Complex trauma and mental health in children and adolescents placed in foster care: findings from the National Child Traumatic Stress Network

Many children in the child welfare system (CWS) have histories of recurrent interpersonal trauma perpetrated by caregivers early in life often referred to as complex trauma. Children in the CWS also experience a diverse range of reactions across multiple areas of functioning that are associated with such exposure. Nevertheless, few CWSs routinely screen for trauma exposure and associated symptoms beyond an initial assessment of the precipitating event. This study examines trauma histories, including complex trauma exposure (physical abuse, sexual abuse, emotional abuse, neglect, domestic violence), posttraumatic stress, and behavioral and emotional problems of 2,251 youth (age 0 to 21; M = 9.5, SD = 4.3) in foster care who were referred to a National Child Traumatic Stress Network site for treatment. High prevalence rates of complex trauma exposure were observed: 70.4% of the sample reported at least two of the traumas that constitute complex trauma; 11.7% of the sample reported all 5 types. Compared to youth with other types of trauma, those with complex trauma histories had significantly higher rates of internalizing problems, posttraumatic stress, and clinical diagnoses, and differed on some demographic variables. Implications for child welfare practice and future research are discussed.     

Gender Orientations and Family Strategies*

Des interviews qualitatives de 95 femmes mariées ayant entre 18 et 45 ans ont été menées afin d'étudier les points de vue de ces dernières sur le mariage, les enfants, le travail et les politiques familiales. Nous avons comparé les opinions des femmes plus traditionnelles avec celles des femmes favorisant l'égalité des sexes, et nous avons pu constater que plusieurs idées étaient partagées, notamment sur le mariage et les enfants. Étaient à l'origine de divergences les stratégies familiales régissant l'opportunité du mariage et des naissances ainsi que la priorité accordée aux questions familiales par rapport aux autres aspects de la vie. Ceci nous porte à croire qu'il faut considérer deux éléments lorsqu'il s'agit de mieux comprendre le mariage et la procreation, soit la hiérarchie sexuelle et les points de vue des particuliers sur le roLle des hommes et des femmes dans notre société. Based on open-ended interviews with 95 married women aged 18 to 45, the authors explore basic orientations toward marriage, children, work and family policy. While women with more traditional gender role orientations are contrasted with those who hold more egalitarian views, there are striking similarities among the women in the sample. In particular, marriage and children are clearly preferred. The differences relate to the family strategies associated with the timing of marriage and births and the priority given to family questions in comparison to other aspects of life. This leads the authors to conclude that both gender structures in society and gender role orientations of individuals are important in understanding marriage and childbearing.     

INTIMATE JUSTICE: CONFRONTING ISSUES OF ACCOUNTABILITY, RESPECT, AND FREEDOM IN TREATMENT FOR ABUSE AND VIOLENCE

Intimate justice theory is a set of nine interrelated concepts that describe the ethical dimensions of equality, fairness, and care in ongoing partnerships. Understanding ethical dimensions involves examining internalized beliefs and behavior in terms of their motivation and impact on the partner, particularly as they empower, disempower, or abuse power. The concepts of intimate justice theory are applied to confront disempowerment and abuses of power, to challenge internalized beliefs about how one should treat one's partner, to explore how internalized beliefs were developed through experiences in the family of origin, and to develop an awareness of the linkages between intimate partner abuse and social injustice. This article demonstrates how therapists can utilize three of the concepts-accountability, respect, and freedom-to structure the opening phase of treatment for abuse and violence. The primary focus of the opening phase is on establishing accountability for change in the abusive man and protecting the safety of the injured partner. This involves challenging the abuser's sense of entitlement and working to rethink what respect is and restoring freedom to his partner. The discussion incorporates the findings of an exploratory, qualitative study that investigated the experiences of 30 abusive men and their partners who were clients in a university-based counseling clinic. The article elaborates six interventions that can be utilized in clinical settings to structure treatment with abusive men.     

