The impact of political violence: Adaptation and identity development in Bosnian adolescent refugees∗

This qualitative study explored the impact of the war in the former Yugoslavia and the experiences of forced exile on the processes of adaptation and identity development for five Bosnian adolescent refugees who have lived the United States for at least two years. Sources of resilience were found in individual temperament, adaptive responses to trauma, and cultural and family pride and loyalty. Because current research on political violence tends to focus on psychopathological outcomes and PTSD sequelae, particular attention was given to examining cultural meanings of trauma and development, as well as the health‐promoting forces that can occur in response to extreme trauma. Findings suggest several implications for future research as well as implications for mental health professionals working with refugees.     

Trauma and Stress Among Older Adults in the Criminal Justice System: A Review of the Literature with Implications for Social Work

The purpose of this article was to review the empirical literature that investigated trauma and stress among older adults in the criminal justice system. Nineteen journal articles published between 1988 and 2010 were identified and extracted via research databases and included mixed age samples of adjudicated older and younger adults (n = 11) or older adult only samples (n = 8). Findings revealed past and current trauma and stress, consequences and/or correlates, and internal and external coping resources among aging offenders. The implications and future directions for gerontological social work, research, and policy with older adults in the criminal justice system are advanced.     

Playing,Sitting Out,and Observing the Game: An Investigation of Faculty Members’ Perspectives on Political Behavior in Ethical Decision Making

Ethical dilemmas are inherently ambiguous, complex, and ill-defined. Additionally, these dilemmas involve multiple stakeholders. These characteristics may induce political behavior as a resolution tactic. Thus, the goal of the present effort was to investigate perspectives on politics among researchers in an ethical decision-making context. A qualitative analysis of interviews with university faculty members revealed that faculty members’ perspectives on political behavior in an ethical decision-making context fall into a number of categories, including positive, negative, and realistic views of political activity. The implications of these varying perspectives on ethical decision making are discussed.     

Hidden Eating Disorders: Attachment and Affect Regulation in the Therapeutic Relationship

From the time I began working at a clinic that specialized in therapy with individuals with eating disorders, I have repeatedly encountered cases of clients hiding these symptoms from their therapists. When they finally do reveal the disorder, their therapists often worry that their clients are more disturbed than they thought and that, they, the therapists, did something wrong in the therapy. Although some therapeutic rupture can be part of the picture, I have found that these disclosures often reflect a client’s growing trust in the therapist’s presence and ability to help with feelings that have been, until now, dealt with through the eating behaviors themselves. In my attempts to understand what happens before and after an individual shares a hidden eating disorder with a therapist, I have found ideas from attachment theory, in particular those that explore links between attachment, affect regulation, and self-reflection, to be very helpful. Many authors have noted that eating disorders are related to problems with attachment, loss and separation, and affect regulation. Difficulties in these areas make it hard for clients to be self-reflective or use insight productively. In this article, I discuss my experience with the integration of these dynamics, which I have found to be key to successful psychotherapy with clients who hide their eating disorders.

Revisiting a theory of negotiation: the utility of Markiewicz (2005) proposed six principles

