The Influence of Intimate Violence on Transitions out of Cohabitation

Does the experience of violence in a cohabiting union lead participants away from marriage and toward separation, or does violence have only minimal impact once other characteristics of unions and their participants are controlled? This issue is examined using a sample of 411 cohabiting couples followed in both waves of the National Survey of Families and Households. Marriage and separation are treated as competing risks. Results show that violence does have an effect, although dissimilar effects emerge for transitions to separation, as opposed to marriage. Net of other factors, intense male violence—male violence that is more severe than the female partner's—raises the hazard of separation. In contrast, female violence, but not male violence, lowers the rate of marriage. The findings appear robust to a variety of operationalizations of partner violence.     

Gender Differences among Adolescents with Gambling-Related Problems

Data from five recent studies using self-reports were merged to explore gender differences in the characteristics of adolescent problem gambling, including comorbidity with other youth problems. The sample consisted of 2,750 male and 2,563 female participants. Male problem gamblers were more likely than females to report signs of psychological difficulties while females were more likely to note behavioural problems as a consequence of their gambling problems. Males and females with severe gambling problems had remarkably similar prevalence rates of depression, substance use and weekly gambling. In the non-problem gambling group, depression was more likely to afflict females whereas substance use and frequent gambling were more prevalent among males.     

The scientist-practitioner model in marriage and family therapy doctoral programs: current status

We discuss the status of the scientist-practitioner model in marriage and family therapy (MFT) doctoral programs. Issues discussed include a lack of faculty research role models in doctoral programs, "farming out" the majority of research courses to other disciplines, problems with curriculum, and how the culture of MFT does not support research. We also present suggestions for improving doctoral research training. The goal is to improve the quality of research training in doctoral programs. We hope that this will help change the culture of MFT to include research as one of its primary goals and greatest assets.     

The divorce process

This is a study of the process of divorce. Unstructured interviews were conducted with divorced individuals by both the male and female authors. It was found that problems such as adultery, alcohol abuse, or financial difficulties were aspects of nearly all the broken marriages. However, these problems could not be viewed as thecauses for the divorce. Instead, problems were used as a basis for escalating a crisis in order to dissolve long-standing, deep emotional bonds. Specific problems became tools in the process of creating an unlivable situation culminating in divorce. The crisis created by the divorcing couple became a reality for their acquaintances. Divorcees used a variety of strategies in the struggle for allegiances following divorce. These strategies and the reactions of friends and relatives are discussed.     

Psychosocial Differences in Post-Institutionalized,Internationally Adopted Children and Other Groups of Children Referred for Clinical Services

Thousands of children are adopted into the United States each year, many of whom have spent a significant portion of their pre adoptive lives in an institutional setting. Post-institutionalized (PI) children adopted into the United States are often referred for mental health services at higher rates than other groups of children. There is a lack of research examining differences in clinically referred PI children and other groups. The purpose of this study was to address this gap in knowledge. Results from multiple analysis of covariance and follow-up pairwise contrast analyses found significant differences only between PI and domestic adoptees (DA). Specifically, DA exhibited poorer functioning in the areas of attention problems and social problems. Mean scores were above the 85th percentile for all indicators for all groups, indicating the severity of psychosocial problems for the sampled group of clinical referrals. More research is needed that compares the psychosocial problems of PI children to other adopted youth.     

A Continuum of Male Controls and Violence against Women: A Teaching Model

Abstract

The prevalence and severity of violence against women is a critical issue for social work educators to address. This article describes a teaching model that educators can use to educate social work students and professionals about the widely existing, severe, subtle and overt forms of male controls and violence against women. Forms of male controls and violence against women discussed include: sexist language, gender-biased research, differential treatment, street hassling, sexist media, pornography, sexual harassment, battering, sexual assault, and femicide. Results presented are from an evaluation of a three hour workshop for professionals and from a qualitative analysis of student comments after a weekend class which used this model. Evaluation of this model suggests that participants found the content to be useful and relevant to their social work practice and education. Resource lists are provided to give educators a starting point for learning more about male controls and violence against women.     

