Sexual Victimization and Physical Health: An Examination of Explanatory Mechanisms

ABSTRACT

There is a growing body of research illustrating a significant relationship between a history of sexual victimization and the development of physical health problems; however, few researchers have examined variables that mediate this relationship. The present study examined two potential mediating variables: experiential avoidance and current stress. Results indicated that current stress significantly mediated the relationship between adult sexual assault and physical health complaints, and experiential avoidance may be a partial mediator. Implications of the findings and future directions are discussed.     

Culturally Competent Practice with African American Juvenile Sex Offenders

African American juveniles adjudicated for sexual offenses may struggle with the mistrust of both the judicial and treatment systems. Unlike general mental health services, juvenile sex offender treatment is often mandated by the court or child welfare services, thus these youths and their families must engage in the treatment process. Without clinicians and services that can acknowledge and respond to a minority youth’s experience in a sensitive, culturally competent manner, there could be significant resistance to treatment. Traditional treatment approaches fail to prioritize issues involving cultural competence. This article addresses the unique challenges of African American juvenile sex offenders and makes recommendations for creating culturally competent practice for these youth and their families.     

Game-Based Cognitive-Behavioral Therapy (GB-CBT) Group Program for Children Who Have Experienced Sexual Abuse: A Three-Month Follow-Up Investigation

This study examined the efficacy of a game-based cognitive-behavioral group therapy program for addressing problems typically found among elementary school-aged victims of child sexual abuse immediately after treatment and at three months following treatment. It was hypothesized that positive gains would be observed among the following domains: (a) internalizing symptoms (e.g., anxiety, depression, and trauma); (b) externalizing behaviors (e.g., oppositional behavior, disobedience, and conduct disordered behavior); and (c) sexually inappropriate behaviors. Improved knowledge of abuse and personal safety skills was also predicted. Results indicated that game-based cognitive-behavioral group therapy resulted in improvements in internalizing symptoms, externalizing behavioral problems, total behavioral problems, and personal safety skills both immediately after treatment and at three-month follow-up.     

A Ecological Model of Well-Being in Child Welfare Referred Children

Despite its social, political and economic relevance, child well-being remains a challenging construct to define and measure accurately. This holds true especially for children growing up in at-risk families, where their development is hindered by many adverse circumstances. Typically, the well-being of child welfare (CW) referred children has been conceptualized as the absence of negative outcomes, and the study of its determinants has been limited to children’s micro-systems. In this study, we aimed to obtain a suitable indicator of child well-being and to test a model of the determinants of CW referred children’s well-being including parental, family and wider contextual variables. The sample included 249 parents and 46 case managers from Portuguese and Spanish CW services. A three-domain solution from selected items of the Child Well-Being Scales (Physical, Academic and Socioemotional) was tested and confirmed through Confirmatory Factor Analysis. The results of structural equation modeling for each domain revealed that risk factors nested in the wider context and those related to material disadvantage were the most powerful predictors of physical well-being, while parenting and family functioning variables predicted better both academic and socio-emotional well-being. Our findings suggest that different risk and protective factors matter for different outcomes and that most of these factors are associated with each other. Therefore, interventions with at-risk children must take this specificity into account when targeting each domain of well-being, and efforts could be allocated to a few modifiable dimensions, which would in turn positively affect other parental and family factors.     

Women politicians in the UK press: not seen and not heard?

This article asks questions about the ways in which female politicians are depicted in press coverage. Previous research has explored the ways in which female politicians are constructed as “other” from the male politician norm, where “men were taken to stand for the whole human population.” Other work has shown that coverage emphasises their appearance or femininity. However, there has been less research on the visibility of women in politics in our media: women not only need to be involved in politics, they need to be seen to be doing political work. Through a content analysis of British press coverage using samples from the last twenty years, we examine the relative visibility of women MPs compared to men, the extent to which their voice is heard, and the context of the coverage. We argue this may well contribute to deterring women from taking part in parliamentary politics.     

Common Law Marriage and Teen Births

Whether common law marriage (CLM) in the US affects teen birth rates is the central question we address. CLM effects were identified through cross-state and time variation, as four states repealed the law over the period of study. Using microdata from Current Population Survey Fertility supplements 1990–2010 and state-level data from CDC Vital Statistics 1988–2012 we found that, in the states where CLM was first available but then repealed, the odds that teens would become new mothers increased. Births to teens younger than 18 were more responsive to availability of CLM than those to teens aged 18 or 19 or to women in their early twenties. The likelihood of becoming a mother increased where CLM was available in the years prior to its repeal. Teens were more responsive to information about availability of CLM about three years later than to knowing that it is available at the time of potential conception. To the extent that they reduce teen births CLM laws are socially desirable and states that still have CLM may be better off by not repealing the law.     

Attitudes and Beliefs of Marriage and Family Therapists Regarding Psychotropic Drugs and Therapy

Clinical members of AAMFT were solicited by means of a randomized multi-staged clustering technique to identify their attitudes and beliefs regarding psychotropic drugs. All participants were blind to the overall purpose of the study (n = 322) and were directed to read a clinical vignette and then identify what course of action they would take with the client. They were then asked to complete a small questionnaire regarding their attitudes and beliefs regarding psychotropic drugs. Results of the study showed that 35.7% of the clinicians identified medication and a medication referral as a viable treatment option they might pursue with a client meeting criteria for major depressive episode. Clinicians who reported having a dedicated university class (17.2%) in psychopharmacology were more likely to identify medication referral as a treatment option. However, 80% of the AAMFT clinicians we surveyed reported that they were not adequately trained about psychotropic medications in their graduate programs. Further implications regarding diagnostic practices are also discussed, as 26% of clinicians failed to explicitly diagnose the client in the case vignette with depression.     

The Role of Technology on Young Adolescent Development: Implications for Policy, Research and Practice

This National Science Foundation funded qualitative study highlights unique features of adolescent technology use and its impact on the developmental maturational processes of early adolescence. One hundred twenty-eight 13- and 14-year-old students were interviewed about their information technology (IT) use. The most salient feature of the interview data is that the students perceived technology as integral to all aspects of their everyday life experience. In particular, they understood the necessity of using technology for the development of their cognitive/academic skills, and they spoke about the need to have technology skills for their future careers. They also seemed to understand how IT helped them develop psychosocially, especially in the areas of communication and relationship development. Throughout the interviews, these young adolescents expressed pleasure and pride in their self-reported high level of technoliteracy. Their voices can help expand our understanding of adolescent development in the digital age, and suggest implications for policy, practice, and research.