From Despair to Integrity: Using Narrative Therapy for Older Individuals in Erikson’s Last Stage of Identity Development

Adults aged 65 and over are a growing population in the United States today. This population is underrepresented in the mental health literature despite the high rates of depression and suicide. Additionally, the newest generation of older individuals is more likely to seek therapy than past generations, furthering the need for mental health professionals to be prepared for treating older individuals. Erikson in Childhood and society, Norton, New York, (1950) describes this time period as being critical in terms of the final identity crisis, integrity versus despair. Integrity is marked by a positive evaluation of the individual’s entire life, less anxiety about death, and a feeling of gaining wisdom. Individuals who do not resolve this crisis can manifest despair in a number of ways, including depression, anger, and regret. This model proposes utilizing Narrative therapy (White in Maps of narrative practice, Norton, New York, 2007) to understand how elderly individuals evaluate their lives in reference to their environment. The model utilizes externalization, unique outcomes, and re-membering conversations to unlock subjugated stories and promote integrity.     

Dyadic Traumatic Reenactment: An Integration of Psychoanalytic Approaches to Working with Negative Interaction Cycles in Couple Therapy with Childhood Sexual Abuse Survivors

Childhood sexual abuse (CSA) survivors often face difficulties in their intimate relationships and struggle to engage in the process of couple therapy. Recent research has demonstrated that the negative interaction cycles of CSA survivors are more complex and entrenched than those of couples who do not present with a history of trauma (MacIntosh in J Couple Fam Psychoanal 3(2):188–207, 2013). This paper integrates the psychoanalytic concepts of repetition and enactment into the concept of the negative interaction cycle as articulated by Emotionally Focused Therapy (EFT), to provide an expanded understanding of these deeply entrenched dynamics in which the traumas of the past are embedded. The complex repetitions of early traumas in the negative interaction cycle of the couple are referred to as Dyadic Traumatic Reenactments (DTR). Two contrasting case studies are used to illustrate these concepts.     

Looking back: the experience of first sexual intercourse and current sexual adjustment in young heterosexual adults

A young person's first consensual sexual intercourse experience is often a remarkable and memorable experience. However, little systematic information exists regarding contextual factors of first intercourse, the affective salience of the experience, possible effects on sexual attitudes and beliefs, and subsequent sexual development and adjustment. This retrospective study aimed to examine these in a sample of 475 young adults. Overall, young men and women experienced intercourse for the first time around age 17, were in a committed relationship, and reported positive affective responses. Affective reactions to the first sexual intercourse experience, sexual self-efficacy, sexual aversion, and age at first intercourse affected individuals' current sexual adjustment; however, only sexual self-efficacy mediated between first intercourse and current sexual adjustment in young men and women. Older age at first intercourse was associated with less sexual self-efficacy and lower current sexual adjustment for women. This study provides initial data to suggest that the first sexual intercourse experience significantly impacts current sexual adjustment by affecting beliefs about sexual self-efficacy.     

Children and Families’ Involvement in Social Work Decision Making

This review summarises the research literature on children’s and parents’ involvement in social work decision making, which is regarded, in policy terms, as increasingly important. In practice, however, it tends to be messy, difficult and compromised. Different individuals or groups may have different understandings of participation and related concepts, while differences of age and disability also mediate effective user engagement. The literature highlights common themes in effective participatory practice with both children and their parents. Central to this are the establishment of relationships of trust and respect, clear communication and information and appropriate support to participate.     

Water sources of urban trees in the Los Angeles metropolitan area

In semi-arid cities, urban trees are often irrigated, but may also utilize natural water sources such as groundwater. Consequently, the sources of water for urban tree transpiration may be uncertain, complicating efforts to efficiently manage water resources. We used a novel approach based on stable isotopes to determine tree water sources in the Los Angeles basin, where we hypothesized that trees would rely on irrigation water in the soil rather than develop deep roots to tap into groundwater. We evaluated the oxygen (δ¹⁸O) and hydrogen (δD) isotope ratios of xylem water, irrigation water, soil water, and groundwater in a study of temporal patterns in water sources at two urban sites, and a study of spatial patterns at nine urban sites and one “natural” riparian forest. Contrary to our hypothesis, we found that despite frequent irrigation, some trees tap into groundwater, although in most species this was a small water source. Some trees appeared to be using very shallow soil water at <30 cm depth, suggesting that these mature urban trees were quite shallowly rooted. In the natural site, trees appeared to be using urban runoff in addition to shallow soil water. We were able to identify tree uptake of precipitation at only 3 sites. The results show that some irrigated trees utilize groundwater and do not rely solely on irrigation water, which may make them able to withstand drought and/or water conservation measures. However, some irrigated trees may develop very shallow root systems, which may make them more susceptible.     

Schulman's urban lesbian: a hobosexual pedestrian rhetoric

The following article reads the protagonist in Sarah Schulman's Girls, Visions and Everything as not only lesbian, but as hobosexual-a concept representative of anti-capitalist practices in both sex and labor. The hobosexual is developed as an extension of the lesbian flaneur, as a concept that requires reading Schulman's urban lesbian at the intersection of class and sexuality. Lila Futuransky's sexual identity is suspended and complicated through an emphasis on her desire for queer mobility; her urban movements connect her to hobo history, but also expose the effects of capitalism that thwart her urban movement.