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ABSTRACTDespite 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. 相似文献
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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. 相似文献
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Identifying and Referring Youths at Risk for Suicide Following Participation in School‐Based Gatekeeper Training 下载免费PDF全文
Donna Susanne Condron MA Lucas Godoy Garraza MA Christine M. Walrath PhD Richard McKeon PhD David B. Goldston PhD Nicole S. Heilbron PhD 《Suicide & life-threatening behavior》2015,45(4):461-476
Gatekeeper training is a core strategy of the Garrett Lee Smith Memorial Suicide Prevention Act of 2004. Using data gathered from school‐based gatekeeper trainings implemented by GLS grantees, this analysis examines training and gatekeeper factors associated with (1) identification and referral patterns and (2) services at‐risk youths receive. Time spent interacting with youths was positively correlated with the number of gatekeeper identifications and knowledge about service receipt. Gatekeepers who participated in longer trainings identified proportionately more at‐risk youths than participants in shorter trainings. Most gatekeeper trainees referred the identified youths to services regardless of training type. 相似文献
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