Changing the method of working with homeless people: a photovoice project in Italy

In Italy, many organizations are experimenting with the Housing First (HF) model to promote a change in how they work with homeless people. This change creates some difficulties, especially in promoting freedom of choice in people involved in the HF programs. This study explored the definition of “home” in homeless people’s points of view. The study participants were 5 homeless men involved in a HF program called “The Road Home” implemented in the city of Padua. Data were collected using Photovoice, a photographic method based on participatory action research. During the project, the participants took photographs to illustrate their definitions of “home” and then engaged in a critical dialogue about the images represented in the photographs. The results of the study showed that occupants identified the home as being related to family, friendship, cohabitation, and hope for the future. The Photovoice project provided an opportunity to promote discussions that revealed the true needs of the people involved, and in the meantime, it brought a change to the program and to the community, in addition to promoting the HF model in the community.     

Measuring the Influence of Social Context Referents in Substance Abuse Treatment: An Instrument Validation Study

ABSTRACT

This paper introduces a newly developed assessment tool, the Ecological Assessment of Substance abuse Experiences (EASE) that has been designed to measure the influence of social context referents (i.e., family, peers, and community) on clients' attitudes and outcome beliefs related to substance abuse and recovery. An initial exploratory factor analysis was conducted with a small sample of adult treatment-seekers (N =103) to identify its underlying factors and to examine the instrument's item-factor fit. Items clustered onto four orthogonal factors: “belonging-recovery,” “belonging-drugs/alcohol,” “disconnect-recovery,” and “attitudinal congruence-recovery.” Preliminary findings suggest that socio-emotional outcome beliefs and attitudes about drug use and recovery behaviors, as related to family, peers, and community contexts, may be significant areas to address during routine assessment practices that may lead to more comprehensive and contextually appropriate treatment plans.     

Resilience,mental health and Assertive Community Treatment

Clinicians try to promote resilience by building an effective therapeutic relationship with their clients. Assertive Community Treatment (ACT) is an established approach for providing services to individuals with severe mental illness who have not fared well in the regular mental health system. This work underscores the importance of a resilient therapeutic relationship in preventing relapse and assuring adherence to therapeutic outcomes. Persistent psychiatric illness takes a toll on the resilience of the client, while the relationship work takes a toll on the resilience of the clinician. This article explores the concept of relational resilience between clinician and client as a dynamic process of shared success and failure, progress and regression through cycles of crisis, stabilization, relapse, and partial recovery. This is a qualitative study exploring how ACT clinicians promote and sustain resilience and is based on interviews with social workers, nurses, occupational and recreational therapists, coordinators, and psychiatrists.     

Are There Gender-based Effects for an Educational Program for Parents of Adolescents With Risk Behaviors?

The goals of this study were to evaluate the gender-based effectiveness of the parental intervention of the Suspertu (“recovery” in English) prevention program for adolescents with risk behaviors in Spain. The sample included 229 parents (105 fathers and 124 mothers). One open-label trial with repeated measures was used. Parents received a family therapy and a group education. The intervention improved parents’ authoritative parenting style, decreasing the degree of parental stress and reducing parent’s psychopathological symptoms and maladjustment. Improvement in both groups (fathers and mothers) was mainly observed from pre- to post-intervention assessment. According to the results, prevention programs for adolescents with risk behaviors may be a suitable context both to teach parents to deal appropriately with their children’s risk behaviors, and to improve parent’s psychological state.     

Piet Draghoender's Lament

The main purpose of the paper is to provide a context for “Piet Draghoender's Lament, “a most remarkable piece of oral literature composed spontaneously by a 76‐year‐old illiterate Coloured farmer facing eviction from his birthplace. His feelings and attitudes are representative of the entire Kat River community.

The paper explains the claim of the Draghoenders to their land in terms of the concept of “bloedgrond”: the blood which they inherited and the blood which they spilled to “free” the ground and to make it their own. It also analyses the agonised conflict in Draghoender's mind between his innate resentment and his religious conviction that it is his duty to submit to the will of God. The paper concludes by recounting the subsequent history of the Draghoender family, which illustrates the way in which their religious beliefs undermined their ability to fight for their rights.     

Lacan Meets Freud? Patho-Analytic Reflections on the Status of the Perversions in Lacanian Metapsychology

This article analyzes the first edition of Freud’s (1905b) “Three Essays on the Theory of Sexuality” and more particularly the status of the perversions as it appears in that book, demonstrating how this seminal text contains a radical critique of a “psychiatric style of reasoning” (Davidson, 2001a) that turns the perversions into a separate identity fundamentally different from other ?identities?. Freud’s insights are then confronted with the Lacanian idea of a “perverse structure.” It is argued that Lacan’s theories on perversion remain deeply influenced by the French psychiatric tradition on the topic (Dupré, 1925) and that they imply a return to the “psychiatric style of reasoning” that Freud tried to overcome. Finally, I formulate some suggestions with regard to a re-thinking of sexuality in psychoanalytic metapsychology.     

