Posttraumatic Stress Disorder and Suicidal Ideation Among Sexually Abused Adolescent Girls: The Mediating Role of Shame

ABSTRACT

Sexual abuse is associated with a host of negative repercussions in adolescence. Yet the possible mechanisms linking sexual abuse and negative outcomes are understudied. The purpose of this study was to investigate the relationships among self-blame, shame, coping strategies, posttraumatic stress disorder, depressive symptoms, and suicidal ideation. The sample included 147 sexually abused adolescent girls between 14 and 18 years of age. A total of 66% of girls reached clinical score for posttraumatic stress disorder, and 53% reached clinical score for depressive symptoms. Close to half (46%) reported suicidal thoughts in the past 3 months. Shame was found to partially mediate the relationship between self-blame and posttraumatic stress disorder. Shame and depressive symptoms were also found to partially mediate the relationship between self-blame and suicidal ideation. Results suggest that shame is a crucial target in interventions designed for sexually abused adolescent girls.     

Opportunities for Community Organizing in the Realm of Economic Justice and Low Wage Worker Struggles

ABSTRACT

The new upsurge in labor organizing among low-wage workers provides community organizing with opportunities to engage in economic justice struggles. Low-wage workers are organizing in many sectors of the workforce that are difficult to organize. Their issues are part of the larger discourse concerning inequality in the United States. New forms of community organizing are developing in some areas that embrace economic justice issues. However, many of the national networks have yet to become involved in issues of community members in the capacities as workers. Macro social work needs to revisit its origins and forge a new tradition that incorporates the problems that inspired Jane Addams and her contemporaries, the issues of workers and immigrants.     

Interacting with the State: Feminist Strategies and Political Opportunities

In recent years feminists have been engaged in new debates about gender and the state. Instead of adopting either a purely structural or agential approach, the emphasis in these debates is on the interactive relationship between the two. Feminists in political science have not been immune to this trend. Work is emerging in this field which dissaggregates the state to consider the way different political institutions shape and are shaped by engagement with feminist actors. This article contributes to these efforts by providing a detailed comparative analysis of feminist strategies and political opportunities in two similar political systems - Australia and Canada. A number of key points emerge from this study. First, similar institutions in different countries provide varying opportunities for feminists. As a result, it is not possible to make emphatic claims about certain institutions being more or less beneficial for feminists. Second, feminists respond to these opportunities by adopting certain strategies over others. Through these strategies, feminists can have a direct bearing on the opportunity structure open to them. What the experiences of Canadian and Australian feminists tell us is that the relationship between feminists and political institutions changes over both time and place; that it is interactive and dynamic, rather than predictable and permanent.     

Is Industrial Unrest Reviving in Canada? Strike Duration in the Early Twenty‐First Century

Les données canadiennes à long terme sur la fréquence, la durée et l'ampleur des grèves laissent entendre que la grève est un acte en voie de disparition. Cependant, le début du 21^e siècle va à l'encontre du point de vue de ces prévisions. Depuis 2001, la durée moyenne d'une grève est plus longue, et n'est pas anticyclique. Ce document explique cette anomalie en utilisant l'argument que les employeurs tentent de réduire les gains salariaux des décennies précédentes en raison de la hausse de la dette publique et de la menace d'un marché de moins en moins entravé. Ces conditions motivent apparemment certains travailleurs à subir de très longs arrêts de travail, sans tenir compte de l'étape du cycle économique, dans le but de protéger leurs droits. Canadian data on strike frequency, duration, and volume imply that the strike is withering away. Some research also suggests that strike duration is countercyclical. However, the early twenty‐first century was anomalous from the viewpoint of these expectations. After 2001, mean strike duration increased and was not countercyclical. This paper explains the anomaly by arguing that employers are seeking to scale back the wage gains of previous decades in the face of mounting public debt and the whip of an increasingly unfettered market. These conditions apparently motivate some workers to endure protracted work stoppages, irrespective of the phase of the business cycle, in an effort to protect their rights.     

Regulating behavior management practices in residential treatment facilities

Model licensing requirements were developed by the New Jersey Department of Human Services' Division of Youth and Family Services to assist child welfare/human services licensing agencies in regulating children's residential facilities that use mechanical/physical restraints, isolation and/or exclusion in order to manage the behavior of severely emotionally disturbed and acting out youths. These requirements also identified practices that should be prohibited, such as forced physical exercise, certain types of mechanical restraint and group punishment. This article highlights a number of studies that help support the rationale for the model licensing requirements. In addition, the article discusses staff ratios, policies/procedures, documentation requirements, informed consent, peer review committees and staff training.     

Glass Ceiling or Iron Cage: Women in UK Academia

This paper reviews some of the literature on women's position in the academic workforce in the UK, and considers an informal study conducted by the author of 12 women academics. A central consideration is the relationship between women's quantitative under-representation in the academy and women academics' self-concept and consciousness of their own abilities.     

Program evaluation of services for the homeless : Challenges and strategies

The rapid growth of the homeless population in North America has given rise to a sharp increase in the number of task forces and studies aimed at setting up either programs for the homeless, or policies for controlling the phenomenon. Whenever there is a need for program evaluations in this process, numerous methodological and strategic challenges have to be faced. Due to the characteristics of the clientele, evaluation studies of services for the homeless call for innovative approaches. This paper reviews the research strategies (types of evaluations, designs, and indicators) that have been developed to assess programs for chronic inebriates and mentally ill homeless. The findings from previous evaluations are then summarized and their consequences for evaluation practice are considered.     

Sequential design approaches for bioequivalence studies with crossover designs

The planning of bioequivalence (BE) studies, as for any clinical trial, requires a priori specification of an effect size for the determination of power and an assumption about the variance. The specified effect size may be overly optimistic, leading to an underpowered study. The assumed variance can be either too small or too large, leading, respectively, to studies that are underpowered or overly large. There has been much work in the clinical trials field on various types of sequential designs that include sample size reestimation after the trial is started, but these have seen only little use in BE studies. The purpose of this work was to validate at least one such method for crossover design BE studies. Specifically, we considered sample size reestimation for a two-stage trial based on the variance estimated from the first stage. We identified two methods based on Pocock's method for group sequential trials that met our requirement for at most negligible increase in type I error rate.