Failures in Child Protection: A Case Study

A case example is used to illustrate how powerful a child abuser may become; where a complex hostage-type relationship develops between family members and is then extended to include the child protection worker. One consequence of this is the increased risk of re-abuse of the children. To establish this relationship the abuser uses a number of techniques such as violence, intimidation, isolation and unpredictability. In the case presented, the three children were subjected to ongoing severe abuse, although the child protection agency had known the family for 10 years. The children often denied and hid the abuse, and the child protection workers were left largely unsupported by other professionals and often appeared to comply with the wishes of the abusing parents. © 1997 by John Wiley & Sons, Ltd.     

Is Asian ethnicity an independent risk factor for severe perineal trauma in childbirth? A systematic review of the literature

ObjectiveTo undertake a systematic review of the literature to determine whether Asian ethnicity is an independent risk factor for severe perineal trauma in childbirth.MethodOvid Medline, CINAHL, and Cochrane databases published in English were used to identify appropriate research articles from 2000 to 2010, using relevant terms in a variety of combinations. All articles included in this systematic review were assessed using the Critical Appraisal Skills Programme (CASP) ‘making sense of evidence’ tools.FindingsAsian ethnicity does not appear to be a risk factor for severe perineal trauma for women living in Asia. In contrast, studies conducted in some Western countries have identified Asian ethnicity as a risk factor for severe perineal trauma. It is unknown why (in some situations) Asian women are more vulnerable to this birth complication. The lack of an international standard definition for the term Asian further undermines clarification of this issue. Nevertheless, there is an urgent need to explore why Asian women are reported to be significantly at risk for severe perineal trauma in some Western countries.ConclusionCurrent research on this topic is confusing and conflicting. Further research is urgently required to explore why Asian women are at risk for severe perineal trauma in some birth settings.     

Racial Discrimination, Post Traumatic Stress, and Gambling Problems among Urban Aboriginal Adults in Canada

Little is known about risk factors for problem gambling (PG) within the rapidly growing urban Aboriginal population in North America. Racial discrimination may be an important risk factor for PG given documented associations between racism and other forms of addictive behaviour. This study examined associations between racial discrimination and problem gambling among urban Aboriginal adults, and the extent to which this link was mediated by post traumatic stress. Data were collected via in-person surveys with a community-based sample of Aboriginal adults living in a mid-sized city in western Canada (N = 381) in 2010. Results indicate more than 80 % of respondents experienced discrimination due to Aboriginal race in the past year, with the majority reporting high levels of racism in that time period. Past year racial discrimination was a risk factor for 12-month problem gambling, gambling to escape, and post traumatic stress disorder (PTSD) symptoms in bootstrapped regression models adjusted for confounders and other forms of social trauma. Elevated PTSD symptoms among those experiencing high levels of racism partially explained the association between racism and the use of gambling to escape in statistical models. These findings are the first to suggest racial discrimination may be an important social determinant of problem gambling for Aboriginal peoples. Gambling may be a coping response that some Aboriginal adults use to escape the negative emotions associated with racist experiences. Results support the development of policies to reduce racism directed at Aboriginal peoples in urban areas, and enhanced services to help Aboriginal peoples cope with racist events.     

Evaluation of an Innovative Tool for Child Sexual Abuse Education

Child sexual abuse poses a serious threat to public health and is often unreported, unrecognized, and untreated. Prevention, early recognition, and treatment are critically important to reduce long-term effects. Little data are available on effective methods of preventing child sexual abuse. The current research demonstrates a unique approach to promoting awareness and stimulating discussion about child sexual abuse. Qualitative methods have rarely been used to study child sexual abuse prevention. Qualitative inductive analyses of interviews from 20 key informants identified both positive and negative assessments with six emergent themes. The themes revealed inherent tensions in using narrative accounts to represent the complex cultural context within which child sexual abuse occurs. More research is needed, but the program shows potential as a methodology to raise awareness of child sexual abuse.     

