Trauma, Violence, & Abuse recent issues

Violence and Women's mEntal Health: The Pain Unequalled

Jordan, C. E. — Wed, 23 Sep 2009 01:44:13 PDT

When Crises Collide: How Intimate Partner Violence and Poverty Intersect to Shape Women's Mental Health and Coping?

Goodman, L. A., Smyth, K. F., Borges, A. M., Singer, R. — Wed, 23 Sep 2009 01:44:13 PDT

Until recently, the connection between intimate partner violence (IPV) and persistent poverty had been largely ignored. Recent research indicates, however, that the two phenomena cooccur at high rates; produce parallel effects; and, in each other’s presence, constrain coping options. Therefore, both external situational, and internal psychological difficulties are missed when women contending with both poverty and IPV are viewed through the lens of just one or just the other. This article describes mental health consequences for women who contend with both partner violence and poverty. It proposes that the stress, powerlessness, and social isolation at the heart of both phenomena combine to produce posttraumatic stress disorder, depression, and other emotional difficulties. The article also introduces the term ‘‘survival-focused coping’’ to describe women’s methods of coping with IPV in the context of poverty and highlights the role that domestic violence advocates, mental health providers, and researchers can play in addressing these tightly intertwined phenomena.

From the Margins to the Center: Ethnic Minority Women and the Mental Health Effects of Sexual Assault

Bryant-Davis, T., Chung, H., Tillman, S. — Wed, 23 Sep 2009 01:44:13 PDT

The trauma of sexual assault is heightened for many women by the interlocking experience of societal traumas such as racism, sexism, and poverty. The mental health effects of sexual assault are mediated by race and ethnicity. The investigators explore the experiences of African American, Asian American, Latina, and Native American female survivors of sexual assault. The sociohistorical context of intergenerational trauma in the lives of ethnic minorities is a part of the context for the contemporary experience of sexualized violence. Racial and ethnic dynamics related to sexual assault prevalence, mental health effects, and disclosure are examined. Literature related to cultural beliefs, community attitudes, and perceived social support in relation to sexualized violence are also reviewed. Finally, practice, research, and policy implications are discussed.

Intimate Partner Violence and Barriers To Mental Health Care for Ethnically Diverse Populations of Women

Rodriguez, M., Valentine, J. M., Son, J. B., Muhammad, M. — Wed, 23 Sep 2009 01:44:13 PDT

Ethnically diverse populations of women, particularly survivors of intimate partner violence (IPV), experience many barriers to mental health care. The search terms ‘‘women’’ and ‘‘domestic violence or IPV’’ and ‘‘mental health care’’ were used as a means to review the literature regarding barriers to mental health care and minority women. Abstracts chosen for further review included research studies with findings on women of one or more ethnic minority groups, potential barriers to accessing mental health care, and a nonexclusive focus on IPV. Fifty-five articles were selected for this review. Identified barriers included a variety of patient, provider, and health system/community factors. Attention to the barriers to mental health care for ethnically diverse survivors of IPV can help inform the development of more effective strategies for health care practice and policy.

Childhood Maltreatment, Intervening Variables, and Adult Psychological Difficulties in Women: An overview

Briere, J., Jordan, C. E. — Wed, 23 Sep 2009 01:44:13 PDT

This article reviews the complex relationship between child maltreatment and later psychosocial difficulties among adult women. Specifically addressed are (a) the various forms of childhood maltreatment, (b) the range of potential long-term psychological outcomes, and (c) important contextual variables that mediate or add to these maltreatment—symptom relationships. Among the latter are characteristics of the abuse and/or neglect; effects of impaired parental functioning; premaltreatment and postmaltreatment psychobiology; qualities of the parent—child attachment; abuse and/or neglect-related affect dysregulation that may lead to further symptomatology; the extent to which the child responds with significant emotional or behavioral avoidance; and whether later traumas are also present. Also relevant are sociocultural contributors to both child maltreatment and maltreatment effects, especially poverty and marginalization. Clinical and research implications are considered.

The Neurobiological Toll of Child Abuse and Neglect

Neigh, G. N., Gillespie, C. F., Nemeroff, C. B. — Wed, 23 Sep 2009 01:44:13 PDT

Exposure to interpersonal violence or abuse affects the physical and emotional well-being of affected individuals. In particular, exposure to trauma during development increases the risk of psychiatric and other medical disorders beyond the risks associated with adult violence exposure. Alterations in the hypothalamic-pituitary-adrenal (HPA) axis, a major mediating pathway of the stress response, contribute to the long-standing effects of early life trauma. Although early life trauma elevates the risk of psychiatric and medical disease, not all exposed individuals demonstrate altered HPA axis physiology, suggesting that genetic variation influences the consequences of trauma exposure. In addition, the effects of abuse may extend beyond the immediate victim into subsequent generations as a consequence of epigenetic effects transmitted directly to offspring and/or behavioral changes in affected individuals. Recognition of the biological consequences and transgenerational impact of violence and abuse has critical importance for both disease research and public health policy.

