Polyvictimization in later life: Trauma-informed best practices

ABSTRACT

This article provides a summary of salient trauma findings and conveys the dearth of research pertaining specifically to the trauma of elder abuse. This material, in conjunction with information contained in other articles composing this special issue, lays the foundation for advancing a trauma-informed approach to assisting older adults who have experienced polyvictimization. Informed by the findings presented and their extensive clinical experience with victims of violence, the authors suggest steps for providing a trauma-informed and victim-centered response to older adults who have suffered polyvictimization. These steps are then illustrated with an in-depth late-life polyvictimization case analysis.     

The Poverty Pimpin’ Project: how whiteness profits from black and brown bodies in community service programs

Tutoring programs that link colleges to public schools are seen as a way to improve the academic performance of K12 students while providing a practicum site for college-age students. Prior research on college-K12 partnerships focuses on how the academic achievement of both K12 and college students are enhanced by these relationships. This article challenges the stock story that such outreach programs are unproblematic and entirely altruistic endeavors and offers insight into the bumpy terrain of town–gown relationships complicated by race, class and academic divides. Using critical race methodology, this research tells a counter-story that highlights the white savior and poverty pimpin’ projects of outreach work.     

Growing up Without Status: The Integration of Children in Mixed‐Status Families

Over the past three decades, a central new challenge confronting millions of children of immigrants has emerged: growing up in a mixed‐status family in which at least one member lacks legal authorization to live and work in the United States. A body of recent research argues that unauthorized immigrant status is the fundamental determinant of integration for unauthorized immigrants, with intergenerational consequences for their U.S.‐born children. We discuss the immigration and other policies that create the particular social context within which unauthorized immigration status becomes so detrimental for integration. Specifically, we focus on federal and state policies that undermine the very factors thought to protect children and support the integration of new generations of Americans: families and social networks, economic resources and opportunities, and health. We conclude with recommendations for future research.     

Future time orientation and employment of individuals with a spinal cord injury: does current work status reflect a greater orientation toward the future?

Differences in future time orientation were investigated among 317 individuals with spinal cord injuries according to work status. The results of an analysis of variance indicated a significant difference on future time orientation between individuals with an active community role (full-time or part-time employed, student, or volunteer) versus a non-active community role (unemployed or retired). In a post-hoc analysis of covariance (with depression as the covariate), these differences between work statuses on future time orientation were no longer significant, though a significant main effect by depression was observed. In both analyses, individuals with active community roles had higher future time orientation scores than individuals without active community roles. Suggestions for future research were briefly proposed.     

Multiethnic Children Portrayed in Children's Picture Books

The portrayal of multiethnic children in picture books provides a unique opportunity for social workers, other helping professionals, and parents to work more effectively with a population of preschool multiethnic children. Twenty-two picture books portraying multiethnic children and their families are identified and evaluated. Their relevance for social work practice with children and families is discussed.     

Principles of Protection for Internally Displaced Persons

For forced migrants who have not left their country but are internally displaced persons, human rights law provides an important framework through which to analyse and address their plight. Two principal reasons underpin this assertion.
First, owing to the compelling need: human rights violations cut across all phases of internal displacement, causing its occurrence, characterizing the conditions of physical insecurity and material deprivation in which the internally displaced often find themselves, and impeding equitable and lasting solutions.
Second, as internally displaced persons remain within the territory of their state, refugee law does not apply and, instead, human rights law provides the fundamental basis for addressing their plight. In addition to human rights law, other standards of international law are also relevant, namely international humanitarian law when displacement occurs in situations of armed conflict and refugee law by analogy.
Drawing on these three standards of international law, Guiding Principles on Internal Displacement have been developed which set out what protection should mean for internally displaced persons in all phases of displacement. This article traces the origins and provides an overview of the content of the Guiding Principles, the text of which is reproduced in full in the Appendix.     

Associations Between Social Anxiety and Nonverbal Processing Skill in Preadolescent Boys and Girls

This study was designed to investigate the potential association between social anxiety and children's ability to decode nonverbal emotional cues. Participants were 62 children between 8 and 10 years of age, who completed self-report measures of social anxiety, depressive symptomatology, and nonspecific anxious symptomatology, as well as nonverbal decoding tasks assessing accuracy at identifying emotion in facial expressions and vocal tones. Data were analyzed with multiple regression analyses controlling for generalized cognitive ability, and nonspecific anxious and depressive symptomatology. Results provided partial support for the hypothesis that social anxiety would relate to nonverbal decoding accuracy. Difficulty identifying emotions conveyed in children's and adults' voices was associated with general social avoidance and distress. At higher levels of social anxiety, children more frequently mislabeled fearful voices as sad. Possible explanations for the obtained results are explored.     

A natural lead-in approach to response-adaptive allocation for continuous outcomes

Response-adaptive (RA) allocation designs can skew the allocation of incoming subjects toward the better performing treatment group based on the previously accrued responses. While unstable estimators and increased variability can adversely affect adaptation in early trial stages, Bayesian methods can be implemented with decreasingly informative priors (DIP) to overcome these difficulties. DIPs have been previously used for binary outcomes to constrain adaptation early in the trial, yet gradually increase adaptation as subjects accrue. We extend the DIP approach to RA designs for continuous outcomes, primarily in the normal conjugate family by functionalizing the prior effective sample size to equal the unobserved sample size. We compare this effective sample size DIP approach to other DIP formulations. Further, we considered various allocation equations and assessed their behavior utilizing DIPs. Simulated clinical trials comparing the behavior of these approaches with traditional Frequentist and Bayesian RA as well as balanced designs show that the natural lead-in approaches maintain improved treatment with lower variability and greater power.     

The Time-Course for the Capture and Hold of Visuospatial Attention by Fearful and Happy Faces

Fearful faces both capture our attention and hold it. However, little is known about the time-course for the capture and hold of spatial attention by fearful, and other emotional, faces. In three dot-probe studies we examined this time-course. Experiments 1 and 2 used fearful and neutral faces. In Experiment 1, dot-probe targets occurred 133, 266, and 532 ms post-face onset and in Experiment 2, dot-probe targets occurred 84, 168, 336, and 672 ms post-face onset. In Experiment 1, for both 133 and 266 ms conditions, reaction times were fastest for congruent trials and slowest for incongruent trials with reaction times for baseline trials falling between the two. The same pattern was found for the 84 and 168 ms conditions in Experiment 2. For the later time-points in both experiments there were no significant differences between conditions. To examine whether this time-course is unique to fearful faces, a third dot-probe experiment using time-points identical to Experiment 2 was conducted with happy and neutral faces. The results from Experiment 3 suggest that happy faces captured and held attention in the 168 and 336 ms conditions. Together, the results indicate that attention is captured and held by fearful faces at times earlier than approximately 300 ms, while happy faces also captured and held attention, but on a slightly different time-course from 168 to 336 ms.