Victimization and Violence: An Exploration of the Relationship Between Child Sexual Abuse,Violence, and Delinquency

Child sexual abuse (CSA) continues to be a major public health issue with significant short- and long-term consequences. However, little contemporary research has examined the relationship between CSA and delinquent and violent behavior in adolescence. Children who have been sexually abused experience a unique form of victimization compared to children who have endured other forms of maltreatment, as CSA can result in feelings of shame, powerlessness and boundary violations. The purpose of this study was to examine the effect of CSA on delinquent and violent behavior in adolescence. We examined self-report data at the age 18 interview from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN) on measures of sexual abuse experience, and engagement in delinquent and violent behavior in the past year. All participants reported either a history of maltreatment or were identified at-risk based on demographic risk factors. Participants included 368 males and 445 females who self-reported experiences of CSA and delinquent and violent behavior (N = 813). Findings indicated that, when controlling for gender and race, the odds of engagement in delinquent and violent behavior for those who have experienced CSA are 1.7 times higher than for those who have not. Additionally, female victims of CSA were .52 times less likely to engage in violent and delinquent behavior compared to their male counterparts. Further efforts are needed to examine the effects of CSA on violent and delinquent behavior to better guide treatment efforts that prevent juvenile justice involvement.     

Enablers and barriers affecting medication-taking behaviour in aging men with benign prostatic hyperplasia

Abstract

Objectives: To identify the enablers and barriers affecting medication-taking behaviour in aging men with benign prostatic hyperplasia.

Methods: A total of 40 patients attending the urology outpatient clinic in Melbourne in 2012 were screened. Patients who successfully met the inclusion criteria were interviewed using a structured interview schedule. Information regarding the patient’s medication, demographic data and presence of co-morbidities was collected. Content analysis was compared with patient demographic and medical data, contributing to the analysis.

Results: Problems with medication-taking were reported in 58% of patients. All patients without co-morbidities reported issues regarding their medications, whereas only 27% of patients with co-morbidities reported concerns regarding their medications. Statistical analysis revealed that patients without co-morbidities were significantly more likely (p?=?0.002) to have complaints with their medications compared to those with co-morbidities. Furthermore, patients with co-morbidities who required help of caregivers to assist with their medication-taking were significantly less likely (p?=?0.05) to have complaints with their medications compared to patients who self-managed.

Conclusions: Older patients with caregivers who assisted managing their medication-taking had better adherence. Those receiving aid from their caregivers were significantly less likely to have complaints regarding their medications as opposed to those not requiring a caregiver. This highlights the importance of having support for medication-taking in patients with co-morbidities to assist with better adherence.     

Character Contests and Violent Criminal Conduct: A Critique*

Goffman's theory of violent criminal behavior, which is based upon the complementary notions of “character contest” and “stake in conventional institutions,” is relatively unique in that it makes problematic both the violent criminal act and actor. However, the explanation Goffman's work provides is inadequate for three major reasons. First, mutual consent among the conflicting parties to use violence to settle their dispute rarely occurs in violent criminal acts. Secondly, the meanings with which most violent criminal acts are imbued are different from that of a character contest. Finally, violent people cannot be distinguished from non-violent ones merely on the basis of whether or not they have a stake in conformity. Thus, a more accurate and adequate theory of violent criminal behavior which takes into account both the nature of the violent criminal act and actor is needed. The outlines of such a theory are briefly described.     

Men's recognition of violence against women and spousal abuse: comparison of three groups of men

Our goal was to assess whether men in the following three groups differ in their ability to recognize and judge the severity of diverse forms of aggressive behavior: (a) men who reported being physically aggressive toward their spouses and who were entering treatment for domestic violence; (b) men who, after participating in a treatment program, were no longer physically violent; and (c) men who reported never having been physically violent towards their spouses (NPV group-non-physically violent). All 81 men in the study reported being verbally aggressive toward their spouses. Men who had been in treatment for spousal abuse and who had not been physically violent toward their spouses since finishing the program were better able than the other two groups to recognize emotionally abusive behaviors.     

A Comparison of Male Sex Workers in Prague: Internet Escorts versus Men Who Work in Specialized Bars and Clubs

Prague, the Czech Republic, is a popular sex tourism destination where sex work is decriminalized and young men offer sexual services at low prices relative to countries in Western Europe. This quantitative survey aimed to identify some of the demographic characteristics of these young men and their experiences in the sex industry. Internet escorts (N = 20) and sex workers in bars and clubs (N = 20) completed the survey anonymously in spring 2011. The results showed that sex workers in clubs often had troubled pasts and were forced into sex work to survive. They also reported incidents of violence, serious alcohol and drug use, as well as frequent gambling. The larger group of sex workers in Prague is made up of Internet escorts who have backgrounds that are not atypical for the average Czech youth. They had fewer problems with drugs and alcohol but were twice as likely as sex workers in bars and clubs to be victims of violent crime. Plans for interventions to help those who would change their line of work, as well as the importance of sociocultural context in understanding sex workers, are discussed.     

