Are dual and single exposures differently associated with clinical levels of trauma symptoms? Examining physical abuse and witnessing intimate partner violence among young children

A significant portion of children living in the United States have experienced trauma. Informed by the developmental traumatology model, we explored the effects of physical abuse and witnessing intimate partner violence (IPV) on childhood trauma symptoms. This study utilizes a convenience sample of 580 high‐risk children between 3 and 12 years who received services from one‐child advocacy centre during a 12‐month period. We performed a series of binary logistic regression analyses to examine if physical abuse, exposure to IPV, and dual exposure (i.e., both physical abuse and IPV) are distinctly associated with six trauma symptoms, including anxiety, depression, posttraumatic stress (PTS), dissociation, anger, and sexual concerns. The results indicated that dual exposure was predictive of all trauma symptoms, except for dissociation. Additionally, physical abuse was associated with PTS, anger, and sexual concerns, whereas exposure to IPV was associated with depression, PTS, and sexual concerns. Research and implications for practitioners working with young children are discussed.     

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.     

Poverty,Partner Abuse,and Women's Mental Health: New Knowledge for Better Practice

ABSTRACT.

To better understand how poverty and poor mental health impact women who are abused by intimate partners, a convenience sample of 300 abused women using shelters or justice services for the 1st time were interviewed. The 300 women were categorized as having no income, being above poverty, and being below poverty according to U.S. Poverty Guidelines. Results indicated that no direct effect of income on poor mental health was noted; however, an interaction between type and severity of abuse and income level had an impact on poor mental health. Abused women who were above poverty with the highest incomes reported the highest levels of depression in the presence of high physical and sexual abuse. In contrast, women reporting no income reported no significant effect of severity or type of abuse on depression scores. Women just above the poverty level who experienced severe abuse were at highest risk for mental health problems. Poverty impacts the mental health of abused women according to the degree of poverty and type and severity of abuse. More research is needed to specify programs to maximize the mental health functioning and economic solvency of abused women.     

Reporting bad results: The ethical responsibility of presenting abused women's parenting practices in a negative light

The purpose of this paper is to present and analyse the ethical dilemmas involved in presenting research findings that describe abused women's parenting practices in a negative light. The study was based on data collected by in‐depth interviews for the purpose of examining the turning point among 20 Israeli abused women who refused to live with violence and took active steps to stop it while staying with the perpetrator. Overall the analysis indicated successful survival stories but the women's parenting practices became questionable. This raised dilemmas as to how to present such findings and what are the ethical implications related to interventions with abused women.     

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.     

Women's abuse of their children in the context on domestic violence: reflection from women's accounts

This paper draws upon the findings of a study that looked at women's experiences of mothering in the context of co-occurrence of domestic violence and child abuse, and considers the issue of women's violence towards children – while acknowledging the fact that men are the main perpetrators of violence towards women and children in these families. The paper first explores the relationship between women's victimization and women's violence, and suggests that women's abuse of their children can be seen as a consequence of their own experiences of domestic violence. The findings nonetheless suggest that abused women have agency, and therefore have responsibilities when they chose to use violence towards their children. The paper also considers the feelings of guilt and blame that tend to arise in these circumstances. Implications for research, policy and practice are identified.     

Absent presence: the ongoing impact of men's violence on the mother–child relationship

This paper draws from interviews with 45 mothers and 52 children who participated in an action research project to develop activities to support women and children in the aftermath of domestic violence. A thematic analysis was used to analyse the data and explore the question: In what ways does the perpetrator of abuse remain present in the lives of women and children following separation? The paper invites workers to recognize the distortions created by domestic violence that may need to be identified and addressed in the aftermath of violence. The ways in which past trauma, erosion of self‐esteem and the undermining of the mother–child relationship continues to create a shadow across the present relationship are identified. The continued presence of the perpetrator of abuse through child contact arrangements and ongoing harassment is also highlighted. The ‘absent presence’ of the abusive partner is posited as a concept to assist workers with a framework through which to understand problems in the mother–child relationship which emerge when living with and separating from a violent partner. The paper has implications for social workers orientating practice to focus on perpetrator accountability and support strengthening the mother–child relationship.     

Intimate partner violence and women's experiences of grief

A greater understanding of women's emotional and behavioural responses to intimate partner violence (IPV) may be aided by an examination of the grief course. Women going through the process of leaving their abusers, like women leaving non‐violent partners, experience grief during and at the termination of their relationship, even if they feel relief at the cessation of violence. Through qualitative interviews with 14 female survivors of IPV, we critically examine the utility of Kubler‐Ross' grief model to understand how women come to terms with their experiences of violence and the end of their violent relationships. Results suggest that Kubler‐Ross' model helps explain the emotional reactions and decision‐making of IPV survivors in regard to staying, leaving and returning to their partners. While a model developed to explain grief due to death may not entirely explain the reactions of IPV survivors going through the process of leaving abusive partners, and does not account for psychological reactions to trauma, social workers and mental‐health professionals can use this grief model as a framework to better tailor services to survivors of IPV.     

