scholarly journals Sibling Relationships in Adoptive Families That Disrupted or Were in Crisis

2018 ◽  
Vol 29 (2) ◽  
pp. 165-175 ◽  
Author(s):  
Julie Selwyn

Purpose: The study investigated whether sibling relationships influenced the outcomes of a sample of adoptive placements in England and Wales that had broken down postorder or were in crisis. Method: The study used secondary analysis drawing on in-depth interviews with 41 families who had experienced an adoption disruption and 42 families who described the adoptive placement as being in crisis in England and in Wales. The families contained 214 adopted and birth children. Results: Siblings placed together were statistically more likely to disrupt in comparison with sequential placements. Only 18 of the 83 families described normal sibling relationships. Placements intended to maintain sibling relationships had not done so. Conclusion: Assessments need to pay more attention to sibling dynamics. Children’s relationships might be better supported by separate placements with planned contact. Interventions are needed to improve sibling relationships.

2017 ◽  
Vol 27 (2) ◽  
pp. 186-202 ◽  
Author(s):  
Lesley Hoggart

This paper examines the ways in which young women articulated strategies of resistance to internalised abortion stigma. It does so through secondary analysis of young women’s narratives from two qualitative studies in England and Wales. Whilst participants felt stigmatised by their abortion[s] in different ways, many also resisted stigmatisation. They did this through different stigma resistance strategies that were shaped by a number of different interactions: their socio-economic situations, family and relationships contexts, the circumstances in which they became pregnant, and their beliefs and values with respect to abortion and motherhood. Being able to construct their abortion decision as morally sound was an important element of stigma resistance. Although socio-cultural norms and values on abortion, reproduction, and motherhood were shown to constrain women’s reproductive choices, these norms were all open to challenge. The women were more likely to struggle with their abortion decision-making when they had internalised negativity around abortion.


BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0117
Author(s):  
Marianne McCallum ◽  
Sara MacDonald

BackgroundThere is a GP workforce crisis, particularly in areas of high socioeconomic deprivation where multimorbidity, and social complexity, is higher. How this impacts GP work, and how they manage workload has not been fully explored.AimTo explore GP work in areas of high socioeconomic deprivation, and the strategies GPs employ using Corbin and Strauss’s ‘Managing Chronic Illness’ model as an analytical lens.MethodSecondary analysis of in-depth interviews, with GPs working in areas of high socio-economic deprivation (n=10).ResultsAll three types of work defined by Corbin and Strauss (everyday, illness, biographical) were described, and one additional type: emotional (work managing GPs’ own emotions). The context of socioeconomic deprivation influenced GP work, increased multimorbidity PLUS social complexity (“Multimorbidity plus”). Healthcare systems, and self-management strategies, did not meet patients’ needs; meeting the resulting gap created extra hidden everyday work, often unrecognised (source of frustration). GPs also described taking on “illness work” for patients who were either overwhelmed, or unable to do it. Some GPs described biographical work asserting their professional role against demands from patients, and other professionals. Work aligning with personal values was important in sustaining motivation; strong teams and outside professional appeared to build resilience.ConclusionGPs working in areas of high socioeconomic deprivation experience different types of work; much unrecognised and not resourced. Current strategies to reduce burnout could be more effective if the complexity of different types of work was addressed, personal values supported, practice teams and outside professional interests were supported.


2020 ◽  
Vol 9 (4) ◽  
pp. 52-77
Author(s):  
Sergey L. Talanov ◽  

The article analyzes the crime rate in the Russian Federation, including the Yaroslavl region. The author carried out a sociological study, within the framework of which a selective analysis of the implementation of the Safe city program in cities in the Russian Federation was carried out. In addition, a survey of students was carried out in 2018–2019 and a series of in-depth interviews with positional experts were conducted. A series of in-depth interviews with students were carried out: the faculty of law of Yaroslavl state university, the faculty of social and political sciences from Yaroslavl state university, pedagogical specialties from Yaroslavl state pedagogical university. It is concluded that the fight against crime will be more effective in comparison with the existing practice if the following conditions are met: purposeful increase in the degree of protection of citizens and infrastructure of cities and rural areas; full-scale implementation of information and communication technologies to control closed (markets, museums, etc.) and open (squares, parks, etc.) territories; development of basic information systems and resources, formation of technical and organizational foundations for further digital transformation of cities and rural areas; active participation of citizens in the life of society and in decision-making on the digitalization of urban space. The author's selective analysis of the implementation of the Safe city program in cities in the Russian Federation showed that the program is designed to reduce the number of offenses and especially dangerous crimes. In addition, this program provides for the solution of issues related to the migration aspect, with the need to reduce the risks caused by man-made and natural disasters and is aimed at identifying the potential danger of objects left in public places. As part of the study, a content analysis of the blogosphere was also carried out, a secondary analysis of publications of research results carried out by scientists from the Federal research center of the Russian academy of sciences (Moscow), was carried out. Based on the results of the study, measures are proposed to reduce crime in cities.


