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.     

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.     

Dialogue in Our Cosmic Aloneness

The search for extraterrestrial intelligence (SETI) is briefly summarized to serve as a background for making the case that, due to the highly exceptional characteristics of the earth's position and motion in the solar system as well as the precarious history of human evolution, we may be alone in the universe. With the conviction that this cosmic isolation enhances our need for dialogue with God, I discuss the nature of authentic dialogue as exhaustively explored by Martin Buber. I conclude with remarks dealing with the importance of understanding and using Buber's insights on dialogue as a way of satisfying our primal need to communicate with a cosmic “other,” in particular, God. Thus, in contrast to the numerous articles that have discussed the theological implications of SETI being successful, I treat here what it might mean if we are alone.     

Client perspectives: The therapeutic challenge of domestic violence counselling – a pilot study

Aims: This qualitative pilot study explored the perceptions of four female domestic violence clients regarding counselling they had concluded in order to identify a preliminary client‐preferred domestic violence counselling approach. Method: Semi‐structured interviews asking about significant events during counselling were held. An adapted grounded theory and narrative methodology was used. Results from the analysis were reviewed with two of the participants. Participants were offered additional counselling support if required after the research interview. Results/Findings: Domestic violence clients found starting counselling particularly difficult after years of keeping the abuse to themselves. Participants actively withheld and managed information for several sessions and needed to know they had time to explore their experiences. The counsellor being consistent and non‐judgemental, and understanding domestic violence and its effects was helpful. Having a clear ending was appreciated by the participants. Discussion: The initial development of the therapeutic relationship benefited from active discussion of how domestic violence could affect behaviour and emotions. Good early therapeutic relationships showed elements of the three main psychological schools. Participants benefited from a pro‐active discussion of endings. A key limitation of this research is the small sample size. Implications for practice: The research suggests that counsellors would benefit from knowledge and skills from different psychological schools and specific training in domestic violence. Allowing flexibility on the number of sessions available to clients may be helpful. Conclusions: Further work is required to explore these preliminary findings. However, early indications suggest that domestic abuse clients may benefit from non‐time‐limited specialist counselling services.     

Ripples in mental space caused by dark matters and twisted tales: Some reflections on memory,memoirs and therapeutic work

In this paper, the author reflects on the issues of memory and the writing of personal memoirs, and how this impinges on our professional work. Her title is drawn in part from the work of theoretical physicists who can hypothesise about the existence of dark matter by measuring the deformations it causes in surrounding stars and galaxies. What she suggests is that there may be limitations in keeping strictly to disciplinary boundaries, and our professional lives may defy our efforts to box them in. The opening of doors to a more extensive world of ideas is often helpful, both for psychoanalysis and for the fields which it can illuminate and by which it can also be illuminated. She uses the example of the publication and critical reception of her own memoir, Pieces of Molly to make links with our professional selves and our clinical work. She draws on the work of Freud, and other seminal thinkers in the field, as well as her own clinical work to illustrate the ways in which mental space and the memories within it can be contained and transformed over time, but also can be beset by both internal and external saboteurs.     

Reciprocal Imitation Following Adult Imitation by Children with Autism

This study examined the effects of adult imitation and adult playfulness on the imitation, social attention and initiation of new behaviours by non‐verbal preschoolers with autism. Videotapes taken from a previous study were recoded for the adult's imitation and playful behaviour and the children's imitation, social attention (looking at the adult's actions) and initiation of new behaviours. In the original study, twenty non‐verbal, 4‐ to 6‐year‐old children with autism were randomly assigned to an imitation or a contingent responsivity group. Both groups of children engaged in an intervention phase (during which the adult imitated the children or contingently responded to them) and a subsequent spontaneous play phase (during which the adult interacted spontaneously with the children). ANOVA for the current study revealed that the imitation group children versus the contingent responsivity group children spent a greater percent time showing social attention and initiating new behaviours during the intervention phase and showing social attention and imitating the adult's behaviours during the subsequent spontaneous play phase. A correlation analysis yielded significant correlations between the percent time the adult imitated the child during the intervention phase and the percent time the child showed social attention during the same intervention phase and imitating the adult during the subsequent spontaneous play phase. Adult imitation and playfulness during the spontaneous play phase were also correlated with the children's social attention during that phase. Copyright © 2013 John Wiley & Sons, Ltd.     

Together or Apart

Psychotherapists often mistake their theories for realities that they are not and thus may operate with an overly confident sense of "knowing" what is true about a particular couple relationship. Many schools of therapy tend to "pathologize" the dynamics of couple interaction and practitioners need to guard against being too inducted into any one world view. Facility with the theories and techniques of many different couples counseling strategies (psychodynamic, behavioral, structural and strategic approaches) can increase flexibility and the "working base" of therapists. Ultimately, however, the personhood of therapists, their awareness of their own biases (about levels of connection, emotional expressivity, feminism, or power relationships) and their ability to adopt a neutral, therapeutic stance are the essential ingredients for meaningful and curative couples counseling.     

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.