Chapter 7. Conclusion

ABSTRACT

Children who witness domestic violence experience a variety of negative effects. These include maladaptation in the areas of behavioral, emotional, social, cognitive, and physical functioning. The Occupational Therapy Psychosocial Assessment of Learning (OT PAL) is a tool that can be used to evaluate the psychosocial functioning of a student's performance in a classroom environment. Presented is the case study of a child witness of domestic violence and the use of the OT PAL in measuring the psychosocial aspects of his performance in a non-traditional classroom setting.     

Conjoint Couple's Treatment for Intimate Partner Violence

Abstract

Despite lingering concerns in the field about the wisdom of seeing couples conjointly when there has been Intimate Partner Violence (IPV), the research literature and clinical practice experience both indicate that this approach can be safe and effective for at least some couples. In this paper, we briefly review the existing outcome research on Couple's treatment for IPV and then suggest best clinical practices for this work. Best practices, in our view, include seeing Couple's treatment of IPV as a clinical specialty necessitating specific training, working as part of a coordinated community response to IPV, modification of the structure of therapy to increase safety, as well as careful screening of couples and on-going assessment of the propriety of conjoint treatment.     

Councils as Empowering Contexts: Mobilizing the Front Line to Foster Systems Change in the Response to Intimate Partner Violence

Collaborative approaches to change are common, and though evidence for their effectiveness is equivocal, there is growing support that councils facilitate desired changes in the systems response to intimate partner violence. Questions remain regarding the specific mechanisms by which this change is facilitated, and recent work has focused on examining the intermediate processes through which councils may produce more distal change. One such mechanism relates to the potential of councils to be empowering contexts for their membership, often comprised of front-line providers and responders. The present study examines what factors are positively related to perceived individual empowerment as an outcome for members, and importantly, considers not only perceived council context, but also the perceived organizational contexts in which each council member is employed. Study findings suggest that both contexts-council and organizational-are important when considering the degree to which members are empowered. Specifically, member participation, council leadership, and supportive council and organizational climates are significantly positively related to the degree to which councils function as empowering contexts. However, the effect of belonging to a council with a supportive climate, characterized in particular by shared power in decision-making, is stronger when members are from high organizational support settings versus low support settings.     

Proximal Outcomes Matter: A Multilevel Examination of the Processes by Which Coordinating Councils Produce Change

Communities are engaged in efforts to create a coordinated response to intimate partner violence. Though coordinating councils are commonly employed vehicles for such efforts, research provides only equivocal support regarding their effectiveness. These mixed findings may reflect methodological and conceptual challenges. Specifically, there is an over-reliance on conceptualizing council effectiveness in terms of distal outcomes (e.g., behavior change), rather than the intermediary processes by which councils affect change. A direct assessment of councils' proximal outcomes may highlight change mechanisms. To that end, this study investigates the extent to which councils impact proximal outcomes and examines the processes through which proximal outcomes are interrelated and linked to distal community change. Study findings suggest that perceived proximal outcomes do significantly predict variability in perceived distal community change across councils. Specifically, promotion of social capital and institutionalized change predict achievement of distal community change, and promotion of social capital also predicts achievement of institutionalized change.     

Neighborhood Predictors of Intimate Partner Violence: A Theory‐Informed Analysis Using Hierarchical Linear Modeling

Due to high prevalence rates and deleterious effects on individuals, families, and communities, intimate partner violence (IPV) is a significant public health problem. Because IPV occurs in the context of communities and neighborhoods, research must examine the broader environment in addition to individual‐level factors to successfully facilitate behavior change. Drawing from the Social Determinants of Health framework and Social Disorganization Theory, neighborhood predictors of IPV were tested using hierarchical linear modeling. Results indicated that concentrated disadvantage and female‐to‐male partner violence were robust predictors of women's IPV victimization. Implications for theory, practice, and policy, and future research are discussed.     

Experimental Evidence From Newborn Chicks Enriches Our Knowledge on Human Spatial–Numerical Associations

Núñez and Fias raised concerns on whether our results demonstrate a linear number‐space mapping. Patro and Nuerk urge caution on the use of animal models to understand the origin (cultural vs. biological) of the orientation of spatial–numerical association. Here, we discuss why both objections are unfounded.     

