Development of an Abuse Screening Tool for Women with Disabilities

Abstract

Women with disabilities are at increased risk for violence, including forms of abuse that can be experienced by all women as well as forms unique to women with disabilities, such as abuse by personal assistants. The purpose of this study was to develop an abuse-screening tool unique to women with disabilities. The tool, which was based on previous research, was field-tested with 47 women who experienced physical and/or cognitive disabilities. Final refinement of the tool's wording and formatting was accomplished through focus groups and individual interviews. Women with disabilities were receptive to participating in screening, which facilitated the identification of abuse and risk factors. Recommendations for abuse screening and risk assessment with women who have disabilities are presented.     

Toward a feminist theory of disability

We need a feminist theory of disability, both because 16 percent of women are disabled, and because the oppression of disabled people is closely linked to the cultural oppression of the body. Disability is not a biological given; like gender, it is socially constructed from biological reality. Our culture idealizes the body and demands that we control it. Thus, although most people will be disabled at some time in their lives, the disabled are made "the other," who symbolize failure of control and the threat of pain, limitation, dependency, and death. If disabled people and their knowledge were fully integrated into society, everyone's relation to her/his real body would be liberated.     

Language Impairment and Sexual Assault of Girls and Women: Findings from a Community Sample

Both children and adults with disabilities face increased prevalence of abuse and assault, including sexual assault. Women and girls are disproportionately the victims of sexual assault in both disabled and nondisabled populations. Communication difficulties have been identified as a factor that may increase the vulnerability of individuals with disabilities to sexual assault. However, few studies have examined whether language impairment increases risk for sexual assault. This study reports on a community sample of children with speech or language impairment, followed to age 25. Sexual assault history was assessed based on two questions from the Composite International Diagnostic Interview Posttraumatic Stress Disorder module. Women with language impairment (n = 33) were more likely than women with unimpaired language (n = 59) to report sexual abuse/assault, controlled for socioeconomic status. Sexual assault was associated with higher rates of psychiatric disorders and poorer functioning. Women with neither language impairment nor a history of sexual assault had fewer psychiatric disorders and higher functioning than women with language impairment and/or a history of sexual assault.     

Multicultural Perspective on Middle‐Class Women's Identity Development

In this qualitative study using grounded theory, Caucasian women and African American women told the story of their identity development across a lifetime. The Difference Model (U. Oleyamade & P. Rosser, 1980) was used to analyze the interviews separately for each cultural group. The pattern of development for each group is explained and comparisons between the groups were explored. The present study provides an explanation of how African American women sustain their identities in the face of oppression and how Caucasian women struggle to emerge from embeddedness in their self‐definitions and regain their sense of identity.     

The Presence of Psychiatric Disorders in HIV-Infected Women

Many women of low socioeconomic status who have contracted HIV qualify for individual, dual, and multiple psychiatric diagnoses that predate their knowledge of their HIV infection. Two case studies of HIV-infected women are presented. Psychoactive substance use disorders are the most common Axis I diagnoses, followed by depression. The most frequently diagnosed Axis II disorders are borderline and antisocial personality disorders. These women reported histories that often included alcohol and other drug use, childhood sexual abuse, violent interpersonal relationships, depression, and learning disabilities. Earlier intervention addressing these problems might have prevented the onset of psychiatric disorders as well as high-risk behaviors that lead to HIV infection.     

The Responsibility of Men for the Oppression of Women

ABSTRACT Feminist writers arguing that women are oppressed have pointed to men as the oppressors. They have, however, directed little attention to the question of the extent to which men are morally responsible for this oppression, a question which is of special concern for male feminists. Seven categories of men potentially responsible for the oppression of women are identified here; four are argued to be individually responsible for oppressing women and three not. The question of whether men are collectively responsible for the oppression of women is addressed, and three main difficulties are revealed in the endeavour to establish that they are. It is argued that one who is in no way responsible on an individual basis for oppressing women cannot be responsible by sole virtue of being a male. The result has implications for the status of men in the feminist movement.     

