Sexual assault is a significant problem on college campuses, with growing public attention. The psychosocial ramifications of sexual assault for college survivors are significant and affect each person differently. Effective interventions that incorporate narrative techniques are instrumental for sexual assault recovery. Photovoice is a narrative method that encourages participants to make meaning of their experiences while integrating trauma into the larger context of their lives. This article highlights an exploratory study of the photovoice method as a narrative therapeutic technique for college sexual assault survivors. The photo-taking, dialoguing, and exhibiting process of photovoice empowered participants to take control over their story and their recovery, as well as to increase campus understanding of the posttraumatic impacts of sexual assault.

Purpose: Social support is an important factor in reducing caregiver burden, however, accessing social support via traditional means is often challenging for family caregivers of hospice patients. Online support groups may offer an effective solution. The present study sought to understand dynamics of online social support among family and other informal (e.g., friends) caregivers of hospice cancer patients in an online social support group. The primary aim of the study was to identify types of online social support and support-seeking behaviors, with a secondary aim to understand informal hospice caregivers' preferences for social support.Method: Data used in this study were collected as part of a federally funded randomized clinical trial of an informal hospice cancer caregiver support intervention. Findings are based on directed and conventional content analysis of support group members' posts and comments-including text and images-and a sample of caregivers' exit interviews.Results: Analyses demonstrated that the majority of online support provided by group members was emotional support, followed by companionship support, appraisal support, and informational support. Instrumental support was rarely provided. Support was primarily elicited in an indirect manner through self-disclosure and patient updates, with few overt requests for support.Conclusions: Findings suggest online social support groups can be a valuable resource for informal caregivers who are in need of emotional support and lack the ability to access face-toface support groups. Clinical implications of this research to healthcare systems regarding the importance of incorporating nurses and other medical professionals as co-facilitators of online support groups are discussed.

Fourteen ( N = 14) bereaved family members participated in an exploratory study of Digital Storytelling as a bereavement intervention. The primary purpose of this study was to examine the feasibility of this approach and to qualitatively assess potential impacts. Qualitative data revealed that for some, participation in Digital Storytelling facilitated growth and meaning-making. Themes from the data also revealed that participation in Digital Storytelling affected participants in these ways: (a) the writing and verbalization of the script helped participants organize their thoughts and emotions about the loss, (b) having the space to share with a collective group encouraged confidence in their ability to discuss their feelings with others, and (c) the final product served as a source of closure for participants. Although this was a small exploratory study, results were promising and suggest the clinical applicability of Digital Storytelling as a tool for facilitating meaning-making among bereaved family members.

Bereaved families that collectively make meaning of their grief experiences often function better than those that do not, yet most social work bereavement interventions target individuals rather than family units. In this article, authors describe an innovative social work intervention that employs digital storytelling. This is a narrative technique that combines photography, music, and spoken word to help families bereaved by child death make meaning of their loss and envision a future without their deceased child.

An estimated 100 million Americans are living with chronic pain. The majority of the chronic pain literature focuses on the biological impact of the condition, and very little attention is given to patients’ lived experience with chronic pain and the enactment of their resiliency. Yet, resiliency may play a critical role in patients’ experience of pain intensity as well as self-efficacy to manage their pain. The main objective of this study was to explore the origin and enactment of resiliency across a sample of 12 chronic pain patients. In-depth phone interviews were conducted, and data were analyzed using thematic analysis. Results indicate that patients exhibited resiliency in four ways: (1) developing a sense of control—independently seeking information and cross-checking this information with their doctors’ recommendations, (2) active engagement in medical and complementary treatment, (3) establishing social connections, and (4) exhibiting pain acceptance and positive affect. This study lays the foundation to explore whether resiliency improves clinical outcomes among patients living with chronic pain. The findings support the need for clinicians to evaluate and treat chronic pain patients through the lens of resiliency.

The needs of lesbians and gay men appear to be minimally represented in social work literature. This study applied content analysis to four major social work journals published between 1998 and 2012, and it served to update the work of Van Voorhis and Wagner that examined content in the same four journals between 1988 and 1997. Of the 2,335 articles published in Child Welfare, Families in Society, Social Service Review, and Social Work during the 15-year period, 55 met the criteria for inclusion. Results reflect a significant decrease in the quantity of articles when compared with the previous report, with the largest decrease noticed in articles that addressed HIV/AIDS. The need to expand the type and amount of content related to this population continues.

Rapid expansion of outpatient palliative care has been fueled by the growing number of people living with cancer and other chronic illnesses whose symptoms are largely managed in the community rather than inpatient settings. Nurses and other palliative care professionals support seriously ill patients and their families, yet little research has specifically examined the needs of cancer family caregivers receiving services from outpatient palliative care teams. To address this gap in the knowledge base, researchers conducted a reflective thematic analysis of qualitative interviews conducted with 39 family caregivers, using Comfort Theory as a theoretical guide. Seven themes describing caregivers' comfort needs were identified, including the need to understand, need for self-efficacy, need to derive meaning, need for informal support, need for formal support, need for resources, and need for self-care. Findings have clear implications for palliative nursing, as they directly address cancer family caregivers' needs in 5 of the 8 domains of care delineated by the National Consensus Project for Quality Palliative Care's Clinical Practice Guidelines. Comprehensive, holistic nursing assessment is suggested to identify family caregivers' needs and plan for delivery of evidence-based interventions shown to decrease burden and improve quality of life.

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