Men’s Gendered Constructions of Intimate Partner Violence as Predictors of Court-Mandated Batterer Treatment Drop Out

The purpose of this study was to explore the meaning men make of their violence toward intimate partners and to examine if and how these meanings and constructions of violence predicted who drops out of batterer treatment prior to program completion. We used both qualitative and quantitative data collected from 154 men court-mandated to participate in a batterer intervention program. The qualitative findings indicated that the men in this sample minimized and denied responsibility for the violence they used towards their intimate partners while simultaneously rationalizing and justifying their violent behavior. Such findings provide insight into how denial and minimization and, more broadly, men’s constructions of masculinity might predict their tendency to drop out of batterer treatment. Furthermore, building upon our qualitative findings, logistic regression analysis revealed that men who were lower income, no longer intimately involved with the women they abused, and who reported lower levels of physical violence and higher levels of hostility were more likely to drop out of the batterer treatment program.     

The response of christian clergy to domestic violence: Help or hindrance?

This paper reviews the literature regarding Christian clergy as a resource for victims of domestic violence, a common threat to women. Although assistance is available, there are more victims than resources, resulting in many women having limited to no help at all. One resource for victims is the clergy, who are often perceived as respected members of the community and have the authority to make suggestions or even interventions about family issues. However, the literature suggests that cleric theological beliefs may hinder their ability to counsel victims, and the effectiveness of cleric ability to counsel victims varies greatly. Future directions for research are suggested in order to understand what factors influence cleric attitudes and counseling abilities.     

A Qualitative Study of the Activities and Outcomes of Domestic Violence Coordinating Councils

Efforts to promote systems change frequently involve the creation of councils, coalitions, and other collaborative settings. However, research, to date, reports limited empirical evidence that they achieve desired outcomes (Roussos and Fawcett, Annu Rev Public Health 21:369–402, 2000). The precise nature of this evidence base has received less attention. In particular, formal investigations into council effectiveness (a) rarely highlight the specific nature of collaborative efforts; (b) emphasize fairly distal markers as the “gold standard” for effectiveness; (c) focus largely on formative “outcomes” (e.g., action plan quality); and (d) utilize primarily quantitative research approaches. The current study extends previous research by employing a qualitative approach to investigate the particular activities and proximal outcomes of 41 domestic violence coordinating councils. Study findings suggest that councils engage in six primary activities: discussing issues, sharing information, identifying weaknesses in the system’s response, providing training for key stakeholders, engaging in public/community education, and lobbying key stakeholders who are not council members. Three proximal outcomes were consistently identified in council efforts: the promotion of knowledge, relationships, and institutionalized change. Attending more directly to proximal outcomes and concrete activities in our research has important implications for conceptualizing and researching the effectiveness of councils and collaborative settings.     

Discrimination of multidimensional geometrical figures by chickens: categorization and pattern-learning

Japanese bantam hens were trained to discriminate between geometrical figures varying along four integral dimensions. Only one dimension predicted food: selections of sharp-cornered figures were reinforced, while selections of rounded figures were not. In experiment 1, hens were subsequently trained to discriminate between nine figure pairs in a simultaneous discrimination task. Because single pairs contained multiple redundant cues, whereas the relevant dimension was obvious only across stimulus pairs, the results revealed effects of both generalization and reversal learning. Accordingly, learning speed was enhanced for later discriminations. Experiment 2 tested the hens’ transfer performance to unknown pairs, following experience of 9 or 18 figure pairs. Four of seven hens showed reliable transfer after experience with 9 figures, but only three showed transfer after experience with 18 figures, indicating lower transfer with higher number of stimulus pairs learned. In experiment 3, hens were trained to discriminate 27 figure pairs. Discrimination ratios further decreased and the groups of pairs differed significantly in their ratios of discrimination. Individual hens’ pecking behaviour was analysed in relation to each dimension of single figures and in relation to relative differences in the levels of dimensions between paired figures. Hens were shown to be oriented towards irrelevant information and more towards relational and configurational than elemental and dimensional aspects. The results are discussed in the biological context of individual recognition in chickens’ dominance hierarchies, in which we suppose that chickens identify individual flock mates by representation of their visual pattern rather than by single characteristics. Received: 18 September 1998 / Accepted after revision: 23 December 1998