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301.
Hundreds of thousands of children are being abused and neglected in the United States annually. The structures devised to respond to this abuse and neglect have been unsuccessful. The United States government continues to spend billions of dollars on programs to deal with the effects of these unsuccessful responses. Child abuse and neglect in the United States now represent a national emergency. In this article, we will provide a historical, cultural, and contemporary perspective on child abuse and neglect. This perspective throws light on the complexity of the national emergency and provides a context for further exploration of the issue.  相似文献   
302.
The component structure of the Child Dissociative Checklist was examined among abused children. A factor described as pathological dissociation emerged that was predicted by participants being male. There also were differences in pathological dissociation between groups of sexually abused and physically abused children. Replication of this factor and the establishment of base rates for various groups of children are recommended so that the Child Dissociative Checklist might be used to more effectively eliminate false positives and increase true positives in the screening and ultimate treatment of dissociative children.  相似文献   
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ABSTRACT

Spousal loss is a common event that has been associated with risk of depression, anxiety, and loneliness. Practitioners working with lesbians need comprehensive clinical guidelines that integrate research about lesbian partner loss with contemporary views of grief and bereavement. Using this literature, we make recommendations for clinical practice that address the possible contributions of several factors—social support, emotional closeness, relationship satisfaction, disclosure or non-disclosure of sexual identity and the relationship, faith and/or spirituality, and meaning-making—to the grieving process and positive psychological adjustment of lesbians grieving the death of a partner.  相似文献   
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Research has demonstrated ambiguity about the definition of hooking up among college students. The current research examined whether there were multiple definitions of hooking up among college students and how different definitions might be associated with the participant's own hooking up behavior and normative perceptions of peer hooking up behavior. A random sample (N = 1,468) of undergraduates (56.4% female) completed a Web-based survey composed of measures of drinking and sexual behavior. Open-ended definitions of hooking up were content-coded and analyzed using a mixture model to explore discrete definitions of hooking up among college students. Findings indicated three clusters of student definitions of hooking up: Cluster 1 had the broadest definition, referring to sex in general, not specific sexual acts, and to making out. Cluster 2 placed an emphasis on interpersonal and social aspects. Cluster 3 defined hooking up as sex with notable references to specific sexual acts. Results further indicated that hooking up behavior and normative perceptions differentiated these three groups of definitions. Clinical implications regarding the inconsistency of student definitions of hooking up and how they may impact negative consequences associated with hooking up are discussed.  相似文献   
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The American Academy of Pediatrics recommends that site-specific cultures be obtained, when indicated, for sexually victimized children. Nucleic acid amplification testing is a highly sensitive and specific methodology for identifying sexually transmitted infections. Nucleic acid amplification tests are also less invasive than culture, and this may provide an efficacious alternative for children suspected of being sexually abused.  相似文献   
309.

Background

Substance use during pregnancy is a major public health concern, stemming from potential physical and psychosocial harms to both the mother and child.

Purpose

To understand women’s experiences using substances during pregnancy and the reasons that women continue and/or discontinue using substances.

Methods

Focus groups were conducted with women who attended an early intervention program for pregnant or parenting women with substance use issues.

Results

Women identified that external and internal stressors, feelings of guilt and low-self efficacy, and a lack of understanding of the scientific and medical consequences of substance use contributed to their continued substance use. Conversely, women highlighted the importance of high self-efficacy and the quality of relationships when trying to make positive changes to their substance use during pregnancy.

Conclusions

Recommendations are proposed for easier access to and more comprehensive services. Healthcare professionals and service providers should offer non-judgmental care by building high-quality relationships with pregnant women with substance use issues, to increase these women’s self-efficacy and empower them to discontinue substance use.  相似文献   
310.
This study uses data from two national faculty surveys to estimate the extent of salary discrimination by sex in the academic labor market. Following the Oaxaca method, discrimination is measured as a residual, subtracting salary differences due to individual characteristics from total male/female salary differences. Several estimates are derived while controlling for various personal and professional characteristics including: publications, academic discipline, rank, and characteristics of the employing institution. From 1968 to 1977 there is a substantial reduction in measured discrimination, although a small salary difference remains after controlling for all available qualifications in 1977.  相似文献   
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