Marriage and family therapist interns' experiences of growth

Few studies have investigated therapist interns' growth experiences, both personal and professional, and the interplay between them. This qualitative study explored the reciprocal process of growth during clinical training: the personal life experiences that affect professional growth and the professional/clinical experiences that affect personal growth. Thirteen marriage and family therapist interns, using Internet discussion formats, identified numerous personal, clinical, and professional growth experiences. Implications of this study, illustrating the recursive and interactive flow between therapists' personal and professional growth, are presented.     

Pathological Gambling and Treatment Outcomes for Adults Age 50 or Older in Methadone Maintenance Treatment

This study examined the relationship of pathological gambling to negative treatment outcomes for methadone maintenance patients aged 50 or older. The study included 130 methadone maintenance patients. Pathological gambling was determined using the Lie-Bet, a screen for pathological gambling; the outcomes were remaining in treatment and negative urine screens for drug use. Twenty percent of the sample identified as pathological gamblers. Pathological gambling was unrelated to remaining in treatment or negative urine screens. Although pathological gambling had no adverse influence on these treatment outcomes, the prevalence of pathological gambling suggests that screening for it may provide insights about other concerns.     

Parental attitudes regarding the integration of children living with HIV/AIDS into public schools in Hanoi,Vietnam

In some areas of Vietnam, stigmatisation of HIV-infected children by parents in the community represents a major barrier to integration of such youth into public schools. To investigate parental perceptions of integration, researchers interviewed a total of 60 parents from one rural and one urban school district within Hanoi, Vietnam. Resistance to integration stemmed largely from misinformation about disease transmission and worry about protecting HIV-negative children. Educational campaigns targeted at parents, combined with higher levels of trust in the preparedness of teachers to handle situations involving HIV-positive children, could decrease current stigma and opposition to integration into public primary schools.     

Assessing symptoms of hypogonadism by self-administered questionnaire: qualitative findings in patients and controls

Background. Current screening instruments for hypogonadism lack adequate specificity and diagnostic accuracy. A new self-administered questionnaire of hypogonadism symptoms is being developed to address this need. The process for questionnaire development and results from the first (qualitative) phase are presented.

Methods. Qualitative interviews were conducted based on a new conceptual model of hypogonadism and according to standards for questionnaire development. An item pool was generated from focus groups and in-depth interviews with two groups of hypogonadal patients, treated (N = 26) and untreated (N = 26), and age-equivalent controls (N = 28). Standardized scoring of the qualitative interviews was used to confirm conceptual domains in the model and to generate questionnaire items for further validation.

Results. Key domains identified in both patients and controls included: (a) physical function; (b) bodily signs and symptoms; (c) sexual function and libido; (d) sleep function; (e) mood and affective function; (f) memory and cognitive function. The final domain is distress or bother associated with hypogonadism symptoms. This domain was only relevant to the patient groups.

Conclusions. The first stage in the design of a new hypogonadism screener has been completed. Seven domains were identified and draft items were developed in each domain according to current standards of patient-reported outcomes.     

‘It’s who we are’: eco-nationalism and place in contesting deep-sea oil in Aotearoa New Zealand

ABSTRACT

Given near consensus among the scientific community about the anthropogenic nature of climate change, there is pressing concern about how to mobilise enough people to care and demand wider socio-political change. In this article we explore this urgent issue, drawing on recent conflicts over deep-sea oil exploration and drilling in Aotearoa New Zealand. We explore how some activist groups are attempting to mobilise care and concern around deep-sea oil drilling and climate change through the use of narratives that entwine aspects of national identity with the non-human world. We suggest that these activist groups are not concerned about a retreat of the state, but rather, are in direct conflict with the state, and state interventionism, over fossil fuel development trajectories in Aotearoa New Zealand. In drawing upon eco-nationalism, and particularly a way of life related to place, activists have called into question the common sense of business as usual and thereby sought to expand space for ‘ordinary’ Aotearoa New Zealanders to care about climate change.     

Marriage and family therapy faculty members' balance of work and personal life

A sense of imbalance is common among both professors and therapists, though few studies have been published examining the work and personal life balance of those who work in both professions simultaneously. Using in-depth telephone interviews, this study examined the work and personal life balance of 16 marriage and family therapy (MFT) faculty members. Results showed that six were satisfied with their balance, six were dissatisfied, and four were "middle of the road." Men, older participants, and those who were in their career longer were more likely to report feeling satisfied with their balance. Internal indicators of their balance included family and workplace messages, health indicators, feelings of contentment, and congruence with personal values. Child and relationship status, tenure status, and gender issues also impacted their sense of balance. Specific balance enhancers and reducers were highlighted, and participants discussed coping strategies and recommendations for other MFT faculty members. Clinical, training, and career implications are discussed.