Unpacking Heat: Dueling Identities and Complex Views on Gun Control among Rural Police

Using 20 semistructured interviews with police officers from a rural sheriff's department, we present what we believe is the first in‐depth examination of U.S. rural officers’ views on gun control. We find that officers possess complex views about gun control, reflecting their multiple identities as both gun‐oriented rural citizens and police who seek to control the situations they encounter at work. Specifically, we observed that rural police officers: (1) embrace a rural identity that implies support of gun rights over gun control; (2) report that police work experiences have caused them to embrace their police identity and to distance themselves from some gun‐related aspects of rural identity (e.g., they have lost interest in guns over time and have increasingly dissociated from gun‐enthusiast peers); and (3) have learned to incorporate aspects of both identities into their views on gun control, universally advocating for some gun control measures in the name of community safety, but rejecting others as part of rural ideological views about personal freedom. We discuss research and policy implications and suggest that policymakers must better appreciate the nuances and culture of rural places in order to gain rural citizens’ and rural police officers’ support for gun control legislation.     

A Window on the 'New' Sociology of Childhood

This article is intended as a window on the body of research that has come to be known as the 'new sociology of childhood'. To elucidate its underlying tenets I identify three major weaknesses that scholars in the 'new' sociology find in the 'old' conceptualization – socialization – and discuss implications for doing research on children and childhood. I suggest that scholars in the United States are on a somewhat different path than their colleagues in other Western countries. Finally, I argue that the view that children are not yet members of their societies is one that is difficult to undermine.     

Analysis of familial aggregation in the presence of varying family sizes

Summary.  Family studies are frequently undertaken as the first step in the search for genetic and/or environmental determinants of disease. Significant familial aggregation of disease is suggestive of a genetic aetiology for the disease and may lead to more focused genetic analysis. Of course, it may also be due to shared environmental factors. Many methods have been proposed in the literature for the analysis of family studies. One model that is appealing for the simplicity of its computation and the conditional interpretation of its parameters is the quadratic exponential model. However, a limiting factor in its application is that it is not reproducible , meaning that all families must be of the same size. To increase the applicability of this model, we propose a hybrid approach in which analysis is based on the assumption of the quadratic exponential model for a selected family size and combines a missing data approach for smaller families with a marginalization approach for larger families. We apply our approach to a family study of colorectal cancer that was sponsored by the Cancer Genetics Network of the National Institutes of Health. We investigate the properties of our approach in simulation studies. Our approach applies more generally to clustered binary data.     

Discrete Scale Models for Survival–Sacrifice Experiments

Analyses of carcinogenicity experiments involving occult (hidden) tumours are usually based on cause-of-death information or the results of many interim sacrifices. A simple compartmental model is described that does not involve the cause of death. The method of analysis requires only one interim sacrifice, in addition to the usual terminal kill, to ensure that the tumour incidence rates can be estimated. One advantage of the approach is demonstrated in the analysis of glomerulosclerosis following exposure to ionizing radiation. Although the semiparametric model involves fewer parameters, estimates of key functions derived in this analysis are similar to those obtained previously by using a nonparametric method that involves many more parameters.     

Gerontological research on the quality of life: The Guelph satellite method

This paper describes an interdisciplinary research strategy designed to address gaps in research on the quality of life of older people. We propose that such gaps be addressed through small intensive studies, and that the limitations of such studies be addressed by combining them in phases with a panel approach in the form of “satellite” studies. The emphasis is on the intensive studies as an integral rather than a subsidiary part of the strategy, and on the panel as a vehicle for the satellite studies. As an illustration of the strategy, we describe a project in which the satellite studies focus on intensive examination of specific topics such as family relationships and the panel method employs interviews and questionnaires to collect baseline information and quality of life ratings. We then focus on methodological issues, such as participant selection and the sequencing of phases, and briefly compare the present strategy to other longitudinal approaches. The paper concludes with a discussion of some of the methodological and substantive advantages of the strategy.     

Gender and the Transmission of Civic Engagement: Assessing the Influences on Youth Civic Activity*

The study of civic activity has become a central focus for many social scientists over the past decade, generating considerable research and debate. Previous studies have largely overlooked the role of youth socialization into civic life, most notably in the settings of home and school. Further, differences along gender lines in civic capacity have not been given sufficient attention in past studies. This study adds to the literature by examining the potential pathways in the development of youth civic activity and potential, utilizing both gender‐neutral and gender‐specific structural equation modeling of data from the 1996 National Household Education Survey. Results indicate that involvement by parents in their child’s schooling plays a crucial, mediating role in the relationship between adult and youth civic activity. Gender differences are minimal; thus adult school involvement is crucial for transmitting civic culture from parents to both female and male youth.