A Review of: “Psychology of Orphaned Children”

For many years, intercountry adoption (ICA) in the United Kingdom was an unregulated, “tolerated” practice which was neither scrutinized nor supported to the degree of domestic adoption. Since 1999, legislative changes have sought to place ICA on equal footing with domestic adoption. This article addresses the extent to which this objective has been achieved through an examination of post-placement support practices and parents’ experiences, preferences, and expectations of support services. The findings of this study indicate that a less proactive, inclusive approach, limitations of professional knowledge and experience, the lack of appropriate services, and families’ support preferences contribute to the persistence of a “two-tier service.”     

Dynamics of Social Support

Abstract

This study challenged the current conceptualization of social support as a static process and attempted to explore how the sources and types of social support unfolded over time during mainland Chinese immigrant women's first year of resettlement in Hong Kong. A longitudinal qualitative method was used and 15 immigrant women were recruited. In-depth interviews using a semi-structured interview guide were conducted at three-monthly intervals. Results supported our view on the “stages within stage” assumption of the resettlement period of the migration-integration process. In the first quarter of resettlement, immigrant women mobilized a great deal of instrumental and information support from family members and kin to resolve survival issues such as finances, housing and childcare. However, the demand for instrumental support declined over time, and the need for emotional support appeared to peak at the second stage of the resettlement period. Fellow immigrant women were found to be the most significant providers of information, emotional and social companionship support to immigrant women throughout the resettlement period while the supporting roles of husbands and kin diminished. Lastly, immigrant women were less inclined to seek help from formal networks and rarely sought support from neighbors and co-workers. Socio-economic and cultural reasons were used to explain these differential support patterns during immigrants' first year of resettlement in Hong Kong, and implications for social work practices were discussed.     

Finding Your Niche: Identity and Emotional Support in Emerging Adults' Adjustment to the Transition to College

This mixed‐method longitudinal study investigated the role of identity synthesis and emotional support from family, friends, and professors in emerging adults' mental health during the transition to college. A total of 167 ethnically and socioeconomically diverse emerging adults were surveyed and interviewed during the fall and the spring quarters of their first year in college. Cluster analysis revealed four mental health clusters: greatly improving mental health; maintaining positive mental health; poor mental health declining; and good mental health declining. Clusters that maintained or improved mental health over the first year of college had higher identity synthesis and emotional support from friends and family than clusters where mental health declined. Emotional support from friends was especially important for adjustment.     

The war at home: affective economics and transnationally adoptive families in the United States

The question of how to best conduct post-placement interventions for transnationally adoptive families at risk of dissolution (legal annulment) is an emerging issue in the United States. The current popular trend for adoptive families to pursue biomedical post-placement interventions, despite a lack of proof that such interventions actually work to keep the adoptive family intact, suggests the need for a more phenomenological approach to understanding both adoptive parents’ and transnational adoptees’ post-placement experiences. This study examines the empirical experiences of adoptive families at risk of dissolution in the United States who attempt to define and navigate the path toward family stability after adopting. From the coding of this data set emerge some routes through and by which emotions circulate between adoptive parents and transnational adoptees through the family body and the family social. Particularly, it investigates one post-placement “affective economy” at work in which adoptive parents attempt, through the expression of particular forms of parental love, to align adoptees as subjects of the private, nuclear American family, while adoptees more often attempt to create space for more heterogeneous forms of family, ones that include birth parents and other kin-like relations in their countries of origin. Ultimately, it illuminates some vastly different and sometimes contradictory ways that adoptive parents and adoptees can interpret family through emotional lenses, ones that can prevent a smooth post-placement transition for adoption actors. An understanding of these differences and how they shape, and are shaped by, the post-placement affective economy within families at risk of dissolution may aid in locating indicators for adoption dissolution, and possibly, designing more effective post-placement interventions for families struggling in the aftermath of adoption. It may also help scholars begin to think about the construction and impact of affective economies in the realm of adoption more generally.     

Sexual Life of Women with Multiple Sclerosis: A Qualitative Study

Objectives: To define the thoughts, emotions, experiences and perceptions of women with multiple sclerosis (MS) and to determine sexual, physical, and emotional effects of MS on patients. Methods: Twenty-one women were included into this qualitatively designed study. Results: Three baseline themes were defined as “uncertainty” arising from complaints due to numbness in extremities and loss of sense, balance or vision, “alterations in sexual life,” and “inability” as a result of deformities in marital status and gender role. Conclusion: Healthcare providers should evaluate MS patients meticulously as to sexual life and refer such patients to appropriate health centers.     

