Shared Trauma: When the Professional is Personal

Concepts describing secondary trauma phenomena do not adequately capture the profound impact that collective catastrophic events can have on mental health professionals living and working in traumatogenic environments. Shared trauma, by contrast, contains aspects of primary and secondary trauma, and more accurately describes the extraordinary experiences of clinicians exposed to the same community trauma as their clients. Case vignettes from clinicians in Manhattan and Sderot, Israel are provided to illustrate the transformative changes that clinicians may undergo as a result of dual exposure to trauma. Discussion involves the importance of articulating one??s own trauma narrative and attending to self-care prior to resuming clinical work, as well as opportunities for enhanced therapeutic intimacy and caution regarding boundary alterations that may result from clinician self-disclosure. Agency settings can provide the necessary education, supervision, and support to mitigate the negative effects of shared trauma.     

Gender Mainstreaming versus Diversity Mainstreaming: Methodology as Emancipatory Politics

This article examines the question of whether and how the intersectional oppression of sexism and racism can be challenged by government policy. It draws on a case study of an Indigenous policy strategy in Australia to argue that, in contrast to concerns expressed by feminist policymakers, gender equality is not inevitably neglected when the target for remedial action is institutional racism. Our study suggests that successful action on Indigenous emancipation necessarily mobilizes a methodology for moving past one‐dimensional category distinctions. Therefore, focusing on the task of translating declared policy goals into action can provide a way out of the impasse over whether ‘diversity’ or ‘gender’ is the better vehicle for mainstreaming equity policy. To develop its case, the article draws conclusions about the politics of methodology from gender mainstreaming debates, intersectionality theory and institutional ethnography, then uses our conclusions to analyze the political and methodological effectiveness of the Indigenous policy strategy.     

The Impact of Work and Volunteer Hours on the Health of Undergraduate Students

Abstract

Objective: To examine the impact of work and volunteer hours on 4 health issues among undergraduate college students. Participants: Full-time undergraduate students (N = 70,068) enrolled at 129 institutions who participated in the Spring 2011 American College Health Association–National College Health Assessment II survey. Methods: Multiple linear regression and binary logistic regression were used to examine work and volunteer hour impact on depression, feelings of being overwhelmed, sleep, and physical activity. Results: The impact of work and volunteer hours was inconsistent among the health outcomes. Increased work hours tended to negatively affect sleep and increase feelings of being overwhelmed. Students who volunteered were more likely to meet physical activity guidelines, and those who volunteered 1 to 9 hours per week reported less depression. Conclusions: College health professionals should consider integrating discussion of students' employment and volunteering and their intersection with health outcomes into clinical visits, programming, and other services.     

ELIZABETH BARRETT BROWNING'S "FAMILY DISEASE": ANOREXIA NERVOSA

What was Elizabeth Barrett Browning's mysterious and variously diagnosed “disease”? This study reviews biographical material in the light of modern family systems theory and develops a hypothesis that Elizabeth Barrett lived with her family of origin in “anorectic transaction”, and that chronic anorexia nervosa was embedded in the Victorian poet's lifestyle. The characteristics of anorectic families: enmeshment, overprotection, rigidity, and lack of conflict resolution, are shown to have been abundantly present in Barrett family patterns. Robert Browning is compared with a family therapist whose interventions restructure a system and free the anorectic from her dysfunctional symptom.     

Faces Behind the Figures: Interviews with Children Excluded from Primary School

This article presents a viewpoint on school exclusion from 22 primary-age children excluded from 20 different schools in two English local education authorities, (a county council and an inner London borough) during the 1993–94 academic year. Some of the methodological and ethical issues about researching children are outlined and considered. The approach and methods used in the research are explained. Interviews with children showed exclusion to be a significant but negative event for them, yet they were optimistic about a return to school. Children showed an awareness of what was considered to be appropriate or inappropriate behaviour in their school. They frequently referred to incidents of physical aggression as the reason for their exclusion. It is concluded that this awareness of appropriate behaviour as well as their optimism must be recognised and harnessed when young children are reintegrated into school following a period of exclusion.     

Low and Middle Income Mothers' Regulation of Negative Emotion: Effects of Children's Temperament and Situational Emotional Responses

The present study investigated the effects of situational (child situational emotions) and dispositional (child temperament) child variables on mothers’ regulation of their own hostile (anger) and nonhostile (sadness and anxiety) emotions. Participants included 94 low and middle income mothers and their children (41 girls; 53 boys) aged 3 to 6 years. Children's situational emotions (anger, sadness, or fear) and parent emotion type (hostile or nonhostile) were important predictors of mothers’ regulation, but their effects were influenced by SES: Middle income mothers were more likely to control hostile than nonhostile emotions in response to child anger and sadness, and more likely than low income mothers to control hostile emotions in response to child sadness and fear. Low income mothers were more likely than middle income mothers to control nonhostile emotions in response to child anger. However, results also suggest that differences in emotion regulation between low and middle income mothers may stem from the link between SES and authoritarian parenting beliefs. Maternal regulation of negative emotion was not predicted by child temperament.     

‘Men Don't Have Families’: Equality and Motherhood in Technical Employment

Drawing upon evidence collected during a study of female technical professionals in the electronics sector, this paper argues that organizational policies and practices in respect of this group continue to be underpinned by the ‘norm’ of the typical male employee whose family commitments impinge marginally, if at all, on work responsibilities. Women, as actual or potential mothers, continue to be seen as deviants from this norm, whose family commitments are likely to adversely affect work performance or commitment. Not only do these assumptions condition the general treatment of women technical professionals, but they are embodied in those policies and practices designed to facilitate the combination of motherhood and paid work. Both the assumptions around which policies are framed and their implementation in practice reinforce as unproblematic the prevailing domestic division of labour. Such policies and practices therefore continue to function essentially as a concession to the deviant status of women in general and mothers in particular, rather than as tools of a broader equal opportunities policy.