Ethnicity and the stigma of disabilities

Abstract

Recent studies reveal significant differences in the attitudes held by people of various ethnic groups toward people with disabilities. We surveyed university students and community members on a scale of desired social distance from people with disabilities. Study 1 revealed that Asian-American participants were more likely to stigmatize and less likely to differentiate between individuals with physical and mental illness than were their African-American, Latin-American or European-American counterparts. Study 2 compared U.S. born with Asian born Asian-Americans and found that nativity was a useful predictor of attitudes toward people with disabilities. Asian born participants were more likely to stigmatize disabilities overall (except mental illness and old age) than U.S. born participants presumably because of the level of assimilation. These cultural differences may have health care and psychosocial implications for those who are disabled and for health care providers.     

Acculturation in Women with Mental Retardation and Its Impact on Genetic Counseling

The provision of genetic counseling to women with mild mental retardation poses many challenges, some directly related to their developmental and cognitive disabilities. Traditional genetic counseling models, in which decision-making is largely based on the understanding of factual information, are particularly affected by the intellectual limitations which characterize this population. Equally important, however, are these women's attitudes, perceptions, and behaviors related to their involuntary inclusion into a highly stigmatized social group. Common themes among these women which surface in the genetic counseling setting include the denial of mental retardation, a hierarchical perception of their own and others' disabilities, and a strong motivation to conceive and parent a child. Such attitudes and behaviors may be symptomatic of acculturation, as these women struggle to take on accepted social roles while rejecting the stigma of intellectual disability. In contrast to factual information, the counselee's ability to discuss emotions and perceptions is not necessarily hampered by her intellectual limitations. A focus on the recognition and discussion of psychosocial issues provides a more meaningful approach than traditional genetic counseling models for facilitating informed reproductive decisions among women with mental retardation.     

Standing in Between: The Healing Praxis of Mayan Women Intermediaries in Post-Genocide Guatemala

ABSTRACT

This article examines how Mayan intermediaries make meaning of their roles in accompanying Mayan women survivors of gross violations of human rights as they search for truth, justice, and reparation in post-genocide Guatemala. Using a constructivist grounded theory approach, the authors analyzed in-depth interviews with six intermediaries who worked with survivors in the context of a seven year feminist participatory and action research project. The findings reveal that healing from the legacies of armed conflict as well as from historical racialized gendered oppression are at the core of Mayan intermediaries’ work with the Mayan women survivors with whom they established an intersubjective relationship, contributing to each other’s healing. The importance of economic justice for survivors’ healing and the scant and circumscribed talk about sexual violence—the grievance central to the work with most of the survivors—emerge as important findings of this study and require future exploration.     

Battered Women

SUMMARY

This review of research findings on woman battering reveals how research has played a major role in changing social policy and challenging common myths and stereotypes. The earliest literature contained the ideas of a few psychotherapists who viewed woman battering as a rare phenomenon that involved masochistic women and sadistic men, which led to the myth of psychopathology as the mediating factor. Research following the birth of the battered women's movement destroyed this and some subsequent myths. It led to changes in medical practitioners' attitudes toward battered women patients and law enforcement's reaction to battering victims and their abusers. It also revealed important facts about the courts' handling of abusers and their victims and about violent relationships that result in homicide. The myth that children living in violent households are unharmed has been soundly discredited, yet despite these findings, many battered women continue to face serious difficulties when they attempt to divorce their abusers and obtain custody of their children. Other myths have been exposed by researchers on the basis of their findings. However, once ideas gain popular public acceptance, they tend to continue to exert influence. Nevertheless, positive changes have occurred in the entire spectrum of medical, legal, and social services with which battered women must interface. The research findings reviewed here help highlight current needs and suggest future directions.     

Mentoring Among Women Lawyers1

Considerable controversy exists as to both the nature and efficacy of mentoring among women professionals. As noted by Wrightsman, this controversy persists largely because researchers have failed to use a common scientific definition of the concept. In the present research a survey of existing studies was used to set a more stringent criterion of mentoring than that usually employed. Data were then gathered from a sample of women lawyers in the State of Oregon. Results indicated that those meeting the more stringent criterion perceived themselves as more successful and satisfied in their careers than those not meeting it. Those women who said that they had mentors but who did not meet the criterion reported themselves as less successful and satisfied than those who claimed to have a mentor and met the criterion. These results are seen as demonstrating the value of the more stringent criterion as well as the possible value of true mentors to women professionals.     

