Working with Abused Older Women from a Feminist Perspective

SUMMARY

Domestic violence in older families is often referred to not as family violence but as elder abuse. This chapter will begin by discussing how perceptions of this type of violence impact informal and formal interventions. The prevalence and etiology of domestic violence are described, along with how the joint forces of ageism and sexism affect older female victims. National, state, and local efforts to prevent and remediate the abuse of older women are also covered. In conclusion, the author presents implications for working with groups and individual abused older women from a feminist perspective.     

Korean Older Intimate Partner Violence Survivors in North America: Cultural Considerations and Practice Recommendations

While literature on elder abuse has expanded, elder abuse by intimate partners has been less investigated. Even less is known about intimate partner violence among older Koreans living in North America. This article identifies important cultural considerations for individuals helping the Korean older adult community, beginning with the definition of intimate partner violence in this community and barriers to leaving that include traditional views of the East Asian self. Current practice interventions are discussed and recommendations for future practice such as healing han, the accumulated suffering from years of abuse, are suggested. The ultimate goal of this paper is to expand awareness in order to develop the best culturally competent prevention and intervention practice for Korean older intimate partner violence survivors in North America.     

An ecological synthesis of research on older women's experiences of intimate partner violence

In this systematic literature review, we synthesized the current knowledge of intimate partner violence experienced by older women. We identified 32 studies that included data collected from older women and synthesized the findings using the ecological model as an organizing framework. Themes in the microsystem included the immediate context in which the abuse takes place and impacts on older women. The mesosystem included themes on the older woman's relationships with her social network. Themes in the exosystem encompassed community-based services. Finally, themes in the macrosystem encompassed broad ideologies, mores, and influences of the geographic location. We used the ecological model to frame a discussion of implications for future research, policy, and practice.     

Resilience in low-income African American women living and aging with HIV

Women are living with HIV into middle and older age and are likely to face multiple comorbidities and stressors as they age. This study focused on understanding how women who experience multiple forms of oppression and ongoing adversity are still able to adapt and stand strong. Using a theoretical framework of resilience and a feminist research ideology, interviews of eight middle-aged and older African American women living with HIV were analyzed. Despite experiences of HIV-related discrimination, trauma, and violence, these women demonstrated a remarkable ability to adapt and maintain support. Implications for research and practice are discussed.     

The Older Woman Sexually Abused as a Child:

It is estimated that 3 112 million women over the age of 60 endured sexual abuse as children, yet little is known of their experience. The effects of that experience can be devastating for women of any age, but may have particular consequences for older women. This paper selectively reviews what is known about sexual abuse for younger women. Posttraumatic Stress Disorder is suggested as a model for describing the effects of childhood sexual abuse on older women. Based on a review of the literature and examination of the model, possible consequences of childhood sexual abuse for older women are suggested. It is suggested that child sexual abuse may pose special problems for older women struggling with common aging themes such as dependency and caregiving, life review, and grieving. Finally, implications for clinical practice are offered.     

Abused Older Women:

Due to the recent "discovery" of elder abuse and the failure of the battered women's movement to reach out to older persons, the physically abused older woman is not necessarily seen as a battered woman. Elder abuse has been viewed as more akin to child abuse, thus leading to a paternalistic approach to the problem. This article contrasts the prevalence, causal models, and effects of physical abuse amon young and older women. Interventions in the case of spouse and elder abuse are also compared. The author concludes by suggesting ways in which helpers might borrow from the battered women's movement in order to better serve older battered women.     

Visibility and denial: accounts of sexual violence in race- and gender-specific magazines

Prior research on media representations of race, gender, and sexual violence has established that media emphasize women’s role in preventing their own victimization and omit Black women as victims. This study uses feminist intersectionality to build on prior research by investigating not only how social groups are portrayed, but whether and how the intended audience matters for media representations. Specifically, who are the portrayed victims of sexual violence, and how is fear of sexual violence communicated to different audiences? Content analysis of articles in race- and gender-specific magazines shows two key mechanisms of representation through which racism and sexism work together: visibility and denial. Results show that White women are hypervisible as victims while Black women as victims are relatively invisible compared to Black men’s persecution and Black children’s victimization; men’s magazines deny the importance of sexual violence as a problem, focusing on false accusations and convictions. These narratives go largely unchallenged regardless of the source’s intended audience, demonstrating that portrayals of sexual violence are both gendered and racialized across multiple media sources.     

