Principals' perceptions of benefits and barriers to school-based suicide prevention programs

Suicidal behavior among children and adolescents is a national problem and schools can be an effective context for suicide prevention and intervention efforts. School-wide screening programs are viewed as most effective from a public health standpoint, although they garner the least support from school administrators. The purpose of this article is to examine administrators' perceptions of three school-based suicide prevention models while also capturing opinions on barriers and benefits to implementation. Data were gathered through interviews with seven principals from one Midwestern state. Findings reveal agreement among principals that schools play a key role in suicide prevention, but they differ on which type of prevention approach is most appropriate. School principals believed the school-wide screening program included more barriers to implementation than either the in-service or the curriculum-based program, largely due to the likelihood of parental disapproval. Limitations of the study and implications for improving suicide prevention efforts are discussed.     

Freedom and struggling openly in psychotherapy: A qualitative inquiry with LGBQ young adults from religious families

Lesbian, gay, bisexual, and queer (LGBQ) young people from religious families are at increased risk of family rejection, poor mental health outcomes, and are overrepresented in mental health services. This article describes a two‐part qualitative study aimed at exploring the experiences of LGBQ young adults from religious families in psychotherapy, identifying positive and negative psychotherapy experiences, and understanding the influence of family and religion on the psychotherapy experience. Data were collected through a web‐based survey (n = 77) and interviews (n = 7) with LGBQ young adults (ages 18–25) from religious families. The study followed an interpretative phenomenological approach. Integrated results found often invisible, relational therapy processes, and religious discourses as significant to LGBQ young people who seek psychotherapy. Implications for future research, effective systemic family therapy practices with LGBQ young people from religious families, and a critique on ethical and legal limits of confidentiality with policy implications are outlined.     

The Role of Community in Disaster Response: Conceptual Models

We focus on the role that community plays in the continuum of disaster preparedness, response and recovery, and we explore where community fits in conceptual frameworks concerning disaster decision-making. We offer an overview of models developed in the literature as well as insights drawn from research related to Hurricane Katrina. Each model illustrates some aspect of the spectrum of disaster preparedness and recovery, beginning with risk perception and vulnerability assessments, and proceeding to notions of resiliency and capacity building. Concepts like social resilience are related to theories of “social capital,” which stress the importance of social networks, reciprocity, and interpersonal trust. These allow individuals and groups to accomplish greater things than they could by their isolated efforts. We trace two contrasting notions of community to Tocqueville. On the one hand, community is simply an aggregation of individual persons, that is, a population. As individuals, they have only limited capacity to act effectively or make decisions for themselves, and they are strongly subject to administrative decisions that authorities impose on them. On the other hand, community is an autonomous actor, with its own interests, preferences, resources, and capabilities. This definition of community has also been embraced by community-based participatory researchers and has been thought to offer an approach that is more active and advocacy oriented. We conclude with a discussion of the strengths and weaknesses of community in disaster response and in disaster research.     

The Incompatibility of Materialism and the Desire for Children: Psychological Insights into the Fertility Discrepancy Among Modern Countries

We examined factors related to attitudes toward marriage and the importance of having children in both the US and Singapore. Path analysis indicated that life dissatisfaction leads to materialism, and both of these factors lead to favorable attitudes toward marriage, which leads to greater desire for children. Further analysis indicated this model was effective in explaining the difference in desire for children between Singaporeans and Americans, whereby Singaporeans have lower life satisfaction, higher materialism, and lower attitudes toward marriage and children. Materialistic standards of success were also related to the emphasis women placed on potential marriage partners’ earning capacity. As Singaporean women had higher materialistic standards, they also placed higher emphasis on potential mates’ earning capacity. Results suggest a consideration of psychological variables such as life satisfaction, materialism, and mate preferences may lead to a better understanding of larger-scale socioeconomic issues, including low fertility rates among developed East Asian countries.     

What might Normalisation Process Theory bring to policy implementation studies? Learning lessons and uncovering questions through a case study of the profound implementation failure of a new policing policy

Normalisation Process Theory (NPT), used nationally and internationally to explore implementation within health services research, is used for the first time within policing to understand profound policy implementation failure and to generate broader discussion of policy implementation theory. The policy in question (Police to Primary Care [P2PC]) was an intervention designed to notify GPs when women are assessed by police as at high risk of future domestic abuse. Designed to improve interagency communication, it took place amidst radical organisational change. Using qualitative interviews with domestic abuse specialist and frontline officers, this paper addresses how NPT helps to explain the (non)implementation of P2PC, how such an analysis differs from other policy implementation approaches, and what this means for our understandings of policy implementation more broadly. NPT proved useful in understanding mechanisms leading to (non)implementation of the intervention: fuzzy alignment with existing practice, faulty communication of purpose, and inattention to discretionary implementation spaces. It helped us understand why the intervention came to be invisible. Dwarfed by its organisational context, made institutionally hard to read by a lack of formal protocols, and given restricted view to police officers, it was compromised by a failure to instigate systems of organisational learning. More broadly, NPT helped reveal practices intersecting top‐down and bottom‐up implementation theory. The paper concludes by asking how NPT and theories of street‐level bureaucracy might be better used in tandem and, particularly, how this might help explorations of policy implementation where human actors are joined by technological actors in interpreting and making policy in vivo.     

Displacement and local linguistic practices: R‐lessness in post‐Katrina Greater New Orleans

Variable r‐lessness in New Orleans English is a salient linguistic feature tied to local place‐based identity. In this study, I examine rates of r‐lessness in the wake of Hurricane Katrina, which caused large‐scale displacement in the region. Participants come from the linguistically conservative suburb of Chalmette, where r‐lessness is more robust than in New Orleans proper. Participants’ connections to Chalmette were measured in two ways: (1) post‐Katrina location status, i.e. whether participants returned or relocated after the storm; (2) place orientation, captured via an ethnographically informed, multifaceted measure of stance and exposure to places outside of Chalmette. Analysis revealed that place orientation better predicts rates of r‐lessness than post‐Katrina location. I argue that the marked quality of r‐lessness makes it available for identity‐driven use to express a connection to Chalmette. This study demonstrates one way to account for the linguistic implications of individuals’ shifting allegiances to places they live(d).     

Playing With Shame: The Temporal Work of Rape Jokes for the Cultural Body

Legal scholar Christopher Stone wrote that humor often functions in culture as a way of dealing with “social growing pains.” In this context, jokes about rape become a form of testimony to the anxiety and defensive reaction of the privileged to being asked to acknowledge the basic foundational legitimacy of the call for equal rights around genders and sexualities. Fueled by Place’s performance of “The Ontology of the Rape Joke” (this issue), this essay explores some of the temporal functions the proliferation of rape jokes are playing for the social body in this time of change. These functions include creating spaces for shame to be displaced from the heterosexual male body into the female, who becomes not just a site of domination and violation but also one of risk management techniques aimed at securing futurity, once again, through the control of women’s bodies and desires.