Rethinking Traumatic Brain Injury from Intimate Partner Violence: A Theoretical Model of the Cycle of Transmission

ABSTRACT

Despite growing evidence of the repeated nature of traumatic brain injury (TBI) in women experiencing intimate partner violence (IPV), there is no theoretical model depicting TBIs as a cyclical process throughout a lifetime. Situational analysis methodology was used on interviews with 10 women who self-reported passing out from being hit in the head during an episode of IPV to create a theoretical model depicting the cycle of transmission of TBI. We define the cycle of transmission of TBI as the way that women experience multiple TBIs over the course of their lifetime and how TBI can be perpetuated in a family or community. The cycle begins in childhood or adolescence, when women receive a TBI from abuse, sports, or motor vehicle accident. They enter into abusive relationships with men who are also described as living with a TBI and the women receive other TBIs during this relationship. With repeating head trauma, women described increasing TBI symptoms: problems with memory, cognition, executive functioning, depression, and concentration. If they do seek help, they must choose between healthcare and protective shelter. With either choice, the element of instability could be introduced and the cycle of transmission continues. This theoretical model shows that it is necessary to move beyond individual behaviors to think about how TBIs are transmitted through communities and how untreated symptoms can impact help-seeking behavior and perpetuate other risk factors for receiving a TBI.     

EXPLORING A TEACHING/RESEARCH NEXUS AS A POSSIBLE SITE FOR FEMINIST METHODOLOGICAL INNOVATION IN PSYCHOLOGY

In this article the links between feminist pedagogy and feminist research are used as a basis for exploring the potential that teaching about women and gender has a methodological resource for feminist research in psychology. Inspiration for this article stemmed from the author's experience of teaching a postgraduate class in Gender Issues in Psychology in New Zealand. An assessed task for the course required students to interview two women. The interviews were transcribed and the content summarized in a written report and an oral presentation. All parties involved with the project reported finding it an educational experience. The exercise is evaluated as an example of feminist research. The advantages and limitations of using the classroom as a resource for research by feminist psychologists are discussed.     

The Decision to Enter Medicine: Motivations, Social Support and Discouragements for Women

Responses from 93% of the women medical students enrolled in two southern medical schools in 1975-1976 indicated that wanting to serve others, desire for independence in one's work, and interest in science were strong motivations for entering medicine. These motivations also characterized men. Women, more often than men, cited the challenge of a medical career, and they showed more interest in high occupational prestige than have women medical school applicants in the past. Women reported less social support for an early decision than did their male peers. Dissatisfaction with a previous occupation frequently influenced women's choice of medicine. Although women were more likely than men to cite sources of encouragement for their decision, they were also more likely than men to have been discouraged from entering medicine.