Experiences with obstetric violence among healthcare professionals and students in Spain: A constructivist grounded theory study

BackgroundObstetric violence appears to be a worldwide concern and is defined as a type of gender-based violence perpetrated by health professionals. This violence undermines and harms women’s autonomy. In Spain, 38.3 % of women have identified themselves as victims of this type of violence.AimTo explore current information and knowledge about obstetric violence within the Spanish healthcare context, as well as to develop a theoretical model to explain the concept of obstetric violence, based on the experiences of healthcare professionals (midwives, registered nurses, gynaecologists and paediatricians) and nursing students.MethodsA constructivist grounded theory study was conducted at Jaume I University in Spain between May and July 2021, including concurrent data collection and interpretation through constant comparison analysis. An inductive analysis was carried out using the ATLAS.ti 9.0 software to organise and analyse the data.ResultsTwenty in-depth interviews were conducted, which revealed that healthcare professionals and students considered obstetric violence a violation of human rights and a serious public health issue. The interviews allowed them to describe certain characteristics and propose preventive strategies. Three main categories were identified from the data analysis: (i) characteristics of obstetric violence in the daily routine, (ii) defining the problem of obstetric violence and (iii) strategies for addressing obstetric violence. Participants identified obstetric violence as structural gender-based violence and emphasised the importance of understanding its characteristics. Our results indicate how participants’ experiences influence their process of connecting new information to prior knowledge, and they provide a connection to specific micro- and macro-level strategic plans.DiscussionDespite the lack of consensus, this study resonates with the established principles of women and childbirth care, but also generates a new theoretical model for healthcare students and professionals to identify and manage obstetric violence based on contextual factors. The term ‘obstetric violence’ offers a distinct contribution to the growing awareness of violence against women, helps to regulate it through national policy and legislation, and involves both structural and interpersonal gender-based abuse, rather than assigning blame only to care providers.ConclusionsObstetric violence is the most accurate term to describe disrespect and mistreatment as forms of interpersonal and structural violence that contribute to gender and social inequality, and the definition of this term contributes to the ongoing awareness of violence against women, which may help to regulate it through national policy and legislation.     

Strengthening resources for midlife and older rural women who experience intimate partner violence

ABSTRACT

Little is known about midlife and older women who experience intimate partner violence living in rural places and their resource needs. Guided by a strengths perspective, we provided insights into resources that midlife and older women use, or would like to use, in their journey in leaving an abusive partner. Eight women who had left an abusive partner participated in a face-to-face interview. They drew on a wide variety of paid and unpaid resources, while each woman had a unique set of resources that contributed to her being able to make such a significant life transition. It is clear that we need to have a variety of formal and informal resources available to older women experiencing intimate partner violence (IPV) in rural places, and new forms of resources need to be developed. Our results also indicate that increased efforts are needed in improving both public and professional education regarding older rural women and IPV.     

Introduction: the need to address older women's mental health issues

Women are the primary consumers of mental health services. Ironically, research addressing their unique needs lags behind that of men's issues. The aging process introduces an important variable that accentuates the relative lack of information and specific treatment guidelines for older women who are confronted by mental health problems. This volume offers a comprehensive overview for the health professional who is seeking a greater depth of understanding with respect to the study of mental health problems in general, and how these issues pertain specifically to women and the aging process. A second goal of this project is to provide the practicing therapist and counselor with a research update and a broad clinical perspective offered by seasoned clinicians. Using current psychiatric diagnosis as a framework, the contributions address the range of mental health problems, including dementia and cognitive impairment, schizophrenia, alcohol abuse, mood and anxiety disorders, traumatic and dissociative conditions, sexual and eating disorders, and personality disorders. It is hoped that this book will inform, inspire and encourage students and health professionals in their work with middle aged and older women who are facing mental health challenges.     

