Psychological distress among women who were sexually abused as children

One of the aims of the study was to investigate how participants in self‐help groups (SHG) for women (n = 87) who had been sexually abused in childhood rated their mental health and to what extent they were at risk of developing posttraumatic stress disorder (PTSD). A further aim was to investigate the relationship between the ratings of mental health, occurrence of PTSD, women's interpersonal relationships, reasons for participating in an SHG and characteristics of the childhood sexual abuse (CSA). The participants completed questionnaires regarding their personal relationships, reasons for joining a group, abuse characteristics, mental health (Symptom Checklist‐90‐Revised) and PTSD (Impact of Event Scale‐Revised). The women showed poor mental health, and more than half of them were at risk of developing PTSD. Lack of social support and feelings of shame correlated with poor mental health, whereas guilt did not. Relationships with female friends had a positive association. Further research is needed to determine whether participating in an SHG could provide adequate social support and reduce feelings of shame, thereby contributing to the healing process in the aftermath of CSA. Key Practitioner Message: ? Child abuse is a significant component of the global burden of disease; ? Both social workers and public health care providers meet sexually abused girls and it is important that they have knowledge about the subject; ? An important clinical implication for adequate treatment would be to assess and recognise childhood sexual abuse and to link diagnosis to trauma.     

Sex worker and mother: managing dual and threatened identities

This paper draws on a qualitative study that sought to understand and develop theory based upon 24 women's subjective accounts of their childhood and adult experiences and involvement in sex work in the UK. It specifically examines the management of dual and threatened identities for the 17 women who were also mothers. To ensure the centrality of the women's voices in the analysis and theory generation, a grounded theory approach was taken using a psychosocial framework that drew on concepts of resilience to explore how the meanings of those experiences were reflectively appraised by participants. The findings indicate that there is a need to cope with the threat to identity inherent in society's diametrically opposed perceptions of sex worker and ‘good mother’ and simultaneously to manage the coexistence of the roles and identities of mother and sex worker. What appear significant in determining how these tensions are managed are the accumulated risk factors of early childhood, and the resources available to individuals in adulthood to manage both identities. Services must recognize not only individual but wider environmental and familial factors impacting on women with the dual identity of sex worker and mother in order to promote their resilience as mothers, whether living with or apart from their children.     

Eight years after – a follow‐up study of mothers and children at psychosocial risk who received early treatment: does early intervention leave its mark?

One‐hundred forty‐five mothers at psychosocial risk who, with their babies, had been given treatment at a parent–baby clinic during a 2‐year period starting in 1999, treatment designed to strengthen the mother–child relationship, were followed up 8 years later. Both the mothers who had agreed to take part in the treatment programme (n= 73) and those who had declined (n= 72) were searched for in the records of the Social Welfare office to determine if the treated mothers had been focused on to a lesser degree in the following 8 years than those who had declined treatment, a hypothesis that was initially put forward. The behaviour of the children whose mothers had undergone treatment (n= 46) was studied. The initial hypothesis had to be rejected; support and intervention from the social authorities had been equally common in both groups. However, the children of treated mothers had fewer externalizing behaviour than children of untreated mothers at psychosocial risk.     

Children and Violence: Nurturing Social-Emotional Development to Promote Mental Health

The absence of violence against children is a fundamental children's right and a major milestone of civilized society. Similarly, reports on incidences of violence by children and youth, including severe cases with devastating consequences, speak to the need that the trauma of exposure to violence in childhood needs to be addressed. While violence and its risk factors are generally understood, what is less clear are the essential protective factors, how we can identify those as early as possible, and how we can use them to prevent and address the trauma of violence exposure in children and youth. In this report, I review pathways of child and youth violence through the lens of social-emotional development as a central protective factor. Negative emotions of frustration and anger can underlie violence and aggression. Kind emotions, such as caring and our ability to connect with others emotionally, can serve as social-emotional protective factors. A brief review of the central social-emotional processes and their development is provided, including the human capacity to feel with others and express empathy, be emotionally aware and care about the effects of one's own actions on others, and be able to regulate the self and their emotions. Given the negative widespread and long-term impact of exposure to violence, I describe research-informed attempts to prevent violence exposure across development. Taking a humanistic, strength-based perspective, the focus is on social-emotional protective factors to address violence and nurture mental health in every child. I conclude with recommendations for practice and policy.     

