The Impact of Autism Spectrum Disorders on the Family: A Qualitative Study of Mothers’ Perspectives

An estimated 730,000 Americans younger than age 21 in the United States have an autism spectrum disorder (ASD), and current trends predict 36,500 new diagnoses each year. Due to this rapid increase in ASD diagnoses, it is critical to understand the impact having a child with ASD has on a family's daily functioning to better coordinate services and design effective interventions. Qualitative semistructured interviews with eight mothers were conducted, and four primary themes emerged identifying primarily negative impacts of having a child with ASD. Implications for practice and future research are addressed to inform the development of best practices for families.     

A Qualitative Study of “fa’a’amu” Kinship Care Experiences in Tahiti

“Fa'a'amu” is a type of adoption commonly found in French Polynesia involving open, informal adoption arrangements, in which the child maintains ties to the family of origin. Although the function that child circulation plays in Oceanic societies has been widely documented by anthropologists, the implications of fa'a'amu at the individual level have yet to be examined. To address this gap, an exploratory qualitative study was conducted to 1) examine the lived experiences of adults who were fa'a'amu as children, and 2) identify experiences and characteristics associated with positive psychosocial and mental health outcomes in adulthood. The sample consisted of 22 Tahitian adults, who had been fa'a'amu during childhood. Applying a developmental and attachment lens, we explored how participants experienced relationships with birth and adoptive families, and how being fa'a'amu impacted their sense of well-being, attachment, identity, and belonging. Data was collected through The Adult Attachment Interview and the Fa'a'amu Experience Interview, which were coded using thematic analysis. Factors associated with positive outcomes in adulthood included early age at adoption, sensitive fa'a'amu parents, positive or benign relationships with birth parents, and respect between fa'a'amu and birth families. Factors associated with emotional distress included late age at adoption, abandonment and rejection, exploitative fa'a'amu parents, and conflict between birth and fa'a'amu families.     

What’s not to Like?: A Qualitative Study of Young Women Politicians’ Self-Framing on Twitter

ABSTRACT

Twitter provides women politicians with a platform for practising political public relations and the opportunity to circumvent traditional barriers to their visibility. To explore how young women use Twitter to frame themselves during election campaigns, this study undertook a thematic analysis of tweets sent by politicians Nikki Kaye and Jacinda Ardern during New Zealand’s 2014 general election campaign. A likability frame dominated their messaging, supported by subsidiary frames of the busy local MP and the relational politician. Choices of interpersonal and intimized situations showcased these attributes. Although the messaging was arguably effective, there are longer-term consequences for women with respect to the likability/competence double bind. Further and systematic incorporation of gender into the field of political public relations would strengthen this emerging discipline and add value to existing research around women’s electoral viability.     

Women’s Experiences of Pornography: A Systematic Review of Research Using Qualitative Methods

Given the proliferation of pornography in personal, relational, and social realms, it is vital to understand women’s experiences of this accessible, stimulating, and versatile sexual material. We therefore conducted the first systematic review of research using qualitative methods published in English in peer-reviewed journals. Our search of five databases yielded 22 eligible articles. Thematic analysis of results revealed four broad themes: women encountering pornography, pornography and the self, pornography in the context of relationships, and making sense of pornography. Discussion of themes and subthemes included reflections on women’s explanations of intentional and unintentional encounters with pornography, conflicted perceptions of themselves in relation to female pornography actors, diverse perceived effects of pornography on intimate relationships, and tensions between women’s arousal to pornography and their values. It was evident that women’s experiences of pornography are complex and nuanced, often paradoxical, varying among and within individuals. Our synthesis of results and assessment of limitations suggest (a) that researchers need to define what they mean by pornography and specify any content used in their research and (b) that understanding would be enriched by research that is culturally contextualized and acknowledges public discourses about pornography.     

