Cognitive therapy with battered women

Violence toward women by their male partners occurs so frequently that it must be considered seriously by every psychotherapist treating women clients. The paper addresses cognitive therapy with women when there has been a history of domestic violence toward them regardless of whether the danger is imminent and regardless of whether they initially identify battering as the presenting problem. Some cognitions which a woman may hold prior to the onset of abuse may contribute to an increased vulnerability once the violence occurs. A second category of cognitions develops through the battering experience itself, including perceptions of severity of abuse, attributions about the cause of the violence, and attributions about the solution to the problem. Working effectively with battered women requires not only an understanding of the dysfunctional cognitions that they may hold, but also a recognition of the dysfunctional cognitions to which therapists ascribe. It is important for a battered woman to accept responsibility for control of a solution to her victimization, not because the responsibility of the cause is hers, but because it represents empowerment over her own life. A third category of cognitions includes the negative psychological effects of violence. It is imperative to keep as the primary goal of intervention that of safety. Although dysfunctional cognitions may be important to alter, it is necessary never to lose sight of the real dangers the battered woman faces.     

Adult Life Satisfaction and the Role of Forgiveness After Childhood Sexual Abuse: Evidence from a Seventh‐day Adventist Cohort

Negative physical and mental health outcomes are well documented for those who experience child sexual abuse. We explore the role of three types of dispositional forgiveness (of self, of others, and by God) as effect modifiers of the child sexual abuse and life satisfaction relationship. In 2010–2011, a sample of 5,506 Seventh‐day Adventists reported levels of forgiveness, life satisfaction, and whether or not they had experienced sexual abuse in each of the two age periods (younger than 8 years and 8–18 years). Reported experience of childhood sexual abuse lowered life satisfaction regardless of when the child sexual abuse occurred. Forgiveness of self and of others were associated with higher life satisfaction regardless of sexual abuse exposure. Feeling forgiven by God was associated with increased life satisfaction indirectly through forgiveness of self and others. However, for those abused later in childhood, the association of abuse with reduced life satisfaction was weaker for those who felt forgiven by God. These findings suggest forgiveness by God operates primarily through forgiveness of self (and others) but can also buffer the effects of childhood sexual abuse on later life satisfaction when the abuse occurs in childhood/adolescence.     

Resolving the trauma organized system of sexual abuse by confronting the abuser: A focal family therapy approach with a woman who was a childhood victim of sexual abuse

The longer-term emotional and interpersonal effects of sexual abuse in childhood are reviewed and approaches to treatment discussed. The notion of a 'trauma organized system' to account for the long-standing effects of abuse is described. A major potential issue in creating therapeutic change is confronting the abuser, and a case is described where a woman brought her family for therapy when it was feared that the father, who had abused her in childhood, might abuse his grandchildren. A focal family therapy approach was used: this takes into account the traumatic nature of abusive events and their long-term organizing effects on individual and family functioning. The process of therapeutic work is described, including the resolution of traumatic effects by confronting the abusive act.     

Morality and Responsibility

Abstract

This paper addresses the need to (1) support the personal moral belief system that each individual brings into the therapy room, (2) help the individual nourish and develop her/his own system of being in the world that is congruent with her/his sense of right, and (3) incorporate a sense of morality and responsibility into the therapy process when it is lacking. Case studies will present the dilemmas that two women faced concerning the conflict they experienced between their responsibility to their families and their responsibility to themselves.     

The moral significance of the genetic relation

Our ordinary moral attitudes give a prominent place to the principle that each person ought specially to care for any child who is his or her genetic offspring. From this principle of genetic-parental responsibility and other plausible premises, we can derive the principle that each person has the right to control the genetic use of his or her own genes. But there are competing principles of parental responsibility that require consideration. Principles of nurture are among the important competitors. Also, the view that a woman has the right to control her own body for reproductive purposes may be based on a principle that denies the genetic-parental principle. An analysis is developed of the relations that constitute the criteria for the various possible principles of parental responsibility. Causality, temporality, spatiality, and resemblance are considered. The genetic relation is not any one of these relations, but it includes some of them. The justification of any principle of parental responsibility requires a detailed consideration of the principle from the viewpoint of a deontological or consequentialist moral theory. This examination is beyond the scope of this paper, but consideration is given to some issues and problems of justification, and difficult or unusual cases are discussed. There remain, then, complexities that require further study.     

