D. Informed Consent

Appendix D

Informed Consent

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Institute for Clinical Social Work

Research Information and Consent for Participation in Social Behavioral Research Unconscious Maternal Communications of Endangerment for Black Men: A Psychoanalytic Case Study

I, , acting for myself agree to take part in the research entitled Unconscious Maternal Messages of Endangerment: A Psychoanalytic Case Study.

Thisworkwillbecarriedout by Huey Hawkins, LCSW under the supervision of Jennifer Tolleson, Ph.D.

Thisworkissponsoredby and conducted under the auspices of the Institute for Clinical Social Work; At Ro ber t Mo r r is Ce nt e r , 401 South State Street; Suite 822, Chicago, IL 60605; (312) 935-4232.

Purpose

The purpose of this psychoanalytic case study is to understand and describe maternal messages of endangerment for Black men, and to describe how these messages influence the lives of a small sample of Black men raised in U.S. urban centers. The results of the study will be used to expand clinical social work theory and practice relating to the understanding of Black men and the maternally influenced experience of Black male endangerment. This dissertation document will be available online once completed

and a journal article and/or book may be developed.

Procedures used in the study and duration

Participants will be asked to participate in face-to-face in-depth interviews that are both semi-structured (i.e., open-ended questions leading to discussions) and flexible and intensive. Two to three interviews lasting no longer than two hours per interview are required. Each interview will be audio recorded and transcribed, and all audiotapes/recordings will be destroyed after transcription. Data from these interviews will be secured via password protected files and stored in locked file cabinets.

Benefits

While there are no tangible or financial benefits for participating in this study, participants may benefit in other ways. Such benefits include participants gaining the ability to share their stories regarding the topic of Black male endangerment. These experiences will likely expand clinical social work theory and practice interventions for those clinicians working with Black men and their families. As with many qualitative studies, there may also be unanticipated benefits to participants discussing their personal experiences of Black male endangerment, such as enhanced insights, self-awareness and self-realizations.

Costs

The cost for participation is 4-6 hours of time for interviews and expenses for traveling to interview locations (i.e., gas and parking costs if meeting at an agreed upon location).

Possible Risks and/or Side Effects

While all research involves some level of potential harm, the risks of this study involves the possibility of psychological discomfort or negative emotional responses when discussing and reflecting on your experiences or learning of the responses of your family member. This can include feeling vulnerable, exposed, angry, or anxious during interviews or later feeling hurt by the responses of your family member. I, as the researcher, will make every effort to create an interview setting that makes you feel safe and comfortable. Should these feelings arise; however, you, at any time, have the following rights:

 You have the right to refuse to answer any question asked of you for any reason;

 You have the right to withdraw from the research project at any time;

Your safety and comfort is important! If you experience any of the feelings above or other feelings of discomfort during the interview process or thereafter, please let me know. I am happy to refer participants to professional colleagues who can help.

Privacy and Confidentiality

Your privacy and confidentiality is a top priority of this study and your identifying information will be protected. All identifying information (i.e., names) will be disguised, as each participant will provide (or be assigned) an alias that will be used in any written publication. Each interview will be audiotaped and transcribed, and files from this process will be shared only with the dissertation committee members. All files will be password protected and kept on password protected computers. Any physical files will be maintained in a lock cabinet that only I, as the researcher, can access. Five years after graduating, I will destroy by shredding and deleting all paper and electronic records.

Selected sections of your data, without identifying information, will be shared with my

dissertation committee members and senior analyst research consultant at the St. Louis Psychoanalytic Institute.

Subject Assurances

By signing this consent form, I agree to take part in this study. I have not given up any of my rights (my child’s rights) or released this institution from responsibility for carelessness.

I may cancel my consent and refuse to continue in this study (or take my child out of this study) at anytime without penalty or loss of benefits. My relationship with the staff of the ICSW will not be affected in any way, now or in the future, if I refuse to take part, or if I begin the study and then withdraw.

If I have any questions about the research methods, I can contact Huey Hawkins, Jr. at (314) 882-6840, hhawkins@icsw.edu or Jennifer Tolleson, Ph.D. at (312) 935-4232, jtolleson@icsw.edu.

If I have any questions about my rights – or my child’s rights – as a research subject, I may contact Dr. John Ridings, Chair of Institutional Review Board; ICSW; At Ro ber t Mo r r is C e nt er , 401 South State Street; Suite 822, Chicago, IL 60605; irbchair@icsw.edu.

Signatures

[All consent forms must be signed and dated. They must be explained to the participants and witnessed by the person who is explaining the procedure.]

I have read this consent form and I agree to take part in this study as it is explained in this consent form.

Signature of Participant Date

I certifythat I haveexplained theresearchto (Name of subject) and believe that they understand and that they have agreed to participate freely. I agree to answer any additional questions when they arise during the research or afterward.

Signature of Researcher

Revised 14 Oct, 2015 Date

Appendix E

Interview Questions Guide

FORM A

DISSERTATION INTERVIEW GUIDE

SEMI-STRUCTURED INTERVIEW QUESTIONS

(Mothers)

(Sons) 1. Can you help me wonder about your thoughts about this topic, Black

male endangerment?

2. What comes to mind when you think about your life as your son’s

mother.

3. Help me understand your thoughts about danger and your son’s life.

1. What was it like as a Black boy or young man being raised by your mother

in this community, then and now?

2. Thinking about the direct and indirect messages received from your

mother about being a Black boy in your community, what did these mean

to you? How did they affect you?

3. How would you describe your mother’s worry for you as a Black boy

growing up in this community?

4. Has your mother ever had “the talk” (a conversation about how being a

Black man can or will impact your life) with you, and if so, can you

explain how it went?

5. How did “the talk” affect your thoughts about yourself and others? What

do you remember feeling at the time?

6. How do you think your mother’s feelings about you being a Black man

influence her parenting?