Quality and effectiveness of PHC level class room training under MPW scheme

Government of India have prescribed duration, curriculum and trainers for training of PHC field staff under multipurpose workers' scheme. The extent of implementation was studied in three States. Quality of training was also observed and its impact on knowledge and understanding was determined by comparing pre- and post-test scores on different subject areas. Centralised strategy for class room training with HFWTC as the venue was found to offer several advantages. By and large, Government of India's prescribed curriculum had been followed. Deviation had taken place mostly in the type of trainers. Topics and their sequence were well covered. There was, however, little use of training techniques to promote understanding and participation. In particular, there was lack of teaching aids at PHC level class room. Male field staff showed greatest need and profitted most from the training. Knowledge of maternal and child health and family welfare was least in both male and female staff before and after the training. Administrative factors affecting MO of PHCs as trainers were also determined. This is second in the series of papers based on the project findings.     

Using Fear to Encourage Safer Sex

Rogers' (1983) Protection Motivation Theory (PMT) was used as a basis for generating an STD information intervention to encourage positive attitudes toward safer sex practices. PMT identified four components that influence intentions to engage in adaptive behaviors to avoid disease and bodily injury, including (a) perceived severity, (b) perceived vulnerability, (c) responseeff~cacy, and (d) self-efficacy. The effect of severity and response-efficacy messages on safer sex attitudes and intentions of college students was examined in the present study. Those who were exposed to photographs of diseased human genitals (high severity) and messages that presented condoms as effective for reducing STD risk (high responseefficacy) were expected to score highest on percaved STD severity and perceived condom-efficacy. This group was also expected to report the most positive attitudes toward condoms and STD prevention, and the strongest intentions to use condoms in future sexual episodes. The high severity condition produced the strongest perception of STD severity, but the messages about condoms produced no differences in perceived responseefficacy. No differences in attitudinal measures were found, but those exposed to consistent severity and efficacy messages reported greatest intentions to engage in safer sex.     

Negative family-of-origin experiences: are they associated with perpetrating unwanted pursuit behaviors?

Parental divorce, history of parental relationship separation, perceptions of interparental conflict, and witnessing parental violence were retrospectively assessed in a sample of 213 college students from several regions in the United States, all of whom had suffered an unwanted break-up of an important romantic relationship. This study investigated whether these family-of-origin experiences were associated with perpetrating unwanted pursuit behaviors after the relationship break-up. Results indicated that male participants who had experienced either parental divorce or separation perpetrated more severe unwanted pursuit behavior than males who had not experienced parental divorce or separation or females from either divorced, separated, or intact families. For females, severe unwanted pursuit behavior perpetration was correlated with threatening and intense parental arguments. These findings suggest that a variety of types of negative parental relationship behavior may be risk factors for perpetrating severe unwanted pursuit behaviors. The gender-specificity and implications of these findings are discussed.     

A Self-Consistency Approach to Prisonization*

A theoretical model is developed in which prisonization is determined by the self-concepts which inmates bring to the prison. This model was substantively tested using a Likert-type scale of Inmate Reference Group Identification as an index of prisonization. Self-concept was measured by the Twenty Statements Test and scores were trichotomized to form groups having legitimate, low and deviant social anchorage. The sample consisted of 257 male inmates from two adult prisons. The data were gathered by questionnaire in groups of 15–45 using a cross-sectional design. Four hypotheses were tested relating prisonization to type of social anchorage according to three institutional career phases. Using analysis of variance and contrasts it was found that prisonization was the greatest and increased in a linear fashion during successive career phases among those with deviant social anchorage. Those with low social anchorage showed an increase in prisonization during the middle phase and a decrease during the late phase. No change in prisonization according to career phase was found among those with legitimate social anchorage. The results suggest that self-concept plays a crucial role in defining both the likelihood and form of attitude change following imprisonment.     

Gambling disorder and suicidality within the UK: an analysis investigating mental health and gambling severity as risk factors to suicidality

Greater severities of gambling behaviour and poorer mental health have been identified in the literature as risk factors for suicidality within gambling disorder (GD) populations. This is the first known study within the UK to use empirical data, taken from a UK treatment clinic for GD (National Problem Gambling Clinic, UK) to explore the associations between current suicidality (thoughts and plans) and measures assessing gambling severity and mental health. Self-report data from 122 participants were collected during the intake process at the clinic through a variety of methods including the use of questionnaires and a standardized 90-minute interview with a psychologist. Reported suicidality was high (current suicidal thoughts [28.7%] and plans [6.6%]), yet only one measure of gambling severity (estimated total losses) was found to be inversely associated with suicidality. Indices of poorer mental health were found to have a greater association with suicidality than measures of gambling severity, and a logistic regression analysis identified depressive symptomology and a history of psychiatric disorder in the participants’ family as significant factors associated with suicidality. Overall, within GD populations, factors associated with poorer mental health rather than gambling severity are seemingly a greater risk factor in patients with suicidality.     

