Dimensions of Support Among Abused Women in the Workplace

The authors draw on social support theory to examine supervisor support match (support wanted and received), support mismatch (support not wanted and received) and work outcomes for abused low‐wage working women, and to determine if supervisor support match and mismatch are more strongly associated with work outcomes than global supervisor support Face‐to‐face interviews were conducted with a community sample of abused, employed women who have experienced intimate partner violence (IPV) in the past year (N = 163). Using hierarchical regression, we found, after accounting for global supervisor support; a higher level of supervisor support match was associated with greater job satisfaction, fewer job reprimands and less job termination. Findings from the study inform theories of social support and have practical implications for workplace interventions for IPV.     

Pathways to Help-Seeking and Mental Health Service Provision for African Female Survivors of Conflict-Related Sexualized Gender-Based Violence

ABSTRACT

African migration to Canada is a relatively new development. There is a dearth of literature on the mental health of this newer immigrant population, especially those from the conflict zones of Sub-Saharan Africa. Our exploratory study examined the experiences of African female survivors of conflict-related sexualized violence based on the insights of six community mental health professionals. Guided by interpretive inquiry, semi-structured interviews were analyzed thematically and interpreted in light of multicultural feminist and transnational perspectives. Findings highlight refugee women’s resilience in the face of threats of social isolation and stigma. Their prioritization of assistance with practical needs, parenting, community/social supports, and education attainment in the context of counseling raises questions about agency and identity in understanding the relationships between female survivors, what they identify as important to their recovery, and their pathways to accessing mental health services.     

Indigenous Healing Practices in Australia

ABSTRACT

Indigenous Australian women are among the most disadvantaged women in the world. Over two centuries of colonization have had a damaging impact on perceptions of their gender roles and status as well as many other consequential oppressions. These experiences have affected the social and emotional wellbeing of Indigenous women of all ages, resulting in socio-economic ghettoization, higher suicide rates, psychological distress, illness, and poverty. Generations of women have experienced the forced removal of their children, resulting in complex forms of historical trauma. Despite this, Indigenous women have also maintained strong leadership roles and have kept families and communities intact. In the last few decades, the Australian Indigenous mental health movement has emerged within the context of a broader self-determination movement, restoring and strengthening women’s traditional therapeutic practices. This article offers an overview of the social and emotional wellbeing of Indigenous women within neocolonial Australia and explores women’s relationship to traditional therapeutic practices. Future directions and key issues for the capacity building of Indigenous women’s healing are explored.     

Religion,Religiousness, and Narrative: Decoding Women's Practices in Senegalese Islamic Reform

Martin Riesebrodt argues that his theory of religion can help explain religion's enduring power in the contemporary globalizing and secularizing world. Although he emphasizes the necessity of objective categories for theorizing religion's purpose, adherents’ narratives about their religious practices reveal lived relationships between ideal‐typical liturgical texts (which help comprise religion) and their appropriations of them for navigating rapidly changing social contexts (religiousness). The validity of Riesebrodt's approach for explaining religion in empirical settings is demonstrated by using ethnographic interviews of Muslim reformist women in Dakar, Senegal. These female adherents’ discourses on the practices of veiling, prayer, and preaching the uniqueness of God highlight the ways religion's directives operate in a dialectical relationship with a religiousness that encompasses their dual efforts to achieve closeness to God and overtly critique other Muslim groups, contemporary urban life, and the state.     

A “Wife’s Duty” and Social Suffering: Sexual Assault in Marital Relationships in Vietnam

ABSTRACT

Sexual assault in marital relationships tends to be somewhat neglected in Vietnam compared to other forms of domestic violence. This relative neglect does not occur because of a lack of concern for abused women among Vietnamese people. Rather, it is due to structural barriers, cultural assumptions and stigma associated with sexuality, sexual violence, domestic violence, and secrecy, or misunderstanding on the part of many abused Vietnamese women. Yet, these women confront a variety of emotional, bodily, and social assaults from their husbands. Suffering is commonly expressed by abused Vietnamese women as they narrate their experiences of the violence. Abused women express their suffering as bodily and emotional pain, shame, frustration, disorientation, and social marginalization. Contemporary marital sexual violence and domestic violence more broadly in Vietnam are linked to the state’s emergent political and economic goals, as well as gender and kinship ideologies drawn upon in support of these goals. These processes have resulted in abused women experiencing social suffering derived from intersecting Vietnamese state, cultural, and social forces. I suggest institutional practices, and non-supportive perspectives and approaches of some professionals and state employees assisting abused women, have made addressing marital sexual violence a difficult and painful process, as well as an additional source of suffering. Second, layered upon these structural and cultural barriers has been the neglect by some professionals of intersecting inequalities based on gender, class, and disability. Third, some institutions in Vietnam provide more effective and beneficial assistance to abused women, making the process of acquiring assistance complex.     

