Open Dialogue: Frequently Asked Questions

Open Dialogue is an approach to working with people and their families experiencing psychosocial distress. Interest in Open Dialogue in Australia has been growing recently, raising questions about its adaption and implementation to local contexts. This article is an attempt to answer some of the frequently asked questions we have encountered in training and discussions about Open Dialogue. We attempt to provide responses to questions of how Open Dialogue is different to what is done already, how it fits with current approaches, how you know if you are doing it, whether it is passive or just about doing reflections, issues about including the social network, and concerns about the evidence base. This article aims to present a variety of viewpoints in relation to these questions and to hopefully further discussions on how Open Dialogue can be implemented and adapted to Australian health care and social care contexts.     

Attachment Disturbances Delay Language Acquisition in Internationally Adopted Children

Cross-sectional research on internationally adopted children has indicated an association between early attachment disturbances and language deficits. Raaska et al. (2013 Raaska, H., Elovainio, M., Sinkkonen, J., Stolt, S., Jalonen, I., Matomäki, J., … Lapinleimu, H. (2013). Adopted children's language difficulties and their relation to symptoms of reactive attachment disorder: FinAdo study. Journal of Applied Developmental Psychology, 34(3), 152–160.[Crossref], [Web of Science ®] , [Google Scholar]) have speculated that this relationship is likely bidirectional. In an attempt to elucidate the causal relationship between these two risk factors, the attachment disturbances and language skills of 44 internationally adopted children were assessed in a cross-lagged structural equation model. Greater attachment disturbances at wave 1 predicted less gain in language by wave 2. In contrast, language at wave 1 was not predictive of attachment disturbances at wave 2. These results suggest that early attachment problems may present an important risk for later language development and should be an immediate and primary focus of post-adoptive intervention for families adopting internationally.     

Towards a sociology of risk work: A narrative review and synthesis

In this article, we define the concept of “risk work,” which aims to make visible working practices to assess or manage risk, in order to subject these practices to sociological critique. This article reviews and synthesizes existing published literature to identify components of risk work: (a) translating risk into different contexts, (b) minimizing risks in practice, and (c) caring in the context of risk. We argue that these three components of risk work raise important tensions for workers that have been inadequately explored in the literature to date. We propose that future research should additionally focus on practitioner subjectivity and identity in risk work. In addition, we argue that comparative research—across type of risk and different contexts—and methodological and theoretical diversity would enhance this emerging field of research.     

Differential Recovery Migration across the Rural–Urban Gradient: Minimal and Short-Term Population Gains for Rural Disaster-Affected Gulf Coast Counties

Places affected or threatened by extreme environmental disturbances confront a number of significant issues, including whether their populations will stay the same or change through migration. Research on Hurricanes Katrina and Rita shows some displaced residents returned to their disaster-affected communities once the built environment was restored, new migrants settled in affected places as part of the rebuilding effort, and the regional migration system grew more urbanized and spatially concentrated during post-disaster years. Research also shows that not all disaster-affected places recovered their populations. Our study examines whether differential recovery is systematically patterned along the rural–urban gradient. Using U.S. Census Bureau estimates and IRS county-to-county migration data, we investigate whether the 2005 hurricane season differentially exacerbated or altered previous migration trends across a rural–urban gradient that incorporates proximity to metropolitan areas and disaster-related housing loss. We find a rural–urban differential in Gulf Coast recovery migration: The disaster boosted migration among non-metropolitan counties, yet these increases were smaller and short-lived compared to the patterns found for metropolitan counties, most especially high loss metropolitan counties. Our findings encourage theories of environmental migration to incorporate spatial differentiation and scenarios of environmental changes to account for differential impacts on settlement patterns across the rural–urban continuum.     

