Genograms: Is it Time for a Change?

This article began as a letter to the Editors, expressing Anne Macvean's concern about the genogram convention that the ANZJFT follows. How does a journal decide whether or not it is time to change? This seemed to be an issue deserving of a wider debate. Here is the beginning of the debate, with comments on Anne's letter from two local users of genograms, Jenny Brown and Jan Evans, and from Monica McGoldrick, internationally known genogram expert, author of You Can Go Home Again [1995], co‐author of Genograms: Assessment and Intervention (1999).     

Caregiver involvement in behavioural health services in the context of child welfare service referrals: a qualitative study

Human service agencies serve a growing number of adults with behavioural health needs. Despite these agencies' key role in identifying need and facilitating services, many individuals do not receive care or end services prematurely. Few studies have explored the experiences of families referred to behavioural health services by such agencies or the extent to which families' perceptions of service need align with those of treatment providers and frontline workers. This study presents findings from a qualitative study of caregivers involved with child welfare agencies who were referred to behavioural health services. Researchers reviewed agencies' case records and conducted in‐depth interviews with 16 caregivers, 9 child welfare caseworkers and 12 behavioural health treatment counsellors. Findings suggest that when deciding to engage in services, caregivers weigh not only their individual and family behavioural health needs but also potential agency intervention, including loss of child custody. Many professionals reported that involvement with a child welfare agency hindered the caregiver's disclosure of behavioural healthcare needs. Implications for managers and practitioners are discussed.     

Evidence for an Incipient Decline in Numbers of Missing Girls in China and India

The apparently inexorable rise in the proportion of “missing girls” in much of East and South Asia has attracted much attention among researchers and policymakers. An encouraging trend was suggested by the case of South Korea, where child sex ratios (males to females under age 5) were the highest in Asia but peaked in the mid‐1990s and normalized thereafter. Using census data, we examine whether similar trends have begun to manifest themselves in the two most populous countries of this region, China and India. The data indicate that child sex ratios are peaking in these countries, and in many subnational regions are beginning to trend toward lower, more normal values. This suggests that, with continuing economic and social development and vigorous public policy efforts to reduce son preference, the “missing girls” phenomenon could eventually disappear in Asia.     

Social support,the presence of barriers and ideas for the future from students with disabilities in the higher education system in Croatia

This paper examines how students with disabilities in Croatia perceive support, experience barriers and propose ways forward for equality of opportunities in the higher education system. In qualitative interviews, students were satisfied with the informal support they received from family and friends but dissatisfied with the formal support they received from universities and the government. Obstacles to inclusion included: inadequate transport and finance to attend university and minimal adaptation of buildings, toilets, lifts, classrooms and dormitories. Students proposed: investment in adapting buildings, personal assistants, educational grants and transport; coordination within the formal systems from national government to universities and non-governmental organisations; and measures to increase disability awareness for academics, professionals and other students within higher education. The situation for students with disabilities in Croatia is a reminder for those working in countries where policy and practice is relatively advanced that many disability battles are still to be won in newer nations.     

A Contextual Approach to the Development of Self-regulatory Competencies: The Role of Maternal Unresponsivity and Toddlers' Negative Affect in Stressful Situations

A prospective study examined the effects of maternal unresponsivity and of toddlers’ own negative affect on the child's subsequent ability to use effective attentional control strategies in preschool. Maternal and child behaviors were measured in situations that varied in the level of stress to test the hypothesis that behaviors in high stress situations would be more diagnostic of children's subsequent self‐regulatory behavior. As predicted, both maternal unresponsivity and toddlers’ negative affect, particularly in a high stress as opposed to a low stress situation, predicted children's later use of ineffective attentional control strategies. Similarly, maternal disengagement that occurred contingent to toddlers’ distress predicted ineffective attentional control strategies whereas maternal disengagement in response to toddlers’ non‐distress behaviors did not. The findings supported the utility of a contextual approach to understanding the impact of maternal and child characteristics on the development of self‐regulatory skills.     

Reference group consumption and the subjective wellbeing of the poor in Peru

This paper studies the relationship between the consumption of the reference group and people’s subjective wellbeing in seven poor Peruvian communities. It presents an empirical analysis of the importance of relative consumption for people’s feelings of adequacy in five consumption domains (food, housing, education, clothes and health care). Against the assumption that relative consumption only matters for the rich and drawing on recent empirical work in Latin America, the study hypothesises that participants are likely to be influenced by the level of consumption of the area where they live when evaluating their situation. The data come from two surveys implemented in 2004 and 2005 in Peru by the Wellbeing in Developing Countries (WeD), ESRC research group at the University of Bath. The results indicate a negative effect of relative consumption on participants’ appraisal of their households’ clothes, housing and children’s education. However, the study also shows that in domains linked to the need for physical health such as health care and food, appraisals are made based on households’ objective situations and that the average consumption in the community does not play a significant role.     

Dimensions of women’s autonomy and the influence on maternal health care utilization in a north indian city

The dimensions of women's autonomy and their relationship to maternal health care utilization were investigated in a probability sample of 300 women in Varanasi, India. We examined the determinants of women's autonomy in three areas: control over finances, decision-making power, and freedom of movement. After we control for age, education, household structure, and other factors, women with closer ties to natal kin were more likely to have greater autonomy in each of these three areas. Further analyses demonstrated that women with greater freedom of movement obtained higher levels of antenatal care and were more likely to use safe delivery care. The influence of women's autonomy on the use of health care appears to be as important as other known determinants such as education.