2019 ◽  
Vol 39 (4) ◽  
Author(s):  
Asalah Alareeki ◽  
Bonnie Lashewicz ◽  
Leah Shipton

Parents of autistic children report relatively high levels of parenting stress that includes experiencing stigma. Yet, research about stigma experienced by parents of autistic children is limited, and in particular, fathers' experiences are rarely documented. The purpose of this study is to illuminate courtesy stigma experiences of fathers of autistic children. We conducted a secondary analysis of narrative data from a subset of 16 fathers raising both autistic and non-autistic children. Fathers participated in in-depth interviews about successes and struggles in raising autistic children. Fathers experienced "felt stigma" in forms of censorship, isolation, guilt and defying stigma. Fathers navigate ableist stereotypes, which are interwoven with stereotypes of traditional masculinity. Fathers defy stigma but are also part of processes that perpetuate stigma. Further, understandings of the complexities of courtesy stigma are needed, particularly through studies that target fathers from diverse cultural, racial, family structural and socio-economic backgrounds. 


2003 ◽  
Author(s):  

The intrauterine device (IUD) is a safe, effective, and reversible contraceptive method, however in many countries use of the IUD is stagnant or declining in relation to other contraceptive methods. In 2002, the Population Council investigated the reasons for low utilization of IUDs among women in Ghana and Guatemala. The studies examined clients’ and providers’ knowledge and attitudes about IUDs as well as factors within the health system that affect their use and availability. The studies took place at public, private, and nongovernmental health centers and clinics in both rural and urban settings. Researchers collected qualitative data using a combination of focus group discussions, in-depth interviews with providers, and visits from simulated clients enacting profiles of women wishing to space or limit pregnancies. The studies also included a secondary analysis of service statistics from government and private clinics. As concluded in this brief, lack of knowledge among providers and clients, logistical problems, and cumbersome guidelines contributed to low use of the IUD in Ghana and Guatemala. Efforts to improve use should include more comprehensive training for providers, education for clients, and logistical support.


2014 ◽  
Vol 13 (3) ◽  
pp. 777-785 ◽  
Author(s):  
Joy Penman ◽  
Bronwyn Ellis

AbstractObjective:This paper aims to clarify our understanding of fear and explore the strategies employed by people with life-limiting conditions and their caregivers in addressing the emotion of fear as they journey through the dying process. The role of fear is discussed: different kinds of fear, the tangible and intangible measures by which people manage their fear, and the ways of transcending fear.Method:The findings of a larger research project funded by the Australian Department of Health and Ageing are drawn upon. In-depth interviews were conducted with clients and caregivers relating to the psychosocial and emotional issues in palliative care. Secondary analysis was utilized to examine the perceptions of fear in this cohort.Results:While there were many other findings, the results highlighted in this paper relate to the notion of fear among interview participants. Interview data showed that people with life-limiting conditions and their caregivers had different types of fear and employed a variety of strategies to deal with fear. Four themes emerged embodying these strategies: calling on their own resilience and inner resources, maintaining human relationships, gaining the ability to “keep one step ahead” in the dying process, and engaging in spirituality and religion.Significance of results:The implications of the findings for healthcare professionals are highlighted. The recognition of emotions is embedded in palliative care; healthcare professionals should view the management of emotions as an integral part of professional practice. Addressing fear is essential because unresolved fear can impinge on one's ability to cope. Our paper brings together different perspectives on fear and how vulnerable individuals attempt to cope with it while at the same time providing a view of the challenges confronting healthcare professionals who are engaged with them and committed to optimizing health outcomes for palliative care clients and their caregivers.


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