SUCCESSFUL STEPFAMILY THERAPY: CLIENTS' PERSPECTIVES

This study examined responses from 267 adults who sought therapy because of stepfamily issues. Concerns identified at the initiation of therapy and those aspects of therapy found to be helpful or unhelpful to stepfamily adjustment were investigated. Results indicated that issues around parenting/stepparenting and stepfamily functioning were of greatest concern at the initiation of therapy. Affective support, clarification of issues, and the process and structure of therapy were most frequently reported as helpful. The therapist's perceived lack of training and skill in treating stepfamily issues was reported most frequently as unhelpful in therapy.     

Personality Disorders Among Pathological Gamblers

The objective of this study was to investigate the prevalence of DSM-III-R diagnostic categories of personality disorders in pathological gamblers and to highlight the possible association between such disorders, psychological distress and selected forms of gambling. The Personality Disorders Questionnaire-Revised and a battery of psychometric measures were administered to a sample of 82 consecutive admissions to a behavioral treatment program for gambling problems at an impulse control disorders research unit in Sydney, Australia. Seventy-three percent of subjects were male. The total sample reported having gambled a mean of 15 years of which, on average, the last 6.4 years were associated with problems. Results indicated that the majority of subjects met diagnostic criteria for at least one Personality Disorder (93%), with an average of 4.6 personality disorders per subject. The majority of gamblers evidenced personality disorders from the Cluster B grouping with particularly high rates of borderline, histrionic, and narcissistic personality disorders which were found to be associated with high levels of impulsivity and affective instability. Antisocial personality disorder and narcissistic personality disorder were both found to be possible mediators of the severity of the problem gambling behaviours.     

Self-stigma coping and treatment-seeking in problem gambling

Stigma has been explored as a cause of reduced and delayed treatment-seeking for problem gambling, a population in which only 1 in 10 seek treatment. The present study examined the effect of perceived public stigma and self-stigma on affect and behavioural coping efforts. Path analysis was used to examine self-stigma in 155 individuals with gambling problems. The majority of participants met criteria for a gambling disorder (93.5%), were current gamblers (69%) and had never sought treatment (54.2%). The data fit the proposed path model well; self-stigma was associated with reduced self-esteem and increased shame. Shame predicted use of secrecy and withdrawal coping. Endorsement of negative stereotypes of ‘problem gamblers’ was associated with decreased treatment-seeking while greater self-stigma predicted increased treatment-seeking. Additional predictors of increased treatment-seeking included greater gambling problem severity, more positive attitudes towards treatment, male sex and higher income. Self-stigma increased rather than decreased treatment-seeking in this analysis. Efforts to increase treatment-seeking could target women, those with lower income and those with less severe gambling problems.     

What Does a Man Want? Reflections on “Surrealism Desire Unbound”

This paper is a critical review of the exhibition “Surrealism: Desire Unbound” at the Tate and Metropolitan Museums of Art. The author argues that the majority of the art represents a variety of perverse solutions to male gender anxiety, solutions that most often take the form of viewing the female body as a fetish object or as an object for sadistic drives. She interprets such aggression toward females as being a consequence of the era in which these works were created: Europe between two world wars. Female self-representation is juxtaposed with male-generated art and demonstrates how women artists reclaimed their gaze and desire.     

Risk Factors for Suicidal Behavior Among Alcoholics

Abstract

Four risk factors for parasuicide and suicide ideation in 197 male and female alcoholism inpatients were investigated: addiction severity, family addiction history, psychiatric symptomatology, and inadequate social support. Risk factors for suicide ideation were psychiatric symptom severity and social dysfunction; those for parasuicide were younger alcohol problem onset, more alcoholism symptoms, greater social dysfunction, and greater psychiatric symptom severity. Logistic regression was utilized to assess the independent effects of risk factors on both suicide ideation and parasuicide. The most efficient model for parasuicide prediction consisted of psychiatric severity, controlling for gender; the most efficient model for ideation was psychiatric severity.     

