Time out from Stress: Camp Program and Parenting Groups for Homeless Mothers

This paper describes a camp program for homeless families and parenting groups aimed at discussing issues related to parenting while homeless. In groups and individual interviews, the women shared stories about multiple problems that negatively impacted parent/child relationships and their ability to maintain employment and residential stability. These problems included domestic violence, sexual abuse, and substance abuse. Evaluation of the camp program indicated that services available in the community and those provided by shelters were limited and mothers often had difficulties utilizing services.     

Antecedents of Physical and Sexual Victimization Among Homeless Women: A Comparison to Homeless Men

Homeless women experience extensive health risks including physical and sexual victimization. Few studies that have gathered information on homeless persons have reported results separately for women or have compared them directly with men. Research that both investigates antecedents of victimization among homeless women and compares them to those for men is necessary to determine whether prevention efforts must be different for each group. We investigated potential antecedents of recent (past 30 days) physical and sexual victimization in a probability sample of 394 homeless women and compared findings to those for 1159 homeless men. As hypothesized, mental disorder, substance dependence, and engaging in economic survival strategies significantly predicted victimization among homeless women. With few dissimilarities, these characteristics also predicted victimization among homeless men. Although differences in the needs and experiences of homeless women and men must be recognized, both women and men require assistance to establish and maintain safe residences, treatment of any substance use and mental disorder, and alternatives to economic survival strategies that place them at risk for victimization.     

Children with SED and Their Families in an Urban Public Mental Health System: Characteristics, Needs, and Expectations

We present information with implications for the design of comprehensive systems of care for children with severe emotional disturbance and their families. Combining quantitative data derived from children and caregivers on multiple standardized assessments and qualitative data based on the caregivers' personal comments, we provide a detailed account of child clinical status, service needs, involvement in normative childhood activities, aspects of family coping and functioning, and expectations of mental health services. Research participants were from a random sampling of children, 9 to 11 years of age, receiving an above average number of services from a large urban public mental health system. Results from this comprehensive needs assessment demonstrate the serious nature of the children's disabilities, illuminate the corresponding challenges for families, and provide direction for enhancing the system of care. The caregivers rated recreation and after school programs as their first priority. Since traditional mental health services are fairly well articulated and evolved, we concentrate on using information about child functioning and family context to inform the development of recreation and after school programs that can accommodate children with extremely challenging behaviors.     

The role of informal social support in needs assessment: proposal and application of a model to assess immigrants' needs in the south of Spain

Needs assessment models have been generally focused on the identification and prioritization of needs, analysing formal resources available in the community as possible solutions for existing problems. These kinds of models have assumed that formal services are the primary source of support for individuals in need. However, a great deal of the investigations in the field of Social Psychology have shown that the main source of help and support when facing a problem is not formal organizations, but people's own informal networks. In this article, we therefore propose a needs assessment model that emphasizes the importance of analysing both formal and informal social resources. The application of this model to assess Moroccan immigrants' needs in the south of Spain shows the anticipated low level of utilization of formal services and programmes, one that contrasts with the high use of informal networks as an essential source of social support for this group of immigrants. These results reveal the limitations of traditional needs assessment models, and the importance of incorporating the analysis of informal social support as a key resource for need satisfaction, particularly in the case of immigrant populations. Copyright © 2004 John Wiley & Sons, Ltd.     

Homeless mothers: is there a relationship between coping strategies,mental health and goal achievement?

