Stages of change and the group treatment of batterers: a randomized clinical trial

A stages-of-change motivational interviewing (SOCMI) treatment approach was compared with a standard cognitive behavioral therapy gender reeducation (CBTGR) approach in a sample of 528 English-speaking and Spanish-speaking male batterers who were randomly assigned to 49 26-week groups in either condition. Blind ratings of therapist adherence differentiated the two conditions. Language spoken neither predicted outcome nor interacted with treatment. The SOCMI curriculum led to significant reductions in female partners' reports of physical aggression at follow-up, but not to changes in self-reported aggression. Men who were initially less ready to change benefited more from the SOCMI approach while men who were more ready to change benefited more from the CBTGR approach. Results suggest the importance of tailoring abuser intervention programs to individuals' initial readiness to change.     

Stages of change among ethnically diverse college students

The authors applied the stage-of-change construct in the transtheoretical model to examine the distribution of Asian (n = 869), African American (n = 373), White (n = 1322), and Hispanic (n = 535) American undergraduate students across the 5 stages of change for exercise. Stage of change varied as a function of ethnicity. Higher percentages of minorities were in the precontemplation and contemplation stages. The likelihood of being in these stages was from 43% to 82% greater for minorities than for White students. Also examined were the congruency between stage of change and self-reported levels of physical activity. Half of the sedentary students and 15.6% of the active students were misclassified by the stage-of-change procedure. Misclassification rates were higher for minority women (27.8%) than for White women (17.8%) and for Asian students (24.6%) compared with all others (20.6%). The results of this study have implications for the design of physical activity interventions based on stage of change.     

Behavioral and spatial change in response to an altered behavioral setting

A behavioral setting termed free time was identified in the dayroom of an institution for the retarded. The behavioral mapping technique was used to record behavior and spatial use within this setting. A 3-week period was identified in which the second week served as treatment period, and the first and third served as nontreatment periods. The second period consisted of placing novel materials into the dayroom in four conceptually distinct groupings: arts and crafts, games, empty, and lounge. During treatment patients engaged in more active and socially involved behaviors, avoided isolated behaviors and empty dayroom areas, and evidenced adaptive behavior to novel environmental objects. Discussion centers on the treatment implications of these changes, the use of the technique for future studies, and the methodological issues inherent in the procedure.     

Demographic, psychosocial, and personality characteristics of lesbian batterers

Prevalence of domestic violence (DV) in lesbian and heterosexual relationships appears to be similar. Despite this, few studies have examined factors associated with DV in lesbian relationships, and even fewer have examined characteristics of lesbian batterers. Demographic and psychosocial characteristics and personality traits were examined in 100 lesbians in current relationships (33 Batterers and 67 Nonbatterers). Results indicated that Batterers were more likely to report childhood physical and sexual abuse and higher rates of alcohol problems. Results from the MCMI-III indicated that, after controlling for Debasement and Desirability indices, Batterers were more likely to report aggressive, antisocial, borderline, and paranoid personality traits, and higher alcohol-dependent, drug-dependent, and delusional clinical symptoms compared to Nonbatterers. These results provide support for social learning and psychopathology theoretical models of DV and clinical observations of lesbian batterers, and expand our current DV paradigms to include information about same-sex DV.     

Stages of change and possible selves: 2 tools for promoting college health

When considering health promotion among college students, 2 questions that arise are how to (1) most effectively offer health initiatives and (2) motivate students to participate in these efforts. OBJECTIVE: In responding to these questions, the author considered 2 health-promotion tools: the transtheoretical model and the concept of possible selves. PARTICIPANTS: There were 304 college students who participated in this study. METHODS: To explore how such information can assist health-promotion planning by determining which behaviors to target and how to match interventions to the overall population's stage of change, the author had students report their stage of change for 6 health behaviors. In addition, to explore possible motivations for moving from the precontemplation to the preparation stage of change, the author had students generate future self-concepts regarding their health (health-related possible selves). RESULTS: The number of illness-related possible selves cited was significantly related to stage of change for smoking and stress management. For smoking, precontemplators had the fewest number of illness-related possible selves; however, the author observed the opposite for stress management. CONCLUSION: The findings have implications for how the transtheoretical model and the concept of possible selves can serve as useful tools in promoting college health.     

Disarming batterers through restraining orders: the promise and the reality in California

Laws that prohibit persons under a domestic violence restraining order from purchasing or possessing a firearm are a primary way to keep guns out of the hands of batterers. In July 2005, the California Attorney General's Task Force on the Local Criminal Justice Response to Domestic Violence issued a report called Keeping the Promise: Victim Safety and Batterer Accountability. The report focused, in part, on the extent to which California's domestic violence restraining order system succeeds in disarming batterers. Restraining orders are the principal means by which the criminal justice system can accomplish this objective. The Task Force found that criminal justice agencies and the courts performed poorly in this area. The report strongly recommended that a more strategic, collaborative use of laws already on the books could significantly improve performance, without much additional expense. What follows is a summary of those finding and recommendations.     

