The unsilencing of military wives: wartime deployment experiences and citizen responsibility

One of therapists' contemporary moral imperatives is to support American service members and their families regardless of personal position on the Global War on Terrorism. One way therapists can respond to this imperative is by seeking to understand Army wives' experiences during their husbands' wartime deployments. Therefore, this study utilized a combination of individual interviews with Army wives and a reflecting team of military wives and civilians to explore military wives' experiences. Two main themes were identified: the wives' experience was an emotional roller coaster and they felt silenced--and could be unsilenced--in their interactions with civilians. Therapists working with Army wives should (a) normalize the roller-coaster experience; (b) encourage wives to recognize negative and positive influencers and explore their idiosyncratic coping skills; (c) support positive civilian-military connections; and (d) as a civilian and as a therapist, seek to be a positive civilian connection by proactively showing support.     

Health-Related Quality of Life Among Abused Women One Year After Leaving a Violent Partner

This is the first follow up study measuring quality of life among abused women who have left their abusive partner. The women (n = 22) answered a questionnaire while staying at women’s shelter and one year later. The aim was to examine long-term effects of intimate partner violence against women on health-related quality of life. Health-related quality of life was measured using the SF-36 Health Survey and the WHOQOL-BREF. The meantime for living in a violent partnership was 11 years, most of the women had children under 10 years living with them, low income and were on sickness absence or disability pension. About half of the women had experienced threats of violence and 6 had experienced violent acts after leaving their partner. SF-36 scores after one year were significantly better in vitality (t-test, P < 0.001), mental health (t-test P < 0.001) and social domains (t-test, P < 0.04). WHOQOL-BREF scores did not change significantly from baseline, showing that the SF-36 showed more responsiveness in this population. Regression analysis showed that serious physical violence reported at baseline predicted significantly less improvement in physical and mental health and role-emotional in the SF-36 and in social relationships and environmental health in the WHOQOL-BREF. High psychological violence at baseline predicted significantly less improvement in mental health in the SF-36 and in social relationships and environmental health in the WHOQOL-BREF.     

Doing a good job badly Mind-sets in family therapy

This paper reports on a case in which family therapy was one of the approaches attempting to resolve an eating disorder in the second-born of twins, the youngest in an intact family of four children. The case is described in its referral, agency and chronological contexts. The initial referral suggested that there was no physical cause for the presenting problem, and advocated an investigation of family dynamics. Some evidence which seemed to support the dysfunctional family formulation was provided, and various hypotheses regarding family disturbance were pursued in therapy. These hypotheses were, on the surface, supported by systemic observations. When a rare pancreatic tumour which was underlying the eating disorder was diagnosed many months after the brief and unsuccessful interventions, ‘confirmation bias’, resistance and neutrality became important issues for the therapists to consider. The role of these processes in this case is discussed.     

Will it never end? The narratives of incest victims on the termination of sexual abuse

The aim of this study is to investigate how child sexual abuse is terminated. This study attempts to gain insight into how people exposed to incest narrate the termination of the incest relationship. Seven women and one man were recruited from the Incest Support Centre and from snowballing for a 1-2-hour-long in-depth interview using a narrative approach. The subjects' narratives varied according to how they perceived their own role in the termination process, their relationship with the offender, and how well they remembered the stage of termination. A common feature of the narratives was that the feeling of being a victim lasted after the abuse stopped. In this respect, the lack of support from family, friends, and healthcare personnel and the psychological power exercised by the offender were important issues in the narratives. It is suggested that the termination process is affected by the victims' ability to regulate influence and mentalization. Furthermore, a transfer of cultural meanings from the social environment to the individual must have taken place. Future research should focus on the significance of the termination process in terms of psychological functioning and the construction of self and identity.     