Violence and Women's Mental Health: the Pain Unequalled: A Two-Part Special Issue

Jordan, C. E. — Thu, 25 Jun 2009 06:04:42 PDT

The Epidemiology of Trauma, PTSD, and Other Posttrauma Disorders

Breslau, N. — Thu, 25 Jun 2009 06:04:42 PDT

Epidemiologic studies have reported that the majority of community residents in the United States have experienced posttraumatic stress disorder (PTSD)—level traumatic events, as defined in the DSM-IV. Only a small subset of trauma victims develops PTSD (<10%). Increased incidence of other disorders following trauma exposure occurs primarily among trauma victims with PTSD. Female victims of traumatic events are at higher risk for PTSD than male victims are. Direct evidence on the causes of the sex difference in the conditional risk of PTSD is unavailable. The available evidence suggests that the sex difference is not due to (a) the higher occurrence of sexual assault among females, (b) prior traumatic experiences, (c) preexisting depression or anxiety disorder, or (d) sex-related bias in reporting. Observed sex differences in anxiety, neuroticism, and depression, inducing effects of stressful experiences, might provide a theoretical context for further inquiry into the greater vulnerability of females to PTSD.

Pathways Linking Intimate Partner Violence and Posttraumatic Disorder

Dutton, M. A. — Thu, 25 Jun 2009 06:04:42 PDT

Intimate partner violence (IPV), which includes physical violence, sexual violence, and psychological or emotional abuse, is a significant public health threat. The Centers for Disease Control and Prevention (CDC) estimate that each year 1.5 million women are physically assaulted and/or raped by an intimate partner. However, because many victims of IPV are repeatedly abused, a more accurate accounting of the extent of violence suggests that approximately 4.8 million intimate partner physical assaults and rapes are perpetrated annually against women in the United States. The article discusses a survey involving 3,429 English-speaking women enrolled in a health maintenance organization (HMO) for 3 or more years. The findings are 46% of participants who were screened reported a lifetime history of any IPV and 14.7% reported a history within the past 5 years, including physical, sexual, and nonphysical types.

An Ecological Model of the Impact of Sexual Assault On Women's Mental Health

Campbell, R., Dworkin, E., Cabral, G. — Thu, 25 Jun 2009 06:04:42 PDT

This review examines the psychological impact of adult sexual assault through an ecological theoretical perspective to understand how factors at multiple levels of the social ecology contribute to post-assault sequelae. Using Bronfenbrenner's (1979, 1986, 1995) ecological theory of human development, we examine how individual-level factors (e.g., sociodemographics, biological/genetic factors), assault characteristics (e.g., victim-offender relationship, injury, alcohol use), microsystem factors (e.g., informal support from family and friends), meso/ exosystem factors (e.g., contact with the legal, medical, and mental health systems, and rape crisis centers), macrosystem factors (e.g., societal rape myth acceptance), and chronosystem factors (e.g., sexual revictimization and history of other victimizations) affect adult sexual assault survivors' mental health outcomes (e.g., post-traumatic stress disorder, depression, suicidality, and substance use). Self-blame is conceptualized as meta-construct that stems from all levels of this ecological model. Implications for curbing and/or preventing the negative mental health effects of sexual assault are discussed.

Partner Stalking: Psychological Dominance or "Business as Usual"?

Logan, T., Walker, R. — Thu, 25 Jun 2009 06:04:42 PDT

Partner stalking may remain one of the least clearly understood forms of intimate violence. This review examines the literature guided by two main goals: (a) to examine how partner stalking is distinct from nonpartner forms of stalking and (b) to describe areas of research on partner stalking that need to be systematically addressed to deepen the understanding of partner stalking and to craft more effective mental health and criminal justice responses. These areas of research include three overarching questions: (a) Is partner stalking a unique form of psychological dominance or is it just "business as usual"? (b) What components characterize stalking differently from business as usual for women? and (c) How is psychological distress within the context of partner stalking best characterized?

