American Indian Grand-Families: Trauma and Services

Since the United States Census Bureau began collecting data regarding grandparents raising their grandchildren, the American Indian and Alaska Native (AI/AN) population has had the highest proportion of families led by grandparents as the primary caregivers of their grandchildren. Despite this, research into AI/AN grand-families is limited. To begin to fill this gap, this qualitative study of 49 AI/AN grandparents raising grand-families (GFs) was conducted in an urban area with one of the highest AI/AN populations in the United States. Results indicated that loss and trauma within the middle generation is a central theme for GF formation. Such GFs also reported using a variety of services spanning state, tribal, and urban AI/AN programs, with educational support as a primary need articulated for their grandchildren. Surprisingly, enculturation was not mentioned as a primary driver of GF formulation. The study suggests a need for further exploration of the needs of urban-based AI/AN GFs, and that service providers must be aware of such issues when working with AI/AN GFs.     

When community becomes an agent of educational support: communicative research on Learning Communities in Catalonia

Educational support is a key component of any inclusive school. However, many traditional forms of support have been proven ineffective and even exclusionary for the most vulnerable students and their families. This article presents the results of a study conducted over four years by a diverse research team of university professors, PhD students, teachers and head teachers of schools operating as Learning Communities in Catalonia, Spain. The communicative and dialogic approach of these schools offers an alternative understanding of educational support, which is influenced to a great extent by the creation of networks that include participation by diverse agents. The current article provides a theoretical grounding for this approach to support. The article describes the role of different agents from the community and analyses the main effects of this approach and students’ experiences. Finally, a proposal for a dialogic orientation for educational support is discussed.     

Assessing Type I error and power of multistate Markov models for panel data—A simulation study

Ordinal outcomes collected at multiple follow-up visits are common in clinical trials. Sometimes, one visit is chosen for the primary analysis and the scale is dichotomized amounting to loss of information. Multistate Markov models describe how a process moves between states over time. Here, simulation studies are performed to investigate the Type I error and power characteristics of multistate Markov models for panel data with limited non-adjacent state transitions. The results suggest that the multistate Markov models preserve the Type I error and adequate power is achieved with modest sample sizes for panel data with limited non-adjacent state transitions.     

Differential evolutionary algorithm in the construction process of optimal experimental designs

This article shows how a differential evolution algorithm can be used to find statistical designs under several optimality criteria as A, D, and T. The general algorithm of differential evolution is described and then applied on constructing optimal designs for several well-known models and compare them with those already available by other algorithms, in terms of relative efficiency. Moreover, the great effect of population size in the running of this algorithm establishes a precedent in the use of differential evolution algorithms over genetic algorithms.     

Is coverage enough? Persistent health disparities in marginalised Latino border communities

ABSTRACT

What has been the fate of those living in the place once dubbed the ‘county that needs the Affordable Care Act the most’? This article presents results from a longitudinal, five-year ethnographic study of healthcare access in the Rio Grande Valley of Texas. It explores reasons why this region along the U.S./Mexico border has the highest rate of uninsured persons in the country and remains among the most medically underserved, despite some increases in coverage accompanying the Affordable Care Act (ACA). It argues that the convergence of healthcare and immigration policy, framed by a unique regional history and social environment, has had multiple direct and indirect impacts on health and healthcare access. It examines the impact of the ACA on access for Latino immigrants and mixed-status households, which contain a mix of citizens, legal residents, and undocumented persons. It argues that the ACA aided in shifting the conversation to promoting private insurance coverage and away from more fundamental access barriers for low-income working populations ineligible for its benefits. This has eclipsed discussions about fundamental causes of persistent and highly racialised health disparities.     

“Involved in something (involucrado en algo)”: Denial and stigmatization in Mexico’s “war on drugs”

This article responds empirically to the question posed by Stan Cohen about “why, when faced by knowledge of others’ suffering and pain—particularly the suffering and pain resulting from what are called ‘human rights violations’—does ‘reaction’ so often take the form of denial, avoidance, passivity, indifference, rationalisation or collusion?”. Our context is Mexico's “war on drugs.” Since 2006 this “war” has claimed the lives of around 240,000 Mexican citizens and disappeared around 60,000 others. Perpetrators include organized criminal gangs and state security services. Violence is pervasive and widely reported. Most people are at risk. Our study is based on qualitative interviews and focus groups involving 68 “ordinary Mexicans” living in five different Mexican cities which have varying levels of violence. It investigates participant proximity to the victims and the psychological defense mechanisms they deploy to cope with proximity to the violence. We found that 62 of our participants knew, directly or indirectly, one or more people who had been affected. We also found one dominant rationalization (defense mechanism) for the violence: that the victims were “involved in something” (drugs or organized crime) and therefore “deserved their fate.” This echoes prevailing state discourses about the violence. We argue that the discourse of “involved” is a discourse of denial that plays three prominent roles in a highly violent society in which almost no-one is immune: it masks state violence, stigmatizes the victims, and sanctions bystander passivity. As such, we show how official and individual denial converge, live, and reproduce, and play a powerful role in the perpetuation of violence.     

The Experience of Learning EFT in Spanish-speaking Countries: A Multi-National Replication Study

This study is a multi-national follow-up to the original (Sandberg and Knestel (2011) Journal of Marital and Family Therapy, 37, 393–410) article on the process of learning Emotionally Focused Couples Therapy (EFT). A total of 102 clinicians from nine Spanish-speaking countries (Mexico, Costa Rica, Guatemala, Spain, Colombia, Argentina, Chile, Ecuador, and El Salvador) participated in the study. A comparison of results across the two studies revealed more similarities than differences. However, a few notable differences emerged from responses to qualitative questions, namely a heightened sense of appreciation for and resonance with the focus on core emotion in EFT and less frequent reports of difficulty learning and adapting to the model among Spanish-speaking therapists. These differences were consistent with common cultural values and forms of expression in Latin America and Spain. Results are discussed in terms of training, supervision, and future research as well.     

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.     

Urban risks due to climate change in the Andean municipality of Pasto,Colombia: A Bayesian network approach

The current trends of climate change will increase people's exposure to urban risks related to events such as landslides, floods, forest fires, food production, health, and water availability, which are stochastic and very localized in nature. This research uses a Bayesian network (BN) approach to analyze the intensity of such urban risks for the Andean municipality of Pasto, Colombia, under climate change scenarios. The stochastic BN model is linked to correlational models and local scenarios of representative concentration trajectories (RCP) to project the possible risks to which the municipality of Pasto will be exposed in the future. The results show significant risks in crop yields, food security, water availability and disaster risks, but no significant risks on the incidence of acute diarrheal diseases (ADD) and acute respiratory infections (ARI), whereas positive outcomes are likely to occur in livestock production, influenced by population growth. The advantage of the BN approach is the possibility of updating beliefs in the probabilities of occurrence of events, especially in developing, intermediate cities with information-limited contexts.