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Challenges in Providing Care for Parents of Transgender Youth during the Coronavirus Pandemic 在冠状病毒大流行期间为变性青年父母提供护理的挑战
IF 1 Q2 Social Sciences Pub Date : 2021-02-25 DOI: 10.1080/00377317.2021.1878083
Nathalie Szilagyi, Christy L Olezeski
ABSTRACT The COVID-19 pandemic has been stressful for many, increasing levels of anxiety, depression and other mental health concerns worldwide. With the spread of the virus, many youth found themselves physically isolated from their peers and confined to their homes, and medical and mental health services previously provided in person had to adapt by providing virtual sessions. The transition to virtual care created many new challenges for clinicians and patients, including some specific to transgender youth and their families. Pre-pandemic, transgender youth comprised a marginalized and vulnerable population, with elevated risk for adverse mental health outcomes. However, community support, strong group identification and family affirmation can serve as important mitigating factors. In this paper, we will discuss unique challenges encountered in working with the parents and caregivers of transgender youth during virtual visits that have the potential to interfere with development of a therapeutic alliance and the movement toward increased family acceptance. We will provide clinical case examples and propose methods through which to address difficulties and improve care.
摘要新冠肺炎大流行给许多人带来了压力,加剧了全球焦虑、抑郁和其他心理健康问题。随着病毒的传播,许多年轻人发现自己与同龄人身体隔离,被限制在家中,以前亲自提供的医疗和心理健康服务不得不通过提供虚拟会议来适应。向虚拟护理的过渡给临床医生和患者带来了许多新的挑战,包括一些针对变性青年及其家人的挑战。在新冠疫情之前,跨性别青年是一个边缘化和弱势群体,不良心理健康后果的风险较高。然而,社区支持、强烈的群体认同和家庭肯定可以成为重要的缓解因素。在这篇论文中,我们将讨论在虚拟访问中与变性青年的父母和照顾者合作时遇到的独特挑战,这些挑战可能会干扰治疗联盟的发展和提高家庭接受度的运动。我们将提供临床案例,并提出解决困难和改善护理的方法。
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引用次数: 5
Are Clients Being Improperly Denied Coverage for an Eating Disorder When in a Residential Treatment Center? 客户在住院治疗中心被不恰当地拒绝了饮食失调的保险吗?
IF 1 Q2 Social Sciences Pub Date : 2021-01-19 DOI: 10.1080/00377317.2021.1873895
Temimah Zucker, D. Pollack
ABSTRACT Individuals struggling with eating disorder diagnoses purse higher levels of care to treat the medical, behavioral, and psychiatric aspects of their disorders. The criteria for coverage at a higher level of care often overlooks the holistic nature of treatment required for long-lasting recovery. The following piece will explore clinical information related to the true nature of an eating disorder, criteria for insurance coverage, and specific cases that show denials of care and the implication for clients seeking out support as well as an outline of necessary changes.
摘要患有进食障碍的个体需要更高水平的护理来治疗其疾病的医学、行为和精神方面。更高级别护理的覆盖标准往往忽视了长期康复所需治疗的整体性质。以下文章将探讨与饮食失调的真实性质、保险范围标准、拒绝护理的具体案例以及对寻求支持的客户的影响以及必要变化的概述有关的临床信息。
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引用次数: 0
Thriving in the New Normal: How COVID-19 has Affected Alternative Learners and Their Families and Implementing Effective, Creative Therapeutic Interventions 在新常态下蓬勃发展:COVID-19如何影响替代学习者及其家庭以及实施有效、创造性的治疗干预措施
IF 1 Q2 Social Sciences Pub Date : 2021-01-02 DOI: 10.1080/00377317.2020.1867699
Sharon Saline
ABSTRACT COVID shelter-in-place directives have increased stress families of kids who are alternative learners–those with ADHD, ASD and LD. Already struggling to manage emotions, to begin and finish home and school tasks and maintain social connections, these kids have lost critical in-person academic, therapeutic and peer support systems. Meanwhile, tension at home has increased as parents, untrained in special education and often dealing with their own attention and learning challenges, have to deal with work, financial and housing responsibilities while tutoring their children without necessary training. Increased anxiety, higher levels of reactivity and persistent disappointment further complicate family relationships. Interventions to help families of kids who are neurodiverse, alternative learners are most effective when they rely on the 5 C’s method of successful ADHD parenting. Working together for effective solutions based on meaningful incentives reduces family conflict, improves kids’ participation and fosters parent-child cooperation. When therapists apply this model and assist families in using it, they strengthen emotional attunement and shift the family narrative away from problem-saturated thinking toward resilience and thriving.
