Interpersonal Violence,Recovery, and Resilience in Incarcerated Women

Abstract

Our first study focuses on interpersonal violence and characteristics of resilience (evaluated by the Multidimensional Trauma Resilience and Recovery [MTRR] interview and rating scales) in a sample of incarcerated women. The second study applies qualitative data analysis to a case study of one participant in group therapy for incarcerated women with a history of childhood sexual abuse. Despite extensive history of both frequent and severe abuse, the women displayed a high degree of resilience across multiple domains, including, in particular, the ability to derive meaning from traumatic events and to place the memories into context, ability to form meaningful relationships with others, and ability to regulate affect. These findings were replicated in study two, which illustrates the process of recovery from a poly-traumatic history.     

Multidimensional Assessment of Trauma Impact,Recovery, and Resilience

Abstract

This paper describes a recent effort to introduce Japanese clinicians to the Japanese language version of the Multidimensional Trauma Recovery and Resiliency (MTRR) measures. The MTRR was translated into Japanese and introduced to a group of Japanese clinicians to gather pilot data on trauma survivors in Japan. Although the sample size limits the generalizability of the results, the findings from a preliminary analysis of 27 cases provide promising results concerning the value of a Japanese version of the MTRR-99. Future psychometric studies of the MTRR-99, parallel to American studies of the English language version of the measure, remain to be conducted. The current investigation opens the door to a series of multicultural studies on trauma impact and resiliency.     

Consequences of Children's Exposure to Community Violence

Much has been learned over the past decade about the way children respond to experiences of violence in their community. The goal of this paper is to review what is known about the effects of community violence on children's development. In addition to main effects, factors that mediate these effects, as well as factors that moderate children's response to community violence are discussed. Special attention is paid to developmental differences in children's responses to community violence and the factors that may promote resilient functioning.     

Towards an Ecological Understanding of Resilience in Trauma Survivors

Abstract

The ecological perspective of community psychology offers needed understanding of diverse sources and expressions of resilience among trauma survivors. Investigations by community psychologists into the nature of wellness-enhancing interventions and empowering social change can inform trauma-focused interventions at individual, community, and societal levels. Here, works by selected community psychologists are reviewed. The ecological view of trauma, recovery, and resilience guiding work at the Victims of Violence (VOV) Program, the range and reach of VOV's clinical and community interventions, and elements of its trauma recovery and resiliency research project illustrate the implications and relevance of these works. Five premises of an ecological understanding of resilience in trauma survivors are discussed.     

Prevalence of Child and Adolescent Exposure to Community Violence

Emerging as one of the most significant health issues facing American youth today, child and adolescent exposure to community violence has generated much interest across multiple disciplines. Most research to date has focused on documenting the prevalence of community violence and the emotional and behavioral ramifications. This paper provides an overview of the current literature regarding prevalence of youth exposure to community violence, and identifies those areas where further research is warranted. In addition to examining overall rates of community violence exposure, this paper reviews the prevalence of different types of community violence, such as weapon use, physical aggression, and crime-related events. Predictors of community violence exposure, including gender, age, race, socioeconomic status, behavior patterns, and geography, are discussed.     

Consequences of Child Exposure to War and Terrorism

Acts of war and terrorism are increasingly prevalent in contemporary society. Throughout history, weaponry has become more efficient, accurate, and powerful, resulting in more devastation and loss of human life. Children are often overlooked as victims of such violence. Around the world, children are exposed to violence in multiple forms, frequently developing traumatic stress reactions. Such reactions are best understood within the context of social-emotional and cognitive development, as children respond differently to the stress of violence depending on their developmental level. Furthermore, the violence of war and terrorism often results in a multitiered cascade of negative life events including loss of loved ones, displacement, lack of educational structure, and drastic changes in daily routine and community values. These numerous losses, challenges, and stresses affect children's brains, minds, and bodies in an orchestrated whole-organism response. This paper describes these effects, synthesizing the current state of research on childhood traumatic stress reactions from the fields of neuroscience, clinical psychology, and pediatric diagnostic epidemiology.     