Effects of Homelessness and Child Maltreatment on the Likelihood of Engaging in Property and Violent Crime During Adulthood

The current study employs data from the U.S. National Longitudinal Study of Adolescent Health (N = 10,818; 56% female; 21% African American) to test how experiencing homelessness through emerging adulthood and child maltreatment predict adult property crime and violent crime. Unlike many published studies on homelessness, we used propensity score matching to correct for selection bias between homeless and nonhomeless individuals. Logistic regression models were run to predict violent and property crime in adulthood, controlling for child maltreatment. Participants who experienced homelessness by age 26 were 1.6 times more likely to commit violent crime in adulthood and almost 30% more likely to commit property crime. Those who were victims of child maltreatment were 15 times more likely to commit property crime, but no more likely to commit violent crime. Findings show that comparing statistically equivalent groups, homelessness through emerging adulthood significantly predicted adult criminality while child maltreatment showed more variable results. Greater prevention efforts aimed at children and adolescents at high risk of experiencing homelessness, as well as more intensive outreach services to homeless youth, may moderate exposure and reduce reliance on criminal survival behaviors.     

Interpersonal and Affective Traits of Psychopathy in Child Sexual Abusers: Evidence from a Pilot Study Sample of Italian Offenders

It has been demonstrated that psychopathy is a crucial construct for the understanding of criminal and violent behavior. However, research on psychopathic traits among child sexual abusers is still scant. In this study, the Psychopathy Checklist–Revised was used to assess psychopathy in a group of 87 Italian, male inmates who were convicted of violent crimes. Child sexual abusers (N = 23) scored higher on the Psychopathy Checklist–Revised interpersonal-affective factor compared to participants who did not perpetrate child sexual abuse. Notably, child sexual abusers showed a very high average score on the Psychopathy Checklist–Revised affective dimension; furthermore, they showed high scores on the two Psychopathy Checklist–Revised items excluded from its two factors–four facets structure (i.e., the items denoting devaluation of intimate relationships). The results of this study may positively inform the development of treatment strategies for child sexual abusers.     

The Moderating Effects of Risk, Protection and Desistance on Violence in Female Adolescents

The major focus of this study was to test the theory driven conceptual model derived from the literature regarding risk, protective and desistance factors in relation to violent behavior of female adolescents. This study utilized The National Longitudinal Adolescent Health Study (Add Health) dataset and included 2,031 female participants. The conceptual model developed was based on life course perspective as it relates to violent behavior in adolescents. The tested SEM model suggested: (1) that each of the latent variables of risk (β = .06, t = .02, p < .001) and protective factors (β = −.07, t = .01, p < .001) were significantly directly associated with violent behavior, (2) the latent variable, desistance factors (β = .01, t = .06, p > .05), was not significantly directly associated with violent behavior, (3) there were mediating effects between risk factors, protective factors and violent behavior (β = −.12, t = .04, p < .05) and (4) there were no mediating effects between risk factors, desistance factors and violent behavior (β = −1.28, t = 2.99, p > .05).     

Reacting to the Uncooperative,Severely Disturbed Student: A Survey of Health Center Policies

Abstract

All members of the Pacific Coast College Health Association were surveyed to determine their policies for evaluating and restricting the attendance of severely disturbed students who were not cooperative with mental health intervention.

One hundred of the 135 institutions returned questionnaires. Fifty-eight percent of the respondents reported that they medically exclude or otherwise restrict students due to their emotional condition. Privately funded schools were more likely to restrict than were tax supported schools. The more residential the campus, the more probable the students were to be restricted. The mean number of students excluded during one academic year was 3.15 (range = 0–25). Despite general recognition of the difficulties involved in responding to uncooperative, severely disturbed students, only 7% of the restrictive schools had written policies which detailed the procedures to be followed when considering restricting students for mental health reasons.

The need to develop clear procedures which respond to the needs of the students as well as the institutions was emphasized.

