Couples therapy: Integrating the psychoanalytic and systems viewpoints

This paper will discuss the treatment of couples based on an integration of analytic and systemic ways of regarding the couple in conflict. The author uses a combination of empathy and coaching of each partner, both oriented to validating each partner's integrity, and helping each to reflect on his or her own part in continuing the struggle. The goal of such treatment is to help them represent themselves by taking responsibility for themselves in differing from each other, in ways that respect themselves and each other. The premise is that partners in a struggling relationship have issues within their individual functioning that are continuing to defy their expressed intention of having a satisfying relationship. Their individual issues have contributed to their selection of each other as mates and, together, they have developed the ways of relating that are so problematical. We understand that the conflict and its effect within the couples' system is sufficiently meaningful to each partner to necessitate and justify the repetitive behavior.     

Social Service Professionals’ Perceptions of Nonoffending Caregivers in Child Sexual Abuse Cases

This study was designed to assess social service workers’ perceptions of nonoffending caregivers in cases of child sexual abuse. Attributions of blame were examined by administering questionnaires to staff at local social service agencies. It was hypothesized that social service workers who worked in the field longer, were male, or had less education would attribute more blame to the nonoffending caregivers. The findings revealed that respondent gender was the only significant predictor of blame attribution toward nonoffending caregivers, with level of education approaching significance as a predictor. There was no relationship between attribution of blame and years in job. The findings have important contributions for informing the practice of social service professionals who work with families of child sexual abuse.     

Effects of Photovoice: Civic Engagement Among Older Youth in Urban Communities

Youth civic engagement is critical to many community empowerment initiatives. Photovoice is a popular empowerment technique for disenfranchised groups, including youth. The technique has little published empirical support. This research assesses Photovoice as a youth mobilization project within the context of an ongoing community development initiative. It was hypothesized that Photovoice participation would (a) improve students' interest in civic engagement and (b) have greater impact on older rather than younger adolescents. Thirty-three (33) youths (15–21 years of age) completed a Survey of Youth Engagement before and after Photovoice participation. Results indicate a main effect for age, with youths 18 years of age and older scoring significantly higher than youths under 18 years of age. This study suggests that Photovoice promotes significant changes in perceived civic engagement among older youths.     

Rhetorical Listening and Moral Sensitivity

Rhetorical listening is explored within the practice of ethics as facilitating moral sensitivity to the interests of Others to thrive. By stimulating the moral imaginations of ethical actors, rhetorical listening prompts recognizing Others, especially those whose presence is obscured by language practices and rhetorical forms, as communicators possessing an interest to thrive in their relationships. Martha Solomon's analysis of the medical reports of the Tuskegee Syphilis Study is used to illustrate how rhetorical listening stimulates the moral imagination to recognize seen and unseen Others and facilitates moral sensitivity.     

The Inclusion of Minority Groups in Clinical Trials: Problems of Under Representation and Under Reporting of Data

Objective: To evaluate the representation of minority groups in randomized control trials (RCTs), and the frequency with which this information is reported.

Study Design: Reviewers collected data on the racial/ethnic composition of study samples from all RCTs published in six leading medical journals in 1999.

Results: Of the 280 RCTs, most (204, 71.3%) provided no information on the race/ethnicity of participants. Of the 89 U.S.-based RCTs, 50 (56.1%) reported their minority distribution. Relative to other trials, those funded by the National Institute of Health (NIH) (n = 52) were more likely to report race/ethnicity data (55.8% vs. 23.7%; χ² = 20.9, p ≤ 0.001) and to include nonwhite participants (13.5% vs. 12.5%; χ² = 22.7, p ≤ 0.001).

Conclusion: Minority groups are currently under-represented in clinical trials. Information on the race and ethnicity of clinical trial participants is currently underreported in six leading medical journals. Reporting of minority group information was significantly better only in NIH funded trials, which also were more likely to include nonwhite participants. This suggests that mandatory reporting policies may have a positive effect on both reporting and representation.     

Assessing the Needs of Older Gay,Lesbian, Bisexual,and Transgender People: A Service-Learning and Agency Partnership Approach

A county agency and a social work research class partnered to conduct a state-mandated needs assessment of older gay, lesbian, bisexual, and transgendered people (GLBT). A survey design with purposive sampling of GLBT people over 60 yielded 38 participants. Findings included that the Internet was a viable means to reach this population and student awareness increased. Areas of greatest unmet need were GLBT-oriented/friendly legal advice, social events, grief and loss counseling, social workers, and assisted living. Some participants perceived existing senior services as unfriendly or hostile to GLBT persons. Recommendations include continued use of service-learning research and expanded needs assessment efforts.     

A Nonprofit Community Service and Academic Collaboration to Increase Outreach to Older Adults With Cancer: Lessons Learned

This article describes the lessons learned by social work practitioners and nurse researcher faculty from a unique partnership between a 501(c) 3 nonprofit community service organization (cancer helpline) and an academic facility to improve outreach to older adults with cancer. In preparing the research proposal, carrying out the procedures, and instituting a community-based participatory research (CBPR) approach lessons learned included the importance of experienced researchers/writers, unpredictability of research activities, importance of collecting complete data, communicating underlying discipline and role-oriented assumptions, and effectiveness of CBPR to increase outreach to older adults with cancer in Delaware's eight cancer clusters.     

Long-Term Implications of Welfare Reform for the Development of Adolescents and Young Adults

We draw upon the 3-wave longitudinal dataset called Welfare Children and Families: A Three-City Study to examine the long-term implications for adolescents and young adults (N = 783) of mothers' welfare receipt and labor force participation from 1999 to 2005. In general, changes in mothers' work and welfare patterns were not associated with deterioration or improvement in youth development (ages 16 to 20 years at Wave 3). The few significant associations suggested that youth whose mothers increased employment (net of welfare participation) were less likely to show increases in serious behavior problems and delinquency compared to youth whose mothers were unemployed or employed part-time during the study period. Welfare roll exits (controlling for employment experiences) were unrelated to adolescent and young adult outcomes. Mothers' employment transitions were linked to improvements in household income and mothers' self esteem in addition to reductions in financial strain and their own illegal activities. However, these associations did not explain the relation between maternal employment and youths' improved behavior. These results do not support the predictions of either the supporters or the opponents of welfare reform, an outcome we discuss.     

She left, he left: how employment and satisfaction affect women's and men's decisions to leave marriages

Studies examining determinants of divorce have largely ignored differences between factors that elevate wives' and husbands' initiation of divorce. The authors use longitudinal data and a latent class model embedded in a competing-risks event history model to assess distinct predictors of wives and husbands leaving marriages. They find that when men are not employed, either spouse is more likely to leave. When wives report better-than-average marital satisfaction, their employment affects neither spouse's exit. However, when wives report below-average marital satisfaction, their employment makes it more likely they will leave. The authors' findings suggest that theories of divorce require "gendering" to reflect asymmetric gender change.