The Process of Change in Complicated Grief Group Therapy for Bereaved Dementia Caregivers: An Evaluation Using the Meaning of Loss Codebook

ABSTRACT

Caring for a person with dementia has adverse health and mental health effects that, for 9–25% of caregivers, persist as complicated grief (CG). For bereaved dementia caregivers unable to satisfactorily grieve, specialized Complicated Grief Group Therapy (CGGT) can restore healthy grief. We investigated therapeutic change in CGGT participants, using an adapted version of the Gillies’ Meaning of Loss Codebook. Participants demonstrated positive gains in 16 thematic areas, notably in moving on with life, summoning pleasant memories, and ascribing bad memories to disease rather than decedent. Meaning transitioned from negative to positive interpretations of the death over the course of treatment.     

Getting Under the Skin: Children’s Health Disparities as Embodiment of Social Class

Social class gradients in children’s health and development are ubiquitous across time and geography. The authors develop a conceptual framework relating three actions of class—material allocation, salient group identity, and inter-group conflict—to the reproduction of class-based disparities in child health. A core proposition is that the actions of class stratification create variation in children’s mesosystems and microsystems in distinct locations in the ecology of everyday life. Variation in mesosystems (e.g., health care, neighborhoods) and microsystems (e.g., family structure, housing) become manifest in a wide variety of specific experiences and environments that produce the behavioral and biological antecedents to health and disease among children. The framework is explored via a review of theoretical and empirical contributions from multiple disciplines, and high-priority areas for future research are highlighted.     

Sexual Fantasies and Gender/Sex: A Multimethod Approach with Quantitative Content Analysis and Hormonal Responses

Research links explicit sexuality (e.g., physical attraction and pleasure) to high testosterone (T) and nurturance (loving contact) to low T. Engaging in sexual fantasy, which can include explicit sexual and nurturant elements, increases T in women but not in men. We examined whether individual differences in the explicit sexual and nurturant content of fantasy were linked with T or with estradiol (E₂). In addition, we explored whether fantasy content differed or overlapped by gender/sex. Participants (26 women, 23 men) provided saliva samples for hormones before and after imagining a self-defined positive sexual encounter and responding to open-ended questions about the situation they imagined. We systematically content-coded responses for explicit sexual and nurturant content. In men, lower inclusion of nurturant content predicted larger T responses to fantasy. Fantasy content was not linked with T in women or with E₂ in women or men. Women and men did not differ significantly in explicit sexual and nurturant content. Our findings suggest that individual experiences of fantasy as more or less nurturant affect T in men, provide support for the Steroid/Peptide Theory of Social Bonds, and highlight the value of integrating hormones and content analysis to investigate research questions relevant to sexuality and gender/sex.     

Dis/ability and austerity: beyond work and slow death

The forthcoming book Dis/ability Studies: Theorising Disablism and Ableism argues that we are living in an historical epoch which might be described as neoliberal-ableism, in which we are all subjected to slow death, increased precarity and growing debility. In this paper we apply this analysis to a consideration of austerity with further reference to disability studies and politics.     

How Many Bytes Does It Take? A Content Analysis of Cyber Issues in Couple and Family Therapy Journals

In the fifteen years since the explosion of the Internet, using cyber technology for work and social functions has exponentially increased. Yet, questions around how to manage such changes remain elusive in family therapy literature. In this investigation, we conducted a content analysis to determine to what extent marriage/couple and family therapy (M/CFT) journals have responded to the integration of the Internet in couple and family life. We found 79 of 13,274 articles across seventeen journals focused on the Internet in some capacity. Implications for clinical practice, training, and future research are discussed. Video Abstract     

Reclaiming and Reimagining Macro Social Work Education: A Collective Biography

The authors focus on a collective biography of 12 women social work educators, all either tenured or in tenure lines, from five different universities at the time of the study. The participants represent several aspects of macro practice including administration, planning, community practice, and policy. Beginning with reflections about coming into macro practice, we highlight memories about first teaching experiences and examine cultural shifts discovered in our academic journeys. We feature students who inspired us and perceptions of challenges in curricular development affecting the preparation of students. This article includes comments that emphasize the themes and focus of our collective reflections. Finally, we place what we learned in the context of a report from the Association for Community Organization and Social Administration calling for the visibility of and advocacy for macro social work education.     

Indigeneity in Asia: an emerging but contested concept

This introduction presents background information about some of the ways that the concept of indigenous peoples is emerging but is also being contested in Asia. Indeed, many governments in Asia accept that there are indigenous peoples in the world, but claim that the concept does not apply to them due to a relative lack of European settler colonization in the continent. This is why many governments of Asia signed onto the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP) in 2007, but with the understanding that UNDRIP does not apply to them. This has become known as ‘the salt-water theory’ or the ‘Asian controversy’. This special issue includes five articles that variously consider the ways that the concept of indigeneity is being deployed in various parts of Asia, including Cambodia, Myanmar, and Nepal, and also transnationally between Thailand, Myanmar, China and Laos; and between Cambodia, Vietnam and the United States.     

Gender In/equality in Worker‐owned Businesses

Gender scholars have developed a significant body of scholarship on the reproduction of gender inequality in work organizations. However, the vast majority of that research has been conducted in non‐profit organizations or in employer‐owned businesses. In this article, we review the existing literature on gender in worker‐owned businesses. We begin by defining three distinctly different types of worker‐owned businesses: companies with employee stock ownership plans, worker cooperatives, and communes. Next we review the limited research on gender inequality in each of these organizational forms. The current literature finds that women benefit from working in these alternative organizations, but gender disparities nevertheless persist due to occupational segregation and the devaluation of domestic work. Exceptions are those organizations with strong ties to feminism and those with formal power‐sharing policies. Granted the scarcity of research on this topic, however, these conclusions are tentative. We conclude with a discussion of areas for further research.     

Doing Gender,Doing Surveys? Women's Gatekeeping and Men's Non‐Participation in Multi‐Actor Reproductive Surveys

Gender differences in research participation have been documented in both quantitative and qualitative studies, a pattern that is particularly pronounced in studies of reproduction. We use the National Survey of Fertility Barriers to analyze three reasons frequently used to explain men's non‐participation in reproductive research: (1) Reproduction is a sensitive subject for men, (2) reproduction is women's domain, and (3) men's unavailability due to seemingly pragmatic reasons (e.g., work schedule). Using binary logistic regression, we test these three explanations across two different models: women's gatekeeping (denying researcher access to partners) (n = 1,637) and men's own non‐response (n = 1,454). A substantial minority of women (12.8 percent), engaged in gatekeeping, but the dominant mechanism of men's non‐participation was their own non‐response once women granted researcher access to partners. Consistent with prior studies on general survey non‐response, several demographic variables were associated with men's participation. Additionally, findings suggest that the notion of reproduction as women's domain received the strongest support, though specific variables within this construct differed for models predicting women's gatekeeping versus men's non‐response of their own accord.