A Systematic Review of Gay,Lesbian, and Bisexual Research Samples in Couple and Family Therapy Journals

The purpose of this study is to review samples from research on gay, lesbian, and bisexual (GLB) issues and to evaluate the suitability of this body of research to support affirmative and evidence‐based practice with GLB clients. The authors systematically reviewed the sampling methodology and sample composition of GLB‐related research. All original, quantitative articles focusing on GLB issues published in couple and family therapy (CFT)‐related journals since 1975 were coded (n = 153). Results suggest that within the GLB literature base there is some evidence of heterocentrism as well as neglect of issues of class, race, and gender. Suggestions to improve the diversity and representativeness of samples—and, thus, clinical implications—of GLB‐related research in CFT literature are provided.     

Coming out of the dark: content analysis of articles pertaining to gay, lesbian, and bisexual issues in couple and family therapy journals

The present study seeks to extend previous research regarding literature related to gay, lesbian, and bisexual (GLB) issues published in couple and family therapy (CFT)-related journals by presenting the results from a content analysis of GLB studies in CFT-related journals from 1996 to 2010. Results of the analysis revealed a 238.8% increase in total GLB content published since the original review. Articles pertaining to therapy with GLB clients continue to represent the largest area of publication. With one exception, all surveyed journals showed an increase in the percentage of GLB content since the first study. Emerging areas of research include studies related to supervision and training, GLB mental health and substance use, and sexual minority adolescents. A movement away from deficit-based perspectives could open a new lens on family life.     

Conceptions of pregnancy health and motivations for healthful behavior change among women in American Samoa

Background

American Samoan women are particularly at risk of obesity-related non-communicable disease (NCD), requiring efficacious interventions to protect their health and that of their infants. Prior studies have identified pregnancy as an ideal time for behavior change interventions related to NCD.

Pharmacological treatments of pathological gambling

Medication treatment studies have demonstrated short-term efficacy of various SRIs, opioid antagonists, and mood stabilizers in sub-samples of adult treatment seeking pathological gamblers. Pathological gambling is frequently comorbid with bipolar spectrum disorders, substance abuse/dependence, and attention-deficit/hyperactivity disorder (ADHD), and comorbidity may influence treatment response in pathological gambling. This review focuses on recent research examining the treatment of pathological gambling and highlights methodological challenges for future studies.     

Women,Therapy and Dependency

A microsociological longitudinal study of 120 middle class Melbourne women who were having psychotherapy or counselling was conducted over a five year period. The relative effectiveness of four dominant kinds of psychotherapy was assessed, together with outcomes for types of individuals. The therapies were medical chemotherapy (with psychotherapeutic drugs prescribed by general practitioners), social casework counselling, human relations training and church pastoral counselling. Personal accounts of the women revealed their main concerns were to change their personal identities, and the economic, psychological and emotional aspects of dependency on significant others. After five years, only a small proportion of the total showed positive changes as represented by movement towards independence and autonomy. More than twice as many experienced a serious deterioration of circumstances and increased dependency on others, on therapists and drugs. None of the psychotherapies had much positive outcome. However the clients who felt most helped by the therapies became professional therapists themselves — a finding which suggests the perpetuation of ineffectual systems.     

Minding the Gap: Positivism, Psychology, and the Politics of Qualitative Methods

This article explores the politics and practices of qualitative research, in particular by interrogating the "gap" between qualitative and quantitative approaches to research. Two main claims are elaborated: first, that despite being recommended on grounds of ethical superiority (such as of nonmanipulation and instrumentality), qualitative research is not immune from such problems and may indeed harbor its own practices of exploitation; second, and correspondingly, that the moral high ground associated with qualitative research arises from the ways it is used rather than from any intrinsic features of the methodology. The argument is made that it is important to maintain this distinction in order to counter the tendency toward methodological fetishism so prevalent in scientistic (i.e., aspiring to "natural" scientific status) disciplines such as psychology. After framing these issues with some comments on the current popularity of qualitative methods, the article illustrates these claims by exploring 5 key ways that the positivist agenda of the discovery and control of a natural world can return in qualitative research, especially when this is mistakenly evaluated according to criteria formulated for quantitative analyses. The article concludes with a consideration of the epistemological and political status of attempts either to bridge or exacerbate the gap between qualitative and quantitative approaches.     

Using Resilience to Reconceptualise Child Protection Workforce Capacity

Abstract

Current approaches to managing and supporting staff and addressing turnover in child protection predominantly rely on deficit-based models that focus on limitations, shortcomings, and psychopathology. This article explores an alternative approach, drawing on models of resilience, which is an emerging field linked to trauma and adversity. To date, the concept of resilience has seen limited application to staff and employment issues. In child protection, staff typically face a range of adverse and traumatic experiences that have flow-on implications, creating difficulties for staff recruitment and retention and reduced service quality. This article commences with discussion of the multifactorial influences of the troubled state of contemporary child protection systems on staffing problems. Links between these and difficulties with the predominant deficit models are then considered. The article concludes with a discussion of the relevance and utility of resilience models in developing alternative approaches to child protection staffing issues.     

Changing cultural stigma: A pilot study of LGBT and mental illness organizations

This study examines how an LGBT advocacy organization and a mental illness advocacy organization influence cultural byproducts that result in stereotypes. Burke's (1989) redemption ritual is adapted as a framework for conceptualizing the process that occurs when an advocacy organization expresses discontent with a cultural producer's byproducts.     

Assessing University Students’ Self-efficacy to Employ Alcohol-Related Harm Reduction Strategies

Abstract

Objective: Develop and evaluate key psychometric properties of a self-report questionnaire specifically designed to assess student drinkers’ self-confidence to employ a variety of strategies intended to reduce unhealthy consequences of high-risk drinking. Methods: Four hundred ninety-eight participants rated their confidence (from “not at all confident” to “completely confident”) to employ 17 harm reduction strategies when drinking. Results: Factor analysis and internal consistency reliability analyses indicated that the 17 items constitute a single scale with good test–retest reliability. Consistent with other research examining previous use of such strategies, women in our sample reported significantly higher harm reduction self-efficacy than did men. Harm reduction self-efficacy was also associated with reported number of high-risk drinking episodes in the previous 2 weeks. Conclusion: This brief and easily administered questionnaire holds promise as a clinical tool to identify individuals with low harm reduction self-efficacy and as an outcome measure for health promotion and educational interventions.