Choices,Challenges, and Tensions

ABSTRACT

No research has examined the challenges faced by lesbian women seeking to adopt from the perspective of lesbian couples themselves. The current qualitative study utilized data from 70 women (from 35 same-sex couples) who were in the process of adopting to explore how lesbian women experience and navigate the challenges they encounter during this critical life transition. Ecological, minority stress, and feminist perspectives informed our analysis. Results indicated that many women experienced tensions between their desire to be “out” in the adoption process and the legal and social realities of adoption. Based on their reports, women in this sample faced numerous barriers to adopting but engaged in multiple forms of resistance to legal and social inequities. Women also identified supportive practices by agencies that facilitated the adoption process. Findings suggest the importance of considering lesbian women's experiences as a starting point in understanding how heteronormative social practices shape the experiences of same-sex couples striving to adopt.     

Adoption Competent Clinical Practice: Defining Its Meaning and Development

The need for adoption competent mental health services has been well documented. However, the term “adoption-competent” has lacked a standardized, broadly accepted definition. This article reports findings from two related studies. The first examines how adoption competencies are demonstrated in practice by clinicians participating in an evidence-informed adoption competency training program. The second is an online survey designed to determine whether members of adoption kinship networks agree with a definition of an adoption competent mental health professional developed by experts. Both studies contribute to our understanding of what constitutes “adoption competent” clinical practice.     

Family Matters: Research on Family Ties and Health, 2010 to 2020

Family ties have wide-ranging consequences for health, for better and for worse. This decade review uses a life course perspective to frame significant advances in research on the effects of family structure and transitions (e.g., marital status) and family dynamics and quality (e.g., emotional support from family members) on health across the life course. Significant advances include the linking of childhood family experiences to health at older ages, identification of biosocial processes that explain how family ties influence health throughout life, research on social contagion showing how family members influence one another's health, and attention to diversity in family and health dynamics, including gender, sexuality, socioeconomic, and racial diversity. Significant innovations in methods include dyadic and family-level analysis and causal inference strategies. The review concludes by identifying directions for future research on families and health, advocating for a “family biography” framework to guide future research, and calling for more research specifically designed to assess policies that affect families and their health from childhood into later life.     

“When You’re Sitting on the Fence,Hope's the Hardest Part”: Challenges and Experiences of Heterosexual and Same-Sex Couples Adopting Through the Child Welfare System

This study of 84 foster-to-adopt parents (42 lesbian, gay, and heterosexual couples) examined the challenges that parents faced as they navigated multiple systems during the post-placement period. Some participants described the legal insecurity associated with their role as foster-to-adopt parents as impacting their well-being and attachment. Lack of support services, disorganization within social service agencies, and strained relationships with birth parents were also identified as stressors. Lesbian and gay participants faced additional concerns regarding the security of their placement due to the possibility for discrimination. Participants as a whole identified positive aspects of their experiences within various systems (e.g., supportive social workers).     

Are baby boomer women redefining retirement?

As the baby boomers enter later life, unprecedented numbers of women are retiring. The first generation of women to encounter retirement since its institutionalisation as an expected male life course transition in the mid‐20th century, these women are leaving the labour force at a time when the meanings associated with “retirement” are changing. Longer life expectancy, improved health outcomes, and transformations in work driven by globalisation have produced greater diversity in when, why, and how people exit the labour force. Many boomer women are disadvantaged in later life by their histories of discontinuous employment and care‐giving. Consequently, we argue, opportunities to engage in “retirement” projects of their own choosing are unequal across this population. This essay reviews qualitative studies in sociology that examine boomer women's experiences of retirement and is organised in terms of the three main approaches that inform this under‐studied field: critical/feminist gerontology, identity theory, and life course approaches. Based on our review, we posit the need for socially inclusive research, beyond the prevailing emphasis on White, middle‐class professional women; more studies examining the impact of earlier life course transitions on women's later years; and attention to the effects of “successful ageing” discourses on women's lived experiences.     

Is “Sexual Competence” at First Heterosexual Intercourse Associated With Subsequent Sexual Health Status?

