Does Family Matter to HIV‐Positive Men Who Have Sex With Men?

Most studies have indicated that friends or families of choice provide more support to HIV‐positive men who have sex with men (MSM) than members of the family of origin. The creation of families of choice by MSM has been viewed as a means of creating a support system in the absence of traditional family. The purpose of this study is to explore if HIV‐positive MSM believe family of origin is important. Data were drawn from a qualitative study of HIV disclosure to family. Responses to the question, “How important is family to you?” are explored. Results suggest that for many HIV‐positive MSM, relationships with family of origin are very important. While not definitive, data to be presented are provocative and challenge notions of the significance of family of origin to marginalized populations.     

Three Types of Memory for Childhood Sexual Abuse: Relationships to Characteristics of Abuse and Psychological Symptoms∗

ABSTRACT

Data from a clinical sample (N?=?88) reporting childhood sexual abuse was compared by types of memory, abuse characteristics, and psychological symptoms. Three types of memory were identified from a questionnaire (“Always” n?=?27 [31%], “Recovered” n?=?41 [46%], and “Both” n?=?20 [23%]). When compared with narrative reports from a subset (n?=?30) of the sample, the lines between “Always,” “Recovered,” and “Both” types of memory were ambiguous. Consistency across reports, however, was 83%. Memories classified as either “Recovered” or “Both” were associated with earlier age-at-onset and more severe psychological symptoms compared to those who “Always” remembered CSA. No significant differences were found between the “Both” and “Recovered” groups.     

Development and Validation of a Tool to Improve Physician Identification of Elder Abuse: The Elder Abuse Suspicion Index (EASI)©

ABSTRACT

This study aimed to develop and validate a brief tool for physician use to improve suspicion about the presence or absence of elder abuse. A literature review on elder abuse, obstacles to its identification, limitations of detection tools, and characteristics of screeners employed by physicians were used to generate elder abuse detection questions for critique by 31 doctors, nurses, and social workers in focus groups. Six resulting questions became the Elder Abuse Suspicion Index (EASI) administered by 104 family doctors to 953 cognitively intact seniors in ambulatory-care settings. Findings were compared to a recognized, detailed elder abuse Social Work Evaluation (SWE) later administered to participants by social workers blinded to the results of the EASI. The EASI had an estimated sensitivity and specificity of 0.47 and 0.75, usually took less than 2 minutes to ask, and 97.2% of doctors felt it would have some or big practice impact. This research is a first phase in the development and validation of a user-friendly tool that might sensitize physicians to elder abuse and promote referrals of possible victims for in-depth assessment by specialized professionals.     

I Have Learned to Accompany Myself

XIAO Ya was my middle schoolmate. She was gentle and quiet. We called her Ah Fang because she looks like Wang Fang, the leading lady of the film "Heroic Sons and Daughters." Xiao Ya lived in the red building that was constructed in the 1960s near the small wood behind my family's home. Her family lived on the second floor. Below the window was a board which read "Aiguo Grain Shop" (aiguo means love the country). Xiao Ya didn't like to speak. When she did, her face often turned red; but when she sang, she had an easy manner. I could hear her singing from a long distance. I used to take my worn-out accordion to her house. Since I could sing to my own     

From Parent Verbal Abuse to Teenage Physical Aggression?

Teenagers who were considered status offenders and criminal offenders were randomly matched to a group of teenage non-offenders for age, sex, ethnicity and family structure. The teens rated themselves for aggression, both physical and verbal. They gave their perceptions of physical and verbal aggression between their parents and between their parents and themselves. Substance abuse, runaway behavior and elements of teenage culture such as movies, music and videos were also compared between the two groups. The offenders reported an extreme use of verbal abuse in their families that did not exist for the non-offenders. The teens in the offender group were much more physically aggressive compared to their parents and to the teens and parents in the non-offender group.     

Pupillary Responses to Static Images of Men and Women: A Possible Measure of Sexual Interest?

