ventral striatum, respectively. These findings highlight siblings as salient social agents in how adolescents process risky decision making.     

Towards Customized Deliberations

ABSTRACT

The profession of social work has important contributions to make in the rapidly developing dialog about medical care decision making and to the evolution of hospitals as systems that engage with people as patients, for whom illnesses create increased vulnerability (Gruber, 1998). Professional ethics clearly states that the individual professional social worker has a responsibility to influence processes involving vulnerable populations. Articulating social work's responsibility and potential contributions in the area of medical care decision making begins with an application of social work's mission and values, and then continues with consideration of the profession's evolving role in hospitals. Pertinent aspects of the health care industry, including current models for continuum of care and for provider-patient relationships, are discussed in terms of opportunities to modify the models used to guide interactions with patients. Finally, the impact of a growing number of distinct treatment options is also considered. The objective of the article is to offer social workers in health care settings a conceptual framework for considering professional ethical obligations and for participating in the contemporary dialog regarding medical care decision-making.     

Adopting a financial capability and asset-building curriculum at historically Black colleges and universities

ABSTRACT

Social workers currently engage in financial capability practice with low-income and financially vulnerable individuals and families in diverse practice settings, but typically lack professional preparation for this work. In response, several schools of social work have begun adopting financial capability curricula. Using an in-depth interview methodology, this study examines the adoption of a curriculum in financial capability and asset building (FCAB) from the perspectives of faculty and administrators (N = 19) at four historically Black colleges and universities (HBCUs). Findings show that key reasons for curriculum adoption are prior working relationships and trust, relevance of FCAB content to student and community needs, and alignment with program, institutional, and professional goals. Using the diffusion of innovation theory to understand curriculum adoption in HBCUs suggests that perhaps trust and relationship building are particularly important in the case of minority serving institutions.     

The utility of the DSM-5 Z-codes for clinical social work diagnosis

ABSTRACT

The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the standard reference text used by social workers for diagnosing mental disorders. The social work profession has always had an uneasy relationship with the DSM, but for 33 years there was an opportunity to note a client’s psychosocial stressors on Axis IV. With the publication of the DSM-5, however, the multiaxial diagnostic system was abandoned, and many social workers are concerned that this change limits their ability to provide comprehensive diagnoses. The purpose of this article is to consider an expanded use of Z-codes as one way to continue including social work’s psychosocial perspective on human functioning in the diagnostic process.     

“Is This Something You Want?”: Genetic Counselors’ Accounts of Their Role in Prenatal Decision Making

With the widespread availability of prenatal genetic diagnosis, bioethical concerns have emerged about why women make use of these technologies, and the potential eugenic implications. Research on women's experience with genetic screening often suggests that genetic counselors encourage women to undergo prenatal testing and to terminate pregnancies with abnormalities. Yet, this key professional remains relatively understudied. To fill this lacuna, this article examines genetic counselors’ accounts of their role in the decision‐making process, drawing on 26 qualitative interviews with master's‐trained genetic counselors and illustrative observations of a prenatal counselor. In the context of debates about reproductive politics and genomic medicine, I identify the ways in which genetic counselors view their work and position themselves. I find that contrary to assumptions, genetic counselors provide accounts of being just as likely to discourage as to encourage invasive testing, and persuade against instead of promote termination of affected pregnancies. These findings suggest that genetic counselors may play a more nuanced and less coercive role than their critics contend, challenge assumptions about genetic counselors’ roles in prenatal genetic testing uptake and abortion, and shed light on how this specific professional may curb rather than promote eugenic tendencies feared with the normalization of prenatal screening.     

Descriptive Analysis of Foster Care Adoptions in New South Wales,Australia

This paper describes the population of children in care in New South Wales, Australia, who were adopted by their foster families (N?=?372) from 2003 to 2014. Data pertaining to 370 of these adoptees were available and obtained from administrative records accompanying adoption applications. Most of these children had been placed with their subsequent adoptive family during infancy. However, adoption orders occurred much later in their lives. According to the available information at the time of adoption, these children did not suffer the high levels of mental health problems typically identified in populations of children in foster care. Though the data do not include follow-up to determine if the contact agreed upon at the time of adoption orders translated into practice, the most frequently postadoption arrangement recorded was face-to-face contact, four times a year with mother and siblings. The high levels of openness and face-to-face contact in Australian adoptions from care are a significant point of difference with other adoption models, and presents a need for research in the area.

IMPLICATIONS

• Following the change of legislation in New South Wales, Australia, that prioritises open adoption over foster care, social workers in the field of child protection are well placed to assist in this process.

• Social workers can assess children entering care to identify those who will benefit from adoption in a timely manner; undertake casework and administrative aspects of the adoption process; work closely with the child, and birth and adoptive families by delivering pre- and post-adoption supports; and conduct longitudinal research on the outcomes for children adopted from care.

     

Vulnerability as a politics of decolonial solidarity: the case of the Anarchists Against the Wall

ABSTRACT

The contemporary turn to the settler-colonial framework has allowed an emerging and growing generation of activist-scholars working on Palestine-Israel to think about decolonisation as an alternative to the official conflict-management-focused peace process. This framing has allowed for the articulation of a range of rich and complex discussions concerning the making and unmaking of settler-indigenous relations in Palestine-Israel, as well as the possibility for decolonial cohabitation. This paper’s contribution to this ongoing conversation is to theorise the ways in which the widespread adoption of the settler-colonial framework by Israeli and international solidarity activists active in the nonviolent struggle against the West Bank Separation Wall has contributed to the evolution of a praxis of decolonial solidarity articulated through the strategic mobilisation of vulnerability vis-à-vis the violence, repression and dispossession of the settler-colonial state.