The Impact of Psychological Aggression on Women's Mental Health and Behavior: The Status of the Field

Follingstad, D. R. — Thu, 25 Jun 2009 06:04:42 PDT

Potential effects of psychological aggression have been investigated in terms of mental health disorders/symptoms, physical manifestations, personality traits, increases in physical and psychological aggression, and relationship changes and cessation. Probably because of methodological difficulties inherent in assessing this complex phenomenon, even the most commonly assessed outcome variables have produced contradictory results, with the exception of leaving or desiring to leave the psychologically abusive relationship. Some of the significant findings require more corroboration due to the small number of studies addressing them. The relative role of physical abuse in relation to psychological abuse has yet to be disentangled. Mediator/moderator variables are likely extremely important for explaining why particular consequences do not consistently result from psychological aggression. Although the hypothesized consequences/outcomes seem appropriate for further study, the most significant contribution may lie in intensive investigation of long-term, enduring psychological abuse that produces major personality and affective shifts in the recipient.

Psychotherapies for Trauma and Substance Abuse in Women: Review and Policy Implications

Najavits, L. M. — Thu, 25 Jun 2009 06:04:42 PDT

Women are subject to high rates of interpersonal violence. One frequent co-occurring issue is substance abuse, which may arise posttrauma as a way to cope. In this article, psychosocial therapies for co-occurring trauma and substance abuse are reviewed. Description of empirically studied models is provided, as well as results of the empirical studies. Overall, this area of work suggests positive growth in the availability of new models but very limited empirical work thus far for all but one model. Directions for the future include the need for greater study of treatments in this area, as well as the need to address issues beyond specific models (e.g., workforce issues, access to care, and changing the culture of treatment systems). Policy implications are also offered.

Toward a Multi-Level, Ecological Approach to the Primary Prevention of Sexual Assault: Prevention in Peer and Community Contexts

Casey, E. A., Lindhorst, T. P. — Fri, 15 May 2009 04:21:44 PDT

Although sexual assault prevention programs have been increasingly successful at improving knowledge about sexual violence and decreasing rape-supportive attitudes and beliefs among participants, reducing sexually assaultive conduct itself remains an elusive outcome. This review considers efforts to support change for individuals by creating prevention strategies that target peer network and community-level factors that support sexual violence. To this end, the article examines successful ecological prevention models from other prevention fields, identifies the components of multilevel prevention that appear critical to efficacy and discusses their application to existing and emerging sexual violence prevention strategies.

Treating Perpetrators of Child Physical Abuse: A Review of Interventions

Oliver, J., Washington, K. T. — Fri, 15 May 2009 04:21:45 PDT

This systematic review analyzes eleven empirically based articles relevant to evaluating treatments and interventions for perpetrators of child physical abuse. The articles provide a clear picture of the limited research available in this area. The review describes current themes in research and interventions, common challenges in working with families in which child physical abuse has occurred, gaps in the current research, and suggestions for practice, policy, and future research.

Factors Influencing Attitudes to Violence Against Women

Flood, M., Pease, B. — Fri, 15 May 2009 04:21:45 PDT

Attitudes toward men's violence against women shape both the perpetration of violence against women and responses to this violence by the victim and others around her. For these reasons, attitudes are the target of violence-prevention campaigns. To improve understanding of the determinants of violence against women and to aid the development of violence-prevention efforts, this article reviews the factors that shape attitudes toward violence against women. It offers a framework with which to comprehend the complex array of influences on attitudes toward violent behavior perpetrated by men against women. Two clusters of factors, associated with gender and culture, have an influence at multiple levels of the social order on attitudes regarding violence. Further factors operate at individual, organizational, communal, or societal levels in particular, although their influence may overlap across multiple levels. This article concludes with recommendations regarding efforts to improve attitudes toward violence against women.

Intimate Partner Violence Among Asian Immigrant Communities: Health/Mental Health Consequences, Help-Seeking Behaviors, and Service Utilization

Lee, Y.-S., Hadeed, L. — Fri, 15 May 2009 04:21:45 PDT

Intimate partner violence (IPV) is a serious epidemic among Asian immigrant communities. Yet little is known about the scope, nature, and related contextual, cultural, and social factors of IPV among this population. In particular, the lack of research has been evident in examining health and mental health outcomes of IPV and service utilization, revealing notable gaps in health disparities which result in a failure to provide relevant services and law enforcement protection for battered Asian immigrant women. This article examines critically the growing body of literature on IPV among Asian immigrant populations in several areas: (a) the context of IPV: cultural, social, and individual/familial, (b) prevalence of IPV, (c) physical health and increased risk for sexually transmitted disease and HIV/AIDS, (d) mental health consequences and substance use, (e) social support and help-seeking behaviors, and (f) barriers to service utilization. Future directions for practice, policy, and research are discussed.