Older Adults’ Experiences of Sexual Difficulties: Qualitative Findings From the English Longitudinal Study on Ageing (ELSA)

There is a growing body of evidence demonstrating that sexual activity is important to the quality of life of older adults, and that it can be influenced by physical, psychological, and social factors. However, older adults’ experiences of sexual difficulties remain relatively unexplored. This article draws on qualitative data collected as part of the English Longitudinal Study of Ageing (ELSA). Participants answered a Sexual Relationships and Activities Questionnaire (SRA-Q), which included an open comment box for further details, 1,084 (1/7) of which were completed. These data were analyzed using Template Analysis, and findings on the experiences of sexual difficulties are presented in this article. Sexual difficulties were contextualized within the couple relationship and could be detrimental to the relationship, particularly if the partner would not seek professional help. Participants reported that sexual difficulties could also have a negative impact on psychological well-being, described mainly as frustration, depression, and sadness. For some participants the supportive nature of their relationship buffered these impacts. Few had sought professional help; those who had reported helpful and unhelpful experiences. These findings add to the limited evidence base and have implications for health care in the context of global aging and a growing recognition of older adults’ sexual rights.     

“It All Depends on the Guy and the Girl”: A Qualitative Study of Youth Experiences with Statutory Victimization Relationships

The purpose of this exploratory study was to examine youths’ perceptions of statutory victimization relationships and youths’ experience interacting with professionals. In-person qualitative interviews were conducted with 22 youths identified as statutory rape victims by two child advocacy centers. Using grounded theory, interviews were coded thematically using constant comparison analysis. The discussion of the relationship dynamics suggested a great deal of variation. Some youths described the relationships in exploitive terms. However, more typically, the interviewed youth described the relationship as reciprocal, even some time after it had ended. The professional intervention often resulted in feelings of helplessness for the youth. The results suggest creative and flexible protocols are needed for handling these cases that recognize adolescents’ developing autonomy.     

The Invisible Village: An Exploration of Undergraduate Student Mothers’ Experiences

This study explored the experiences of mothers in college using a qualitative design. Results showed that a lack of financial resources was the chief barrier for student mothers in their educational pursuits while social/emotional support was the most important contributor to student mothers’ success in college. Participants relied heavily on student loans to cover costs of childcare or family to help watch their children. Role conflict experienced by student mothers has implications on family and college retention. Implications of this study included the adaptation and revisions of policies at the state and federal levels in addition to implications at the university level. Limitations of the study included a lack of racial and ethnic diversity and only including student mothers currently enrolled in college. Several recommendations for future research are described.     

Young Adults’ Perception of Coping with Parental Divorce: A Retrospective Study

Divorce has long been described as one of the most stressful life experiences. A review of the literature identified numerous studies that have identified detrimental effects of parental divorce on children and adolescents and few that have emphasized possible optimal implications or effective coping with this event. The focus of this study subsequently fell on how young adults had coped with the divorce of their parents during their childhood or adolescent years. Semistructured retrospective interviews were conducted with 15 participants selected by means of snowball sampling in the completion of this study. Findings revealed a set of themes and subthemes relating to adults’ coping with parental divorce during childhood or adolescence as well as a set of factors that could potentially hinder such coping. Effective communication in relationships was highlighted as a particularly valuable coping method. It is hoped that these insights will enable those involved with assisting families during divorce to cope more effectively with this event.     

A Grounded Qualitative Study of the Meanings of Effectiveness in Canadian ‘Results-Focused’ Environmental Organizations

This research examines the manner in which effectiveness is socially constructed and interpreted within a subpopulation of “practical solution delivering” Canadian environmental organizations. Key findings are that effectiveness is not framed by ENGO staff in terms of sustainability-related outcomes of value, despite contextual reasons why this might be so. Instead, effectiveness is interpreted in terms of popularity and engagement with the public, with funders and with other key stakeholders. This suggests that despite organizational and population affirmations to the contrary, the environmental programs and activities are designed to engage human awareness and affect more than to create practical environmental change.     