This study examined the relationship between coping, mental health and goal achievement among homeless mothers. Seventy-two women took part and 44 were re-interviewed 4 months later. The Family Crisis Oriented Personal Evaluation Scales (F-COPES) were used to identify their coping strategies at the time of homelessness; the General Health Questionnaire (GHQ) measured mental health problems; and a semi-structured questionnaire identified their goals. Outcome measures at follow-up were goal achievement and mental health. A variety of coping strategies were used, with some differences ascertained according to reason for homelessness and age of respondent. Lower use of problem-focussed coping was associated with poorer mental health at the time of homelessness. Mental health problems improved over time, but levels of psychopathology remained high at follow-up. Most women had achieved their primary goal of resettlement, and this was associated with use of problem-focussed coping. Lower use of problem-focussed coping, in particular, acquiring social support, was associated with continuation of mental health problems at follow-up, however the greatest predictor of mental health at follow-up was mental health status whilst homeless. Despite exposure to major stressors and poor mental health, mothers experiencing homelessness can maintain their ability to cope effectively, in order to achieve their goals. Copyright © 2007 John Wiley & Sons, Ltd.     

People who help people: A needs assessment of those who provide interpersonal support to individuals with chronic illnesses

Social support during an ongoing illness has been shown to be beneficial for both the provider and the receiver, but people often struggle with offering effective, appropriate support. There is a lack of communication-focused training not specifically tied to caregiving or training that is designed for all social network members of a person experiencing a chronic illness, which we call interpersonal support providers (ISPs). We conducted a concurrent mixed-methods needs assessment, surveying both ISPs and support receivers, to understand communicative challenges and inform an evidence-based intervention. Analysis of results from an online survey (N_providers = 91, N_receivers = 97), consisting of five open-ended and 15 quantitative items, suggests that ISPs have difficulty managing their worries and emotions while providing comfort to others, which may impact support quality. In addition, ISPs and receivers both identify “listening” as a key skill for ISPs to hone, though ISPs feel they are more skilled at listening than receivers say they are. Lastly, ISPs feel they are good at sharing information and advice, but receivers often perceive it as patronizing or unhelpful. These results will inform the creation of an intervention for everyone offering emotional, esteem, and informational support to individuals with chronic illnesses.     

Exploring the role,needs and challenges of relatives of mothers with HIV or HIV and psychosis: A qualitative study

This study explored types and nature of supports by relatives of mothers living with HIV and psychosis in comparison to mothers with HIV only. Interview data on their experiences of their roles, needs and challenges were collected from 33 relatives on mothers with HIV and psychosis (n=12, females=10, blacks =12, age ranges 21 to 62) and those with HIV only (n=21, females=16, blacks =21, age ranges 18 to 63). The data were thematically analysed utilizing Atlas.ti. The results showed that relatives in both groups provided a variety of supporting roles. Important challenges were experiencing the negative consequences of especially HIV in combination with psychosis in their lives and dealing with the caregiving responsibilities without having enough information. Important strengths included utilizing support networks and remaining hopeful. Support needs for carers of mothers living with HIV related psychosis or HIV only, can be enhanced with increasing social and material resources at the community level. Supporting needs can be addressed by empowering communities through psycho-education.     

Quality of life and mental health among women with ovarian cancer: examining the role of emotional and instrumental social support seeking

The purpose of the present study was to examine the role of emotional and instrumental social support seeking in the quality of life (QOL) and mental health of women with ovarian cancer. Participants were recruited through the Pennsylvania Cancer Registry, and one hundred women took part in a mail questionnaire that collected information on their demographics, medical status, social support seeking, QOL and mental health including anxiety, depression and stress. Hierarchical linear regression analyses were conducted to assess the influence of emotional and instrumental social support seeking on QOL and mental health. After controlling for remission status, greater emotional social support seeking was predictive of higher overall QOL, social/family QOL, functional QOL and lower depression scores. Instrumental social support seeking was not significant in the models. The results illustrate that social support seeking as a coping mechanism is an important consideration in the QOL and mental health of women with ovarian cancer. Future studies should examine the psychological and behavioral mediators of the relationship to further understand the QOL and mental health of women with ovarian cancer.     

