Private Pain,Public Choices: Influence of Problems in the Family of Origin on Career Choices Among a Cohort of MSW Students

This study draws on a survey of 126 graduate social work students from a large school of social work in the United States to investigate the impact of family problems on career choices. Sixty‐nine percent of the students indicated they had a family history of problems related to substance abuse (44%), psychopathology (43%), compulsive disorders (17%), and/or violence (35%). Students who report more indicators of psychopathology and violence were more likely to see their family history as influential in their career choice. These students were also more likely to select mental health/health as a practice area. However, no differences were found between students without a family history of problems and those who did not see their family history as influential. Students' history of family problems and their perceptions of its influence on career choice did not affect the likelihood of selecting a practice method. The authors discuss the implications of these findings and conclude with a series of recommendations for social work education.     

Integrating Human Rights and Trauma Frameworks in Social Work with People from Refugee Backgrounds

Abstract

Social work practice informed by human rights and trauma frameworks can be empowering and enabling. While both frameworks are complex and contested, their implementation “from below” via praxis can maximise benefits for social work with people who have experienced trauma and human rights abuses, such as those from refugee backgrounds. This article presents an exploration of this practice approach through the presentation of the story of Zillah and Amman, a fictionalised composite of many real refugee experiences. Taking as examples the education and child protection systems, the discussion highlights how theory to practice integration requires cross-cultural engagement, critical reflection, dialogue, and an understanding of human rights “from below”.     

Sexual Abuse Victimization and Psychological Distress Among Adolescent Offenders

ABSTRACT

This study focused on sexual abuse victimization and psychological distress among 272 adolescent offenders. The respondents were interviewed while they were being detained in a short-term holding facility. Female respondents reported more sexual abuse victimization and psychological distress than did their male counterparts. Furthermore, church attendance moderated the association between sexual abuse victimization and psychological distress among the male respondents. Implications of these findings for research and interventions with adolescent offenders are discussed.     

Protecting Children

Abstract

In this study, difficulties that women with alcohol problems and victimization experiences might have protecting their children from victimization were investigated. Mothers of children (ages 3-17) were recruited from a longitudinal study of women, alcohol problems, and victimization; women came from alcohol treatment programs, battered women's shelters, mental health clinics, drinking and driving programs, and a random household sample. Hypothetical parenting scenarios were constructed to assess mothers' ability to protect their children from victimization trauma. Women's responses to the scenarios were analyzed thematically and coded. Next, coded responses were analyzed quantitatively to identify significant differences among women with past alcohol and other drug (AOD) problems, current AOD problems, and no AOD problems. Women with current AOD problems were more likely than women with no AOD problems and women with past AOD problems to provide aggressive responses to scenarios. Women with past AOD problems were more likely than their non-addicted counterparts to perceive sexual abuse as a possibility, to attribute responsibility for the problem to the other participant only (seeing no role for their child), and to seek information about what happened from the other participant only. Findings suggest that some interpersonal problem-solving difficulties resolve when women become sober while others persist into recovery, potentially affecting women's ability to protect their children.     

Clinicians' Experiences of a Podcast Series on Implementing a Manualized Treatment

The purpose of this qualitative study was to explore clinicians' experiences of using Podcasts to assist with implementing an evidence-based practice (EBP). Twelve clinicians, including eight student interns, at a human service organization were interviewed about their perceptions of using Podcasts about implementing an EBP called Grief and Trauma Intervention (GTI) for Children. Major themes included that the Podcasts were helpful, liked the short length, fit their learning styles, useful teaching tool, wanted more clinical content and more engaging material, and that administrative support was important for use. Technological difficulties were a major barrier to use. There were some differences in experiences of the Podcasts between post-masters professionals and interns. Podcasts may be a useful technology to help clinicians implement EBPs, and future research on Podcast use is warranted.     

The Influence of Trauma History and Relationship Power on Latinas’ Sexual Risk for HIV/STIs

ABSTRACT

A community sample of Latinas completed surveys that included measures of sexual abuse and intimate partner violence history, relationship power, negotiating power regarding condom use, perceived HIV/sexually transmitted infection (STI) risk for sexual partner, and sexual behavior. More than half of the women reported a history of intimate partner violence in the past year and/or sexual abuse in their lifetime. Intimate partner violence was correlated with lower overall sexual relationship power scores, while sexual abuse was correlated with lower condom-use negotiating power. More extensive intimate partner violence had the strongest association with higher HIV/STI risk, while controlling for relationship status, sexual abuse, and relationship power.     

Implementing a Trauma Recovery Framework for Youths in Residential Treatment

This paper describes an intervention designed to address the special needs of youths with histories of maltreatment and exposure to family and community violence. The primary components of the model include an enhanced therapeutic community environment and a psychoeducation program that is aimed at changing non-adaptive cognitive and behavioral patterns which developed as means of coping with traumatic experiences. The implementation of the model and proximal effects on the therapeutic communities and youths are being examined in comparison to standard residential services. Initial perceptions of staff illustrate the challenges in applying an intervention that calls for changing the organizational culture.     

Victims of the Genocidal Mind: Societal Indicators and Individual Case Treatment Considerations

This paper uses the theoretical lens of object relations and takes the position that the paranoid-schizoid position and the related mechanism of projective identification—cornerstone pathology found in the phenomenon of fascism and totalitarianism—are not atypical, but rather live within the seemingly normal individual. Using Rwanda as a case example, the author illustrates the continuum of beliefs and actions that can result in genocide, and then describes some of the treatment considerations facing the clinician dealing with victims of genocide.

Dissociation,Traumatic Attachments,and Self-Harm: Eating Disorders and Self-Mutilation

Self-harm, such as eating disorders and self-mutilation, represents dissociated compensatory attempts to serve self-regulatory functions. Self-harm develops when the child who has become attached to those who have inflicted pain and suffering maintains that attachment by inflicting pain on himself. Brain imaging studies have found that the communication pattern between parent and child shapes the way the child’s attachment system adapts to experiences with the attachment figure, literally hardwiring the child’s brain. The good news is that a safe and secure attachment is very good medicine and can rewire the brain. An attachment-based multi-phase approach to treatment is presented.

Responding to the needs of youth who are homeless: Calling for politicized trauma-informed intervention

Trauma in the lives of youth who are homeless is a pervasive reality. In this article, a politicized understanding of trauma is taken up to explore the complex psychological, relational, and social/political challenges experienced by many young persons facing homelessness. Their needs are contrasted with the dominant framework for assessing and addressing homelessness among youth, which fails to adequately account for the effects of trauma in their lives. The authors argue for therapeutic approaches to address the negative effects of trauma; development of community services that adequately respond to the consequences of traumatic life experiences; and socially responsible policies that ensure provision of adequate services and also aim to address root causes of youth homelessness. While current conceptualizations of trauma-informed services go some distance toward achieving these goals, the authors argue that it is only by taking up a more radical understanding of trauma that interventions will be employed to better achieve these targets. Toward this end, the authors introduce a framework that integrates the SPECs model (Evans & Prilleltensky, 2007; Prilleltensky, 2005) with trauma-informed service provision, thereby infusing a social and political analysis to guide more effective trauma-informed solution building in response to the issue of youth homelessness.