Harm and Uncertainty In Newborn Intensive Care

There is a broadly held view that neonatologists are ethically obligated to act to override parental nontreatment decisions for imperiled premature newborns when there is a reasonable chance of a good outcome. It is argued here that three types of uncertainty undercut any such general obligation: (1) the vagueness of the boundary at which an infant’s deficits become so intolerable that death could be reasonably preferred; (2) the uncertainty about whether aggressive treatment will result in the survival of a reasonably healthy child or, alternatively, the survival of a child with intolerable deficits; and (3) the inability to determine an acceptable ratio between the likelihoods of those two outcomes. It is argued that the broadly held view accords insufficient weight to the fact that newborn intensive care increases the likelihood of harm to the child by effecting survival with intolerable deficits. Though treatment may offer a reasonable chance of a good outcome, it is argued that there are situations in which neonatologists should nonetheless defer to parental nontreatment decisions.     

The effect of transgressor's and victim's sex on children's punish-help judgments

The present investigation, expanding upon a study by Miller and McCann, sought to determine whether children's reactions to the perpetrators and victims of antisocial behavior are influenced by the sex of the individuals involved. Third- and fifth-grade children were asked their opinions of a series of stories in which one child (boy or girl) was described as having intentionally harmed another child (boy or girl). The results indicate that the relative importance that children attribute to punishing transgressors and helping victims is mediated by the sex composition of the transgressor-victim dyad.     

Sexual offenses against children: Patterns and motives

Children are the quintessential innocent victims; therefore, special opprobrium is reserved for offenders who sexually abuse them. This article describes the more prominent typologies of pedophilic sex offenders and discusses the role of child pornography in child sexual abuse of actual children. It next examines the often overlooked population of women offenders who sexually abuse children. Attention then turns to the sexual abuse of children in child care settings and by members of the clergy; practical recommendations are provided for reducing the risk of this kind of institutional child sexual abuse. Theoretical conceptualizations of child sexual abuse are considered, in the three main categories of cognitive–psychodynamic theories, neuropsychological conceptualizations, and contributions from the emerging field of evolutionary psychology. Finally, recommendations are made for developing a way of handling sex offenders, including sexual offenders against children, that balances the fair administration of justice with society's obligation to protect vulnerable potential victims.     

Film violence and young offenders

Recent assertions have been made that viewing violent material on film and video may influence children and adolescents who commit violent acts. It has also been proposed that heavy exposure to television violence in childhood is associated with violent crime as an adult, although others have emphasized that experiencing “real” violence as a child has a much greater effect on aggressive predispositions. Ways in which screen violence can effect behavior includes: imitation of violent roles and acts of aggression, triggering aggressive impulses in predisposed individuals, desensitizing feelings of sympathy towards victims, creating an indifference to the use of violence, and creating a frame of mind that sees violent acts as a socially acceptable response to stress and frustration. It is argued that young offenders may like violent videos because of their aggressive background and behavioral tendencies. Whether such tastes reinforce violent behavior and increase the frequency of aggressive acts and antisocial behavior is open to question. This question needs an urgent answer given the availability of violent video film either to be viewed in the home environment appropriately (i.e., the whole film in real time) or inappropriately (i.e., from one violent scene to the next viewed in slow motion and freeze-frame).     

Indoctrination, Coercion and Freedom of Will

Manipulation by another person often undermines freedom. To explain this, a distinction is drawn between two forms of manipulation: indoctrination is defined as causing another person to respond to reasons in a pattern that serves the manipulator's ends; coercion as supplying another person with reasons that, given the pattern in which he responds to reasons, lead him to act in ways that serve the manipulator's ends. It is argued that both forms of manipulation undermine freedom because manipulators track the compliance of their victims, while neutral causal mechanisms do not. Manipulators see to it that their victims comply even in the face of forces that threaten to derail them from the manipulator's desired course. It is suggested that this has an impact on freedom because part of what we desire in wanting to be free is the availability of forms of life very different from those we actually enjoy.     

