Intimacy boundaries: between mental health nurses & psychiatric patients

This was the first research study in Canada to explore intimacy boundary violations and sexual misconduct between nurses (both RNs and registered psychiatric nurses) and patients. Using a researcher-generated survey, a total of 923 mental health nurses commented on their sexual attraction to patients, and dating and sexual intercourse patterns with patients. The findings indicated that very few nurses had dated or engaged in sexual intercourse with discharged patients, and the few nurses who had done so tended to be younger men prepared at the registered psychiatric nursing diploma level. A small number of nurses believed it was permissible to have a sexual relationship with a patient while the patient was hospitalized, but none reported having a current relationship. Given the severity of this intimacy boundary violation, nurses need to be educated regarding the serious and dangerous psychiatric effects that can result for patients from engaging in a sexual relationship with nurses. The Code of Ethics of the Canadian Nurses Association and nurses' obligation to follow it needs to be reinforced. Nurses engaging in intimacy boundary violations are vulnerable to patient-initiated lawsuits.     

The End of the One-Drop Rule? Labeling of Multiracial Children in Black Intermarriages

The identity choices of multiracial individuals with Black heritage have traditionally been limited in America by the one-drop rule, which automatically designated them as Black. This paper evaluates the rules contemporary influence and argues that, with increasing interracial marriage, options in racial identification are now available to this group. Using the 5% 1990 and 2000 Public Use Microdata Samples, I consider how children from Black intermarriages are racially identified by their families and, using 2000 data, evaluate theoretical hypotheses to explain identification processes. The results show that most families with Black intermarriages reject the one-drop rule, but that Black–White families create unique interracial options, the implications of which are considered.     

Prevention and Intervention: Using Resiliency-Based Multi-Setting Approaches and a Process-Orientation

How to best help children grow up in the face of multiple risks is addressed. Two intervention approaches are presented. The first is a resiliency-based intervention approach focused on increasing protection and decreasing risks faced by children. The use of multi-setting resiliency-based interventions and the use of collaboration across schools, families and communities are discussed. The second approach focuses on using a process orientation in interventions with at-risk children and their families as a means of working with different cultural, family, and individual issues that affect childrens development and families goals. Successes of intervention approaches are discussed.     

Making visits better: the perspectives of parents,foster parents,and child welfare workers

Mothers of children recently placed in foster care, foster mothers, and child welfare workers participated in semistructured, clinical interviews focusing on the challenges of parent visitation with young children. Mothers described their feelings of grief, trauma, and rage about the forced separation from their children and stressed the importance of emotional expression and communication during visits. Child welfare workers described the complexities of supporting emotionally close parent-child interactions while monitoring and assessing parental behavior during visits. Foster mothers described the importance of preparing children for visits and the difficulties of supporting the children afterward. Implications of understanding mothers', foster mothers', and child welfare workers' perspectives on enhancing the quality of visits with young children are discussed.