Johnson's Differentiation Theory: Is It Really Empirically Supported?

Michael Johnson's differentiation of “types” of domestic violence has had a significant impact on courts and providers, in part because of its claim to an empirical basis. Unfortunately, the label “situational couple violence” has already been used by judges and evaluators to minimize abuse claims in custody cases. Johnson's repeated assertion that SCV is the most common form of domestic violence reinforces the marginalizing of domestic violence. But what do his data actually show? Here Professor Meier takes a close look at the research Johnson relies on and finds that it fails to prove his thesis. Rather, the data suggest that Johnson has it exactly backward: Control-based abuse is probably far more common than “situational” domestic violence.     

Mental Disabilities in an Aboriginal Context

Aboriginal (meaning original peoples) North American mental health is acknowledged to be in a more precarious state than that of the dominant cultures. Disability arises from the conditions of poverty, homelessness, and lack of resources that are compounded for North American aboriginal people by the historical trauma of conquest, being placed on reservations, residential schools, and continued discrimination. We present culturally sensitive and syntonic intervention programs that can reduce the impact of Aboriginal mental disabilities and discuss the commonality among these programs of celebrating culture, language, and tradition.     

Helping families when child sexual abuse is suspected but not proven

This paper reports from a project investigating reactions within families when intra‐familial child sexual abuse was suspected, and family members’ responses to a therapeutic approach. Data were obtained from therapeutic sessions and follow‐up interviews with mothers, children and alleged perpetrators. Before treatment the mothers felt uncertain as to how to interpret the children’s unclear signs. The children had severe symptoms, but had seldom disclosed abuse. The alleged perpetrators were often not informed about the suspicions. The families were in a state of crisis and shock, and communication within the family was characterized by uncertainty about what to talk about and whether the suspicions should be shared. In most cases after treatment the conflicts had been reduced, the children had few symptoms, supervised contact had been established, and the clients were satisfied with the treatment. One conclusion is that therapeutic sessions, where family members share information about concerns and take part in the decisions of how to protect children, seem relevant and helpful to the clients in unclear abuse cases.     

Issues facing brothers of sexually abused children: implications for professional practice

This paper draws on the author's experience of undertaking play therapy with the brothers of sexually abused children. It illustrates the range of difficulties that such boys may face and identifies implications for professional practice. Difficulties are understood as arising from the struggle to develop a coherent narrative about the abuse, often in the face of incomplete or contested information. The outcome is influenced by the nature of the child's attachment relationships with his non‐abusing parents or carers, his abused sibling and with the abuser himself. This struggle for a coherent narrative about the sexual abuse can have a significant impact on the development of a sense of masculine identity, particularly when the abuser is the boy's own father and/or the abused child is male. In the context of increasing professional awareness of the need to support siblings of sexually abused children it is argued that there should be a specific focus on gender and identity issues for boys.     

Confidentiality and Media Attention: A Discussion Concerning Denial and Public Education

The article presents the beginning of a discussion on how the doctrine of confidentiality may have been misapplied in the area of children's protective services. It asks the reader to consider who the client is in these cases and, having answered that question, asks what is the professional responsibility? The whole discussion is linked to the difficulties in dealing with media attention in these cases and offers some experience in the form of case examples. Woven in to the matrix of the above discussion is a clinical and public educational discussion. Preserving confidentiality in its traditional sense can contribute to a preservation of the family secret, namely, child abuse. In that way, a child protection agency can actually be contributing to the maintenance of abuse patterns in a family. Also, with no capacity to speak professionally about specific abuse, the public education impact is diminished.     

Child protection services and parental reactions to children's behaviour

A commonly used expression in child protection is the term 'physical abuse'. This paper consists of a quantitative and qualitative analysis of a 100% sample of 'physical abuse' child protection cases drawn from research in an Australian state child welfare agency, which shows that about 90% of these concerned incidents in which parents used physical punishment to control children. Resulting physical harms to children (where they occurred) were generally of a very minor nature. The paper examines these results in the light of research findings in the UK and Australia on patterns of physical punishment used by parents to control children. Such findings suggest that those child rearing practices that make frequent and systematic use of physical punishment are located largely amongst lower social class parents, who believe that such practices are an essential and normal component of effective parenting behaviour. One interpretation of child protection services in respect of these cases is that they are concerned primarily with the normalization of child rearing practices. The paper concludes with a discussion of the limited impact of the Swedish anti-spanking law of 1979, which appears to have only reduced the use of physical punishment by those parents who may not necessarily have believed in such measures in the first place. However, legislation of this nature has the potential to criminalize a substantial sector of the population, but at least state intervention under the aegis of a specific criminal law provides a clearer mandate than does intervention under much looser, broader and subjectively interpreted child protection legislation.     

System abuse: towards a greater understanding from the perspectives of children and parents

The present article explores the concept of system abuse from the perspectives of children and parents. Four main ways in which the term has been used are highlighted and, with reference to the literature, the commonalities underlying the various uses of the term are explored. Reviewing the available evidence suggests that many families may become unnecessarily involved in the child protection system; this finding is discussed within the parameters of the current Section 17/Section 47 debate. Features of the investigation identified as particularly salient for children and parents include the initial phase of the investigation; investigative interviews and medical examinations; case conferences; social-worker/family interaction and the lack of follow-through services. Gaps in service provision when workers do not consider that abuse has occurred are also considered. Finally, pointers for practice during investigations are discussed in the light of this review     

Exploratory Study on Drug Users’ Perspectives on Quality of Life: More than Health-Related Quality of Life?

In drug treatment outcome literature, a focus on objective and socially desirable indicators of change (e.g. no drug use) has predominated, while outcome indicators that are important for drug users themselves (e.g. quality of life, satisfaction with treatment) have largely been neglected. Nonetheless, Quality of Life (QoL) has become an important concept to evaluate effectiveness of treatment in mental health care research and disability studies. Given the almost exclusive focus on Health-related Quality of Life (HRQOL) in substance abuse research and the neglect of clients’ perspectives in this field, we explore in this study the concept of QoL as perceived by drug users. Focus group discussions (n = 9) were organised in various treatment settings and community services for drug users in the region of Ghent, Belgium to identify important dimensions of QoL and their interpretation by drug users. Data were clustered and analysed based on the theoretical framework of Robert Schalock (Quality of life. Volume 1: Conceptualization and measurement, 1996). The domains ‘personal relationships’, ‘social inclusion’ and ‘self-determination’ were discussed most frequently by the participants. They stressed the importance of a supportive social network in particular. It can be concluded that QoL is not primarily associated by drug users with health and it involves much more than the aspects typically represented in measures of HRQOL.     

‘Nothing happened’: Legal implications of false denials among abused children

People lie on a frequent basis. However, when a victim of maltreatment lies by denying the abuse, lies can become forensically relevant. We have reviewed the relevant literature on the prevalence and memory consequences of such false denials. The way forensic interviewers proceed in the face of denying children will be shaped by their beliefs about the frequency with which truly abused children deny abuse. We discuss that estimates of the prevalence of false denials among abused children vary but that such false denials do happen. When falsely denying children eventually come forward with their experiences, a second issue lingers: how valid are maltreated children's statements after a false denial? We review the literature indicating that false denials can negatively affect memory for the investigative interview during which the lie was told. Yet, memory for the denied experience itself seems to be mostly preserved, and some research even found potential protective effects of false denials. We conclude that denials should always be handled with care in the court room, since the ground truth usually is not known, but that statements should not be dismissed based solely on previous denials.