Additive impact of childhood emotional,physical, and sexual abuse on suicide attempts among low-income African American women

This study examines the association between exposures to multiple forms of childhood abuse (emotional, physical, sexual) and adult suicidal behavior in a sample of low-income, African American women. We hypothesized a linear relation between childhood abuse and risk for making a suicide attempt, such that the more forms of childhood abuse to which a woman was exposed, the greater her risk would be to make a suicide attempt. Logistic regression analyses revealed that, compared to women who did not report any experiences of childhood abuse, women who experienced one, two, or three forms of abuse were 1.83, 2.29, or 7.75 times more likely to attempt suicide, respectively (all statistically significant). Furthermore, compared to women who reported one or two types of abuse, women who reported all three types of abuse were statistically more likely to attempt suicide. These findings have implications for clinicians working with African American women who report either childhood abuse or exhibit suicidal behavior.     

Forgiveness as a mediator of the relationship between PTSD and hostility in survivors of childhood abuse

It was hypothesised that forgiveness mediates the relationship between PTSD and hostility within a population of adult childhood abuse survivors. Of the three components of forgiveness-self, other, and situation-self and situation forgiveness were posited as potent mediators of the PTSD and hostility relationship. No differences in the mediational role of forgiveness in sexual versus physical abuse and female versus male abuse survivors were hypothesised. As posited, overall forgiveness mediated the PTSD-hostility relationship and the forgiveness of self and situation were strong mediators. The theoretical and applied implications of these findings are discussed.     

The Ecclesial Ethics of John Howard Yoder’s Abuse

In the last decade – now that his sexual abuse is no longer deniable – Christian ethicists have had to reconsider John Howard Yoder’s theological contributions in the late twentieth century. This essay considers how the witness of the women who survived his abuse exposes the sexism latent in his development of a framework for moral discernment and community discipline. Yoder designed an ecclesiology that was congruent with his pursuit of unaccountable power over the women he used as subjects for working out his exploitative sexuality. His theological contributions, I argue, cannot be separated from his behavior.     

What’s in a Purse? Maybe a Woman’s Reputation

Does a woman’s reputation suffer when others discover condoms in her possession? Fifty-two male and female predominantly white undergraduates from a small, private, Catholic university in the northeast USA examined the contents of a purse to formulate an impression of its owner. Unflattering inferences were drawn about the character of the target when her purse contained condoms. A follow-up study with 55 comparable participants confirmed that these inferences were indeed uncomplimentary. The results are discussed in terms of the multi-dimensional price women pay when assuming responsibility for their sexual health.     

Nonverbal Behaviors and Perceptions of Sexual Intentions: Effects of Sexual Connotativeness,Verbal response,and Rape Outcome

Through the exchange of nonverbal and verbal behaviors, a man and a woman on a date negotiate situated identities. However, a woman's nonverbal and verbal behaviors may reflect an identity discrepant from the one she intended to project, leading to miscommunication between men and women regarding the woman's desire for sexual activity. In Experiment 1, subjects read scenarios in which a woman, Mary, engaged in behaviors that were low, moderate, or high in the degree to which they connotated a desire for sex. In addition, they learned that Mary responded to her date's sexual advances either by saying "no," or by slapping him, or they received no information regarding Mary's verbal response. Subjects were also informed that Mary's date either did or did not force her to have sexual intercourse. Subjects perceived Mary more sexually as her behaviors increased in sexual connotation. In addition, they perceived that Mary desired sex more when no information about her verbal response was provided than when she resisted her date's sexual advances. Subjects also rated the woman more negatively when her nonverbal behaviors were incongruent with her responses to her dale's sexual advances. Contrary to previous research, little evidence of victim derogation was obtained. Results from Experiment 2 showed that men and women agreed in their perceptions of a woman whose behaviors connoted a high interest in sex, but that men perceived behaviors low in sexual connotation ore sexually than women. Implications of the data for understanding sexual miscommunication between men and women as well as reactions to rape victims are examined.     