Negotiating motherhood: women with troubled upbringings and their self‐conceptions as mothers

This paper examines how women who experienced severe adjustment problems during adolescence, and who had troubled childhoods in families with high levels of conflict, construct their self‐conceptions as mothers. Applying data from a 30‐year‐long follow‐up study, this paper examines how participants with troubled upbringings experience social norms of motherhood. Two overall themes emerged along with their associated subcategories, and these are identified as significant findings. The first theme is the stigmatizing gaze, exemplifying how the intervention of the child welfare service is recognized as essential to the women's self‐conception; its three subcategories are prejudiced motherhood, predestined motherhood and self‐critical motherhood. The second theme is significant relationships, exemplifying the mothers' personal bonds and contributing greatly to their self‐conception; its three subcategories are the other half, next of kin and disturbed relations. The findings reveal that the way these women view themselves as mothers cannot be separated from the way that others view them, and in addition, they must negotiate their positions as mothers through the normative discourses of motherhood. The findings apply to both theoretical and practical social work, addressing the need for an understanding of motherhood within the field of child welfare.     

Social support available for substance‐dependent mothers from families with parental substance abuse

Substance‐dependent mothers, who have grown up with parental substance abuse, struggle during and after treatment to abstain from substances while trying to process traumatic experiences and integrate their family into society. The aim of this study was to explore the social support available for these mothers to help them stay abstinent and create safe family environments for themselves and their children. Using purposeful sampling, we approached nine mothers admitted for 1 year to a family ward at a substance abuse clinic and their significant others. Through in‐depth, qualitative interviews, first with the mothers, later with their significant others, we investigated characteristics of the available social support. The findings indicated that the significant others had limited resources and were themselves exposed to adverse and cumulative psychosocial and socioeconomic risk factors. Their relationships with the mothers were, nevertheless, close, consistent and reliable. Supporting the existing social network should be an integrated part of the work of family welfare services aiming to help substance‐dependent mothers from families with parental substance abuse to rehabilitate and to integrate successfully into local communities.     

Latino Adolescents' Community Violence Exposure: After‐school Activities and Familismo as Risk and Protective Factors

Low‐income, urban adolescents are exposed to extremely high rates of witnessing and being victimized by community violence. Such violence exposure presents serious implications for youth's development and psychological well‐being. In a sample of 223 ninth‐grade Latino adolescents, we examine: (1) what types of after‐school activity participation increase or reduce adolescents' risk for violence exposure and (2) the role of the cultural value of familismo in moderating the impact of violence exposure on adolescents' psychological well‐being. Our results indicate that spending unstructured leisure time with peers and participating in non‐school sports and non‐school clubs were associated with higher levels of community violence exposure, whereas adhering to the cultural value of familismo was associated with lower levels of violence exposure. Additionally, familismo moderated the positive association between violence exposure and depressive symptoms, but not posttraumatic stress disorder symptoms. Implications of these results are discussed.     

Empathic Action and Family Resilience: A Narrative Examination of the Benefits of Helping Others

ABSTRACT

Empathy is identified as a protective factor that has been helpful for children considered at high risk for poor mental health and social functioning due to experiencing stressful circumstances such as family violence, substance abuse of a parent, or poverty. Yet, little is known about its relevance to a family's ability to overcome adversity. This study examined the narratives of 20 resilient families who maintained family functioning despite experiencing a multitude of risk factors including poverty, death of a child, significant health problems, or substance abuse problems. Narrative analysis was used to identify the ways families situated empathic actions within their stories of resilience. Findings suggest families developed increased compassion for others as a result of their own experiences with loss, trauma, or stress and discussed how helping others increased their ability to cope with the challenges they faced. Future research and practice implications are outlined and support the usefulness of strengths-based concepts and interventions.     

The effects on children of witnessing violence: implications for social work practice

The study adopted a retrospective design to understand the effects of witnessing intimate partner violence (IPV) on children during their childhood and later in their adult life. The study was based on in-depth interviews with 12 adults from Hong Kong who had witnessed violence in their childhood. The respondents were chosen using an available sampling method. Thematic content analysis was used for data analysis. The findings of this study suggest that long-term adverse effects of witnessing violence are not caused simply by exposure to IPV in childhood, but the effects are associated with the social construction of victim identity.     

Socialization in the Context of Risk and Psychopathology: Maternal Emotion Socialization in Children of Incarcerated Mothers

Children of incarcerated mothers are at increased risk for psychological, social, and emotional maladaptation. This research investigates whether perceived maternal socialization of sadness and anger may moderate these outcomes in a sample of 154 children (53.9 percent boys, 61.7 percent Black, M age = 9.38, range: 6–12), their 118 mothers (64.1 percent Black), and 118 caregivers (74.8 percent female, 61.9 percent grandparents, 63.2 percent Black). Using mother, caregiver, and child report, seven maternal socialization strategies were assessed in their interaction with incarceration‐specific risk experiences predicting children's adjustment. For sadness socialization, the results indicated that among children reporting maternal emotion‐focused responses, incarceration‐specific risk predicted increases in psychological problems, depressive symptoms, increased emotional lability, and poorer emotion regulation. For children who perceived a problem‐focused response, incarceration‐specific risk did not predict outcomes. There were no significant interactions with incarceration‐specific risk and perceived maternal anger socialization strategies. These results indicate a critical need to examine how socialization processes may operate differently for children raised in atypical socializing contexts.     