Examining the Incidence and Clients’ Experiences of Single Session Therapy in Italy: A Feasibility Study

Single session therapy (SST) postulates that one session can be sufficient for a client to take charge of the process and work toward their own solutions. Research has been conducted worldwide corroborating SST assumptions with several mental health conditions, but not in Italy. For the first time in Italy, this paper aims to explore: (1) if the most frequent number of sessions in traditional psychotherapy (not SST) is one (Study 1); and (2) the satisfaction of clients who attend SST services and the number who consider one session sufficient to address their presenting problem (Study 2). In Study 1, the records of 476 voluntary clients referred to three different traditional (not SST) psychological services in the west-central region of Latium, Italy, were retrospectively screened, and the number of sessions attended by each client recorded. In Study 2, 85 consecutive clients who voluntarily asked for SST with seven mental health professionals across Italy received a link to an online ad hoc survey, 1–3 weeks after the consultation, evaluating their experience. Study 1 found that the most frequent number of traditional psychotherapeutic (not intentionally SST) sessions was one (124 out of 476 clients (26%). Study 2 found that 44 out of 85 clients (52%) considered one session to be enough, as they felt better or much better and chose not to attend further sessions. Of those who asked for a second session (41 clients), 33 clients (80.5%) indicated that the first session was not enough and 8 clients (19.5%) wanted to address a new problem. These results converge with previous international studies and provide encouragement for the use of SST in both private and public psychological services to address the demand for timely mental health services in Italy. Further research is needed to support the efficacy of SST and to evaluate its cost-effectiveness.     

A Qualitative Study of Parents’ and Children’s Views on Mediation

This qualitative study examined the benefits to children of family mediation for divorcing couples and the limitations of such mediation. To capture the perspectives of parents and their children, we invited 40 parents and 10 children to participate in the study. The parent informants reported that mediation improved the efficacy of their parenting and alleviated their children’s stress about their divorce. In contrast, the child informants felt they were powerless when involved in the mediation process and that they received limited support from the mediators. Strategies are proposed for improving the cultural applicability of mediation services for children in a Chinese society.     

Domestic Violence Service Providers’ Needs and Perceptions of Technology: A Qualitative Study

There is growing recognition of the need to better understand the intersections between the work of domestic violence service providers and technology. Professionals who work with clients impacted by domestic violence are increasingly using technologies across different aspects of their work, including communicating with other professionals and seeking information and resources via the Internet. The current study used qualitative data from two sources—individual interviews and two focus groups—to learn about domestic violence service providers’ needs and perceptions related to technology use. The results provide insights about technologies used currently, expected benefits of future technological advances, barriers to using technology, and participants’ self-rated levels of comfort with technology.     

Standard Bearers: Qualitative Sociologists’ Experiences with IRB Regulation

In response to the system for regulating research with human subjects, researchers have raised two apparently contradictory concerns: that IRBs are excessively inconsistent (often raised by biomedical researchers), and that they are excessively standardizing (often raised by qualitative interview researchers). Why does standardization appear as the dominant theme in qualitative researchers’ experiences with their IRBs? And how do qualitative researchers experience standardization in their IRB encounters? We focus on IRBs role as regulatory bureaucracies, which typically rely heavily on standardized communication and decisions to process information and make large numbers of decisions in a timely manner. We explore the role of standardization in IRB regulation of qualitative research in an analysis of semi-structured interviews with 26 qualitative sociologists from six research universities and three liberal arts colleges in the Northeastern United States. In a regulatory regime oriented toward the norms of experimental research, these frictions resulted partly from a lack of appropriate standardized language and decision-templates, but also from the inherent difficulties of applying standardized decisions to work that is unpredictable, unique, and difficult to routinize.     

What Changes for Young Carers? A Qualitative Evaluation of the Impact of Dedicated Support Provision for Young Carers

In 2016, the Children’s Commissioner for England reported that the most frequent provision for young carers (YCs) comes from dedicated YC services. This study formed one part of a three-year evaluation of support for YCs and their families provided by the Hampshire YCs Alliance (HYCA), a county-wide collaboration of ten YC services in the UK. It set out to explore the following primary questions; (a) what are the most important changes that the YC services made to YCs and their families? (b) what is it about the services that creates those changes? Semi-structured interviews were carried out in 2017, with YCs aged 9–17 (n = 8), their parents (n = 5), HYCA staff (n = 6) and professionals from other stakeholder organisations (n = 5) and a thematic analysis was undertaken. Reflecting previous research that YCs and their families have a broad range of needs, findings also reveal how YC services support them through a diverse range of interventions. Support led to a diverse range of positive changes for YCs and their families. A number of service features that facilitate change for YCs, as well as ‘key dynamics’ important in facilitating change were identified. These findings have led to a conceptual framework of how YC services facilitate change for YCs and are important for understanding the impact these dedicated services can make to the lives of YCs and how they facilitate change. Together they have implications for the development and commissioning of interventions for YCs and families and how service providers promote their support provision.

