A qualitative review of perception of change for male perpetrators of domestic abuse following abuser schema therapy (AST)

Introduction: Domestic abuse is known to have detrimental effects on all members of the family, yet it is often difficult for victims to leave. It is therefore important to research available intervention programmes for perpetrators who want to change their behaviour. Intervention programmes for perpetrators are informed by different theoretical and philosophical approaches, such as pro‐feminism, psychopathology or biopsychosocial theories. However, there is little consensus to the most effective intervention and there is a paucity of qualitative research on the perspectives of the perpetrators who attend the available therapies. Aim: The aim of this research was to discover the perceptions of change of 18 male, heterosexual perpetrators with female partners who self referred to a community‐based therapy service providing abuser schema therapy (AST). Method: A qualitative methodology was adopted using semi‐structured interviews on completion of therapy, and at three, six, nine and 12 months follow‐up. A content analysis was conducted and data was coded and mapped against a priori variables. Findings: The findings indicated that the four highest rated variables were: (1) a reduction of anger, (2) an increase in communication and assertiveness skills, (3) an increase in ability to think prior to behaviour, and (4) responsibility for personal power. The findings are discussed in relation to the perceived changes for perpetrators. Conclusions: In conclusion, this study seeks to contribute to the development of future effective interventions to reduce aggression within the home.     

L’intention de se maintenir dans une carrière atypique : quels déterminants individuels et contextuels ?

This study seeks to identify the determinants of turnover intention at women in male- dominated occupations, and namely, attitude-based (job satisfaction and organisational commitment), identity-based (self-efficacy and perceived gender-identity conflict), and context-based factors (perceived social support, induction practices and job design). The survey (N=131) reveals that affective commitment predicts two types of turnover intention: job retention and occupation retention. As regards job retention, affective commitment is related to job satisfaction and job-context structure ; as to occupation retention, affective commitment is linked to self-efficacy and perceived social support material from colleagues and superiors.     

Alcohol and Drug Abuse in Men Who Sustain Intimate Partner Violence

Extensive work has documented an association between sustaining intimate partner violence (IPV) and alcohol/drug abuse among women, yet little research has documented the same association in men, even though men comprise 25–50% of all IPV victims in a given year. This study investigates the associations among sustaining IPV and alcohol/drug abuse among both a clinical and community sample of men. The clinical sample is comprised of 302 men who sustained intimate terrorism—a form of IPV that is characterized by much violence and controlling behavior—from their female partners and sought help. The community sample is composed of 520 men, 16% of whom sustained common couple violence, a lower level of more minor reciprocal IPV. Analyses showed that among both groups of men who sustained IPV, the prevalence and frequency of alcohol/drug abuse was significantly higher than in men who did not sustain IPV. However, a dose–response relationship between sustaining IPV and alcohol/drug abuse was found only among men in the community sample. Path modeling showed that, for the community sample, the best fitting models were ones that showed that the alcohol/drug abuse predicted IPV victimization, an association that was fully mediated by their use of IPV. Aggr. Behav. 38:31‐46, 2012. © 2011 Wiley Periodicals, Inc.     

Safer sex: Lessons from the male sex industry

Discerning the complex factors influencing male sex work is an important element of understanding HIV transmission. The present study examines a sample of London-based masseurs and street workers' ideas concerning their sexual encounters, their partners and their role in society. Unsafe sex is associated with (1) a lack of perception of control in the sexual encounter, (2) attractive clients, and (3) loving relationships with non-clients. The ways in which personal needs and stigma influence sexual practices and the men's sense of identity are considered. For some of the men, unsafe sex demarcates a sphere containing a type of intimacy that is absent from their working life. Since working life is associated with negative social judgements, the importance of this separate sphere is heightened. The findings call into question models of health behaviour that are built on individualist, reason-based tenets and highlight the importance of social and emotional factors in safer sexual behaviour. The implications of the findings for prevention programmes and future research are discussed.     

The Relationships of Primary Appraisals of Infertility and Other Gynecological Stressors to Coping

Women experiencing infertility, pregnancy, medical gynecological problems, or annual checkups were assessed for primary appraisal of their stressor and types of coping strategies used. Diagnostic category approximated the subjective appraisal of stressor for pregnant (challenge) and checkup (no stress) groups. Most participants in the medical gynecological problems group appraised their stress as a threat, but a few participants chose other appraisal categories. Infertility was associated with two categories of appraisal—loss and challenge. Participants appraising their stressor as a loss made greater use of the coping strategies of Action, Wishful Thinking, and Fatalism than did women appraising their stressor as a challenge, a threat, or not stressful. Women appraising infertility as challenge were less distressed than women in any other group. The bimodal perception of infertility has implications for treating women who seek psychological help.     

