The Neurosequential Model of Therapeutics: An Interview with Bruce Perry

In this interview with Bruce Perry, MD, PhD, Senior Fellow of The Child Trauma Academy, Laurie MacKinnon discusses with Dr Perry developmental trauma and the Neurosequential Model of Therapeutics, an approach to clinical problem solving that utilises a developmental lens and incorporates advances in neurobiological development. Dr Perry gives his perspective on the causal connection between childhood abuse and later psychiatric diagnosis, the child's contact with a violent parent post‐separation, the importance of interventions that address the organisation and functioning of lower parts of the brain and his perspective on the use and limitations of psychotropic medications, cognitive behaviour therapy and family therapy.     

Out of the ordinary: research participants’ experiences of sharing the ‘insignificant’

How do research participants feel about having their ‘ordinary’ lives researched? This article focuses on how research participants manage the sharing of details emerging out of their ordinary lives in the context of research – an activity which, for most, is outside of the ordinary. Despite two significant research turns – towards reflexivity and towards the ‘everyday’ – these experiences remain curiously neglected. Drawing on a study of small acts of help and support, I seek to push methodological debate about researching the ordinary beyond the technical challenges of surfacing or capturing the apparently mundane or ‘insignificant’. I do so by arguing that background feelings rooted in the living of, and sharing about, the ordinary are analytically important in their own right; that the ‘ordinary’ itself, therefore, has to be managed by research participants and researchers; and that Goffman’s notion of performance is a useful tool for understanding how this is done.     

Developing Age-Friendly Cities: Case Studies From Brussels and Manchester and Implications for Policy and Practice

Developing environments responsive to the aspirations of older people has become a major concern for social and public policy. Policies and programs directed at achieving “age-friendly” communities are considered to require a wide range of interventions, including actions at the level of the social and physical environment. This article compares the age-friendly approaches of two European cities, Brussels and Manchester, with a particular focus on policies and initiatives that promote active aging in an urban context. The article examines, first, the demographic, social, and multicultural contexts of Brussels and Manchester; second, the way in which both cities became members of the World Health Organization Global Network of Age-Friendly Cities and Communities; third, similarities and differences in the age-friendly approaches and actions adopted by both cities; and fourth, opportunities and barriers to the implementation of age-friendly policies. The article concludes by discussing the key elements and resources needed to develop age-friendly cities.     

“That's So Gay!”: Examining the Covariates of Hearing This Expression Among Gay,Lesbian, and Bisexual College Students

Abstract

Objective: The investigators examined the health and well-being correlates of hearing the popular phrase “that's so gay” among gay, lesbian, and bisexual (GLB) emerging adults. Participants: Participants were 114 self-identified GLB students aged 18 to 25 years. Methods: An online survey was distributed to students at a large public university in the Midwest during winter 2009. Results: Participants’ social and physical well-being was negatively associated with hearing this phrase, specifically feeling isolated and experiencing physical health symptoms (ie, headaches, poor appetite, or eating problems). Conclusions: College professionals and student leaders must acknowledge that the phrase is a form of heterosexist harassment. As such, policies addressing diversity and harassment should address students’ use of this phrase, aiming to reduce its use. Additionally, colleges and universities should develop practices that counteract poorer well-being associated with hearing the phrase.     

The Development of Object Construction From Infancy Through Toddlerhood

Early in development, children explore and combine objects in increasingly complex ways. One manual skill, object construction, represents a major shift in how objects are explored relative to other objects. Despite recent connections with cognitive functioning such as spatial skills, the development of object construction ability has rarely been studied and its trajectory has not been adequately described. The purpose of this study was to describe the development of three types of object construction (stacking, nesting, and affixing) across 5 monthly infant visits and 7 monthly toddler visits using a longitudinal design and a large sample size. Infants (10–14 months, n = 131) and toddlers drawn from the infant sample (18–24 months, n = 65) were given sets of age‐appropriate toys each of which elicited at least one type of constructive play. We described success at different construction tasks and identified trends for construction skill for infant and toddler development using multilevel modeling. We found that each of the three construction actions developed in unique ways across the 10‐ to 24‐month period. Infant construction skill predicted the development of toddler skill, but toddler construction skill diverged from infant trajectories. We discuss the role of combination strategies in the development of object construction skill and how object construction could be related to other domains of development.     

Editorial

In recent years the imperative to involve service users and carers at every level of care, service and policy development has been extended to include involving users and carers in the training of health and social care professionals. Guidance on how this is to be achieved in practice is, however, limited. This paper describes work undertaken to explore how an Approved Social Work Programme in the north of England could involve service users and carers more fully and develop an integrated approach to service user and carer involvement in this and other social work programmes. Following a review of the literature in this area, the results of a series of meetings with individual and groups of service users and carers are presented, together with a survey of ASW programmes. It then goes on to consider the implications for service user and carer involvement in the new social work degree.     

In Spite of All,We Make It: Themes of Stress and Resiliency as Told by Women in Families Living in Poverty

The purpose of this research study was to increase our understanding of how families living in poverty successfully meet life challenges. Family resiliency provided the theoretical framework for examining family coping and adaptation. This study used a purposive sample of women (N = 128) in families with children attending Head Start. All families lived below or at poverty level, most with 11th grade education or high-school/GED diploma. Content analysis methods were used for data analysis. Results of this study identify the characteristics that promote competence, including how individual, family, and environmental factors are potential stressors that also may serve to promote family resilience. The data indicate that family love and mutual support, as well as faith, help stressed families cope and maintain meaning in spite of lack of control over life circumstances resulting from economic poverty.     

Aging with HIV: Historical and Intra-Community Differences in Experience of Aging with HIV

Gay men living with HIV/AIDS face a complex of health issues, including those associated with the aging process, long-term HIV infection (25 years or more), and side effects from Highly Active Anti-Retroviral Therapy (HAART). If aging can increase marginalization, this is more likely for the aging HIV positive gay man, who is already marginalized for being queer and living with a stigmatizing disease. This article presents findings from a study of a long-running HIV support group. It locates the members, all gay men living with HIV, in a specific historical and political context to explore how feelings of loss and the struggle to sustain community affect long-term survivors and other older HIV+ gay men. We identify specific challenges presented by aging for men who contracted HIV early in the epidemic, contrasting them with those faced by men infected with the virus later in life. While both groups appear to struggle with a vision of what life could have been, had AIDS not forced loss and change, they also celebrate the community their shared plight has enabled.     

Rural Perspectives on Same-Sex Marriage

This study explored rural perspectives on same-sex marriage with a nonprobability sample (N = 156) of adult respondents recruited in a largely rural state in the upper Midwest. A new 6-item instrument with strong internal consistency (α =.943) found that support for same-sex marriage was widespread without significant differences based on relationship status, education level, rural residence, or biological sex. Sexual orientation predicted support for traditional family values and same-sex marriage which were inversely associated. Findings suggest that the presumption of rural bias and hostility toward alternative sexualities has mitigated in the upper Midwest. Social work practitioners should infer from this study that there is more to rural culture than remoteness, isolation, poverty, stigma, and conservative religious values. The malleability of rural culture may be an unrecognized strength that may provide encouragement to rural social workers advocating for and serving lesbian, gay, bisexual, and transgender (LGBT) individuals.