Recent developments in family psychoeducation as an evidence-based practice

Among potential resources for people with serious mental illnesses (SMI) and their families, professionally delivered family psychoeducation (FPE) is designed to engage, inform, and educate family members, so that they can assist the person with SMI in managing their illness. In this article, we review research regarding FPE outcomes and implementation since 2001, updating the previous review in this journal (McFarlane, Dixon, Lukens, & Lucksted, Journal of Marital and Family Therapy 2003; 29, 223). Research on a range of FPE variations continues to return mostly positive effects for adults with schizophrenia and increasingly, bipolar disorder. More recent studies include functional outcomes as well as the more common relapse and hospitalization. FPE research involving adults with other diagnoses is increasing, as is FPE research outside the United States In both cases, uneven methodologies and multiple FPE variations make drawing conclusions difficult, although the core utility of access to information, skill building, problem solving, and social support often shines though. Since the previous review, several FPE programs for parents of children or youth with mood disorders have also been developed, with limited research showing more positive than null results. Similarly, we review the developing inquiry into early intervention and FPE, short-form FPE, and cost studies involving FPE. The second half of the article updates the paradox of FPE's evidence base versus its persistently low use, via recent implementation efforts. Multiple challenges and facilitating factors across healthcare systems and financing, individual programs and providers, family members, and consumers shape this issue, and we conclude with discussion of the need for empirical evaluation of implementation strategies and models.     

Marital fertility and religion in Spain, 1985 and 1999

Since the transition to democracy in Spain in 1975, both total fertility and rates of church attendance of Catholics have dropped dramatically. In this study the 1985 and 1999 Spanish Fertility Surveys were used to investigate whether the significance of religion for fertility behaviour -- current family size and the spacing of births -- changed between the survey dates. In the 1985 survey, family size was similar for those Catholics who actively participated in religious activities and those who, though nominally Catholic, were not active participants. By 1999, the family size of the latter was lower and comparable to the family size of those without religious affiliation. These findings accord with the declines in both church attendance and fertility in Spain. The small groups of Protestants and Muslims had the highest fertility. Women in inter-faith unions had relatively low fertility.     

Measuring Hope in the Philippines: Validating the Short Version of the Locus-of-Hope Scale in Filipino

A short version of the locus-of-hope Scale was developed and translated into the Filipino language for the purpose of assessing hope in Filipinos who have lower levels of education and who may not have adequate levels of proficiency in English. The 20-item scale had four locus-of-hope subscales (internal, external-family, external-peers, and external-spiritual) each with four items (another four were filler items); all items described thoughts associated with some capacity and strategy to attain important goals in life. A sample (N = 362) of adults from communities in Metro Manila were asked to answer the scale, as well as measures of optimism, self-esteem, and life satisfaction. Confirmatory factor analysis indicated an adequate fit between the hypothesized four-factor structure and the data, but the internal locus-of-hope scale was found to have low internal consistency. Regression analysis showed positive associations between the internal and external-family locus-of-hope subscales and the three measures of wellbeing. But external-peers locus-of-hope was negatively associated with optimism and self-esteem, and external-spiritual locus-of-hope was positively related with optimism.     

Defining Service Coordination: A Social Work Perspective

ABSTRACT

This pilot study explores the meaning of and factors that influence coordination as a first step toward conceptual refinement, theory development, and system interventions. Using data from treatment guidelines archived by the National Guideline Clearinghouse (n= 9) and semistructured interviews with social workers (n= 4), themes related to the definition, indicators, and perceptions of coordination were explored using a grounded theory approach. Data suggest the need for coordination is driven by complex client needs, but the quality of providers’ personal relationships influences coordination. Future research might examine the impact of standardization of roles, referral procedures, and treatment philosophies.     

Emotions and the Self: Depression and Identity Change

Emotions hold a central place in sociological understandings of the self, both as a facet of identity management and as an outcome of self‐processes. We extend identity theory and research on emotions by suggesting that emotion may be another source of identity change and examine this using a longitudinal sample of newly married couples, focusing on person identities and depression. We find that individuals' identities change to become consistent with others' views. We also find that the more depressive symptoms that individuals experience, the more negative their identities. The identity meanings that change, however, are different for men and women.     

Visual Attention Patterns Differ in Gynephilic and Androphilic Men and Women Depending on Age and Gender of Targets

Visual attention patterns measured with eye-tracking techniques provide indirect clues about sexual response. This study aimed to test the category specificity of sexual responses to stimuli varying in gender and age by evaluating both early and late attention of gynephilic and androphilic men and women. We simultaneously presented sexually preferred and nonpreferred stimuli and measured time to first fixation and total duration of fixation on four areas of interest: entire body, then face, chest, and pelvis. Androphilic women’s early attention patterns were nonspecific, whereas gynephilic women and both groups of men showed a category-specific pattern for the entire body. In contrast, all groups showed gender-specific patterns of late attention for all areas of interest. We also found support for age specificity of early and late visual attention in all four groups, with greater attention to adult than child stimuli. This study supports the usefulness of a competing stimulus eye-tracking paradigm as a method to examine gender specificity in gynephilic women and androphilic and gynephilic men, and as a measure of age specificity in gynephilic and androphilic men and women.     

Catching Babies in Prohibition States: Midwives' Accounts for an Illegal Profession

Practicing midwifery is illegal in four states and the District of Columbia. However, midwives still practice as they and much of the public do not see their behavior as criminal. Based on in‐depth interviews with twenty‐six midwives, our findings demonstrate that midwives employed both public and professional accounts. They collectively justified midwifery in prohibition states by condemning their condemners, appealing to higher loyalties, denying injury, and justifying by comparison. We also found a new account, denial of illegality. This research uniquely applies the concept of collective accounts to an illegal but socially acceptable career.     

Adaptation and validation of the Double Standard Scale in Basque adolescents / Adaptación y validación de la Escala de Doble Estándar en adolescentes vascas-os

The goal was to adapt the Double Standard Scale to the Basque language and to validate it in this language. The sample was comprised of 2,919 adolescents in secondary school. The reliability was analysed and the cross-validation method was applied with exploratory factorial analysis and confirmatory factorial analysis to check the structure of the scale. A differential item analysis was performed according to sex. Finally, correlations were made with ambivalent sexism and distorted beliefs about women and violence, and a contrast of means was performed by sex and age groups using variance analysis and effect sizes. The results were: (a) good internal consistency; (b) a one-dimensional structure with seven items; (c) just one item presents a differential functioning; (d) a positive, significant relationship between the sexual double standard, ambivalent sexism and sexist beliefs; (e) boys and younger adolescents showed a greater adherence to the double standard; and (f) social desirability affects the responses of girls, especially younger ones.     

Exploring Organizational Form in the Affordable Rental Housing Sector

The nature and benefits of different kinds of affordable rental housing providers, and particularly for-profit housing developers, have been contested by practitioners and scholars. We contribute to this debate by exploring whether the missions, the resources harnessed to build housing, the human resources, and the involvement of residents in decision-making differ based on organizational form. Using case study design, we examine two third sector organizations (a zero equity cooperative and a community-based non-profit) and a for-profit located in Canada. The two third sector organizations had less knowledge of housing construction and harnessed in-kind contributions compared to the for-profit. These organizations, and again in contrast with the for-profit, also pursued social missions, including supporting other organizations and sharing their experiences related to housing construction. The zero equity cooperative featured greater resident involvement in the development and the management of the housing compared to both the community-based non-profit and the for-profit.     

Mark S. Leclair: Philanthropy in Transition

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations -