Archive for the 'Kids and Parents' Category

Incest Warning Signs: Q&A With Incest Researcher and Social Worker, LeslieBeth Wish


September 25th, 2009

Incest Warning Signs
Q&A With Incest Researcher and Social Worker Leslie Beth Wish, Ed.D, MSS

Dr. LeslieBeth Wish, MSS is a social worker based in Sarasota, FL. She has been a speaker for non-profit, corporate and university organizations. Dr. Wish offers sound, research-based relationship advice that makes sense — specializing in issues such as smart dating, women’s relationship advice, career coaching, healthy families, sexual dysfunction, and leadership training.

Dr. Wish is the author of Incest, Work and Women: Understanding the Consequences of Incest on Women’s Careers, Work and Dreams.

Q.  Actress Mackenzie Phillips announced that she had incestuous relationships with her father John Phillips.  How common is this situation?  Do most of these relationships involve father-daughter rather than mother-son?

A:  Although childhood sexual abuse includes mother-child incest, more men commit child-family member sexual abuse.  The most frequent male family offenders are step-fathers, fathers, uncles and grandfathers.

Q.        What are the warning signs?

A:  From a child’s perspective, warning signs include sudden or increased physical contact that might pass as acceptable with a family member.  For example, suddenly Grandpa wants you to sit on his lap more often.  Or, an uncle wants to caress a child’s hair or cheek more often.

Other forms of physical contact are more blatantly sexual, such as Mackenzie Philip’s intercourse with her father.  Childhood sexual abuse can also include fondling of breasts, rubbing up and down against a child and sexual comments.  Children often have a good sense that something is “wrong,” but they may not tell anyone about these sexual experiences.   Children learn rather quickly that the sexual activity with a family member is not normal.

Some offenders make it very clear that if a child reveals their “secret,” the offender will harm the child and/or the family.   Children also come to realize that telling someone puts the family in terrible jeopardy.  What, for example, would Mom do if she knew about it?  Would the family break up?  How would the family get along without Dad?  A great deal is at stake, and no child wants the responsibility of causing a crisis in the family.  If a child does reveal “the secret,” it is not uncommon for other family members to deny or not accept that sexual abuse occurred.

Some siblings, for example, side with the offender, saying that no evidence or hints of abuse exist.  To be fair to these supportive siblings—and even spouses—it is highly possible that the offender kept the secret very well-hidden.  Often, the abuser selects one or two favorite children for sexual and emotional gratification and never violates the other siblings.  As a result, the other siblings never experience or even suspect that abuse is occurring.

Finally, when a family member abuses a child sexually, the abuse is not solely about sex.  Offenders are often looking for comfort, closeness and approval from someone whom, in the mind of the offender, offers an opportunity for unconditional love.  The closeness and need for comfort can rapidly become sexualized.  Many offenders are, however, also looking for sexual gratification, power and control.

Q.        What can be done to protect the child?

A:  All parents and caregivers should talk with each child about sexual behavior that is “wrong.”  Children should be taught early about unwanted touches.  Parents and caregivers should let children know that they want to know about any kind of touching or interaction with someone who makes them feel uncomfortable physically and emotionally or who touches them.

When parents set the emotional rules and establish an environment of care, children are more likely to let a family member know.  Parents can also tell a child that if they are afraid to tell a family member that they can tell another adult whom the child trusts such as a teacher, minister, etc.  (And no jokes, please—yes these two groups have a history of being sexual predators, but there are still good teachers and religious leaders who can help a child in need.)

Q.        What is the likelihood that an incest victim will eventually seek counseling?  Also, when victims seek help do they immediately admit the incest or rather do they come to treatment for issues like alcohol or drug abuse which they’ve sought to cope with the pain of the incestuous relationship?

A:  Statistics can vary about the incidence of abuse, but roughly one in twenty-five women will experience some kind of sexual abuse by the time she is 18.  For men, the numbers are about one in seven or eight.  Since sexual abuse carries such a high degree of shame, it’s highly likely that clients will not mention it.  Substance abuse, as well as suicide attempts, is a failed effort to manage the emotional pain of sexual abuse.

