Healing rituals with families in exile *

This paper describes work with families who have been subjected to torture and atrocity and forced into political exile. Exile is described as a state of limbo which may be resolved by involving families in rituals which reconnect them to communal life. Therapeutic dilemmas when working with families affected by torture and atrocity are discussed. The culture of refugee families is a resource which can be used to enable them to integrate experiences of atrocity and adapt to life in exile. Therapeutic strategies are discussed through case histories.     

Therapeutic work with refugees living in exile: Observations on clinical practice

Asylum seekers and refugees fleeing to Britain or other host countries face a range of dilemmas, which are qualitatively different from those facing any other client group. Refugees find themselves in an entirely different country, having often fled at short notice without making preparations. They may have suffered multiple practical and psychological losses. Significant numbers of refugees will have been subject to organised violence in their country of origin. Responding clinically to the needs of some of those becoming refugees has many implications and challenges for existing models of therapeutic intervention. This paper draws upon the author's clinical work in Britain and abroad, it details some observations on therapeutic practice and highlights the challenges and rewards of working with this client group.     

Transition to motherhood: A longitudinal study

A prospective longitudinal study assessed the development of the mother-child relationship within the context of other important aspects of transition to parenthood. In the prenatal phase, 238 women who were 8 months pregnant with their first child completed a set of questionnaires. At 1 month post-partum, 165 of these women completed a second set of questionnaires, and a subset of 86 were observed for 1 hour at home with their infants. When their child was 2 years old, 62 of the 86 mothers completed questionnaires and were observed in interaction with their toddler in the laboratory. The several hundred individual variables were reduced to internally consistent composite variables, 5 in the prenatal phase, 7 postpartum, and 14 in the toddler phase. Preliminary analyses reported in this paper assessed the structure of relationships among the composite variables within each phase (Pearson correlations) and whether there was significant prediction from one dimension to another across the phases, beyond stability in the predicted dimension (multiple regressions). Causal modeling analyses are still in progress. The results indicate that the development of maternal attachment is a gradual process and that feelings of attachment are related to a number of other measures of women's psychological well-being. Parenting confidence was found to play a central role in adaptation to motherhood within each phase, as well as from the prenatal to postpartum and postpartum to toddler phases.     

Surrogate motherhood i: Responses to infertility

Abstract

Surrogate motherhood is one of three recently developed paths to parenthood resulting from modern technological medical research. It is, however, a path filled with legal “potholes” and psychological “rocks.” Mental health specialists, especially marital and family therapists, need to be familiar with this difficult road because they may well be called upon to provide their professional services to people attempting to negotiate it. This paper introduces a number of the potential hazards as well as the points at which therapeutic and related services may be needed.     

The vocation of motherhood: Husserl and feminist ethics

In this paper, I explore a confrontation between Husserl’s ethical position of vocation and its absolute ought with a feminist ethical position. I argue that Husserl’s ethics has a great deal to offer a feminist ethics by providing for the possibility of an ethics that is particular rather than universal, that recognizes the role of the social through tradition in establishing values and norms without conceding the ethical responsibility of the individual, and that acknowledges the role of both reason and desire in establishing moral values that has the consequence of breaking down the public/private distinction that has reigned in so many ethical theories. In order to make this case, I proceed with a review of Husserl’s position of the absolute ought, some typical criticisms that might be leveled at his position, and finally, responses to those criticisms that show ways in which Husserl’s position can be beneficial to the formulation of a feminist ethics that is inclusive of the emotional aspect of moral valuation, and the particularity of ethical commitments, while providing for a different way of evaluating thinking that accommodates what are usually understood to be “feminine” concerns. In addition to describing Husserl’s position, I show how that position meets some of the expectations for a feminist ethics as put forth by Iris Marion Young and Sara Ruddick.     

The role of James McCosh in God's exile from psychology

As a discipline of psychology coalesced during the latter half of the 19th century in American institutions of higher learning, the role of God as an explanatory force declined dramatically. Part of this story must include the role played by James McCosh, president and primary psychology professor at Princeton, 1868-1888, in assuring orthodox educated believers that the new psychology was essentially a safe endeavor and that the truths discovered therein posed no threat and ultimately would harmonize with the truths of the historic Christian faith. Several of McCosh's students later credited him with leading the way. Where McCosh led and how he did it is the focus of this article.     

Work and motherhood: preliminary report of a psychoanalytic study

This paper reports preliminary findings of a systematic inquiry into the manifest experience of conflict between paid work and motherhood. Psychoanalytic principles inform the design of a questionnaire and a research interview and the interpretation of data derived from both sources. An initial review of material from 140 questionnaires and 65 clinical interview series suggests that women vary tremendously in the ease or difficulty with which they navigate real obstacles to the integration of paid work and motherhood. The quality of a woman's relationship with her mother emerges as a singularly powerful influence on her experience of work-family balance.     