Work, Leisure, and Support Groups: An Examination of the Ways Women with Infertility Respond to Pronatalist Ideology

Pronatalism embodies the belief that a woman's social value is linked to her production of biological children (C. Morell, 2000). Conceiving and bearing children is literally impossible, however, for some of the 5 million women in the United States who struggle with infertility. Women negotiate their experiences with infertility within a pronatalist society, yet their experiences therein have been given little attention. Thus, the purpose of this research was to explore women's lived experiences with infertility in a pronatalist ideology. Active interviews with 32 participants who had experienced infertility revealed that the women were aware of a pronatalist ideology, which was manifested through insensitive comments or questions and unsolicited advice. The women responded by immersing themselves in their work, leisure activities/experiences, or support groups. The findings illustrate how pronatalist ideology is manifest in social interactions, but they also suggest how it may be resisted.     

Older Workers with Disabilities: Job Satisfaction Differences in the Public and Private Sectors in Europe

This study analyzes the differences in job satisfaction of older European people (aged 50-64), with or without disabilities, who are employed in either the public or the private sector. Using the data taken from the Survey of Health, Ageing and Retirement in Europe (SHARE) for the years 2004, 2007 and 2011, job satisfaction equations are estimated for workers from both the public and private sectors, with panel data techniques that include variables related to the worker's degree of disability (nondisabled, non-limited disabled, and limited disabled), among others. The results show that the disabled workers who are limited in their everyday activities are less satisfied in both the public and private sectors than those who are non-disabled and non-limited. In addition, the levels of job satisfaction for non-limited disabled people are higher than their non-disabled counterparts but only in the public sector. From a point of view of public policies, it is necessary to design and undertake measures and actions that would contribute to improving the levels of job satisfaction of older workers with disabilities, especially among those who are limited in their everyday activities.     

Feminist and Community Psychology Ethics in Research with Homeless Women

This paper presents a feminist and community psychology analysis of ethical concerns that can arise throughout the process of doing research with women who are homeless. The unique contexts of the lives of women who are homeless demand that researchers redefine traditional ethical constructs such as consent, privacy, harm, and bias. Research that fails to do this may perpetuate the stereotyping, marginalization, stigmatization, and victimization homeless women face. Feminist and community research ethics must go beyond the avoidance of harm to an active investment in the well-being of marginalized individuals and communities. Using feminist and community psychology ethics, this paper addresses some common problems in research with women who are homeless, and argues for the transformation of research from a tool for the advancement of science into a strategy for the empowerment of homeless women and their communities.     

A Listening Guide Analysis of Lesbian and Bisexual Young Women of Color’s Experiences of Sexual Objectification

In the present study, I utilize objectification theory and compulsory heterosexuality as theoretical lenses to investigate lesbian and bisexual young Women of Color’s sexual objectification experiences. In-depth semi-structured interviews were conducted with eight Black and Latina 16–19 year-old young women who identified as lesbian or bisexual. Using the Listening Guide method of narrative analysis, two voices pertaining to young women’s objectification experiences were identified: a Voice of Surveillance and a Voice of Self-Surveillance. Findings suggest that young women experienced sexual objectification as rooted in their gender, sexuality, and racial identities. Experiences were further shaped by the contexts in which objectification occurred: participants voiced distinct struggles navigating (a) sexual harassment and violence in relationships with peers and romantic partners, (b) sexual harassment and discipline in school, and (c) street harassment and violence from men. Findings highlight the importance of understanding sexual objectification experiences as they are informed by gender, sexuality, and race, as well as the ways that young women actively cope with and resist objectification. Psychologists, activists, and mental health professionals are encouraged to consider how sexual objectification is rooted in multiple forms of oppression, its implications for young women’s identity, desire, and well-being, and how young women can be supported as they struggle against it.     

