Experiences of a Mass Interinstitutional Relocation for Long-Term Care Staff

This research explored long-term care (LTC) staff perceptions and experiences of working in LTC and providing care to residents following a mass interinstitutional relocation. In-depth, semistructured interviews were conducted with 63 LTC workers. Thematic analyses revealed three overarching themes related to how staff members perceived their relationships with other staff members following relocation. The first theme, post-relocation relationships between staff members, included the subthemes “Staff are segregated from each other” (physical distance) and “We were a family” to “barely say hi” (psychological distance). The second theme, post-relocation stress, has two subthemes: “Staffing is our big issue” and consequences of stress: absenteeism and leave. The third theme is recommendations for improving and managing staff relationships post-relocation. Relationships among staff members are integral to working in LTC and providing care to residents following a mass interinstitutional relocation. Recommendations for improving staff relationships and morale are suggested.     

“Thanks to the Internet,We Remain a Family”: ICT Domestication by Elderly Immigrants and their Families in Israel

In addition to coping with intergenerational and spousal problems related to aging and/or immigration, elderly immigrants in Israel are also often burdened with domesticating information and communication technologies (ICTs). Thus, the goal of this study is to explore how relationships within the elderly immigrant’s family are manifested in a home computer context and to determine the roles that domestication of the relevant technologies plays in their family life. This qualitative study is based on in-depth interviews with 26 elderly users who immigrated from the Former Soviet Union (FSU) to Israel about 20 years ago. The findings show that ICT domestication and family dynamics are complex, interrelated processes: Technologies have dramatically changed the elderly immigrants’ family situations, yet immigrants have accorded these technologies unique meaning, adapting them to respond to their family needs and negotiating ICT domestication as a means of discussing and rebuilding family communication.     

Resident and family perspectives on assisted living

This research describes and compares the relative importance residents and family members place on attributes of the environment, the programs, and the policies of assisted living; describes their satisfaction with these features; and identifies factors associated with congruence between residents' and family members' ratings of importance and satisfaction. Both residents and their family members had high importance and satisfaction ratings. Family members gave the assisted living setting lower satisfaction ratings on all features than did residents. Congruence ranged from 34% to 71% for importance items and from 29% to 63% for satisfaction. Female residents, affectionate family relationships, and residing in an AL owned by a chain were positively associated with congruence on importance items, while resident and family education, resident income, and family involvement were negatively associated with congruence on importance items. For congruence on satisfaction items, having an affectionate relationship was positively associated and higher ADL dependency, more family involvement at the facility, and family members who viewed the facility as a safe place were negatively associated with congruence. This study makes a major stride forward because cognitively intact residents' perspectives are compared and contrasted with their own family members' perspectives, thus showing that residents and family members are two distinct groups, each with a unique set of preferences.     

Personal assistance from family members as an unwanted situation,an optimal solution or an additional good? The Swedish example

The aim of this article was to explore how users experienced and managed personal assistance from family members who are employed as personal assistants. Seventeen users of personal assistance provided by one or several family members, often in combination with external personal assistants, participated. Thematic qualitative interviews were conducted. The participants were between 19 and 58 years old, and were living with various impairments: mobility, sensory and/or learning disabilities. The results showed that personal assistance from family members could both promote and be a barrier to disabled people’s control over their own lives and participation in society. It became evident that the situation could have both advantages and disadvantages for both parties, which puts the focus on the interdependency between the participants and their family assistants. However, the results also points to a potential risk that the welfare state (re)passes its responsibilities back on to disabled people and their families.     

Social Support: A Mixed Blessing for Women in Substance Abuse Treatment

Using a personal social network framework, this qualitative study sought to understand how women in substance abuse treatment describe their network members' supportive and unsupportive behaviors related to recovery. Eighty-six women were interviewed from residential and outpatient substance abuse treatment programs. Positive and negative aspects of women's social networks were assessed via open-ended questions. Analysis was guided by grounded theory techniques using three coders. The findings extend classic social support concepts such as emotional, tangible, and informational support. Practice implications are presented in light of the potential roles network members may play in substance use and recovery.     

Pulling together, drifting apart: A longitudinal case study of a four-generation family

This case study is based on secondary analysis of longitudinal data from 21 members of a four-generation family. The data were collected over a twenty-year period by the USC Longitudinal Study of Three Generations, through two sets of interviews (1987 and 1990) and four waves of surveys (1971, 1985, 1988, and 1991). Examining a single family's evolution through a monographic approach enables us to look closely at its members' interactions within and between generations; to see how family cohesiveness evolves over time; and to understand the meanings their relations have to family members themselves. In this article, we analyze the interactions through which members of this multigenerational family establish greater or lesser interpersonal distance among themselves, both within and between generations. Results indicate that issues in family distance include: divorce within the oldest generation; social class and money matters; and geographic location. Sources of family closeness include family rituals; medical problems and care giving; and efforts of family kin-keepers. The study highlights the holistic and variable characteristics of family ties.     