Health consequences of intimate partner violence against married women: a population-based study in northern Iran

The effects of different types of intimate partner violence (IPV) on mental health are understudied. The aim of this study was to analyse the association between women’s mental health and physical, psychological and sexual IPV. We invited subjects of a population-based survey conducted in 2015 in Rasht, Iran, on IPV against women to complete the General Health Questionnaire (GHQ-28). The present research study is a secondary study based on these data and archival data from the 2015 study. For analysis, multivariate analysis of covariance was used. Additionally, predictors of IPV were evaluated using linear regression. A total of 2091 married women were surveyed. The participants were divided into abused women (n = 512, 24.5%) and non-abused women (n = 1579, 75.5%). The pattern of IPV among our patients showed more instances of psychological aggression than physical assault, sexual coercion or injury. Our results show that the non-psychotic psychiatric disorders of the victims were significantly impaired in all aspects, including somatic symptoms, anxiety/insomnia, social dysfunction, and depression. Except social dysfunction, the psychological and sexual abuse were significant predictors of other aspects of mental health. Our findings suggest that risk of IPV is high in this population. They also indicate that various forms of abuse are different from each other in terms of predicting a victim’s mental health. Different strategies may be required to reduce and prevent this violence. Additional research is needed to confirm and expand upon our findings.     

“Big Momma Had Sugar,Imma Have It Too” Medical Fatalism and the Language of Faith Among African–American Women in Memphis

This essay offers a theological exploration of the relationship between medical fatalism and religious belonging among African–American women in Memphis. Drawing on the work of black and womanist theologians and on conversations with participants in a diabetes intervention program administered by a faith-based community health provider, I argue that how we narrate the meanings of our bodies is irreducibly religious. The language we use to interpret and communicate the meaning of our bodily existence emerges from a set of assumptions, often unarticulated, about what is of ultimate value to us. The essay focuses on three interlocking features that link faith with fatalism or hope: (1) The idea that if “I don’t claim that” disease cannot enter my body; (2) the role of faith-based clinics in re-establishing trust with marginalized communities; and (3) how nuanced attention to the social location of health seekers can re-frame our understanding of patient compliance. Disrupting fatalism can only be done from within a health seeker’s own narrative, and therefore, healthcare providers who learn these narratives and respect their holiness will develop more effective interventions.     

Beyond “Entry-level” Jobs: Immigrant Women and Non-regulated Professional Occupations

This article examines issues of foreign credential recognition from the standpoint of immigrant women with post-secondary degrees and employment backgrounds in non-regulated managerial and business professional occupations. Drawing on interviews with recent immigrant women and service providers in Calgary, Alberta, the article describes the women’s experience of looking for work, locating it in the context of the wider organization of settlement services and the labour market. The discussion focuses on the women’s participation in bridging programs designed to connect skilled immigrants with mainstream employers and help them obtain “entry-level” jobs in their fields.     

Twenty Years Post‐genocide: The Creation of Mental Health Competence among Rwandan Survivors Through Community‐based Healing Workshops

Twenty years after the genocide, many Rwandans still suffer from the psychological wounds of the past. The country's mental health agenda is based on individualised and psychiatric approaches that help some but cannot be provided on a large scale. Further, many reconciliation initiatives have been based on public testimonies, which have been shown to be potentially re‐traumatising, leading to calls for small‐scale community‐based approaches to healing, which constitute a middle way between individualised and public approaches. Drawing on the concept of ‘mental health competence’ (Campbell and Burgess, 2012), this study evaluates one such approach: the Life Wounds Healing workshops offered by the African Institute for Integral Psychology. Twenty‐one semi‐structured interviews were conducted with former workshop participants, staff members and the institute's founder to investigate their views on how these workshops can help genocide survivors. The results suggest that the workshops succeed in creating mental health competence by establishing a safe social space for people to open up, increasing people's critical understandings of the processes of pain — and potential for healing — that informs behaviour change, generating bonding social capital and offering participants' income‐generating possibilities. Copyright © 2015 John Wiley & Sons, Ltd.     

Out of the ashes: Sikh American institution building and the promise of equality for Sikh women

This paper examines Sikh American institution building in the post-9/11 period, and the impact of these institutions on Sikh women’s status and empowerment within the community. I examine the social and historical context of Sikh American politics and activism. I present the views of Sikh Americans who are directly involved with institution building and I describe their perspectives on women’s empowerment within the new institutions and in the broader Sikh American community. My discussion is based on ethnographic research, including open-ended interviews, participant-observation at conferences and community events, and analyses of public discourses about faith, ethics, politics, gender, and women on Sikh American websites and blogs.     