Conducive Characteristics or Anti-Racist Context? Decomposing the Reasons for Veterans’ High Likelihood of Interracial Marriage

Over the twentieth and twenty-first centuries, veterans have been more likely to enter into race/ethnic intermarriages than non-veterans. Theories of race/ethnic intermarriage variously point to how minority race/ethnicity, race/ethnically diverse social settings, progressive racial attitudes, and high socioeconomic status increase individuals’ likelihood of intermarrying. Veterans’ unique racial and socioeconomic characteristics may contribute to their greater likelihood of intermarrying relative to non-veterans: larger percentages of veterans than non-veterans are members of racial and ethnic minority groups, while military service increases individual service members’ long-term economic and educational prospects. At the same time, veterans share in common their exposure to the unique military environment, which may increase their likelihood of intermarriage by diversifying their social circles, and subjecting their attitudes and behavior to group norms that are more explicitly egalitarian than those of society at large. The present study considers these two possible explanations for veterans’ greater likelihood of intermarriage. We use data on seven cohorts of men over six decades in the Current Population Survey, representing a total of 1,456,742 observations, to decompose the difference in likelihood of racial intermarriage between veterans and non-veterans among married men aged 18–65. We find that across cohorts and decades, veterans’ greater likelihood of intermarrying is not fully explained by their race/ethnic and socioeconomic composition. We argue that veterans’ greater likelihood of intermarrying may therefore be driven by their exposure to the military environment.     

Providers’ perspectives of barriers experienced in maternal health care among Marshallese women

Problem

Pacific Islanders are disproportionately burdened by poorer maternal health outcomes with higher rates of pre-term births, low birth weight babies, infant mortality, and inadequate or no prenatal care.

Family Diversity and Child Health: Where Do Same‐Sex Couple Families Fit?

Increasing family diversity during the past half century has focused national attention on how children are faring in nontraditional family structures. Much of the limited evidence on children in same‐sex couple families suffers from several shortcomings, including a lack of representative data. We use the National Health Interview Survey (2004–2012) and the National Survey of Children's Health (2011–2012) to identify children in different‐sex married and cohabiting families, never and previously married single‐parent families, and same‐sex couple families. Considering important characteristics such as the child's race or ethnicity and adoption status, household socioeconomic standing, family stability, and parent health, we examine the relationship between family type and parent‐rated overall child health. The results suggest that poorer health among children in same‐sex couple as well as different‐sex cohabiting couple and single‐parent families appears to be largely the product of demographic and socioeconomic differences rather than exposure to nontraditional family forms.     

Advertising morality: maintaining moral worth in a stigmatized profession

Although a great deal of literature has looked at how individuals respond to stigma, far less has been written about how professional groups address challenges to their self-perception as abiding by clear moral standards. In this paper, we ask how professional group members maintain a positive self-perception in the face of moral stigma. Drawing on pragmatic and cultural sociology, we claim that professional communities hold narratives that link various aspects of the work their members perform with specific understanding of the common good. These narratives allow professionals to maintain a shared view of their work as benefitting society and to perceive themselves as moral individuals. As a case study, we focus on the advertising industry, which has long been stigmatized as complicit in exploitative capitalist mechanisms and cultural degradation. We draw on nine total months of fieldwork and seventy-four interviews across three US advertising agencies. We find that advertising practitioners use narratives to present their work as contributing to the common good, depicting themselves as moral individuals who care about others in the process. We analyze three prevalent narratives: the account-driven narrative, which links moral virtue to caring for clients; the creative-driven narrative, which ties caring to the production of meaningful advertisements; and the strategic-driven narrative, which sees caring in finding meaningful relationships for consumers and brands.     

Conducting Successful Memory Interviews with Children

Practitioners interview children in a range of settings to assess their wellbeing and to make decisions about their care. These interviews often have a significant memory component. Interviewing children about their past experiences, however, is a challenging task. It requires practitioners to be sensitive to children’s developmental capacities and vulnerabilities, to understand how to facilitate effective retrieval and reporting of information, and to set aside the usual dynamics and expectations of how adults and children communicate. Managing these challenges requires constant evaluation, self-reflection, and professional development. Fortunately, several decades of research into children’s memory and narrative development has provided a robust platform on which to base practice. Here, we provide a framework for devising a general approach to memory interviews with children that is both evidence-based and practical.