Chronic child abuse and domestic violence: children and families with long‐term and complex needs

It is estimated that up to one million children may have been exposed to domestic violence in the UK, with significant consequences for their social and emotional development in childhood and later life. At a time when the central and devolved administrations in the UK have developed strategies to tackle domestic violence, this paper reports the findings from a study conducted on children in the child protection system with long‐term and complex needs as a result of experiencing domestic violence. The research identifies the characteristics of the children and their families and tracks their careers through the child protection system. The findings indicate that professionals have an awareness of domestic violence, and that younger children with younger parents are most likely to experience prolonged periods in the child protection system. Domestic violence in this context typically co‐exists in families experiencing other difficulties such as substance misuse and socio‐economic deprivation. In conclusion, the paper argues that Government policy and professional practice should primarily be concerned with assessing the risk that men present, rather than the risk that children are at. By reframing professional interventions, men are more likely to be challenged to accept responsibility for their behaviour and the consequences for their families.     

Understanding lifetime homeless duration: investigating wave 1 findings from the Journeys Home project

The variation in the amount of time people remain homeless has important policy implications with respect to reducing long‐term homelessness and designing more effective early intervention approaches. This paper examines the factors that influence lifetime homeless duration in Australia using data from the first wave of Journeys Home, a new national survey of individuals exposed to high levels of housing insecurity that employs more rigorous sampling methods than previously used. Those at increased risk of long durations of homelessness over their lifetimes include people who had less family support in childhood, shorter work histories and lower education levels. We also find evidence supporting the idea that people who first experience homelessness at a young age are more likely to experience persistent homelessness.     

Moral Reasoning in Violent Contexts: Displaced and Non-displaced Colombian Children's Evaluations of Moral Transgressions, Retaliation, and Reconciliation

In order to assess the effects of displacement and exposure to violence on children's moral reasoning, Colombian children exposed to minimal violence (non-displaced or low risk; N  =  99) and to extreme violence (displaced or high risk; N  =  94), evenly divided by gender at 6, 9, and 12 years of age, were interviewed regarding their evaluation of peer-oriented moral transgressions (hitting and not sharing toys). The vast majority of children evaluated moral transgressions as wrong. Group and age differences were revealed, however, regarding provocation and retaliation. Children who were exposed to violence, in contrast to those with minimum exposure, judged it more legitimate to inflict harm or deny resources when provoked and judged it more reasonable to retaliate for reasons of retribution. Surprisingly, and somewhat hopefully, all children viewed reconciliation as feasible. The results are informative regarding theories of morality, culture, and the effects of violence on children's social development.     

Mothering and everyday life during and in the aftermath of domestic violence among women with immigrant backgrounds in Norway

This paper focuses on how immigrant women experience and negotiate their everyday life with children prior to and after leaving a violent partner. Twenty‐three women staying at domestic violence and abuse shelters with their children were interviewed about their experiences with assistance services and their everyday life with their children. At the time of the interviews, most of the women were legally separated or divorced and were either living in or in touch daily with shelters. In this paper, we look at some of the challenges that women face when exposed to violence in a relationship that involves children. Being exposed to violence from a partner raises a number of economic, practical, and emotional concerns, both prior to and after leaving. For the mothers in our study, maintaining a regular routine is key to making the children feel safe in an unpredictable setting. For many, economic dependence on the partner is replaced with economic dependence on assistance services after leaving the partner. Services must recognize that providing help to mothers who have left a violent partner constitutes more than just practical support but is crucial for mothers' ability to re‐establish a predictable everyday life with their children.     

Childhood adversity,adult homelessness and the intergenerational transmission of risk: a population‐representative study of individuals in households with children

This study tested for associations between childhood adversity, adult homelessness and contexts of developmental risk in households with children. Data were drawn from the 2010 Washington State Behavioral Risk Factor Surveillance System, representative of the population of Washington State residents. Considering adults in households with children, those who experienced higher levels of childhood adversity were more likely to have experienced homelessness in adulthood. Meanwhile, a 10‐factor index of cumulative developmental risk was independently associated with childhood adversity and with adult homelessness. Adult homelessness appears to represent a circumstance through which past childhood adversities are brought forward and associated with contexts of developmental risk for subsequent generations of children.     

