Nostalgia

This article describes the phenomenon of nostalgia, which in some cases may lead to severe psychosomatic symptoms, agitated depression, psychotic and dissociative episodes. The author suggests that these symptoms are associated with loss of Home, being understood as a transitional space between people the environment. Nostalgia, even at the risk of losing one's sanity, recreates the flow with the past; prevents unknown environment from intruding and jeopardizing a sense of self; and precludes unwanted and intolerable knowledge about oneself from occurring in the absence of cultural points of references.     

The Importance of Including the Family in the Comprehensive Psychiatric Assessment of the Nursing Home Bound Person

Inclusion of the family in the comprehensive psychiatric assessment of the nursing-home bound person is essential for a more complete understanding of the patient's symptoms and for lessening the stress of the family members. Collaboration with family members can lead to their improved adaptation to developmental issues of later life. The crisis of hospitalization and consideration of long-term care needs can be the catalyst for the family's coming to terms with unresolved early life issues and the renewal or creation of an emotionally supportive intergenerational system.     

Surviving Critical Illness: New Insights From Mixed-Methods Research

Current advanced medical technology allows survival of critical illness. However, the patient's psychological response to survival is relatively unexplored. Interviews with 32 older adult survivors, using the Hospital Anxiety and Depression Scale (HADS) and the Experience after Treatment in Intensive Care (ETIC-7) scale, Miller's Q-sort, and social work clinical wisdom, yielded unique and unexpected research results. Four response types were identified: avoiding, depressed, denial, and coping. Psychological agency during illness was found to be important. Participants did not reveal posttraumatic stress disorder–related phenomena predicted in previous literature but instead experienced posttraumatic growth. Hallucinatory experiences during illness were not traumatic, whereas social support emerged as a complicated concept. Participants unexpectedly revealed that childhood trauma was an important factor. Implications for clinical social work practice and research are outlined following the discussion of findings.     

The Associations Between Socioeconomic Status,Caregivers' Depressive Symptoms,Children's Health‐Promoting Behavior,and Children's Physical Health: A Mediation Model

The aim of this study was to examine the mediating effects of children's health‐promoting behaviors on the association between socioeconomic status, caregivers' depressive symptoms, and children's physical health outcomes. We used the first wave of “Seoul Education and Health Welfare Panel.” Data were collected from 820 fourth‐grade elementary and first‐year middle school students and their caregivers using self‐administered surveys. Structural equation modeling was employed to analyze the mediating effects of health‐promoting behaviors. Bias‐corrected bootstrap confidence intervals were used to test the mediating effect. The results showed that both low socioeconomic status and caregivers' depressive symptoms were negatively associated with a child's health‐promoting behaviors. Children's health‐promoting behaviors were positively associated with physical health. However, children's physical health was not significantly associated with socioeconomic status but was marginally associated with caregivers' depressive symptoms. We found that children's health‐promoting behaviors significantly mediated associations between both socioeconomic status and children's physical health and between caregivers' depressive symptoms and children's physical health. Based on the findings, we suggest the development and implementation of school‐based, health‐enhancement programs as a means to improve the general health of all children and to reduce health inequalities.     

Parental Depressive Symptoms, Children's Representations of Family Relationships, and Child Adjustment

This study extends the investigation of family process models of parental dysphoria and child adjustment, by examining depressive symptoms in both fathers and mothers, and by examining children's representations of family relationships as possible explanatory mechanisms. Participants were 232 children (Time 1 mean age: 5.99; 105 boys, 127 girls) and their cohabiting parents, who participated for three consecutive years. Children's internal representations of multiple family relationships were assessed by means of a story stem completion task. Structural equation modeling indicated that children's inter‐parental and attachment representations are part of the process whereby parental depressive symptoms influence child externalizing symptoms. Maternal depressive symptoms also predicted changes in children's representations of marital and attachment relationships over time. The implications for family process models of relations between parental depressive symptoms in community samples and child development are discussed.     

September 10, 2001

Abstract

This essay chronicles the impact of a patient's suicide on the therapist, reflecting on the initial trauma, the therapist's repeated attempts to deal with the loss, and her ultimate physical collapse. Time off from work began the healing of her physical symptoms, and the spontaneous writing and immediate sharing of her raw and unformulated feelings with a writing group she had just joined, began the process of grieving which, until this point, had only been known physically. Working and re-working this essay kept her safely, but affectively connected to the loss and gave her experiential understanding of the adaptive function of somatization, leading finally to the acceptance of the limitations of both patient and therapist.     