Q.   What type of therapy/counseling is typically used in these cases?

A:  There are many therapeutic treatments, including medication for depression, cognitive therapies and emotional reprocessing therapy where the client learns to come to different conclusions and understandings about the self and the experience.  There are excellent training programs for therapists to learn about these therapies.

Q.   What sort of therapy/counseling is typically used in these cases?

A:  Every person is different, but common, long-term effects include suicide attempts, depression, substance abuse, fear of both emotional and sexual intimacy, promiscuity, prostitution and runaways, lack of career identity, inability to function at work.

How Do I Know If My Child Is Transgender?


May 30th, 2008

By Stephanie Brill and Caitlin Ryan, PhD, ACSW

What Is Transgender?

Everyone has a gender identity. Gender identity is our internal sense of being male or female. For most people, our basic awareness that we are male or female matches our physical body. When we’re born, people decide if we’re male or female based on our genitals. But for children and adults who are transgender, their basic sense of being male or female – their gender identity – does not match their body. So a transgender person may have a male body, but feel inside that they are female. Or a transgender person may have a female body, but feel inside that they are truly male.

Can a Child Be Transgender?

Children and adolescents can be transgender, just like adults. In fact, a small percentage of all children are transgender. Children understand gender differences from a very early age. And transgender children strongly identify with the other gender, often from age two or three. Because we don’t talk about transgender people with children, adolescents or even adults, children who are transgender lack basic information about who they are, and struggle with feeling like they were born in the wrong body. And adults typically react as if there were something wrong with these children, as well.

In truth, there is nothing wrong with these children. But since very few people understand that it is natural for a small percentage of the population to be transgender, people don’t know that you can have male genitals and still be female or have female genitals and be male.

Transgender children who express their “real” gender identity can become extremely unhappy and depressed when adults try to prevent them being their true selves. Being transgender is not the cause of their distress. Instead, not being understood and feeling like there is something wrong with them causes them to suffer. And pressure to change their core sense of who they are causes emotional suffering, as well.

What Makes a Child Transgender?

Many parents are concerned that something they did made their child become transgender. This is not true. Nothing that a parent or anyone else does can change a child’s gender identity. Being transgender is not caused by divorce, neglect, wishing you had given birth to the other sex, using fertility drugs to conceive, encouraging your child to play sports too often or not enough, or other parental thoughts, behaviors or experiences. We don’t know exactly why some people are transgender. But science is showing that transgender children are most likely born that way, right from the start. Even before children can verbalize their sense of gender, they start to tell us who they are through their play and choices for clothing, hair styles, and toys. Once they are old enough to talk, transgender children strongly insist that they are “really” a boy, or “really” a girl. (more…)

Adult Day Care Centers


May 6th, 2008

Excerpt from the U.S. Department of Eldercare Locator
Reviewed by NASW Office of Social Work Specialty Practice Staff

Today, family caregivers have options to choose from when they need assistance or respite. And, highly trained and experienced social workers are available to help caregivers sort through the range of available options. Below is a brief description of some of the caregiving services commonly available.

Adult Day Care

Adult Day Care Centers are designed to provide care and companionship for seniors who need assistance or supervision during the day. The program offers relief to family members or caregivers and allows them the freedom to go to work, handle personal business or just relax while knowing their relative is well cared for and safe.

The goals of these programs are to delay or prevent institutionalization by providing alternative care, to enhance self-esteem and to encourage socialization. There are two types of adult day care: Adult social day care provides social activities, meals, recreation, and some health-related services. Adult day health care offers more intensive health, therapeutic and social services for individuals with severe medical problems and those at risk of requiring nursing home care.

How Do Adult Day Care Centers Operate?

