International adoption: Issues of acknowledgement of adoption and birth culture

There has been a steady trend of adopting children from other countries. Families who adopt children internationally are faced with not only the acknowledgement of the adoption but the recognition of the birth culture. Thirty four families were surveyed to assess issues regarding the relevance, frequency, and means of acknowledgement of the adoption and birth culture. Findings are reported with suggestions for adoption professionals included.     

On leaving the scene: Processing projective identification and the schizoid experience

Countertransference reactions of sleepiness and disinterest in the clinical material being presented by patients can be annoying and confusing. This paper presents a theoretical framework for understanding the author's countertransference with Borderline patients in the schizoid continuum of borderline pathology, according to a classification scheme from Meissner (1984). In the case example presented projective identification and several interpretations of its meaning are reviewed and linked with the author/therapist's experience of sleepiness in the session. The understanding and containment of these projections, as well as interpretations offered to the patient, allowed for a successful resolution to the treatment. Implications for other cases with similar character structure are discussed with emphasis on the therapists using their subjective experience of sleepiness to understand their patients.     

A TEST OF THE CURVILINEAR HYPOTHESIS WITH FACES II AND III

Previous research has not supported the validity of Olson's "curvilinear hypothesis." Convergent validity studies of the FACES I and II have indicated that the "cohesion" and "adaptability" dimensions have a linear relation with healthy family functioning. It is not clear, however, whether these findings are due to the measurement of the FACES' constructs or to the curvilinear theory. This study tested the "curvilinear hypothesis" in terms of these theoretical and measurement issues. The results indicate that FACES II and III do not adequately operation-alize the "curvilinear hyothesis." However, an item consistent with the "curvilinear hypothesis" utilizing a bipolar item response format did adequately opera-tionalize the theory. The use of a bipolar item response format is suggested in the measurement of "cohesion" and "adaptability."     

Vaginal douching among university women in the southeastern United States

OBJECTIVE: The authors assessed the knowledge, beliefs about, and practices of vaginal douching among women attending 2 universities in the southeastern United States. PARTICIPANTS: There were 416 participants in this study; 46.9% were black and 44.5% were white. METHODS: The authors administered a 30-item questionnaire to women enrolled in health-related and social science courses at 2 southeastern universities. RESULTS: Approximately 38% of participants reported vaginal douching, mostly for hygienic reasons (70.7%). Most women first learned about douching from their mother. Douching was more common and more frequent among black women (48%) than among white women (27%). Age of first douche correlated positively with age of first sexual intercourse and age of first period. CONCLUSION: Women who had been informed not to douche by a healthcare professional were less likely to have douched within the past 6 months than were women who were not given this information. Misconceptions about douching are common and should be addressed by healthcare professionals.     

Using Subsidies to Promote the Adoption of Children from Foster Care

Since 1978 the federal government has implemented a variety of programs to promote the adoption of children from foster care. A key part of these programs has been the use of subsidies to lower the cost of adopting and parenting children who have been in foster care. Although subsidies are a key part of federal policy, there has been little empirical research on the effect of subsidies on adoption rates. This paper uses data from the Adoption and Foster Care Analysis and Reporting System to estimate the impact of subsidy rates on adoption rates. Subsidies to families have a positive and statistically significant effect on adoption rates.

Using Standardized Clients to Train Social Workers in Intimate Partner Violence Assessment

Evidence-based assessment in intimate partner violence (IPV) is critical to the accurate understanding of risk and to the development of interventions that increase safety. In this study standardized clients (actors) were used to train Army civilian social workers in evidence-based assessment of IPV and in the evaluation of the curriculum's effectiveness. Participation in this training curriculum increased the following: the participants' knowledge about the empirical basis for content areas explored in IPV assessment, their exploration of content critical to an IPV assessment interview, and their interviewing process skills. The results support the effectiveness of using standardized clients in IPV assessment training and evaluation.     

Heterogeneous Symptom Patterns of Sexually Abused Children in Treatment: Understanding the Complexity of the Problem

A major challenge for clinicians and researchers is the heterogeneity of the severity and type of symptoms presented by sexually abused youth, including those who are subclinical on traditional clinical measures but still present to treatment. Most research continues to treat sexually abused youth as a single population and has not assessed the outcomes or symptom trajectories of various groups of sexually abused youth. Participants included 107 sexually abused children and their nonoffending parents presenting to a cognitive-behavioral group treatment. A cluster analysis using child- and parent-report measures revealed four profiles, including Subclinical, Highly Distressed, Problem Behaviors, and Self-Reported Distress clusters. Hierarchical linear modeling was used to create separate child- and parent-report models of weekly symptomatology to examine differential change over the course of treatment. Contrary to expectation, there was little variation in the weekly rates of change for the different symptom groups; however, all groups evidenced a decrease in symptoms over the course of treatment, including the Subclinical cluster.