Forgiveness and Health in Christian Women

Researchers in psychology have studied the influence of forgiveness on the both the psychological and physical health of individuals. In addition, parish nursing is also looking at forgiveness as a potential benefit for self-care and health promotion. Forgiveness was measured using Enright’s Forgiveness Inventory. Health was measured using Spielberg’s State/Trait Anger measure, Beck’s II Depression measure, SPF-15 Health Survey. Body Mass Index was also calculated. Mixed Methods was also used to describe the qualitative findings using content analysis on the types of unjust violations Christian women experienced. Women expressed very severe unjust violations involving sexual, physical, emotional, financial and spiritual abuse. Statistical correlations suggested important relationships among forgiveness and overall health measures warranting further investigation. The relationship between Church type and forgiveness raised questions about women’s role in the Church as well as, the importance of acknowledging personal feelings, which are excluded in many orthodox denomination’s doctrines.     

An Open Letter to Health and Mental Health Care Professionals from a Survivor of Sexual Exploitation

The following is a personal acount from a woman who has cerebral palsy dealing with her experiences with sexual exploitation. The article gives suggestions to the mental and health care profession about working with a survivor of sexual abuse who happens to have a disability.     

Abortion as a stigma: in the eyes of the beholder

The purpose of this study was to investigate social perceptions of a man who impregnated a woman and advised her to have an abortion, and those of a woman who had an abortion. Each subject rated one of four persons on a social distance measure: either a man involved in an abortion, a woman having had an abortion, a male control target, or a female control target. Both abortion targets were perceived less favorably than the control targets. The female abortion target was rejected more by male subjects than by female subjects, and the male abortion target was more rejected by females than by males. While holding permissive attitudes toward abortion was related to willingness to meet the female abortion target, restrictive attitudes toward abortion predicted willingness to meet the male abortion target. Variables related to stigmatization of the man were lack of identification, restrictive attitudes toward abortion, and perceived responsibility. Restrictive attitudes toward women's rights and roles in this society and restrictive attitudes toward abortion predicted stigmatization of the woman. It is suggested that shifting one's attention from characteristics of the stigmatized to observers' characteristics provides a useful perspective on the stigmatization process.     

Gender stereotypes and power: Perceptions of the roles in violent marriages

Men are generally observed to exercise more power than women within the marriage relationship. One way of expressing such power is through the roles in violent marriages, in which the man is usually the more powerful, violent person and the woman is the less powerful, abused person. This research tested the hypothesis that roles differing in power can explain why men are believed to be high in agency and women to be high in communion. Agency involves both positive traits (self-assertiveness) and negative traits (motivated to master and subjugate others); communion involves positive traits (accommodation and concern for others) as well as negative traits (excessive selflessness and vulnerability). College students rated stimulus persons on the gender stereotyped traits. In one condition, the husband was described as violent towards his wife, and in another condition, the traditional power relationship was reversed and the wife was described as violent towards her husband. On both the positive and negative traits, violent women and men were perceived as high in agency and low in communion. Abused men and women were seen as high in positive communion and low in positive agency, although the abused woman was lower in positive agency than her male counterpart. For abused women and men, the hypothesized results were found for negative agency, but not all of the expected findings were obtained for negative communion. The sex differences that were found could be explained by differences in the perceived physical aggression inflicted by violent men and women.Portions of this paper were presented at the 1991 annual meetings of the Eastern Psychological Association, New York, and the Association for Women in Psychology, Hartford, CT. I would like to express my appreciation to Carl F. Wiedemann for his statistical advice.     