These centers are usually open during working hours and may stand alone or be located in senior centers, nursing facilities, churches or synagogues, hospitals, or schools. The staff may monitor medications, serve hot meals and snacks, perform physical or occupational therapy, and arrange social activities. They also may help to arrange transportation to and from the center itself.

Assisted Living

Assisted living facilities offer a residential alternative for older adults who may need help with dressing, bathing, eating, and toileting, but do not require the intensive medical and nursing care provided in nursing homes.

Assisted living facilities may be part of a retirement community, nursing home, senior housing complex, or may stand-alone. Licensing requirements for assisted living facilities vary by state and can be known by as many as 26 different names including: residential care, board and care, congregate care, and personal care.

Assistive Technology

Assistive technology is any service or tool that helps the elderly or disabled do the activities they have always done but must now do differently. These tools are also sometimes called “adaptive devices.”

Such technology may be something as simple as a walker to make moving around easier or an amplification device to make sounds easier to hear (for talking on the telephone or watching television, for instance). It could also include a magnifying glass that helps someone who has poor vision read the newspaper or a small motor scooter that makes it possible to travel over distances that are too far to walk. In short, anything that helps the elderly continue to participate in daily activities is considered assistive technology.
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My Child Has ADHD: Now What?


March 28th, 2008

If you find that your child does, indeed have ADHD, it’s important to educate yourself as much as possible. There are numerous books on the subject. Consulting with a mental health professional to help you with the many challenges ADHD can present, is invaluable. Finding support by attending local groups such as CHADD (Children and Adults with Attention Deficit Disorder) also are immensely helpful in not only learning more about ADHD, but also to connect with other families who are struggling.

Since the treatment of ADHD often includes parenting strategies, it is imperative that you work with a professional to help you learn new techniques to not only help manage your child’s behavior, but to also help him learn organizing strategies, homework management, social skills and more.

Treatment also often includes medication to help quiet the hyperactivity and impulsivity and/or improve attention. Many parents are reluctant to give their child medications, but stimulants (the most common and beneficial medication for ADHD) are safe when given as directed. Still, all parents have concerns. Here are some questions to ask your doctor to help you in making the decision as to whether medication is right for your child:

  • What are the risks vs benefits?
  • What side effects might I observe?
  • Which medications will work best for my child?
  • What options do I have if I don’t want to use medications for my child?
  • How will I know if the medications are working?

For more information visit www.helpstartshere.org.

    Bullying Behaviors


    March 12th, 2008

    From About Schools and Communities - HelpStartsHere.org
    Reviewed by NASW Office of Social Work Specialty Practice Staff and Center for Workforce Studies Staff

    Studies show that between 15-25 percent of U.S. students are bullied with some frequency. Bullies use aggressive behavior to show that they have power over another student. Bullying may be physical, involving hitting or punching; verbal, such as teasing or name calling; or psychological, involving social exclusion or spreading rumors about another child. Boys most often use name calling and teasing, while girls are more likely to socially exclude other girls. Youth with disabilities or special needs, and those who are gay or bisexual are at a higher risk of being bullied then other children.

    Bullying is not just an unpleasant passage of childhood. Not only does it often interfere with school work, but bullied children are more likely to feel depressed, lonely, and anxious, and to think about suicide. It is common for bullied children to pretend to be ill or skip school to avoid their tormentor.

    Middle school and high school students among the sexual minority may be the most vulnerable to victimization from school bullies. A 2001 survey found that 83 percent of gay, lesbian, bisexual, and transgender (GLBT) students experienced verbal, physical, or sexual harassment and assault at school, according to the National Mental Health and Education Center.

    A majority of GLBT students feel unsafe at school because of their sexual orientation. As a result, nearly 30 percent drop out of school, and the rates of suicidal ideation, attempts, and suicide by sexual minority students are two to three times higher than for heterosexual youth.

    Students may not tell their parents that they are being bullied because they are embarrassed, ashamed, or afraid. If you suspect that your child is a victim, ask questions about what has happened, where the bullying occurred, and how your child responded. Do not ask your child to ignore bullies or encourage retaliation, which may only escalate the problem.

