Maintaining the Gains: What Worked in the Year after Brief Family Therapy

Brief family therapy, including single session therapy, is widely used to provide a timely and responsive service for children with emotional and behavioural problems. However, there is surprisingly little information about how these children and families fare in the longer term. The brief family therapy program described here was directed toward children with problems of moderate severity. Child Behaviour Checklists (CBCL) were completed by parents before, three months after, and twelve months after therapy; 110 parents also participated in semi‐structured telephone interviews twelve months after therapy. Parents' CBCL ratings showed a significant decrease in children's problems after therapy, which were maintained over the subsequent year, although some children continued to experience difficulties. Parents generally found brief therapy a helpful experience. Ways to strengthen the preventive possibilities of brief therapy work will be identified at both a practical and conceptual level.     

On the presidential campaign trail: Apologia of association

During the 2008 presidential primary campaign, the supporters of Senators Clinton, McCain, and Obama made a number of controversial public statements. After these remarks became public and a focus of media attention, the candidates and their surrogates/supporters engaged in what we term apologia of association. This study examines this previously unexplored apologetic form.     

The Marital Scales: Measurement of Intent,Attitudes, and Aspects Regarding Marital Relationships

Studies on marital relationships focus on intent to marry, global positive or negative attitudes toward marriage, and expectations for what married life will be like. There are currently no instruments capable of assessing all three of these areas. This study outlines the development and validation of the Marital Scales. One is designed to measure intent to marry (Intent to Marry Scale), another is for general attitudes toward marriage (General Attitudes Toward Marriage Scale), and the last scale measures expectations for marital relationships (Aspects of Marriage Scale). They are also designed to be applicable for any individual, regardless of marital status or sexual orientation. Results demonstrated excellent factor structure, and good internal reliability and construct validity for the instrument.     

Attitudes Toward Lesbians and Gays Among American and Dutch Adolescents

Attitudes toward lesbians and gays vary across national populations, and previous research has found relatively more accepting attitudes in the Netherlands as compared to the United States. In this study, we compared beliefs about and attitudes toward lesbians and gays in samples of Dutch and American heterosexual adolescents, utilizing survey data from 1,080 American adolescents (mean age = 15.86 years) attending two schools and from 1,391 Dutch adolescents (mean age = 16.27 years) attending eight schools. Findings indicated the Dutch participants were more tolerant of lesbians and gays, after adjusting for the gender, age, and racial/ethnic minority status of the participants. However, between-country differences were attenuated by accounting for the beliefs about lesbians and gays that participants used to justify their attitudes. American participants were more likely to justify their attitudes using beliefs related to social norms and religious opposition, while the Dutch participants were more likely to justify their attitudes using beliefs related to individual rights and the biological/genetic basis of homosexuality. The results suggest that the relative importance of particular beliefs about lesbians and gays to attitudes at the group level may be context dependent but also that certain beliefs are salient to attitudes across national contexts.     

Challenging Dominant Discourses: Peer Work as Social Justice Work

ABSTRACT

People with mental illnesses are overrepresented in the criminal justice system, and discourses concerning the medical model, criminalization, and criminality dominate the intervention landscape for this population. Using a critical postmodern lens, 45 in-depth interviews with peer specialists who had incarceration histories were analyzed to understand how they approach their work. Peer specialists with incarceration histories constructed new identities through their training and peer work by valuing experiential knowledge. Even in the face of power differentials, they challenged dominant discourses directly and indirectly and advocated for various forms of help for the people with whom they worked.     

Media use and political learning: Comparing Trump supporters to celebrity candidate voters

This study examines whether political media use behaviors of voters who supported Donald Trump in the 2016 presidential election align with those of “celebrity candidate voters” portrayed in the literature. The study used a national online survey (N = 1,608) conducted during the 2016 primary, and findings reveal that Trump supporters, more than other voters, are driven by entertainment motivations and follow campaign news using entertainment media: specifically, the video-sharing site YouTube. Although Trump voters are interested in the campaign, their level of political knowledge is lower than other voters, and no one media outlet made a significant contribution to their learning. A comparison group of other voters showed significant knowledge gains from news websites and Twitter. Results for Trump voters are consistent with scholars’ characterization of the celebrity candidate audience, particularly in studies suggesting that celebrity politicians may increase citizens’ engagement through entertainment gratifications rather than by a desire to become informed.     

“Allah will decide my life and death”: Religion and spirituality among populations at risk for HIV in Malaysia

ABSTRACT

We examined the influence of religion and spirituality on HIV risk contexts through in-depth interviews with men who have sex with men (n = 10) and female commercial sex workers (n = 10) in Malaysia. Using a grounded theory approach, five themes emerged from the interviews: (a) religion encourages caring for health, (b) health is influenced by a higher power, (c) prayer is a conduit to health assistance, (d) stigma is compounded by religion but it does not limit one’s spirituality, and (e) religion is not but should be incorporated into HIV campaigns. Incorporation of spirituality in service provision and addressing stigma is warranted.     

Undercounting Medicaid Enrollment in Maryland: Testing the Accuracy of the Current Population Survey

The U.S. Census Bureau’s Current Population Survey is the most commonly cited source for estimates of the insurance status of Americans, but there are concerns that the data may undercount participation in public programs such as Medicaid. Such a Medicaid undercount may result from survey respondents not acknowledging Medicaid coverage because they are unaware that they are enrolled in Medicaid, because they have not recently received health services, due to the stigma associated with receiving public assistance programs, or due to simple recall bias. This paper estimates the extent to which the Current Population Survey undercounts Medicaid participation in a single mid-Atlantic state, Maryland. We administered the Current Population Survey questionnaire to a random selection of known Medicaid participants. We find evidence that the Current Population Survey significantly undercounts Medicaid participation in Maryland and that much of the undercount could be corrected if the survey better identified the Maryland Medicaid program. We also find that recall bias may contribute to the undercount as well. There was no indication that stigma contributed to any undercount. Though not an aim of this study, we find that the Medicaid undercount may contribute to an over count of the number of uninsured.

Caregiver burden, dementia, and elder abuse in South Korea

The purpose of this study is to identify characteristics that would increase the likelihood that a Korean older adult with dementia being cared for by a family caregiver is at risk of being abused. This analysis was based on a sample of 481 primary family caregivers from the data of Comprehensive Study for the Elderly Welfare Policy in Seoul (2003). Multiple regression analysis was used to examine predictors among the demographic characteristics of caregivers and care recipients, the severity of cognitive impairment, functional ability, caregiver burden, and social support for the degree of elder abuse. The degree of elder abuse was significantly associated with caregiver burden, mental impairment, dependency of daily living of care recipient, and use of formal services.