Posttraumatic stress disorder and older women

This article examines the literature related to the identification and treatment of post traumatic stress disorder in older women. From this review, several key findings emerge. Consistent in the research literature is the fact that American women are more at risk for PTSD than are men as a result of the high frequency of sexual and domestic physical abuse that women experience. Studies on older women and PTSD indicate that older women are underdiagnosed and are more typically perceived as suffering from depression, anxiety or poor physical health. It was found consistently that older women who present with age-related stressors may not be asked about earlier trauma history or it may not be understood within the context of trauma related variables. In several research studies, trauma history was often not identified either as a result of current assessment practice or because women from certain age cohorts did not disclose trauma-related data to health professionals. Key researchers emphasize the necessity of clinicians, staff and medical personnel to attend to the historical variables present in trauma histories of older women. Researchers underscore the importance of understanding the impact of early and repeated trauma, especially interpersonal trauma, on the physical health and social functioning of older women- even though a significant amount of time may have elapsed since exposure. These findings indicate that further study of PTSD in older women is warranted. The paper concludes with a discussion of assessment and treatment options.     

Risk factors of severity of abuse against older women in the home setting: A multinational European study

ABSTRACT

This article examines the ecological risk factors of abuse against older women. Data from 2,880 older women were randomly collected in five European countries (Austria, Belgium, Finland, Lithuania, and Portugal) using a standardized questionnaire. Results indicate that overall 30.1 % older women had at least one experience of abuse in the past year. The findings demonstrate that a single emphasis on personal risk factors (e.g., health, coping) is important but too simple: Abuse is multifaceted and is embedded in environmental (e.g., loneliness, household income) as well as macrocultural contexts (e.g., old age dependency ratio).     

Posttraumatic Stress Disorder and Older Women

SUMMARY

This article examines the literature related to the identification and treatment of posttraumatic stress disorder in older women. From this review, several key findings emerge. Consistent in the research literature is the fact that American women are more at risk for PTSD than are men as a result of the high frequency of sexual and domestic physical abuse that women experience. Studies on older women and PTSD indicate that older women are under-diagnosed and are more typically perceived as suffering from depression, anxiety or poor physical health. It was found consistently that older women who present with age-related stressors may not be asked about earlier trauma history or it may not be understood within the context of trauma-related variables. In several research studies, trauma history was often not identified either as a result of current assessment practice or because women from certain age cohorts did not disclose trauma-related data to health professionals. Key researchers emphasize the necessity of clinicians, staff and medical personnel to attend to the historical variables present in trauma histories of older women. Researchers underscore the importance of understanding the impact of early and repeated trauma, especially interpersonal trauma, on the physical health and social functioning of older women–even though a significant amount of time may have elapsed since exposure. These findings indicate that further study of PTSD in older women is warranted. The paper concludes with a discussion of assessment and treatment options.     

Private violence/private transport: the role of means of transport in women’s mobility to escape from domestic violence in England and Wales

ABSTRACT

This article highlights a gendered and forced mobility which has been under-recognised in the literature on mobility. It explores the hidden relocations of women (often with children) due to intimate partner abuse; presenting findings from mixed methods research on women’s journeys to escape domestic violence, including analysis of over 80 journey segments made by 20 women within England and Wales, and from abroad. Focusing on means of transport, the research found that under a third of journey segments were made by public transport, and these tended to be longer distances; that journeys by disabled women were more likely to be by private transport, and that journeys from rural areas were more likely to be with the assistance of others. Thematic analysis of interviews at different stages of women’s journeys is used to explore their experiences of different means of transport in terms of degrees of control and agency, in terms of losing or retaining personal possessions on the move; and in highlighting the role of others’ assistance in compounding or counteracting the implications of abuse. Women’s domestic violence journeys are thereby contextualised within wider mobilities research, uncovering the inequalities and implications of this hidden internal displacement in the UK.     

Invisible Scars: Comparing the Mental Health of LGB and Heterosexual Intimate Partner Violence Survivors

Intimate partner violence (IPV) affects countless women and men in lesbian, gay, and bisexual (LGB) as well as heterosexual relationships, but few studies have examined how such abuse is associated with the mental health of LGB victims. The present study addresses this issue using data from the 2006 Behavioral Risk Factor Surveillance System (BRFSS) survey to examine differences in depression and anxiety among IPV victims in LGB and heterosexual partnerships. The findings indicate LGB IPV victims are much more likely to have a history of depression (OR 1.70, p < .05) and anxiety (OR 1.70, p < .05) than heterosexual victims. These differences are slightly mediated by the victim’s perceived emotional support but not the type of abuse experienced. Our findings accentuate the need for greater inclusion of LGB persons in the IPV and mental health discourse, as well as the importance of social support for IPV victims. Policy implications for members of the LGB community are discussed.     