    Contact the school principal, social worker, or your child’s teacher and describe the problem. Ask school authorities to talk with other adults who interact with your child to find out if they have witnessed any bullying behavior. Many school districts omit sexual orientation from anti-bullying programs, so parents of GLBT students may suggest that the sexuality issue is addressed and that school activities are available to all students, regardless of sexual orientation. School social workers can act as advocates for students who are victimized and identify a support network of caring adults.

    Finally, encourage your child to make friends with students in the classroom or outside of the school environment. Children can become more resistant to bullying when they develop confidence and other positive attributes.

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    Historias de la Vida Auténtica sobre la Pena y la Pérdida: Niños y pena


    March 5th, 2008

    Mary Lee Carroll, LCSW

    Los niños

    Jonathan tenía seis años cuando murió en 1988. La trabajadora social Mary Lee Carroll, LCSW lo acompañó como voluntaria de hospice. El trabajo que ella hizo con él, y su espíritu inspiraron a la Sra. Carroll a desarrollar un programa de duelo pediátrico para un hospice en Conneticut. En 1994, el Júnior League de Waterbury hizo un donativo a la organización para patrocinar el Campamento Jonathan. En 1999 el Campamento Jonathan fue incorporado y ya no depende de ninguna organización. El Campamento apoya a las necesidades de las personas en duelo de Conneticut en la región de Watertown.

    Cada verano, el Campamento Jonathan patrocina un campamento diurno de una semana para niños que están en proceso de duelo por la muerte de una persona significativa en sus vidas. A continuación ofrecemos una lista de comentarios acerca del duelo y de tener una pena hechos por los niños que asistieron al programa de apoyo de una semana en julio del 2005.
    La pena es…

    Dura y pesada
    Triste
    Enojo y locura
    Única
    Vacío
    Soledad
    No es divertida, es guácala
    Confusión
    Dolorosa
    Difícil
    Mala
    No me deja concentrarme
    Siento mi corazón hecho pedacitos
    Difícil
    Muy triste y depresiva
    Nada divertida
    Algo que te quita mucho tiempo
    Como orillas sin limar
    Te deja con los nervios de punta
    Como usar ropa que te queda chica
    Agotadora
    Abatimiento
    Como si estuvieras en otra dimensión
    Amarga
    Cruel, malo, gacho
    Algo malo
    Algo que te fortalece
    Algo que nunca olvidarás
    Un hoyo negro
    Algo que les sucede a todos
    Muy triste y asusta
    Perder algo que querías
    Como tratar de correr con zapatos que te quedan grandes
    Enfrentar tus miedos
    Una carga que es pesada al inicio y que luego se aligera
    Como un incendio forestal
    De entrada acaba con todo. Pero luego todo empieza a crecer de nuevo de manera gradual y constante, con algunos topes.
    Pero: Algunas vidas ya se acabaron
    Puede que ya no encuentres la luz, pero depende de qué tan bien puedes ver en la oscuridad.
    Usar todo el día unos tenis que te quedan apretados.
    Cuando hace mucho calor y estás incómodo.
    Cuando usas shorts y hace mucho frío.
    La oscuridad cuando no tienes una linternita, y le tienes miedo.
    Cansada y frustrante
    Depresiva.
    De lo peor

    Además del apoyo que se da a niños y jóvenes durante una semana experiencial en el verano; el Campamento Jonathan ofrece grupos de apoyo durante todo el año para niños y padres, y sólo para niños y jóvenes. En noviembre de cada año, la organización también lleva a cabo un retiro para mujeres en duelo.

    El Campamento Jonathan, dirigido por un equipo de orientadores pediátricos en duelo, terapeutas y voluntarios entrenados, ofrece apoyo terapéutico individual o en grupo tanto a niños como a adultos en duelo. Los orientadores utilizan terapias creativas para contactar las emociones, como terapias de movimiento, arte, poesía y psicodrama para procesar el duelo y enfrentarlo de manera más exitosa.