Night work and symptoms of anxiety and depression among nurses: A longitudinal study

Over the last few decades, night work has been found to be associated with negative somatic consequences; however, there is less knowledge about its impact on mental health. In a sample of 633 Norwegian nurses, we investigated by means of latent growth curve modelling whether different work schedules predicted differences in baseline values of anxiety and depressive symptoms, and trajectories of these over a two-year span. All participants completed the Hospital Anxiety and Depression Scale as part of a larger survey conducted during the winters of 2009, 2010 and 2011. The results revealed that night workers and nurses who changed from day work to night work during the study period did not differ from day workers either in terms of baseline symptoms of anxiety or depression, or in terms of trajectories of these symptoms. However, nurses who changed from night work to day work reported a significant decrease in symptoms of both anxiety and depression over time compared to day workers. Furthermore, supporting previous work, languidity was related to higher anxiety and depression and hardiness to lower levels of those symptoms. Possible mechanisms underlying the results are discussed.     

A comparison of systems and outcomes for safeguarding children in Australia and Norway

Using aggregated national data, this paper compares outcomes of Australian ‘child protection’ (CP) and Norwegian ‘child welfare services’ (CWS). We highlight each nation's context and key elements of their CP/CWS organizations, with emphasis on policy and programme orientation. System outcomes are examined along with the implications of their different approaches. The main policy focus in Australia is protection and risk, while Norway's systemic approach stresses prevention, early intervention and support. These differences influence practitioner's intervention strategies and how the needs of children and parents are met. In Norway, approximately 80% of the children in the CWS receive some sort of supportive services. In contrast, Australian services for supporting families are narrowly targeted. Both countries share the ‘best interest of the child’ principle and an increased focus on children's rights, and have experienced increased service demands and rates of children in out‐of‐home care. The paper explores the relative merits of these systems.     

The problems of the Spanish nation‐building process around 1900

Most historians acknowledge that the Spanish nation‐building process started late and was neither very profound nor successful. In general, they point to the slow modernisation process or the unwillingness of the elite to explain the weakness of Spanish nationalism in the decades around 1900. However, there are a number of factors that hampered the nation‐building process in Spain that have not received the attention they deserve. In the first instance, the effects of the loss of the last remnants of the Spanish colonial empire in 1898 have generally been underestimated. Another item is the political clientelism that seriously hindered nation‐building activities. A last observation concerns the role of ideology. Nationalism is not a uniform body of thought. In fact, both the right and the left had their own nationalising strategies, resulting in increasing polarisation.     

Use of pornography in traditional media and on the internet in Norway

We described the use of pornography in Norway, including how many people have used pornographic magazines, films, and internet sites and to what extent those who watch pornography on the internet also use it as an arena for erotic chatting. The data stem from a survey on sexual behavior among a random sample of 10,000 Norwegians between 18 and 49 years. The response rate was 34%. A total of 82% reported having read pornographic magazines, 84% had seen pornographic films, and 34% had examined pornography on the internet. Statistically significantly more men than women reported use of pornography. There was a 20% difference between men and women in use of magazines and films. Among those exposed to pornography on the internet during the past year, 14% had participated in erotic chatting. Gay/bisexual men and lesbian/bisexual women reported higher use of pornography than straight men and women. Gender was the most significant variable for the prediction of use of pornography. Level of education predicted exposure to pornography on the internet, in magazines, and in films. Younger individuals were more likely to utilize the internet both for viewing pornographic material and for chatting.     

Ethnic nominalism and civic religiosity: Christianity and national identity in Britain

The relationship between religion and national identity is a contested topic in public debates about cultural diversity and immigration. In sample surveys only a minority the British population identify themselves as belonging to a Christian religion, and far fewer practise their faith. Nevertheless, nearly a quarter of the population think it is important to be Christian to be truly British. This study explores the complex relationships between religious and national identities in Britain, using data from the 2008 British Social Attitudes Survey. Three different forms of national identity were identified through factor analysis: civic‐symbolic, cultural‐aesthetic and ethnic national identity. Ethnic national identity is the only dimension of national identity that is positively associated with thinking it is important to be Christian to be British. While churchgoing Christians are more likely to feel national in response to secular cultural symbols, they are less likely to associate religion with nationality than those with a nominal Christian affiliation. The results indicate that Christianity has cultural significance for national identity primarily as a proxy for ethnic identity.