Staff survey results and characteristics that predict assault and injury to personnel working in mental health facilities

The purpose of this study was to complete a mental health staff opinion survey to identify patient and staff characteristics associated with staff assault and injury in psychiatric treatment settings and to develop a model of prediction for staff assault and injury utilizing these survey variables. The data consisted of opinion surveys sent to staff of 15 child, adolescent, and adult psychiatry inpatient units in the United States. Multivariate logistic regression was used to determine the level of assault and staff‐reported injury prediction that could be obtained from the staff‐completed opinion survey. Responses indicated a high prevalence of reported aggression, with 62.3% of staff endorsing verbal and physical aggression, property destruction, and self‐injurious behavior as being prevalent at their site, whereas only 4.1% rated none of these as prevalent. Staff working with children and adolescents in settings with high rates of psychiatric diagnoses reported increased frequency of assault and injury compared with those working with adults. Younger, less experienced staff reported higher rates of assault and injury. Staff working with female patients reported similar rates of assault and injury to those working with males. A logistic regression analysis using staff‐reported survey results of both staff and patient characteristics predicted assault correctly 73.7% of the time and injury 66.1% of the time. Resources for violence prevention and staff training programs in violence prevention are needed in child and adolescent psychiatry wards. Results are consistent with theories emphasizing the importance of negative emotions and affects, impulsivity, and frustration in goal‐directed activities in human aggression. Aggr. Behav. 29:31–40, 2003. © 2003 Wiley‐Liss, Inc.     

An attachment perspective on grandparents raising their very young grandchildren: Implications for intervention and research

The purpose of this article is to apply an attachment perspective to the growing number of families with grandparents raising grandchildren to increase our understanding of the complexity of intergenerational relationship processes in these families and to guide early intervention and research. It is proposed that, as grandparents take responsibility for their grandchildren, three relationship processes simultaneously occur: (1) disruptions in attachments potentially occur, especially in relationships involving parents, (2) attachment relationships between grandchildren and grandparents develop or are revised, and (3) family members' internal working models of attachment and caregiving are challenged and shaped. To address these processes, attachment theory and research focusing on the formation, disruption, and intergenerational transmission of attachment relationships are reviewed. Conclusions suggest that when grandparents assume responsibility for grandchildren, families may need and be particularly open to a range of interventions. In addition, research focusing on attachment relationships in families of grandparents raising grandchildren is needed. ©2003 Michigan Association for Infant Mental Health.     

The Use of Self-Pleasure: Masturbation and Body Image among African American and European American Women

The current investigation examined the relationship between masturbation and body image among 96 women seeking services at a local family planning clinic in a mid-southern U.S. city. Participants completed a questionnaire that assessed body image and masturbatory practices. Ethnic differences were found with European American women reporting greater masturbation frequencies and higher rates of body dissatisfaction than African American women. Among European American women, there was a positive relationship between women's sexual self-pleasuring and positive body image. For African American participants, body image was not related to masturbation practice or frequency.     

Talking Circles: A Native American Approach to Experiential Learning

Talking circles, as a unique instructional approach, can be used to stimulate multicultural awareness while fostering respect for individual differences and facilitating group cohesion. A brief history of the talking circle is followed by detailed instructions, talking circle process questions, ideas for classroom discussion after the activity, and teaching strategies. Círculos de conversación, como un método singular de pedagogía, se puede utilizar para estimular consciencia multicultural, mientras a la vez promueve el respeto para las diferencias individuales, y facilita cohesión grupal. Le sigue a una breve historia del círculo de conversación unas instrucciones detalladas, preguntas para procesar el círculo, ideas para discusión en clase despues de la actividad, y estrategias pedagógicas.     

The Delay Hypothesis: The Manifestation of Media Effects Over Time

A between‐participants experiment (N = 147) tested for the presence of a delayed effect following exposure to an episode of a legal drama that contained false information. Participants were more likely to endorse false beliefs if they were queried two weeks after watching the program rather than immediately following exposure. The relationship between time and false belief endorsement was found to be moderated by perceived reality of the program. Consistent with the delay hypothesis, those who perceived the legal drama to be unrealistic following exposure had significantly higher false belief scores at Time 2.     

Expressing Emotions as Evidence in Osteoporosis Narratives: Effects on Message Processing and Intentions

This study examined the use of different narratives expressing positive or negative emotions, and varying the narrator's perspective on the arousal of discrete emotions, dominant cognitions, perceived evidence quality, and perceived message effectiveness related to osteoporosis behavioral intentions. Formative research led to the creation of narratives and selection of positive and negative emotions expressed. A 4 × 3 between‐subjects posttest design revealed positive relationships between judgments of evidence quality and perceptions of message effectiveness for predicting behavioral intentions toward osteoporosis prevention. In addition, arousing the emotions of fear and/or hope cued processing of osteoporosis narratives. The theoretical implications of these findings for the use of narratives as evidence and the application of findings for osteoporosis health messages are discussed.