Homelessness Among Families, Children, and Adolescents: An Ecological–Developmental Perspective

This paper reviews and evaluates the literatures on children in families that are homeless and on adolescents who are homeless on their own. After presenting several emerging theoretical approaches, we propose a broad ecological-developmental perspective that recognizes that, although persons in these groups often lack resources and experience negative events that can amplify the risk for poor outcomes, they also have resources and adaptive potential. The perspective also recognizes that homelessness may have different meanings and outcomes at different points in development and that we need to consider interactions between individual development and multiple levels of social organization in order to foster new solutions to homelessness. On the basis of this perspective, we discuss directions for treatment and preventive interventions as well as social policy.     

Family Therapy with East Indian Immigrant Parents Rearing Children in the United States: PARENTAL CONCERNS,THERAPEUTIC ISSUES,AND RECOMMENDATIONS

The paper focuses on East Indian immigrant parents and some of the post-immigration difficulties they experience in their attempts to rear culturally East Indian children within the United States cultural context. Concerns specific to parenting children in the US, and therapeutic issues East Indian immigrant parents bring to therapy are presented and discussed. Effective therapy with East Indian immigrant families requires that therapists be flexible in their therapeutic approaches with these families, and become more knowledgeable about the varieties of East Indian families, their cultural beliefs, values, and norms. Recommendations for culturally effective therapy are offered.David A. Baptiste, PhD, is Senior Psychologist, New Mexico Corrections Department, and in the private practice of Marital and Family Therapy, 2709 Sim Ave. Las Cruces, NM 88005 (DAB2709@aol.com).*The author is an immigrant from Guyana, South America, an Indian diaspora country. The experiences and observations discussed here are culled from 30 years of clinical practice in several US locations with a variety of East Indian Families from the Indian subcontinent and other diaspora countries.     

Enforced Disappearances and Torture Today: A View from Analytical Psychology

Enforced disappearance represents the quintessence of human rights violations with a strong psychological component. Bodies vanishing have a deterrent effect by terrorizing and paralyzing the entire society. However, the absence of those bodies is overly present in the inner experience of the families of the disappeared, who are victims in their turn. A state of severe psychological deterioration affects the relatives of the disappeared: depression, anxiety, powerlessness, guilt, post-traumatic stress disorder, inability to mourn, even suicide are the consequences of the unbearable uncertainty about the fate of the loved one. But the disappeared persons, notwithstanding the absence of their bodies, continue to be more present than ever in the inner experience of those who have loved them. For the families of the disappeared, to regain psychological equilibrium is a fine balance between the need to remember and the necessity to forget. The author affirms that, at a social and political level, to cultivate a collective memory of enforced disappearance is an ethical duty which validates the actual occurrence of the atrocities, helps prevent repetition and alleviates the transgenerational transmission of trauma.     

Storytelling: An enjoyable and effective therapeutic tool

Storytelling has great potential for stimulating insight and behavior change, particularly when client and clinician seem to have reached an impasse, as is frequently the case with adolescent clients. The storytelling process provides a viable alternative to the traditional therapeutic communication style in which the client is the only storyteller. It provides a means to circumvent client resistance and present new concepts and paradigms for healthy behavior. This paper provides a practical guide for the use of therapeutic metaphors and storytelling as an intervention technique, provides examples of successful interventions made through the storytelling process with both adolescent and adult clients, and outlines suggestions for the effective use of storytelling as a therapeutic tool.Joyce Divinyi, MS, a licensed professional counselor, is a consultant with The Wellness Connection, Peachtree City, Georgia, providing wellness education and mental health training programs and individual and family counseling services. She was formerly the executive director of a residential treatment program for adolescent girls. Reprint requests should be sent to the author at The Wellness Connection, 125 Highgreen Ridge, Peachtree City, GA 30269.     

Couples coping with cancer: Research issues and recent findings

The diagnosis of cancer in one partner can impose numerous changes for both the individual diagnosed with cancer and his or her healthy spouse. In this article, the literature on spouse social support in the context of cancer is reviewed. The importance of understanding support given and received within a close relationship using an interactional, contextual perspective is emphasized. Examining support-related interactions and understanding the personal characteristics that determine the type and amount of support that providers give and the kind of support individuals prefer, and investigating why significant others respond in supportive or critical ways is important. In addition, the study of support interactions must be placed in the both in the context of a marriage and in the context of a catastrophic life event such as cancer. A longitudinal study of patients with gastrointestinal cancer and their healthy partners was undertaken to examine these issues, and the design of this study is described. General problems conducting research with couples undergoing a severe life stressor as well as specific problems our research group has encountered while setting up a research program in the cancer setting are reviewed.     