Editorial

The UK Government agencies have an interest in making greater use of administrative data. This paper discusses the methodological challenges of using administrative data held by the Department for Work and Pensions (DWP) for constructing an alternative sampling frame for the Family Resources Survey (FRS) and for replacing income data collected in the FRS. The analysis shows that administrative data would provide a good basis for sampling the FRS by linking to socio-demographic data held administratively, which would be advantageous for sampling specific sub-populations (e.g. types of benefit recipients or households with children). Sampling using administrative data also potentially offers more representative population sampling by including some addresses currently excluded from the small users Postcode Address File (PAF) but which are important to DWP, such as people living in care homes. However, comparing FRS questions and income data held administratively, suggests little overlap. Therefore, limited gains may be realised from shortening the length of the FRS by using income data from administrative sources.     

In Pursuit of Empirically Based Responsible Gambling Limits

The present study sought to (1) obtain expert opinion on the importance of low-risk limits for the field of gambling; and (2) establish the face validity for a tentative set of low-risk limits empirically derived from a recent analysis of population data on gambling (Currie et al., 2006). Gambling experts (171 researchers, clinicians and policy-makers in Canada and the United States) completed an online or paper survey to assess their support for the concept of low-risk gambling limits, their opinions of existing responsible gambling guidelines and the face validity of tentative low-risk limits for gambling frequency, dollars spent, percentage of gross income spent on gambling and duration per session. The majority of those surveyed endorsed the need for low-risk limits and rated the limits as being face valid. Concerns voiced pertaining to their dissemination to the public included the potential for creating a false sense of security among gamblers, encouraging people to gamble and difficulties in applying the limits across different forms of gambling.     

A big hole with the wind blowing through it: Aboriginal women's experiences of trauma and problem gambling

Although studies have shown a link between social trauma and problem gambling (PG), there is little research involving Aboriginal women in this area, despite Aboriginal women being potentially at higher risk for both social trauma and problem gambling. This article describes the results of a qualitative phenomenology study asking seven Aboriginal women living in Western Canada to describe their experiences of social trauma and gambling problems. Results suggest four main themes, describing: (1) the Aboriginal women's experiences of social trauma (‘the three tigers’); (2) their use of gambling to cope with these experiences (‘a big hole with the wind blowing through it’); (3) their experience of problem gambling (‘I'm somebody today’); and (4) their process of healing from social trauma and gambling problems (‘a letter to John’). Participants described what they felt was a clear link between social trauma and problems with gambling, and how gambling helped to change their mood and block out the past. The results raise the possibility that Aboriginal women with gambling problems may need support to heal from social trauma – including racism and colonization – and that upstream initiatives to reduce the incidence of social traumas may be an important response to problem gambling among Aboriginal women.     

Book reviews

New scholarship on rape in American history

Sex Without Consent: Rape and Sexual Coercion in America. Edited by Merril D. Smith. New York: New York University Press, 2001, 308 pages. Cloth, $60.00; paper, $19.50.

The enigma of sexual desire

Sexual Appetite, Desire and Motivation: Energetics of the Sexual System. Edited by Walter Everaerd, Ellen Laan, and Stephanie Both. Amsterdam, Netherlands: Knaw Edita, 2001, 156 pages. Paper, NLG 80.00, Euro 36.30.

American sex in the private and public sectors

Sex, Love, and Health in America: Private Choices and Public Policies. Edited by Edward O. Laumann and Robert T. Michael. Chicago, IL: The University of Chicago Press, 2000, 535 pages. Hardcover, $48.

Enlarging the landscape of sexual pleasure

Good Sex: Feminist Perspectives from the World's Religions. Edited by Patricia Beattie Jung, Mary E. Hunt, and Radhika Balakrishnan. New Brunswick, NJ: Rutgers University Press, 2001, 220 pages. Cloth, $50.00; paper, $20.00.

Another stab at sexual theory

The Role of Theory in Sex Research. Edited by John Bancroft. Bloomington, IN: Indiana University Press, 2000, 366 pages. Cloth, $49.95.