     

Accounting for Men’s Refusal of Heterosex: A Story-Completion Study With Young Adults

In the present study we bring together theory regarding the construction of heterosexuality and masculinities to understand the shifting and changing terrain of heterosexual sex (heterosex). We use inductive qualitative content analysis of story completion data to discover the different ways that heterosex is constructed by the male and female respondents in scenarios where women initiate sex and men, at first, refuse. The stories represented a spectrum of responses that reify and subvert dominant understandings of heterosex. Five major themes were generated from the current data (1) men should initiate sex, (2) he wants to take it slowly, (3) it is natural for men to want sex, (4) it is men’s job to look after women, and (5) coercion. We discuss in detail the dominant narratives described by women and men and how they may be shifting. The study thus provides a rich, experience-based representation of heterosexual sexual activity and suggests subtle shifts in how masculinity is managed within heterosexual relationships.     

Acceptance of Online Health Services for Self-Help in the Context of Mental Health: Understanding Young Adults’ Experiences

ABSTRACT

This article explores the understanding of the acceptance of online health services from a self-help perspective in the context of mental health. By examining the experiences of young adults, this article develops a framework to leverage the current understanding of the factors that would support the acceptance and use of these types of services. To this end, a multidisciplinary perspective incorporating knowledge from the service marketing, health, and information systems literature is used. The results suggest that the production of online services that are meant for self-help purposes necessitates a focus on the acceptance of technology and, more importantly, instrumental value creation, as the purpose of using these types of services should be better understood and supported by technological solutions. This study also identifies several technological features supporting both the acceptance of technology and users’ ability to achieve well-being. Furthermore, when developing services for health self-help purposes, the issue of branding to increase acceptance should be assessed. From a user perspective, there appears to be a difference regarding whether the services are positioned as health services or as wellness services.     

Re-signing: A Cultural-Historical Study of Signs for Supporting Young Children’s Development of Emotion Regulation

Recent cultural-historical literature stresses the need for understanding the role of signs in emotional development. This article examined how the signification of children’s emotions in everyday parent–child interactions creates the conditions for the emergence of intrapersonal emotion regulation. Four families with children ages 3–6 years were studied in Australia. Findings indicated that parents’ re-signing supported the emergence of children’s intrapersonal emotion regulation. We argue that the cultural line of emotional development needs to be foregrounded and the process of development theorized, thus contributing to better understandings of the process, rather than the product of children’s development of emotion regulation.     

Consequences of Casual Sex Relationships and Experiences on Adolescents’ Psychological Well-Being: A Prospective Study

Casual sexual relationships and experiences (CSREs) are still considered to be detrimental to the psychological well-being of youth even though findings remain inconclusive. Most studies have focused on emerging adulthood. Using a prospective design based on a representative sample of high school students in the province of Québec, we measured sexually active adolescents’ (N = 2,304) psychological well-being six months after engaging in these relationships while controlling for prior well-being. We analyzed two forms of CSREs, friends with benefits (FWB) and one-night stand (ONS) relationships, as well as levels of sexual intimacy. The results show that CSREs had a small impact (small effect sizes) on subsequent psychological well-being, especially among girls; FWB relationships involving penetrative contact increased girls’ psychological distress and both their alcohol and drug consumption. ONSs including sexual touching increased girls’ psychological distress and their drug use. None of the CSREs influenced boys’ psychological well-being. The findings underscored the importance of using caution when arguing that CSREs are detrimental or harmless to the psychological well-being of adolescents. The results also highlight the importance of taking into account gender and forms of CSREs in prevention and health interventions.