Therapeutic alliance between youth and staff in residential group care: Psychometrics of the therapeutic alliance quality scale

Therapeutic alliance has been frequently studied in individual counseling sessions; however, research on therapeutic alliance in residential settings for youth with mental health diagnoses has been limited. This may be due, in part, to the presence of multiple service providers often in caregiving roles. The purpose of this study was to examine the psychometric quality of a widely utilized measure of therapeutic alliance used in psychotherapy with youth in residential care where the treatment is provided by a trained married couple. We also compared the relationship between youth ratings of their male and female service providers, as well as examined correlations in ratings between youth and staff on therapeutic alliance. Finally, we investigated the direction, magnitude, and trajectory of change in therapeutic alliance over a 12-month period following admission into residential care. The method was a longitudinal assessment of 135 youth and 124 staff regarding therapeutic alliance over the course of 12 months or discharge from services. Results indicated strong psychometric properties and high correlations for youth ratings of both their male and female service providers. However, the correlation was low between youth and service provider ratings of alliance. Longitudinal analyses indicated that rates of therapeutic alliance changed over time.     

Homelessness,housing instability,intimate partner violence,mental health,and functioning: A multi-year cohort study of IPV survivors and their children

Abstract

Homelessness and housing instability frequently accompany intimate partner violence and can negatively impact health and functioning. When children are exposed to homelessness or housing instability their ability to develop and function is compromised. The purpose of this study is to examine the differential impact of homelessness and unstable housing on health and functioning of women and their children over a 2-year period. Two hundred and seventy-seven mothers reporting intimate partner violence (stalking, physical, or sexual violence by an intimate partner) were asked about housing stability, abuse, risk for murder, mental health, employment/wages, and their child's functioning over a 2-year period. Outcomes of mothers reporting homelessness and unstable housing were compared to mothers reporting stable housing. Over one-third (36%) of the mothers reported at least one episode of unstable housing over the 2-year period and 11% reported homelessness. Measures of maternal mental health and child functioning were worse for both unstably housed and homeless women, compared to stably housed women, with a higher risk for sexual abuse and risk for murder for homeless women. New models of rapid rehousing are needed that address not only the housing problems of women who have experienced intimate partner violence but also the mental health and safety issues that the women and their children face.     

Discursive Arenas: Deliberation and the Constitution of Identity in Public Participation at a Local Level

This article is based on empirical research into public participation in two English cities. It discusses issues related to motivations to take part in public participation initiatives and the way in which individual and collective identities may be constructed through participation. Drawing on social movement theory it emphasises the importance both of networks and values in prompting participation and it illustrates this with examples drawn from participation initiatives based around identities: age, gender, ethnicity, and issues/interests such as health inequalities, community regeneration and social care service provision. The analysis suggests it is important to understand the histories and motivations of officials as well as citizens who take part, and questions the priority given to ‘representation’ in constituting the membership of participation forums.     

An “Unthought Known” of Her Own: The Aesthetics of Interruption

Through a personal account, the author reflects on how we are haunted by what we take from our parents or what, unawares, they transmit to us, and how that haunting pulls us forward and back at the same time.     

Social Legislation For The Reproductive Technologies

The reproductive technologies, particularly IVF, have proved a continuing source of community disquiet Despite numerous attempts in many countries to frame appropriate regulations, a community consensus has not been achieved. This failure is due to the medical control of the reproductive technologies, whereas the contentious issues are in fact social. The argument of this paper is that we already have regulatory procedures which are suited to the control of the social aspects of these technologies in the current legislation covering adoption and rights of parenthood.     

Vital Connections: Using Literature to Illustrate Social Work Issues

Abstract

This paper introduces a four stage teaching model which encourages students to use fiction as a source of mental imagery and insight into social work issues. Teachers can use the stages flexibly for different courses and levels of student expertise. The model has been developed by the authors during three years of formally implementing it in a range of undergraduate and graduate syllabi. The authors present this approach following detailed observation of the quality of written assignments, classroom interaction and student feedback. This is an exciting way of teaching traditional courses which generates a lively atmosphere for learning.

“We shall not cease from exploration And the end of our exploring Will be to arrive where we started And know the place for the first time.”

T.S. Eliot

(“Little Gidding,” The Four Quartets)     

Foxes who want to be hedgehogs: Is ethical pluralism possible in psychology's replication crisis?

In this article, we draw attention to public-private dilemmas among psychologists that make sense of the debates around the replication crisis, citation practices and networking practices. We argue that the values of justice and caring map onto the public sphere and private sphere respectively and create the horns of a dilemma for academics. While bureaucratic justice is a publicly revered value of modernity in psychological research that underpins ethics, validity, reliability and equality of opportunity, ‘caring’ is a more subtle value of traditionalism that runs in parallel and is detected only by our psychological practices. In particular, we argue that it is detected by practices such as disputes between the replicated and their replicators in replication studies (understood as a dramatic counter reality) as to who is more ‘careless’ with procedure; citation (including the self-care of self-citation) as thanksgiving and incantation of powerful others in enchantment rituals, and the system of professional indebtedness that accrues in ‘kinship’ networks – where kinship is understood broadly as adoption into a research group and its network. The clashes between these values can lead to a sense of hypocrisy and irony in academic life, as incommensurate values split between private and public expression. From this position, we delve into Isaiah Berlin's work on incommensurate values to suggest that ethical pluralism, involving more public recognition of the equal but different ethical demands of these values can help overcome these everyday dilemmas in the public sphere.     

(Un)Intentional Community: Power and Expert Knowledge in a Sustainable Lifestyle Community*

This ethnography of a cohousing organization examines power and expert knowledge in a sustainable intentional community. Intentional communities are forming at a growing rate both internationally and in the United States. Cohousing communities are part of this growing trend of alternative communities that utilize participatory democracy as both their central decision‐making process and a core component of their alternative identity. This article analyzes the tensions that evolve as cohousers build a communal housing development in one of the fastest‐growing cities in the United States. I identify mechanisms through which the constraints of operating in the highly professionalized field of housing development transform participatory decision making. When group members try to minimize loss of time and capital while competing with experienced for‐profit developers, they establish leaders and cede power to those with greater technical expertise. Yet, they continue to model their commitment to consensus decision making despite emerging hierarchies among members. I describe how the use of expert knowledge restructures the conditions governing group interaction and explore what the group's oligarchic organizational practices mean for the study of contemporary collective community organizing.