Baby stories: Reconstructions of the empathic experience in infancy and early childhood

Abstract

This article, seated within psychoanalytic, self‐in‐relation, feminist, and post‐modern family theories, explores three broad questions. The first question concerns whether it is possible to reconstruct the empathic experiences of infancy and early childhood. This question is followed by an inquiry regarding the effects of such reconstructions on the storyteller. The final question examines the possible clinical and personal uses of these baby stories. A discussion of the interview protocol that was developed specifically to illuminate this material is included, as are excerpts from participant stories, offering richly detailed images that illustrate the evocative power of this particular interview technique.     

Former Spouse Ties and Postdivorce Relationship Quality: Relationship Effort as a Mediator

ABSTRACT

One potential problem area in remarriages is problems with or ties to an ex-spouse. This study focuses on identifying factors central to the relationship dynamics such as relationship satisfaction and stability. Additional emphasis is placed on specific and targeted work in a relationship with the goal of improving it, and its potential mediating effect on any negative relationship between ex-spouse ties and low relationship quality. Using secondary data from the RELATionship Evaluation Survey (RELATE), a sample of 1,546 individuals in postdivorce romantic relationships was examined. The results indicate that unresolved issues and negative interactions with an ex-spouse are negatively associated with relationship quality, but effort to mediate this negative association shows promise. Practice recommendations include exploring how family service agencies and clinicians can better serve couples in postdivorce relationships. Further, a focus on the repartnered family system and a recognition of its difference from other family system types (i.e., first marriage) are important for agencies, clinicians, and researchers interested in providing services to stepfamilies and family life after divorce.     

Family-Centered Care

Abstract

Recent trends in medicine reflect an attempt to be more patient-centered and while this is progress from the disease- or provider-focused model familiar in healthcare, the experiences and contributions of family as caregivers continue to be overlooked in some settings. The family-centered care model, developed most notably in pediatrics, but emerging in HIV, cancer, and aging, is presented as a resource to increase family involvement at the end of life. In this paper, family-centered care is defined, caregiving trends including support needs of formal and informal caregivers are discussed, and barriers to family-centered services are identified. Reintroducing family into the focus of care at the end of life is the primary goal of this paper. The family-centered model of care offers an appropriate framework for understanding the value of family in end-of-life care and fits well with social work perspectives that understand individuals in the context of their family system and greater environment.     

Sonic Armatures

ABSTRACT

This article traces the construction of an acoustic regime in Renaissance Florence that was based on the casting, placement, and ringing of civic bells. In confronting the formidable but mute power of the defensive towers that dominated the city's skyline in the late middle ages, successive republican governments regulated these private towers with legislative restrictions while transforming them into a speaking architecture. The new civic bell towers played a crucial, if hitherto neglected role in the struggle to create the Florentine republic, which was the political ground upon which the cultural phenomenon of the Renaissance was founded. In contrast to the more antagonistic urbanistic policies that Florentine governments used to combat their enemies, however, the ringing of civic bells exploited the unifying power of religious bells—a power embedded in their role in uniting people into spiritual communities—to integrate its ideals, laws, and institutions into the soundscape of the city. As a result, the sonic armature created by these bells can be read as an evolving attempt to bind the social body to its architectural environment and to create a universal civic society that transcended more localized loyalties and whose existence guaranteed the legitimacy of its ruling bodies.     

Microfinance Participation and Women's Decision-Making Power in the Household in Bangladesh

