In Search of the Recognition of Expatriate Complexity: Interpretative Phenomenological Analysis of Psychotherapy Experience

Expatriates experiencing emotional distress and a call for globally oriented psychotherapy receive an increased focus in the research agendas. That one may better understand how expatriates may be helped in times of distress, the insight in their actual psychotherapy experience may serve as a valuable avenue. The aim of this qualitative study was to illuminate the lived experience of psychotherapy and the meaning that expatriates attributed to these experiences within their expatriate context. Semi-structured interviews were utilized for the data collection and Interpretative Phenomenological Analysis (IPA) was employed for data analysis. The following themes emerged from the expatriates’ narratives about their psychotherapy experience: “The recognition of the expatriate complexity,” “Personal growth vs Dependency,” “Endurance vs Change,” “The globally minded therapist,” and “Language makes or breaks.” The overall common psychotherapy experience was expatriates’ considerable need to get the recognition of their expatriate complexity in a global context. Findings are discussed in relation to the existing expatriate and multicultural counselling literature taking into account the importance of cultural aspects in mental health treatment. The current study presents a unique and important contribution in the field of expatriate mental health as it highlights the psychotherapy experience that can be valuable for professionals in various settings offering psychological support

In Search of the Recognition of Expatriate Complexity: Interpretative Phenomenological Analysis of Psychotherapy Experience

Expatriates experiencing emotional distress and a call for globally oriented psychotherapy receive an increased focus in the research agendas. That one may better understand how expatriates may be helped in times of distress, the insight in their actual psychotherapy experience may serve as a valuable avenue. The aim of this qualitative study was to illuminate the lived experience of psychotherapy and the meaning that expatriates attributed to these experiences within their expatriate context. Semi-structured interviews were utilized for the data collection and Interpretative Phenomenological Analysis (IPA) was employed for data analysis. The following themes emerged from the expatriates’ narratives about their psychotherapy experience: “The recognition of the expatriate complexity,” “Personal growth vs Dependency,” “Endurance vs Change,” “The globally minded therapist,” and “Language makes or breaks.” The overall common psychotherapy experience was expatriates’ considerable need to get the recognition of their expatriate complexity in a global context. Findings are discussed in relation to the existing expatriate and multicultural counselling literature taking into account the importance of cultural aspects in mental health treatment. The current study presents a unique and important contribution in the field of expatriate mental health as it highlights the psychotherapy experience that can be valuable for professionals in various settings offering psychological support

Systematic review: Family resilience after pediatric cancer diagnosis

Objectives  A systematic review was conducted to (1) investigate family resilience in the context of pediatric cancer, and (2) examine theoretical, methodological, and statistical issues in this literature. Family resilience was operationalized as competent family functioning after exposure to a significant risk.  Methods  Following guidelines for systematic reviews, searches were performed using Web of Science, Pubmed, Cochrane, PsycInfo, and Embase. After screening 5,563 articles, 85 fulfilled inclusion criteria and were extracted for review.  Results  Findings indicated that most families are resilient, adapting well to the crisis of cancer diagnosis. However, a subset still experiences difficulties. Methodological issues in the current literature hamper strong nuanced conclusions.  Conclusions  We suggest future research with a greater focus on family resilience and factors predicting it, based on available theory, and conducted with attention toward unit of measurement and use of appropriate statistical analyses. Improvements in research are needed to best inform family-based clinical efforts. © The Author 2015. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved

Couple Functioning after Pediatric Cancer Diagnosis: A Systematic Review

Objectives  A systematic review was conducted to: 1) investigate couple functioning after a pediatric cancer diagnosis, and 2) examine theoretical and methodological tendencies and issues in this literature.  Methods  Searches of Web of Science, Pubmed, Cochrane, PsycInfo and Embase resulted in inclusion of 32 qualitative, quantitative or mixed method papers. Findings of these papers were extracted for summary.  Results  Most couples adapt well to the crisis of a pediatric cancer diagnosis in domains such as emotional closeness, support, marital satisfaction and general marital adjustment. However, most experience difficulties in the domain of sexual intimacy and reports on conflict are mixed across qualitative and quantitative studies.  Conclusions  This review illustrates the need for future research with a greater focus on the impact of a pediatric cancer diagnosis on the couple's functioning, conducted with use of appropriate theoretical frameworks and based on both partners’ reports. Improvements in research are needed to best inform couple-based interventions