BEHAVIORAL COMMUNITY PSYCHOLOGY: ENCOURAGING LOW-INCOME PARENTS TO SEEK DENTAL CARE FOR THEIR CHILDREN1

The present study examined the effectiveness and cost efficiency of three different techniques to encourage low-income rural parents to seek dental care for their children. The families of 51 children who needed immediate dental care (determined by dental screening at a local school) were placed into three matched groups and randomly assigned to the treatment conditions: One Prompt (Note Only), Three Prompt (Note, Telephone Contact, Home Visit), and One Prompt plus $5 Incentive. The Three Prompt and One Prompt plus $5 Incentive were significantly more effective in initiating dental visits than the Note-Only procedure. Not only was the One Prompt plus $5 Incentive technique effective in producing a slightly larger percentage of initial dental visits compared to the Three-Prompt technique, it also produced a significantly larger number of followup visits. Furthermore, the cost-effectiveness analysis showed the Incentive condition to be less costly than the Three-Prompt condition in encouraging initial dental visits.     

A modest/immodest proposal: Reciprocal foster families

In this article we describe the concept of reciprocal foster families a strength-based approach to helping families in poverty. This approach focuses on the resources that all families have to offer each other. The goal of reciprocal foster families approach is to restrict the role of professionals and develop trust in the intuitive wisdom of natural networks of people and families as they help each other succeed in times of difficulty.     

The personal well-being of single-parent family heads rearing their children by themselves: A comparative study

This article summarizes a study comparing the sense of well-being of divorced maternal and paternal single parents rearing their children by themselves with that of two-parent family heads. There were differences between the family's sense of well-being only in terms of the two extremes of their economic situation. In a good economic situation, single-parent families have a higher sense of well-being than the two-parent families; in a poor economic situation, the reverse is true. When the economic situation is average, their sense of well-being is similar. The concept of an androgynous sex role and a croblem-focused coping style (in that order) were important. Recommendations for other studies and directions for future thought about therapy procedures are included.This article is based on a doctoral dissertation submitted under the supervision of Professor M. Loewenberg at Bar-Ilan University, Israel, 1992.     

Determinants of Harsh Parenting in Mexico

This paper presents a structural model of the determinants of harsh parenting among Mexican mothers. One hundred five mothers (46 from the community; 59 referred to agencies for child maltreatment) were recruited from Sonora (Northern) Mexico and interviewed. In this model the use of physical punishment was explained by (1) authoritarian parenting style (mothers' beliefs concerning the effective use of physical punishment and mothers' lack of disciplinary skills) and (2) family dysfunction (a latent variable constructed from reports of interspousal violence and the parents' use of alcohol and drugs). In addition, the indirect effects of demographic and historical variables on harsh parenting was included. The findings show that the most important factor influencing the use of physical punishment in these families was authoritarian parenting style, exerting a significant direct effect on the mothers' reports of their use of harsh punishment. Family dysfunction had an indirect effect through parenting style. Some sociodemographic variables also indirectly influenced the use of beliefs maternal punishment It is concluded that cultural beliefs play a major role in parenting within the framework of Mexican family relations.     

The Role of Families in Adolescent HIV Prevention: A Review

Recent research has highlighted the significant contribution families make in the prevention of HIV risk behaviors among adolescents. As the most proximal and fundamental social system influencing child development, families provide many of the factors that protect adolescents from engaging in sexual risk behaviors. Among these are positive family relations, effective communication about sexuality and safer sexual behaviors, enhancement and support of academic functioning, and monitoring of peer activities. HIV risk behaviors occur in a social context, and it is becoming clear that the earliest and most effective way to intervene is in the context where one initially learns about relationships and behavior—the family. Both the Centers for Disease Control and Prevention and the National Institute for Mental Health have taken steps to support and emphasize research that will further elucidate our understanding of the role of families in HIV prevention. This article uses Ecodevelopmental Theory to guide and organize the findings of this promising research area. Within this context, and with special attention to the comorbidity of adolescent problem behaviors, this article reviews empirical research on the role of families in HIV prevention, discusses current intervention efforts that involve families and ecosystems, and addresses prospects and implications for future research and interventions.