Daily Occupations,Routines, and Social Participation of Homeless Young People

Homelessness disrupts young people’s participation in the productive occupations that facilitate transition to adulthood, impairs social connections, and has a disorganizing effect on their time use. Semi-structured focus group interviews were used to explore how 19 homeless young people perceived their daily routines, meaningful occupations, and social participation to be impacted by the experience of homelessness. Occupational therapy practitioners can use the findings from this study to inform the development of comprehensive community-based programming aimed at increasing social opportunities, developing balanced, healthy routines, decreasing intrinsic and extrinsic barriers to residential stability, and promoting participation in productive and leisure occupations.     

Why women of lower educational attainment struggle to make healthier food choices: The importance of psychological and social factors

Women of lower educational attainment are more likely to eat unhealthy diets than women of higher educational attainment. To identify influences on the food choices of women with lower educational attainment, 11 focus groups (eight with women of lower, and three with women of higher educational attainment) were held. Using a semi-structured discussion guide, environmental, social, historical and psychological factors known to be associated with food choice were explored. Audio recordings were transcribed verbatim and thematically analysed. Compared to women of higher educational attainment, women of lower educational attainment had less control over their families’ food choices, less support for attempts to eat healthily, fewer opportunities to observe and learn good food-related practices, more negative affect, more perceived environmental constraints and more ambiguous beliefs about the consequences of eating a nutritious diet. These findings provide a starting point for taking forward the design of an intervention to improve the diets of young women.     

家庭及社会支持对城乡老年人心理健康影响的研究——以河北省城乡老年人调查为例

探究家庭及社会支持对老年人心理健康的影响,选取河北省6 173名60岁及以上城乡老年人,采用社会支持和心理健康症状自评量表进行问卷调查。城乡老年人心理健康评测结果显示,有心理症状者占22.9%;社会支持以低中度水平为主,占77.4%;家庭功能以一般及以下为主,占86.3%;经常与子女交流者占53.7%;得到社区帮助者占84.7%;社会支持、家庭功能、与子女交流情况、得到基层社区卫生服务情况均与城乡老年人的心理健康显著相关。统计结果揭示,我国应加大家庭及社会对老年人的支持力度,改善其心理健康状况。     

Gun attitudes on campus: United and divided by safety needs

All people share a need for safety. Yet people’s pursuit of safety can conflict when it comes to guns, with some people perceiving guns as a means to safety and others perceiving guns as a threat to safety. We examined this conflict on a U.S. college campus that prohibits guns. We distinguished between people (N = 11,390) who (1) own a gun for protection, (2) own a gun exclusively for reasons other than protection (e.g., collecting, sports), and (3) do not own a gun. Protection owners felt less safe on campus and supported allowing guns on campus. They also reported that they and others would feel safer and that gun violence would decrease if they carried a gun on campus. Non-owners and non-protection owners felt the reverse. The findings suggest that protection concerns, rather than gun-ownership per se, account for diverging perceptions and attitudes about guns and gun control.     

Family and social networks after bereavement: experiences of support,change and isolation

The role of family and social support networks on grief experiences following the death of a family member in a road traffic accident is explored. Twenty‐one bereaved informants were interviewed and the data analysed using grounded theory methodology. We outline the ways in which a crash fatality impacts upon familial and social relationships. The data clearly demonstrate that although the death of a loved one precipitated closer familial and social bonds in some instances, it was more common that those relationships deteriorated and collapsed. Implications for service delivery, grief education and research are discussed.     

Cumulative trauma and midlife well-being in American women who served in Vietnam: effects of combat exposure and postdeployment social support