Art Speaks in Healing Survivors of War

Abstract

Mental health clinics can use creative art therapies as a means of reaching out to war refugees in their communities who may not respond to traditional talk therapy. In this case, the use of quilting and other artwork was utilized by the staff at Chicago Health Outreach to assist displaced Bosnians to cope with their war-related trauma and integration into their new environment in the United States. It can be difficult to reach refugee populations within a community whose culture and language are different from the majority, but finding other means of communicating can make a real difference for these individuals as they find safety and understanding by working on and sharing special creative projects.     

Exposure to War Trauma, War-Related PTSD, and Psychological Impact of Subsequent Hurricane

This study explored the impact of psychological outcomes to war on response to subsequent natural disaster. Participants were 312 military personnel, 66% of whom saw Gulf War duty. All were exposed to the 1992 Hurricane Andrew. Troops were compared on reported traumatic events, hurricane impact responses, and psychological symptoms in subgroups defined by war or no war exposure prior to hurricane and by presence or absence of war-related posttraumatic stress disorder (PTSD). Data were gathered in face-to-face clinical assessments. War trauma prior to hurricane was associated with more reported traumatic events, greater fears for safety during the hurricane, and heightened psychological symptoms. Troops with preexisting war-related PTSD showed more adverse psychological hurricane sequelae and reported more traumatic events, higher depression, anxiety, anger, PTSD symptoms, and physical symptoms, and lower self-esteem than those free of diagnoses. Results point to the negative influence of exposure to one traumatic event on the experience of and response to a subsequent stressor.     

The social and cultural roots of political violence in Central America

The paper suggests that there are specific features of violence, both personal and organized that have roots in the cultural formation of the Central American peoples. Its focus is on the three neighboring countries of Guatemala, Honduras, and El Salvador and on the ideological violence of the twentieth century. The paper considers various aspects of the social character of the Spanish Americans of this area, their concepts of manliness, and their religion, as these affect both rich and poor, and contrasts these features with the attitudes of the indigenous Indian community. Having established that political violence is endemic in the region, the paper considers the role of Hispanic culture in shaping this violence. Emphasis is placed on the notion of machismo, which is identified not with pleasure seeking but with defiance of death. The attitudes of the people of this area toward death shape their attitudes toward violence. They are shown to have a fascination with the instruments of death, especially the machete among the lower classes and the gun among the university students. These attitudes are contrasted with the relatively non-violent attitudes of the Indians. The studies cited in this paper show the Indians as less interested in competition and aggression that the Hispanic population. In the last analysis, the violence of the Central American is intensely personal and can be shown to derive from the basic social and cultural fabric of the society.     

Relationships between Past Trauma Exposures and PTSD among Survivors of Intimate Partner Violence

This study examined child abuse and community violence exposure as potential risk factors in the development of posttraumatic stress disorder (PTSD) symptoms following exposure to intimate partner violence (IPV). In a community sample of 51 primarily low-income women who had experienced IPV, childhood exposure to child abuse made a unique contribution to PTSD symptom severity from subsequent IPV. Community violence also accounted for variance in PTSD symptom severity, but in the opposite direction, with individuals exposed to community violence reporting lower levels of PTSD symptoms from IPV. These findings suggest the need for further research to identify which factors related to community violence exposure might inoculate individuals against the development of PTSD following IPV exposure.     

The Role of Maternal Acceptance in the Relation Between Community Violence Exposure and Child Functioning

Children in the United States are exposed to considerable community violence that has been linked to child functioning. However, not all those exposed, experience negative outcomes. Recent research has focused on factors that “buffer” or protect children from negative consequences of violence exposure. The purpose of this investigation was to examine the potential buffering or moderating role of maternal acceptance in the relationship between community violence exposure and internalizing and externalizing problems. Subjects were 268 urban African American first graders. Community violence exposure was significantly related to symptoms of post-traumatic stress, but did not correlate with either internalizing or externalizing problems for all children, after control for demographics, maternal mental health, and general life stress. However, children's perceptions of maternal acceptance moderated the relationship between violence exposure and internalizing and externalizing problems which included being withdrawn, anxious-depressed, and demonstrating delinquent behavior. Children with the lowest levels of self-reported maternal acceptance were most impacted by community violence. In this sample of urban first graders, low levels of maternal acceptance placed children at greater risk for adverse outcomes associated with community violence exposure compared to moderate and high levels of maternal acceptance.     

