Practical Ways Psychotherapy Can Support Physical Healthcare Experiences for Male Survivors of Childhood Sexual Abuse

This pilot study was conducted to examine older child molestation victims' self-report of their long-term psychological adjustment at least 12 months after the date of their initial clinic evaluation. Female participants were assesed using the Piers-Harris Children's Self-Concept Scale, Children's Depression Inventory, and the Hopelessness Scale which were also administered during their first evaluation. T-ratios revealed that scores on all measures, including five of the six Piers-Harris subscales showed significant improvement. The high rate of noncompliance associated with this population is also discussed in terms of removal from the home, type of abuse, and age of the perpetrator.     

A Discrete-Time Multilevel Mixture Model for Event History Data with Long-Term Survivors,with an Application to an Analysis of Contraceptive Sterilization in Bangladesh

Event history models typically assume that the entire population is at risk of experiencing the event of interest throughout the observation period. However, there will often be individuals, referred to as long-term survivors, who may be considered a priori to have a zero hazard throughout the study period. In this paper, a discrete-time mixture model is proposed in which the probability of long-term survivorship and the timing of event occurrence are modelled jointly. Another feature of event history data that often needs to be considered is that they may come from a population with a hierarchical structure. For example, individuals may be nested within geographical regions and individuals in the same region may have similar risks of experiencing the event of interest due to unobserved regional characteristics. Thus, the discrete-time mixture model is extended to allow for clustering in the likelihood and timing of an event within regions. The model is further extended to allow for unobserved individual heterogeneity in the hazard of event occurrence. The proposed model is applied in an analysis of contraceptive sterilization in Bangladesh. The results show that a woman's religion and education level affect her probability of choosing sterilization, but not when she gets sterilized. There is also evidence of community-level variation in sterilization timing, but not in the probability of sterilization.     

“You are a Besya”: Microaggressions Experienced by Trafficking Survivors Exploited in the Sex Trade

ABSTRACT

This article exposes the prevalence of microaggressions as experienced by female sex-trafficking survivors in their everyday lives. Using a case example from Nepal, this article investigates the under-researched experiences of microaggressions against trafficking survivors and their cumulative effects on their lives. A participatory action research (PAR) process was used with eight trafficking survivors to delineate and explore categories of microaggressive behaviors to them. The results of the study reveal the occurrence of microaggressive behaviors against sex-trafficking survivors, grounded in experiential evidence in personal narratives. Implications for social work education and practices are discussed.     

从“满汉”到“中西”:民初清遗民视野中的“华夷之辨”

“华夷之辨”是儒家文化核心观念,有种族之分和文化德性之分。清末满汉对立思潮崛起,强调基于种族之分的“华夷之辨”。辛亥鼎革后,清遗民一方面反对这种基于种族之分的“华夷之辨”,从文化德性之分的角度强调清朝统治的正统性,并且从金、元等历史资源中寻求支撑;另一方面,他们强调“君臣大义”的绝对性。与此同时,他们将民国后国内外的混乱皆归咎于西学,认为让世界久安之道必然还是“莫备于周孔”的中学,至此在他们视野中,中西夷夏地位逆转。清遗民的“华夷之辨”,从根本上说是一种政治上的君主制和文化上的保守主义合二为一的道德主义论述,虽然其与具体的历史语境已然“错置”,但作为一种文化思潮,还是对后来的文化保守主义有着重要的影响。     

A new semiparametric Weibull cure rate model: fitting different behaviors within GAMLSS

ABSTRACT

We propose a new semiparametric Weibull cure rate model for fitting nonlinear effects of explanatory variables on the mean, scale and cure rate parameters. The regression model is based on the generalized additive models for location, scale and shape, for which any or all distribution parameters can be modeled as parametric linear and/or nonparametric smooth functions of explanatory variables. We present methods to select additive terms, model estimation and validation, where all computational codes are presented in a simple way such that any R user can fit the new model. Biases of the parameter estimates caused by models specified erroneously are investigated through Monte Carlo simulations. We illustrate the usefulness of the new model by means of two applications to real data. We provide computational codes to fit the new regression model in the R software.     