Background and Objectives: Research increasingly demonstrates that trauma exposure can have cumulative effects, yet much remains to be learned about effects of cumulative trauma, particularly regarding longer term adjustment. One such trauma, combat exposure, is insufficiently understood, especially for women, who are increasingly engaged in professional combat activities. Design: The study comprised a cross-sectional survey assessing multiple aspects of current well-being in women approximately 25 years after their service in Vietnam during the Vietnam War. Methods: Participants were 1374 women (78% military and 22% nonmilitary; mean age = 59.7). This study investigated the relations between three separate categories of trauma exposure (childhood, adulthood, and combat) and well-being and examined whether perceived social support at return from Vietnam moderated the association between combat exposure and well-being. Results: While both childhood and adulthood trauma exposure related to midlife well-being, combat exposure still uniquely predicted outcomes. Further, postdeployment perceived social support moderated the association of combat and well-being: recollected higher perceived social support at homecoming buffered participants from the links between combat exposure and well-being. Conclusions: These results may have important implications for interventions to reduce the impact of traumatic experiences, particularly in light of the increasing exposure of women to direct combat events.     

Girls,their fathers,and their mothers: Patterned links to ambition and prohibition in women

Abstract

This paper explores the dilemmas women face when they strive to achieve. It is about why women have trouble with their own deeply held ambitions, how patterns of interaction with important others are internalized in their childhood years that render their own strivings for power unacceptable to them, and how this early sense of prohibition against achievement is reinforced by the larger social and cultural surround. I contend that these interdictions against success are held by the female both in and out of her awareness, and are evoked in situations that trigger pathogenic memories in ever more complex ways. I explore current concepts about gender and gender formation, in particular the ideas of Adrienne Harris articulated in her book, Gender as Soft Assembly. Two clinical cases are described in order to explore and illustrate these issues, one a child and the other an adult.

Estelle Shane. Mädchen, ihre Väter und Mütter: Verbindende Muster zu Erfolgsstreben und Verboten im Leben von Frauen.

Dieser Aufsatz untersucht das Dilemma von Frauen, die nach Erfolg streben. Es geht Frauen, bei denen die Wünsche nach Erfolg in der Tiefe verborgenen sind. Die Muster von internalisierten Beziehungen mit wichtigen Bezugspersonen aus der Kindheit verhindern, dass sie das eigene Streben nach Macht akzeptieren können. Dieses Verbot von Erfolgsstreben ist verstärkt durch die sozialen und kulturellen Verhältnisse in denen sie leben. Im Hin und Her zwischen Bewusstwerdung und Verdrängung der Konflikthaftigkeit von Erfolgsstreben, können Erinnerungen an frühere pathogenene Konflikte ausgelöst werden. Gängige Konzepte der Entstehung von Geschlechtsidentität werden untersucht, speziell die Ideen von Adrienne Harris aus ihrem Buch: “Gender as soft Assembly”. Zwei klinische Fälle werden zur Illustration untersucht, der eines Kindes und der eines Erwachsenen.

Estelle Shane. Las niñas, sus padres, y sus madres: Patrones ligados a la ambición y la prohibición en las mujeres.

Este trabajo explora los dilemas que las mujeres enfrentan cuando luchan por lograr. Trata del porque las mujeres tienen problemas con sus ambiciones más profundamente sostenidas, cómo los patrones de interacción con otros son internalizadas en sus años de infancia, y dan cuenta de sus propias luchas por el poder, inaceptables para ellas, y cómo esta sensación temprana de prohibición en contra del logro es reforzado por el ambiente social y cultural que les rodea. Estas prohibiciones en contra del éxito son sostenidas por las mujeres tanto con o sin conciencia y son evocadas en situaciones que apuntalan recuerdos patogénicos en formas más complejas. Exploro conceptos actuales sobre la formación del género, en particular las ideas de Adrienne Harris articuladas en su libro, Gender and soft Assembly. Dos casos clínicos son descritos para explorar e ilustrar estos aspectos, uno se trata de una niña y otro de una mujer adulta.     

Rural Marriage and Family Therapists: A Pilot Study

Marriage and family therapists practice in more than a third of the rural counties in the United States. However, little is known about the practice patterns of marriage and family therapists who practice in rural settings. This pilot study examined the clinical practice and community involvement of a sample of licensed marriage and family therapists in rural Texas. The results contribute to a small but developing body of research about a relatively unknown group of practitioners.