Sudanese refugee youth in foster care: the "lost boys" in America

This study examined the resettlement experiences of unaccompanied Sudanese refugee youth placed in foster care from the perspectives of the youth, foster parents, and agency caseworkers. Youth experienced considerable success. The challenges of adjusting to school and family life, however, suggest a need for funding to support more intensive educational services, more cultural training and support for foster parents and school personnel, and flexibility to provide services in more culturally appropriate modalities.     

Psychologists' judgments of psychologically aggressive actions when perpetrated by a husband versus a wife

Research literature suggests that clinical judgments of men's versus women's behavior and symptoms typically rate the men as more pathological and dangerous. To determine whether this view would extend to assessments of psychologically aggressive actions, two separate versions of a survey listing potentially psychologically abusive behaviors perpetrated by either a wife toward her husband or the identical actions perpetrated by a husband toward his wife were sent to a nationwide sampling of practicing psychologists. Results indicated that psychologists, irrespective of demographics, rated the husband's behavior as more likely to be psychologically abusive and more severe in nature than the wife's use of the same actions. Psychologists did not differentially rely on any of the three contextual factors (i.e., frequency/duration, intent of the perpetrator, and perception of the recipient) to influence their determination that a behavior was "psychological abuse" dependent upon whether the initiator of the psychological actions was the husband or the wife. Future research could assess more directly the rationale for the psychologists' differing views of male versus female behavior. In addition, more normative information is needed to inform mental health professionals as to the prevalence and severity of psychologically aggressive actions in the general population.     

Enhancing Social Work Practice with Ethnic Minority Youth

Social workers have the task of addressing issues that are unique to ethnic minority youth in clinical practice; however, they may be ill equipped to begin practice with these youth due to a lack of specificity within generalist curricula. Using African-American youth as an example, the paper provides evidence that there are critical areas of development and functioning that diverge from the generalist perspective. Social workers are provided with strategies to fill gaps in their knowledge of ethnic-minority youth to enhance their direct practice with this population.     

Female adolescent smoking: a Delphi study on best prevention practices

The present researchers used a multi-wave Delphi methodology to determine what 14 knowledgeable substance abuse professionals believe are the most appropriate smoking prevention practices for female adolescents. While there was some agreement with the emerging literature, particularly on weight control issues and parental involvement, there was also endorsement of items that appear to be equally salient for both males and females. While the panelists generally acknowledged differential risk factors for females, and the need for prevention programming around these risk factors, more research on gender specific programming is needed before prevention experts are ready to agree on clear and specific practices for adolescent females.     

Separate But Not Alone: Separation-Individuation Issues in College Students with Eating Disorders

It sometimes seems that the college experience is tailor-made for the development of eating disorders. Overwhelmed and bombarded by their feelings, college students often turn to behavioral means, like eating disorders, to cope. Contemporary research (e.g., Christenson et al., 1994) has shown that good and bad emotions alike can be managed by starvation, bingeing, overeating, purging, and/or obsessive exercise. For college students, many of the overwhelming feelings that are titrated by eating disorders are directly linked to the separation process. Adolescence has been called a second individuation. While Mahler et al. (1975) viewed separation-individuation as both a developmental stage and a lifetime's work, contemporary therapists often concentrate on the importance of early separation experiences. A postmodern perspective, however, recognizes the importance of connection as well as separation. Our culture is so focused on independence that many parents of college students do not recognize the importance of maintaining active contact with their older adolescents. It can be very helpful to view an eating disorder as representing a college student's attempt to negotiate separation and connection, dependence and autonomy. This article examines some of these dynamics and the implications for therapy with this population.     

“The clock has been ticking,the calendar pages turning,and we are still waiting”: Infertile couples' encounter with time in the adoption waiting period

In this paper, the authors draw from sociological explorations of time and narrative theory to interpret the problem that time posed for 37 infertile couples waiting for a child to adopt. We also address their emotional and behavioral responses to their problematic encounter with time. The adoption waiting period can be usefully conceived of as a: a) temporal irregularity in social life; b) temporally unmarked transitional stage in the passage to parenthood; and as a c) special kind of social construction and product of the imagination. Confronting empty time, waiting couples humanized time spent in waiting and maintained hope by creating a temporal framework for the waiting period. They established a timeline, plotted the end of the wait, and created a rhythm for the duration of the wait. Short-waiting couples were able to maintain a sense of making progress toward their goal of a child. Long-waiting couples increasingly felt as if they were standing still or moving away from their goal. The findings contribute to the understanding of temporality in infertile couples and affirm the uncertainty and discomfort that the lack of temporal order can engender.The study described here, The transition to parenthood of infertile couples, is supported by Grant #NRO1707 from the National Center for Nursing Research, National Institutes of Health, 1988–1993. The authors thank the QS reviewers for their helpful critique of an earlier draft of this paper.     

Understanding the diverse needs of the Medicare population: implications for Medicare reform

Meeting the health care needs of millions of elderly and disabled Americans is central to the debate over Medicare's future. Using data from a nationally representative survey of 3,309 beneficiaries, Medicare's most vulnerable beneficiaries were profiled, examining variations in coverage, satisfaction, access, and financial difficulties. A substantial portion of the Medicare population--two thirds--were found to have health problems or low incomes. The analysis found that about 40% of beneficiaries with incomes below the poverty level, in fair or poor health, or with ADL limitations, have difficulties paying their medical bills or getting needed health care. Medicare's disabled, under-65 beneficiaries are at even higher risk: nearly half (47%) have health care access problems or deal with financial hardship due to medical bills. The diverse needs and experiences of the Medicare population are underscored, providing new insights into the challenge of maintaining or improving protection for those with greatest need while assuring the long-term fiscal viability of the program.     

Bourdieu and organizations: the empirical challenge

Emirbayer and Johnson critique the failure to engage fully Bourdieu’s relational analysis in empirical work, but are weak in giving direction for rectifying the problem. Following their recommendation for studying organizations-in-fields and organizations-as-fields, I argue for the benefits of analogical comparison using case studies of organizations as the units of analysis. Doing so maximizes the number of Bourdieusian concepts that can be deployed in an explanation. Further, it maximizes discovery of the oft-neglected links among history, competition, resources, sites of contestation and struggle, relations of dominance and domination, and reproduction of inequality. Perhaps most important, case studies can identify the connection between macro-, meso-, and micro-level factors in the formation and shaping of habitus. To support my claims empirically, I draw from case study research (Vaughan The challenger launch decision: Risky technology, culture, and deviance at NASA, 1996; Signals and interpretive work: The role of culture in a theory of practical action. pp. 28–56, 2002) that verifies Bourdieu’s as the “Theory of Practical Action” that supplies the micro-level component to the new institutionalism (DiMaggio and Powell, Introduction. pp. 1–41, 1991).

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