Factors Associated with Suicidal Ideation Among Women Abused in Intimate Partner Relationships

This study examines factors associated with suicidal ideation among women abused in intimate partner relationships. Data were collected from the case records of 95 women screened upon in‐person contact with admissions workers in a domestic violence shelter in one Midwestern state. Forty‐three percent of the women reported suicidal ideation as significantly associated with childhood sexual abuse, childhood physical abuse, and adulthood intimate partner abuse lasting fewer than 12 months in duration. The results have policy and practice implications for those interested in the mental health needs of women abused in childhood and adulthood. Implications for research are presented that more precisely identify how the effects of past and current traumatic experiences intersect and contribute to suicidal ideation among women abused in intimate relationships.     

Psychiatric Services: Organizing Impossibility

This paper explores the proposition thatelements of the work of psychiatric services areimpossible. The notion of impossibility is consideredfrom three perspectives: societal, interpersonal, andorganizational.Organizational elements of impossibility areevidenced in attempts to work with madness, a phenomenonthat defies clear definition. Resultant confusion inrole and task boundaries is exacerbated by madinterpersonal interactions. The situation iscompounded by societal conflicts between the mad and thesane. Attempts to house and treat the mad over the past200 years are reviewed, and recent illustrativecase material is presented from two communitytreatment teams. It is argued that primarilysolution-focused approaches to madness have limitedsuccess. To acknowledge impossible elements of the workmay enable psychiatric institutions to be designedin ways that help make individual and collective madnessmore bearable rather than something to be controlled andor denied.     

‘IF I FEEL LIKE THIS,HOW DOES THE CHILD FEEL?’ CHILD PROTECTION WORKERS,SUPERVISION, MANAGEMENT AND ORGANISATIONAL RESPONSES TO PARENTAL VIOLENCE

This study analysed workers’ experiences of supervision following interactions with hostile and intimidating parents. This analysis examined management and organisational responses to worker stress, and assessed the adequacy of support that workers received. An online survey was designed to collect data on workers’ experiences and free text responses were qualitatively analysed for references to the supervision they received in response to working with parents. 590 participants responded to the survey. 402 were qualified social workers, and 423 worked in child protection. Participants had experienced a range of violent behaviour from parents. The overwhelming theme in responses was the lack of support and supervision workers received, often in stressful and frightening circumstances. Approximately one quarter of participants only used organisational procedures, guidelines or protocols on dealing with hostile parents. Workers reported that mismanaged parental hostility affected their practice and the quality of protection that children received. The violence experienced had a significant negative impact on their personal and professional lives. Organisational responses in the form of supervision and education were often inadequate and resulted in children receiving reduced quality of protection. Recommendations for policy and practice change are discussed, with the aim of caring for workers and the children they protect.     

Heterosexism,racism, and mental illness discrimination: Experiences of people with mental health conditions and their families

Experiencing discrimination related to race/ethnicity, sexual orientation, or having a mental health condition is associated with negative outcomes. Research comparing types of discrimination or considering intersectionalities is lacking. This study reports findings from interviews with people with mental illnesses (PWMI) or family members of PWMI; all study participants also are of color and/or lesbian, gay, or bisexual. Findings include the following: participants experienced multiple forms of discrimination, mental illness discrimination shares characteristics with racism and heterosexism, and heterosexuals and people of color reported more mental illness discrimination than their counterparts. Implications for change advocates, mental health providers, and researchers are offered.     

The effects of right-to-work legislation on union outcomes: Additional evidence

The authors reexamine the role of open shop legislation in affecting union outcomes. New indices of union success are employed which include election voting behavior, the size of newly certified units, and the rate of union decertification. Three competing hypotheses are empirically tested: (1) the free rider argument predicting lower membership levels in right-to-work (RTW) areas; (2) the saturationist hypothesis predicting a higher level of organizing activity in RTW areas as a result of large concentrations of unorganized workers; and, (3) the hypothesis that legislation is vitiated by distinct organizing behaviors in RTW and nonRTW areas. Empirical results, based on SMSA data from 35 states, tend to provide support for hypotheses (2) and (3). Recently, RTW areas have experienced more prounion outcomes, and the union returns to regional attributes (measured by Chow tests) are found to be distinct in the two areas.     

The Painful Truth: Interpretation of Facial Expressions of Pain in Older Adults

The purpose of this study was to determine whether it is more difficult to decode facial expressions of pain in older than in younger adults. The facial expressions of 10 younger and 10 older chronic pain patients undergoing a painful diagnostic test were viewed on videotape by untrained judges. Judges estimated the severity of pain being experienced by the patients. Ratings made of the older faces during painful moments described more pain, and appeared more accurate, than those made of younger faces. Judges also reported seeing more pain in posed, masked, and baseline facial expressions in the older adults. Age-related structural changes to the face were not responsible for this bias. This suggests that judges were predisposed to see pain in the faces of the older patients, and undermines the assumption that their ratings of pain in the painful moment segments were accurate.