Help-Seeking for Sexual Difficulties and the Potential Role of Interactive Digital Interventions: Findings From the Third British National Survey of Sexual Attitudes and Lifestyles

Sexual difficulties are common and can negatively impact health and well-being. A wide range of support is available, but there are multiple barriers to accessing help. Interactive digital interventions (IDIs) for sexual difficulties have the potential to provide a convenient, wide-reaching, and cost-effective source of support, but little is known about who might use them. We explored the potential reach of IDIs by assessing the prevalence of help-seeking among people with distressing sexual difficulties, including who seeks which sources of help. Data came from sexually active men and women, ages 16 to 74, participating in Britain’s third National Survey of Sexual Attitudes and Lifestyles (Natsal-3) (N = 11,637). Help/advice was sought by less than half of those with distressing sexual difficulties, and help-seeking was associated with younger age in women but not men. The most popular sources of support were family doctor (47.5% to 54.8%), Internet (22.0% to 25.6%), and family/friend (20.7% to 41.8%), with older participants (≥ 35), particularly men, preferring to seek help from a family doctor, and younger participants (<35) preferring to seek help from the Internet or family/friend. Despite a paucity of good digital support sites for sexual function, the Internet is a common source of help. As Internet access continues to increase, so too does the potential for well-designed IDIs to support those with sexual difficulties.     

Editors' Introduction

For the professional middle class in information industries, “working from home” is an increasingly common feature of the employment landscape, resulting from the affordability and portability of information and communication technologies (ICTs). The phrase invokes a sense of freedom from the banality of the traditional office, offering flexibility in both working hours and location when other commitments prevail. In recent debates in Australian politics, working from home is also offered as an empowered choice for women who seek to combine paid work and childcare duties, thereby consecrating a preferable version of (post)feminist subjectivity suited to neoliberal economics and ideologies. This paper shows how these subjectivities have been represented in recent ICT advertising for two purposes: firstly, to highlight the role of mainstream media in normalising preferred uses of new media technology for work purposes; and secondly, to note how this process contributes to wider discourses limiting the aspirations of middle-class feminist politics to an individual level. In doing so, the paper seeks to question the ethical horizon of new media advertising as well as the feminist and labour politics upon which its appeal relies.     

The impact of political violence: Adaptation and identity development in Bosnian adolescent refugees∗

This qualitative study explored the impact of the war in the former Yugoslavia and the experiences of forced exile on the processes of adaptation and identity development for five Bosnian adolescent refugees who have lived the United States for at least two years. Sources of resilience were found in individual temperament, adaptive responses to trauma, and cultural and family pride and loyalty. Because current research on political violence tends to focus on psychopathological outcomes and PTSD sequelae, particular attention was given to examining cultural meanings of trauma and development, as well as the health‐promoting forces that can occur in response to extreme trauma. Findings suggest several implications for future research as well as implications for mental health professionals working with refugees.     

Exploring the ethics of treatments for depression: The ethics of care perspective

This article explores the ethics of current treatments for depression through the lenses of social work values and ethics. As a vehicle for analysis, the approach associated with ethics of care will be utilized. Particular attention is paid to ethical dilemmas in the treatment of depression under the auspices of managed care companies. A case example is presented to help social workers understand these dilemmas in the context of practice. Adopting an ethics of care perspective would mandate that social workers become more politically active, and work toward integrating direct and indirect practice approaches in treating people who suffer from depression and similar problems.     

Book review

Enhancing Psychodynamic Theory with Cognitive Behavioral Techniques, Terry Brumley Northcut and Nina Rovinelli Heller

Complex Adoption and Assisted Reproductive Technology: A Developmental Approach to Clinical Practice, Vivian Shapiro, PhD, Janet Shapiro, PhD, and Isabel Paret, PhD     

The Response of Schools of Social Work to the Return of Uniformed Service Members and Their Families

The following article is designed to provide an historical overview of the role that the Smith College School for Social Work has played in serving U.S. service members and their families throughout the past 91 years. Particular attention is paid to the building momentum of interest and activity at the School since 2005.     

Youth Participation and Community Change

The Bedouin community in the southern Negev desert in Israel is a population in transition. The article describes how deliberate intergroup dialogue enhanced the ability of a group of teachers from the community to discuss the complexities of the transition within a supportive group setting as a starting point to facilitate social change.     

An Exploratory Study of Substance Abuse Among Latino Older Adults

ABSTRACT

Substance abuse among older adults is on the rise. Of particular concern is the increase in alcohol and drug use predicted among Latino elders, expected to result from an upsurge in the Latino population and concurrent growth in the number of older adults. Providing effective treatment for this group will require age-specific, culturally competent interventions. However, few studies have focused on geriatric substance abuse among Latinos. This study aims to lay the groundwork for further research by examining perceptions of the problem among treatment providers and researchers in aging and substance abuse. Implications for social work research and practice are addressed.     

State Variations in Nursing Home Social Worker Qualifications

ABSTRACT

This is the first published account of state administrative code variations in nursing home social worker qualifications. It is important to review state codes because the majority of nursing homes in the U.S. have fewer than 121 beds and therefore are not required by the federal government to employ at least one full-time qualified social worker. States have the option of extending the federal regulations to homes with 120 or fewer beds, or strengthening the federal requirements in other ways. Findings indicate enormous variation in state requirements for qualifications of nursing home social workers, and even when states define a qualified nursing home social worker (not all do), they often exempt facilities from employing one. Seven states were found to be out of federal compliance. Research describing the qualifications of people employed in nursing home social services is called for, as well as research documenting effective psychosocial interventions, especially as they relate to resident quality of life. Ten recommendations for enhancing nursing home social work services are included.     

拒绝职场边缘化:模型与检验

初入职场,大学生员工希望被组织接纳而不是被边缘化。本文试图建模表现在如同"政治舞台"的职场中员工努力避免被边缘化的过程。为达到以上研究目标,执行了两项研究:预研究在国务院11个部委机关的公务员群体中收集数据,开发了职场边缘化的测量工具;主研究对16家制造型企业中的343个员工、662个同事及343个直接领导的配对数据进行实证分析,发现员工工作绩效、公民行为以及与上司的私人关系(Guanxi)与职场边缘化之间呈负向关联。相对而言,在政治氛围淡漠的企业中,上司关系与职场边缘化之间的负向关联更强。