BATTERING AND COUPLES THERAPY: UNIVERSAL SCREENING AND SELECTION OF TREATMENT MODALITY

As family therapists begin to experiment with couples treatment models for batterers and their partners, a basic question is: Which couples can be safely treated with conjoint therapy? Following a definition of battering and a review of rationales for considering couples therapy in cases of domestic violence, a framework for assessment of domestic violence is outlined, including sample questions, criteria for excluding couples from conjoint therapy, how to conduct a lethality assessment, and how to conceptualize postassessment treatment recommendations. This article also introduces family and couples therapists to domestic violence literature that is often not well integrated in family therapy theory and practice.     

A network analysis of student mobility patterns from high school to master’s

Human migration involves the movement of people from one place to another. An example of undirected migration is Italian student mobility where students move from the South to the Center-North. This kind of mobility has become of general interest, and this work explores student mobility from Sicily towards universities outside the island. The data used in this paper regards six cohorts of students, from 2008/09 to 2013/14. In particular, our goal is to study the 3-step migration path: the area of origin (Sicilian provinces), the regional university for the bachelor’s degree, and the regional university for the master’s. Our analysis is conducted by building a multipartite network with four sets of nodes: students; Sicilian provinces; bachelor region of studies; and the master region of studies. By projecting the students’ set onto the others, we obtain a tripartite network where the number of students represents the link weight. Results show that the big Sicilian cities—Palermo, Catania, and Messina—have different preferential paths compared to small Sicilian cities. Furthermore, the results reveal preferential paths of 3-step mobility that only, in part, reflect a south-north orientation in the transition from the region of study for the bachelor degree to that for the master’s.

     

Difficulties in Emotion Regulation as a Mediator of the Relationship Between Child Sexual Abuse Victimization and Sexual Aggression Perpetration in Male College Students

Although numerous studies document a link between child sexual abuse and later sexual assault perpetration in men, little research has examined why this relationship exists. One potential mechanism may be emotional regulation difficulties. The current study utilizes a college sample of 132 men to examine the mediating role of emotion regulation difficulties on the relationship between experiencing child sexual abuse and later sexual aggression. Although emotion regulation difficulties in general was not significantly related to sexual aggression, one facet, impulse control difficulties, emerged as a significant mediator of the relationship between child sexual abuse and sexual aggression. Intervention programs should focus on the care that children receive following sexual abuse, with particular emphasis on how emotion regulation abilities may be impacted.     

Reconfiguring Social Work Education to Fight HIV–AIDS: A Model for Developmental Contexts

This article charts the response of social work educators in addressing HIV–AIDS. Based at the University of the West Indies in the Republic of Trinidad and Tobago, the faculty within the Social Work Unit developed a model of teaching, research and practice that was innovative and transcended cultural, geographical and professional boundaries. The model has contributed a lasting legacy of knowledge and culturally relevant practices to enhance the capacity and effectiveness of social workers working with people living with HIV–AIDS (PLWHIV). Inherent in the propositions that underpinned the model was a belief in the role of education in alleviating psychosocial and other impacts of social problems. This article describes this unique initiative and discusses its relevance to current social work practice and the implications for contemporary social work education. The authors argue that while social work draws on a common body of knowledge, an established set of professional skills and a universal code of values, these central tenets of the profession should not be regarded as concrete and fixed but must be figured and reconfigured as needed to address emerging contemporary problems and their specific sociocultural manifestations.     

The Function of Avoidance in Improving the Understanding of Disaster Recovery

Functional avoidance as an intermittent coping mechanism is a necessary component in disaster recovery. By temporarily avoiding losses after disaster, survivors can secure basic needs and begin rebuilding. It is not until recovery projects are completed that mental health outcomes become apparent. Many individuals begin a healthy grieving process; however, for others, where avoidance extends past the completion of normalizing tasks it becomes pathological. This study presents the concept of functional avoidance and investigates the point at which it becomes dysfunctional using case examples and data from a mental health clinic. Findings suggest increased emotional distress, depression, and posttraumatic stress disorder over 3 years after Hurricane Katrina.     

A study on the effectiveness of sterilizations in reducing the birth rate

This study analyzed 1,081 women in Kerala State (India) who were either sterilized or were the wives of sterilized men, and by examining the fertility among a comparable group of 1,000 other women, estimated the number of prevented future births per 1,000 women in the sterilized group. The results of this estimation were then applied to project what the entire savings in births might be over a 3D-year period in the entire Kerala population if each year there were one, three, or five sterilizations performed per 1,000 of total population. The results failed to confirm the hope that the crude birth rate would be decreased by 12 per 1,000 in a decade merely by sterilization of five per 1,000 of the population per annum. The study also discusses various measures of reduction in the crude birth rate. By a reasonable measure, the reduction in the crude birth rate for Kerala from such a sterilization program is estimated as seven points after a decade or nine points after three decades, reflecting decreases of 21 and 36 per cent, respectively, in the number of births.     

Coping With Stress as an LGBTQ+ Health Care Professional

Lesbian, gay, bisexual, transgender, queer, and other sexual/gender minority (LGBTQ+) health care providers face both general work-related stresses and working in heteronormative settings with ill-informed or hostile coworkers and patients, yet there has been little study of whether the coping strategies are specific to LGBTQ+ stress. We analyzed qualitative data from 277 health care professionals. Sources of stress included religiously and politically conservative coworkers, coworker/patient lack of knowledge, stresses of being closeted, and concerns about being out to patients. Consequences of being out as LGBTQ+ included lack of promotions, gossip, refusals of tenure, and anti-LGBTQ+ comments and behaviors in the workplace. Respondents showed mostly positive coping strategies to deal with stress, including becoming educators/advocates and self-care activities. Self-care options were common in rural areas with few LGBTQ+ social resources. Negative coping strategies were reported by 18% of respondents. The study highlights the extra burden of stress on LGBTQ+ health care providers.