The child sexual abuse victim: Assessment and treatment issues and solutions

Particular attention is given in this paper to the assessment process with child sexual abuse victims and recommendations are made regarding practical issues both in the assessment and the treatment phases of therapeutic work with child victims.     

Responsibility Attribution And Helping Behaviour In The Ash Wednesday Bushfires

The theoretical and empirical literature on the attribution of responsibility and helping behaviour suggests that a causal relationship exists between the perception of a victim's responsibility for his or her distress and the observer's willingness to help. This relationship was examined in a study of the attributions Victorians made and the amount of help (donations) given to the victims of the Ash Wednesday bushfires. The survey responses of 372 subjects indicated that although many people attributed a considerable degree of responsibility to the victims, attributions were unrelated to subsequent helping behaviour. Instead, helping was mediated by feelings of personal obligation to lend assistance and feelings of sympathy for the victims. It is argued that attribution theory may not be relevant to serious situations where norms for helping are highly salient.     

RECENT TRENDS IN RESPONSE TO CHILD VICTIMIZATION

Abstract

This chapter serves as an introduction to the many roles of health care professionalsin the assessment, care, and treatment of child victimization. It concentrates on those professionals caring for the physical health of victims of child abuse and neglect, although there are many similarities between child maltreatment and other family violence victims. In reviewing the health impact of maltreatment and the historical contributions of health care professionals, it discusses the roles that health care disciplines play in clinical care, training, research, and advocacy and their interaction with the community's child welfare, legal, and criminal justice systems.     

Sociocultural Groundings of Battered Women’s Entrapment in Abusive Marital Relationship in Ghana

While social psychological theorizations have contributed to our understanding of why battered women continue to remain in abusive intimate relationships, its apparent exclusive focus on individual victims’ psychological orientation leaves little conceptual space for discovering the subtle ways by which social and cultural norms shape the stay/leave decisions of victims of spousal violence. Drawing upon discursive psychology, this study explores the sociocultural groundings of stay/leave decisions of battered women in Ghana. Semi-structured focus groups and personal interviews were conducted with 32 participants: 16 victims and 16 perpetrators from rural and urban Ghana. Discursive accounts of participants suggest that post-divorce social stigma, remarriage alternatives, and post-divorce child care, as well as privacy framing of marital abuse function in concert to influence battered women’s entrapment in violent marital relationships. The article argues that, rather than individual psychological orientation, the decision to stay in or leave abusive marital relationships in Ghana is socioculturally and structurally grounded. To understand the highly complex nature of spousal violence, one must always go beyond the person and his or her psychological orientations, and seek the origin of battered women’s entrapment also in the external conditions of life, and in the sociocultural and structural forms of human existence.     

Prior interpersonal trauma: the contribution to current PTSD symptoms in female rape victims

The purpose of the current study was to disentangle the relationship of childhood sexual abuse and childhood physical abuse from prior adult sexual and physical victimization in predicting current posttraumatic stress disorder (PTSD) symptoms in recent rape victims. The participants were a community sample of 117 adult rape victims assessed within 1 month of a recent index rape for a history of child sexual abuse, child physical abuse, other adult sexual and physical victimization, and current PTSD symptoms. Results from path analyses showed that a history of child sexual abuse seems to increase vulnerability for adult sexual and physical victimization and appears to contribute to current PTSD symptoms within the cumulative context of other adult trauma.     

Treatment of a four-year-old victim of incest

Abstract

A case study describing the use of behavior techniques in the treatment of a four—year—old sexual assault victim is presented. The target behaviors included eating, phobic behaviors, self—injurious behaviors, and comments made about the father (the perpetrator) and the paternal grandmother. The child's mother served as both data collector and therapist. The study demonstrates that child victims can experience a sexual assault trauma syndrome similar to that manifested by adult victims. Additionally, the findings illustrate that a simple behavioral intervention implemented by a parent can be effective in treating young sexual assault victims.     