Agency change: a response to the needs of black families and children

Many established voluntary child welfare agencies are now finding that the majority of their clients are black. Meeting their needs and those of the black community calls for deep-going changes in agency structure, orientation, and practice.     

Continuity and change in Germany's treatment of non-Germans

This essay criticizes 2 conventional approaches to migrants in Germany. 1 focuses on racism in German history while the 2nd examines the tradition of repressive laws which exploit and dominate foreigners. This essay finds these approaches appropriate until the 1970s. From that point, German governments tend to accept foreigners and develop new programs of integration. The essay concludes with ways future research can uncover new and subtle forms of control and domination; the goal of integration itself may become a form of control. Future research can investigate 1) the extent to which integration is rhetorical rather than substantial, 2) the extent to which policies create restrictive forms of integration, and 3) how integration forces migrants to make choices they might not choose to make, such as the choice forced by the current debate over which group of Moslems should rule Islam in Germany.     

Separating batterers and guns: a review and analysis of gun removal laws in 50 States

Firearms play an important role in lethal domestic violence incidents. The authors review state laws regarding two policies to separate batterers from firearms: laws authorizing police to remove firearms when responding to a domestic violence complaint ("police gun removal laws") and laws authorizing courts to order guns removed from batterers through a protective order ("court-ordered removal laws"). As of April 2004, 18 states had police gun removal laws; 16 states had court-ordered removal laws. The authors examine relevant characteristics of the laws and recommend that these laws be mandatory, apply to all guns and ammunition possessed by an abuser, and include clear procedures to enhance implementation.     

Coping with change in the NHS: a frontline district's response to AIDS

The core of this paper is a case study of how a District Health Authority (Paddington and North Kensington, now Parkside DHA following a recent merger with Brent DHA) in Inner London responded to a major new health care issue of the 1980s--Aids, but the paper also seeks to locate this case study material within wider debates. What theories are there of organisational change which could be used to illuminate policy and service change in the health care sector? How, indeed, do we best study change in health care organisations? The paper is thus in three parts. In the first section we identify some streams of literature which act as a frame of reference defining our initial research question and discuss implications for methodology. The second section presents the case itself, while the last section discusses some emerging findings.     

Two distinct mediated pathways to disordered eating in response to weight stigmatization and their application to prevention programs

ABSTRACT

Objective: Disordered eating behaviors among undergraduate women are common and, thus, are an important public health concern. Weight stigmatization, stress, and social withdrawal are often associated with disordered eating behaviors; however, it is unclear whether stress and social withdrawal act as mediators between weight stigmatization and disordered eating. By testing specific pathways to disordered eating, theory-driven prevention programs can be implemented. Methods: Self-reported surveys were administered to 217 undergraduate women during the Fall 2014 semester. Results: There were 2 distinct mediational pathways in response to weight stigmatization. Stress partially mediated the path between weight stigmatization and emotional eating (38%), whereas social withdrawal partially mediated the path between weight stigmatization and dietary restraint (44%). Conclusions: Stress and social withdrawal mediate the relationship between weight stigmatization and disordered eating. The results of this study identified potentially critical risk factors that, if addressed, may improve outcomes of campus-based disordered eating programs for women.     

Readiness to change, partner violence subtypes, and treatment outcomes among men in treatment for partner assault

Men court-mandated to attend a batterer's intervention program (BIP) were evaluated to determine whether pre-BIP readiness to change and the presence of partner violence subtypes predicted BIP completion, criminal recidivism, and postadjudication partner violence 6 months post-BIP. Of the 199 subject sample, 40% did not complete BIP. Four readiness-to-change clusters were found, with most men (76%) reporting change-resistant stages-of-change profiles. The partner violence typology reported by Holtzworth-Munroe et al. (2000) was supported with clustering into four subtypes: family only (FO), low-level antisocial (LLA), borderline/dysphoric (BD), and generally violent/antisocial (GVA). BIP completion was predicted by violence subtype (with BD and GVA more likely to drop out) but not by pre-BIP readiness to change. Men rearrested scored higher on the precontemplative stage of change and were more likely to be in the BD and GVA subtypes. Implications for counseling strategies are discussed.     

