Alexithymia: Inner speech and linkage impairment

This essay seeks to contribute to the theoretical base guiding the treatment of alexithymia by highlighting the concepts of two scholars, psychologist Lev Vygotsky and psychoanalyst W.R. Bion. While their research was not directly concerned with alexithymia, their formulations, nonetheless, make a singular contribution to understanding its dynamics. The author demonstrates these concepts with clinical case material     

LET US FIRST DO NO HARM

This article offers the hypothesis that an increasing effort to help families and marriages may inadvertently contribute to their dysfunction. By examining the institutions of family and marriage in the broader societal perspective as well as the theories we use to assign the labels "functional" or "dysfunctional" to families and marriages, we may render a more useful service to the health of these systems. In our enthusiasm to do good, let us first do no harm.     

Exploring the relation between bullying and homophobic verbal content: the homophobic content agent target (HCAT) scale

This investigation quantitatively examines the association among homophobic content, bullying, victimization, empathy, and several psychosocial outcomes of these constructs. The 2-factor Homophobic Content Agent Target (HCAT) scale was developed and validated among 191 middle school students to assess the extent to which students both use and are called various epithets in reference to sexual orientation. Cronbach reliability coefficients of alpha = .85 were obtained for both factors. Convergent validity was demonstrated with scales measuring bullying, fighting, victimization, relational aggression and victimization, anxiety and depression, and delinquency. Discriminant validity was demonstrated in comparison with school sense of belonging, empathy, and perspective-taking. Discriminative validity was demonstrated through sex differences on several scales. Results strongly suggest that homophobic content is prevalent in various forms of aggression and victimization, and that future research should examine the role of homophobia in bullying and victimization in schools.     

An Operational Framework for Working with Rural Families in Crisis*

This paper presents a variation of short term crisis treatment adapted to the specific needs of rural families in Northern New Hampshire. The life style and culture of the client population are seen through the eyes of a formerly “urban” therapist. The intent of the paper is to validate existing tenents of family crisis therapy with some slight modifications and emphases; suggesting that crisis intervention may well be the treatment of choice in a rural setting.     

Family use of community services in economically stressed rural counties

This study focuses on stresses, coping strategies, and satisfactions of respondents in eight economically distressed rural counties in the state of Washington. An adult sample is divided into two groups: those who indicate specific economic problems and/or are unemployed (n=236) and those who are still employed and do not report specific economic stresses (n=190). Although those with specific economic problems show higher levels of perceived stress and financial dissatisfaction, there are no differences reported in over-all family satisfaction. Results point to the importance of providing specific employment-related community services to family members in these types of communities.Dorothy Z. Price, Ph.D. is a Professor in the Department of Child and Family Studies, Washington State University, Pullman WA 99164-2010. Her research interests include decision making and consumer behavior. She received her Ph.D. from Michigan State University.Lonnie J. Dunlap, M.A., is a Graduate Research Assistant in the Interdisciplinary Ph.D. Program, Washington State University, Pullman, WA 99164-2010. Her research interests include work and family interactions and career development.     

Advocacy in Practice: The Troubled Position of Advocates in Adult Services

This paper is a review, and critical appraisal, of the theoryand practice of advocacy. Advocacy is not social work, but itsprinciples and values resonate closely to those espoused bythe British Association of Social Workers (BASW, 2002). In thispaper, we interrogate the assumption that advocacy is necessarilyalways a positive and enabling experience. Indeed, we suggestthat the use of advocacy can be contested from the point ofthe view of the service user (the advocacy partner¹), the advocateand from professionals working with advocates (or positioningthemselves as advocates). Drawing on recent research that evaluated advocacy servicesin Nottinghamshire, we discuss some of the key tensions. Inparticular, we consider the reality of the advocate’srole, including where it relates to and differs from socialwork, and the issue of whether advocacy can be part of whata social worker does anyway. We also review, briefly, the dilemmasarising from professionals acting as advocates, especially inrelation to being independent of services.     

Interpretative phenomenological analysis of young people's lived experiences of therapeutic residential care

Concerns of maltreatment and poor outcomes persist in residential care despite numerous government inquiries and recommendations. Young people in residential care continue to be the most vulnerable and marginalized group in the out‐of‐home care population. Young people's voices are also underrepresented in research. Existing studies predominantly focus on service evaluations in which individual voices of young people are overshadowed by adults' perspectives. Other studies examine the perspectives of young people in out‐of‐home care as a homogenous population, limiting understandings of the subjective experiences of young people in residential care. This study focused exclusively on young people's lived experiences in Australian therapeutic residential care, utilizing interpretative phenomenological analysis. The young people in this study revealed experiences of peer victimization, ambiguous loss and uncertainty during transitions. These findings suggest that more work is required in order to provide safe and healing environments and experiences for young people in therapeutic residential care. Each individual voice captured in this study offers valuable insights into how residential care practitioners can strengthen practice to enhance protection, engagement, connection with families and leaving care support.     

Reunification in a complete entry cohort: A longitudinal study of children entering out-of-home care in Tasmania,Australia

The aim of this study was to examine the nature and predictors of family reunification patterns in Australia. Using a large representative sample, this study extends previous studies based on older, often smaller samples and encompasses a period in which kinship care comprised a substantial proportion of out-of-home care placements. Analyses were based on a sample of 468 children who entered care for the first time in the State of Tasmania between January the 1st 2006 and December 31st 2007. Administrative data and case-worker interviews were used to obtain information concerning children's demographics, family backgrounds and placement movements over 2–4 years. The results showed that around 50% of children had gone home after 2 years, but that 79% of returns occurred in the first 6 months. Reunification was slower for younger children, those in kinship care, and amongst children from families affected by poverty, substance abuse and for a cluster children with the highest prevalence family risk factors. The study contributes to international knowledge concerning the importance of assessing the multiplicity of risk factors in family reunification research and the implications of kinship care for the increased stability, but higher retention, of children in out-of-home care.