Young Women’s Social and Occupational Development and Mental Health in the Aftermath of Child Sexual Abuse

We examined social role functioning and depressive symptoms of young adults who were abused as children in data from a longitudinal community sample. Sexually abused women and men were more depressed during their senior year of high school, and this difference was more pronounced 2 years later. We then examined a mediational model to determine whether social functioning explained the course of depressive symptoms over this transitional period. Focusing only on young women, for whom the prevalence of abuse was much higher, results indicated that two-thirds of the effect of abuse on depressive symptoms was explained by experiences and choices in the domains of work, education and intimate relationships. Having less supportive intimate relationships and lower rates of attendance at 4-year colleges were particularly important. Findings reveal the key role played by early adult interpersonal and occupational development in perpetuating the mental health impact of childhood trauma.     

Negative consequences of community group participation for women's mental health and well‐being: Implications for gender aware social capital building

Participation in community groups is argued to be an important way to create health‐promoting social capital. However, relatively little attention has been paid to the ways in which gender affects the health promotion potential of participation. This paper reports on a qualitative study of women's experiences of participation in a diverse range of community groups, and considers how such involvement can potentially have a negative impact upon mental well‐being. In‐depth interviews were conducted with 30 women in Adelaide, South Australia. Women's accounts of their group involvement reflected that their identities as mothers were particularly important in shaping their participation. Some women reported difficulties in combining group involvement with their family responsibilities. Stress attached to negotiating social interaction within groups was also raised as an issue. It was found that participation can reinforce gender inequality and potentially have severe negative consequences for mental health, issues that need to be considered alongside the potential health benefits. The findings are considered in light of Bourdieu's critical conceptualization of social capital. Copyright © 2008 John Wiley & Sons, Ltd.     

A COMPARISON OF WHITE AND HISPANIC WOMEN'S STORIES OF ADJUSTMENT TO THE BIRTH OF A CHILD

As part of a larger project designed to inform prevention and treatment of postpartum depression and promote positive mother–child relationships in diverse families, this study describes personal stories of postnatal adjustment from 14 White and 9 Hispanic women recruited from prenatal care clinics. Qualitative interviews conducted in the mothers’ primary language (English or Spanish) were analyzed using a modified grounded theory content‐analysis approach. The coding scheme developed to capture the women's discourse about their experiences included child temperament and health; intergenerational patterns; work demands and job loss; schedule changes; increased responsibilities; difficulties with parenting tasks; emotional distress; social stressors and resources; coping strategies; and changes in work, personal, social, and marital domains. More White mothers than Hispanic mothers reported changes in time structure, work stressors, use of psychotropic medication, informational support, and social support from other mothers and professionals; however, within‐group differences were more evident than were cross‐group ethnic differences. Analyses of qualitative interviews led to the integration of Belsky's Determinants of Parenting Model (1984) and the Double ABCX Model of Family Adjustment and Adaptation (McCubbin & Patterson, 1983) into a hybrid third theoretical framework.     

A social cure in the community: A mixed-method exploration of the role of social identity in the experiences and well-being of community volunteers

Cohesive, resilient communities are vital to the well-being of residents. Uncovering the determinants of successful community identities is therefore essential to progressing the community health agenda. Engaging in community participation through volunteering may be one pathway to building local community identity and enhancing residents’ health and well-being, but the group processes connecting them remain unexplored. We conducted two studies investigating these dynamics using the “Social Cure” perspective. First, we analysed 53 in-depth interviews with volunteers, finding that community relationships shaped their experiences and that volunteering influenced their sense of community belonging, support, and well-being. Second, a community survey (N = 619) revealed that volunteering predicts well-being through the serial mediators of community identification and social support. Our article demonstrates the Social Cure processes involved in community-based volunteering, their impact on community identity, support and well-being, and their implications for community health, and the provision and sustainability of community voluntary action and interventions.     

The Psychological Impact of Domestic Violence on Spanish Women1

This study examined the psychological impact of partner violence on 240 Spanish women who were identified as abused, comparing them to a control group of 240 non‐abused women. The abused women suffered more long‐lasting anxiety and insomnia, severe depression, and somatic symptomatology, and also had lower self‐esteem than did the non‐abused women. The severity of the psychological abuse was correlated positively with the severity of the physical abuse, while the number of years of abuse endured correlated with the women's age and number of children. The most relevant variable for predicting severe depression, social dysfunction, anxiety and insomnia, and somatic symptoms was low self‐esteem.     

