Facilitating Transition Among Transgender Clients: Components of Effective Clinical Practice

Although transgender clients seek services in a number of settings in which social workers practice, there is a dearth of scholarly literature available to guide effective clinical practice with this population. When transgender issues are included in the practice literature, the trend has been to consolidate the needs of transgender clients with those of the larger lesbian, gay, and bisexual community or to simply focus on increasing the comfort level of clinicians working with this population. This is concerning because transgender individuals represent a vulnerable subgroup of clients with unique and specific treatment needs related to the transition experience. Social workers play a critical role; they may serve transgender clients and their families in many ways: as advocate, educator, diagnostician, and individual, couples or family therapist. The purpose of this article is to identify several key components of trans-specific clinical practice and the role of social workers in supporting and facilitating client transition. Specifically, the authors will discuss: (a) relevant definitions and terminology, (b) emerging issues related to depathologizing the needs and experiences of transgender individuals, (c) the critical elements of trans-specific clinical assessment, and (d) clinical advocacy associated with the medical legal and social aspects of the transition process. Specific recommendations for trans-affirmative social work practice will be offered.     

Conducting Research with Lesbian,Gay, and Bisexual Populations: Navigating Research Ethics Board Reviews

The acceleration of research with lesbian, gay, and bisexual (LGB) populations amid existing sexual prejudice and advancing human rights leads to sometime conflicting stances between researchers and ethics boards over acceptable methodological practices. Ethics boards, charged with ensuring the safety of research participants, may engage in ostensibly protective stances regarding potential risks and informed consent that are unwittingly founded upon negative stereotypes of LGB populations. We examine four case studies that demonstrate divergent stances between researchers and ethics boards, researchers’ responses to ethics reviews and their resolution. Based on these cases, we describe themes and strategies for researchers working with LGB populations in responsibly navigating ethics board concerns.     

Work adjustment after combat deployment: reservist repatriation

A longitudinal, qualitative study was conducted with United States (US) Army reservists to explore the concerns and obstacles in the process of returning to the civilian workforce following a combat deployment. A person–environment fit perspective is used to explain the adjustment process and obstacles encountered by the returning reservists. Seven waves of interviews over a 12-month period were conducted. These interviews resulted in the development of a process model of reintegration to work. This process model consists of four phases: Return Home, Return to Work, Activation, and Settling In. We discuss the factors and events that characterize each phase and provide some practical recommendations for employers of military reservists.     

Teaching Note—Developing an Online Blended Learning Course on Psychiatric Diagnosis

ABSTRACT

It has been suggested that the task of teaching and learning social work practice in an online environment can greatly be facilitated if thoughtful attention is paid to course design. This article details the design of a blended-learning online course to teach MSW students the process of psychiatric diagnosis. First, the development of the course philosophy is discussed. Second, the choice of the VARK (visual, aural, read/write, kinesthetic) learning model is explained. Finally, the design of the course consistent with the philosophy and learning model is presented.     

Internal Migration and Crime in the Soviet Union

This paper analyses the changes in ethnic self-identification of the population of Ukraine from the last (January 1989) Soviet census to the first (December 2001) Ukrainian census. It begins with a comparison of the census data and describes the remarkable changes observed. Given the incomplete nature of published data on international migrations and their differentiation by ethnic groups in the inter-census period, the paper applies a method to fill in the gaps and calculate net migration balances for each ethnic group. Also, since no data is available on the net reproductive rates for separate ethnic groups in Ukraine, it sets out a method to estimate net reproduction rates for Ukrainians and Russians in the inter-census period. Using these methods, it establishes that differences in net migration on the one hand and the differences in net reproduction on the other contributed 11.1 and 4.4 percent of the growth in the share of Ukrainians and 6.8 and 5.2 percent in the sizeable decline in the share of Russians. The remaining lion’s share is a shift in identity among members of ethnically mixed (mainly Russian-Ukrainian) families. Mothers of ethnically mixed families, identifying the ethnicity of their newly born, contributed 11.4 percent to the Ukrainian gain and 9.2 percent to the Russian loss. The remaining 73.1 percent of the Ukrainian gain and 78.8 percent of Russian loss resulted from lifetime identity shift from Russian to Ukrainian, the most likely candidates being members of Russian-Ukrainian families.     

