Suicidal behaviour in transition‐aged youth with out‐of‐home care experience: Reviewing risk,assessment, and intervention

The rates of suicidal behaviours in youth with out‐of‐home care experience, particularly those who are on the verge of emancipation, appear to be alarmingly high. The purpose of the current study is to highlight the rates of suicidal ideation and behaviour in these youth, illuminating the empirical risk factors that may increase their vulnerability. We offer a review of screening measures and suicide interventions that may hold promise for administrators, practitioners, and researchers who wish to provide comprehensive assessment for transition‐aged youth with out‐of‐home care experiences and effectively treat those who may be at the highest risk.     

Predicting Human Papillomavirus Vaccine Intentions of College-Aged Males: An Examination of Parents’ and Son's Perceptions

Abstract

Objective: To examine male students’ and their parents’ human papillomavirus (HPV) vaccine communication in relation to males’ willingness to discuss the vaccine with their health care provider and the likelihood of being vaccinated. Participants: Dyads (n = 111) of students and parents. Methods: Participants completed a HPV vaccine survey based on the risk perception attitude framework in 2009. Results: Male students’ perceived susceptibility for HPV and self-efficacy to talk to their provider were directly related to their intention to discuss the HPV vaccine, and their intention was directly related to their likelihood of being vaccinated. Parents’ perceived self-efficacy to talk to their son and response efficacy of the vaccine were directly related to their intention to talk to their son; however, parents’ intention was not related to the likelihood of their son being vaccinated. Conclusions: College males may benefit from HPV vaccine educational programs that include communication skills training to discuss the HPV vaccine with their parents.     

Reconsidering Therapeutic Neutrality

In recent decades, with the emergence of postmodern philosophies and of relational psychoanalysis, therapeutic neutrality has come under challenge as being both an impossible and an undesirable analytic stance. This article explores recent understandings of transference and of therapeutic neutrality; the position of those relational psychoanalysts who posit that explicit use of intersubjectivity is the central treatment vehicle of psychoanalysis; and presents material from the treatment of an individual with a borderline personality disorder, using the developmental, self, and object relations approach of James Masterson, to illustrate some potential dangers of abandoning a neutral stance when treating such clients.     

Exploring the abortion problem in Canada

A scale designed to measure attraction to sexual aggression is described, based on earlier work assessing self‐reported likelihood of committing rape. This scale's associations with measures of theoretically relevant attitudes, perceptions, and behavioral inclinations are examined in comparison with briefer measures, and with a number of other scales measuring attraction to various types of sexual interactions. These include conventional sex (e.g., heterosexual intercourse), homosexuality, bondage, unconventional sex (e.g., group sex), and deviant sex (e.g., pedophilia). Data supporting the longer and shorter versions of the attraction to sexual aggression scale are presented, showing internal consistency, test‐retest reliability, and discriminant and construct validity. As well, a number of issues raised by critiques of research in this area are addressed empirically.     

Reporting Suspected Child Maltreatment: Educating Social Work Students in Decision Making and Maintaining the Relationship

ABSTRACT

As future mandated reporters, social work students face the dual challenge of rendering accurate reporting decisions while concurrently maintaining the therapeutic relationship in an effort to decrease future child abuse and neglect. To address the paucity of training in this regard, 42 bachelor of social work (n=18) and master of social work (n=24) students participated in a workshop focused on decision making and the therapeutic relationship in mandatory reporting of child abuse and neglect. Participants were given a case vignette and responded in writing to structured questions. Two patterns emerged from the qualitative analysis: factors that centered on the case and those that centered on the social worker. Implications for social work education are suggested.     

Needs and Perceptions of LGBTQ Caregivers: The Challenges of Services and Support

Increasing attention has been paid to the lack of services and support afforded older lesbian, gay, bisexual, transgender, and queer (LGBTQ) women in same-sex relationships, including caregivers. This study was designed to investigate the needs and perceptions of LGBTQ women from ages 35 to 91, including informal caregivers and older adults regarding services and support from health care providers. Questionnaires were completed by older LGBTQ women (N = 76), and follow-up interviews were conducted with 25% of caregiver respondents. The majority of subjects indicated a fear of future challenges and discrimination. Four main themes emerged when analyzing the open-ended responses: the need for health care workers who were both supportive and knowledgeable about LGBTQ issues; better and consistent recognition of same-sex partners and their rights to make decisions as primary caregivers; increased sensitivity training regarding the needs of LGBTQ patients and caregivers; and more open and accepting environments where LGBTQ patients and caregivers could feel comfortable discussing issues with the staff.     

Proposing a Model of Service Delivery for Victims/Survivors of Child Sexual Abuse (CSA) from Ethnic Minority Communities in Australia

A systematic literature review on child sexual abuse (CSA) and ethnic minority communities was conducted to help address the current gap in knowledge in the area. This article reports on one explored theme – aspects of service delivery models identified as effective, as the basis for developing a model for Australia. The findings indicate two key aspects of effective service delivery: (i) models should be ecologically grounded to the specific cultural context, and (ii) individuals should be placed at the center of intervention so their needs and experiences are not ‘boxed in’ by their ethnicity. The model proposed for the Australian context is guided by these two key principles. Service delivery models are important because they help guide practice and standardize treatment and support in the field. However, the model proposed here also values flexibility, cultural competency, a strengths-based approach, an empowerment-based approach, intersectionality, and a feminist framework. These model elements are particularly relevant in relation to the family cohesion and support that collectivist cultures offer; whether, to what extent, and how they act as a risk or protective factor, or even both, is best determined by the victim/survivor. The utility of the model for practitioners and clients requires rigorous evaluation.