(Un)‐blaming mothers whose partners sexually abuse children: in view of heteronormative myths,pressures and authorities

Mothers of children who have been sexually abused are often shamed, blamed and held guilty for their male partners' sexual perpetrations. These feelings are constrained by the dominant heteronormative discourses, institutions and systems that devalue women, that silence them and which subsequently blame women for the abuse as well as their silence. Paradoxically, the risks for mothers speaking out are reinforced by social criticism and professional response that draw on heteronormative discourses that accuse women for ‘failing to protect’ their children, for being ‘bad’ mothers or for making poor choices in their lovers. With these issues at the forefront, this paper illuminates how heteronormative discourses may operate to not only shame and blame women unable to leave their adult relationships and protect their children, but they also strengthen the perpetrator's power as strategic actors in concealing child sexual abuse. It is argued that the heteronormative discourses that reinforce women's sense of guilt obstruct professional intervention and make service engagement of these women difficult. In light of the power of discourse, the importance of combining an overlapping systems approach in which individualized client‐centred support is provided to each family member involved in child sexual abuse matters, including for the mothers in their own right, is discussed.     

Assessing low‐income African‐American pre‐schoolers' behaviour problems in relationship to community violence,inter‐partner conflict,parenting, informal social support and social skills

This study examined the relations among community violence exposure, inter‐partner conflict and informal social support and the behaviour problems of pre‐schoolers, and explored how mothers' parenting skills and children's social skills may mediate the child outcomes associated with such exposure. Participants were 185 African‐American mothers and female caregivers of Head Start children who completed study measures in a structured interview. Path analyses revealed that greater inter‐partner conflict was associated with more internalizing and externalizing child behaviour problems. Positive parenting was associated with fewer internalizing and externalizing behaviours. Higher levels of child social skills were associated with fewer internalizing and externalizing behaviour problems. Child social skills fully mediated the relationship between community violence and externalizing behaviours as well as between informal support and externalizing behaviours. Social skills partially mediated the relationships between positive parenting and externalizing behaviours. No mediating effect was found on the relationships between inter‐partner conflict and child behaviour problems. Implications of the findings for intervention and future research are discussed.     

Psychological Abuse in Young Couples: Risk Factors

ABSTRACT

In a study conducted at a major university in Spain, 648 university students between the ages of 17 and 23 years were assessed to identify the manifestations of psychological abuse prior to the consolidation of marital status (e.g., matrimony, start of cohabitation). To evaluate psychological abuse in the students’ intimate relationships, the authors created a Questionnaire on Psychological Abuse. Results show coercive patterns of interaction in the students’ dating relationships. Significant differences were found between men and women, with behavioral factors such as hostility, blaming, and abusive insistence. Future research is suggested that would permit changes in attitude and behavior to be introduced into dating relations.     

Linguistic Support Services for Immigrant Domestic Violence Victims

Intimate partner violence is increasing among immigrant women in the U.S., but because of language barriers, abused immigrant women may be unable to access formal services. The purpose of this study was to examine the influence of geographical location (urban/rural) and percentage of non-native English speakers on the availability of linguistic support services in one highly diverse state-Florida. Using a sample of 258 service providers for domestic violence victims, the results show significant differences between rural and urban providers’ perceptions of the need for linguistic support services in law enforcement, legal, and mental health needs. Urban service providers perceived a greater need for these services than rural service providers. The study found that a higher percentage of non-native English speakers predicted greater bilingual linguistic service availability. Lastly, the study found the more frequently providers perceived a victim’s basic needs to be met, the more likely that providers indicated linguistic support services were frequently met in their service area. Findings indicate that immigrants experiencing abuse who reside in rural areas might endure added difficulties in accessing assistance. While it may not be cost-efficient for rural service providers to hire translators or multilingual staff, such services may be cost-shared with other agencies.     

Assessing PTSD and resilience for females who during childhood were exposed to domestic violence

This study examined 68 females, who as children were exposed to domestic violence, to explore childhood risk and protective factors and their relationship to adult levels of post‐traumatic stress disorder (PTSD) and resilience. Independent sample t‐tests indicated significant differences in PTSD levels between participants with and without police involvement during childhood. There were also significant differences in PTSD levels between participants who reported their mothers had mental‐health problems with those who did not. Additionally, participants whose mothers had full‐time steady employment had significantly higher resilience than those with mothers who did not work or worked inconsistently. Implications include advancing ecological theory and conceptual insights regarding childhood risk and protective factors and their association to adult psychological distress and hardiness for daughters exposed to their mothers' intimate partner violence.     