The timing of first sexual intercourse is often defined in terms of chronological age, with particular focus on “early” first sex. Arguments can be made for a more nuanced concept of readiness and appropriateness of timing of first intercourse. Using data from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), conducted in 2010–2012, this study examined whether a context-based measure of first intercourse—termed sexual competence—was associated with subsequent sexual health in a population-based sample of 17-to 24-year-olds residing in Britain (n = 2,784). Participants were classified as “sexually competent” at first intercourse if they reported the following four criteria: contraceptive protection, autonomy of decision (not due to external influences), that both partners were “equally willing,” and that it happened at the “right time.” A lack of sexual competence at first intercourse was independently associated with testing positive for human papillomavirus (HPV) at interview; low sexual function in the past year; and among women only, reported sexually transmitted infection (STI) diagnosis ever; unplanned pregnancy in the past year; and having ever experienced nonvolitional sex. These findings provide empirical support for defining the nature of first intercourse with reference to contextual aspects of the experience, as opposed to a sole focus on chronological age at occurrence.     

Contact Between Birth and Adoptive Families During the First Year Post-Placement: Perspectives of Lesbian,Gay, and Heterosexual Parents

Despite growing visibility of lesbian- and gay-parent adoption, only one qualitative study has examined birth family contact among adoptive families with lesbian and gay parents (Goldberg, Kinkler, Richardson, & Downing, 2011). We studied adoptive parents’ (34 lesbian, 32 gay, and 37 heterosexual; N = 103 families) perspectives of birth family contact across the first year post-placement. Using questionnaire and interview data, we found few differences in openness dynamics by parental sexual orientation. Most reported some birth mother contact, most had legally finalized their adoption, and few described plans to withhold information from children. We discuss implications for clinical practice, policy, and research.     

Health Care “As Usual”: The Insertion of Positive Psychology in Canadian Mental Health Discourse

The recent shift to a “positive psychological” approach that emphasizes a “health model,” rather than a “disease model,” in mental health discourses is intended both to reduce the stigma around mental health issues and to enable people to play a role in monitoring their own mental health. As a component of a larger study on access to and utilization of mental health services by immigrant women, and a partial reflection of the current ideological context of mental health policy and practice in Canada, this shift was examined by analyzing the Canadian Mental Health Association's mental health discourse as posted in Web-based text using features of critical discourse analysis. Although considered an improvement over previous approaches by some, the current mental health discourse continues to reflect ideologies that assume a universal psychology of individual mental health. Framing this research with aspects of sociocultural and postcolonial theories, this article seeks to identify the possibilities of this new discourse and expose its limitations in relation to immigrants to Canada.     

And Some of Us Are Braver: Stress and Coping Among African American Women

African American women fulfill many roles within their family and community. Most notably, these women are often defined by their “strength” and rarely seen as “vulnerable.” Many African American women demonstrate strength as they struggle to maintain employment, raise children, and nurture spouses and extended family, but these same women are at risk for a higher rate of health and emotional problems. In this article, the authors use relational cultural, stress and coping, and lifespan theories, along with Black feminist thought to discuss the interlocking effects of race, gender, and class regarding the psychological well-being of African American women 18 to 55 years old. We conclude with a discussion of research, practice, and teaching implications.     

“Talking Emotions”: Gender Differences in a Variety of Conversational Contexts

Based on numerous studies demonstrating gender differences in both language and emotions, we investigated whether women are more verbally expressive of their feelings than men. Data from eleven samples, based on four methods of data collection (observations, “hidden” observations, interviews, and content analysis), were analyzed as to whether women used more emotional words than men. In each of the eleven samples, women used significantly more emotional words. The findings relate to two theoretical issues in the literature: “dominance” versus “cultural” perspective of gender and language and the importance of context in analyzing gender differences in language.     

Motherhood and Family Health Advocacy in Nutrition and Exercise: “Doing the Tradition”

Studies tend to subsume women’s routine family healthcare responsibilities under the larger heading of “household labor.” This study argues that, women’s—and particularly mothers’—family healthcare work in the area of diet and physical activity represents a distinctive area for critical family communication research with potentially serious psychological, emotional, and physical consequences for women and their families. Interviews (N = 30) with young adult-family member dyads supported this assertion. Interview data illustrated that mothers struggled to fulfill incongruous health goals for themselves and their family members, and did so at the expense of their familial relationships (particularly with children) and their own health. Moreover, dyadic data analysis highlighted how young adults ascertained and carried on the “tradition” of the established mother-as-healthcare-provider role. Implications for theory and future research directions conclude this study.