Prevention of methamphetamine abuse: can existing evidence inform community prevention?

Little research exists on effective strategies to prevent methamphetamine production, distribution, sales, use, and harm. As a result, prevention practitioners (especially at the local level) have little guidance in selecting potentially effective strategies. This article presents a general causal model of methamphetamine use and harms that reflects the available findings from either research specific to methamphetamine or from alcohol and other illegal drugs, and suggests prevention approaches and strategies that communities might use based upon research evidence and experience. Community methamphetamine prevention can use the public health and safety perspective applied to other substance abuse prevention. Analyses of the complex system of intermediate variables that interact to affect methamphetamine use and harms suggest that multiple reinforcing prevention interventions may have the greatest potential effectiveness.     

Participant responses to retrospective surveys of child maltreatment: does mode of assessment matter?

This study examines the impact that different methods of assessing child maltreatment history may have on adult participants. A total of 334 female undergraduate students were randomly assigned to complete a retrospective measure of child sexual and physical abuse in one of three conditions: paper-and-pencil questionnaire, face-to-face interview, or computer-administered survey. Disclosure rates of abuse, psychological distress and mood change, preferences for assessment format, and perceptions of confidentiality were examined across the three assessment formats. Although disclosure did not vary by condition, participants with a history of abuse reported more distress and mood change than did nonvictims, particularly in the computer condition. Nevertheless, the computer condition was rated as the most preferred format and was viewed by participants as the most confidential means of assessing maltreatment history. Participants reporting abuse through interviews were more likely than those in other conditions to state a preference for another type of assessment format. The implications of these findings for abuse history research are discussed.     

Extended evaluations in cases of child sexual abuse: how many sessions are sufficient?

This article provides new findings from a national study involving 18 forensic interview sites of 137 children who were randomly assigned to a four or eight session extended evaluation. Cases assigned to the eight session protocol were significantly more likely to be classified "credible disclosure" of sexual abuse (56.6%) than cases assigned to the four session protocol (29.5%) and significantly less likely to be classified "credible nondisclosure" of sexual abuse (9.2%) than cases in the four session protocol (24.6%). When four versus eight sessions, demographic variables, and case characteristics were entered into a regression, variables that predicted likelihood of sexual abuse were eight session protocol, older victim age, and caretaker belief the child had been sexually abused. When new disclosures were examined by session in the eight session protocol, 95% of new disclosures occurred by the sixth session.     

Mandatory reporting of childhood sexual abuse in Israel: what happens after the report?

While the professional literature deals to some degree with the difficult dilemmas faced by professionals regarding the question of reporting or not reporting child abuse as mandated by law, there is a glaring insufficiency of studies looking at the impact of reporting on the victims and their families. This paper presents six cases of suspected sexual abuse to demonstrate some of the inconsistency in responses to reports within the Israeli system. The authors recommend amendments to the Israeli mandatory reporting law so that the law is not only a societal decree of the absolute prohibition against the sexual exploitation of minors and others incapable of giving informed consent, but also a basis for consistent and skillful professional intervention.     

Allegations of maltreatment and delinquency: Does risk of juvenile arrest vary substantiation status?

There exists a healthy debate about the process and value of substantiation in child welfare. Much of this debate focuses on understanding whether substantiated and unsubstantiated allegations of maltreatment share equal risk of recurrence. In the current study we seek to advance this debate by extending the analyses to focus specifically on the risk of juvenile delinquency. We also seek to determine whether the relationship between substantiation and delinquency varies by race and gender. Our sample includes 38,223 youth between 5 and 16 years of age from Los Angeles County. We use propensity score matching to create relatively equivalent groups and use Cox Regression to model the risk of juvenile arrest. The results indicate that the relative risk ratio of arrest is 2.2 times greater for youth associated with a substantiated report of maltreatment as compared with similar youth associated with an unsubstantiated report of maltreatment. Older youth, and African American youth are also at an increased risk of juvenile arrest. These findings indicate that the process of substantiation is not without merit - as investigators and supervisors are clearly able to distinguish cases based on individual risks and strengths.     

Reliability of professional judgments in forensic child sexual abuse evaluations: unsettled or unsettling science?

In the absence of photographic or DNA evidence, a credible eyewitness, or perpetrator confession, forensic evaluators in cases of alleged child sexual abuse must rely on psychosocial or "soft" evidence, often requiring substantial professional judgment for case determination. This article offers a three-part rebuttal to Herman's (2009 ) argument that forensic decisions based on psychosocial evidence are fundamentally unreliable and that this conclusion represents settled science. The article also discusses the potentially adverse consequences of Herman's proposed reforms to forensic practice on child protection and prosecution efforts.     

Structured Bellicosity: Was the Israeli‐Arab Conflict Originally Inevitable?

