Practitioners\u27 Perpectives on the Impact of Migratory Separation on Attachment Among Southeast Asian Clients: An Exploratory Study

Evidenced by the multitude of literature across disciplines, attachment theory has ignited one of today’s most prolific lines of research. Attachment Theory’s core themes of security, separation, and loss apply well into the common experience of immigrants and refugees who have dealt with these issues in their immigration experience. Consistently, studies have shown that separation and traumas before, during, and after the migration journey have been identified as potential predictors for serious psychological distress and mental health problems among immigrants and refugees. Given the profound implications from recent studies, there exists limited research on how migratory separation affects attachment. Thus, the goal of this exploratory research was to examine the variables of separation and attachment by using both quantitative and qualitative research methodologies to investigate mental health professionals’ perspectives on the impact of separation due to immigration on attachment related issues among Southeast Asian clients. Further, to gather mental health implications and recommendations on culturally sensitive practices. The sample was comprised of fourteen mental health professionals who work predominantly with Southeast Asian immigrant and refugee populations. The participants provided insightful observations on the complex relationship between attachment and separation due to immigration among Southeast Asian diaspora populations. Most notably, they described common challenges, Eastern cultural lens of attachment, and offered intervention recommendations for working with this client populations. This study brings awareness to mental health professionals everywhere of the multifaceted effects separation can have on immigrant and refugees’ well-being and to call for appropriate interventions to assure effective, ethical, and adequate service for this growing populations in our nations and in the Twin Cities metro area

Practitioners\u27 Perpectives on the Impact of Migratory Separation on Attachment Among Southeast Asian Clients: An Exploratory Study

Evidenced by the multitude of literature across disciplines, attachment theory has ignited one of today’s most prolific lines of research. Attachment Theory’s core themes of security, separation, and loss apply well into the common experience of immigrants and refugees who have dealt with these issues in their immigration experience. Consistently, studies have shown that separation and traumas before, during, and after the migration journey have been identified as potential predictors for serious psychological distress and mental health problems among immigrants and refugees. Given the profound implications from recent studies, there exists limited research on how migratory separation affects attachment. Thus, the goal of this exploratory research was to examine the variables of separation and attachment by using both quantitative and qualitative research methodologies to investigate mental health professionals’ perspectives on the impact of separation due to immigration on attachment related issues among Southeast Asian clients. Further, to gather mental health implications and recommendations on culturally sensitive practices. The sample was comprised of fourteen mental health professionals who work predominantly with Southeast Asian immigrant and refugee populations. The participants provided insightful observations on the complex relationship between attachment and separation due to immigration among Southeast Asian diaspora populations. Most notably, they described common challenges, Eastern cultural lens of attachment, and offered intervention recommendations for working with this client populations. This study brings awareness to mental health professionals everywhere of the multifaceted effects separation can have on immigrant and refugees’ well-being and to call for appropriate interventions to assure effective, ethical, and adequate service for this growing populations in our nations and in the Twin Cities metro area

The Effect of a Manualized Group Treatment Protocol on God Image and Attachment to God

This study tested the effect of a manualized group treatment protocol on God image and attachment to God in a sample of college students attending a Christian college. Thirty undergraduate students from a homogenous population were tested with one measure of God attachment, two measures of God image, one measure of religious coping, and one measure of spiritual outcomes. It was hypothesized that significant God image and attachment to God change would occur among the treatment group participants. In addition, it was hypothesized that significant religious coping and spiritual outcome change would occur among the treatment group and comparable group participants. The results indicated significant spiritual outcome change and some God image change. In particular, the strongest finding of this study was the treatment group and comparable group participants reported increased love of God, others, and self after participating in a manualized group treatment protocol

Job satisfaction of New Hampshire nursing faculty

The nursing shortage is a growing concern with the shortage of nurse faculty restricting entry of qualified students. A descriptive study of faculty from 11 New Hampshire nursing schools was conducted to determine nurse faculty satisfaction and factors contributing to satisfaction. A modified version, sent electronically of the Nurse Faculty Satisfaction Questionnaire measured faculty satisfaction. Of 159 faculty invited 74 (47%) participated. Overall, NH nurse faculty were highly satisfied as nurse educators with 78.4% rating overall satisfaction of 8 or higher on a 0 - 10 scale. The top three satisfiers were opportunity to work independently, sense of accomplishment from work, and the variety of activities. The highest level of dissatisfaction was rate of pay for position (60.8%), amount of work required (31.1%), and degree of technical support available (29.8%). While NH nurse educators would recommend a nurse become a nurse faculty, pay is a serious detractor in recruiting new faculty

The Portuguese Online Lighthouse MBT-P: Feasibility and Caregivers´ Perceived Processes of Change

