African American Gay Men and Lesbians: Examining the Complexity of Gay Identity Development

Abstract

This article addresses the concept of gay and lesbian identity development with respect to African American gay men and lesbians. The authors suggest that the integration of one's gay identity and the coming out process are uniquely constructed for African American gay men and lesbians, who may be multiply challenged by racial prejudice, limited acceptance by the African American community, and a lack of integration into the larger, White gay community. Race, African American culture, a continuum of gay cultures, gender, and individual characteristics are suggested as salient variables that distinguish the gay identity experience of African American gays from that proposed by most gay identity models.     

Triangulating perspectives to inform the development of a smartphone application for foster,kinship, and adoptive parents

Abstract

This article describes the initial phase of a user-centered, inductive process for informing the development of a smartphone application (app) to complement an in-person trauma-focused knowledge and skills training class for child welfare resource parents (i.e. foster, kinship, and adoptive parents). Based on the participatory design approach for technology development, a qualitative study was designed to capture and triangulate relevant knowledge and opinions from resource parents, training instructors, and parenting education experts. The most prevalent themes emerging among these stakeholder groups included the need for a simple app interface and the potential for the app to (1) cultivate connection, affirmation, and combat resource parent feelings of isolation; (2) reinforce in-class knowledge and support skill practice at home; and (3) monitor resource parent, child, and family progress over time. Detailed findings are presented, including direct quotes from focus group and interview participants and elaboration on the prevalent themes, which may benefit others in the early stages of human services app design and contribute to the creation of guidelines for the development of technology-based human services interventions.     

Psychological Distress Experienced by Parents of Young Children With Congenital Heart Defects: A Comprehensive Review of Literature

ABSTRACT

The purpose of this study was to examine the existing research on the psychological distress experienced by parents whose young children (between the ages of 0 and 5 years old) have a congenital heart defect (CHD). A more detailed understanding of the distress experienced by these parents, including stress associated with the child's age, the severity of the child's diagnosis, and parent characteristics, is vital as it would allow for more targeted and individualized support for this population to enhance parental coping strategies and increase the likelihood of more positive parent–child interactions. This review of 25 studies contributes to the parenting stress literature by focusing on parents of young children and categorizing studies by publication characteristics, research methodology, and findings. The research clearly demonstrates that parents report a great deal of stress throughout the continuum of their child's health care experience. Recommendations for future research and practice implications, such as developing a stress vulnerability model specific to parenting children with CHD, clarifying the role between interdisciplinary team members regarding provision of psychosocial support to parents, and referring parents to specific community-based ongoing social support services, are presented.     

Mediated reunions in adoption: findings from an evaluation study

In Canada, there are long waiting lists of adopted persons and birthparents seeking information or actual reunions. In the province of Quebec, the government authorized a pilot project, involving a fee-for-service program and use of contract social workers to supplement agency staff as intermediaries in the reunion process. This article reports on the project's evaluation and provides birth-parents' and adoptees' responses to reunion. A survey of clients who used this service found a high level of satisfaction. There were, however, some significant differences between birthparents and adoptees as well as between those who were searching and those found.     

Social support among women veterans

The beneficial effects of social support on well-being have been shown in various studies. Less is known about factors which constrain or enhance the availability of social support. The present study profiles social support among women veterans and attempts to identify factors which enhance or constrain perceptions of support and social integration for women of different military eras. Data are derived from a national sample of women veterans who had at least one VA out-patient visit during a one year time period. Twenty percent of women veterans report having no one to depend on. Social support is lowest among Vietnam and Post-Vietnam era women. Chronic strains (such as having problems with relatives, housing, and paying bills) are important factors which are associated with levels of perceived support. Factors related to loneliness/alone status appear to be associated with constraints in group activities and perceived support. This research illustrates the importance of examining factors which constrain and enhance supportive activities and relationships.     

Advance care planning by unmarried women of different sexual orientations: the importance of social support

We examined social support as a facilitator of advance care planning in unmarried women of different sexual orientations. Survey participants consisted of 215 women, 90 who reported a preference for partnering with women (WPW) and 125 for partnering with men (WPM). Our findings indicate that the association between social support and advance care planning was mixed. Specifically, social support had no significant impact on executing a will for either WPW or WPM. Among WPW, naming a health-care proxy was associated with reporting a partner who provided social support. For WPM, having a partner for social support was not associated with naming a health-care proxy. These insights help in the understanding of women's advance care planning.