Destructiveness, atrocities and healing: epistemological and clinical reflections

In this paper, destructiveness is approached as a multi-dimensional phenomenon where the mental health perspective addresses only one of these dimensions. An attempt is made to locate this phenomenon in the context of epistemological and societal considerations. Critical of mono-dimensional explanations based on causal-reductive epistemology, the paper instead proposes the idea of an 'ecology of destructiveness', according to which mental health professionals cannot possibly continue to assume the role of detached observers. The ordinariness and archetypal fascination of destructiveness are discussed as preventing the psychologizing and pathologizing of it. In addition, it is suggested that 'destructiveness may be a tragic facet of the human condition', without this implying any justification of it. Based on my work with a group of Bosnian ex-camp prisoners, some basic principles of how one can work with survivors of atrocities are derived and discussed. A central feature of this work is the attempt to create an appropriate therapeutic context within which a 'therapeutic presence' and 'therapeutic witnessing' can be developed. Finally, the relevance of Jungian insights to this kind of work is reviewed and the emergence of new types of defences of the self is identified.     

Do criminal offenders specialize in crime types?

A common misconception exists that criminal offenders specialize in types of crime, such as serial murders, domestic violence, and sex offenses. This article explores the research on specialization in general criminal offenders, domestic violence offenders, and sex offenders. This review finds that although there are a few specialists, the majority of criminal offenders are generalists who exhibit wide versatility in offending. The implications for legal and mental health policies are discussed.     

Substance use/abuse as a predictor to illegal and violent behavior: A review of the relevant literature

The preponderance of the research evidence supports the conclusion that abuse of certain types of illicit drugs, separately from the abuse of alcohol, predisposes to subsequent violent behavior. The relationship of cocaine/crack to violent crime has been established more clearly for users of crack in inner city areas than it has for those who are users of other forms of cocaine in the general population.In regard to any race/ethnic or socioeconomic factors in the relationships between substance use/abuse and violent behavior, most clearly established is that a higher proportion of young Black males, compared to other race/ethnic groups, are actively involved in dealing cocaine/crack in some inner city poverty areas.As for gender differences, the research evidence indicates that alcohol abuse as a predictor to and a precipitant of violent behavior, is more clearly established for males than for females. Drug abuse, as distinct from alcohol abuse, has been found to predict subsequent violent behavior, for females as well as for males. “Co-morbidity,” the combination of substance use with and psychopathology, appears more likely to predict for females to later violent behavior. Psychopathology and mental health problems are less likely to predict occurrence of either violent or criminal behavior in the future than are either alcohol abuse or drug abuse.     

Assessing the Impact of a Media‐based Intervention to Prevent Intergroup Violence and Promote Positive Intergroup Relations in Burundi

The present study (N = 1074) examined the impact of a theory‐driven media intervention aimed at violence prevention and intergroup reconciliation in Burundi. We used a novel methodology utilizing audio‐based surveys to assess attitudes related to intergroup conflict and reconciliation among community members. We conducted a propensity score analysis to estimate the causal effects of the intervention by examining differences between listeners and non‐listeners of the radio dramas. The results indicated a positive effect of the intervention on several social psychological outcomes (tolerance, in‐group superiority, social distance, intergroup trust, responsibility attributions, trauma disclosure and competitive victimhood). However, listeners and non‐listeners did not differ in obedience toward leaders or historical perspective taking; and the results for active bystandership, one of the main foci of the intervention, were mixed. Furthermore, the results show that the impact of the intervention sometimes depends on listeners' personal experiences of victimization. Copyright © 2015 John Wiley & Sons, Ltd.     

Sexual Coercion,Trauma, and Sex Work in Justice-Involved Women with Substance Use Disorders

Sexual victimization is associated with mental health problems, trauma, substance use, and incarceration. We recruited 200 formerly incarcerated women with substance use disorders in Chicago. We examined whether empowerment moderates relationships between trauma symptoms, trading sex, and being forced to have sex. There was a significant 3-way interaction among sexual coercion, trading, and empowerment scores on trauma symptoms. For women who have not traded sex, lower levels of empowerment were associated with a larger difference in trauma symptoms between women who have been coerced or traded sex. For women who had been coerced, lower levels of empowerment were associated with a larger difference in trauma symptomatology between those who have traded sex or not. Promoting empowerment in sexually traumatized women might reduce the harm that results from being victimized. Furthermore, providing interventions that educate women regarding gender and cultural roles could help women avoid situations that result in exploitation.     

Psychometric properties of beliefs about relationship violence against women and gender stereotypes scale

This article describes psychometric properties of the Gender-Based Relationship Violence Beliefs Scale (BEREVIWOS) and the Gender Stereotypes and Beliefs (GESTABE) scale in a Nigerian setting. Analysis was based on a convenience sample of 202 respondents. Confirmatory factor analysis (CFA) was used to determine construct validity of the three-factor structure of each scale and measurement invariance procedures were utilised to determine whether the factor structure was equivalent across gender. Convergent and discriminant validity of the scales, and predictive and incremental validity were examined for consistency with theory on gender beliefs/stereotypes and violence in patriarchal society. A single-factor CFA model approach was used to examine common method bias. Results suggest the BEREVIWOS and GESTABE are multidimensional scales with an intercorrelated three-factor structure. The fit of the models and composite reliability were adequate. Scores from the BEREVIWOS and GESTABE appear reliable and valid measures of underlying beliefs and stereotypes associated with violence against women in Nigeria.     

Bioethicists Can and Should Contribute to Addressing Racism

The problems of racism and racially motivated violence in predominantly African American communities in the United States are complex, multifactorial, and historically rooted. While these problems are also deeply morally troubling, bioethicists have not contributed substantially to addressing them. Concern for justice has been one of the core commitments of bioethics. For this and other reasons, bioethicists should contribute to addressing these problems. We consider how bioethicists can offer meaningful contributions to the public discourse, research, teaching, training, policy development, and academic scholarship in response to the alarming and persistent patterns of racism and implicit biases associated with it. To make any useful contribution, bioethicists will require preparation and should expect to play a significant role through collaborative action with others.     

College Campus Community Readiness to Address Intimate Partner Violence Among LGBTQ+ Young Adults: A Conceptual and Empirical Examination

This paper provides an overview of a conceptual model that integrates theories of social ecology, minority stress, and community readiness to better understand risk for and outcomes of intimate partner violence (IPV) among LGBTQ+ college students. Additionally, online survey data was collected from a sample of 202 LGBTQ+ students enrolled in 119 colleges across the United States to provide preliminary data on some aspects of the proposed model. Results suggested that students generally thought their campuses were low in readiness to address IPV; that is, students felt that their campuses could do more to address IPV and provide IPV services specific to LGBTQ+ college students. Perceptions of greater campus readiness to address IPV among LGBTQ+ college students was significantly and positively related to a more favorable LGBTQ+ campus climate and a greater sense of campus community. Additionally, IPV victims were more likely to perceive higher levels of campus community readiness than non‐IPV victims. There was no association between IPV perpetration and perceptions of campus community readiness. Greater sense of community was marginally and inversely related to IPV victimization and perpetration. Sense of community and LGBTQ+ campus climate also varied to some extent as a function of region of the country and type of institution. Implications for further development and refinement of the conceptual model, as well as future research applying this model to better understand IPV among sexual minority students are discussed.