Treating the Sexual Concerns of Adult Incest Survivors and Their Partners

SUMMARY

Negative attitudes about sex and sexuality and many types of sexual dysfunction are common aftereffects of sexual child abuse and incest. The traumatic sexualization and the aversive sexual conditioning resulting from childhood abuse have long gone unrecognized, however. This article presents research findings regarding the impact of incest on sexual attitudes and functioning along with treatment recommendations.     

Central Role of Relatedness in Alaska Native Youth Resilience: Preliminary Themes from One Site of the Circumpolar Indigenous Pathways to Adulthood (CIPA) Study

This qualitative study of youth resilience takes place in an Alaska Native community, which has undergone rapid, imposed social change over the last three generations. Elders, and successive generations have grown up in strikingly different social, economic and political contexts. Youth narratives of relationships in the context of adolescent growth and development offer insights to better understand culturally-patterned experience, continuity and change. Local youth and adults shaped the design, implementation and analysis phases of this participatory study. Multiple interviews, totaling 20 older (ages 15–18) and younger (11–14) boys and girls provide accounts of everyday lives and life histories. Although losing close relationships was the most common stressor, many of the participants’ resilience strategies centered on their connections to others. Participants cultivated ‘relatedness’, nurturing relationships that took on kinship qualities. Within these relationships, youth participants acted more responsibly and/or developed a sense of competency and self-worth because of others’ reliance on them.     

Resilience to Childhood Abuse and Neglect in College Students

This study examined the prevalence of a history of childhood maltreatment in a college sample and identified the relationship between being maltreated as a child and later college adjustment in men and women. Results indicate that men who had been maltreated in childhood had more resilient outcomes in college than women who had been maltreated in childhood. Negative life events and protective factors acted as mediators in the relationship between childhood maltreatment and college adjustment for women, and protective factors acted as a moderator in the relationship between childhood maltreatment and college adjustment for men.     

Beliefs in Equality for Women and Men as Related to Economic Factors in Central and Eastern Europe and the United States

Do economic indicators predict the general level of support for gender equality? This question was investigated in a sample of countries in Central and Eastern Europe, a region that has been undergoing rapid economic changes since the early 1990s. In this overall sample of male and female college students from ten countries, including the United States as a comparison, the predicted association between stronger beliefs in gender role egalitarianism and positive economic factors was generally supported. Also, consistent with other research, women were more in support of gender equality than men were. There was no support for a predicted trend in less support for gender equality over the time period of the present study.     

美国医院暴力研究及其对我国的启示

近年来,医院暴力事件不断见诸于媒体和报端,严重危害医护人员的生命安全,对医院暴力问题进行专门性研究已经成为了必须面对的现实课题。美国是较早开展医院暴力问题研究的国家,通过检索其医院暴力的相关网站、法规和文献资料,科学界定了医院暴力的内涵,并介绍了美国在医院暴力解决方面的先进经验。在阐释和对比中美医院暴力成因的基础上,得出二者在成因上具有共性,进而对美国的先进经验进行借鉴,提出了我国医院暴力的完善对策。     

Individual,Community, and National Resilience in Peace Time and in the Face of Terror: A Longitudinal Study

The present paper is based on thrice-repeated measures. The sample constituted 561 Jewish Israeli adults who experienced these terror attacks. The study examined individual, community and national resilience and their associations with resilience-promoting factors (sense of coherence, social support, and self-efficacy); as well as resilience-suppressing factors (distress symptoms, sense of danger, and exposure). Results indicated that resilience scores were quite stable across the three repeated measures, whereas sense of coherence, distress symptoms, sense of danger, and exposure significantly changed across the three repeated measures. Sense of coherence was the best predictor for individual, community, and national resilience.