Kinship Care and Transnational Parenting: The Intersection of Cultural Values and Practices

This study uses ethnographic research to examine the phenomenon of transnational parenting by migrant mothers from the African Caribbean community and their family who care for the mothers’ children. Twenty women’s narratives demonstrate the complexity of relationships between migrant mothers living and working in New York City and their extended family or kinship caretakers who coparent their children in their countries of origin. The study reveals three main factors that contribute to the success of transnational parenting: (1) informal kinship care-child fostering, (2) remittances, and (3) social networks. Policy and practice implications are explored.     

Treatment for Hoarding Behaviors: A Review of the Evidence

This article reviews the empirical literature on treating clients with hoarding behaviors, including psychosocial treatments, mainly cognitive behavioral, and pharmacotherapy. Standard treatments used for obsessive compulsive disorder (OCD) such as medication and/or behavior therapy have been associated with poor treatment response for those with hoarding. Recent prospective pharmacotherapy research suggests that serotonergic medication may be helpful to OCD patients with or without hoarding. A multi-component cognitive behavioral treatment (CBT) designed specifically for hoarding has shown promising results especially in trials of individual therapy with periodic home visits. Social work researchers have played a prominent role in the development and testing of this CBT intervention and development of instruments to assess hoarding treatment outcomes. This CBT intervention has demonstrated modest success when delivered individually in an open trial and a waitlist-controlled trial, and in quasi-experimental studies of group treatment modalities, including in-person and web-based groups as well as bibliotherapy-based support groups. Overall, evidence supports the use of specialized CBT methods to improve hoarding symptoms. Future testing may include controlled trials with more diverse samples.     

Topmanager im Spiegel ihrer Selbstorientierung

A whole collection of technical and popular scientific literature describes business thinking and communication processes. But what do we know about the thinking and communication processes of those that actually give important impulses in their leadership positions as members of the board and top managers? What do we know about their strategies and mechanisms? What is their underlying self and world view? This article gives answers to these questions in form of certain types and structures. The raw data was obtained as set of narrative, biographically oriented interviews, conducted with eight top managers. They have leading positions in companies with upwards of EUR 70 billion annual sales volume, and more than 300 000 employees. Most of the managers interviewed are members of the board. All companies considered are based in Germany.     

Sexual inactivity among men who have sex with men living with hiv in europe

Objectives: Most people living with HIV stay sexually active, but some remain inactive. This study investigated prevalence and correlates of sexual inactivity among European HIV-positive men who have sex with men (MSM). Methods: An anonymous sexual health questionnaire was distributed in 17 HIV outpatient clinics throughout Europe. Ninety-seven (11.6%) of 838 respondents reported absence of sexual activity. Results: Multivariable regression analysis identified older age, relationship status, and less satisfaction with general health and sexual desire as being associated with sexual inactivity. Conclusions: Prevalence of sexual inactivity has declined since the introduction of antiretroviral therapy to levels similar to those of HIV-negative MSM, suggesting a tendency toward normalization of HIV-positive MSM's sex lives.     

Democratic Governance and Actors’ Conceptualization of “Civil Society” in Africa: State–Civil Society Relations in Ghana from 1982–2000

Despite civil society’s ambiguity, many scholars tend to focus on the economic reasons for the apparent conflict between state and civil society, with little or no attention to the conceptual differences that may be influencing the behavior of public and civil society actors. Using Ghana under J. J. Rawlings as a backdrop, this article argues that state–civil society relations are partly shaped by the divergent conceptualizations of “civil society” held by state and civil society actors. It suggests that the issue is not just the African state’s limited understanding of the multiple roles that civil society organizations can legitimately play in the polity; it is also civil society’s lack of recognition and acknowledgment of the legitimate functions of the African state.     

Coupling Processes and Experiences of Never Married Heterosexual Black Men and Women: A Phenomenological Study

Over the past decades, the decline in Black marriages and the upsurge of never‐married Blacks have stimulated much theoretical focus, but researchers conducted few studies on never‐married heterosexual Black adults' coupling unions. Guided by an integrated framework of Africana womanism and symbolic interactionism, this qualitative hermeneutic phenomenological study used comprehensive individual interviews to explore the experiences of 26 never‐married heterosexual Black men and women between the ages 25 and 35 about their attempts to cultivate and maintain intimate romantic relationships as well as their desire for marriage. Findings revealed mixed emotions from participants' lived experiences in developing and sustaining romantic relationships. Clinical implications highlighted the need to effectively attend to Black romantic relationships and experiences in their sociohistorical and sociocultural contexts.     

Multiple‐Family Group Intervention for Incarcerated Male Adolescents Who Sexually Offend and Their Families: Change in Maladaptive Emotion Regulation Predicts Adaptive Change in Adolescent Behaviors

The multiple‐family group intervention is an effective, yet affordable, 8‐week treatment that is conducted in a juvenile correctional institution in Alabama with adolescents who sexually offend and their families. Data from 115 incarcerated male adolescents and their male and female caregivers collected at pre‐, post‐, and 1‐year follow‐up were used to determine that problem behaviors (internalizing, externalizing) decreased over pre‐ and posttest and the significant decreases in maladaptive emotion regulation predicted those changes. Adolescent‐reported anxiety over abandonment and attachment dependence on parents increased significantly; these changes were predicted by decreases in maladaptive emotion regulation. Linear growth models were also fit over the 3 time points and indicate decreases in adolescent problem behavior and maladaptive emotion regulation.     

Understanding the experience of Black clients in marriage and family therapy

Past research on Black clients' utilization of therapy focused on the barriers that prevent Black clients from attending therapy and the reasons for these barriers. However, few studies have been conducted that focus on how Black clients attending therapy actually experience these barriers. This study utilized both Likert and open-ended questions to examine the obstacles 16 Black clients face in their attempts to attend family therapy. The most frequently identified obstacles were related to concerns over family member response and cultural barriers to therapy. Participants also reported concerns about racial and/or cultural differences and a lack of understanding by non-Black therapists. The implications of this study addressed how to effectively meet the therapeutic needs of Black clients.