ABSTRACT

This study draws from bargaining theory to examine whether microfinance, a range of financial instruments such as micro-loans to support micro-enterprises, affects women's participation in household decision-making operationalized by whether women play a role in household decisions about large purchases, small purchases, going out to meet friends and family, and health care among a nationally representative sample of 6,150 women between the ages of 15 and 49 years in Bangladesh. Bargaining theory suggests that decision-making in households is conflictual but conflict can be mitigated through bargaining. Central to bargaining power of women is control over resources, assuming that household decision-making involves making economic decisions. Logistic regression analysis was used to test the interaction effect of microfinance and control over resources on decision-making power in the household utilizing the nationally representative Bangladesh Demographic and Health Survey 2011. Results revealed that microfinance participants with control over resources reported higher odds of decision-making power (OR = 4.3, p < 0.05) when compared to microfinance participants without control over resources (OR = 1.22, p < 0.05) but less than women who did not participate in microfinance but had control over resources (OR = 5.2; p < 0.05). In conclusion, control over resources play an important role in bargaining that increases odds of having decision-making power in the household, even for women who do not participate in microfinance. The study findings contribute to both social work practice and research on low-income populations as it allows an understanding of the importance financial access and financial know-how while it sheds light on how precarious women's lives can be as they navigate income-generating financial systems that interfere with gender norms, which may have negative consequences. These findings are particularly important for practitioners working in the area of women's empowerment who would do well to emphasize the need for building financial capability so that women are able to garner control over their own and familial resources, whether or not they participate in empowerment programs like microfinance, which in turn gives women voice and agency. Meanwhile, future researchers are well positioned to examine the kinds of specific skills that best predict increases in women's decision-making power in the household as well how gender dynamics play into the decision-making process.     

Family Preservation and Elders

Abstract

Family preservation is a rapidly growing practice approach. Initially developed for families when there was imminent risk of placement of a child, it is now applied in a number of different settings. This article discusses the application of family preservation in families with elder members and includes a presentation of the major principles and values of family preservation practice, an illustration of the application of family preservation to a family with elder members, and a discussion of the implications of this practice approach.     

Toward Empowerment: ReVisioning Family Support Groups

ABSTRACT

Family support groups (FSG) have been recognized as an important and viable means for responding to the needs of family caregivers. How these groups work, however, is not well understood. The purpose of this qualitative exploratory study was to explore the impact of attending a family support group on the caregiving experience from the perspective of the family member. Personal, semi-structured interviews took place with eleven family members who had participated in at least one FSG. Data was analyzed for themes, using a constant comparative categorizing strategy. This analysis suggests that attending a FSG impacts the caregiving experience in four important ways: helping the family member to construct a self-identity as a ‘caregiver’; promoting a sense of personal competence; fostering the use of formal support groups; and creating a community context within which to experience the caregiving role. Cumulatively, these have the potential to contribute to a sense of empowerment for the family member by helping him or her to reposition the caregiving experience as more than a personal issue and promoting the emergence of a more collective voice.     

Empathic Action and Family Resilience: A Narrative Examination of the Benefits of Helping Others

ABSTRACT

Empathy is identified as a protective factor that has been helpful for children considered at high risk for poor mental health and social functioning due to experiencing stressful circumstances such as family violence, substance abuse of a parent, or poverty. Yet, little is known about its relevance to a family's ability to overcome adversity. This study examined the narratives of 20 resilient families who maintained family functioning despite experiencing a multitude of risk factors including poverty, death of a child, significant health problems, or substance abuse problems. Narrative analysis was used to identify the ways families situated empathic actions within their stories of resilience. Findings suggest families developed increased compassion for others as a result of their own experiences with loss, trauma, or stress and discussed how helping others increased their ability to cope with the challenges they faced. Future research and practice implications are outlined and support the usefulness of strengths-based concepts and interventions.     

Remembering with and Without Awareness Through Poetry to Better Understand Aging and Disability

SUMMARY

Poetry has been described as a universal translator. I offer three poems that are evocative of my experience as a child with my grandfathers and their disabilities; and as an adult attempting to deal with the impending death of my father. My wish is that the first poem will reinforce the idea that connecting with one's own memories of aged and disabled family members might support our interactions with people who are aged and disabled in the here and now. I present the final two poems to encourage those working with family members of seriously ill aged people in a hospital setting to better understand the stress of decision-making and to consider devising short-term mutual aid groups to support them during a time for which no preparation exists.     