COVID就地庇护指令增加了另类学习儿童(ADHD, ASD和LD)家庭的压力。这些孩子已经在努力管理情绪,开始和完成家庭和学校任务并维持社会联系,这些孩子失去了关键的面对面学术,治疗和同伴支持系统。与此同时,由于父母没有接受过特殊教育的培训,而且经常要处理自己的注意力和学习上的挑战,他们在没有接受过必要培训的情况下辅导孩子,不得不处理工作、经济和住房方面的责任,家里的紧张局势也在加剧。焦虑的增加、反应性的提高和持续的失望会使家庭关系变得更加复杂。干预措施,以帮助孩子的家庭神经多样性,另类学习者是最有效的,当他们依靠5 C的方法成功的ADHD教育。在有意义的激励机制的基础上,共同努力寻求有效的解决办法,减少家庭冲突,提高孩子的参与度,促进亲子合作。当治疗师应用这个模型并帮助家庭使用它时,他们加强了情绪调节,并将家庭叙述从问题饱和的思维转变为恢复和繁荣。
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引用次数: 14
Theorizing Black Trans Survivance and Care in the Context of COVID 19: A Clinical Case Study 新冠肺炎背景下黑人跨性别生存和护理的理论化:一个临床案例研究
IF 1 Q2 Social Sciences Pub Date : 2021-01-02 DOI: 10.1080/00377317.2020.1867030
R. Crath, Hannah E. Karpman, J. Mull, Leigh-Anne Francis
ABSTRACT Although Trans women of color experience unique stressors to their physical and mental health and bring distinctive survival and resistance strategies to a therapeutic relationship, they are widely underrepresented in the clinical literature. This paper presents a case of a Black transfeminine youth in an urban area, offering questions brought forward to a clinical consultation during the Covid 19 pandemic. It situates the case in the history of Black Trans subjugation It then examines the case from three theoretical perspectives: psychoanalytic thought, queer of color critique, and a neurobiological perspective. The case is interpreted through each theoretical lens, offering both an understanding of the presenting issues as well as implications for treatment planning. The perspectives are then integrated, offering an example of how one might use a synthesis of perspectives in conversation with each other to best conceptualize and plan for treatment.
尽管有色人种的跨性别女性经历了独特的生理和心理压力源,并在治疗关系中带来了独特的生存和抵抗策略,但她们在临床文献中被广泛低估。本文介绍了一个城市地区黑人跨性别青年的案例,提出了在Covid - 19大流行期间提出的临床咨询问题。它将这个案例置于黑人跨性别者被征服的历史中,然后从三个理论角度来考察这个案例:精神分析思想,酷儿的色彩批判和神经生物学的角度。该案例通过每个理论镜头进行解释,提供对当前问题的理解以及对治疗计划的影响。然后,这些观点被整合起来,提供了一个例子,说明人们如何在彼此的对话中使用观点的综合,以最好地概念化和计划治疗。
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引用次数: 1
Mentalizing as Mechanism: An Interpretive Phenomenological Analysis of Workplace Social Support in Intimate Partner Violence Practice 心理化机制:亲密伴侣暴力行为中工作场所社会支持的解释现象学分析
IF 1 Q2 Social Sciences Pub Date : 2020-12-08 DOI: 10.1080/00377317.2020.1859432
D. Brend, H. Macintosh
Abstract Intimate partner violence (IPV) social workers are at elevated risk of developing post-traumatic stress resulting from ongoing exposure to potentially distressing client disclosures. Workplace social support (WSS) may play a role in moderating that risk. This study used the interpretive phenomenological analysis approach to gain understanding about the phenomenon of WSS from the perspective of IPV social workers. Perceptions of having received WSS, or that WSS was available, were formed by worker’s specific needs being met and by their having access to support people with disciplinary skills. The theory of mentalization is advanced here as a framework from which to understand the processes leading to IPV social worker perceptions of WSS. Implications for social work practice and further research are presented.
