Overcoming Barriers to Using Empirically Supported Therapies to Treat Childhood Anxiety Disorders in Social Work Practice

Anxiety disorders are among the most common psychiatric disorders in children and adolescents. Most empirically supported treatments (ESTs) for pediatric anxiety disorders include various cognitive-behavioral methods. Although demonstrated efficacious in controlled and clinic settings, there are barriers to implementing these types of therapies in social work settings due to beliefs about the usefulness of ESTs in community settings; limitations of treatment manuals; time constraints of implementing ESTs; fidelity and flexibility of implementing ESTs; and limited training opportunities. This article provides an overview of ESTs for childhood anxiety disorders, highlighting options for overcoming common barriers to implementing ESTs. Collaborative multi-method approaches to advance implementation of ESTs in social work practice are suggested.     

Predictors of college-student food security and fruit and vegetable intake differ by housing type

ABSTRACT

Objective: We assessed whether college-student characteristics associate with food security and fruit and vegetable (FV) intake and whether these associations differ in students in housing with and without food provision. Participants: 514 randomly-sampled students from a large, Midwestern, public university in 2012 and 2013 Methods: Ordered logistic regression tested how student characteristics associate with food security. Linear regression tested how student characteristics associate with FV intake. Analyses were stratified by housing type – that is, housing with food provision (dormitory, fraternity/sorority house, cooperative) vs. housing without food provision.Results: Only among those living in housing without food provision, males (p = 0.04), students without car access (p = 0.005), and those with marginal (p = 0.001) or low (p = 0.001) food security demonstrated lower FV intake. Conclusions: Housing with food provision may buffer the effects of student characteristics on food.     

Karen Horney (1885–1952) A Tribute

It is twenty-five years since the passing of Karen Horney. A productive professional who dared to differ with Sigmund Freud, Horney has written clearly and brilliantly, almost in a "common-sensical" style, about the development of neurotic character structure and interpersonal relationships. Her stress on cultural, societal, and family influences has strong implications for theorists and professional practitioners in the field of marriage and the family. Her optimistic view of human nature, especially as it relates to the possibility for change at all ages and stages, should be a continuous inspiration to those helping disturbed individuals, relationships, marriages, and families. This is a tribute to a rare, worthy human being.     

Managing Contradiction: Stockholder and Stakeholder Views of the Firm as Paradoxical Opportunity

Stockholder and stakeholder perspectives have been positioned in the literature as being in tension, and thus a potential source of innovation and change. However, researchers have overlooked a systematic examination of this presumption in theory and in practice. This study explores the ways that stockholder and stakeholder assumptions are presented by theorists and compares these with expressions of stockholder and stakeholder perspectives used by firms in practice. We argue that theoretical entrenchment dichotomizing these perspectives has disrupted the ability of researchers to leverage this tension. While scholarship remains trapped in a vicious cycle, we also argue that firms in practice express only the acceptance dimension of a virtuous cycle. Our empirical research demonstrates that firms accept and accommodate the paradoxical tension between managing for stockholders versus balancing the interests of stakeholders. This is evidenced by strategies we identify as book‐ending, cadence, continuous and simultaneous co‐mingling, and hybridization. We find that in practice these tensions are more integrated whereas in theory they are treated as more distinct and, often, in conflict. We suggest ways in which both scholarship and practice can better leverage tension as paradoxical opportunity.     

Deciding Not to Un–Do the “I Do:” Therapy Experiences of Women Who Consider Divorce But Decide to Remain Married

This study explores women's experience of marital therapy while they navigated decision making around divorce. A qualitative method was used to gain a deeper understanding of the participants' therapy and relationship decision‐making experiences. How are women's decisions whether or not to exit their marriage affected by therapy? The researchers interviewed 15 women who had considered initiating divorce before they turned 40 and had attended at least five marital therapy sessions but ultimately decided not to divorce. In general, participants reported that the therapy was helpful to them, their decision‐making process and their marriages. Five main themes emerged from the interviews: Women Initiated Therapy, Therapist Was Experienced as Unbiased, Therapy was Helpful, Importance of Extra‐therapeutic Factors, and Gradual Process.     

The experience of motherhood for alienated mothers

This qualitative study examined the alienated mothers' experience of motherhood. Data were collected by in‐depth semi‐structured interviews with 10 women whose children refused any contact with them. Findings revealed one main theme, ‘Merging vs. detachment’, consisting of four subthemes or motifs in these women's narratives: (i) marriage as an illusion of salvation from an abusive home; (ii) giving birth to a child as compensation for chaotic childhood experiences; (iii) husband exploiting and abusing their sense of failing motherhood; and (iv) the husband and mother‐in‐law expelling the mother. These findings were interpreted within the framework of Bowen's theory. The interpretation suggests that impairment in the mothers' and ex‐husbands' differentiation of the self is manifest in the shattered mother–child relations and in the mothers' loss of their children in the struggle with their mothers‐in‐law. Implications for practice are included.     

Differences in Caregiver Self-Efficacy and Satisfaction Related to Sexual Abuse of Offspring

Research suggests parents of sexually abused children may experience negative perceptions of themselves and their parenting abilities following the victimization of their children, which may influence the recovery process in treatment for these families. This study assessed perceived self-efficacy and parenting satisfaction among female caregivers of sexually abused children and female caregivers whose children were not victimized. Results indicated that caregivers of child victims had significantly lower levels of perceived parenting efficacy than their counterparts. There were no significant differences found between groups with regard to parenting satisfaction. The results highlight the importance of evaluating perceived parenting competence in the treatment of nonoffending caregivers in order to facilitate optimal treatment of the child victim and all members of the family system.     

The United States Economic Crisis: Young Adults’ Reports of Economic Pressures, Financial and Religious Coping and Psychological Well-Being

Using a sample of 222 young adults attending college, the present study examined the relative contribution of young adults’ perceived economic pressures, financial coping and religious meaning-making coping strategies in accounting for variation in their reports of psychological well-being within the context of the United States economic crisis. Results suggest a direct relationship between perceived economic pressure and psychological well-being such that young adults who reported having to make more economic adjustments as a result of economic crisis also reported higher levels of depressed mood and anxiety. Young men and women who reported having to make fewer economic adjustments and being able to meet their material needs reported higher levels of life satisfaction. Regardless of young adults’ self-reported level of economic pressures, the use of education and communication financial coping strategies was related to lower levels of self-reported anxiety and depressed mood and greater life satisfaction. Viewing the financial crisis as a punishment from God was generally associated with young adults’ reports of greater depressed mood and less life satisfaction. Implication of findings for research and practice are discussed.     

A qualitative study investigating adolescents' understanding of aggression,bullying and violence

There is a general consistency across the research literature regarding the definition of bullying. This has filtered down into the construction of governmental and school anti-bullying policies around the world. However, research suggests that children and adolescents are failing to accurately identify cases of bullying. This in turn has implications upon the accuracy of our perception of the extent of the problem of bullying within schools. The current study aimed to investigate how 11–17 year olds understand and differentiate between terms relating to interpersonal peer aggression, violence and bullying. Fifty-seven (twenty male, thirty-seven female) participants were recruited via an opportunity sample. Participants took part in focus group interviews within which they were asked to provide a definition for a list of words relating to both traditional and cyber forms of aggression, bullying and violence. Thematic analysis revealed that the participants held a shared understanding of the terms relating to aggression, bullying and violence. Participants defined each term by describing the behaviors involved, their perception of the level of control the perpetrators of each type of negative peer interaction have and the perception of those involved. The implications of these findings for both policy and future research are discussed.