Children's experiences with an intervention aimed to prevent further physical abuse

Although many children across cultures are victims of physical abuse, few treatment models target these children and their parents. In Sweden, Combined Parent–Child Cognitive Behavioural Therapy for families at risk for child physical abuse has been successfully used according to pretreatment and posttreatment studies. However, few studies have explored how physically abused children experience treatment. This study includes 20 physically abused children aged 9–17 who completed Combined Parent–Child Cognitive Behavioural Therapy. Children had a positive overall impression of the treatment and highlighted addressing the abuse, as well as processing their experiences as particularly essential. Children described a positive transformation in their family life as a result of treatment, including violence cessation and bonding among family members. Children experienced the intervention as inclusive and child‐friendly. The implications of the promising findings are discussed.     

Parental Suicidal Ideation and Child Depressive Symptoms: The Roles of Optimism and Gratitude

Abstract

This study aimed to compare the influence of paternal and maternal suicidal ideation on child depressive symptoms and examine the moderating effects of children’s positive psychological traits: optimism and gratitude. A cross-sectional survey with 302 children and parents from five primary schools in Hong Kong were recruited. Results indicated that maternal suicidal ideation was significantly related to child depressive symptoms while paternal suicidal ideation was not. Moreover, the moderating effects of child optimism and gratitude were shown in the link between paternal suicidal ideation and children depressive symptoms. In contrast, the influencing power of maternal suicidal ideation of maternal suicidal ideation seems too strong to be attenuated by child optimism and gratitude. Findings of this study implicate the importance of prevention and intervention to suicidal parents and their offspring. Besides, positive psychology programs to enhance child optimism and gratitude might promote child resilience in the face of parental suicidal ideation. Future research is suggested to include other risk factors and protective factors that might be involved in the complex pathway from parental suicidal ideation to their children’s depression, and to collect data from multiple informants of a longitudinal representative sample.     

Social Dominance in Romantic Relationships: A Prospective Longitudinal Study of Non-verbal Processes

The study of social dominance has a long tradition within the peer relationships literature, but rarely has the topic been investigated observationally and longitudinally within other salient close relationships. The present study investigated the role of experiences in social relationships and adjustment indices in childhood in predicting later observed non‐verbal social dominance behaviors in the context of romantic relationships in emerging adults. Analyses from a subsample (N = 70) from a 29‐year prospective longitudinal study revealed links between early peer behavior and subsequent romantic relationship interactions for men and women. Non‐verbal social dominance behaviors were concurrently associated with poor romantic relationship quality, conflict, and physical and verbal aggression within the dyad. Both childhood externalizing and internalizing behaviors significantly predicted non‐verbal social dominance behaviors in the romantic partner interactions.     

Equipping child protection practitioners to intervene to protect children from cumulative harm: legislation and policy in Victoria,Australia

Many children are repeatedly reported to statutory child protection services, but do not receive the protection they need. Many such children are suffering chronic maltreatment, which is likely to result in cumulative harm. Chronic maltreatment encompasses emotional abuse and chronic neglect. As a result, children can experience a range of cognitive, emotional, and behavioural problems that are more serious than those associated with other abuse types. This paper focuses on the Victorian statutory child protection system, and considers why cumulative harm is not receiving the attention the legislation intends. Under the Victorian legislation cumulative harm must be proven on grounds of emotional abuse and/or neglect. However, it is difficult for child protection practitioners to place before the court the necessary evidence to establish these grounds. The paper concludes that the legal definitions of emotional abuse and neglect should not require evidence of a link between the abusive actions of the parent and the poor outcomes for the child. The evidentiary focus should be on the actions of the parent. Furthermore, legislation should focus on abusive parental behaviours that are likely to result in cumulative harm, which are more concrete and measureable than emotional abuse and neglect, such as intimate partner violence and parental illicit drug use.     

Child maltreatment types and adolescent substance use: The role of deviant peer affiliation

This is the first study to examine the mediating effects of deviant peer affiliation on the association between different types of child maltreatment and adolescent substance use that includes alcohol, tobacco, and marijuana. Peer deviance is a well‐established correlate of adolescent substance use, but most studies exploring the relationship between child maltreatment and adolescent substance use have failed to include peer deviance. Structural equation modelling was conducted to examine the direct effects of each type of child maltreatment (i.e., physical, sexual, and emotional abuse, and neglect) on adolescent substance use, as well as indirect effects via deviant peer affiliation, using Longitudinal Studies of Child Abuse and Neglect. The results indicated that deviant peer affiliation fully mediated the individuals who had been emotionally abused showed increased deviant peer affiliation, which in turn was associated with higher levels of adolescent substance use. None of the four types of child maltreatment was directly associated with adolescent substance use. The study's findings underscore the importance of early assessment and intervention for the peer relationships of youth who have been emotionally abused.