Group Treatment with Sexually Assaulted Male Veterans: A Year in Review

Rape of men by other men is a form of sexual assault that is incompletely addressed in the literature. As a result, little is known about the treatment interventions that are most effective for this population. We designed and conducted an ongoing process-oriented psychotherapy group for male veterans who were raped while serving in the military and/or sexually assaulted in childhood. Our experience with this group provided us with a better understanding of the behavioral, cognitive, and emotional issues presented by sexually assaulted males. We suggest that group therapy is an effective modality in treating this population.     

Meeting the advocacy needs of people who have been abused by health and social care practitioners

The Prevention of Professional Abuse Network (POPAN) is the first national organization within the UK to address the problem of the abuse of clients and patients by health and social care providers. POPAN has a small staff group of eight people and a larger network of advisers, supporters and allies; its activities include campaigning, training, consultancy, and the provision of information, advice and advocacy. Jennie Williams is a clinical psychologist and trustee of POPAN, she has supported the development of the organization since the early 1990s; Jo Nash was the main person involved in the development and provision of the advocacy service between September 1997 to January 2000. This is the edited version of a taped and transcribed interview that took place in 1999. Jo Nash is uniquely placed to provide information of significance to anyone using or providing health and social care services. Her work as an advocate has given her a very particular insight into the challenges faced by those seeking redress for professional abuse, and she has first hand experience of providing advocacy to people who are vulnerable and reluctant to trust anyone offering help. In this interview Jo Nash directs attention to the considerable limitations in current complaints systems, practices and procedures, and offers comment on the implications for change. Her work with POPAN provides continual reminders of the importance of prevention, and she identifies a number of ways in which action can be taken to prevent health and social care practitioners abusing their patients and clients. Copyright © 2001 John Wiley & Sons, Ltd.     

Impact of Depression and Childhood Trauma in Mothers Receiving Home Visitation

Research has documented the deleterious effects of maternal depression and childhood trauma on parenting and child development. There are high rates of both depression and childhood trauma in new mothers participating in home visitation programs, a prevention approach designed to optimize mother and child outcomes. Little is known about the impacts of maternal depression and childhood trauma on parenting in the context of home visitation. This study contrasted depressed and non-depressed mothers enrolled in the first year of a home visitation program on parenting stress, quality of home environment, social network, and psychiatric symptoms. Mothers were young, low income, and predominantly unmarried. Results indicated that depressed mothers displayed impairments in parenting, smaller and less robust social networks, and increased psychiatric symptoms relative to their non-depressed counterparts. Path analyses for the full sample revealed a path linking childhood trauma, depression, and parenting stress. Path analyses by group revealed several differential relationships between dimensions of social network and parenting. Number of embedded networks, namely the number of different domains in which the mother is actively interacting with others, was associated with lowered parenting stress among non-depressed mothers and increased parenting stress in their depressed counterparts with childhood trauma histories. In depressed mothers, social network size was associated with lower levels of parenting stress but decreased quality of the home environment, whereas number of embedded networks was positively related to quality of the home environment. Implications of findings for home visitation programs are discussed.     

Help Me Play! Parental Behaviors,Child Temperament,and Preschool Peer Play

Social competence is a critical developmental milestone for preschoolers. Because play is the primary activity through which preschoolers interact socially with peers, it serves as an excellent indicator of social competence. The development of social competence in preschoolers is complex and multifaceted. In order to capture this complexity, we used Belsky’s differential susceptibility hypothesis as a framework for examining the contributions of child temperament and parenting styles in the prediction of peer interactive play behaviors. Using parent ratings of a sample of 44 preschool-age children, we hypothesized that child temperament (specifically, reactivity and regulation) acts as a susceptibility factor in the relationship between parenting styles (authoritarian and authoritative) and child peer play behaviors (disruptive and interactive). Our findings indicated that child reactivity moderated the relationship between authoritarian parenting style and both play outcomes, suggesting that reactivity serves as a potential susceptibility factor. More specifically, children with high reactivity who had more authoritarian parents demonstrated higher levels of disruptive play and lower levels of interactive play. Regulation did not act as a susceptibility factor in our sample. Findings are discussed in terms of implications for practice and in terms of an approach that considers temperament (specifically reactivity) and parenting behaviors in preschool assessment and intervention efforts. Additionally, we discuss how our findings partially support the differential susceptibility hypothesis.     

Mandatory Cancer Risk Warnings on Alcoholic Beverages: What Are the Ethical Issues?

The link between alcohol consumption and cancer is well established, but public awareness of the risk remains low. Mandated warning labels have been suggested as a way of ensuring “informed choice” about alcohol consumption. In this article we explore various ethical issues that may arise in connection with cancer warning labels on alcoholic beverages; in particular we highlight the potentially questionable autonomy of alcohol consumption decisions (either with or without labels) and consider the implications if the autonomy of drinking behavior is substantially compromised. Our discussion demonstrates the need for the various ethical issues to be considered and addressed in any decision to mandate cancer warning labels.     

Caring for Aging Parents: The Influence of Family Coping,Spirituality/Religiosity,and Hope on the Marital Satisfaction of Family Caregivers

The goal of this study was to gain a more complete understanding of the marital satisfaction of family caregivers based on a strength-based framework of family resiliency. Previous research has identified a relationship between the caregiving experience and coping, spirituality/religiosity, and hope, but no study to date has investigated the effect of those three variables on the marital satisfaction of family caregivers. We hypothesized that family caregivers who are spiritual/religious, hopeful, and use effective family coping strategies would experience greater marital satisfaction. A hierarchical linear regression analyzing data from 191 family caregivers supported the hypotheses. Implications for clinicians are discussed.     

An exploratory investigation of coffee and lemon scents and odor identification

Fragrance sellers often provide coffee beans to their customers as a "nasal palate cleanser," to reduce the effects of olfactory adaptation and habituation. To test this idea, college students smelled three fragrances multiple times, rating odors each time. After completing nine trials, participants sniffed coffee beans, lemon slices, or plain air. Participants then indicated which of four presented fragrances had not been previously smelled; Coffee beans did not yield better performance than lemon slices or air.