Internalized Oppression and Its Varied Moral Harms: Self‐Perceptions of Reduced Agency and Criminality

The dominant view in the philosophical literature contends that internalized oppression, especially that experienced in virtue of one's womanhood, reduces one's sense of agency. Here, I extend these arguments and suggest a more nuanced account. In particular, I argue that internalized oppression can cause a person to conceive of herself as a deviant agent as well as a reduced one. This self‐conception is also damaging to one's moral identity and creates challenges that are not captured by merely analyzing a reduced sense of agency. To help illustrate this claim, I consider experiences of people of color who internalize stereotypes regarding criminality and moral deviance. With these examples in mind, I show that internalized prejudices regarding criminality can cause people of color (men and women) to view themselves as outlaws in the moral community, that is, as wrongdoers. This conclusion helps give voice to some of the challenges that women of color who experience multiple sorts of internalized prejudices often face. To conclude, I discuss one strategy for empowerment that women of color have used when confronted with multiple forms of internalized oppression.     

Toward a Theory of Creativity in Diverse Creative Women

ABSTRACT: Little is known and limited research has been completed about creative women, their creative processes, and the decisions they face about their own creative productivity. Few books or even articles suggest how creativity can be better developed, enhanced, or increased in a diverse population of girls and women. The social and political movement focusing on women during the past five decades has provided some understanding of women's creative processes as well as the creative roles that women have played in our society and the forces that shape those roles. In this article, current research is analyzed, focusing on the development of women's creativity and the classification of this research into major themes. Internal and external blocks to creativity in women are discussed, as is current research on these blocks, and an explanation is suggested for different types of creative productivity exhibited by women. A theory is proposed regarding the diversion of women's creativity into multiple areas in their lives, including relationships, work related to both family and home, personal interests, and aesthetic sensitivities. This diversion of creative efforts may result in different levels of creativity applied to work, as well as the existence of very different patterns of creative productivity in creative women.     

Oppression within the counselling room

This paper suggests that the oppression experienced by disabled people in society is sometimes replayed in the counselling room by counsellors who are unaware of their own disablist attitudes and prejudices. Whilst the provision of Disability Equality Training (DET) within counselling courses would ameliorate the problem, I believe that disabled people would be most empowered by a counselling approach which recognises the potential for oppression within the counsellor‐client relationship. One solution may be the creation of a new counselling approach (disability counselling) which includes the social model of disability as one of the foundations. An alternative solution may be found within the emerging counselling approaches that treat counselling as a social and political process and place emphasis on developing comprehensive anti‐discriminatory practice.     

Therapeutic Considerations of Wilderness Experiences for Incest and Rape Survivors

The purpose of this article is to examine the relevancy of traditional wilderness programs, such as Outward Bound, to women who have been violated by experiences of childhood incest and/or adult sexual assault. Applications to African-American women, women with physical challenges, and women who are economically disenfranchised will be emphasized. The overview is from a feminist perspective, one that advocates empowerment over struggle and resisting revictimization on any level. The Rape Assistance and Awareness Program (RAAP) is a non-profit agency in Denver, Colorado dedicated to providing low-cost group psychotherapy for women who have been recently sexually assaulted as well as for women with histories of incest. About five years ago, a three-day Colorado Outward Bound School (COBS) experience was incorporated into RAAP's treatment program. While the COBS weekend generally has been viewed positively by most of the clients and group facilitators, aspects of this element of the program have become increasingly problematic. Its applicability to women with physical disabilities and women with conflicting social and economic priorities is questioned. When RAAP received a special grant to provide sexual assault services specifically targeting women of color, groups for Latinas and African-American women were established and facilitated by therapists of color. These women of color, both clients and therapists, consistently challenge the relevance and practicality for them of the COBS experience. In this article, we contend that wilderness experiences, in their traditional application, do not support the feminist, woman-centered approach to life which is advocated and nurtured at RAAP, nor does it specifically honor cultural diversity or ethnic multiplicity. Recommendations for wilderness experiences attracting a broader range of the feminine experience are made.