Moving as a family affair: Applying the SOC model to older adults and their kinship networks

In cases where moves are voluntary, older adults may decide to move as a strategy to optimize their living experiences. Older adults may voluntarily move as a strategy to optimize their living experiences. We use the Baltes and Baltes (1990) model of selection, optimization with compensation (SOC) to understand the impact of moving on a family network. Extending the SOC model beyond individual analysis offers an innovative addition to the literature. Moving may serve to optimize one’s life by enriching one’s emotional and physical reserves, but relocation may also challenge the older adult and their kin with other demands and frustrations. While moving can be optimal in some ways, it is also important to consider how the act of moving may be exchanged for future emotional and instrumental support from spouses and kin. To complete this ethnographic project, the researcher conducted interviews, participant observation of the moving process (packing, garage sales, moving day, adjustment) and document review with older adults (n = 81), members of their kin network (n = 49) and supportive professionals (n = 46). This approach allowed for the possibility of tracking a network through the moving process, using formal interviews, participant observation and document review to find out if and how moving optimizes lives.     

Cultural dissonance among generations: a solution-focused approach with East Asian elders and their families

In traditional East Asian cultures, high value is assigned to family harmony and filial piety coupled with the expectation that elders will be honored and obeyed. A lifetime of such expectations shapes how elders perceive their role and status in the family. Problems can arise when younger, less traditional, generations do not share these expectations. This article describes a solution-focused approach that facilitates the family in creating a beneficial harmony in situations of cultural dissonance. Family members are empowered to draw on personal strengths in which multiple worldviews and values of individual members are recognized, incorporated, and negotiated.     

Pets and Family Relationships Among Nursing Home Residents

An anthropological study of pet visiting programs to three nursing homes reveals five aspects of how elderly residents deal with their past and present ties to their families. (1) Sessions trigger childhood memories and family reminiscences associated with animals. (2) Pet loss and human loss are spoken about as interrelated experiences. (3) Animal visits highlight and help counteract the decline of domesticity that people go through in institutions. (4) Residents explore their ties to pets they have had to give up and their relationships with family members currently caring for these animals. (5) The occasional visits of people's kin during pet sessions indicates the role of animals in domestic interaction and the reaction of family members to the situation of their institutionalized relatives. These findings are compared with other studies on the ties between pets and the elderly.     

Freedom or money? The dilemma of migrant live‐in elderly carers in times of COVID‐19

As a consequence of the lockdown measures imposed by the Belgian government to fight against COVID‐19, migrant live‐in elderly carers had to choose between safeguarding their job — at the detriment of their personal freedom, their health and their working conditions — and safeguarding their freedom but losing their job — at the detriment of their economic survival and that of their families. This article explores this dilemma from an intersectionality perspective. In order to understand their experience in times of COVID‐19 and their response to this dilemma, I analyse their position as women, as migrants, as elderly care workers, as family breadwinners and as ‘quasi‐family members’ in the families of their employer — which correspond to five interlocking systems of oppression.     

Multiple social contexts in qualitative bereavement research

Little research focuses on the ways that bereaved family members react to and make meaning of their experience of the death of an elderly father and husband. In a qualitative, ethnographic study of 34 bereaved families we examined how family members respond to two inter-related social contexts: 1. social-cultural values and attitudes such as attitudes toward grieving for old persons, and 2. the inter-personal dyadic relationship between interviewer and interviewee. An underlying theme of uncertainty pervades the study participants' views of what is normal and expected in their own process of bereavement. Implications for future bereavement research are suggested.     

Paid family caregiving: a review of progress and policies

Policymakers in the United States have begun to examine solutions that encourage increased sharing of caregiving responsibilities between government and family. Initiatives in Sweden and the United Kingdom are now in place. Support includes a care leave policy implemented at the federal level, paying salaries to family members when caregiving is a regular job, providing job training to salaried caregivers when their personal caregiving experience ends, community-based programs for caregivers, and allowances to be used for providing care to an elderly person. In the United States, 13 states pay caregivers as Medicaid providers. Policymakers have considered tax incentives and, in 1975, U.S. Senate Bill 1161 was introduced but failed as an attempt to provide cash subsidies to families caring for the elderly. A proposal has been made to expand the Temporary Disability Model to include care of family members of all ages by providing adequate wage replacement to assist caregivers. At present, 34 states provide some type of economic support for caregivers. Research is needed to determine what types of programs are most acceptable and beneficial to caregivers as well as cost effective for government.     

SHARING EXPERIENCES:

Alcoholics Anonymous (AA) is a world-wide fellowship for mutual help for persons suffering from addictions and alcohol problems. This article addresses a pragmatic aspect of the therapeutic process taking place in the weekly AA meetings. At meetings, AA members 'share' their personal experiences, but they also recurrently refer to previous turns of talk in order to make their own experiences recognizable, understandable and 'shareable'. This study is about these 'co-contributor references', and about the work AA members do to create mutual, 'therapeutic' relevance for their 'monological' turns with these references. This article is a conversation analytical study of tape-recordings of actual AA meetings in Finland. Mutual references are a technique through which members can both manage topic shifts and accomplish solidarity between members in mutual help group, and constitute greatly variable relations between speakers as individuals. As a whole, the article explicates members' methods for sharing and co-constructing experiences whereby mutual help is achieved as a practical accomplishment.     

