“Everything That We Can Do”: A Content Analysis of the Protective Strategies Used by GLBTQ Parents

Despite increased access to parenting rights through legal marriage and adoption, U.S. gay, lesbian, bisexual, transgender, and queer (GLBTQ) parents continue to experience varying levels of support for their families. This study explored protective strategies, or actions taken to meet one's safety needs when vulnerable, that GLBTQ parents pursue. This study included 454 GLBTQ parents from a national survey. Participants' open-ended responses about protective strategies were extracted from the survey and analyzed using content analysis. Responses were coded into 10 categories capturing strategies GLBTQ parents used to protect their families. While strategies utilizing legal supports were common, the most cited strategies were symbolic strategies, including creating a family name and developing written statements of parent wishes. Exploratory analyses revealed no difference in mean number of strategies used between parents who reported having legal status as a parent through adoption or listing on the birth certificate and those without legal parenting status. These results suggest that GLBTQ parents, regardless of their legal parenting status, take intentional measures to achieve a sense of safety and increase social support. The findings reiterate the importance of both legal and social support of GLBTQ parents.     

Exploring the role of faith in resettlement among Muslim Syrian refugees

ABSTRACT

Over 95% of the refugees from Syria who have resettled in the United States are Muslim. The purpose of this qualitative study was to explore the role of the Islamic faith in contributing to resiliency among recently resettled refugees from Syria. Ten in-depth, semi-structured interviews were conducted with Syrian adults who had arrived in the United States between 3 months and 2 years prior to the study. Findings emphasized the primary role of the Islamic faith in the lives of participants. For participants in this study, identifying as Muslim was an essential part of their identity and served as a source of comfort, strength, pride, and humility. Parents in the study expressed fears that their children would lose their connection to their culture and would grow up to devalue the Islamic faith and traditional religious practices due to their exposure to American values which they viewed less strict regarding dress, alcohol consumption, and faith practices. Understanding the important role that the Islamic faith can have in providing a source of comfort, strength, and empowerment for Syrian refugees, and working to build infrastructure to support and sustain these faith traditions is an essential component of refugee resettlement in the United States.     

Understanding engagement in the Program of Assertive Community Treatment (PACT) from the perspectives of individuals receiving treatment

ABSTRACT

Engagement of individuals with serious mental illnesses in community mental health services is a significant challenge. The Program of Assertive Community Treatment (PACT) is an individual-centered and self-contained mental health program that provides psychiatric treatment, rehabilitation, and support services to persons with serious mental illness who have a history of or likelihood of disengagement with services. Understanding what helps and hinders consumers’ involvement in PACT services may provide information on how to tailor engagement strategies to individuals based on their treatment needs and preferences. The current study builds on existing studies by exploring factors that help and hinder engagement in PACT services from the perspectives of individuals receiving treatment. We conducted open-ended, semi-structured interviews with 17 individuals receiving PACT services. Nine themes were identified through thematic analysis: Desirable qualities of PACT, Focusing on positive outcomes, PACT as a safety net, Recovery orientation, Practical barriers, Conflictual relationships, and Medication side-effects. We conclude that the development of a trusting, therapeutic relationship that is collaborative and person-centered and that is facilitated by both practical and emotional support is critical to engaging individuals in treatment and maximizing positive outcomes.     

Lex Cantandi,Lex Credendi: A Content Analysis of Organizational Identity-Constructing Pronouns in Pre- and Post-Vatican II Catholic Hymns

This article asks whether hymns written prior to and following the Second Vatican Council (Vatican II) differ significantly in their use of self- and divine-referential pronouns and answers this question by content analyzing the lyrics of 196 hymns in two different hymnals used in Catholic parishes today. It finds that hymns written post-Vatican II contain significantly more self-referential pronouns as well as an interestingly different mix of divine-referential pronouns than hymns written pre-Vatican II. These findings contribute to our knowledge of how shifts in religious organizations’ identities find expression in liturgical texts, which is important for understanding how the religious identities of individuals and communities are socially constructed over time.     

Changing land tenure patterns in Scotland: A time for reform?

