Parenting a Child With an Autism Spectrum Disorder: Public Perceptions and Parental Conceptualizations

In the middle part of the 20th century, parents were frequently blamed for causing autism. Although this idea is no longer prevalent in professional circles, this qualitative study indicates that parents still experience blame from community members and extended family. Eleven parents of children with autism participated in two focus groups. This qualitative study examined themes of parent blame as well as parents' own conceptualizations of autism. Results indicate that parents experienced blame for their children's autism-related behavior from the public and extended family, but most parents viewed the child with autism in positive ways.     

A theory based evaluation of an intervention to promote positive health behaviors and reduce social isolation in people experiencing homelessness

ABSTRACT

Homelessness adversely affects an individual's ability to access healthcare, opportunities for social interaction and recreational activities such as physical activity. This study aimed to evaluate the impact of a community-based physical activity and peer support intervention on the health and wellbeing of homeless participants. This study employed semi-structured interviews to investigate the perceived impact of the Street Fit Scotland intervention on the health and wellbeing of 10 homeless adults. Interviews were audio recorded and transcribed verbatim. A thematic analysis was conducted. Participants reported that their health and wellbeing had improved since attending the intervention. This was attributed to improvements in self-esteem, social interaction and mental wellbeing. Participants generally felt that their physical activity had increased since attending Street Fit Scotland, and a number of individuals reported that they were making healthier choices with regards to health behaviors. A theory of change logic model was developed that demonstrated how each component of the intervention influences the observed and intended outcomes. Attendance of Street Fit Scotland had positive effects on participant's health and wellbeing, particularly concerning self-esteem, health behaviors, social interaction, and physical activity. More efforts should be made to evaluate small-scale interventions that are reaching vulnerable population groups.     

Birth Mothers' Perceptions of Their Parented Children's Knowledge of and Involvement in Adoption

An examination of birth mothers' perceptions of the relationship between the children she is parenting and the children she placed for adoption offers unique insight into the life course of openness. In the present study, 94 birth mothers from the United States participated in a semi-structured interview, discussing their oldest parented children's knowledge of and experience with their siblings placed for adoption. Results show that 59 birth mothers have an oldest parented child who is aware of their adopted sibling, although 4 of these do not know their true relationship with the adopted sibling. Of these, 27 had direct contact with the adopted sibling, 4 had indirect contact through the birth mother, and 1 had previous contact that has since ceased. A majority of birth mothers indicated that their oldest parented child would like more contact, direct contact, or more information about the adopted youth. Implications for research and practice with birth mothers and their children separated by adoption are discussed.     

Moments in Laplanche's Theory of Sexuality

This paper is a brief introduction to some of Laplanche's thinking, as well as a commentary on his essay that is published here. Some salient issues in Laplanche's theory are introduced, such as the decentering of the subject and the prioritizing of the other, the postulation of the “reality of the message,” in which gestures from the other both signify and excite/seduce, and an enlarged meaning of seduction. The child's translation of the enigmatic messages conveyed by the adult is a process of being seduced into building interiority and subjectivity. In effect, the present paper proposes not only that “otherness” constitutes the subject, but that an “asymmetrical intersubjectivity” is what enables the transition from instinct to drive and the creation of paradoxical human sexuality. In a meditation that illuminates significant issues in American feminist and psychoanalytic theory, Laplanche's essay analyzes and distinguishes three interrelated terms, gender, sex, and “the sexual” (“le sexual”), or so-called “infantile sexuality”, the latter documenting a Freudian and French emphasis on an additional, counter-realistic, counter-adaptational, and counter-social conception of sexuality. What stands out in this paper no less than “le sexual” is the use of the term “gender” by a French psychoanalyst, who is at once nodding in acknowledgment to contemporary American thinking, and enlisting the concept of gender to reaffirm its “intimate enemy,” infantile sexuality, “le sexual.” Laplanche sees the American-conceived couple sex/gender as a “formidable tool against the Freudian discovery.” Formidableness is what is common to gender and to infantile sexuality, in that both concepts resist and destroy the clear-cut biological/anatomical “destiny” of sex. Both pertain to cultural/acquired/constructed aspects of sexuality; both are phantasmatic and both subvert sexual role divisions. But gender is organized by, hence possibly subordinate to, sex. Laplanche acknowledges gender yet at the same time he makes it dependent on sexuality and thereby “downgrades” it in favor of the inarticulate, perverse, subversive, untameable aspect of human sexuality—“le sexual”, infantile sexuality—which remains outside and in excess of gender.     

