A Mind-Body Approach to Domestic Violence Perpetrator Treatment: Program Overview and Preliminary Outcomes

Conventional interventions with perpetrators of domestic violence are marginally effective. Given these results, researchers and practitioners are beginning to focus on identifying ways to improve domestic violence treatment outcomes. This article describes how a rural state-sponsored domestic violence offender program utilizes a treatment approach known as Mind-Body Bridging to help its clients overcome their abusive behaviors. Preliminary findings from an ongoing outcome study are also reported. According to these findings, the program has a high completion rate coupled with a low recidivism rate. Ninety-three percent (82 of 88) of the clients who have participated in this program completed the program, and just 7%?(6 of 82) of those who completed the program reoffended during the follow-up period, which ranged from 9 to 27 months.     

RECENT TRENDS IN RESPONSE TO CHILD VICTIMIZATION

Abstract

This chapter serves as an introduction to the many roles of health care professionalsin the assessment, care, and treatment of child victimization. It concentrates on those professionals caring for the physical health of victims of child abuse and neglect, although there are many similarities between child maltreatment and other family violence victims. In reviewing the health impact of maltreatment and the historical contributions of health care professionals, it discusses the roles that health care disciplines play in clinical care, training, research, and advocacy and their interaction with the community's child welfare, legal, and criminal justice systems.     

Trauma Exposure and Health: A Review of Outcomes and Pathways

A growing body of literature has established robust relations between trauma and a variety of adverse physical health outcomes. In both retrospective and prospective research, adults with a history of self-reported or court-substantiated maltreatment report significantly more health concerns than those without maltreatment histories, in both clinical and community samples, whether health problems are self-reported or physician-diagnosed. Two pathways by which poor health outcomes are theorized to occur include the biological pathway, which largely implicates severe stress and subsequent dysregulations in central stress-response systems as the underlying cause of health problems, and the behavioral pathway, which suggests that health risk behaviors are largely responsible for the relations between trauma and health. This article reviews the research evaluating the relations between various types of trauma, particularly physical and sexual abuse in childhood, and three such health outcomes: pain, gastrointestinal disorders, and cardiovascular disease. Evidence to support the biological and behavioral pathways is also reviewed.     

What Do Medical Providers Need to Successfully Intervene with Intimate Partner Violence?

ABSTRACT

Increasingly, medical providers (physicians and mid-level providers) rely on research evidence to inform their medical practice. In order for medical providers to accept their role in diagnosing and intervening with IPV, they need clinical tools and institutional support. This paper explores the tools (prevalence rates, screening questions, intervention strategies) and support (educational, institutional, professional, research) needed to assist medical providers in successfully intervening with IPV. It also looks at the importance of guidelines and expert consensus panel statements to help establish best clinical practices when direct research evidence is lacking or conflicting.     

The Effect of Differing Measuring Methods on the Relationship of Motives

Over the past 30 years, few approaches to the study of motivation have generated the volume of research as have studies of the need for achievement, need for affiliation, and need for power. Yet few studies have been concerned with the interdependency of these motives. The goals of the present paper were to determine whether these motives are interdependent, and to compare two different measures of these needs. Ninety men and women from introductory psychology classes served as the subjects. They were administered the TAT and the Edwards Personal Preference Schedule test to determine the strength of these motives. The findings suggest that these psychogenic needs are not independent of each other. While the present results show no significant correlation between these needs among men, a significant one emerges for women. There were also significant correlations between the two techniques of measuring the motives, a test involving fantasy materials and a “self report” questionnaire.     

An Aggregate Fieldwork Model: Cooperative Learning,Research, and Clinical Project Publication Components

An occupational therapy psychosocial level-two fieldwork model, which consists of cooperative learning, clinical project or research publication, and interdisciplinary collaboration and intervention, is herein outlined. An example of the model is presented using an acute inpatient psychiatric setting with a multidisciplinary staff and 50 occupational therapy interns. Data on the aggregate fieldwork model collected over a two-and-a-half-year period from: 1) logs; 2) supervision; 3) peer reviewed publications; 4) conference presentations; 5) verbal feedback from the occupational therapy educational institutes; and 6) the supervisor's comparisons with other fieldwork models is presented. The outcome of the aggregate fieldwork model is that students do well, seem to learn more than in 1:1 supervisory models, and manage to publish while on fieldwork. It is hoped that more academic programs will consider working with clinical educators to develop programs based on this model.     

Spiritual Need Two: Continued Learning for Older Adults and Older Adult Organizations

SUMMARY

Age provides opportunity not only for a person to grow spiritually, but also for people to enlarge their understandings of the world about them, including God, and connect them to previous learnings and life-experiences. In older age, learning is not merely an affirmation of what has been, but a re-creation of the self in relation to everything that surrounds the person. The theories of James Fowler, Malcom Knowles, Peter Senge, and Erik Erikson provide insight as to the purpose of older adult education. The goal is for churchs to encourage and assist in each person's re-construction of their lives as they view life from the perspective of length of years. Concrete examples of re-constructive learning are provided.     

亲子沟通与农村青少年幸福感的关系：基本心理需要满足的中介作用

采用亲子沟通量表、基本心理需要满足量表和牛津幸福感问卷对广西四所农村中小学的1164名学生进行测量。结果表明：（1）农村青少年的基本心理需要满足、幸福感在不同性别、年级和SES上没有显著差异,但亲子沟通存在年级和性别交互作用差异,即五年级和初一女生与父亲的沟通质量显著高于初二女生,对男生而言则此差异不显著;（2）农村青少年的父子沟通、母子沟通与自主、胜任和关系三大基本心理需要满足及其幸福感均呈显著正相关;（3）亲子沟通不仅对农村青少年幸福感有直接预测作用,而且还会通过自主、胜任和关系三种基本心理需要满足的中介对农村青少年幸福感产生间接作用,其中关系需要满足的中介效应最大。     

The Seminal Contribution of Rabbi Moshe Feinstein to the Development of Modern Jewish Medical Ethics

The purpose of this essay is to show how, on a wide variety of issues, Rabbi Moshe Feinstein broke new ground with the established Orthodox rabbinic consensus and blazed a new trail in Jewish medical ethics. Rabbi Feinstein took power away from the rabbis and let patients decide their treatment, he opened the door for a Jewish approach to palliative care, he supported the use of new technologies to aid in reproduction, he endorsed altruistic living organ donation and recognized brain death (thus laying the groundwork for Orthodox Jewish acceptance of heart transplantation), he downplayed the value of social worth in triage decisions, and was a fierce defender of the rights of the fetus. I develop broader theological principles from Rabbi Feinstein's ethical positions and compare them to those of his Jewish and Christian contemporaries.     

论医疗违约行为的认定及其标准

医疗违约以医师在诊疗过程中不履行或不完全履行其医疗债务为表现形式。然而,医疗债务属于手段债务,对其不完全履行无法从结果上判断,而只能从履行过程上判断是否违反诊疗义务。因此,医疗违约的认定首先应明确医疗合同中诊疗义务的具体内容,并在此基础上采取一定的标准和方法判定医师的诊疗行为是否构成违约。鉴于合同法上传统的违约认定方法并不适用于医疗合同,应考虑将医疗水平确立为违约的认定标准,并谨慎应对其适用中可能存在的问题。