Parental mentalizing is the caregivers' ability to actively try to understand their child´s intentional mental states underpinning behaviour. Failures in parental mentalizing can lead to risk of intergenerational abuse and neglect, which is related to psychopathology. A growing need for online parenting interventions, due to the increase in parental stress during the COVID-19 pandemic, makes evident the need to adapt the Lighthouse MBT-P program to its Portuguese online version. In this context, the intervention was adapted, and a network of senior national therapists were trained and supervised during the facilitation of the program. The candidate was involved in all steps of the adaptation, training, assisted to one group intervention and all supervision meetings. Moreover, he prepared the research protocol and gave logistic support during the data collection process. This article presents the study of two online groups, and pursues two major aims. First, to assess the feasibility of the online version of the Portuguese Lighthouse MBT-P 12-week, as well as the feasibility of the research protocol. Second, to explore what, when and how perceived therapy related change processes occur. The sample was composed of 14 caregivers of a sub-clinical population, who answered Helpful Aspects of Therapy and PSYCHLOPS session-by-session measures, and Client Change Interview at the end of the intervention. Qualitative data was thematically analysed and discussed with the scientific supervisor in iterative cycles. The results suggested the program´s efficacy in promoting parental reflective function, parental sensitivity, emotional regulation and parental self-efficacy. The online 12-sessions Lighthouse program is feasible, with high therapeutic compliance. However, the session-by-session data collection using the above measures is difficult, and the data collection procedure needs future adjustments.Parental mentalizing is the caregivers' ability to actively try to understand their child´s intentional mental states underpinning behaviour. Failures in parental mentalizing can lead to risk of intergenerational abuse and neglect, which is related to psychopathology. A growing need for online parenting interventions, due to the increase in parental stress during the COVID-19 pandemic, makes evident the need to adapt the Lighthouse MBT-P program to its Portuguese online version. In this context, the intervention was adapted, and a network of senior national therapists were trained and supervised during the facilitation of the program. The candidate was involved in all steps of the adaptation, training, assisted to one group intervention and all supervision meetings. Moreover, he prepared the research protocol and gave logistic support during the data collection process. This article presents the study of two online groups, and pursues two major aims. First, to assess the feasibility of the online version of the Portuguese Lighthouse MBT-P 12-week, as well as the feasibility of the research protocol. Second, to explore what, when and how perceived therapy related change processes occur. The sample was composed of 14 caregivers of a sub-clinical population, who answered Helpful Aspects of Therapy and PSYCHLOPS session-by-session measures, and Client Change Interview at the end of the intervention. Qualitative data was thematically analysed and discussed with the scientific supervisor in iterative cycles. The results suggested the program´s efficacy in promoting parental reflective function, parental sensitivity, emotional regulation and parental self-efficacy. The online 12-sessions Lighthouse program is feasible, with high therapeutic compliance. However, the session-by-session data collection using the above measures is difficult, and the data collection procedure needs future adjustments

A sub-regional management framework for South Pacific longline fisheries

The principal objective of this study was to determine if additional net benefits can be derived from the sub-regional longline fishery by the introduction of a new management agreement that would centre on the provision of licensing arrangements that would allow access by eligible longline vessels to multiple Exclusive Economic Zones, i.e. Multi-zone Access. [90pp.

Roles and recommendations from primary care physicians towards managing low-risk breast cancer survivors in a shared-care model with specialists in Singapore-a qualitative study.

BackgroundBreast cancer is prevalent and has high cure rates. The resultant increase in numbers of breast cancer survivors (BCS) may overwhelm the current oncology workforce in years to come. We postulate that primary care physicians (PCPs) could play an expanded role in comanaging survivors, provided they are given the appropriate tools and training to do so.ObjectiveTo explore the perspectives of PCPs towards managing BCS in a community-based shared-care programme with oncologists.MethodsEleven focus groups and six in-depth interviews were conducted with seventy PCPs recruited by purposive sampling. All sessions were audio-recorded, transcribed verbatim and coded by three independent investigators. Thematic data analysis was performed and the coding process facilitated by NVivo 12.ResultsMajority of PCPs reported currently limited roles in managing acute and non-cancer issues, optimizing comorbidities and preventive care. PCPs aspired to expand their role to include cancer surveillance, risk assessment and addressing unmet psychosocial needs. PCPs preferred to harmonize cancer survivorship management of their primary care patients who are also BCS, with defined role distinct from oncologists. Training to understand the care protocol, enhancement of communication skills, confidence and trust were deemed necessary. PCPs proposed selection criteria of BCS and adequacy of their medical information; increased consultation time; contact details and timely access to oncologists (if needed) in the shared-care programme.ConclusionsPCPs were willing to share the care of BCS with oncologists but recommended role definition, training, clinical protocol, resources and access to oncologist's consultation to optimize the programme implementation