PR gets personal: A framing analysis of coverage before and after a source's criticism of the media

Public relations practitioners emphasize the importance of positive source–reporter relationships, but what happens when sources are critical of the reporters who cover them? Using framing analysis, this study examined newspaper coverage both before and after a source's personal attack on the media and found few differences in how the reporters covered the source of the attack. Results from this study suggest a single, public outburst from a source may not be enough to create backlash among members of the media.     

Do working mothers have healthy children?

This paper examines the effects of maternal employment on children's physical and mental health. The data used are from the Health Interview Survey 1981, Child Health Supplement. A health production model is developed on the basis of Becker's household production theory. The results reveal that a mother's employment is a significant factor affecting her child's physical health. Use of physician services, prices (i.e., CPI used as a proxy variable), sex of the child, receipt of Medicaid, the number of relocations, the mother's education, the mother's health status, breast-feeding practices, and the birth weight of the child are other important variables explaining the health status of children. The role of each of these factors varies according to the marital status of the mother.The authors wish to thank anonymous reviewers for their helpful comments resulting in a much improved product.She received her Ph.D. from Cornell University in 1990. Her current research interests include health care of children and elderly, teen pregnancy and welfare use, children and divorce, and immigrant consumers.She received her Ph.D. from Northwestern University in 1983. Her research includes long-term health care for frail and ethnic elderly, health insurance purchases for the elderly, and health services utilization by the employed and working poor.     

Predicting Time Spent in Treatment in a Sample of Danish Survivors of Child Sexual Abuse

ABSTRACT

The aim of this study was to identify significant predictors of length of time spent in treatment. In a convenience sample of 439 Danish survivors of child sexual abuse, predictors of time spent in treatment were examined. Assessments were conducted on a 6-month basis over a period of 18 months. A multinomial logistic regression analysis revealed that the experience of neglect in childhood and having experienced rape at any life stage were associated with less time in treatment. Higher educational attainment and being male were associated with staying in treatment for longer periods of time. These factors may be important for identifying those at risk of terminating treatment prematurely. It is hoped that a better understanding of the factors that predict time spent in treatment will help to improve treatment outcomes for individuals who are at risk of dropping out of treatment at an early stage.     

Empowering Lesbian,Gay, Bisexual,and Transgender Youth: Lessons Learned From a Safe Schools Summit

ABSTRACT

The bullying of lesbian, gay, bisexual, and transgender (LGBT) youth in schools is a significant problem in the United States. This study examined responses of youth participants at a statewide Safe Schools Summit to a survey of their experiences with school-based violence, harassment, and discrimination, and of the effects of their attendance at the Summit. Quantitative analyses found that 92% of respondents felt “more empowered” following participation in the Summit. Qualitative analyses found several emerging themes related to respondents' experiences with victimization (leading to a sense of powerlessness and attempts at self-protection) and to their experiences at the Summit itself (leading to catharsis, strengthened skills, and a commitment to confront bullies and to make schools safer). A conceptual model of the interaction of these factors is presented and implications for further research and practice are discussed.     

Popularity and Acceptance as Distinct Dimensions of Social Standing for Chinese Children in Hong Kong

This study attempted to validate distinctions between popularity and social acceptance in the cultural context of Hong Kong. We recruited 280 Chinese children (132 girls, 148 boys, mean age = 9.5) from Hong Kong primary schools. These children completed a peer nomination inventory assessing popularity, social acceptance, social rejection, aggression, peer victimization, and social behavior. Consistent with research conducted in western samples, we found that social acceptance was correlated primarily with positive behavioral characteristics (i.e., assertiveness‐leadership and low levels of submissiveness‐withdrawal). In contrast, popularity was associated with a more mixed pattern of features including high levels of aggression. The overall pattern of findings closely replicates past research conducted in North American and European settings.