Forgiveness: A Philosophical Exploration. By Charles L. Griswold

Although demanding and hard to grant, forgiveness has been treasured for centuries because it has the power to heal emotional wounds, restore human relationships and break the chain of violence. Some writers, though, have asserted that forgiveness found its boundaries in Auschwitz; the Nazi crimes against humanity reached the pinnacle there and cannot be forgiven. While discussing forgiveness in the context of the Holocaust and outside of it, this article pursues the following issues: Does forgiveness have limits? What would be the implications of being unable to forgive? Can punishment of the perpetrator help the process of forgiveness? Does the offended party forgive his or her hurt only?     

Forming a Consortium: A Design for Interagency Collaboration in the Delivery of Service Following the Disclosure of Incest

A central issue in the treatment of intrafamilial sexual abuse is the "secondary trauma" experienced by both the victimized child and her family when the wider system of regulatory and treatment agencies present redundant, incongruent, or conflicting perspectives and demands. This article describes an attempt to effect second-order change through formation of a consortium of regulatory and treatment agencies to develop a consistent and coordinated response to the disclosure of sexual abuse. Feminist, social constructionist, and organizational development ideas are used to develop principles of intersubjectivity, collaboration and a "both-and" stance, which have guided both the clinical and wider systems work.     

Honoring the Mantis Between Our Toes

Sir Laurens van der Post, friend to Jung and fierce advocate for the Bushmen of the Kalahari, expressed his protean gifts and passionate spirit as a novelist, journalist, statesman, and conservationist. His oeuvre of more than twenty-five published books includes A Mantis Carol, his memoir of a synchronistic series of events that led him to travel from his home in London to visit a New York analyst who had been tantalized for many years by near-nightly dreams of a praying mantis. That visit led him to befriend a young woman who related her childhood relationship with circus performer and family friend Hans Taaibosch, who’d become a magical and precious soul friend to her despite remaining in some ways a profound mystery. Together, she and van der Post pieced together Taaibosch's likely origins as a Kalahari Bushman, whose capacity to experience and give joy van der Post saw as an outgrowth of the deeply earthed spirituality of a people whose god, Mantis, is guided by his dreams. One hallmark of Bushman culture is their ritual dancing, their most important dances being “The Dance of the Little Hunger” for food and “The Dance of the Big Hunger” for meaning. The author describes her own synchronistic encounters with mantises and what they and van der Post taught her about the instinctually healing properties of our embodied relationship with one another, our fellow creatures, our dreams, our bodies, and the earth from which all possibilities are born.     

Illness theodicies in the New Testament

The New Testament writers advocate or at least mention six different religious explanations for the origin of sickness. First, Satan may thus victimize the innocent. Second, God may send sickness as a punishment for the sufferer's sins. Third, God may send sickness to punish one's parents' sins. Fourth, God may so punish one's own sins committed in a previous life. Fifth, God may inflict illness in order to show his power by subsequent healing. Sixth, God may inflict illness in order to show his power by sustaining the sufferer through the illness instead of healing it.     

Virginity for Sale: A Foucauldian Moment in the History of Sexuality

Natalie Dylan attempted to auction her virginity through the website of a legal Nevada brothel. Public discourses surrounding Dylan’s auction have characterized it as everything from a smart business transaction to the sale of her self-respect. Using a theoretical frame from Foucault, methods of textual construction, and rhetorical methods of analysis guided by cluster criticism, our paper explores how online discourses surrounding the auction enact problematics concerning the concepts of virginity and the interrelationships among women, sex, money, and power in American society. While Dylan’s discourse attempts to create space for sexual women and commodified sexuality as empowering for women, responses to her enterprise indicate there is little room for a woman’s unapologetic offer of her commodified virginity.