MARITAL QUALITY AMONG COUPLES LIVING UNDER THE THREAT OF FORCED RELOCATION: THE CASE OF FAMILIES IN THE GOLAN HEIGHTS

This study aims to explore how the long period of uncertainty about possible relocation affects the marital quality of the population in the Golan Heights and what forms of coping with this ongoing stress are used. The results, based on both quantitative and qualitative data, indicate a circular process in which the level of stress generated by the uncertainty varies with marital quality and with other personal and family resources, such as potency and an appreciation of the spouse's ability to cope with the stress. Four ways of coping with the uncertainty were observed in in-depth interviews: fighting, ignoring, postponing, and planning. The results are discussed in terms of their meaning for possible systemic interventions.     

Lifestyles and identity maintenance among gay Japanese-American males

An exploratory study of thirteen Japanese-American gay men residing in the Los Angeles area found that those men who had disclosed their sexual orientation to family members were more likely to express more positive attitudes concerning a variety of issues. Detailed personal accounts of these patterns are presented along with discussions of how Asian homosexuals maintain their “double-minority” identities as both Japanese and gay.     

‘Your momma is day-glow white’: questioning the politics of racial identity,loyalty and obligation

This article utilizes discourse analysis and an auto-ethnographic approach to explore the impact of US racial and ethnic categorization on the experiences of an individual marked as ‘mixed-race’ in terms of individual identity and familial/cultural group loyalty and obligation(s). This essay focuses on an incidence of public policing through the popular social networking platform Facebook, centring on the invocation of racial obligation by white friends and family members. I analyse how racial loyalty is articulated by friends and family members in their posts on my personal Facebook page and how this ‘loyalty’ is used as means of regulating my mixed-race identity performance. This essay aims to understand several things, namely how identity is mediated through the invocation of racial obligation and how tension around identity plays out in the multiracial family.     

The role of family therapists in veterinary medicine: opportunities for clinical services, education, and research

Marriage and family therapists (MFTs) are applying their specific skill set in a variety of arenas. A new area for collaboration is veterinary medicine. The veterinary medical profession is emphasizing the importance of non-biomedical skills such as communication skills, acknowledging that human clientele are likely to view their pets as family members, and discussing veterinarian personal well-being. Each of these trends has clear application for intervention by MFTs. A discussion of how MFTs may be uniquely positioned to assist veterinary medicine is presented. An example of collaboration between MFT and veterinary medicine at Kansas State University is highlighted. Recommendations are made for development of effective educational relationships and possible private sector collaborations.     

Using theory-based constructs to explore the impact of Greek membership on alcohol-related beliefs and behaviors: a systematic literature review

By charter, national Greek organizations (ie, fraternities and sororities) place an emphasis on upholding personal integrity, academic scholarship, and development of campus leaders. Recent concerns, however, assert that the drinking behaviors of members of Greek organizations are antithetical to the mission of their universities. OBJECTIVE: The author's purpose in this review was to systematically examine scientific literature addressing the effect of Greek affiliation on alcohol-related beliefs and behaviors. The internal and external influences affecting Greek members' alcohol-related beliefs and behaviors are organized into a frame-work of various health behavior theories, based on the ecological perspective's levels of influence. RESULTS: Results provide a broad perspective into the individual characteristics, social peer network, and environmental aspects influencing alcohol-related behavior among Greek members. Findings suggest that Greek members comprise a subgroup that consumes alcohol in greater quantities, underscores and misperceives the risks of alcohol abuse, and emulates a social environment and culture in which drinking alcohol is a key part of life.     

Family Relocation:

Family domestic relocations for the purpose of employment have increased and indications are that this will continue. Although there are various reasons for relocation which affect its influence, recent research on corporate moves suggests that there are unexplored discrepancies in the findings on how the two genders respond to the relocation. This paper will discuss these differences and will describe how professions unwittingly can contribute to mother and/or wife blaming within the context of family relocation. The results are evident in the literature which produces: (1) a focus on women's responsibility and accountability for the family, to the exclusion of men, and (2) a lack of awareness of the societally prescribed contexts of work and family life that can be oppressive to both women and men. This paper also suggests practice principles that will guide work with family member's adjustment to relocation and that will direct future research.     

Family Separation-Individuation Tolerance-A Developmental Conceptualization of the Nuclear Family

Family health is dependent upon the individual family members' capacity to establish mature relationships with one another. The development of these relationships occurs through the experiential ranging of family members between the poles of symbiotic union and individuation, a continual process of ego development through self-other differentiation. A model which encompasses the family system's tolerance for ranging is presented in this paper. The model aids the clinician in making a family developmental diagnosis and in understanding family treatment as a growth experience.