摘要亲密伴侣暴力(IPV)社会工作者因持续暴露于潜在的令人痛苦的客户信息而产生创伤后应激的风险较高。工作场所社会支持(WSS)可能在调节这种风险方面发挥作用。本研究采用解释性现象学分析方法,从IPV社会工作者的角度来理解WSS现象。工人的具体需求得到了满足,他们有机会支持具有纪律技能的人,从而形成了接受WSS或WSS可用的看法。这里提出了心理化理论,作为理解IPV社会工作者对WSS感知过程的框架。对社会工作实践和进一步研究提出了启示。
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引用次数: 3
Readiness to Break the Law among Ideological Young Adults in Contested Israeli Settlements 在有争议的以色列定居点,有思想的年轻人准备违法
IF 1 Q2 Social Sciences Pub Date : 2020-10-01 DOI: 10.1080/00377317.2020.1832943
Mally Shechory-Bitton, Odelia Gimani
ABSTRACT Evacuation of Jewish settlements was and still is a controversial issue within Israeli society and elsewhere. The dispute is between those who support it and those who call for their continued establishment and annexation to the State of Israel. The purpose of this study is to explore the factors related to the readiness of Jewish young adults to participate in acts of protest, as well as to break the law, for ideological reasons. 224 young adults completed a demographic questionnaire and questionnaires measuring social control, self-control, impulsivity, ideology, and relationships to national institutions. Two different and distinct models for predicting readiness to take part in protest activities against policy decisions that contradict one’s religious-ideological outlook were found: One for predicting readiness to act legally and the other for predicting readiness to act illegally. The findings show that despite the significance of ideological views for involvement in ideological delinquency, formal and informal supervisory factors carry considerable weight in preventing delinquency.
犹太人定居点的撤离在以色列社会和其他地方一直是一个有争议的问题。争端是在支持它的人和要求继续建立和吞并以色列的人之间发生的。本研究的目的是探讨与犹太青年出于意识形态原因参与抗议行为以及违法行为的准备相关的因素。224名年轻人完成了人口调查问卷和社会控制、自我控制、冲动、意识形态以及与国家机构关系的调查问卷。研究人员发现了两种不同的模型,用于预测人们是否愿意参加反对与自己的宗教意识形态观点相矛盾的政策决定的抗议活动:一种是预测人们是否愿意合法行动,另一种是预测人们是否愿意非法行动。研究结果表明,尽管意识形态观点对意识形态犯罪的参与具有重要意义,但正式和非正式的监督因素在预防犯罪方面具有相当大的分量。
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引用次数: 0
Laughter Yoga as a Social Work Intervention 笑声瑜伽作为一种社会工作干预
IF 1 Q2 Social Sciences Pub Date : 2020-10-01 DOI: 10.1080/00377317.2020.1819938
M. Cheung, C. Leung
ABSTRACT Using simulated laughter, clients follow laughing patterns without using memory recalls or associating with any thinking or feeling. This practice update describes laughter yoga as a social work intervention. It demonstrates the functions, principles, and procedures of laughter yoga to help clients alleviate stress and at the same time enable social workers to practice with the clients as a self-care exercise during an emotionally intensive session. A composite case is used to demonstrate how the social worker used laughter yoga as an exercise with Mrs. X, a patient with cancer. The outcomes, in this case, are used to show the method and its procedures rather than evaluating efficacy. It suggests that social workers may benefit from utilizing laughter yoga as an intervention. Future research should address its effectiveness by measuring beta-endorphin increases for relaxation and improvement in social bonding.
摘要使用模拟笑,客户在不使用记忆回忆或任何思维或感觉的情况下遵循笑模式。此练习更新将大笑瑜伽描述为一种社会工作干预。它展示了笑瑜伽的功能、原则和程序,以帮助客户缓解压力,同时使社会工作者能够在情绪密集的课程中与客户一起练习自我护理。一个综合案例被用来演示这位社会工作者如何与癌症患者X夫人一起使用大笑瑜伽作为练习。在这种情况下,结果用于显示方法及其程序,而不是评估疗效。研究表明,社会工作者可能会从使用大笑瑜伽作为干预措施中受益。未来的研究应该通过测量β-内啡肽的增加来解决其有效性,以放松和改善社交关系。
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引用次数: 2
The Nexus of Social Progress and Economic Inequality: Implications for the Grand Challenges for Social Work 社会进步与经济不平等的关系:对社会工作重大挑战的启示
IF 1 Q2 Social Sciences Pub Date : 2020-10-01 DOI: 10.1080/00377317.2020.1820422
C. G. Hudson
ABSTRACT In its extended history, social progress has become a metanarrative of the western world, one that has been both extolled and more recently pervasively dismissed. This review examines this history, including efforts to resurrect the concept, both through global research and within social work. Specifically, the advancement of social progress is incorporated as a central rationale of the Grand Challenges for Social Work. The problems inherent in the concept, particularly its nexus with economic inequality, as well as the many documented advances in social progress, form the basis for several implications for the Grand Challenges that are reviewed here. These include the need for a clearer conceptualization and expansion in the challenges to explicitly include quality of life, economic and racial justice, and mental health issues, and a more systematic integration of empirical methods into the initiative itself, such as a monitoring of the success of its 12 challenges. In addition, addressing the Grand Challenges will require the continued development of an array of social work practices aimed at both individual and systemic change.