崇雅词学观的不同审美取向——兼论浙西、常州二词派对宋季遗民词的接受

清代浙西词派和常州词派论词都崇雅,本文以浙西、常州二词派词学选本中的宋季遗民词为中心,考察了宋季遗民词在清代的接受情况,通过分析,得出其崇雅的词学观各不相同,浙西词派的崇雅观重视词体的艺术形式、修辞特征,常州词派则重词选题立意的风雅、雅正,故而雅中有别。     

“As Far as They Knew I Came from France”: Stigma,Passing, and Not Speaking about the Holocaust

Today we recognize that storytelling plays an important role in helping survivors of traumatic episodes such as sexual abuse, military combat, or genocide refashion a sense of self and “work through” their traumatic experiences. But before the Holocaust was named and widely acknowledged and the diagnosis of post‐traumatic stress had emerged, survivors of Hitler's genocidal policies struggled to tell their stories in a world that did not particularly wish to hear them. While most accounts of Holocaust survivors’ postwar experiences focus on themes of redemption, adjustment, and integration, my analysis of interviews with Holocaust survivors suggests during their first two decades living in the United States they were often silenced by individuals they encountered. I use Goffman's analysis of stigma to document how and why this silencing occurred, and with what consequences, providing an account of the interactions survivors had with family members, neighbors and acquaintances, and the strategies of identity management that survivors devised.     

Defective models induced by gamma frailty term for survival data with cured fraction

In this paper, we propose a defective model induced by a frailty term for modeling the proportion of cured. Unlike most of the cure rate models, defective models have advantage of modeling the cure rate without adding any extra parameter in model. The introduction of an unobserved heterogeneity among individuals has bring advantages for the estimated model. The influence of unobserved covariates is incorporated using a proportional hazard model. The frailty term assumed to follow a gamma distribution is introduced on the hazard rate to control the unobservable heterogeneity of the patients. We assume that the baseline distribution follows a Gompertz and inverse Gaussian defective distributions. Thus we propose and discuss two defective distributions: the defective gamma-Gompertz and gamma-inverse Gaussian regression models. Simulation studies are performed to verify the asymptotic properties of the maximum likelihood estimator. Lastly, in order to illustrate the proposed model, we present three applications in real data sets, in which one of them we are using for the first time, related to a study about breast cancer in the A.C.Camargo Cancer Center, São Paulo, Brazil.     

The potential role of social and familial networks in shaping the well-being of children in shelters for women survivors of intimate partner violence

Children living in households where severe intimate partner violence (IPV) exists sometimes move with their mothers to shelters for battered women. Although there is an increased interest in research exploring children's exposure to IPV, little is known about children's subjective experiences during their stay in shelters. The present study examines children's views of their disconnection from their social and familial networks during their stay in a shelter. Using qualitative methods, 32 children, ages 7–12 years, who resided in a shelter were interviewed. Thematic analysis was implemented to develop codes and themes. The following five themes emerged from the data analysis: (a) absence of grandparents, (b) worry about older siblings, (c) disconnection from the neighbourhood, (d) missing their house and (e) disconnection from previous school and classmates. Findings suggest that children's disconnection from previous formal and informal networks significantly affected their well-being. The findings are discussed and interpreted in light of selected key concepts of Bronfenbrenner's bioecological model. The limitations of this study are discussed, along with implications for future research, as well as highlights for future intervention.     

The Secret of Intrafamilial Child Sexual Abuse: Who Keeps It and How?

This article analyzes how women survivors of intrafamilial child sexual abuse perceive the family members who took part in keeping it secret and their tactics for doing so. Analysis of 20 in-depth interviews with Jewish Israeli women revealed unique ways of guarding the secret. These were attributed to the perpetrator, the mother and the family. Secret-keeping tactics included presenting a normative public identity or an unstable psychological identity, presenting multiple personas, reframing the abuse, concealing any trace of the secret after it was disclosed, as if the abuse had never happened, and making a monument of the abuser. These tactics are discussed in the context of silencing, the interpersonal relations orientation model, and the wider concepts of secrecy in society. Implications for professional practice and for society are considered, and new attitudes toward intrafamilial child sexual abuse secrecy are suggested.