ADVANCES IN COACHING: FAMILY THERAPY WITH ONE PERSON

This paper describes the process of "coaching" individuals in their efforts to change themselves in the context of their nuclear and parental family systems. Although this approach is regarded as one of the major modes of intervention in family therapy, the actual methods and techniques for intervention are not widely understood. Moreover, we have expanded the Bowen approach to address powerful cultural and family life cycle influences. The goal of coaching is to help clients define themselves proactively in relationship to others in their families without emotionally cutting off or giving in. Coaching begins by training clients to become observers and researchers of their own role in the family and of family patterns of behavior. Coaching then moves to help them bring their behavior more in line with their deepest beliefs, even if this means upsetting family members by disobeying family "rules."     

Meaning and attachment in mothers and toddlers

This research explored if a mother's view of her attachment experience with her own mother was associated with sensitivity to her toddler's attachment related signals. Thirty mother-child dyads were videotaped and maternal sensitivity to toddler signals was coded. Mothers were interviwed and completed questionnaires regarding their experiences with their own mothers. Based on the subjects' responses to the questionnaires and the content and organization of their interview narrations, subjects were divided into two groups based on the security of their internal working model of attachment with their own mothers. Mothers with a secure working model of attachment were significantly more sensitive to toddler signals than those mothers with an insecure working model of attachment (p=.028) and differed in their style of narrating their lifespan attachment experiences.This study was completed as partial requirement for the degree of Doctor of Philosophy, Institute for Clinical Social Work, Chicago, Illinois.     

“The clock has been ticking,the calendar pages turning,and we are still waiting”: Infertile couples' encounter with time in the adoption waiting period

In this paper, the authors draw from sociological explorations of time and narrative theory to interpret the problem that time posed for 37 infertile couples waiting for a child to adopt. We also address their emotional and behavioral responses to their problematic encounter with time. The adoption waiting period can be usefully conceived of as a: a) temporal irregularity in social life; b) temporally unmarked transitional stage in the passage to parenthood; and as a c) special kind of social construction and product of the imagination. Confronting empty time, waiting couples humanized time spent in waiting and maintained hope by creating a temporal framework for the waiting period. They established a timeline, plotted the end of the wait, and created a rhythm for the duration of the wait. Short-waiting couples were able to maintain a sense of making progress toward their goal of a child. Long-waiting couples increasingly felt as if they were standing still or moving away from their goal. The findings contribute to the understanding of temporality in infertile couples and affirm the uncertainty and discomfort that the lack of temporal order can engender.The study described here, The transition to parenthood of infertile couples, is supported by Grant #NRO1707 from the National Center for Nursing Research, National Institutes of Health, 1988–1993. The authors thank the QS reviewers for their helpful critique of an earlier draft of this paper.     

Market diversification and social benefits: Motivations of farmers participating in farm to school programs

Activists and academics are increasingly advocating for public procurement of locally grown food as a key market opportunity for farmers. In the United States, linking farmers directly with school cafeterias through farm to school programs are among the efforts that advocates say can provide a significant boost to rural economies. Through an empirical analysis of farmers' perspectives of farm to school programs, this paper explores why farmers participate in these efforts. The data presented are part of a larger study exploring the opportunities and challenges of farm to school programs located in the United States from the perspectives of farmers, food service professionals, and food distributors. Our findings suggest that farmers sold their products to schools for two primary reasons: to diversify their marketing strategies and to contribute to social benefits through direct action. The concepts of embeddedness, marketness, and economic instrumentalism provide a framework for understanding their participation in farm to school programs. Our findings also provide insight into the kind of support necessary to sustain long-term connections between farmers and school food service professionals. As advocates seek to institutionalize public procurement of locally grown foods, it is critical that farmers' needs and motivations are considered.     