The intergenerational cycle of teenage motherhood: an ecological approach

OBJECTIVE: Daughters of teenage mothers have increased risk for teenage childbearing, perpetuating intergenerational cycles. Using Ecological Systems Theory, this study prospectively examined risk factors for teenage childbearing among a national sample of adolescent girls. DESIGN: Data came from the National Longitudinal Survey of Youth 1997. Participants (N = 1,430) were recruited in early adolescence and interviewed yearly for 6 years. Survival analysis was used to examine the rate of childbirth across the teenage years by maternal age at first birth. Hierarchical Cox regression was used to identify multivariate predictors of teenage childbearing and to test whether risk factors differed between daughters of teenage versus older mothers. PRIMARY OUTCOME MEASURE: Age at first childbirth was based on cumulative information collected at yearly interviews. RESULTS: Daughters of teenage mothers were 66% more likely to become teenage mothers, after accounting for other risks. Individual (school performance), family (maternal education, marital status, number of children), peer (dating history), and environmental (race, enrichment) factors predicted teenage childbearing. Risks unique to daughters of teenage mothers were deviant peer norms, low parental monitoring, Hispanic race, and poverty. CONCLUSION: Results support multidimensional approaches to pregnancy prevention, and targeted interventions addressing unique risk factors among daughters of teenage mothers.     

In vitro fertilization and surrogate motherhood: The Jewish view

This paper examines the legal, moral, ethical, and Jewish religious issues involved inin vitro fertilization and surrogate motherhood. Also briefly discussed are the topics of artificial insemination and sex organ transplants. Jewish views on these subjects are based on the cardinal principles that life is of infinite value, that human life is sacred, and that the divine license to heal granted to the physician carries with it certain well-defined obligations and restrictions.     

Giving and Getting: Altruism and Exchange in Transplantation

In the study of organ and tissue transplantation, the focus tends to be on donation. But where there is "giving," there is also "getting:" receiving help. Altruism, helping behavior, and the exchange of benefits have received extensive attention from social psychological researchers. The gift exchange described by anthropologist Marcel Mauss provides a framework for reviewing this social psychological research on altruism and exchange and applying it to transplantation. An overall conclusion is that altruistic donation is not so ethically or clinically problematic, while receiving help has a complex psychosocial context that needs to be acknowledged and given more attention.     

Giving Psychology Away: A Personal Journey

ABSTRACT— In this autobiographical essay, I trace the origins of my passion for communicating with the public about mental health and the behavioral sciences and make a case for spreading such passion among psychologists. I also describe the circuitous route that led to my unlikely 4-year tenure as editor-in-chief of Psychology Today magazine and describe some of the inner workings of this New York–based, commercial enterprise—formerly the property of the American Psychological Association. I made some progress in that role to return the magazine to its scientific origins, providing an outlet for hundreds of scientists and practitioners to speak directly to millions of Americans about their work. This is an essential task, I argue, if our field is to flourish. I also detail my departure as editor-in-chief of Psychology Today and describe the magazine's rapid return to "pop" status. Media sources do not automatically welcome participation by clinicians or behavioral scientists. Through a contingency analysis, I suggest ways of improving our ability to interface successfully with media professionals.     

Giving Directions: Gender and Perceived Quality

Two related studies examined gender differences in directions given between 2 campus buildings (Experiment 1) and the rated quality of these directions and their authorship in terms of gender (Experiment 2). In the first experiment, 95 participants gave written directions for newcomers to their college campus. No significant gender differences were found in 6 assessment categories adapted from Ward, Newcombe, and Overton (1986). In the second experiment, 14 sets of directions from Experiment 1 were evaluated by 111 participants in a between-subjects design, half evaluating them in terms of the gender of the author and half in terms of the quality of the directions. Results indicated that length (in terms of gender) and errors (in terms of quality) most clearly differentiated the directions. The findings are discussed in terms of the schism between performance and perception.     

The transition to motherhood in an organizational context: An interpretative phenomenological analysis

Most of the extant literature on maternity issues is survey based, primarily concerned with identifying the predictors of return to work. The current study aims instead to understand experiences of maternity leave per se. Of the 10 women interviewed during pregnancy, 8 women were followed through to their return to work. Their interviews were analysed using interpretative phenomenological analysis to identify transitional themes. Findings are discussed in terms of two master themes: changes of identity (involving feelings of gradual invisibility as a valued employee, acquisition of a ‘mother’ identity creating return dilemmas and efforts to revalidate oneself upon re‐entry as both a valued employee and a mother); and changed psychological contracts (pertaining to the fulfilment of mutual expectations). Overall, women appeared to struggle subjectively with prevailing their rights, needs and concerns as mothers while simultaneously also maintaining their identity as valued and functional members of the organization. The findings can be conceptualized within existing theoretical frameworks (e.g. Psychological Contract Theory) and to this extent it is possible to draw out implications for a more effective management of the transition process from pregnancy to return to work.