HIV Prevention with Male Prostitutes and Patrons of Hustler Bars: Replication of an HIV Preventive Intervention

The core objectives of this study were to document the process by which a community-based organization replicated and adapted an experimentally developed intervention to its own use and to explore the effectiveness of that HIV prevention program for male prostitutes and other patrons in New York City hustler bars. The intervention model employed was based on previous research with gay men (Kelly, St. Lawrence, Diaz, et al., 1991; Kelly, St. Lawrence, Stevenson, et al., 1992) and inspired by diffusion of innovation theory (Rogers, 1995). The effects of the current intervention were assessed on a sample of 1,741 male prostitutes and bar patrons. Analyses indicated significant reductions in paid, unprotected sexual intercourse and oral sex following the intervention. Analyses further indicated that the data were partially consistent with the program's model, which specified that norms were the putative mediator of behavior change in the intervention. Also, the intervention's effects varied by bar and by participants' race/ethnicity. Data support the utility of the intervention model for an urban sample of men at high risk for HIV infection. The importance of exploring the mechanisms that underlie the intervention is discussed.     

Male Partners' Role in Latinas' Amniocentesis Decisions

There has been relatively little research on men's experiences with fetal diagnosis or their role in their female partners' decisions about whether to be tested. This issue may be of particular salience in the delivery of genetic services to Latino groups, where it is often assumed that lower rates of genetic service utilization are linked to men's refusal to allow their wives to be tested. Here we present data from a multimethod study on the use of amniocentesis by Mexican-origin women in Southern California. We focus on the role male partners played in the women's amniocentesis decisions. Contrary to expectation, we found that women made the majority of the decisions about amniocentesis, although their partners' presence at the genetic consultation where the amniocentesis was offered proved an important predictive factor in amniocentesis uptake.     

The Effect of Intracouple Coping Concordance on Psychological and Marital Distress in Infertility Patients

The effect of intracouple coping concordance on psychological and marital distress was examined in a sample of 46 couples undergoing different stages of infertility treatment. Results indicate that the effect of coping similarity within couples is dependent on both the type of coping examined and the stage of the stressor. Specifically, for women the use of high levels of task-oriented coping by their partners and themselves is associated with the highest level of marital satisfaction. The findings also indicate that the use of high emotion-oriented coping by both partners is associated with the most psychological distress for men. Finally, the results show that marital satisfaction among women undergoing late stage treatment is highest in couples where the males are using low levels of emotion-oriented coping. Interestingly, the least satisfaction for women is evident when the woman is using less emotion-oriented coping while her partner is using more, rather than when both partners are using more emotion-oriented coping strategies. Clinical implications of the findings are discussed.     

The association of idealization and intimacy factors with condom use in gay male couples

The purpose of this study was to assess the relationship of idealization and three specific intimacy factors (relationship satisfaction, excitement, and closeness) to reported condom use in gay male couples. It was expected that there would be negative associations of idealization and the intimacy factors with condom use. Both members of 45 gay male couples completed a questionnaire that assessed these factors. This study found (a) idealization to have a significant negative correlation with condom use, suggesting that the more the individuals idealized each other, the less likely that condoms were used during sex; (b) a significant negative association between relationship satisfaction and condom use, implying that as the couples experienced more satisfaction within their relationships, condom use decreased; (c) a significant negative correlation between excitement and condom use, suggesting that as excitement increased, condom use decreased; and (d) no significant association between closeness and condom use.     

The GABAergic effect of low doses of lorazepam on social behavior

The aim of this work was to test the antiaggressive effects of lorazepam and to determine whether these effects were mediated by benzodiazepine receptors. In a first experiment, male mice were injected with lorazepam in a range of low doses (0.05, 0.1, 0.2, and 0.6 mg/kg) or saline solution. In a second experiment, 1 mg/kg of Ro 15‐1788, a benzodiazepine receptor antagonist, and a saline solution were injected before the behavioral test. Results showed that 0.6 mg/kg of lorazepam was the only dose that decreased the total duration of threat (P < .01) and social investigation (P < .05) and that 1 mg/kg of Ro 15‐1788 had no effects. In the third experiment, animals received two injections: 0.6 mg/kg of lorazepam plus 1 mg/kg of Ro 15‐1788, 0.6 mg/kg of lorazepam plus saline solution, or saline solution plus saline solution. Those treated with lorazepam and saline solution spent less time digging (P < .001), threatening (P < .001), and attacking (P < .05) and more time avoiding the opponent (P < .01) or being immobile (P < .001) than the controls. Ro 15‐1788 was successful in completely antagonizing the behavior modulated by lorazepam. Aggr. Behav. 28:248–256, 2002. © 2002 Wiley‐Liss, Inc.