Land tenure patterns throughout Britain have changed significantly. The popularity of the traditional agricultural tenancy has declined and in response to legislative and policy developments landowners have become reluctant to enter into long-term tenancy arangements with tenants. The result has been a growth in a number of short term leases. In response, legislative reform took place in England and Wales during 1995 and introduced a farm business tenancy. It provides for greater freedom to negotiate individual agreements. However, Scotland has been excluded. This paper illustrates that Scotland has experienced similar changes to those observed elsewhere and that the main short term lease (limited partnership tenancy) currently popular with Scottish landowners is fraught with legal and administrative difficulties. The limited partnership tenancy is not a suitable alternative to the traditional agricultural tenancy and as such there may be a case for the extension of the farm business tenancy to Scotland.     

A martingale-based test for independence of time to failure and cause of failure for competing risks models

In this article, we introduce a class of tests, using a martingale approach, for testing independence of failure time and cause of failure for competing risks data. Asymptotic distribution of the proposed test statistic is derived. The procedure is illustrated with a real-life data. A simulation study is carried out to assess the level and power of the test.     

A Bayesian sequential design with binary outcome

Several researchers have proposed solutions to control type I error rate in sequential designs. The use of Bayesian sequential design becomes more common; however, these designs are subject to inflation of the type I error rate. We propose a Bayesian sequential design for binary outcome using an alpha‐spending function to control the overall type I error rate. Algorithms are presented for calculating critical values and power for the proposed designs. We also propose a new stopping rule for futility. Sensitivity analysis is implemented for assessing the effects of varying the parameters of the prior distribution and maximum total sample size on critical values. Alpha‐spending functions are compared using power and actual sample size through simulations. Further simulations show that, when total sample size is fixed, the proposed design has greater power than the traditional Bayesian sequential design, which sets equal stopping bounds at all interim analyses. We also find that the proposed design with the new stopping for futility rule results in greater power and can stop earlier with a smaller actual sample size, compared with the traditional stopping rule for futility when all other conditions are held constant. Finally, we apply the proposed method to a real data set and compare the results with traditional designs.     

Colorful Disclosures: Identifying Identity-Based Differences and Enhancing Critical Consciousness in Supervision

ABSTRACT

Managing microaggressions and marginalizing experiences while negotiating the ongoing oppression that occurs in micro, mezzo, and macro settings can be particularly challenging for clinicians of color. Thus, supervision with clinicians of color must include affirmation, empowerment, and exploration of the intracultural/intercultural dynamics inherent in the treatment-providing process and clinical supervision. Through case studies, autoethnographic studies of our supervision experiences, and interviews with supervisors and supervisees, we reflect on how axes of identity, including race, power, and privilege, inform practitioners’ clinical lenses and affect their vulnerability in treatment and the clinical supervision dyad. Special attention is placed on the clinical supervisor–clinician–client triad (the triple process) and the interpersonal dynamics of cultural sensitivity, cultural humility, and authentic responsiveness that supervisors aim to model and cultivate in the supervisory relationship. In addition to sustaining clinical growth for clinicians of color, adding this level of complexity to supervision supports equity in direct clinical practice, enhancing efficacy outcomes for clients and communities. Recommendations and pedagogical strategies are offered to support supervisors in initiating difficult dialogues and shifting the paradigm to promote this transformational perspective.     

Illuminating the Phenomenological Challenges of Cross-Cultural Supervision

ABSTRACT

The authors discuss transference enactments that occur during cross-cultural supervision. Previous research has shown that few mental health professionals willingly talk about race during supervision and that White supervisees experience significant difficulty when directly engaged in discussions about race. They introduce a new phenomenon, “stereotypical” transference enactments, as a means for understanding the countertransference Black female clinical supervisors experience during clinical supervision of White supervisees. The findings indicated that effective cross-cultural supervision should address the intersectionality of race and gender to enhance the development of multicultural clinical skills. The clinical and educational challenges are discussed by using two case vignettes.     

Fast parallel $$\alpha $$-stable distribution function evaluation and parameter estimation using OpenCL in GPGPUs

\(\alpha \)-Stable distributions are a family of probability distributions found to be suitable to model many complex processes and phenomena in several research fields, such as medicine, physics, finance and networking, among others. However, the lack of closed expressions makes their evaluation analytically intractable, and alternative approaches are computationally expensive. Existing numerical programs are not fast enough for certain applications and do not make use of the parallel power of general purpose graphic processing units. In this paper, we develop novel parallel algorithms for the probability density function and cumulative distribution function—including a parallel Gauss–Kronrod quadrature—, quantile function, random number generator and maximum likelihood estimation of \(\alpha \)-stable distributions using OpenCL, achieving significant speedups and precision in all cases. Thanks to the use of OpenCL, we also evaluate the results of our library with different GPU architectures.