Drinking: Another glass ceiling? Social drinking and alcohol use among women in Korea

Korean society is experiencing a rapid increase in alcohol consumption among women. Research on women's alcohol use has focused mostly on problems and pathological symptoms associated with alcohol use. Focusing only on problems of alcohol use risks overlooking some important social phenomena where alcohol use is a medium. We examined the association between marital status, childcare responsibility, employment status and social drinking behaviour. Our aim was to examine how these factors influence women's alcohol consumption in order to provide an empirical explanation of how the traditional division of labour limits women's social drinking practices. Findings show that women are structurally excluded from social drinking behaviour due to domestic responsibilities (as a wife and a mother). In other words, social drinking has become another glass ceiling for women. Key Practitioner Message: ● Attention should be given to structural influences on women's alcohol use; ● It is important to consider gender inequality in both formal and informal domains.     

Blame and family conflict: symptomatic children as scapegoats

The study’s aim was to examine the relation between children’s symptom type, specifically externalized vs. internalized symptoms, and children’s perception of being blamed by family members for various family conflicts. The research hypothesis was based on theories of family therapy, in particular on the concept of scapegoating and projective identification processes. The subjects were chosen from treatment centres for children and adolescents, using the Achenbach Self‐Report Questionnaire. Subjects included males and females, aged 10–17, who had either internalized or externalized symptoms and no history of organic or psychotic disorders. The control group consisted of non‐symptomatic children. The research groups also included each child’s sibling closest in chronological age, who served as an additional control group. A total of 161 children participated in the study. It was found that externalizing children reported greater subjection to parental blame than did the other children.     

Meaning making and playing in psychoanalytic therapies

Abstract

This paper explores Freud's idea of the transference as a playground, and Winnicott's assertion that psychotherapy is a subspecies of play. In the context of what those authors called “intermediate” space, a person discovers ways of interpreting or attributing meanings to inner feelings, thoughts, and being as he engages in dialogue with others. Whether with children or adults, psychoanalytic therapies have developed a specialized form of playing in the service of this necessary communication with another, as the case examples will illustrate.     

Assessing Caregiver Information Needs

The type of information needed by caregivers of Alzheimer patients will vary, depending upon the stage of the caregiver's emotional acceptance of the illness and on the patient's condition. A brief questionnaire was developed to identify caregiver information needs.     

Ambiguous position of the child in supervised meetings

The paper addresses the ambiguous nature of supervised meetings between children and their non‐residential parent(s) which, according to the current legal idea, should serve the best interest of the child. In Finland the meetings between the child and the non‐residential parent can be ordered supervised if there are justified grounds for assuming that they constitute a risk for the child's safety. In many parts of Europe the need for such kinds of meetings controlled by outsiders has increased. The aim of the paper is to consider the child's position and the closely related issue of the child's interest in supervised meetings, based on the daily experiences of the supervisors. Data are gathered by focus group interviews and analysed qualitatively in terms of categorization analysis. As a result, the child's position is an ambiguous phenomenon with multiple interests. Obviously the child's interests will be met in some cases, although paradoxically it is mostly the interests of the parents and most often the fathers, which seem to demand more attention. Thus adult‐centredness, meanings of gender, time together with both the positive and possible detrimental outcomes for the child need further reflection.     

Group Therapy With Homeless Women

Women's groups are a treatment of choice for homeless women who have been abused, used substances, have mental health concerns, and have suffered traumatic events that have ruptured their attachments. Women in dialogue can learn to see themselves reflected, find each other's strengths, and make advances in empathy, which can alter relational abilities. Their experiences of sharing similar traumatic events in a safe and containing environment can increase a sense of belonging. Psychoeducation and advocacy can further foster knowledge and self-empowerment. Leadership issues are important as the leader must create safety and serve as a model, but may also be used as a object of displacement for disavowed negative feelings among group members.     

Interaction between adoptive mothers’ and fathers’ depressive symptoms in risk for children’s emerging problem behavior

The effect of parental depression on children's adjustment has been well documented, with exposure during early childhood particularly detrimental. Most studies that examine links between parental depression and child behavior are confounded methodologically because they focus on parents raising children who are genetically related to them. Another limitation of most prior research is a tendency to focus only on the effects of maternal depression while ignoring the influence of fathers’ depression. The purpose of this study was to examine whether infants’ exposure to both parents’ depressive symptoms, and inherited risk from birth mother internalizing symptoms, was related to school age children's externalizing and internalizing problems. Study data come from a longitudinal adoption study of 561 adoptive parents, biological mothers, and adopted children. Adoptive fathers’ depressive symptoms during infancy contributed independent variance to the prediction of children's internalizing symptoms and also moderated associations between adoptive mothers’ depressive symptoms and child externalizing symptoms.     

