Childhood Sexual Abuse Severity Reconsidered: A Factor Structure of CSA Characteristics

To address the lack of empirically grounded measures of childhood sexual abuse severity, a survey of self-report items was developed following a thorough review of the childhood sexual abuse literature. An exploratory factor analysis was conducted using data collected from a convenience sample of college students that included 275 females and males with a history of childhood sexual abuse. The solution produced seven factors interpreted as the following: (a) less intrusive forms of childhood sexual abuse (e.g., sexual invitations, kissing), (b) more intrusive forms of childhood sexual abuse (e.g., oral sex, intercourse), (c) humiliation/fear, (d) childhood sexual abuse involving photography, (e) familiarity with the perpetrator, (f) physical force/rape, and (g) active digital penetration. Correlations among these factors further suggested the existence of two relatively independent second-order factors, one based on the levels of physical intrusiveness and the other composed of the psychological/emotional factors. While arguably the most common measurement of severity, physical intrusiveness had little association with critical factors such as humiliation, fear, and association with the perpetrator. Consequently, physical intrusiveness appears to be an inadequate stand-alone measure of childhood sexual abuse severity. These results are proposed to lay the groundwork for an improved, more comprehensive measure of childhood sexual abuse severity.     

Trauma-informed care training in a child welfare system: Moving it to the front line

The use of trauma-informed practices in the child welfare system is critically important to prevent system-induced trauma and encourage timely assessment, triage and referral for care when indicated. Ultimately, such measures have the potential over time to decrease the risk for mental health problems in children exposed to a trauma. This study evaluates an initiative in Arkansas to train child welfare front-line staff members in trauma-informed care practices. We evaluated the impact of the training on knowledge and use of trauma-informed care practices among three types of child welfare staff (Caseworkers, Program Assistants and Other front-line staff). Results suggest that this training process was highly successful in improving knowledge of trauma-informed care practices, especially among staff with the least formal education and training. We also found a significant increase in staff use of trauma-informed care practices at the three-month follow-up with little difference observed across staff groups. Barriers that may prevent staff from full implementation of training concepts are described and strategies to address barriers are proposed.     

The Salience of Multimodal Sensory Stimulation in Early Development: Implications for the Issue of Ecological Validity

Studies of infant development concerned with the emergence of specific perceptual or cognitive abilities have typically focused on responsiveness in only one sensory modality. Research on infant perception, learning, and memory often attempts to reduce multimodal stimulation to “noise” and to control or omit stimulation from other sensory modalities in experimental designs. This type of unimodal research, although important, may not generalize well to the behavior of infants in the multimodal context of the everyday world. Research from animal and human development is reviewed that documents that significant differences in infants' perceptual skills and abilities can be observed under conditions of unimodal versus multimodal stimulation. These studies provide converging evidence for a functional distinction between unimodal and multimodal stimulation during early development and suggest that ecological validity can be enhanced when research findings are generalized appropriately to the natural environment and are not overgeneralized across stimulus properties, tasks, or contexts.     

Landscapes: The Social Construction of Nature and the Environment

Abstract A theoretical framework is provided to understand a cultural group's definition of and relationship with nature and the environment. The framework draws on a social constructionist perspective that includes aspects of phenomenology and symbolic interactionism to define “landscape” as the symbolic environment created by a human act of conferring meaning on nature and the environment. This landscape reflects the selfdefinitions of the people within a particular cultural context. Attention is directed to transformation of the physical environment into landscapes that reflect people's definitions of themselves and on how these landscapes are reconstructed in response to people's changing definitions of themselves. Case studies from sociology and anthropology illustrate the social construction of nature and the environment. A discussion of the applied implications of the theoretical framework in social impact assessment and the global implications in the shifting power struggle over competing landscapes concludes the paper.     

Care and protection in Scottish child welfare: evidence of double jeopardy?

Since the inception of the Scottish children's hearings system, an increasing concentration of child care and protection referrals has emerged. Data on 225 children referred on care and protection grounds are examined. Children faced a double jeopardy of personal adversity against a background of social and economic disadvantage. A smaller group of children were also victims of an offence by an adult. A significant proportion of children had multiple referrals suggesting a recycling of some children. Social adversity in the backgrounds of children has been found in other child welfare studies. The significance accorded to this by social work agencies and the links between neglect and poverty may be overlooked. The importance of policy that provides comprehensive public assistance and services, as found in other European countries, is an inescapable conclusion.     

Service Provision for Men with Eating Issues in Australia: An Analysis of Organisations', Practitioners', and Men's Experiences

Abstract

Research was undertaken to explore issues surrounding service provision for men with eating issues in Australia. Qualitative and quantitative data were gathered from key stakeholders—organisations that provide treatment (n=15), practitioners that have worked with men with eating issues (n=10), and individual men with eating issues (n=5). Four key areas were explored: rates of access to services, the expression and development of eating issues in men, factors inhibiting or facilitating the recovery process, and recommendations to improve service provision. Results highlighted the need for increased awareness about men's eating issues within society generally, but for health professionals specifically, the need for better recognition of the expression of eating issues in men, and the expansion of existing services to be more “male friendly”. It is anticipated that service providers will benefit from these findings by identifying ways to reduce barriers and encourage help-seeking behaviour in men. Future research should seek to replicate and expand these findings using a larger sample size.