Sexual harassment,male dominated organizations and the role of counselling psychology: The case of medical school

This paper presents evidence of sexual harassment in medical school based on a survey of students (n = 186) and lecturers (n = 100); but while 85.5% of students believe that medical educators should combat this behaviour, only 67.7% of the lecturers do so. it is argued here, that ambivalence towards sexual harassment is a psychological symptom of a male dominated culture, with long term implications for victims, perpetrators and witnesses. It is an issue which needs to be addressed both interpersonally and at an organizational level.     

Population and Third World Assistance –A Comment on Hardin's Lifeboat Ethics

Many philosophers have defended the view that well-off people or nations have an obligation to assist people who suffer from famine in less developed areas of the world. However, in contrast to this outlook, some theorists have claimed that it is ethically wrong to provide this kind of assistance. In this article the non-assistance view is discussed. It is argued that even if a neo-Malthusian population theory is correct and if we accept a maximizing policy which allows the relevant weighing of evils, there may still be an obligation to assist the victims of starvation in poor countries.     

Language growth with experience without feedback

The relationship between language input and the precise way the child makes use of that input is a complex problem. Most research has concentrated on specific forms in the input and their later production by the child. It may be, however, that the child controls more of the acquisition process than previous input studies have assumed. Experience of particular language forms may be all that is required for internal organizational processes to operate. This longitudinal study investigated language growth in children using a structure they had not yet mastered. Experience of this structure at 3-month intervals over the course of 1 year—without any feedback that children were interpreting some instances incorrectly—led to accelerated acquisition as compared with the ages observed in children tested cross-sectionally. It is argued that exposure to a linguistic structure that induces the child to operate on that structure can lead to a reorganization of linguistic knowledge even though no direct feedback has been given as to its correct adult interpretation.     

The Relationship between Sex Offender Height and Pedophilic Interest

The current study examined the relationship between offender height and pedophilic interest (as measured by having a victim under 13 years old) in a sample of 22,228 registered sex offenders in the United States. Results revealed that offenders with victims age 12 and under were, on average, nearly one-quarter inch shorter than offenders of adults, and .18 inches shorter than those with minor teen victims. Implications for future research about the biological etiology of child sexual abuse perpetration are discussed, including the role of adverse childhood experiences in the neurodevelopment of offenders.     

A Comparison of Victim and Offender Perspectives of Grooming and Sexual Abuse

This study involved interviews with three female victims of on-line grooming and contact sexual abuse and the three adult males who groomed and abused them. Results indicate that victim and offender dyads most commonly disagreed in their accounts of the sexual elements of the relationship, including initiation; stage when sexualization took place; production of photos and videos; and initiation of contact sexual abuse. The study found that the dynamic between offenders and victims of on-line grooming and child sexual abuse can be varied and complex. Findings are discussed in the context of implications for practitioners and prevention.     

Child and Adolescent Emotion Regulation: The Role of Parental Emotion Regulation and Expression

This paper reviews current literature relating to parent and child emotional functioning, specifically their emotion regulatory skills and emotional expression. Included are considerations regarding theoretical, methodological, and sampling strengths and weaknesses of existing literature. On the basis of the review, several directions for future research are proposed. First, it is argued that consistency in the measurement of emotion regulation is necessary, including assessment of more refined theoretical conceptualizations of regulatory types, skills, or strategies. Second, it is argued that emotion regulation developmental research examining the post-early childhood period is necessary in order to contribute to a more comprehensive understanding of youths’ emotion regulation. Finally, it is argued that greater examination of paternal influences on child emotional functioning, in addition to maternal influences, is required. Consideration of these issues in future emotion regulation research will ideally contribute to a greater understanding of the mechanisms involved in child and adolescent development of optimal regulatory capacities.