Supporting the Sexual Rights of Women Living With HIV: A Critical Analysis of Sexual Satisfaction and Pleasure Across Five Relationship Types

In the context of human immunodeficiency virus (HIV), a focus on protecting others has overridden concern about women’s own sexual well-being. Drawing on feminist theories, we measured sexual satisfaction and pleasure across five relationship types among women living with HIV in Canada. Of the 1,230 women surveyed, 38.1% were completely or very satisfied with their sexual lives, while 31.0% and 30.9% were reasonably or not very/not at all satisfied, respectively. Among those reporting recent sexual experiences (n = 675), 41.3% always felt pleasure, with the rest reporting usually/sometimes (38.7%) or seldom/not at all (20.0%). Sex did not equate with satisfaction or pleasure, as some women were completely satisfied without sex, while others were having sex without reporting pleasure. After adjusting for confounding factors, such as education, violence, depression, sex work, antiretroviral therapy, and provider discussions about transmission risk, women in long-term/happy relationships (characterized by higher levels of love, greater physical and emotional intimacy, more equitable relationship power, and mainly HIV-negative partners) had increased odds of sexual satisfaction and pleasure relative to women in all other relational contexts. Those in relationships without sex also reported higher satisfaction ratings than women in some sexual relationships. Findings put focus on women’s rights, which are critical to overall well-being.     

American Migrants in Australia: An Exploratory Study of Adjustment

Abstract

In the literature on American migration to Australia, there is a debate concerning the ease and degree of post-migration social-psychological adjustment. In this paper a model of migrant adjustment is derived from the literature; relationships among social psychological measures of adjustment (alienation, work orientations, amicability, isolation, and missing family and friends) and socio-demographic variables are analyzed using path analysis. Results tend to support a complex view of migrant adjustment based on differences in socio-demographic characteristics. Certain modifications to existing literature are recommended, and avenues for further research are suggested.     

Application cards: A classroom technique for teaching social work practice

This paper describes the use and evaluation of application cards as a teaching tool designed to enhance students' abilities to apply knowledge learned in social work practice classes. Strengths and limitations of this tool as a means for enhancing students' application skills are discussed, based on qualitative and quantitative evaluative data.     

Cyber Counselling: An Innovative Field Education Pilot Project

With the ascendancy of the cyber world, client demand for online counselling has increased and is expected to continue to increase dramatically in the coming years. The purpose of this article is to describe an innovative pilot practicum project in which social work graduate interns offered cyber counselling within a university to undergraduate students. In this paper, we describe the key elements of this project, including those that are unique and those that follow typical practicum processes, along with the challenges identified. Implications for practice and social work education are offered.     

Professional Socialization and Social Work Values: Who Are We Teaching?

Despite the centrality of values to professional socialization, the social work literature lacks an extensive exploration of the readiness of students to be socialized into the profession and taught the theoretical framework and skills for ethical decision making. This study explored the relationship between age, academic class standing, and identity development. Results indicated that the Identity Achievement status occurs later than traditional university years and correlates with age but not with academic class standing. Important implications for teaching social work values, ethical decision making, and the significance of a liberal arts foundation are discussed.     

Family problem solving: A case study

Abstract

Working with the families of young offenders may often be the best method of helping those young offenders to change. Sometimes, however, social workers and others who work with young offenders are reluctant to work with family groups because they may feel that they lack skills in family counselling. This article presents a case study which illustrates a family counselling intervention. The case study uses Family Problem Solving, a method which involves the adaptation of mainstream social work skills to work with families. It is anticipated that the article might be of interest to social workers who work with families but who feel apprehensive about counselling family groups.     

'I know I signed something': older people,families and social workers' understanding of the legal aspects of entry to residential care

This purpose of this paper is to report findings that older people are legally vulnerable when entering an aged care facility, that social workers lack knowledge of the legal aspects of this move and do not necessarily view this information as core to their practice. The structure of social work services mirror the disjuncture older people and their families experience at this time and this may, in part, explain social work's lack of attention to these issues. Although many social workers are in contact with older people, the profession in Australia has been slow to develop a knowledge base to support effective practice with this group.     

Exploring the Potential of Social Network Analysis in Asset-based Community Development Practice and Research

Abstract

Strengths-based practice appears to be a popular approach to social work practice. Increasingly, it has become the approach of choice in community work, with the “asset-based community development” model being utilised both in Australia and internationally. However, asset-based community development has been criticised for its lack of an evidence base, lack of theoretical depth, and its lack of consideration of the macro level causes of disempowerment. While concepts of networks are central to asset-based community development, social network theory and analysis have rarely been utilised in a comprehensive manner in asset-based community development practice or research. This article contends that asset-based community development practice can benefit from the integration of key concepts from social network theory. Similarly, it is proposed that social network analysis holds promise as an appropriate methodology in terms of understanding the efficacy of asset-based community development projects.     

Institutional processes of organizational culture

Queries into the creation of collective meaning through social processes arise in both organization culture and institutional theory. This paper applies DiMaggio and Powell’s (1983 DiMaggio, P.J. and Powell, W.W. 1983. The iron cage revisited: Institutional isomorphism and collective rationality in organizational fields. American Sociological Review, 48: 147–60. [Crossref], [Web of Science ®] , [Google Scholar]) three isomorphic processes (mimetic, normative and coercive) from institutional theory to re‐think how structural and dynamic aspects of culture become nested, taken‐for‐granted and transmitted. We consider both acquiescence and resistance to isomorphic pressures in an effort to understand cultural persistence and transmission, forms of resistance to culture, change, the role of sub‐cultures and power usage through Oliver’s (1992 Oliver, C. 1992. The antecedents of de‐institutionalization. Organization Studies, 13: 563–88. [Crossref], [Web of Science ®] , [Google Scholar]) de‐institutionalization thesis. Our purpose in applying isomorphic processes to organizational culture is to offer another layer of understanding enhanced by the growing body of research in institutional theory, bridge one division between micro and macro theory and provide some suggestions for future research.     

Client retention in residential drug treatment for Latinos

Client drop out from treatment is of great concern to the substance abuse field. Completion rates across modalities vary from low to moderate, not ideal since length of stay has been positively and consistently associated with better client outcomes. The study explored whether client characteristics shown to be related to retention were associated with treatment completion and treatment duration for a sample of 164 Latino substance users who entered a culturally focused residential program. In-person client interviews were conducted within a week of program admission. Logistic regression analysis was used to examine research questions. Clients most likely to drop out had self-reported co-occurring psychiatric diagnoses; they were 81% less likely to complete the program, suggesting that clients with mental health problems have a more difficult time remaining in residential treatment. Clients using drugs in the three months prior to entry were three and a half times more likely to be in the shorter stay group, and clients who lived in institutions prior to program entry were three times more likely to be in the longer-stay group. Factors contributing to drop out for this Latino sample were similar to those identified in the literature for non-Latino samples. Methods for addressing the needs of clients with co-occurring disorders are discussed.