Verbal Marital Conflict and Male Domination in the Family as Risk Factors of Intimate Partner Violence

Vives-Cases, C., Gil-Gonzalez, D., Carrasco-Portino, M. — Fri, 15 May 2009 04:21:45 PDT

A systematic review was performed to analyse the characteristics and quality of the studies that consider the relationship between verbal marital conflict and/or male domination in the family and violent behaviour by men towards their partner. Only 11 articles were identified between 1986 and 2006. Most of them find a positive association between male domination in the family and/or verbal marital conflict and violence towards the woman in the couple. However, limitations such as misclassification bias, recall bias, selection bias, external validity and the problem of consistency (overestimation of effect) were acknowledged by authors of this studies. In eight of the 11 studies reviewed, preventive measures or interventions to deal with the problem were recommended. More and better empirical evidence is required in order to provide suitable measures to address the issue of verbal marital conflict and male domination and its influence on IPV.

The Nexus Between the Iraq War and Katrina Recovery: Clinical and Policy Issues

Scurfield, R. M. — Fri, 15 May 2009 04:21:45 PDT

Understanding Human Trafficking in the United States

Logan, T.K., Walker, R., Hunt, G. — Wed, 03 Dec 2008 13:52:43 PST

The topic of modern-day slavery or human trafficking has received increased media and national attention. However, to date there has been limited research on the nature and scope of human trafficking in the United States. This article describes and synthesizes nine reports that assess the U.S. service organizations' legal representative knowledge of, and experience with, human trafficking cases, as well as information from actual cases and media reports. This article has five main goals: (a) to define what human trafficking is, and is not; (b) to describe factors identified as contributing to vulnerability to being trafficked and keeping a person entrapped in the situation; (c) to examine how the crime of human trafficking differs from other kinds of crimes in the United States; (d) to explore how human trafficking victims are identified; and, (e) to provide recommendations to better address human trafficking in the United States.

Sexual Homicide: A Synthesis of the Literature

Chan, H.-C., Heide, K. M. — Wed, 03 Dec 2008 13:52:43 PST

Sexual homicide is a heavily studied, but unclearly defined, area of homicide studies. This article examines the empirical studies in sexual homicide from the mid-1980s to 2008. A review of the literature focuses on definitions, general theoretical understanding, and typologies that have evolved over the years. Issues surrounding the study of sexual murderers, such as sadistic fantasy and developmental deficits, are addressed. A comparison of different types of sexual homicides through a synthesis of 32 published empirical studies is made. The article concludes with an analysis of these studies and discusses implications for practice, policy, and research.

The Elusive Search for Definitive Evidence on Routine Screening for Intimate Partner Violence

Spangaro, J., Zwi, A. B., Poulos, R. — Wed, 03 Dec 2008 13:52:43 PST

Routine screening for intimate partner violence (IPV) has been introduced in many health settings to improve identification and responsiveness to IPV. The debate about the level of evidence required to warrant routine screening continues. Three assumptions have impeded progress in measuring the impact of screening. The first is that routine screening is a test only which does not of itself have an impact on patients. The second is that it can be assessed by evaluating interventions provided to women after abuse is identified through screening. The third is that there can be an agreed appropriate intervention for IPV. Each of these assumptions is problematic. In addition, there are significant impediments to evaluating screening as an intervention through a randomized control trial. These include identification of the study group, isolating the control group from the intervention, ethics, lack of baseline data, and recall bias. A range of study designs is required and a rethink of assumptions is needed in researching this area.

Sexual Violence Against Women and Children in Chinese Societies

Ko Ling Chan, — Wed, 03 Dec 2008 13:52:43 PST

This article provides a comprehensive overview of the reported patterns of sexual violence against women and children in China. It reviews the prevalence of and risk factors for various types of sexual violence and discusses community knowledge and perceptions of these violent acts. It also critically examines three major problems of sexual violence research in China. First, the diversity of findings and study methods reported by surveys and criminal reports reflects the problems in obtaining accurate figures on the scope of the problem. Second, precautions must be taken in reading studies on Chinese culture-specific risk factors for domestic violence. Third, the study of culture-specific factors should not focus solely on cultural factors in a vacuum but rather, should examine traditional culture in the context of modern societies and consensus international standards of human rights. Recommendations for future research are also discussed.