Equine Facilitated Therapy with Children and Adolescents Who Have Been Sexually Abused: A Program Evaluation Study

Child sexual abuse (CSA) is a social problem that often inflicts long lasting psychological trauma and leads to psychopathology, behavioural problems and re-victimization. Treating young people who are presenting with the detrimental effects of CSA is often difficult because these effects off-set efforts at establishing a therapeutic bond. Animals have been found to facilitate the development of the therapeutic alliance between client and practitioner and therapies utilizing horses have the added bonus of empowering clients. This study aimed to evaluate an Equine Facilitated Program (EFT) run by Phoenix House, a sexual assault referral centre in Queensland, Australia. Participants were six boys and nine girls (aged 8–11 years) and 15 adolescent girls (aged 12–17 years). All participants provided several measures of data designed to establish levels of psychological distress at three points in time. That is, Time 1—intake into the service; Time 2—following approximately 6 weeks of in-clinic counselling and pre-EFT; and Time 3 post-EFT (9–10 week duration). Significant improvements in functioning were found between Time 2 and Time 3 assessment across all psychometric measures and for both age groups. No, or non-significant, improvements were found between Time 1 and Time 2 assessments. Overall the results show that EFT proved an effective therapeutic approach for the children and adolescents referred to the service. Of particular note was the finding that efficacy was similar across gender, age and Indigenous/non-Indigenous status. Implications of this and suggestions for further research are discussed.     

„Bluttaten“ und „schizophrene Politik“

Background

The role of printed media in the maintenance of stigmatization has been a subject of debate for several years now. As for stigmatization of schizophrenia, previous research has frequently focused on stereotypes in newspaper articles and the metaphoric use of the word “schizophrenic” for something contradictory, aloof or ridiculous.

Aim

The objective of this study was to quantify the frequency of stigmatizing articles with regard to the specific type of stigmatizing content in German broadsheets and tabloids.

Material and methods

A total of 391 articles extracted from the entirety of all issues of the Süddeutsche Zeitung, Spiegel, Frankfurter Allgemeine Zeitung and the tabloid BILD from 2011 were content-analyzed for stereotypes, false statements and metaphoric use of schizophrenia.

Results

Stigmatizing elements were prevalent in each newspaper (40.4–66.7?%). Among broadsheets the metaphoric use constituted the predominant form of stigmatization, whereas depictions of persons with schizophrenia as dangerous and unpredictable prevailed in the tabloid BILD.

Conclusion

Metaphoric use and blatant discrimination are still highly prevalent in German newspapers. While metaphoric use may be stopped by renaming the disorder schizophrenia, further efforts are needed to raise awareness for and ultimately prevent the reification of stereotypes in printed media.     

Testing the developmental distinctiveness of male proactive and reactive aggression with a nested longitudinal experimental intervention

An experimental preventive intervention nested into a longitudinal study was used to test the developmental distinctiveness of proactive and reactive aggression. The randomized multimodal preventive intervention targeted a subsample of boys rated disruptive by their teachers. These boys were initially part of a sample of 895 boys, followed from kindergarten to 17 years of age. Semiparametric analyses of developmental trajectories for self‐reported proactive and reactive aggression (between 13 and 17 years of age) indicated three trajectories for each type of aggression that varied in size and shape (Low, Moderate, and High Peaking). Intent‐to‐treat comparisons between the boys in the prevention group and the control group confirmed that the preventive intervention between 7 and 9 years of age, which included parenting skills and social skills training, could impact the development of reactive more than proactive aggression. The intervention effect identified in reactive aggression was related to a reduction in self‐reported coercive parenting. The importance of these results for the distinction between subtypes of aggressive behaviors and the value of longitudinal‐experimental studies from early childhood onward is discussed. Aggr. Behav. 36:127–140, 2010. © 2010 Wiley‐Liss, Inc.     

Accompagnement médical et communautaire dans un essai de prévention biomédicale : vers une nouvelle forme d’éducation ?

The recent implementation of innovative biomedical preventive approaches to combat the continued high prevalence of HIV among certain populations, has refocused attention on the question of support in the management of treatment adherence. What distinguishes these approaches from classic research on similar themes is that the populations concerned are not HIV positive. The objective of this study was to assess participant and physician satisfaction with medical and community support provided in the ANRS-IPERGAY trial. As part of this trial, individual interviews were conducted with physicians and with HIV-negative participants involved in the trial. Collective interviews and focus groups were also conducted with the participants. A content thematic analysis was performed on the full two corpuses’ data, with the aim of investigating discourse themes regarding the support offered as part of the trial. The discourse analysis of the HIV-negative participants and physicians underlined their satisfaction with many aspects of the medical and community support provided during the trial. The results were interpreted with respect to new forms of patient education necessary for the implementation of the medicalized prevention.     

Experiences of transgender prisoners and their knowledge,attitudes, and practices regarding sexual behaviors and HIV/STIs: A systematic review

Background: Despite transgender people being more visible in prison systems, research suggests they are at higher risk of experiencing sexual violence compared to other prisoners. Research also suggests that transgender prisoners experience harassment, and physical and sexual assault by fellow prisoners, and prison officers who lack transgender-specific health knowledge. There exist no systematic reviews on the experiences of transgender people in prisons. This review aims to fill this research gap. The following question developed in consultation with transgender, sexual health/HIV and corrective services stakeholders has guided the systematic review: What are transgender and gender-diverse prisoners’ experiences in various prison settings and what are their knowledge, attitudes and practices regarding sexual behaviors and HIV/STIs?

Methods: The review followed the PRISMA guidelines and searches were conducted in four databases for the period of January 2007 to August 2017. Studies were assessed against predetermined inclusion and exclusion criteria. Included studies were peer-reviewed, written in English with online full-text availability and reported data on transgender and gender-diverse prisoner experiences relevant to the research question.

Results: Eleven studies (nine qualitative, one quantitative, one mixed-methods; nine in USA, two in Australia) met the criteria for review. Four studies were of high quality, six were of good/acceptable quality, and one study was of modest quality. Transgender and gender-diverse prisoners reported a range of challenges which included sexual assault, discrimination, stigma, harassment, and mistreatment. Information on their sexual health and HIV/STIs knowledge, attitudes, practices is in short supply. Also, their lack of access to gender-affirming, sexual health/STIs and mental health services is commonplace.

Conclusions: The experiences of transgender prisoners as reported in this review are almost uniformly more difficult than other prisoners. Their “otherness” is used as a weapon against them by fellow prisoners through intimidation and violence (including sexual) and by prison officers through neglect and ignorance.     

Modulation of the Irrelevant Sound Effect by Organizational Factors: Further Evidence from Streaming by Location

An irrelevant sequence of discrete auditory tokens disrupts serial recall markedly if successive tokens differ, but the disruption is less marked if the sound is repeated. However, the relation of stimulus mismatch and degree of disruption with serial recall seems to be modulated by organizational principles such as streaming by pitch and streaming by location. The current empirical work replicates the finding that the impact of changing sequences can be reduced if tokens are assigned to different locations in such a way as to form separate streams, each containing sequences of repeated tokens. This study shows that this phenomenon is not a consequence of reducing the number of tokens per stream.     

Review of Teresa Obolevitch: Faith and Science in Russian Religious Thought

Studies in East European Thought -