Strengths of caregivers raising a child with foetal alcohol spectrum disorder

Birth, foster and adoptive parents raising a child with foetal alcohol spectrum disorder know their children best and are well positioned to inform professionals how to help alcohol‐affected children. Telephone interviews with 32 parents were conducted to explore strengths of caregivers raising a child with foetal alcohol spectrum disorder, and responses analyzed using concept mapping methodology. Four themes emerged from 74 unique responses: ‘change parenting strategy for different children’, ‘use non‐verbal, sensory and physical strategies’, ‘stay patient and understanding’ and ‘locate and maintain external supports’. Results were compared and contrasted with the existing literature. Although many responses were consistent with the literature, strengths previously unreported by caregivers in the literature included cultural practices, communication, generalizability of skills, soothing music and use of a service dog.     

Re-examining the Transnational Nanny

This article explores whether the concept of a global care chain is useful in understanding the migration of careworkers internationally. It examines how an affective approach to understanding migration could supplement the care chain analysis by accounting for the overlapping, shifting, contingent and non-linear networks of emotion that arise during migrations. Analyzing carework through the lens of an “affective economy” is more revealing of the multiple experiences of Filipino gay and transgender caregivers in Tel Aviv and New York, Peruvian careworkers in Spain and Polish careworkers in Germany, as but three brief, illustrative examples. First I will discuss what the care chain approach can illuminate about the multiple and varied stories of migrant careworkers and how it may also essentialize or oversimplify their experiences. I will then suggest that the model naturalizes the caring, biological mother and reinforces geographical and ideological binaries such as North/South, winner/loser and domination/dependency. Finally, I will discuss how the care chain model presents a linear conception of time and space, obscuring the overlapping and multi-directional routes of migration that careworkers travel. Ultimately I will argue that an affective approach creates the theoretical language that can help build what Chela Sandoval calls a coalitional consciousness.     

A Framework for Understanding Risk Perception,Explored from the Perspective of the Water Practitioner

Sustainable urban water systems are likely to be hybrids of centralized and decentralized infrastructure, managed as an integrated system in water‐sensitive cities. The technology for many of these systems is available. However, social and institutional barriers, which can be understood as deeply embedded risk perceptions, have impeded their implementation. Risk perceptions within the water sector are often unrecognized or unacknowledged, despite their role in risk management generally in informing value judgments and specifically in ranking risks to achieve management objectives. There has been very little examination of the role of these risk perceptions in advancing more sustainable water supply management through the adoption of alternative sources. To address this gap, this article presents a framework that can be used as a tool for understanding risk perceptions. The framework is built on the relational theory of risk and presents the range of human phenomena that might influence the perception of an “object at risk” in relation to a “risk object.” It has been synthesized from a critical review of theoretical, conceptual, and empirical studies of perception broadly and risk perception specifically, and interpreted in relation to water practitioners. For a water practitioner, the risk object might be an alternative water system, a component, a process, or a technology, and the object at risk could be public or environmental health, profitability, or professional reputation. This framework has two important functions: to allow practitioners to understand their own and others’ risk perceptions, which might differ, and to inform further empirical research.     

Romantic Relationship Commitment Behavior Among Emerging Adult African American Men

Contextual and intrapersonal factors affecting the development of African American men's romantic relationship commitment‐related behavior were investigated. Socioeconomic disadvantage during early adolescence was hypothesized to predict harsh, unsupportive parenting practices. Harsh parenting was hypothesized to result in youths' emotion‐regulation difficulties, indicated by elevated levels of anger during mid‐adolescence, particularly when men were exposed to racial discrimination. Young African American men's anger during mid‐adolescence, a consequence of harsh, unsupportive parenting and racial discrimination, was expected to predict commitment‐related behavior. Hypotheses were tested with a sample of rural African American men participating in a panel study from the ages of 11 through 21. Data from teachers, parents, and youths were integrated into a multi‐reporter measurement plan. Results confirmed the hypothesized associations. Study findings indicate that the combination of harsh parenting and racial discrimination is a powerful antecedent of young men's commitment‐related behavior. Anger across mid‐adolescence mediated this interaction effect.     

The importance of end-of-life care in nursing home settings is not diminished by a disaster

The emphasis in disaster situations is on preserving life, and this goal is both appropriate and laudable. There is a risk, however, that the needs of people who are dying can become lost when there is a sudden surge of people needing acute intervention. There are significant ethical considerations inherent in society's prioritization of care needs across the acute, rehabilitative, and palliative spectrum in general, let alone in a disaster situation. These ethical conundrums are not the focus of this article. Rather, we anchor our discussion on the assumption that care needs are equally valid, and our purpose is to explore the issues that impact the provision of quality end-of-life care in nursing home settings for those who require this care when a disaster occurs. Nursing home residents, in particular, are at heightened risk for experiencing negative disaster-related outcomes due to compromised physical or mental health that requires skilled nursing care. Moreover, within the already vulnerable nursing home population are many people who are receiving palliative end-of-life services when a disaster strikes. Education and training in end-of-life services for nursing home staff, disaster emergency responders, and other lay people is vital to build capacity for adapting the delivery of these services in disaster situations in the interest of equity and human rights. Given the present lack of guidance in the literature as to what end-of-life care looks like when adapted to the context of disaster response, there is also a pressing need for research to inform this discussion. The purpose of this article is to draw attention to this topic and highlight some of the critical issues, gaps, and opportunities.     

COAMFTE accreditation and California MFT licensing exam success

Professional accreditation of graduate programs in marital and family therapy (MFT) is intended to ensure the strength of the education students receive. However, there is great difficulty in assessing the real-world impact of accreditation on students. Only one measure is applied consistently to graduates of all MFT programs, regardless of accreditation status: licensure examinations. Within California, COAMFTE-accredited, regionally (WASC) accredited, and state-approved programs all may offer degrees qualifying for licensure. Exam data from 2004, 2005, and 2006 (n = 5,646 examinees on the Written Clinical Vignette exam and n = 3,408 first-time examinees on the Standard Written Exam) were reviewed to determine the differences in exam success among graduates of programs at varying levels of accreditation. Students from COAMFTE-accredited programs were more successful on both California exams than were students from other WASC-accredited or state-approved universities. There were no significant differences between (non-COAMFTE) WASC-accredited universities and state-approved programs. Differences could be related to selection effects, if COAMFTE programs initially accept students of higher quality. Implications for therapist education and training are discussed.     

WHO IS ‘BEHAVIORAL’? COGNITIVE ABILITY AND ANOMALOUS PREFERENCES

In this paper, we ask whether variation in preference anomalies is related to variation in cognitive ability. Evidence from a new laboratory study of Chilean high‐school students with similar schooling backgrounds shows that small‐stakes risk aversion and short‐run discounting are less common among those with higher standardized test scores. The relationship with test scores survives controls for parental education and wealth. We find some evidence that elementary‐school GPA is predictive of preferences measured at the end of high school. Two laboratory interventions provide suggestive evidence of a possible causal impact of cognitive resources on expressed preferences.