Meanings of eating disorders discerned from family treatment and its implications for family education: the case of Shenzhen

Contrary to the simplistic myth that eating disorders are the result of a tendency to adopt the Western beauty standard of being slim and thin, the symptoms have been found to symbolize the struggles of adolescents and their development in a rapidly changing society, and in particular, to illuminate the continual conflicts inherent in the afflicted adolescents, their families and the accepted societal values and norms. This paper reports the results of a qualitative study conducted in Shenzhen, the first Special Economic Zone in China that has experienced rapid economic growth and a significant population increase from 314 100 to 6 million in the past two decades. With an aim to identify the meanings of eating disorders at the individual and family levels, this study has employed a multiple‐case study research design. Data have been collected through peer reviews on the family treatment sessions for 10 families, each with an adolescent daughter suffering from eating disorders, and with the sessions being videotaped with written consent from the families. Two themes evolved from the family narratives, namely the adolescents' attempt to master the uncontrollable life in facing the rapid transition of society, and their struggle between remaining young and growing up. Implications for family education in Shenzhen are discussed at the end of the paper.     

Resignation or Dismissal?: When a CEO and a President Clash

In the executive director's opinion, Bluehills Family Services' board of directors had serious problems with their organizational governance. These difficulties came to a head in an apparently unresolvable clash between the executive director and the board president. Given the preexisting board and organization perceptions, could an emergency board meeting produce a positive outcome, and would the executive director's participation be counterproductive?     

Living in poverty: a qualitative inquiry of emaciated adolescents and young women coming from low-income families in a Chinese context

Anorexia nervosa (AN) is no longer a disease of the rich in the West. Hitherto, no study has been carried out in the West or in the Chinese context that documents the experiences of poor people suffering from AN. This qualitative study aims to identify the subjective experiences of seven Chinese emaciated adolescents and young women coming from low‐income families, their family difficulties and needs, and resilience in coping. The results of the study have shown that family poverty has significantly triggered the onset of AN for two emaciated adolescents, while factors such as parents’ marital discord and relentless pursuit of thinness have also been reported. Family difficulties experienced included problems in parenting, inadequate financial resources, and insufficient information and access to health and social services. Strong family motivation and filial piety are found to be important cultural assets conducive to recovery. Implications of this study for social work practice are discussed.     

Multiple Views of the Family and Adolescent Social Competencies

This research examined the linkages between congruence in perceptions of family functioning and adolescent competencies with a sample of 223 first‐year college students, their mothers, and their fathers. The primary goal was to explore further the nature and importance of perceptual congruence as related to adolescent social competencies with a more informative analytic strategy than has been used in most past research (one that controls for individual perceptions of family members and takes into account direction of differences among family members), and with more comprehensive, multimethod assessments of adolescent competencies. Our congruence analyses portrayed a more complex picture of congruence and divergence than has emerged from previous studies, and highlight the importance of examining interaction patterns in future research. It is noteworthy, however, that individual perceptions of family members were more important than was congruence in relation to adolescent social competencies. The possibility that congruence effects may be more apparent when the focus is on more specific rather than global measures and on developmental as well as family interaction processes is suggested.     

Living beyond the unanticipated sudden death of a partner: a phenomenological study

This research project explored grief and its impact upon men and women who have experienced the sudden and unanticipated death of his or her partner. It included what grief meant to them, how it was manifested in his or her everyday lives and how his or her partner's death had impacted upon his or her relationship with themselves, with others and the world. A Husserlian phenomenological approach was used to explore the experiences of the ten women and five men whose partner had died up to five years prior to being interviewed. The need for the surviving partner to continue to participate in everyday life placed great strain upon the internal resources of the surviving partner. The surviving partner needed to reinvent him or herself, in an attempt to become independent and regain functionality, whilst dealing with the sadness and loss that they had experienced. The surviving partner discovered that a new life order emerged that included hope, optimism, planning for the future and perhaps the prospect of a new relationship. The death of a partner left the surviving partner with a loss that would always be a part of them, with the memories of his or her relationship being maintained within them that will never be replaced by somebody else. The results of this research project reinforce the need for ongoing education of the community in grief and bereavement issues in order to increase the awareness of the support needs of the bereaved person. The length of time and amount of energy required to incorporate the experience into the survivor's life, is greatly underestimated by the community, and perhaps by some of the health and caring professionals. Colonial and hospital based bereavement support services need to be established and be proactive using outreach programs, actively offering the suddenly bereaved partner and family support and information.     

The Efficacy of a Community-Based Project in a Chinese Context

In this paper, the authors report the results of an exploratory study which assessed the service efficacy of a collaborative service initiative developed by a university academic department and a community-based social service agency in a socially deprived and remote community in Hong Kong. The project aimed to foster mutual help and self-help of low-income families and deepen their social connection with the community. Service efficacy was assessed using a structured questionnaire and a focus group interview. After participating in the service project, the well-being of the participants has become better and their family relationships have improved. They have developed a stronger sense of belonging toward the community. The preliminary findings support the importance of creating social network in social work practice for low-income families residing in a deprived and remote neighborhood.     

Health and mental health services for children in foster care: the central role of foster parents

It is well documented that children enter foster care with special health and mental health needs and, while in care, those conditions are often exacerbated. However, less attention has been given to foster parents who have the most contact with these children. Results are presented from a national study on the developmental, health and mental health care needs of children in foster care that included foster parents' perspectives and observations. Their role in improving child well being is explained and recommendations for policy, practice and advocacy also are included.     

Sexual identity development among gay, lesbian, and bisexual youths: consistency and change over time

A longitudinal report of 156 gay, lesbian, and bisexual youths examined changes in sexual identity over time. Fifty-seven percent of the youths remained consistently self-identified as gay/lesbian, 18% transited from bisexual to gay/lesbian, and 15% consistently identified as bisexual over time. Although youths who consistently identified as gay/lesbian did not differ from other youths on time since experiencing sexual developmental milestones, they reported current sexual orientation and sexual behaviors that were more same-sex centered and they scored higher on aspects of the identity integration process (e.g., more certain, comfortable, and accepting of their same-sex sexuality, more involved in gay-related social activities, more possessing of positive attitudes toward homosexuality, and more comfortable with others knowing about their sexuality) than youths who transited to a gay/lesbian identity and youths who consistently identified as bisexual. Contrary to the hypothesis that females are more sexually fluid than males, female youths were less likely to change identities than male youths. The finding that youths who transited to a gay/lesbian identity differed from consistently gay/lesbian youths suggests that identity integration continues after the adoption of a gay/lesbian sexual identity.     

Links between past abuse,suicide ideation,and sexual orientation among San Diego college students

The authors explored relationships among childhood abuse, suicidal ideation, and sexual orientation of 18- to 30-year-old students enrolled in 2 San Diego area colleges, using responses from anonymous questionnaires. Sixty percent of the 138 eligible respondents were women, and 22% were self-identified gay/bisexual individuals. Women were more likely than men to report at least 1 form of emotional abuse (odds ratio [OR] = 2.3; p =.02) and unwanted sexual touching (OR = 4.3; p = .0004). Lesbian/bisexual women were significantly more likely to report past suicidal ideation than were heterosexual women (OR = 3.7, p = .03). Gay/bisexual men were more likely to report unwanted sexual touching than were heterosexual men (OR = 5.1, p = .04), but the men did not report significantly higher rates of past suicide ideation or suicide attempts. Sexual orientation and a past history of child sexual, physical, and emotional abuse could be compounding risk factors for suicidal ideation among college students.