HIV/AIDS and homelessness

This article describes the results of research on the demographic, housing, psychosocial characteristics, and service needs of a sample of homeless people with HIV disease. Results show that respondents are similar in demographic and housing characteristics to the general homeless population. On average, respondents report high levels of stress and depression, moderate satisfaction with perceived social support availability, moderate beliefs in their ability to influence health related outcomes, moderate levels of self-efficacy, and low levels of physical and psychosocial disability. A range of services was identified as both helpful and useful in supporting a stable living arrangement. Implications for social policy, service provision, and research are discussed.     

The psychosocial benefits of work for people with severe and enduring mental health problems

Perceptions of the value of work for people with severe and enduring mental health problems have changed frequently over the last two decades. With the new social inclusion agenda manifest in the Disability Discrimination Act and in the NHS modernization agenda, work is once again in vogue. There is a need for a way of evaluating work which draws on its potential contribution to psychological well-being as well as its provision of a valued social role and which is less susceptible to fluctuations in health and social policy. Jahoda's work on the psychosocial functions of work provides such a framework and this study sets out to explore its utility among workers who are severely disabled by mental health problems. Twelve of the psychosocial functions of work were rated by 50 people attending two sheltered work placements according to how important they were perceived to be and the extent to which the functions were fulfilled through their attendance. Satisfaction of the psychosocial functions through work was compared with their satisfaction through other aspects of the respondents’ lives. All functions were perceived as important, but self-confidence/self-esteem was rated as more important than most of the others. Structure to the day, self-confidence and social contact were better satisfied through work than were decision making, practising old skills and having goals to aim for. In general, the results showed that the functions were fulfilled better by work than by other aspects of the respondents’ lives. The study supports the notion that work is of value in the rehabilitation of people with severe and enduring mental health problems and offers a possible framework for the further exploration of this theme, both within mental health services and the community at large.     

Rural migrant workers in urban China: living a marginalised life

The rural migrant worker population in China is attracting more and more attention because of its magnitude and potential economic and social impact on Chinese society. While literature abounds in describing the demographic trends and economic impacts of rural to urban migration, very few articles have been written about the psychosocial impacts of migration on the lives of rural migrant workers in urban China. Drawing on the concept of marginalisation, this article describes the nature and characteristics of marginalised living experienced by migrant workers. More importantly, it examines the underlying policy issues contributing to such marginalised living. It is argued that the Hukou system (household registration system), the process of decentralisation and the obscure role of trade unions have contributed to the experience of marginalisation of rural migrant workers in urban cities in China. Implications for policy changes are also discussed.     

Irish child sexual abuse victims attending a specialist centre

We profiled a cohort of CSA cases referred for assessment to a specialist child sexual abuse (CSA) centre in a national paediatric hospital in Ireland. Historical and clinical data were drawn from records of 171 cases. The majority of cases were referred by social workers following purposeful disclosure of CSA. Three quarters of the cases were female with a mean age of 9 years. They were from a wide spectrum of socioeconomic groups and many had suffered a range of family adversities. In most cases, the abuse involved masturbation of the child by the abuser. Almost all of the perpetrators were male with a mean age of 28 years and in 60% of cases extrafamilial abuse had occurred. In 23% of cases, the perpetrator had a history of previous sexual offending. Anxiety was the most common emotional problem before disclosure and after disclosure the most common emotional problem was guilt. Before disclosure school refusal was the most common behavioural problem and after disclosure fighting was the most prevalent behavioural difficulty. The most common factors supporting the credibility of CSA allegations were labile mood, the child's ability to differentiate fact from fantasy and a detailed disclosure of contextual details. More adolescents showed deterioration in schoolwork after disclosure and for more pre school children clinginess following disclosure was a significant emotional problem. More primary school aged children were abused by perpetrators who had abused a number of children. For children abused by such perpetrators, vaginal intercourse was less common. Vaginal intercourse was more common in 6–11‐year‐old victims and those who were abused on a daily basis. The threat that disclosure posed to the integrity of the family structure was more often a factor hindering disclosure in victims abused by father figures and abused very frequently. Copyright © 2003 John Wiley & Sons, Ltd.     

中国人性别角色量表的建构及其与心理社会适应的关系

本研究的目的是建立中国人的性别角色量表,并探索不同性别角色类型的个体其心理社会适应水平的特点.研究一根据5 000多名被试对中国人人格量表项目的反应挑选出男女被试有显著差异的项目,经过因素分析建立了各由30个项目组成,分别由七个和六个因素构成的中国人男性化和女性化量表,并据此将被试划分为未分化、女性化、男性化和双性化四种性别角色类型.研究二则比较了不同性别角色类型与心理健康的关系,表明在中国被试中双性化的个体心理社会适应水平最低、女性化个体心理社会适应最好.这一结果与Bem关于双性化的假设是截然相反的.本研究从中国文化与性别角色的关系对这一结果进行了解释,提出了中国文化是女性化文化,同时又是反男性化文化的假设,并对进一步研究的方向进行了讨论.     

