Residence in the Social Ecology of Stress and Restoration

We relate residence to health within a social ecological model of stress and restoration. As an isolated setting and in relation to other everyday settings, we discuss the residence in terms of demands, coping resources and responses, and opportunities for restoration. Our model indicates how processes operating above the household level can affect health by modifying the quantity, quality, and distribution of demands, resources, and restoration opportunities within and across the settings of everyday life, including the residence. We illustrate some of these social ecological dynamics with the case of home-based telework. Concluding, we discuss the utility of the model for environmental interventions intended to alleviate health-threatening chronic stress .     

Introduction: The Residential Context of Health

Our understanding of the relationship between housing and health will improve with closer attention to the characteristics of residents, their activities in relation to their housing, and social ecological factors that set the boundaries for those activities. To highlight these aspects of the subject area, we propose recharacterizing the housing and health field as one of inquiry into the residential context of health. In introducing this issue of the journal, we first elaborate on this proposal in conceptual and practical terms. We then overview the individual articles, each of which helps us develop a more nuanced view of the subject area. Finally, we comment on two themes running through multiple articles—stress and coping, and social ecological influences on residence .     

Evaluating the One-in-Five Statistic: Women’s Risk of Sexual Assault While in College

In 2014, U.S. president Barack Obama announced a White House Task Force to Protect Students From Sexual Assault, noting that “1 in 5 women on college campuses has been sexually assaulted during their time there.” Since then, this one-in-five statistic has permeated public discourse. It is frequently reported, but some commentators have criticized it as exaggerated. Here, we address the question, “What percentage of women are sexually assaulted while in college?” After discussing definitions of sexual assault, we systematically review available data, focusing on studies that used large, representative samples of female undergraduates and multiple behaviorally specific questions. We conclude that one in five is a reasonably accurate average across women and campuses. We also review studies that are inappropriately cited as either supporting or debunking the one-in-five statistic; we explain why they do not adequately address this question. We identify and evaluate several assumptions implicit in the public discourse (e.g., the assumption that college students are at greater risk than nonstudents). Given the empirical support for the one-in-five statistic, we suggest that the controversy occurs because of misunderstandings about studies’ methods and results and because this topic has implications for gender relations, power, and sexuality; this controversy is ultimately about values.     

Delivering decision making support to people with cognitive disability — What has been learned from pilot programs in Australia from 2010 to 2015

The UNCRPD has generated debate about supported decision making as a way to better enable people with cognitive disability to participate in decision making. In Australia, between 2010–2015, a series of projects have piloted various models of delivering decision making support. A critical review was conducted on the program documents and evaluations of these pilot projects. The pilots were small scale, conducted by both statutory and non‐statutory bodies, and adopted similar designs centred on supporting a decision maker/supporter dyad. Primarily, participants were people with mild intellectual disability. Themes included: positive outcomes; uncertain boundaries of decision support; difficulty securing supporters; positive value of program staff and support to supporters; limited experience and low expectations; and varying value of written resources. The lack of depth and rigour of evaluations mean firm conclusions cannot be reached about program logics, costs or outcomes of the pilots. The pilots demonstrate feasibility of providing support for decision making rather than resolving issues involved in delivering support. They suggest that some form of authority may facilitate the role of decision supporters, help to engage others in a person's life, and integrate decision making support across all life domains.     

Using Yoga Interventions to Enhance Clinical Social Work Practices with Young Women with Cancer

It is widely published that physical, psychological, and social stressors adversely affect many individuals who are diagnosed with cancer, influencing their experience of treatment and perhaps, the quality of life after treatment is complete. No one is prepared for this battle, yet most patients are forced to make split-second decisions that are critical to their care. This case study highlights the mindfulness approach taken by one social worker to help a young woman during her journey with cancer. By guiding her through gentle yoga postures, yoga breathing, and meditation this patient learned how to take back some measure of control in her recovery, address her illness-related stress, and possibly enhance the quality of her life during treatment. As more clinicians combine conventional best practices with complementary healing therapies, they may provide tools any patient can use to instill hope and promote wellness during this most challenging time and beyond.     

An extended theory of planned behavior intervention for older adults with type 2 diabetes and cardiovascular disease

A randomized controlled trial evaluated the effectiveness of a 4-wk extended theory of planned behavior (TPB) intervention to promote regular physical activity and healthy eating among older adults diagnosed with Type 2 diabetes or cardiovascular disease (N = 183). Participants completed TPB measures of attitude, subjective norm, perceived behavioral control, and intention, as well as planning and behavior, at preintervention and 1 wk and 6 wk postintervention for each behavior. No significant time-by-condition effects emerged for healthy eating. For physical activity, significant time-by-condition effects were found for behavior, intention, planning, perceived behavioral control, and subjective norm. In particular, compared with control participants, the intervention group showed short-term improvements in physical activity and planning, with further analyses indicating that the effect of the intervention on behavior was mediated by planning. The results indicate that TPB-based interventions including planning strategies may encourage physical activity among older people with diabetes and cardiovascular disease.     

Theoretical perspectives of male sexual abuse: conceptualization of a case study

The purpose of this article is to demonstrate the traumatic impact that sexual abuse can have on a young male's development by addressing mediating dispositions that can render a child vulnerable to the effects of sexual abuse. Consideration is given to three different theoretical perspectives that are not exclusive to male victims but shed light on the impact that sexual abuse can have on the development of a young boy. These perspectives include early family relationships and attachment theory, developmental psychopathology, and trauma theory. These theoretical lenses provide a conceptual understanding into why some victims are vulnerable to the effects of sexual abuse. Each theoretical view is applied to a case study of an adolescent male with a history of early trauma and sexual abuse. Clinical implications are discussed.