The spiritual framework of coping through the voices of cancer survivor narratives

Gall et al. (2005) developed a framework for spirituality by adapting and applying the transactional model of stress and coping, which is an interactive and fluid process spurred by a stressor involving spiritual appraisal, person factors, spiritual connections, spiritual coping behavior, and meaning-making impacting well-being. The components of the framework are examined through five cancer survivor narratives. The results showed that the components of the framework were experienced by the survivors, for example, various spiritual problem-solving styles were used, indication of spiritual connections to nature, others, and the transcendent. Meaning-making was common as they faced the life-threatening disease which often altered their worldview. The spirituality of the participants is reflected in the spiritual framework and the framework embraces these survivor experiences. This study has limitations due to its qualitative nature and small sample size.     

SOCIOECONOMIC RESOURCES AND SELF-RATED HEALTH: A STUDY IN THE MISSISSIPPI DELTA

Numerous factors influence health, including family background, individual behaviors, and community context. Access to care and insurance are critical, especially for people in lower socioeconomic groups who often face challenges beyond their immediate control. Building from a synthesis of theoretical frameworks, and using data from the Delta Rural Poll, this article utilizes logistic regression to explore the relationship between macro and micro socioeconomic resources and self-rated health among residents of the Mississippi Delta. Results demonstrate that these are important factors, although associations vary by racial group. Theory and policy considerations arising from the results are discussed.     

Sexual Risk-Taking among High-Risk Urban Women with and without Histories of Childhood Sexual Abuse: Mediating Effects of Contextual Factors

This study investigated the mechanisms of risk for urban women at high risk for HIV with and without childhood sexual abuse histories. Childhood sexual abuse survivors reported more unprotected intercourse and sexually transmitted infections (STIs). The association of STI locus of control with frequency of unprotected sex was fully mediated by being intoxicated during sex and engaging in sex work, whereas the association between relational control and unprotected sex was not mediated by contextual factors for the childhood sexual abuse group. The mechanisms of risk are different for those with divergent childhood sexual abuse histories and thus interventions should be developed to educate women with a history of childhood sexual abuse about ways to avoid revictimization, particularly within a context of poverty, prostitution, and drug use.     

What constitutes youth organizing? Exploring the role of conservative contexts in understanding practice

Context shapes how we come to understand activities, possibilities and constraints in youth organizing. Although there is increasing interest in youth organizing, little attention has been paid to the practice of youth organizing within socially conservative contexts, or to how such contexts shape the roles, perspectives, and actions of young people and of adults. Drawing on case examples of youth organizing work in Mississippi and Fresno, California, this article explores the importance of context as a core element in understanding youth activism and considers how a broader framework for understanding youth organizing through diverse contextual lenses can benefit the field.     

A Comprehensive Review and a Meta-Analysis of the Effectiveness of Internet-Based Psychotherapeutic Interventions

ABSTRACT

Internet-based psychotherapeutic interventions have been used for more than a decade, but no comprehensive review and no extensive meta-analysis of their effectiveness have been conducted. We have collected all of the empirical articles published up to March 2006 (n = 64) that examine the effectiveness of online therapy of different forms and performed a meta-analysis of all the studies reported in them (n = 92). These studies involved a total of 9,764 clients who were treated through various Internet-based psychological interventions for a variety of problems, whose effectiveness was assessed by different types of measures. The overall mean weighted effect size was found to be 0.53 (medium effect), which is quite similar to the average effect size of traditional, face-to-face therapy. Next, we examined interacting effects of various possible relevant moderators of the effects of online therapy, including type of therapy (self-help web-based therapy versus online communication-based etherapy), type of outcome measure, time of measurement of outcome (post-therapy or follow-up), type of problem treated, therapeutic approach, and communication modality, among others. A comparison between face-to-face and Internet intervention as reported on in 14 of the studies revealed no differences in effectiveness. The findings of this meta-analysis, and review of additional Internet therapy studies not included in the meta-analysis, provide strong support for the adoption of online psychological interventions as a legitimate therapeutic activity and suggest several insights in regard to its application. Limitations of the findings and recommendations concerning Internet-based therapy and future research are discussed.     

