Healing from childhood sexual abuse: a theoretical model

Childhood sexual abuse is a prevalent social and health care problem. The processes by which individuals heal from childhood sexual abuse are not clearly understood. The purpose of this study was to develop a theoretical model to describe how adults heal from childhood sexual abuse. Community recruitment for an ongoing broader project on sexual violence throughout the lifespan, referred to as the Sexual Violence Study, yielded a subsample of 48 women and 47 men who had experienced childhood sexual abuse. During semistructured, open-ended interviews, they were asked to describe their experiences with healing from childhood sexual abuse and other victimization throughout their lives. Constructivist grounded theory methods were used with these data to develop constructs and hypotheses about healing. For the Sexual Violence Study, frameworks were developed to describe the participants' life patterns, parenting experiences, disclosures about sexual violence, spirituality, and altruism. Several analytic techniques were used to synthesize the findings of these frameworks to develop an overarching theoretical model that describes healing from childhood sexual abuse. The model includes four stages of healing, five domains of functioning, and six enabling factors that facilitate movement from one stage to the next. The findings indicate that healing is a complex and dynamic trajectory. The model can be used to alert clinicians to a variety of processes and enabling factors that facilitate healing in several domains and to guide discussions on important issues related to healing from childhood sexual abuse.     

Productivity,performance and project management in the scientific instrument industry

Scientific instruments have short product lifecycles and a lengthening of the time between design and application has serious financial implications. This paper reports on research aimed at obtaining a greater understanding of the factors which influence this interface. Interviews were conducted at 32 companies in two countries, the United Kingdom (UK) and the Federal Republic of Germany (FRG). The study showed that there are statistically significant differences between the two countries and that in the FRG there are also differences between projects led by people with different qualifications and background experience. These differences are analysed and discussed and factors identified which influence productivity and performance in the scientific instrument industry.     

Marriage, divorce, and legal change: new evidence from England and Wales

In this article, we explain the evolution of divorce rates in England and Wales over the post-war period. Following the approach of the predominantly North American literature in this area, we focus on the liberalization of divorce law and socioeconomic factors as determinants of the divorce rate. In line with the development of the literature, we find that the introduction of liberalized, no-fault divorce law had a significant effect on the divorce rate in England and Wales. The finding that the law affects the divorce rate is consistent with the view that marriage is characterized by indivisibilities that inhibit Coasian bargaining.     

Development and Validation of a Scale to Measure Adolescent Sexual and Reproductive Health Stigma: Results From Young Women in Ghana

Young women’s experiences with sexual and reproductive health (SRH) stigma may contribute to unintended pregnancy. Thus, stigma interventions and rigorous measures to assess their impact are needed. Based on formative work, we generated a pool of 51 items on perceived stigma around different dimensions of adolescent SRH and family planning (sex, contraception, pregnancy, childbearing, abortion). We tested items in a survey study of 1,080 women ages 15 to 24 recruited from schools, health facilities, and universities in Ghana. Confirmatory factor analysis (CFA) identified the most conceptually and statistically relevant scale, and multivariable regression established construct validity via associations between stigma and contraceptive use. CFA provided strong support for our hypothesized Adolescent SRH Stigma Scale (chi-square p value < 0.001; root mean square error of approximation [RMSEA] = 0.07; standardized root mean square residual [SRMR] = 0.06). The final 20-item scale included three subscales: internalized stigma (six items), enacted stigma (seven items), and stigmatizing lay attitudes (seven items). The scale demonstrated good internal consistency (α = 0.74) and strong subscale correlations (α = 0.82 to 0.93). Higher SRH stigma scores were inversely associated with ever having used modern contraception (adjusted odds ratio [AOR] = 0.96, confidence interval [CI] = 0.94 to 0.99, p value = 0.006). A valid, reliable instrument for assessing SRH stigma and its impact on family planning, the Adolescent SRH Stigma Scale can inform and evaluate interventions to reduce/manage stigma and foster resilience among young women in Africa and beyond.     

Healing from Childhood Sexual Abuse: A Theoretical Model

Childhood sexual abuse is a prevalent social and health care problem. The processes by which individuals heal from childhood sexual abuse are not clearly understood. The purpose of this study was to develop a theoretical model to describe how adults heal from childhood sexual abuse. Community recruitment for an ongoing broader project on sexual violence throughout the lifespan, referred to as the Sexual Violence Study, yielded a subsample of 48 women and 47 men who had experienced childhood sexual abuse. During semistructured, open-ended interviews, they were asked to describe their experiences with healing from childhood sexual abuse and other victimization throughout their lives. Constructivist grounded theory methods were used with these data to develop constructs and hypotheses about healing. For the Sexual Violence Study, frameworks were developed to describe the participants' life patterns, parenting experiences, disclosures about sexual violence, spirituality, and altruism. Several analytic techniques were used to synthesize the findings of these frameworks to develop an overarching theoretical model that describes healing from childhood sexual abuse. The model includes four stages of healing, five domains of functioning, and six enabling factors that facilitate movement from one stage to the next. The findings indicate that healing is a complex and dynamic trajectory. The model can be used to alert clinicians to a variety of processes and enabling factors that facilitate healing in several domains and to guide discussions on important issues related to healing from childhood sexual abuse.     

Filtration of ASTA: a weak convergence approach

Consider a stochastic process (X,A), where X represents the evolution of a system over time, and A is an associated point process that has stationary independent increments. Suppose we are interested in estimating the time average frequency of the process X being in a set of states. Often it is more convenient to have a sampling procedure for estimating the time average based on averaging the observed values of X(T_n) (T_n being a point of A) over a long period of time: the event average of the process. In this paper we examine the situation when the two procedures—event averaging and time averaging—produce the same estimate (the ASTA property: Arrivals See Time Averages). We prove a result stronger than ASTA. Under a lack-of-anticipation assumption we prove that the point process, A, restricted to any set of states, has the same probabilistic structure as the original point process. In particular, if the original point process is Poisson the new point process is still Poisson with the same parameter as the original point process. We develop our results in the more general setting of a stochastic process (X,A), that is, a process with an imbedded cumulative process, A={A(t),t0}, which is assumed to be a Levy process with non-decreasing sample paths. This framework allows for modeling fluid processes, as well as compound Poisson processes with non-integer increments. First, we state the result in discrete time; the discrete-time result is then extended to the continuous-time case using limiting arguments and weak-convergence theory. As a corollary we give a proof of ASTA under weak conditions and a simple, intuitive proof of (Poisson Arrivals See Time Averages) under the standard conditions. The results are useful in queueing and statistical sampling theory.     

The effects of macroeconomic developments on individual companies' flows of funds

A system of models is described which traces the impact on individual companies' finances of changing the macroeconomic environment. This system comprises models of individual firms integrated with Cambridge's large-scale disaggregated model of the UK economy. Illustrative projections are provided for the period 1980–1988 for three companies under alternative exchange rate and interest rate assumptions; a balance sheet, income appropriation account and funds flow statement is generated for each company-year and each assumption. These case studies illustrate how sensitive companies' finances can be to changes in the macroeconomic environment and also how dissimilar can be the response of different companies' flows of funds to the same macroeconomic change.