Girls' education and their change of attitudes: a case from Sudan

This study examines the association of girls' education and changes in attitudes and other socioeconomic changes in Sudan. Data were obtained from in-depth interviews, structured questionnaires, and secondary data among 810 educated Sudanese women who lived in the Central and Eastern Regions. Women responded to 10 opinions about the status of women. Findings show a significant association between level of education, even at the lowest levels, and the attitudes held by women. Women held relatively positive attitudes toward social change and economic development. Level of education was highly significantly associated with holding a view of educated women working. 54.1% of secondary school leavers agreed and 92% of well educated women disagreed with a family's objection to women having a job. 57% of secondary school leavers agreed that it is essential to give up work in order to care for family; however, 96% of postgraduates disagreed. 74% of respondents were indecisive, of which 44% were secondary school leavers and 2% had postgraduate degrees. Decisiveness increased with level of education. Only 32.6% of secondary school leavers agreed that most of a woman's time should be spent on family responsibilities. 100% of the highest educated women and 40% of secondary school leavers disagreed that women should take part-time work. 96% of postgraduate women disagreed and 73.6% of secondary school leavers agreed that women should not feel obligated to work after training. Employment was highly influenced by level of education. 83% of single women and 76% of married women agreed with using contraception. Rural women tended not to support women working and using contraceptives. Younger women were less traditional in their attitudes. Postgraduates came from families with high levels of income.     

Humanitarian response and stress in Kenya: gendered problems and their implications

ABSTRACT

Stress-related conditions such as burnout and post-traumatic stress disorder are a growing concern in the humanitarian sector. Aid workers themselves report not only that mental health problems are common, but that the support they receive from their employers is insufficient. Problematically, the experience of the international aid worker – particularly those who are white and from the global North – is often foregrounded in explaining what constitutes stress and related mental health problems. This indicates a wider problem of what is required of ‘the perfect humanitarian’ – a personality that is gendered and racialised – and how this influences the different experiences and treatment of national and international staff from aid agencies. This article explores the organisational culture and working conditions of humanitarian settings and their impact on the mental health and well-being of staff. It argues that there is a structural dimension to stress that is less to do with external security threats and more to do with the specific infrastructure, policies, and practices of humanitarian operations, with implications for aid workers which cut across dimensions of race, gender, and nationality.     

Using housing growth to estimate habitat change: detecting Ovenbird response in a rapidly growing New England State

Numerous measures of human influence on the environment exist, but one that is of particular importance is houses as they can impact the environment from species through the landscape level. Furthermore, because the addition of houses represents an important component of landscape change, housing information could be used to assess ecological responses (e.g., decline in wildlife habitat) to that change. Recently developed housing density data represents a potential source of information to assess landscape and habitat change over long periods of time and at broad spatial extents, which is critically needed for conservation and management. Considering the potential value of housing data, our goal was to demonstrate how changes in the number of houses leads to changes in the amount of habitat across the landscape, and in-turn, how these habitat changes are likely to influence the distribution and abundance for a species of conservation concern, the Ovenbird (Seiurus aurocapillus). Using a relationship between Ovenbird abundance and housing density, we predict suitable habitat in the forests of Massachusetts (USA) from 1970 to 2030. Over this 60-year period, the number of houses was projected to increase from 1.84 to 3.32 million. This magnitude of housing growth translates into a 57 % decline in Ovenbird habitat (6,002 km² to 2,616 km²), a minimum decline of ~850,000 (48 %) Ovenbirds, and an increase in the number of subpopulations across the landscape. Overall, housing data provide important information to robustly measure landscape and habitat change, and hence predict population change of a species. We suggest that time series of housing data linked to ecological responses (e.g., Ovenbird abundance) offers a novel and underutilized approach to estimating long-term and spatially broad predictions of ecosystem response to landscape change, which in turn can inform conservation and management.     

Mothers' strategies for protecting children from batterers: the perspectives of battered women involved in child protective services

During in-depth, individual interviews, seventeen battered women involved in the public child welfare system discussed the effects of domestic violence on their children, and their strategies for protecting and supporting them. Most mothers articulated the detrimental effects of domestic violence on their children and coherent strategies to protect them physically, but described difficulties supporting young children psychologically. Collectively, mothers reported a number of apparently useful strategies for supporting children's psychological resilience. Implications for intervention are discussed.     

When therapists do not want their clients to be homosexual: a response to Rosik's article

This commentary is a response to Rosik's "Motivational, Ethical, and Epistemological Foundations in the Treatment of Unwanted Homoerotic Attraction" (this issue). Such treatment raises complex questions that cannot be resolved by focusing on the therapist's conservative versus liberal values. Most such clients are deeply ambivalent about their homosexual attractions. The degree to which their homosexuality is "unwanted" is highly variable among them and sometimes within them over time. Clients who are exclusively homosexual are very unlikely to be able to change their sexual attractions, whereas some clients who are bisexual may be more able to "manage" their homoerotic attractions (acting only on their heterosexual feelings). Marriage and family therapists should be able to support a client along whatever sexual orientation path the client ultimately takes, and the client's sense of integrity and interpersonal relatedness are the most important goals of all.