Child Maltreatment Intervention: Directions and Issues

This article begins with a brief review of various non-medical intervention procedures for child maltreatment. Psychological intervention is reviewed in more depth, with an emphasis placed on those treatments which have been empirically evaluated. Finally, the article discusses methodological and ethical issues concerning outcome research on maltreatment intervention.     

A dream come true – no more residential care. A corrective note

This note is about the attempt by the Australian State and Territory child care and protection systems to do without residential programmes. It traces the process of moving to this position and the historical and policy imperatives that supported this service direction. It also outlines the consequences of the absence of 24 hours-a-day 7-days-a-week residential education or treatment programmes for difficult and disturbed young people. It is both a cautionary and corrective note designed to underline the need for some specialised and highly selective residential programmes as part of any mature child care and protection system. This is something that Australia forgot.     

“Chocolate city,vanilla suburbs:” Will the trend toward racially separate communities continue?

Almost a decade ago, the Kerner Commission warned that this country was moving toward two societies—one white and one black. Data on residential segregation indicate clear-cut boundaries for these two societies—large cities are becoming black but most suburban areas remain white. Detroit is a case in point and this led the 1976 Detroit Area Study to investigate the sources of racial residential segregation. Our approach was guided by three hypothesized causes of this segregation: (i) the economic status of blacks, (ii) the preference of blacks to be with their own kind, and (iii) the resistance of whites to residential integration. We developed several new measurement techniques and found that most evidence supported the third hypothesis. Blacks in the Detroit area can afford suburban housing and both blacks and whites are quite knowledgable about the housing market. Most black respondents expressed a preference for mixed neighborhoods and are willing to enter such areas. Whites, on the other hand, are reluctant to remain in neighborhoods where blacks are moving in and will not buy homes in already integrated areas. This last result has been overlooked by traditional measures of white attitudes toward residential integration but emerges clearly with the new measure.     

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.     

‘Exercise is medicine’: Understanding the exercise beliefs and practices of older Chinese women immigrants in British Columbia, Canada

In this paper we examine how Western biomedical beliefs around exercise and related health practices compare and contrast with traditional Chinese medicine's (TCM) conceptions of health and exercise in a globalizing society, and how these narratives about health and physical activity are understood and taken up by 15 aging Chinese immigrant women (aged 65+) living in the multicultural city of Vancouver. Drawing upon theoretical work around the body and society to guide our analysis (including the ideas of Bourdieu and Foucault), we outline how the participants in our project take a pragmatic approach to their use of medicine, combining TCM with Western biomedicine in creative ways. However, understandings of the body are underpinned, we argue, by Eastern narratives of the ‘oneness’ of mind-body and the need for ‘balance’ in order to achieve health. Towards this end, we found that many of the participants view (and use) traditional Chinese body practices as an extension of TCM, a technique to help them achieve balance. We conclude that the neoliberal narrative of personal responsibility for health does not fuel the exercise practices of many of the participants, but rather that they perceive exercise as a pleasurable activity that improves their levels of happiness (and balance) and enhances their lives.     

Israeli policy toward veterans with disabilities: a snapshot and insights of the proposed reform

The policy toward Israeli veterans with disabilities is based on the Invalids Law (Benefits and Rehabilitation) of 1949 . This legislation has served as the foundation for an intricate disability policy, providing benefits and psychosocial services for veterans with disabilities. Sixty two years later, in light of the emergence of a new social model and disability rights conceptualization, there is a need to reevaluate the current legislation and policy. In this article the authors present the essence of the current Israeli disability policy and explore the applications of a proposed reform aimed at adapting the disability policy and services to the new principles of the social model of disability.     

Occupation as therapy for trauma recovery: a case study

In this case study, a young women who has chronic verbal, emotional, and physical abuse and was exposed to repetitive adult acts of abuse as a child initially presented with Posttraumatic Stress Disorder (PTSD) marked by constriction and disconnection, which resulted in her feeling passive and tortured. As part of her occupational therapy intervention, based on the occupational adaptation, psychoanalytic, and recovery frames of reference, she was able to use her skills as a musician and lyricist to work through her trauma by performing heavy metal music. She used work to express emotions and tell and retell her story to audiences eager to hear her. Work helped her develop an identity that allowed her to be active in the world and reach out to others through her music. This case study focuses on the intervention - how music and occupation functioned as a foundation for relieving her PTSD.     

Gender and ethnic equity in Aotearoa New Zealand's public service before and since Covid-19: Toward intersectional inclusion?

Since its bi-cultural foundation with Te Tiriti o Waitangi (the Treaty of Waitangi, signed in 1840 by Māori, the indigenous Polynesian people of Aotearoa New Zealand (NZ), chiefs and representatives of the British Crown), cultural identities have expanded through immigration. While Aotearoa NZ's government seeks to encourage workplace diversity in public service agencies, developments are being disrupted by Covid-19. Using a typology of equality approaches, this study appraises the “ambition” of equity progress in Aotearoa NZ public service agencies based on content analysis of interviews with sector experts, agency staff and managers. In terms of equity discourses, workplace inequities emerge as more pronounced for Māori and Pasifika (the indigenous peoples of the Pacific), indicating that more “ambitious” equality initiatives, including those which aim for intersectional inclusion, are needed. The study thereby contributes a more nuanced understanding of equity approaches that could meaningfully inform workplace initiatives designed to recognize, value and empower gender diversity. Its relevance for Aotearoa NZ, which has one of the most diverse working-age populations in the world, is likely to resonate in other countries where workforce diversity is yet to translate into equitable engagement in and experiences of work organizations by all.     

Polarized Scientists? Exploring Political Differences about Religion and Science among U.S. Biologists and Physicists1

From the Texas textbook debate to the March for Science, visible displays of activism illuminate how deeply politicized the science‐religion interface has become. However, little is known about the extent to which scientists’ attitudes about science and religion are politicized. Using original survey data from 1,989 U.S. academic biologists and physicists, we examine the degree to which political views shape how scientists perceive the relationship between religion and science, religious authority, their personal religious identity, and views on dominant scientific theories. Findings suggest that, indeed, the science‐religion interface holds political meaning for scientists, but in different ways across the political spectrum. Specifically, for politically liberal scientists, atheism and the conflict narrative are particularly politicized belief structures, while politically conservative scientists emphasize religious identity to distinguish themselves from political liberals. Findings point to the critical role of politics in shaping scientists’ attitudes and identities, which may have implications for the scientific enterprise, both at the lab bench and in the political sphere.