Subsequent to its inception and the conclusion of the 1948 War, Israel stood at a crossroads. It could choose either to embark on belligerency vis‐à‐vis the surrounding Arab world or pursue peaceful solutions. Israel opted for bellocisty. Why? It is argued that the political structure that gave precedence to the use of force is traceable to the Israeli type of state building with regard to the strategy the state adopted to absorb the mass Mizrachi immigration from Arab countries. The challenge was absorption without jeopardizing the dominance of the veteran Ashkenazim. The chosen track inevitably created the conditions for bellicosity. Exclusionary arrangements in the labor market by forcibly distancing the cheap Palestinian laborforce, the empowerment of the military as a nation builder, and the enabling of a high level of resource mobilization by a centralized state were all mechanisms that made bellicosity possible and even preferable.     

Providing sexual education to victims of child sexual abuse:what is a clinician to do?

Despite the large body of research on childhood sexual abuse, virtually no one has examined the coverage of sexual education in treatment. Agencies from across the United States that specialize in treating child and adolescent victims of sexual abuse were surveyed. The results indicate that sexual education is covered in treatment with children of all ages, with male and female clients, and in both individual and group therapy. There was a statistically significant difference in the coverage of sexual education based on clients' age, but not based on gender or treatment modality. Parents are often included in treatment; however, the amount of parental involvement varies. Published materials, such as children's books and videos, are frequently used. Participants (i.e., clinicians) are satisfied with their coverage of sexual education in treatment even though clients often experience negative reactions. Results suggest that covering sexual education in treatment helps decrease some of the negative effects of sexual abuse. This study also serves as a test of Dillman's Total Design Method of conducting mail surveys.     

Children's computer usage: are they at risk of developing repetitive strain injury?

The purpose of this study was to determine the average time school children spend on computers and electronic games, the positions they assume, and any associated discomfort related to their use. A twenty three-point questionnaire was distributed to 476 children in first to eighth grade from three parochial schools in one of the New York City boroughs. The findings of this study suggest that children use the computer and electronic games differently than adults and that more boys than girls engage in electronic game playing. Results clearly indicated that children are experiencing discomfort from the use of computers or electronic games, and that the discomfort is largely concentrated in the neck region. Occupational therapy could be instrumental in terms of educating the children, their parents/guardians, and their teachers on proper body mechanics, applications of ergonomically suited workstations, and the use of rest/stretch breaks while engaged in computing and electronic game playing.     

An assessment of child protection in Bangladesh: How effective is NGO-led Child-Friendly Space?

Many underprivileged Bangladeshi children are vulnerable to child trafficking, abuse, and exploitation. Child-Friendly Space (CFS) is a semi-permanent house space where vulnerable children are given the support to have a safe environment to survive and thrive. The purpose of this study is to evaluate the role of CFS in providing a protective environment for the children in Bangladesh. A set of secondary and primary data was used to review child protection situation in Bangladesh, and to evaluate the effectiveness of the CFS within a community. An evaluation of child development among the children who attend in the CFS and who do not attend in the CFS was conducted. CFS was found to benefit vulnerable children and communities in terms of protective environment and child development. Children attending in the CFS had better performance at almost every child development indicator. At the community level, child labor decreased in the areas where CFS exists. To respond to the continuing threats of child insecurity, this study presents a set of recommendations for the sustainability of the CFS in the community.     

“Child perpetrators of sexual abuse”: The emergence of a problematic deviant category

This article critically examines the emergence in the professional literature of a new category of criminal deviant: the very young juvenile “sexual offender” (“child perpetrator”). It is argued that current research and writings on “child perpetrators” 1) fail to adhere to established tenets of scientific inquiry; 2) attempt to pathologize species‐typical behaviors; and 3) reflect symbolic opposition to widespread sexual license perceived to have resulted from the “sex positive” interpretive changes regarding sexuality that occurred during the late 1960s and early 1970s. Interactionist methods are applied in tracing three decades of interpretive changes regarding sexual behavior as reflected in the content of professional and popular sexological literature from the mid 1960s to the present. It is concluded that the writings on “child perpetrators” constitute an anomalous but predictable development in the field when considered against the background of recent trends in sexual discourse, professional ideology, and the current widespread perception among many Americans that children are no longer safe from harm while engaged in their normal daily activities.     

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.     

Sexual assault while in the military: violence as a predictor of cardiac risk?

The purpose of this article is to determine whether known cardiac risk factors are more prevalent among women veterans who report having sustained sexual assault while in the military. We surveyed a random sample of 3,632 women veterans using Veterans Administration (VA) ambulatory care nationally. Obesity, smoking, problem alcohol use, sedentary lifestyle, and hysterectomy before age 40 were found to be more common in women reporting a history of sexual assault while in the military than in women without such history. An association between myocardial infarction and prior sexual assault history may be mediated in part by known cardiac risk factors.