The pupil dilates to images that are arousing. In Experiment 1, we examined if the pupil’s response to brief presentations (2,000 ms) of static images could be used to identify individuals’ sexual orientation. Participants were grouped according to their self-reported gender and sexual orientation (male heterosexual, N = 20; male bisexual, N = 13; male homosexual, N = 19; female heterosexual, N = 28; female bisexual, N = 21; female homosexual, N = 17). Pupil size was monitored to images of men in seminude poses, women in seminude poses, or neutral images. Every group showed the same pattern of responses, with the greatest dilation to male images, then female images, and least dilation to the neutral images. Experiment 2 used more tightly controlled stimuli and tested at two different image durations (150 and 3,000 ms). Both heterosexual men (N = 18) and women (N = 20) showed greater pupil dilation to images of nude men than to nude women. However, in Experiment 3, where we reduced the erotic content by using images of clothed models, both heterosexual men and women showed greater pupil dilation to images of women. The results showed that while the pupil does dilate strongly to sexual imagery, its response to these brief static images does not correspond to a person’s sexual orientation in a simple manner.     

Believe or Disbelieve? With Particular Reference to Satanist Abuse

Believing or disbelieving allegations of Satanist abuse, whether recounted by children or by adults in later life, is discussed. The issue reflects a similar situation in the recent past relating to believing, or not, the accounts of other forms of abuse. Attention is drawn to the need for a base for treatment. Such an underpinning wouldinter alia lead to ways in practice of helping fearful children and older people recalling events of bizarre and ritualistic forms. Paradoxical situations are pointed out. For instance, while there is the requirement to protect children from significant harm, the allegations may be beyond belief; and, while harm may be denied, the allegations may be confirmed as true. Different professional groups take alternative pathways to elucidating truth and different procedures follow. Social workers, counsellors and therapists may need to act in a climate of suspended belief. Disturbed perception, memory and meaning may still be distressful in the want of evidence.     

Li Women Have a New Role to Play

The Li people, with a population of more than 1.11 million, live mainly in the mountainous areas of Hainan, an island province in south China. They speak the Li language, which includes several dialects. The Li people are the original inhabitants of Hainan. As early as 4,000 years ago, when their ancestors began to settle on the island. According to historians, the Li group belongs to one of the ancient "Baiyue' tribe and is closely related to the Zhuang, Buyi, Dong, Shui and Dai ethnicities. In the third month of the lunar calendar, when the spring sun shines     

Pathways to the Clinician’s Experience of Empathy in Engaging Single Mothers at Risk for Physical Abuse of their Children

Based upon an analysis of interviews from a qualitative study with twelve agency-based clinical social workers, this paper recounts three “situational pathways” through which these workers were able to experience empathy in the process of engaging low-income single mothers whose presenting picture involved physical aggression toward their symptomatic children who the workers were also seeing for therapy. The paper describes and utilizes self-psychological and intersubjective concepts to understand the therapeutic contexts that may enhance the worker’s potential for experientially understanding the client’s viewpoint. The relevance of the findings for practice and training is discussed.

Treatment and Prevention of Elder Abuse and Neglect: Where Knowledge and Practice Meet—A Model for Intervention to Prevent and Treat Elder Abuse in Israel

Successful handling of elder abuse and neglect requires various interventions. This article presents findings from an evaluation study of a model for intervention implemented in three municipalities in Israel. Data from 558 older adults, exposed to abuse and treated through the program, and interviews with victims, abusers, and professionals revealed that improvement was achieved in 66% of the cases. In 20% of the cases, the abuse was stopped. The most widespread type of intervention consisted of individual counseling. Legal intervention yielded the highest rate of improvement (82%). Provision of supportive services for victims of neglect was found to be most effective (82% of improvement in the situation).     

