Some thoughts on the creation of the child psychotherapist's role in a major teaching hospital

Twenty-three children, aged four to eight years, who had been exposed to violent attacks, were videotaped in individual 40-minute play sessions. These play narratives were recorded by a student researcher trained in narrative analysis and play therapy. She then sorted these play vignettes into three patterns of post-traumatic play, defined in the Children's Play Therapy Instrument/Adaptation for Trauma Research (CPTI/ATR). The three patterns were re-enactment with soothing; re-enactment without soothing; and overwhelming re-enactment. Each pattern was analysed further by the student researcher and the two authors of the scale to specify in detail the qualitative features of each pattern. Factors leading to resilience are identified and the contribution of play activity to repair is discussed.     

Developing Measures of Community-Relevant Outcomes for Violence Prevention Programs: A Community-Based Participatory Research Approach to Measurement

Community-Based Participatory Research is a research paradigm that encourages community participation in designing and implementing evaluation research, though the actual outcome measures usually reflect the “external” academic researchers’ view of program effect and the policy-makers’ needs for decision-making. This paper describes a replicable process by which existing standardized psychometric scales commonly used in youth-related intervention programs were modified to measure indicators of program success defined by community partners. This study utilizes a secondary analysis of data gathered in the context of a community-based youth violence prevention program. Data were retooled into new measures developed using items from the Alabama Parenting Questionnaire, the Hare Area Specific Self-Esteem Scale, and the Youth Asset Survey. These measures evaluated two community-defined outcome indicators, “More Parental Involvement” and “Showing Kids Love.” Results showed that existing scale items can be re-organized to create measures of community-defined outcomes that are psychometrically reliable and valid. Results also show that the community definitions of parent or parenting caregivers exemplified by the two indicators are similar to how these constructs have been defined in previous research, but they are not synonymous. There are nuanced differences that are important and worthy of better understanding, in part through better measurement.     

The Relationship Between Cumulative Risk and Promotive Factors and Violent Behavior Among Urban Adolescents

Resiliency theory posits that some youth exposed to risk factors do not develop negative behaviors due to the influence of promotive factors. This study examines the effects of cumulative risk and promotive factors on adolescent violent behavior and tests two models of resilience—the compensatory model and the protective model—in a sample of adolescent patients (14–18 years old; n = 726) presenting to an urban emergency department who report violent behavior. Cumulative measures of risk and promotive factors consist of individual characteristics and peer, family, and community influences. Hierarchical multiple regression was used to test the two models of resilience (using cumulative measures of risk and promotive factors) for violent behavior within a sample of youth reporting violent behavior. Higher cumulative risk was associated with higher levels of violent behavior. Higher levels of promotive factors were associated with lower levels of violent behavior and moderated the association between risk and violent behaviors. Our results support the risk-protective model of resiliency and suggest that promotive factors can help reduce the burden of cumulative risk for youth violence.     

Crime in College Predicts Violent Crime in the National Football League

ABSTRACT

The relationship between past and future crime is one of the most robust findings within criminology. Yet, there have been few attempts to examine whether this linkage holds in specific employment arenas. In this study, we consider the relationship between past and future crime within the context of the National Football League (NFL). Specifically, we assess whether there is a relationship between pre-NFL arrests and arrests while playing in the NFL. Using data on NFL arrestees coupled with an internet-based search of arrests prior to their joining the NFL, we find that pre-NFL arrests are positive and significantly related to violent (but not total or non-violent) arrests. Also, this pattern of findings was observed for non-white NFL players, but not white players. Limitations, future research directions, and policy implications are highlighted.     

Typical Development of Roles and the Impact of Schizophrenia on the Development of Adult Social Roles

Abstract

This chapter is a literature review that explores the nature of interaction between parents and children with emotional disorders, issues between parents and professionals when children are psychiatrically hospitalized, and the nature of parent involvement in child psychiatric settings.     

Risk and resilience: The moderating role of social coping for maternal mental health in a setting of political conflict

Violence can threaten individual wellbeing and tear at the social fabric of communities. At the same time, suffering can mobilize social coping and mutual support. Thus, the backdrop of political violence increases risk factors and stimulates resilience. The current study examined the moderating role of social coping as reflective of risk and resiliency in Northern Ireland, a setting of protracted conflict. Specifically, structural equation modeling was used to investigate whether social coping protects from or exacerbates the negative impact of sectarian crime and nonsectarian crime on maternal mental health (N = 631). Nonsectarian crime predicted greater psychological distress for mothers in Belfast. Mixed support was found for the buffering and depletion moderation hypotheses; social coping functioned differently for nonsectarian crime and sectarian crime. Greater social coping buffered mothers’ psychological distress from the negative effects of nonsectarian crime, but exacerbated maternal mental health problems when facing sectarian crime. Results suggest that social coping is a complex phenomenon, particularly in settings of protracted political violence. Implications for interventions aimed at alleviating psychological distress by enhancing mothers’ social coping in contexts of intergroup conflict are discussed.     

Exploring Women's Perspectives of Overcoming Intimate Partner Violence: A Phenomenological Study

Research in occupational therapy with women overcoming Intimate Partner Violence (IPV) focuses primarily on role acquisition; however, a broader lens in which to understand recovery may support more client-centered practice. The purpose of this study was to explore and understand the perspectives of women overcoming Intimate Partner Violence. Six women, residents at a domestic violence shelter, volunteered to participate in this phenomenological study. Relationships, Starting Over, Spirituality, and Expansion of Self emerged as major themes with an overarching theme of Forward Movement as the women continued on their journey in recovery.     

Assessing Needs and Developing Interventions with New Populations

ABSTRACT

The predominance of chronic and lifestyle-induced conditions has emphasized the need for greater access to health care in the community. A corresponding concern is educating practitioners so they are equipped to assume positions in the community at graduation. Lack of preparation to work in the community has led to reluctance on the part of practitioners to pursue positions in the community (Walens et al., 1998). However, the current climate of health care creates many opportunities for practitioners and educators who are willing to make a commitment to work collaboratively with agencies in the community for a common good. The purpose of this paper is to broaden understanding of community built practice by sharing a collaborative process in fieldwork education that was undertaken by faculty at the University of Illinois at Chicago.     

Occupational Therapy and Victim Advocacy

ABSTRACT

This article provides an orientation to increase the profession's awareness of occupational therapy's role in victim advocacy, an emerging area of community-based practice. Analysis and comparison of OT's core assumptions and values with general principles of victim advocacy and empowerment demonstrate striking similarities: Each acknowledges holism and a profound connection between the individual and society, as well as their ability to interact and influence each other. In addition, the cultures of OT and victim advocacy both value the dignity and worth of persons, self-determination, freedom and autonomy, latent capacity, human uniqueness and subjectivity, and active and mutual cooperation in restoration or recovery. The compatibility of OT and victim advocacy is further demonstrated in the context of one therapist's work with survivors of domestic and sexual violence.