The Collective Artistry of Activism: A Review of Making Trouble: Life and Politics

Lynne Segal's autobiography upholds the feminist tradition of writing about women's marginalized experiences but she does so without creating the traditional unitary isolated subject. Consciously or not, she has written an autobiography that is psychosocial, often focusing on the social in favor of the psyche. This review discusses this unique book, which writes a life always within a rich cultural context. We are taken from her childhood life in Australia to her days as a single mother in the political and cultural maelstrom of 1960s London. Here her book becomes not just autobiography but also a cultural history of radical movements and the change they created. Written clearly with personal stories from other women, Segal's book is a timely reminder of how simply complicated social activism can be.     

Give a Woman an Inch,She’ll Take a Penis

ABSTRACT

Women speaking out against sexual violence is nothing new, but institutions firing the male perpetrators or those accused signals a potential sea change. This essay was initially published as one of a series of blog posts written about #MeToo. This essay contains that post with the addition of thoughts about how we might integrate revelations in ways that create social change. This includes shifting from a focus on the guilty individual to the corrupt or at least culpable institution. In this light, more complex ideas of subjectivity that can disrupt human exceptionalism are key, as they can challenge White supremacist, heteropatriarchal responses to vulnerability and shame that seem to fuel much of the sexual (and other forms of) masculinized violence and the justifications for it.     

A space of safety: Children's experience of equine‐assisted group therapy

Owing to a shift in alcohol and other drug practice towards a more ecological understanding of the impact of problematic parental substance use, children who were previously forgotten by practitioners are increasingly being included in alcohol and other drug service provision. Occurring concurrently with these changes has been a boom in interest in non‐talk‐based therapies to enhance child well‐being. Examples of such therapeutic interventions include adventure‐based activities, theatre, yoga, music, and purposeful interaction with animals. The latter approach, increasingly delivered by social workers, is known as animal‐assisted therapy and involves the inclusion of animals in a goal‐directed intervention. Equine‐assisted therapy (EAT) is a specialised branch of animal‐assisted therapy in which horses are used to cofacilitate therapeutic interventions. Although EAT practitioners argue horses are uniquely effective therapeutic animals, a strong evidence base has not yet developed. The present study utilised qualitative methods to explore children's individual experiences of an EAT program. Thematic analysis of interview data found that EAT is beneficial to children experiencing problematic parental substance use as it offers an environment in which children can feel safe and secure and are supported to grow, personally and socially, by mastering fears, making new friends, and improving their interpersonal behaviours.     

Linguistic indirectness in parent–preschooler reminiscing about emotion‐related events: Links with emotion regulation and psychosocial adjustment

The concept of linguistic indirectness is well established within the field of pragmatics, in which it has been observed that speakers express ideas directly and indirectly. We integrated the analysis of linguistic directness and indirectness with the examination of two established measures of parental emotion socialization through reminiscing: elaboration and emotion explanations. We examined the unique associations of parents’ direct and indirect elaboration and emotion explanations with preschoolers’ emotion regulation and psychosocial adjustment. Participants were 55 parent–preschooler dyads (31 girls, 24 boys). The dyads reminisced about positive and negative events. Conversations were coded for parental elaboration, parental use of emotion explanations, and parental linguistic directness and indirectness. Children's emotion regulation was observed during standard tasks, and teachers reported on children's psychosocial adjustment. Multivariate regressions including direct elaboration and direct emotion explanations indicated that parents who engaged in more indirect elaboration when discussing positive events had children with worse emotion regulation. Parents who used indirect emotion explanations when discussing positive events had children with better psychosocial adjustment. Parents’ indirect speech during negative event discussions was not related to child outcomes. The results suggest differential functions for indirect elaboration and indirect emotion explanations in relation to children's social outcomes, and support the utility of examining linguistic indirectness.