Group therapy as primary treatment for adolescent victims of intrafamilial sexual abuse

This article describes the therapeutic needs of adolescent victims of sexual abuse and presents the case that group therapy more effectively addresses these needs than individual or family therapies.     

Lesbian shame: its relationship to identity integration and attachment

Using self-report measures, this survey study explored the relationship between internalized shame and both lesbian identity integration and attachment styles. Compared to other research, this U.S. sample of 317 highly educated, mid-life, mostly European-American self-identitied lesbians reported higher levels of internalized shame, lesbian identity integration, and dismissing attachment. As predicted, shame scores decreased as lesbian identity integration increased. Likewise, high levels of secure attachment were associated with less shame while high levels of fearful and preoccupied attachment were associated with greater shame. Contrary to prediction, high levels of dismissing attachment were associated with greater shame. These results suggest the pervasive effects of shame even for a sample of educationally and occupationally successful lesbians.     

Puppet play in a thirteen-year-old boy: Remembering,repeating, and working through

This paper presents and attempt to understand some of the enduring psychological sequelae of abuse, deprivation, and rejection in the life of a 13-year-old boy. This child recreated in four puppet play dramas many of the memories and associated emotions of what had occurred. These dramas also represented an attempt at restitution and mastery of the previous trauma. A means of conceptualizing both the nature of the trauma suffered and the restitutive effort is discussed. The fact of psychological sequelae persisting in the child on a long-term basis has important implications for current approaches to the treatment of child abuse and neglect because frequently the focus is solely on parental counseling or training.     

The feminization of bereavement among community-dwelling older adults

We examined gender differences in frequency and sociodemographic predictors of spousal, non-spousal family, and friendship bereavement events among community-dwelling older adults using data from the UAB Study of Aging. Analysis involved a 30-month observation period of 893 subjects. There were significant differences between women and men for all types of loss. Significant differences were also found in the sociodemographic predictors of loss between and within gender categories. This study revealed the extent to which older women disproportionately bear the burden of loss and points to the need for greater attention to bereavement as a women's issue.     

A world without Down’s syndrome? Online resistance on Twitter: #worldwithoutdowns and #justaboutcoping

Presented by actress and comedian Sally Phillips, A World Without Down’s Syndrome has brought important ethical debates regarding prenatal screening into the public domain. By talking to people with Down’s syndrome, family members, and professionals, Sally has presented a nuanced and thorough examination of the type of world we are living in. Following the documentary, Twitter users have continued to engage with debates and have created a resilient platform for challenging public attitudes. This paper explores the ways in which Twitter hashtags have provided a space for such important and long overdue conversations. While it would not be possible to provide a full overview of the topical conversations that the two hashtags have provoked, I aim to focus on some of the most prominent topics. The following, then, will explore the potential of alternative narratives that resist, and disrupt, normative notions of the human using the hashtags #worldwithoutdowns and #justaboutcoping.     

Aligning collaborative and culturally responsive evaluation approaches

The authors, three African-American women trained as collaborative evaluators, offer a comparative analysis of collaborative evaluation (O'Sullivan, 2004) and culturally responsive evaluation approaches (Frierson, Hood, & Hughes, 2002; Kirkhart & Hopson, 2010). Collaborative evaluation techniques immerse evaluators in the cultural milieu of the program, systematically engage stakeholders and integrate their program expertise throughout the evaluation, build evaluation capacity, and facilitate the co-creation of a more complex understanding of programs. However, the authors note that without explicit attention to considerations raised in culturally responsive evaluation approaches (for example, issues of race, power, and privilege), the voices and concerns of marginalized and underserved populations may be acknowledged, but not explicitly or adequately addressed. The intentional application of collaborative evaluation techniques coupled with a culturally responsive stance enhances the responsiveness, validity and utility of evaluations, as well as the cultural competence of evaluators.     

Validation of Quantitative Microbial Risk Assessment Using Epidemiological Data from Outbreaks of Waterborne Gastrointestinal Disease

The assumptions underlying quantitative microbial risk assessment (QMRA) are simple and biologically plausible, but QMRA predictions have never been validated for many pathogens. The objective of this study was to validate QMRA predictions against epidemiological measurements from outbreaks of waterborne gastrointestinal disease. I screened 2,000 papers and identified 12 outbreaks with the necessary data: disease rates measured using epidemiological methods and pathogen concentrations measured in the source water. Eight of the 12 outbreaks were caused by Cryptosporidium, three by Giardia, and one by norovirus. Disease rates varied from 5.5 × 10^?6 to 1.1 × 10^?2 cases/person‐day, and reported pathogen concentrations varied from 1.2 × 10^?4 to 8.6 × 10² per liter. I used these concentrations with single‐hit dose–response models for all three pathogens to conduct QMRA, producing both point and interval predictions of disease rates for each outbreak. Comparison of QMRA predictions to epidemiological measurements showed good agreement; interval predictions contained measured disease rates for 9 of 12 outbreaks, with point predictions off by factors of 1.0–120 (median = 4.8). Furthermore, 11 outbreaks occurred at mean doses of less than 1 pathogen per exposure. Measured disease rates for these outbreaks were clearly consistent with a single‐hit model, and not with a “two‐hit” threshold model. These results demonstrate the validity of QMRA for predicting disease rates due to Cryptosporidium and Giardia.