Family Trajectories and Terminations in Conditional Cash Transfer Programs: The Case of Chile's Ethical Family Wage Program

ABSTRACT

On an international scale, conditional cash transfer (CCT) programs have rapidly expanded. Since their boom in the 1990s newer modalities have emerged, incorporating some innovative components. The following study sought to examine one particular CCT program heralded as innovative due to its psychosocial and socio employment accompaniment components: Chile's Ethical Family Wage program. Utilizing administrative data from the Ministry of Social Development this exploratory study sought to examine family trajectories in the program with a particular focus on those families who were terminated from the program due to not meeting conditionalities. Findings from the study indicate that the program deviates sharply from its theoretical implementation. Furthermore, the probabilities of program termination increased in those families headed by younger adults, female and single-headed households, households with higher levels of education as well as larger families. However, a greater number of children decreased the probabilities of program termination as was homeownership. Implications of the findings for policy and practice are discussed.     

The ADHD treasure hunt: a group intervention using a social model approach to disability

ABSTRACT

This article describes the ADHD Treasure Hunt - a groupwork model that integrates the spirit of a social model of disability into therapeutic practice with parents and children. Following a discussion on the discourse and controversy over the nature and treatment of ADHD in Western society, we evaluate our intervention in terms of its usefulness in addressing a family’s sense of helplessness and frustration in the face of social interactions. The model also focuses on helping the families recognize the value of their own experiential knowledge. We examine the contributions of the model to current practice as well as offer future directions for its development.     

Predictors of Posttraumatic Growth Among Adult Tsunami Survivors: The Role of Employment,Religion, and Family Attributes

ABSTRACT

This study examined the positive effects of trauma exposure among adult survivors of the 2004 Indian Ocean tsunami and was guided by a bioecological framework. A total of 301 adults from India were assessed for posttraumatic growth and a set of demographic, individual, family, and social capital variables. Hierarchical regression analysis revealed that religion, employment, family type, family flexibility, and family communication were significant predictors of posttraumatic growth. Contrary to expectations, individual factors and social capital did not contribute to posttraumatic growth. Findings imply that helping survivors make meaning out of their traumatic experience may facilitate posttraumatic growth. Intervention to promote increased employment opportunities and family resources is highly recommended for adult trauma survivors. Future trauma research should explore the role of perceived as well as actual familial and community resources, in addition to personal resources, in fostering posttraumatic growth.     

Social Work,Siblings, and SIDS: Conceptual and Case-Based Guidance for Family System Intervention

ABSTRACT

Sudden Infant Death Syndrome (SIDS) is a tragic loss event within the family, impacting adults as well as children. This article uses three case illustrations to discuss the role of a SIDS event on the family system with a special focus on the emergent challenges for surviving siblings of various ages. Practice application examples are woven throughout the review to illustrate the age-specific grief responses which may occur following a SIDS event. The article also presents a theoretically supported intervention matrix that integrates models of bereavement support and family system responses, taking into account children's varying developmental needs and tasks based on sibling age.     

Culturally Competent Approaches for Counseling Urban Appalachian Clients: An Exploratory Case Study

ABSTRACT

The authors examine the application of a strengths-based empowerment approach to working with an urban Appalachian woman and her family. The purpose of this article is to start the research process by utilizing the lessons learned to assist health and human service practitioners. Key points are identified in developing awareness and intervention skills when working with clients who have an Appalachian cultural heritage. This case study utilizes a culturally competent framework for assessing and intervening with Appalachian clients that emphasizes the strengths and empowerment literature. As the foundation for further research, this case study provides a rationale for starting evidence-based practice incorporating a strengths-based empowerment theme. Case study research is limited by its focus on one individual within a specific span of time and cultural context; findings cannot always be generalized to a similar population. Suggestions for further research in this area are provided.     