How do Iranian women from Rafsanjan conceptualize their sexual behaviors?

In Iran, women’s sexual behaviors have not been studied in detail. The aim of this study was to explore the sexual meanings generated through the lived experience of women residing in Rafsanjan, a city in the Kerman province, where interviews and focus group discussions were conducted with 51 Iranian women. Content analysis was adopted to extract the meanings and perceptions. We categorized the findings into three aspects: sexual capacity, motivation, and performance. Sexual desire was the most important concept that women used when they were referring to their sexual capacity. Marriage was the main institution in which women’s motivation for sexual relationships and encounters resided, and “the priority of men’s sexual needs and characteristics” was identified as the core principle of marriage. The concept of sexual performance was more salient and tied to the husband’s sexual initiation. Analyzing the women’s narratives revealed that women’s sexual self-understandings and their sexual behaviors are strongly determined by “androcentricity”, this being relevant both to sexuality education and reproductive health. Recognition of this issue will facilitate understanding of the cultural foundations of sexuality among Iranians and help health providers in suggesting culturally appropriate and compatible forms of health care.     

Conceptualizing ‘social capital’ for health promotion in small local communities: a micro‐qualitative study

This paper reports on a micro‐qualitative case study of peoples' experiences of local community life in a south‐east English town. This material is used as the basis for a critical discussion of the suitability of Putnam's notion of social capital as a conceptual tool for the design and evaluation of ‘community strengthening’ policies and interventions. The study was motivated by a concern that too much debate about social capital has been conducted by academics and policy‐makers in a top‐down manner, with inadequate attention to the realities of life in the local communities that they refer to. Three‐hour semi‐structured interviews were conducted with 37 residents in two less affluent wards in our town of interest. Informants—half men and half women, and spread across the 15–75 age group—were encouraged to talk about their personal experiences of local community life. Interview findings are presented within the ‘norm’ categories of trust, neighbourliness and reciprocal help and support, and the ‘network’ categories of participation in informal networks, voluntary groupings and community activist groupings. Our case study points to a number of ways in which Putnam's concept needs to be refined if it is to inform ‘community strengthening’ policies and interventions in England. Far more notice needs to be taken of the role played by informal networks of friends and neighbours in the construction of local community life. Attention also needs to be given to the complex and shifting geographical spread of peoples' significant social networks. Putnam's conceptualization of cohesive local communities and his unitary notions of trust and local identity may also be unduly essentialist. In our particular communities of interest, they failed to capture the fluidity of local community norms and networks in a rapidly changing society. They also failed to do justice to the extent to which social distinctions—such as age, gender, ethnicity and housing tenure—shape and constrain the way in which people create, sustain and access social capital. Copyright © 2001 John Wiley & Sons, Ltd.     

Healing the Heart: A Qualitative Study of Challenges and Motivations to Cardiac Rehabilitation Attendance and Completion among Women and Men

Heart disease is the leading cause of death in the United States. Given that cardiovascular rehabilitation (CR) participation is the best secondary prevention of cardiac mortality, it is important to understand the challenges and motivations people experience while taking part in rehabilitation. The present qualitative study explored the treatment experiences of 20 women and 20 men at urban and rural rehabilitation clinics in Minnesota. Participants were equally divided based on the number of CR session completed (less than or equal to 18 vs. more than 18). The study’s primary aim was to articulate similarities and differences in the CR treatment experiences by gender. Data were gathered from individual interviews and analyzed using an inductive content analysis. Findings revealed that both women and men view CR as a means to move forward from their cardiac incident and achieve good health. Women were more likely than were men to be motivated by a perceived obligation to CR staff and improved quality of life. Men, in comparison, identified their commitment to CR as a need to complete a task. The study findings can help inform the design of rehabilitation programs and strengthen patient-centered interventions to enhance participation in treatment.     

Economic crisis and social capital: The story of two rural fishing communities

The aim of this study was to assess the impact of the Newfoundland and Labrador groundfish moratorium on the health and social wellness of two communities severely affected by the industry collapse. A qualitative study was conducted involving individual and group interviews with residents from communities in which differences (as indexed primarily by economic and demographic statistics) were observed. Using the concept of social capital and its associated themes of help and support, trust, leadership, and civic engagement, it was observed that the ‘high crisis community’ also demonstrated negative alterations in social and political characteristics which may have compromised its capacity to cope with the crisis and translated into detriments in resident wellness. Among a variety of identified challenges, out‐migration appeared to be the greatest threat as it has translated into an assortment of negative realities. The utility of social capital as a framework for understanding community crises is also discussed.