Men’s Work Efforts and the Transition to Fatherhood

In this paper we tested three hypotheses: (a) the transition to fatherhood is associated with an increase in work effort; (b) the positive association (if any) between the transition to fatherhood and work effort is greater for fathers who are married at the time of the transition; and (c) the association (if any) is greater for men who make the transition at younger ages. The data are from the National Longitudinal Survey of Youth 1979 Cohort. The transition to fatherhood was associated with an increase in work effort among young unmarried men, but not for married men. Among married men who were on-time fathers, work effort decreased. Among childless men, the marriage transition was associated with increased work effort.     

Barriers to Utilization of Mental Health Services amongst Male Child Sexual Abuse Survivors: Service Providers’ Perspective

ABSTRACT

Most research on child sexual abuse has been on survivors to the exclusion of service providers. This paper focuses on one group of findings from a larger qualitative study. The aim of the paper is to identify existing services and highlight the gaps in the current programs available for male CSA survivors from the perspective of service providers. Semi-structured interviews were conducted with 11 mental health service providers, recruited from two Southern and Central Ontario cities. Findings presented here report service providers’ perspective of gaps in services for male CSA survivors. “Limited Male CSA Programs”, “Institutional Barriers”, “Attitudinal Barriers”, and “Systemic Gaps” emerged as four major themes from the data analysis. Findings demonstrate the need to re-evaluate currently available service and highlights gaps in mental health service available for male CSA survivors. Implications for policy, practice, and research are discussed.     

Magazine Coverage of Child Sexual Abuse, 1992–2004

This article analyzes trends in the coverage of child sexual abuse in popular magazines since the early 1990s. The article employs systematic analysis to identify and analyze articles in four popular magazines. Articles are analyzed by subject, length, and publication. The results affirm established theories of newsworthiness related to the coverage of specific stories over time. However, interest in the subject waned in the past 10 years, with the brief and dramatic exception of coverage connected to the Catholic Church in 2002. The findings demonstrate systematic differences between the slants of the four magazines studied. The findings also suggest that child abuse professionals could improve the quality of coverage by agreeing to interviews in connection with articles about childhood sexual abuse.     

Preservice Teachers’ Sources of Information on Mandatory Reporting of Child Sexual Abuse

Teachers in many countries are mandated by law, professional codes, or education authorities to report child abuse and neglect, including child sexual abuse. However, teachers may not receive adequate preparation for such sensitive interventions, as preservice teacher education degrees provide very few or no compulsory courses on child protection and crucially related, lifelong health and well-being issues. So, where do preservice teachers source their information regarding the mandatory reporting of such abuse? This research examines preservice teachers’ professional university education for their sources of information about mandatory reporting and child sexual abuse. A sample cohort of 56 final 4th-year university bachelor of education (primary school) student teachers in Australia identified the sources they used regarding 10 important aspects of child protection. The results suggest that most did not learn about mandatory reporting or child sexual abuse, and others cited sparse and sporadic public media as their primary information source. These findings, building on previous evidence about inadequate or nonexistent preservice mandatory intervention courses in primary teacher education, may guide the design of appropriate training responses enhancing educational professionals’ knowledge, competencies, skills, and efficacies as mandatory reporters of child sexual abuse.     

Why Do Older Adults Have Sex? Approach and Avoidance Sexual Motives Among Older Women and Men

Although many older adults reportedly maintain an active sex life, limited research has focused on the reasons they engage in sex. The present study identified and described sexual motives in the second half of life reported by 47 older adults. Twenty-four men (51%) and 23 women (49%) aged 60–91 (M = 66, SD = 8.1) were interviewed. In-depth interviews were thematically analyzed using the theory of motivational approach-avoidance and personal-interpersonal motivational framework. Five main themes were identified: (a) to maintain overall functioning, (b) to feel young again, (c) to feel attractive and desirable, (d) from lust to love, and (e) from “getting sex” to “giving sex.” Investigating sexual motives in the second half of life can improve the understanding of older adults’ sexual behavior, function, and satisfaction.