Success of University Student Volunteers in Obtaining Consent for Reviewing Private Health Information for Emergency Research

This study aimed to determine the success of university student volunteers in obtaining consent from parents to allow review of their child’s personal health information (PHI) for emergency research screening. This study also aimed to examine the variables associated with successful consent. This was a prospective cross-sectional study conducted at a pediatric emergency department (ED). University students, who functioned as delegates of the health information custodian, approached parents for consent. Of 2,506 parents, 1,852 (73.9%) provided consent to allow review of their child’s PHI for research screening. Variables associated with successful consent were high (≥12 months) versus low (<12 months) volunteer experience (OR = 2.0), research related (vs. unrelated) to the child’s chief complaint (OR = 2.0), child treated regularly by specialists at the study institution (OR = 1.7), and ED presentation mid-week vs. weekend (OR = 1.7) and morning vs. evening presentation (OR = 1.4). When approached by a university student volunteer, about 25% of parents declined to have their child’s PHI reviewed for research screening. This model of obtaining consent may put some emergency research at risk for selection bias. Variables that increase the odds of successful consent can be considered in program design to improve the effectiveness of this model.     

Counting women's labour: a reanalysis of children's net production using Cain's data from a Bangladeshi village

The economic contribution of children to their parents' households has long interested demographers because of its potential to influence fertility levels. Valuing children's labour in pre-industrial economies, however, is inherently difficult. The same is true of women's labour, a crucial component of any analysis of net production. Here we use Mead Cain's seminal study (Population and Development Review 3(3): 201-227, 1977) of children's economic contributions in a Bangladeshi village to illustrate these points. We combine Cain's data on landless women's and men's hours of work with data on the efficiency per hour of work from other pre-industrial settings (Mueller, Population and Development: The Search for Selective Interventions. Baltimore, MD: Johns Hopkins University Press, pp. 98-153, 1976; Kramer, Dissertation, Department of Anthropology, University of New Mexico, 1998). When women's labour is incorporated, we find that the Bangladeshi children begin to produce as much as they consume by ages 10 (girls) or 11 (boys). Despite these productive contributions, neither women nor men 'pay' for their cumulative consumption until their early 20s. We believe our methods could be usefully applied in other contexts.     

Relations Between Economic Well-Being,Family Support,Community Attachment,and Life Satisfaction Among LGBQ Adults

While studies with the general population indicate that one’s life satisfaction is related to economic well-being and social support, much less is known about these constructs among lesbian, gay, bisexual, and queer (LGBQ) populations. The current study examines the relationship between economic well-being and life satisfaction in a sample of 458 LGBQ individuals. Further, the direct and moderating effects of family and community support are examined. As hypothesized, perceived financial stress and proximal family support each had a significant main effect on life satisfaction. Household income (adjusted by number of individuals living in the household) had a non-linear effect on life satisfaction. Community support for LGBQ individuals was not associated with life satisfaction, and the moderating hypotheses were not supported. The findings and the implications for future research are discussed.     

Why Do Countries Regulate Environmental Health Risks Differently? A Theoretical Perspective

Why do countries regulate, or prefer to regulate, environmental health risks such as radiofrequency electromagnetic fields and endocrine disruptors differently? A wide variety of theories, models, and frameworks can be used to help answer this question, though the resulting answer will strongly depend on the theoretical perspective that is applied. In this theoretical review, we will explore eight conceptual frameworks, from different areas of science, which will offer eight different potential explanations as to why international differences occur in environmental health risk management. We are particularly interested in frameworks that could shed light on the role of scientific expertise within risk management processes. The frameworks included in this review are the Risk Assessment Paradigm, research into the roles of experts as policy advisors, the Psychometric Paradigm, the Cultural Theory of Risk, participatory approaches to risk assessment and risk management, the Advocacy Coalition Framework, the Social Amplification of Risk Framework, and Hofstede's Model of National Cultures. We drew from our knowledge and experiences regarding a diverse set of academic disciplines to pragmatically assemble a multidisciplinary set of frameworks. From the ideas and concepts offered by the eight frameworks, we derive pertinent questions to be used in further empirical work and we present an overarching framework to depict the various links that could be drawn between the frameworks.