Sexual Assault Risks Among Gay and Bisexual Men

The goal of this study was to examine lifetime patterns of sexual assault and associated risks among a purposive sample of gay and bisexual men (N = 183; 18 to 35 years old, M = 24.3). Cross-sectional data were collected via written, self-administered questionnaires and face-to-face, event-based qualitative interviews. Alcohol severity scores indicated high rates of hazardous drinking (53.0%) and possible dependence (14.2%) among participants. One-half of men (50.8%) reported childhood sexual abuse (CSA), and 67.2% reported adult sexual assault (ASA). Average age at most recent ASA was 21 years. Most perpetrators (83.9%) of recent ASA incidents were male; 67.0% of participants reported consuming alcohol and/or drugs prior to the most recent incident. Regression findings indicated more severe CSA experiences and past alcohol-related problems predicted recent severe ASA. Although we found similarities between gay and bisexual men in lifetime sexual assault history, we found some distinct differences in ASA risk factors. Bisexual men reported higher alcohol severity scores, more female ASA perpetrators, higher internalized homophobia scores, and fewer male sexual partners than gay men. Findings suggest the need for interventions that reduce ASA risk among sexual minority men—and the potential benefits of focusing on alcohol consumption in risk reduction efforts.     

Mental Health Needs Assessment of a Major Urban University

Abstract

A questionnaire surveying mental health needs was administered in class to 1,412 Virginia Commonwealth University (VCU) students, and a service utilization questionnaire was administered to 154 students applying for mental health services at four campus-based agencies. The nature of the specific problems of concern to students tended to remain stable over the course of a semester. Study habits and grades was the most frequently cited problem area on the needs survey, though help was sought most frequently for physically oriented concerns. Students lacking important sources of social support reported the most difficulties. Students who sought help had more problems and higher levels of concern than those not seeking help. A comparison of the two data sources indicated a slight but significant tendency for agencies to deal with the greatest areas of need at the severity levels indicated in the needs survey.     

Briefly Noted

Internalizing and externalizing problems predicted onset of any tobacco use in youth; however, findings differed for internalizing and externalizing problems across tobacco products, researchers found in analyzing the Population Assessment of Tobacco and Health Study of 12‐ to 24‐year‐old never‐users. Self‐reported internalizing and externalizing symptoms were assessed at wave 1 (45,971 subjects), and past‐12‐month use of tobacco products was assessed at wave 2 (38,443 subjects). The researchers found that high‐severity internalizing symptoms at wave 1 increased the risk by 1.5 times of using tobacco by wave 2, and that high‐severity externalizing problems increased the risk of tobacco use by 1.3 times at wave 2. Low‐ and moderate‐severity problems did not predict tobacco onset. The study was funded by the National Institute on Drug Abuse and the Food and Drug Administration. Several authors declared conflicts of interest — one as an expert witness in a lawsuit against the tobacco industry. The article, “Mental Health Problems and Onset of Tobacco Use Among 12‐ to 24‐Year‐Olds in the PATH Study,” was published in the December 2018 issue of the Journal of the American Academy of Child and Adolescent Psychiatry.     

Physical and mental health outcomes of women in nonviolent, unilaterally violent, and mutually violent relationships

Despite equivocal findings on whether men or women are more violent, the negative impact of violence is greatest for women. To determine how gender asymmetry in perpetration affects women's health status, we conducted a study in two phases with 835 African American, Euro-American, and Mexican American low-income women in Project HOW: Health Outcomes of Women. In Phase 1, we used severity and frequency of women's and male partners' violence to create six groups: nonviolent (NV), uni-directional male (UM) perpetrator, uni-directional female (UF) perpetrator and, when both partners were violent, symmetrical (SYM), male primary perpetrator (MPP), and female primary perpetrator (FPP). The MPP group sustained the most threats, violence, sexual aggression, and psychological abuse. They also reported the most fear. Injury was highest in the MPP and FPP groups. In Phase 2, we examined group differences in women's health status over time for 535 participants, who completed five annual interviews. Surprisingly, women's health in the MPP and FPP violence groups was similar and generally worse than if violence was uni-directional.