“Acquired Immune Deficiency in Haitians: Opportunistic Infections in Previously Healthy Haitian Immigrants,” JEFFREY VIEIRA, et al. We describe acquired immune deficiency manifested by opportunistic infections in 10 previously healthy heterosexual Haitian men. The opportunistic pathogens included Toxoplasma gondii (in four patients), Cryptococcus neoformans (in one), Pneumocystis carinii (in four patients), and Candida albicans (in three). Six of the patients also had Mycobacterium tuberculosis. Immunologic studies of three patients showed a decrease in the numbers and activity of helper T cells, with normal or increased populations of supporessor T cells. Serologic markers for previous infections from hepatitis A, cytomegalovirus, and herpes simplex virus were detected in several patients. Six of the patients died despite specific antimicrobial therapy. The clinical and immunologic findings in these 10 Haitians are similar to those reported in drug addicts and homosexuals with the acquired immune-deficiency syndrome.     

A test of the dsm‐III‐R'S implicit assumption that fetishistic arousal and gender dysphoria are mutually exclusive

This study sought to determine the proportion of adult, male, heterosexual cross‐dressers who acknowledge both gender dysphoria and at least occasional fetishistic response to cross‐dressing. Subjects were 193 outpatients of the gender identity clinic or behavioral sexology department of a psychiatric teaching hospital. Questionnaire items were used to assess subjects' current level of gender dysphoria and their recent history of sexual response to cross‐dressing. Subjects who reported higher levels of gender dysphoria tended to report lower frequencies of sexual arousal with cross‐dressing (r = ‐.56, p < .0001) and lower frequencies of masturbation with cross‐dressing (r = ‐.62, p < .0001). About half of even the most strongly gender dysphoric subjects, however, acknowledged that they still become sexually aroused or masturbate at least occasionally when cross‐dressing. These findings indicate a need for revision in the DSM‐III‐R's diagnostic criteria for transvestism and gender identity disorders, which presuppose that gender dysphoria and fetishistic reactions are mutually exclusive.     

Ambivalence Toward Adult Children: Differences Between Mothers and Fathers

The authors examined how ambivalence toward adult children within the same family differs between mothers and fathers and whether patterns of maternal and paternal ambivalence can be explained by the same set of predictors. Using data collected in the Within‐Family Differences Study, they compared older married mothers' and fathers' (N = 129) assessments of ambivalence toward each of their adult children (N = 444). Fathers reported higher levels of ambivalence overall. Both mothers and fathers reported lower ambivalence toward children who were married, better educated, and who they perceived to hold similar values; however, the effects of marital status and education were more pronounced for fathers, whereas the effect of children's value congruence was more pronounced for mothers. Fathers reported lower ambivalence toward daughters than sons, whereas mothers reported less ambivalence toward sons than daughters.     

Political extremism,group membership and personality traits: who accepts violence? / Extremismo político,pertenencia al grupo y rasgos de personalidad: ¿Quién acepta la violencia?

Abstract

Identity fusion theory proposed that fused individuals have a visceral feeling of oneness with the group and this leads them to engage in radical, violent pro-group behaviours. Other approaches to group extremism link acceptance of violence to right-wing authoritarianism (RWA) and social dominance orientation (SDO). We extended previous research on fusion in three ways. First, by exploring if identity fusion is a significant predictor of the willingness to fight for a group, when controlling for group identification, left-wing authoritarianism (LWA), RWA and SDO. Secondly, we controlled for a membership in a group known for radical action directed at out-groups, namely football hooligans. Finally, we added a second outcome variable, which is the acceptance of violent change of the current social system. The participants were self-described football hooligans (N = 24) and undergraduate students (N = 155). Regression analyses revealed that the strongest predictor of willingness to defend in-group was identity fusion, with RWA and group identification significant as well. RWA and LWA emerged as the strongest predictors of acceptance of violent change. The effect of group membership wasn’t significant.     

Serious juvenile offenders who have experienced emerging adulthood: Substance use and recidivism

Using data from the California Youth Authority, this article examines whether or not specific substance use differentially predicts recidivism for individual offense-type among a group of serious juvenile offenders who have experienced emerging adulthood. The results of the logistic regression analysis indicate that users of specific substances have a higher overall likelihood of receipt of a subsequent arrest for different offense-types when compared to other substances. Specifically, among the 524 serious juvenile offenders analyzed, one demographic, one social bond, and two substance use measures were significant indicators of an offender being arrested during the seven-year follow-up period. The social bond measure of full-time employment and substance use measure of using mind-altering drugs were significant indicators of receipt of an arrest for a non-violent offense, while being non-white and reported use of uppers/downers were significant predictors of arrest(s) for violent and both non-violent and violent offenses. Policy implications, limitations, and directions for future research are discussed.     