Black women’s experience of colorist microaggressions

ABSTRACT

This paper reports the findings of a study that investigated Black women’s experiences of colorism. The authors introduce a new framework, “colorist microaggressions”, which highlight the microaggressions experienced by Black women. The results indicate that colorist microaggressions impacted the social, relational, emotional, and relational aspects of Black women’s lives and their well-being. The results also showed that like racial microaggressions, the “colorist microaggressions” that Black women encountered in their community, family, and in society, were pervasive. We conclude with a discussion of the implications for social work research, education, and practice.     

Securing the Market,Pacifying Civil Society,Empowering Women: The Middle East Partnership Initiative1

The “Middle East Partnership Initiative” (MEPI) is now the main framework for U.S. soft interventions in the Middle East. Established by the Republican administration in 2003, this program follows a rationale of political and economic reforms as a means to uproot terrorism and spread democracy. This article offers a content analysis of this program by questioning the assumptions behind the MEPI’s focus on “civil society” and “women’s empowerment” and by showing their significance to neoliberal regimes of pacification and securitization.     

Perceived family impact of volunteering among reintegrating post-9/11 Veterans

Family issues are common among returned post-9/11 Veterans. Traumatic brain injury (TBI), post-traumatic stress disorder (PTSD), and depression are each independently related to divorce whereas community ties and social support are protective factors for the family during reintegration. Evidence from elders on the benefits of one intervention, community volunteering, may indicate “spillover effects” of these benefits into the family. Few measures exist to assess the impact of military Veteran volunteering on the family. The authors report (1) an adaption of a benefits measure from elders to Veterans, (2) its preliminary reliability and validity, and (3) differences among subgroups. Reintegrating post-9/11 Veterans (N = 346) who completed a 6-month, stipended volunteer program were surveyed. Perceived impact of volunteering on the family was assessed after completion of the program using an 11-item self-report measure. Rank-based nonparametric tests were used to detect significant differences among subgroups. Preliminary findings support the scale’s adaptation to Veterans, internal consistency, and construct validity. At least one perceived family impact indicator differed significantly (p < .05) between subgroups based on demographic and psychological factors. Veterans in this civic service program perceived that their volunteering may have affected their families.     

Girl Scouts Beyond Bars: a unique opportunity for forensic psychiatric nursing.

The interplay of victim and perpetrator roles experienced between daughters and their mothers provides for intricately complex interactions within a family and the community. Unique opportunities exist for forensic psychiatric nurses to articulate their nursing roles against health promotion and illness prevention programs for incarcerated women and their families. Participation in community-based projects allows forensic psychiatric nurses to observe and respond to the total environment of offenders and their families.     

“Backstage Autonomy”: Religious-Zionist State Widows in Second Marriages Manage Competing Expectations

ABSTRACT

The article examines the coping mechanisms of state widows belonging to Israel’s Religious-Zionist sector, whose husbands died at an early age either during military service or in terrorist attacks. While the national bereaved community’s collective unconscious expects the widows to dedicate their lives to institutionalized commemoration of their dead husband, Jewish tradition expects them to remarry to rehabilitate their family and children. The widows who were studied seemed to manage the competing expectations successfully: they remarried and maintained a happy family life while entrusting commemoration to the bereaved parents, who are still part of their extended family. The findings point to successful manipulation of the patriarchy of both communities to which they belong, achieving individualization that offers freedom in the private sphere—what we call “Backstage Autonomy”—while perpetuating hegemony on the public level on the Front Stage.     

Riding Instincts,Even to Die

This paper develops the concept of riding instincts, even to die through a queer reading of Winnicott’s “Primary Maternal Preoccupation.” Primary preoccupation narrates the ongoing establishment of what Winnicott calls “instinctual life.” Turning to queer social history and a clinical case, a relational-structural similarity between pederasty and primary preoccupation is proposed, and the concept of pederastic enactments is used to capture the fraughtness of this similarity. A patient’s deadened instinctual life is explored in relation to his family history and queer identity, and the difficulty of riding instincts, even to die in the treatment is connected to the neoliberalization of desire.     

UNDERSTANDING BATESON AND MATURANA: TOWARD A BIOLOGICAL FOUNDATION FOR THE SOCIAL SCIENCES*

The attempts to clarify (purify) the conceptual foundations of family therapy by means of “epistemology” have bred excitement, boredom, irritation and confusion. In the belief that at least the confusion can be alleviated, the present paper is offered as a study guide and something of a Rosetta Stone for translating the work of Gregory Bateson and Humberto R. Maturana. The paper demonstrates that Maturana's work is highly compatible with that of Bateson. In addition, several major points of contrast are argued: (1) Maturana's concept of structure determinism is an explicit ontological claim which directly implies an epistemology, whereas Bateson delineated an epistemology, but never clearly developed a corresponding ontology; (2) structure determinism is a more general concept than Bateson's concept of “mind” (i.e., cybernetic epistemology); (3) structure determinism deletes the remnants of objectivity from Bateson's theory (i.e., “the difference that makes a difference”); and (4) Maturana's concept of instructive interaction is a more general, nonsystemic version of what Bateson meant when he used the term “epistemological error.” Finally, it is claimed that the emphasis on epistemology has distracted proponents and detractors alike from the essential message of Bateson and Maturana: social systems and all human endeavor must be understood in light of our existence as biological entities that are coupled to a medium. The biological ontology implicit in Bateson's writings and explicitly delineated in Maturana's may (at long last) provide a sound foundation for the social and behavioral sciences.     