Period prevalence and types of psychosocial risk factors in pregnant women in an urban Swedish community

During a three-year period a total population of pregnant women attending antenatal clinics in Linköping, Sweden was screened for being at psychosocial risk. The prevalence of different psychosocial risk factors was compared with the corresponding prevalence in women referred to and accepting or declining to take part in a specialised training programme at a parent–baby clinic. In general, the present study showed that there was a constant proportion of about 4–5% of pregnant women with psychosocial risk factors. Psychiatric problems and social problems of relevance for pregnancies/parenthood were about equally frequent (i.e. 44 and 45%), while drug-addiction problems were at 11%. Only one in three women with risk factors were eventually referred to the parent–baby clinic, and every second woman referred finally took part in the programme. With the knowledge that an early intervention in families with psychosocial risk factors may alleviate some adverse or disadvantageous developments in children, it is a challenge to identify and to motivate these women to enrol in various support and training programmes. There are still too few pregnant women at risk who are ready to accept the further support that they may need, and the rationale for their reluctance must be better known.     

Young immigrants on long-term sick-leave

Sickness certification data for all immigrants 16–45 years of age on long-term sick-leave enlisted at a local health insurance office were studied. The diagnostic pattern was remarkably homogeneous, characterized by imprecise pain and/or imprecise mental disorders. Clinical data were provided by a multiaxial evaluation of 52 people (mean age 38 years, mean length of sick-leave 1 year, full-time). Ratings of pain behavior and functional ability regarding occupational duties were also included. Nearly half (44%) had few social contacts both within their ethnic group and Swedish society. Half (58%) were assessed as being exposed to moderate or severe psychosocial stressors, and many had an associated mild or moderate depressive disorder. Muscular pain was the most frequent physical disorder. Pain behavior was common and was associated with the length of sick-leave. Two-thirds were assessed as being able to work at least part-time. The multiaxial evaluation system proved useful for differentiating important incapacitating diagnostic factors. Nevertheless, the examining doctors seemed to have been influenced by the participants' pain presentations when rating their functional ability. The study thus illustrates the ease with which a vicious circle of pain behavior and further sickness certification could be created. In conclusion, social distress and iatrogenic factors may have played an important part in the sick-leave pattern seen in this group of young immigrants.     

Attitudes Toward Divorce and Their Relationship With Psychosocial Factors Among Social Work Students

This study aimed to explore attitudes toward divorce and their relationship with general satisfaction with life, spiritual beliefs, parental bonding, and depressive symptomatology among a sample of 210 social work students from two different universities in Florida. Results indicated that the majority of students had favorable attitudes toward divorce overall, perceiving divorce as a solution to unhappy marriage. Participants also reported strong feelings regarding marital obligation and the effect of divorce on children and society. Attitudes toward divorce were associated with spiritual beliefs and parental bonding.     

Can Early Intervention Have an Impact on Future Life? A Study of Life Events,Social Interaction,and Child Behavior Among Mothers at Psychosocial Risk and Their Children Eight Years After Interaction Treatment

Forty-six mothers at psychosocial risk who had undergone interaction treatment when their children were babies were studied with respect to experienced negative life events, social network, and behavior problems in children. One reference group comprising 45 nontreated mothers at psychosocial risk and one comprising 56 mothers without psychosocial problems was used. Children in the study group had experienced more life events than the children of nonrisk mothers but fewer than the children of untreated psychosocial risk mothers. They had a poorer social network than nonrisk mothers, and the children had fewer acting-out behavior than the children of nontreated risk mothers.     

Exploring Mental Health Adjustment of Children Post Sexual Assault in South Africa

Large numbers of children are affected by child sexual abuse in South Africa. This study aimed to assess psychological adjustment of children post sexual assault. In-depth, semistructured interviews were conducted with caretakers, and structured interviews using mental health assessment screening tools were given to children at three intervals over a five-month period after presentation at a sexual assault center. Almost half of the children met clinical criteria for anxiety, and two-thirds met criteria for full symptom post-traumatic stress disorder two to four weeks post disclosure. With standard care, we observed some recovery; 43.3% of children still met full symptom post-traumatic stress disorder nearly six months postdisclosure. Our findings indicate that current practice in South Africa does not promote adequate recovery for children.