Associations between Relational Pronoun Usage and the Quality of Early Family Interactions

Our study examined the relationships of relational pronouns used in parental conversation to the quality of early family interactions, as indexed by Family Alliance (FA). We hypothesized that more positive family interactions were associated with the use of more we-pronouns (e.g., we, us, our; we-ness) and fewer I- and you-pronouns (e.g., I, me, you, your; separateness) by both mothers and fathers. Our statistical model using a multilevel modelling framework and two levels of analysis (i.e., a couple level and an individual level) was tested on 47 non-referred families (n = 31 primiparous families; child’s age, M = 15.75 months, SD = 2.73) with we-ness and separateness as outcomes and FA functions as between-dyads variables. Analyses revealed that we-ness within the parental couple was only positively associated with family affect sharing while separateness was negatively associated with different FA functions (e.g., communication mistakes). Our main finding suggested that the kinds of personal pronouns used by parental couples when discussing children’s education would be associated to the emotional quality of the family interactions

Systematic Review: Associations Between Family Functioning and Child Adjustment After Pediatric Cancer Diagnosis: A Meta-Analysis

Objectives A systematic review and meta-analysis was conducted to investigate associations between family functioning and child adjustment (patient/siblings) after pediatric cancer diagnosis. Methods Database searches were performed using Web of Science, Pubmed, Cochrane, PsycInfo, and Embase. After screening 5,563 articles, 35 were identified regarding this topic; 30 contributed data for meta-analyses. Pearson’srcorrelations were the effect of interest. Omnibus and family functioning domain-specific random-effects meta-analyses were conducted. Data are depicted in forest plots. Results A statistically significant association was found between family functioning and child adjustment (patient/siblings) after cancer diagnosis (r = 0.19; 95% CI: 0.13–0.24). Greater family cohesion, expressiveness, and support and less family conflict were each associated with better child adjustment outcomes. Conclusions Family functioning is associated with patient and sibling adjustment after pediatric cancer diagnosis. Limitations in the existing literature preclude strong conclusions about the size of these effects and potential moderators

Social Support, Adjustment, and Psychological Distress of Help-Seeking Expatriates

The present study aimed to explore the interrelations between support processes, adjustment, and psychological distress within a sample of help-seeking expatriates. Specifically, we examined (1) the association between expatriates’ cross-cultural adjustment (i.e., work, interaction and general adjustment) and levels of psychological distress (i.e., depression, anxiety and stress), (2) the association between expatriates’ perceptions of socioemotional and instrumental support availability and their level of cross-cultural adjustment, and (3) the moderating role of expatriates’ socioemotional and instrumental support needs in the latter association. Findings showed that lower levels of expatriates’ work adjustment were associated with higher levels of psychological distress. Further, perceived availability of socioemotional support was positively linked to expatriates’ interaction and work adjustment. Finally, instrumental support needs moderated the relationship between instrumental support availability and general adjustment such that higher levels of instrumental support availability were associated with better general adjustment, but only for expatriates reporting high needs for instrumental support. Our study represents a novel contribution to the expatriate literature by shedding light on expatriates’ vulnerability for psychological distress and understanding the type of social support that is considered most beneficial for help-seeking expatriates. Suggestions are made for clinical interventions for expatriates in need of support

Cosmopolitanism, Self-Interest and World Government

Cosmopolitans, if they are interested in seeing their principles realised, must hope that persons worldwide can become motivated to act in accordance with what those principles demand. But although it is important that genuinely moral motives are developed, we should not ignore the potential pragmatic value of self-interested motives to the realisation of cosmopolitan ends. This article considers three such motives: economic self-interest, prudent self-interest and democratic self-interest. I argue that in each case, usefully harnessing these motivations implies or requires global political integration that amounts to ‘world government’. This argument has the effect of reinforcing the already popular view that realising cosmopolitan principles entails global political integration. For those who already endorse that view, my argument will act as supporting evidence; by contrast it represents a challenge to those cosmopolitans who have remained ambivalent about, or indeed have explicitly rejected, the need for global political integration