“Walking the Tightrope:” Clinical Social Workers’ Use of Diagnostic and Environmental Perspectives

The purpose of this study was to understand how clinical social workers think about and utilize two distinct worldviews: the psychiatric perspective of DSM diagnosis (Diagnostic and Statistical Manual of Mental Disorders) and the contextual person-in environment perspective. The former is a requirement for service and reimbursement in nearly every clinical setting, while the latter has always been the hallmark of a distinctively “social work” approach. Although there have been quantitative surveys of social workers’ use of the DSM, this is the first qualitative study to examine how social workers actually navigate these two worldviews. Thirty clinical social workers took part in individual interviews, and their responses were analyzed thematically using HyperRESEARCH, a qualitative data management program. Findings reveal an array of ethical and practical issues, including the central “tightrope” of balancing the need to “ramp up” problem formulation in order to access service with the desire to “damp down” in order to minimize stigma and avoid pathologizing problems in living. Implications are addressed for social work practice, policy, and education.     

Andrii Liubka’s Carbide: Ukrainian democratic reforms through a dark glass

ABSTRACT

The Revolution of Dignity in Ukraine and its reforms are the topics of Andrii Liubka’s novel Karbid (Carbide, 2015). Employing Voltairean laughter and neo-Gothic aesthetics, Liubka presents the idea of European integration (one of the expected outcomes of the reforms) implemented practically by the corrupt elites of the imagined Transcarpathian town of Vedmediv as a money-laundering enterprise – an underground tunnel for smuggling drugs and people’s organs from Ukraine to Europe. The author proposes that the elites – most of whom are criminals – personify Julia Kristeva’s concept of abjection in the novel and represent social spheres that need reform. Contrary to the Euromaidan goals, these comprador elites desire even stronger borders between Ukraine and the European Union, as these facilitate their shadow economy, and they subject the local population to economic and social decline, turning them into disposable human waste. By applying the concept of abjection in its psychoanalytic and social forms to Liubka’s tragicomic novel, the author argues that his text points to Ukraine’s struggle to define itself as “West” and shed its totalitarian legacy of the Soviet “East,” and brings attention to the conflict between the post-Euromaidan national strivings of Ukraine’s citizens and the rampant corruption that negates their efforts.     

Potential Selective Responding in a Parent Questionnaire Study of Post-Institutionalized Children

This study assesses selective responding in a single wave of data collection and a four-wave study. Participants were 121 parents of post-institutionalized children, identified as “never responders,” “previous responders,” or “wave 4 responders.” Parents evaluated their adopted child's family, school, peer, and behavioral adjustment. Children (47% male) were 2 to 20 years old (M = 10.79, SD = 4.59) and adopted between 5 and 54 months of age (M = 15.49, SD = 9.94). Within a single wave of data collection, no evidence suggested that selective responding contributes much bias. Over a multi-wave study, however, results may under-represent adjustment difficulties.     

Ritual Power in Interaction*

Research (by a self-styled participant observer) into two fashions of persons—nurses and punks—lends unexpected significance to the ritual “frame” as this appears in Erving Goffman's thought. A new concept that was only implicit in Goffman's ritual frame is demanded by the research experiences. This is “ritual power.” Ritual power, especially when it is strong, is like “presence” or “possession”, and it may well exert a major claim on interactants' consciousnesses (whether the interactants are displaying it or appreciating it). Of course, it must follow that verbal forms which try to define ritual power will do so the more powerfully the more they arrest the reader's attention. So it may not be a good idea to use sociological rhetoric of any sort to suggest that punks and nurses are exemplary referents of “ritual power”, but this last possibility is only latent in what follows.     

Brewing Coffee Party Activism in Tea Party Territory: Faith and Politics in Rural America

Abstract

How do people remain politically active in hostile or seemingly hopeless contexts? We apply Jack Barbalet’s theory of “confidence” as a necessary precursor to “action” to understand how members of a liberal, local “Coffee Party” movement confront powerful political and religious opposition in a conservative, rural, midwestern city. Barbalet’s grounding of “confidence” in “acceptance and recognition” in social relationships improves upon the popular “political efficacy” concept because it is not contingent on successful outcomes. We find that as members of the Coffee Party develop confidence to speak up and “go their own way,” their faith and political participation become more meaningful, which helps to explain how people remain in congregations despite disagreements with co-congregants, seek new congregations late in life when their activism results in expulsion, and remain politically active despite powerful opposition. Our findings contribute significantly to recent research on the interaction between politics and religion.