People invited to participate in an evaluation process will inevitably come from a variety of personal backgrounds and hold different views based on their own lived experience. However, evaluators are in a privileged position because they have access to information from a wide range of sources and can play an important role in helping stakeholders to hear and appreciate one another's opinions and ideas. Indeed, in some cases a difference in perspective can be utilised by an evaluator to engage key stakeholders in fruitful discussion that can add value to the evaluation outcome. In other instances the evaluator finds that the task of facilitating positive interaction between multiple stakeholders is just ‘an uphill battle’ and so conflict, rather than consensus, occurs as the evaluation findings emerge and are debated.As noted by Owen [(2006) Program evaluation: Forms and approaches (3rd ed.). St. Leonards, NSW: Allen & Unwin] and other eminent evaluators before him [Fetterman, D. M. (1996). Empowerment evaluation: An introduction to theory and practice. In D. M. Fetterman, S. J. Kaftarian, & A. Wandersman (Eds.), Empowerment evaluation: Knowledge and tools for self-assessment and accountability (pp. 3–46). Thousand Oaks, CA: Sage Publications; Patton, M. Q. (1997). Utilization-focused evaluation (3rd ed.). Thousand Oaks, CA: Sage Publications; Stake, R. A. (1983). Stakeholder influence in the evaluation of cities-in-schools. New Directions for Program Evaluation, 17, 15–30], conflict in an evaluation process is not unexpected. The challenge is for evaluators to facilitate dialogue between people who hold strongly opposing views, with the aim of helping them to achieve a common understanding of the best way forward. However, this does not imply that consensus will be reached [Guba, E. G., & Lincoln, Y. S. (1989). Fourth generation evaluation. Newbury Park, CA: Sage]. What is essential is that the evaluator assists the various stakeholders to recognise and accept their differences and be willing to move on.But the problem is that evaluators are not necessarily equipped with the technical or personal skills required for effective negotiation. In addition, the time and effort that are required to undertake this mediating role are often not sufficiently understood by those who commission a review. With such issues in mind Markiewicz, A. [(2005). A balancing act: Resolving multiple stakeholder interests in program evaluation. Evaluation Journal of Australasia, 4(1–2), 13–21] has proposed six principles upon which to build a case for negotiation to be integrated into the evaluation process. This paper critiques each of these principles in the context of an evaluation undertaken of a youth program. In doing so it challenges the view that stakeholder consensus is always possible if program improvement is to be achieved. This has led to some refinement and further extension of the proposed theory of negotiation that is seen to be instrumental to the role of an evaluator.     

Echoes of the baby boom and bust: Recent and prospective changes in living alone among elderly widows in the united states

Today the great majority of noninstitutionalized elderly widows live alone, a striking increase from a quarter-century ago. A noticeable difference has occurred, however, in trends by age; the proportion of the young-old widows living alone is starting to decline. while that of the old-old continues to increase. We use a model suggested by earlier studies to explain the emergence of this difference, and assess the prospects of its continuing over the next three decades. We find that the recent differential change in the proportions of younger and older widows living alone is due primarily to a differential change in kin availability that has emerged as the baby boomers’ parents have begun to reach retirement age. Over the next decade, the same type of differential change by age in kin availability will continue; living alone is likely to become less common among young-old than among old-old widows, in a reversal of the pattern of the last quarter-century. In the first two decades of the next century, as the baby boom affects kin availability among the old-old, and as the subsequent baby bust affects that among the young-old, the age pattern of living arrangements among elderly widows will reverse once again.     

Environmental Refugees? Classifying Human Migrations Caused by Environmental Change

What distinguishes environmental refugees from other refugees—or other migrants? Are all environmental refugees alike? This essay develops a classification to begin to answer these questions and facilitate future policies and research on environmental refugees. Environmental refugees may have considerable control over the decision to migrate, but this varies by the type of environmental disruption. The origin, intention, and duration of environmental disruptions shape the type of refugee. Refugees from disasters and expropriations have limited control over whether environmental changes will produce migration. Gradual degradation allows “environmental emigrants” to determine how they will respond to environmental change.     

“TRUTH” AND “RECONCILIATION” AS SOCIAL INDICATORS

Countries throughout the world are trying to move toward a more democratic future through truth and reconciliation processes, under the assumption that truth causes reconciliation and that reconciliation contributes to democratization. But are “truth” and “reconciliation” concepts that can be measured rigorously and reliability? I present evidence in this article that each can be measured as an attribute of individuals, based on a large survey conducted in South Africa. My findings indicate that truth does indeed contribute to reconciliation. But because reconciliation is quite capable of changing (and likely to change) over time, efforts must be made to track levels of reconciliation as an important social indicator. Many countries in transition would profit greatly from implementing a Reconciliation Barometer to measure movement toward or away from the consolidation of democratic reform.     

Managing the critical transition from volume to value

Experts say value-based health care delivery truly is the wave of the future. Learn what you need to do to get ready to embrace the change.