Maternal work hours and adolescents’ School outcomes among low-income families in four urban counties

We examine how changes in maternal work hours affect adolescent children's school participation and performance outcomes using data from interviews in 1998 and 2001 with approximately 1700 women who, in May 1995, were welfare-reliant, single mothers of adolescents living in neighborhoods of concentrated poverty in Cuyahoga (Cleveland), Los Angeles, Miami-Dade, and Philadelphia counties. Analyses control for a broad array of mothers' characteristics, including their psychological and physical health, experiences with domestic violence and substance abuse, as well as unobserved time-invariant characteristics. In fixed-effects models, we find unfavorable effects of increased maternal work hours on three of six outcomes: skipping school, performing above average, and parental contact about behavior problems. Adolescent-aged sons seem to be particularly sensitive to changes in mothers' hours of work.     

Sexual violence in serial form: Breaking Bad habits on TV

Walter White’s (Bryan Cranston) attempts to isolate, degrade, exploit, frighten, and control his wife Skyler (Anna Gunn) are tactics that are well-documented in studies focusing on abuse. Yet, despite the representation of both implicit and explicit forms of domestic abuse and sexual violence throughout Breaking Bad (2008–2013), there is an apparent disconnect between how this behaviour is perceived on screen and how it is ostensibly regarded in society. It is here, at the intersection of audience reception and sociological theory that I argue Breaking Bad represents abuse as part of a broader negotiation of masculinity, one that contributes to the ongoing marginalization of women’s voices in both visual media narratives and, by extension, society. In particular, I argue that despite the series’ long-form structure, the lack of emphasis placed on instances of coercive control by the writers and directors is partly responsible for contributing towards a culture of misogyny and victim-blaming fostered by fans towards Skyler evident in numerous online blog posts, fan forums, social media platforms, and Anna Gunn’s own treatise on the portrayal of her character in the New York Times.     

Media framing of trolling and online abuse: silencing strategies,symbolic violence,and victim blaming

This article draws on British newspaper reports in order to demonstrate that trolling, and the media’s subsequent framing of trolling, involves “silencing strategies.” It is important to examine how trolling is discussed within the media to understand how it might frame public opinion, debate, and action, and implicitly victim blame. The article presents findings on the forms of (online) abuse and behaviours related to trolling in media reports, including rape threats, death threats, and body shaming. It also explores the media portrayal of victims of trolling, and the advice given concerning how to respond to trolls. To comply with the message to women, which is propagated in media and popular discourses: “do not feed the troll” means that “symbolic violence” is exercised with the complicity of the victim(s) of trolling, which has broader implications.     

An exploration of Australian midwives’ knowledge of intimate partner violence against women during pregnancy

BackgroundIntimate partner violence is recognised as a global public health issue. Living with intimate partner violence results in poorer health status with reduced quality of life and higher utilisation of health services. Increased awareness, education and training, and an understanding of multi-agency collaboration are vital in order for health practitioners to respond to women experiencing partner violence and abuse. Midwives are well placed to identify, provide immediate support, and refer women onto appropriate support agencies but may lack appropriate education, training or support.AimTo investigate midwives’ knowledge of intimate partner violence against women during pregnancy.MethodsAn online survey link was distributed through the Australian College of Midwives. The survey included personal, professional and practice details, and 25 questions that tested knowledge about intimate partner violence.Findings152 midwives completed the online questionnaire. Knowledge scores ranged from 27 to 48 (out of a possible 50), with the mean total score of 42.8 (SD = 3.3). Although 60% of participants scored 48, two-thirds did not know about the risks and signs of intimate partner violence. One-third of the midwives did not know about age risks associated with intimate partner violence. Around 25% incorrectly believed that perpetrators are violent because of alcohol or drug use. Nearly 90% (88%) of participants had some education or training about intimate partner violence. Those with some training achieved higher knowledge scores than those with no formal training (Mann–Whitney U = 1272, p = 0.003).ConclusionParticipating midwives generally reported a high level of knowledge about intimate partner violence but held misconceptions about risks and characteristics of perpetrators of violence. These knowledge gaps may adversely affect their ability to identify women at risk of violence. Education about intimate partner violence was associated with improved knowledge. Future training and education on intimate partner violence should target identified knowledge gaps.