After the Storm: How Race,Class, and Immigration Concerns Influenced Beliefs About the Katrina Evacuees*

Objective. In September 2005, approximately 150,000 Gulf Coast residents fled to Houston, Texas, seeking shelter following Hurricane Katrina. Since the majority of evacuees were poor African Americans, the political and social consequences of the storm inspired a national dialogue on race and class. However, in Houston, the discourse on Katrina evacuees also involved immigration concerns. The city's distinction as a gateway to new arrivals influenced the dialogue on the evacuees' impact on the local area. This article assesses the extent to which race, class, and immigration concerns influenced Houstonians' beliefs about the Katrina evacuees. Methods. We analyze data from the 2006 and 2008 Houston Area Survey in order to assess attitudes toward these newcomers at two distinct time periods: within six months of their arrival and then again more than two years later. Results. Our findings show that both national and local factors influenced beliefs about the Katrina evacuees. Conclusions. The dynamics of race/ethnicity and apprehension toward immigrants drove largely antagonistic beliefs about the mostly poor, mostly black new arrivals.     

Emotion Socialization in the Context of Risk and Psychopathology: Maternal Emotion Coaching Predicts Better Treatment Outcomes for Emotionally Labile Children with Oppositional Defiant Disorder

We examined whether maternal emotion coaching at pretreatment predicted children's treatment response following a 12‐week program addressing children's oppositional defiant disorder (ODD) symptoms. A total of 89 mother–child dyads participated. At pretreatment, mothers and children engaged in an emotion talk task. Mothers also reported their beliefs about emotions at pretreatment and their child's disruptive behavior symptoms, emotion regulation, and emotion lability/negativity at pre‐, mid‐, and post‐treatment. Clinicians reported children's symptom severity at pre‐ and post‐treatment. Children's emotion lability/negativity moderated effects of maternal emotion coaching on children's post‐treatment ODD symptoms, with stronger benefits of emotion coaching for children high in emotion lability/negativity. Results suggest that emotion coaching may promote treatment response for children with ODD who are especially at risk due to their emotionality.     

Unmet Home Care Service Needs of Rural Older Adults With Alzheimer's Disease: A Perspective of Informal Caregivers

This study assessed unmet service needs of rural older adults with Alzheimer's disease (AD) and identified factors that were related to these needs. Data were collected from 109 informal caregivers of AD patients. Over half of the patients experienced unmet service needs in 1 or more areas of activities of daily functioning. Informal caregiver burden and patient's gender and functional status were significantly related to patients' unmet service needs. Patients' use of formal services was marginally related to their unmet service needs. To better address patients' service needs, a comprehensive needs assessment should be conducted with both patients and their caregivers.     

Maternal socialization of children’s positive affect regulation: Associations with children’s savoring,dampening, and depressive symptoms

Maternal socialization of positive affect (PA) is linked to children's regulation of positive and negative emotions and the development of psychopathology. However, few studies have examined multiple types of emotion socialization as related to children's PA regulation and depressive symptoms. The current study examined how mothers’ socialization of children's PA regulation was related to children's PA regulation, and if children's PA regulation mediated the association between maternal socialization and children's depressive symptoms. Ninety‐six mother–child dyads (children aged 7–12) completed questionnaires and a five‐minute discussion about a positive event the child previously experienced; 76 dyads completed surveys again five months later. Partial correlations, controlling for child age and gender, indicated associations between maternal PA socialization and child PA regulation. Moderated mediation models suggested that maternal modeling of savoring predicted Time 2 child depressive symptoms via children's own savoring, which was moderated by Time 1 depressive symptoms. The moderated path indicated that only for children who reported higher depressive symptoms at Time 1, higher levels of savoring predicted lower depressive symptoms at Time 2. These results underscore the importance of examining multiple types of PA socialization and child PA regulation to predict children's depressive symptoms longitudinally.     

Bridges

ABSTRACT

This article explores the relationship between the thinking, feeling, moving body, and a city's industrial architecture. It takes as its fieldwork site the Brooklyn, Manhattan, Williamsburg and 59th Street bridges that dominate downtown New York, and uses this to present an ethnographic understanding of lived experience as a continuous sensory exchange between mind, body, and world. New York's bridges, towering 300 feet into the air and 7,000 feet across, established a new sense of scale against which citizens could compare their finite, organic bodies. The article draws upon a practice-based research project, New York Stories, for which I recorded more than a hundred interior dialogues of random strangers as they moved around the city. People's movement across bridges, reveals them to be complex sites of perception, sensation, and experience, which generate ongoing streams of interior dialogue ranging from the trivial to the tragic. For when walking across a bridge people are no longer attached to the land or part of the city but are instead partially in the sky above the water, “making strange” the sense of being on the ground, and subjecting people to various delirious effects including vertigo, flying, and falling, before reaching the other side. It is a story told through words and images in the form of a photo-essay with accompanying text that derives from the practice-based ethnography that is also available in video and audible form online.