    Hay otros programas disponibles en el país parecidos al Campamento Jonathan y, a menudo, son gratis para familias como la de ustedes. Si sabe usted de un Campamento así y lo recomendaría, por favor contáctenos a la siguiente dirección de correo electrónico: info@childrenshospice.org. Estamos haciendo una lista de Campamentos para que las familias puedan elegir entre ellos y la publicaremos en esta página de Internet.

    ###
    Traducción español examinada por Maribel Quiala, MSW, LCSW, miembro del Comité NASW Nacional sobre los Asuntos de la Mujer (MCOWI).

    Disclaimer: The opinions expressed in this article are those of the writer, and do not necessarily reflect those of the National Association of Social Workers or its members.

    Adoption by Gay and Lesbian Adults and Couples


    January 15th, 2008

    By Stephen Erich, PhD, LCSW

    Introduction

    The numbers of gay and lesbian adults and couples who are adopting children is increasing dramatically; at the same time, the number of adoption agencies willing to place children with gay and lesbian adults and couples is also increasing notably. What does this mean for children in need of healthy family environments? What does the research tell us about families with gay or lesbian parents, including those created through adoption?

    First, a little background information about children awaiting adoption and the size of the adopter pool (parents interested in adopting). The number of children not living with their biological parents is at unacceptably high levels. Research suggests that there were 542,000 children in foster care in the United States in 2001 and as many as one third of these children may be eligible for adoption.

    Many gay and lesbian adults and couples are interested in adopting children. However, discrimination has made it difficult for gay and lesbian adults and couples to complete the adoption process (Brodzinsky, 2003). Excluding gays and lesbians as potential adopters is not only discriminatory but it limits the number of potential adults available to adopt the thousands of children eligible for adoption.

    Research on Families With Gay and Lesbian Parents

    Although it is not commonly known, the research regarding parenting by gays and lesbians is very positive. The following list shows the important findings from research on families with gay and lesbian parents:

    • Lesbian mothers have been found comparable to heterosexual mothers in their desire to be parents (Kirkpatrick, Smith, & Roy, 1981; Lewin & Lyons, 1982; Osterweil, 1991).
    • Lesbian mothers have been found comparable to heterosexual mothers in their warmth toward children (Golombok, Tasker, & Murray, 1997).
    • Lesbian mothers have been found comparable to heterosexual mothers in their parental behaviors (Harris & Turner, 1986).
    • Lesbian couples have been found equal to or superior to heterosexual couples in dividing responsibility for chores equally, in financial cooperation, decision-making, relationship satisfaction and emotional expression (Brewaeys, Ponjaert, Van Hall, & Golombok, 1997; Chan, Brooks, Raboy, & Patterson, 1998).
    • Gay fathers have been found comparable to heterosexual fathers in involvement with their children, intimacy with their children, provision of recreation, encouragement of autonomy, problem-solving and parental satisfaction, but superior in the way they respond to child needs, and communication of reasons for appropriate behavior (Bigner & Jacobsen, 1989a; 1989b; 1992; Peterson, Butts & Deville, 2000).
    • Gay and lesbian couples value and desire commitment in relationships to the same extent that heterosexual couples do (Kurdek, 1995; Peplau, Veniegas, & Campbell, 1996)
    • Children raised by gay and lesbian parents have no apparent adjustment problems that have been found to be related to their parent’s sexual orientation (Chan, Raboy, & Patterson, 1998; Flaks, et al., 1995; Patterson, 1994; 1997).
    • In comparison to children raised by heterosexual parents, children raised by gay and lesbian parents have been found comparable in intelligence, behaviors, moral development, and peer relationships (Allen & Burrell, 1996; Falk, 1994; Flaks, et al, 1995; Tasker & Golombok, 1995; 1997).
    Research on Children Adopted by Gay and Lesbian Adults

    There is a limited number of studies involving children adopted by gay and lesbian adults and couples but once again the results are very positive. (more…)