Abolishing the death penalty:the logical necessity of the irrationality of the death penalty

死刑渐废论者的逻辑是：死刑不合理、不人道,但是在当前中国,由于国情、文 明程度的特定性,又具有合理性,这是一个矛盾的结论。不合理的就应该摒弃。将传 统文化、文明现状以及民众的态度与死刑的废止结合起来是知识者的精神自虐。正如 死刑存在的原因从来不是民意一样,死刑废止的阻力也从来不是来自于民意。哲学家 并不掌握死刑存废的政治权力,正如死刑的存在最有利于政治权力的贯彻一样,终结 的动力来源于国家政治权力,来源于国家政治权力的代表者——政治家。

关键词: 死刑?合理性?文明?权力

The logic of proponents of progressive abolition of the death penalty is that although it is illogical and inhumane, it remains rational in today's China because of our national circumstances and level of civilization. This is a contradiction in terms. What is illogical should be abandoned. It is spiritual self‐abuse for intellectuals to run together the repeal of the death penalty and traditional culture, our current state of civilization, and the attitude of the mass of the people. Just as the popular will has never been the reason for the existence of the death penalty, it has likewise never been the force that resisted abolition of the death penalty. Philosophers have no political power over whether the death penalty is retained or abolished. Just as its preservation best serves the interests of the implementation of political power, so the motive force for its termination comes from the political power of the state and its representatives – politicians.     

Coping Strategies Among Mothers of Chronically Ill Children: A Case Study in Malaysia

ABSTRACT

 The purpose of this study is to identify the stresses and coping strategies of five mothers in caring for their chronically ill and disabled children. These mothers were receiving services from a nonprofit hospital in Malaysia. Through an in-depth case study design, the findings indicated that emotional stress caused high levels of depression, which decreased life satisfaction that led to poorer physical health. Issues explored included employment, noncooperation of family members, as well as factors related to the mother's individual abilities and how these factors might affect maternal caregiving. Recommendations for future research include identifying probable psychosocial stresses and other associated factors while emphasizing the importance of community-based programs that minimize these stresses.     

Breaking the cycle: an asset-based family intervention for poverty alleviation in China

ABSTRACT

Limited attention is given to how the poverty alleviation benefits children’s development and breaking the transmission of intergenerational poverty in China. Based on two pilot programmes, Chunyu and Qianshou, in Shan’xi province, this study presents the potential effects of an asset-based family intervention that incorporates Child Development Accounts (CDAs) and parental support services on children and families. This study finds that the implementation of the programmes has positive financial and nonfinancial benefits for children and their families. The CDAs may serve as a key mechanism to integrate and strengthen the effect of asset building and parental involvement.     

Efficacy of an Educational Program for Relatives of Persons in the Early Stages of Alzheimer's Disease

Abstract

This article describes the results of an educational intervention for family caregivers of persons in the early stages of Alzheimer's disease. A total of 45 family caregivers participated in this intervention that consisted of five weekly educational sessions about the disease and aspects of caring for someone in the early stages. Measures of knowledge about Alzheimer's disease, self-efficacy, reactions to patients' memory impairment, and level of depression at pretest and posttest were analyzed. Participants' knowledge about the disease improved substantially, self-efficacy and reactions to patients' impairments improved moderately, and level of depression showed no significant improvement. Results suggest that this intervention has merit for family caregivers coping with the early stages of Alzheimer's disease. Implications for implementation and evaluation are discussed.     

Developmental Trajectories of Head Start Children's Reading and Home Environment Scores: Across Ethnicities

ABSTRACT

To investigate the relationship of ethnicity in the development of children in Head Start, this study examined the associations between ethnicities and reading trajectories and whether trajectories of home environment could over time explain their differential associations. Participants (N = 696) were selected from the National Longitudinal Survey of Youth data. Results indicated some similarities and differences in the results obtained. Study findings suggest including an environmentally sensitive family component in Head Start and suggest an early enrollment policy targeting at-risk populations to maintain long-term Head Start impacts across ethnicities. Future research and follow-up studies should investigate other family components that positively affect long-term development among Black, Hispanic, and White children participating in the Head Start program.