在其漫长的历史中,社会进步已经成为西方世界的一种元叙事,一种既被颂扬又被普遍摒弃的叙事。本文回顾了这段历史,包括通过全球研究和社会工作来复兴这一概念的努力。具体来说,社会进步的进步被纳入社会工作大挑战的核心理论基础。这一概念所固有的问题,特别是它与经济不平等的关系,以及社会进步方面的许多有记录的进步,构成了本文评述的“大挑战”的若干含义的基础。这些挑战包括需要更明确地概念化和扩大挑战,明确包括生活质量、经济和种族正义以及心理健康问题,以及更系统地将经验方法纳入倡议本身,例如监测其12项挑战的成功情况。此外,应对大挑战将需要持续发展一系列旨在实现个人和系统变革的社会工作实践。
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引用次数: 0
Surviving Being Black and a Clinician During a Dual Pandemic:Personal and Professional Challenges in a Disease and Racial Crisis 在双重流行病中作为黑人和临床医生生存:疾病和种族危机中的个人和职业挑战
IF 1 Q2 Social Sciences Pub Date : 2020-10-01 DOI: 10.1080/00377317.2020.1834489
A. Lipscomb, Wendy Ashley
ABSTRACT I CAN’T BREATHE! Social distance! I CAN’T BREATHE! Stay six feet apart! I CAN’T BREATHE! Make sure you wash your hands! I CAN’T BREATHEEEE! When can I schedule a session? The duality of being Black in America and a mental health professional during a global pandemic is stressful enough; however, coupled with a simultaneous racial pandemic, the intrapsychic, interpersonal and professional responsibilities feel incessant. This article seeks to explore the lived experiences of two Black mental health professionals residing and providing clinical services in Los Angeles County during a dual pandemic. Utilizing autoethnography methodology, the authors will reflect upon their personal and professional experiences of being Black and a mental health provider during a dual pandemic. Special attention will be allocated to unpacking issues of systemic racism, White supremacy, White fragility, anti-racism and third space oppression while providing clinical services to White and Black clients and attempting to engage in ongoing self-care activities. In addition, the authors will explore recommendations examining the nexus between racial identity, social location and professional expectations during a dual pandemic.
抽象我无法呼吸!社交距离!我无法呼吸!保持六英尺的距离!我无法呼吸!一定要洗手!我无法呼吸!我什么时候可以安排会议?在全球疫情期间,身为美国黑人和心理健康专业人士的双重身份已经足够紧张了;然而,再加上同时发生的种族流行病,精神内部、人际关系和职业责任感不断。本文试图探索两名黑人心理健康专业人员在双重疫情期间居住在洛杉矶县并提供临床服务的生活经历。利用民族志方法,作者将反思他们在双重疫情期间作为黑人和心理健康提供者的个人和职业经历。将特别关注系统性种族主义、白人至上主义、白人脆弱性、反种族主义和第三空间压迫等问题,同时为白人和黑人客户提供临床服务,并试图参与持续的自我保健活动。此外,作者还将探讨在双重疫情期间研究种族认同、社会位置和职业期望之间关系的建议。
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引用次数: 15
The Four Pandemics 四大流行病
IF 1 Q2 Social Sciences Pub Date : 2020-10-01 DOI: 10.1080/00377317.2020.1832944
Joshua Miller
ABSTRACT COVID 19 interacts with white supremacy, economic insecurity and politcal terrorism, adversely affecting many people and populations. This article considers the consequences of these four interacting pandemics and suggests that social work, particularly clinical social work, requires radical revisioning and decolonizing to be able to ethically and adequately serve affected people.
摘要2019冠状病毒病与白人至上主义、经济不安全和政治恐怖主义相互作用,对许多人和人口产生不利影响。这篇文章考虑了这四种相互作用的流行病的后果,并建议社会工作,特别是临床社会工作,需要彻底的修正和非殖民化,才能在道德上为受影响的人提供充分的服务。
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引用次数: 4
期刊
SMITH COLLEGE STUDIES IN SOCIAL WORK
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