DRAWN INTO VIOLENCE: EVIDENCE ON “WHAT MAKES A CRIMINAL” FROM THE VIETNAM DRAFT LOTTERIES

Draft lottery number assignment during the Vietnam Era provides a natural experiment to examine the effects of military service on crime. Using exact dates of birth for inmates in state and federal prisons in 1979, 1986, and 1991, we find that draft eligibility increases incarceration for violent crimes but decreases incarceration for nonviolent crimes among whites. This is particularly evident in 1979, where two‐sample instrumental variable estimates indicate that military service increases the probability of incarceration for a violent crime by 0.34 percentage points and decreases the probability of incarceration for a nonviolent crime by 0.30 percentage points. We conduct two falsification tests, one that applies each of the three binding lotteries to unaffected cohorts and another that considers the effects of lotteries that were not used to draft servicemen. (JEL K42, H56)     

Factors associated with phosphodiesterase type 5 inhibitor treatment satisfactions: results of patient interrogation

Introduction. Phosphodiesterase type 5 (PDE5) inhibitor therapy is an efficacious means of treatment for erectile dysfunction (ED). PDE5 inhibitors supply penile erection by inhibiting the hydrolysis of cGMP and therefore relaxing the corpus cavernosum. In this study, retrospective evaluation of those patients who were admitted to our clinic with the complaint of ED and who were recommended on PDE5 inhibitor treatment in terms of follow-up results and patient satisfaction were aimed.

Method. The patients were called by phone and after informing about the study and taking the informed consent, patient satisfaction with the treatment, purposes of withdrawal, treatment alterations and partner satisfaction were investigated.

Results. Interviews were made with 345 patients, who accepted to enroll in the study and the mean patient age was 56 ± 11.2 years. Of the patients 66.4% were learned to be satisfied with the treatment. It was determined that 10.7% of the patients have never used the medication and 50% could not continue because of high drug cost. It was recognised that 50.2% of the patients who are not satisfied with the treatment tried another PDE5 inhibitor. The success rate of the treatment was found to be higher in the followed-up group than those losses to follow-up.

Conclusion. Therapy with PDE5 inhibitors is an effective means of ED treatment. The importance of doctor-patient communication should be considered, and the patient should be advised for adaptation to follow-up program. High drug cost is a significant predictor of patient compliance to treatment continuation.     

Personal Network Correlates and Predictors of Homelessness for Injection Drug Users in Baltimore,Maryland

Injection drug users are at high risk for homelessness and human immunodeficiency virus (HIV) infection. This study sought to examine incidence rates and the social and economic antecedents of homelessness of impoverished inner-city injection drug users. Of the 569 participants, from a nontreatment sample who participated HW prevention study, intelViewed at baseline, 324 (57%) were reintelViewed 5.2 months late!: At baseline 48% of the participants reported that they had been homeless in the past 10 years. Of the 324, 18% reported that at both intelViews they had been homeless within the prior 6 months, 12% reported homelessness at baseline but not at follow-up, and 8% reported homelessness at follow-up but not at baseline. At baseline personal social support network characteristic of size of material aid and size of sex network was found to be associated with self-reports of homelessness. Baseline reports ofpresence of mother in personal network, size of material aid network, and network density were found to be associated with reports of homelessness at follow-up. These result suggest the need for alternative approaches to addressing issues of homelessness injection drug users.     

Turning points in the romantic history of emerging adults

This study examined patterns of romantic relationship turning points in 100 Israeli emerging adults (54 males) who were followed from age 22 to 29. Analyses of interviews at age 29 yielded four distinctive patterns of romantic transitions that are associated with different levels of concurrent well-being: positive outcome turning points, negative outcome turning points, formal turning points, and young people who could not identify any relational turning points. Young people who described a negative turning point or who were unable to identify a turning point were less involved and invested in romantic relationships. In addition, they reported a greater number of depressive symptoms. Those who described a positive outcome turning point or who pointed at a formal turning point reported more stable and healthy romantic relationships and a lower number of symptoms. Increased immature dependency and stress associated with goal attainment measured seven years earlier explained the tendency to identify a negative turning point or the inability to point to a significant event. Conceptualized within the reflexive model of transitions, findings suggest that personal assets such as personality attributes and developmental goal pursuit explain the ability or difficulty of young people to capture the meaning of events in their relational involvements and to move toward or interfere with settling down.     

Support for Resilience Theory with Female Adolescents Who Are Violent: A MIMIC Model

Resilience theory has been shown to explain aggression and violence in adolescents in general. No studies were found that supported this theory specifically with female adolescents. A multiple indicators multiple causes (MIMIC) model was developed from the review of the literature. Structural equation modeling was then used to quantitatively test this theoretical MIMIC model. Results indicate that the direct effect of the demographic contingencies are significantly related to violent behavior: race (β = ?.53, t = 0.04, p < .001), community supports (β = ?0.55, t = ?0.04, p < .001), and subsidized income supports (β = 0.54, t = 0.04, p < .001). These results suggest demographic contingencies play an important role in predicting violent behavior in female adolescents.