Intimate partner violence and preschool self-regulation: Examining the role of maternal emotion socialization in Black families

The ways that parents respond to children's negative emotions shape the development of self-regulation across early childhood. The objective of this study was to examine child self-regulation in the context of intimate partner violence (IPV) exposure in a sample of Black, economically marginalized mothers and their young children (aged 3–5 years, N = 99). The study investigates the conditional effects of emotion socialization practices that (1) encourage expression of and problem-solving around negative affect (“supportive”), and (2) encourage suppression of affective displays (“suppressive”) on children's self-regulation. We found a significant association between higher child self-regulation and supportive parental reactions in the context of psychological IPV. We also found a significant association between higher child self-regulation and suppressive parental reactions in the context of psychological IPV. Our findings are consistent with prior research suggesting Black parents who teach varied strategies for emotional expression may promote children's adaptation in high-stress family environments. Macrosystem factors such as systemic racism and discrimination as well as the threat of family violence may shape how parents approach emotion socialization and the teaching of affective self-expression and self-regulation.     

Mothering Mothers: An Exploration of the Perceptions of Adult Children of Divorce

It is clear that divorce shapes children's and adolescents lives in a variety of ways and that these are largely negative – they have worse physical and psychological health, they are less well‐off financially and have an increased likelihood of themselves divorcing. Aside from outcomes which are easily measurable, less is known about the ways in which divorce impacts on long‐term relationships ‐ particularly those between children and their parents. This exploratory paper looks at the relationships between divorced mothers and their adult children and finds that, like other studies, their relationships are marked by intimacy, but unlike other studies, this intimacy is neither enjoyed nor embraced. The participants report that their mothers were damaged by the separation, that their anger is ongoing many years afterwards. It is argued that these factors, amongst others, contribute to the ambivalent relationships some of the participants perceive they have with their mothers today and their uncertainty about caring for them in the future.     

“They Kill People Over Nothing”: An Exploratory Study of Latina Immigrant Trauma

Abstract

This article presents findings from an exploratory, mixed methods study to: (1) Ascertain whether Latina immigrant clients of a healthcare clinic for uninsured patients suffer a higher rate of PTSD compared to the citizen population at large and (2) Explore whether factors unique to immigrants, such as surviving human smuggling, would predict PTSD. Two validated instruments were deployed with clients who agreed to be screened (n?=?62). Ten percent of U.S. women are expected to develop PTSD in a lifetime, a total tripled by immigrant women in this study. Women who scored high on the PTSD CheckList for Civilians (PCL-C) reported victimization from sexual assault, robberies and loss of friend/family member to violence, though no single assault predicted PTSD. Qualitative data, however, revealed that violence in countries of origin influenced decisions to immigrate. Among the avenues for future research identified by this study are (1) exploration of methods for linking Latina immigrants to mental health services, (2) determining the effects of smuggling violence on immigrants, and (3) Evaluate additive effects of multiple traumas.     

More present than absent: Men who use domestic violence and their fathering

An earlier article referred to the “absent presence” of the perpetrator in the lives of children and their mothers who have lived with domestic violence. It identified the ways in which the shadow of the perpetrator continued and was evidenced in the “symptoms of abuse” that both women and children experienced in spite of his absence. The current article argues that fathers who use violence are actually more present than absent in the lives of children (and women), even following separation. A mixed method approach surveyed men in Men's Behaviour Change Programs (N = 101), and interviewed women who had experienced violence (N = 50). The studies reported that the majority of men in both the quantitative men's study (80%) and the qualitative women's study (77%) had substantial contact with children. The women's interviews highlight the problematic fathering that many of their children experienced, both before and after separation. They reported very high levels of child abuse and poor attitudes to both women and children. The article concludes that the family violence and child welfare systems are poorly configured to address fathers who use violence and continue to hold substantial parenting roles, including following separation.     

Broadening constructions of family violence: mothers' perspectives of aggression from their children

This qualitative study used feminist insights to explore experiential aspects of the phenomenon of child‐to‐mother violence from the perspectives of six women survivors. Participants took part in conversational style audiotaped interviews lasting between two and four hours. Feminist analysis revealed that fear and violence had become a feature of mothering for these women. Three themes were identified: It was only a matter of time: feeling intimidated and under threat; He just punched me: physical violence from child to mother; and Other men in the house: violence directed to the mothers by friends and associates of their children. Currently the literature overwhelmingly constructs family violence as elder abuse, spousal/partner violence, or child abuse, and generally fails to acknowledge, or address, violence from children to parents. However, findings from this study suggest that the discourse about family violence needs to be broadened to include child‐to‐mother violence. Implications of this study for practice and research are discussed.