Alternative Worldviews and the Utilization of Conventional and Complementary Medicine*

We use the Midlife in the United States (MIDUS) database and an expanded Anderson model that incorporates health beliefs, including sacred worldviews as predisposing factors, to explore conventional and complementary and alternative medical (CAM) service use. Findings are that health care need, especially the number of chronic conditions is positively associated with both conventional and CAM services use. However, net of need, health beliefs and sacred worldviews differentiate CAM users versus nonusers or the number of different CAM practices that are used. Higher self‐rated spirituality is associated with being a CAM user and, if a user, with adopting a wider range of practices. Individuals with higher self‐rated religiosity are not more or less likely to be CAM users but adopt significantly fewer techniques, if users. We discuss the attraction to very different faces of health care, on the basis of religiosity, spirituality, and other health beliefs, with implications for policymakers and care providers.     

Moving to a hostel: The perceptions of older people who move from hospital to hostel (‘low level’) care

Abstract

The aims of this research were threefold: to explore the perceptions of older people regarding the process of transition from hospital to hostel ('low level') care; to examine their experiences of hostel living after transfer; and to develop, on the basis of these findings, appropriate professional practice guidelines.     

A Process Model of Parenting and Adolescents' Friendship Competence

This study examined the prospective relationship between negative parenting behaviors and adolescents' friendship competence in a community sample of 416 two‐parent families in the Southeastern USA. Adolescents' externalizing problems and their emotional insecurity with parents were examined as mediators. Parents' psychological control was uniquely associated with adolescents' friendship competence. When both mediators were included in the same model, adolescents' perceptions of emotional insecurity in the parent–adolescent relationship fully mediated the association between parents' psychological control and adolescents' friendship competence. Parental hostility was associated with friendship competence indirectly through adolescents' emotional insecurity. Results contribute to identifying the mechanisms by which parenting affects youths' friendship competence, which is important in informing theory and practice regarding interpersonal relationships in adolescence.     

When Social Workers Are Stalked: Risks,Strategies, and Legal Protections

By virtue of their work, social workers are at risk of becoming victims of stalking. This is because social workers assist individuals who suffer from major mental health problems that may cause them to develop delusional beliefs about their therapists, and because social workers may need to exercise authority against individuals with personality disturbances that present a risk to others. Surveys suggest that 16% of social workers have been stalked at one point in their career by a client. Stalking of social workers by clients has far-reaching personal and professional implications, potentially affecting all aspects of an individual’s life. This paper reviews the nature and incidence of stalking of social workers, the legal remedies available to social workers who are victims of stalking, and strategies for protection.     

Property rights and the gender distribution of wealth in Ecuador, Ghana and India

Women’s ability to accumulate wealth is often attributed to whether they have property rights; i.e., a legal personality to own and manage property. In this paper we argue that basic property rights are insufficient; whether women are able to accumulate wealth also depends upon the marital and inheritance regimes in particular contexts. Drawing upon surveys which collected individual level ownership data in Ecuador, Ghana and the state of Karnataka in India, we estimate married women’s share of couple wealth and relate it to how assets are owned within marriage as well as to different inheritance regimes and practices. In Ecuador, married women own 44 %, in Ghana, 19 %, and in Karnataka, 9 % of couple wealth. Ecuador is characterized by the partial community property regime in marriage while inheritance laws provide for all children, irrespective of sex, to be treated equally, norms that are largely followed in practice. In contrast, Ghana and India are characterized by the separation of property regime which does not recognize wives’ contribution to the formation of marital property, and by inheritance practices that are strongly male biased. Reforming marital and inheritance regimes must remain a top priority if gender economic equality is to be attained.     

Adolescents' Triangulation in Marital Conflict and Peer Relations

This study examined the association between youths' triangulation in marital conflict and three aspects of their peer relations in 416 families during early adolescence. A 4‐wave, longitudinal research design was used. As hypothesized, triangulation was associated negatively with perceived support from friends and positively with perceived peer rejection. Triangulation was a risk factor for both sons and daughters. Adolescent problem behavior did not mediate the significant association between triangulation and perceived friendship support. Adolescent problem behavior, particularly internalizing problems, completely me diated the association between triangulation and adolescents' perceptions of peer rejection, suggesting the important developmental role of adolescents' anxiety, depressive affect, and withdrawal. The implications of these findings are discussed in terms of Bowen's multigenerational family systems theory and social learning principles.     

Potential Employers' Views of the Ideal Undergraduate Social Work Curriculum

Abstract

Bachelor of Social Work (BSW) curriculum design is generally considered a collaborative process involving educators, students, practitioners, and employers. The social agency contributes in critical economic, pedagogical, and political ways. The literature is ambiguous, however, regarding compatibility of educators' and practitioners' views on curricula, homogeneity of perceived training needs, and societal changes necessitating curriculum revision. In this study, 77 agency personnel reported their views of 56 BSW curriculum items. The development of communication competence, the mastery of content on socialization and the small group, and the cultivation of basic social work values were commonly viewed as essential. BSW program directors, graduates, and potential employers generally had compatible views. Practice conditions—especially service position (direct or indirect), field of practice, and client age group—influenced curriculum priorities. Changes in educational priorities across a decade were minor, with increasing emphasis on ethical practice, especially as related to confidentiality.