Depressive Symptoms among Former Spousal Caregivers: Comparing Stressors,Resources, and Circumstances of Caregiving Cessation among Older Husbands and Wives

Little research focuses on the mental health of caregivers (CGs) who stop providing care to their community-dwelling spouse. We examine depressive symptoms of former primary CG spouses who stopped caregiving over a two-year follow-up period when the care recipient (CR): (1) no longer has functional problems; (2) continues having functional problems; or (3) dies. Using data from the Health and Retirement Study (2000–2014), we located 2,370 couples who were both 50+ at baseline and where one partner provided help with ADL and/or IADL limitations but did not do so two years later. OLS regressions stratified by gender indicated that both male and female former spousal CGs whose CR died had significantly more depressive symptoms than those who ceased caregiving when their spouse did or did not still have functional problems. Former wife CGs who were older and whose husbands had more baseline ADLs had fewer follow-up depressive symptoms; wife CGs whose husbands had a nursing home stay had more depressive symptoms. Former husband CGs who had provided longer monthly hours of care had fewer follow-up symptoms. Findings underscore the importance of targeting mental and physical health services to both former caregiving husbands and wives, especially after spousal death.     

Enhancing Forgiveness: A Group Intervention for the Elderly

This article describes a therapeutic model of forgiveness (Enright, 2001 Enright, R. D. 2001. Forgiveness is a choice: A step-by-step process for resolving anger and restoring hope, Washington, D.C: American Psychological Association.  [Google Scholar]) and discusses its applicability to social work intervention with older adults. A total of 20 men and women, aged 57–82, participated in 2 different forgiveness groups, each of which met weekly for 8 sessions with a 4-month follow-up session. Measures of forgiveness, as well as biopsychosocial functioning, were collected before and after the group intervention. Results indicated that participants experienced long-term improvement with respect to forgiveness and depression, short-term improvement of physical health, and no change in relation to anxiety or social support. Clinical issues that emerged during the forgiveness group are discussed, and suggestions for gerontological social workers are offered.     

Grasping the Nettle: Integrating Learning and Practice Revisited and Re‐imagined

This paper reports on findings from a practice audit and literature review into Integration of Learning for Practice, conducted in Scotland between November 2003 and February 2004. Findings from the practice audit suggest that although the integration of learning is one of the key aspirations of social work education, and there are many different approaches currently in use which attempt to enhance learning integration, students, practitioners, service users and social work lecturers all agree that more needs to be done in this area. The review of literature indicates some ways in which this might be taken forward. The paper concludes that for integration of learning for practice to succeed, we need a re‐imagining of the traditional boundaries between field and classroom, and practice teacher and social work academic.     

The Role of Ethical Theories in Decision Making by Social Workers

This study analyses the arguments provided by a convenience sample of 62 Israeli social workers for their preferred ethical principles in terms of ethical theories. Content analysis of arguments given in four different contexts shows that the large majority of social workers in the study based their arguments on either deontological or utilitarian ethical concepts, less frequently using concepts from virtue theory, rights theory and care theory of ethics. However, the analysis reveals a discrepancy: when social workers were requested to justify their rank ordering of ethical principles without reference to a specific practice situation, they most frequently preferred concepts reflecting deontological theory of ethics, such as right intention, universalism, and duty. In contrast, when confronted with a specific practice situation, the social workers' most frequently chosen concepts were relating to results, consequences, and utility, concepts identified with the utilitarian theory of ethics. In view of the findings, the need for more thorough knowledge of a variety of ethical theories and their potential role in ethical decision making in social work practice and education are discussed.     

Student debt and wellbeing: a research agenda

ABSTRACT

With levels of student debt unprecedented and rising in many democracies, growing attention has been given by academics and practitioners to its possible effects for student wellbeing. This article makes three contributions to this debate. First, it offers a critical review of literature that considers the relationship of student debt and wellbeing to open up discussion about the dimensions, limitations and possibilities of the field. Second, the paper points to potential avenues for future research about student debt and wellbeing by considering indicative comments made by New Zealand university students as part of a series of in-depth interviews. Third, the article makes a practical contribution to current debates about the tuition ‘fees free’ policy in New Zealand. We argue that developing a more robust understanding of how student debt affects wellbeing may help to broaden and reinvigorate academic and public debate about student debt.     

The Couples Life Story Approach: A Dyadic Intervention for Dementia

This article describes an approach for working with individuals who have dementia, along with their spouses or partners. The 5-week intervention focuses on helping couples communicate, reminisce about the story of their relationship, find photographs and mementoes from their past, and develop a book that incorporates these mementoes. This clinical approach highlights the strengths and the resilience of couples and adds to the limited repertoire of dyadic interventions for dementia care which are currently available. Preliminary findings from 24 couples are presented, including the intervention's feasibility and acceptability.