Secret-Keeping Behaviors in Black and White Children as a Function of Interviewer Race,Racial Identity,and Risk for Abuse

Summary

The tendency for children to keep the secret of child abuse is an important practical impediment to adequate research, prevention, assessment, and treatment. While some studies have established that children will readily keep adult secrets, few have investigated the predictors of ease of disclosure. In this research, race of the interviewer requesting the secret strongly affected disclosure, with Black children particularly showing an unwillingness to disclose a negative secret to a different race interviewer. Children at high risk for sexual abuse (as assessed by the Finkelhor checklist) also were more likely to keep the secret.     

Disinhibition as a Mechanism in Sexual Victimization: A Prospective Study

Disinhibition was examined as a mechanism in revictimization using a prospective research design. Of the sample of 211 young adult women, 43.1% reported prior sexual victimization (birth to the time of our initial assessment) and 32.2% reported sexual assault during the 6-month follow-up. The findings suggest that disinhibition was a partial mediator. Prior sexual victimization was associated with increased disinhibition as well as increased future sexual assault. Greater disinhibition was associated with increased future sexual assault. Once disinhibition was accounted for, the original relationship between prior and future sexual assault was reduced. Disinhibition partially explained revictimization and these behaviors might serve as possible targets of change in sexual victimization prevention work.     

Relationships among Dispositional Attributional Style,Trauma-Specific Attributions,and PTSD Symptoms

The learned helplessness model and its various revisions suggest that causal attributions influence responses to events. This study examined relationships among the 3-factor symptom clusters of posttraumatic stress disorder (PTSD) represented in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM–IV; American Psychiatric Association, 1994) and the individual dimensions of dispositional attributional style and trauma-specific attributions (i.e., internal–external, stable–unstable, global–specific). Relationships among attributions and clusters of PTSD symptoms represented by the 4-factor dysphoria model were also examined. Trauma-specific attributions were most predictive of PTSD symptoms, with higher associations for avoidance and numbing symptoms compared to arousal symptoms in the three-factor model and higher associations for dysphoria symptoms compared to arousal and avoidance symptoms in the four-factor dysphoria model. Results suggest that cognitive vulnerabilities could underlie the comorbidity between PTSD and depression and might represent a high-impact target for treatment.     

Testing Target Congruence Theory on Emotional Abuse Victimization Experienced by Heterosexual and LGBQ College Students

Criminological theories traditionally used to explain crime and deviance have now been applied to explain physical intimate partner violence (IPV) experienced by heterosexual and LGBQ victims. Notably missing, however, are studies that test theories that explain why individuals may become victims of emotional abuse by sexual orientation. To this end, we applied target congruence theory to examine the influence of target vulnerability, gratifiability, and antagonism on emotional abuse experienced by college students. Data obtained from two public universities (Heterosexuals=366, LGBQ=113) showed partial support for the theory, with target vulnerability consistently predicting emotional abuse victimization regardless of sexual orientation.     

The Tao of Creating Sacred Relationships

SUMMARY

This article articulates the major premises of Sheldon Z. Kramer's book, Transforming the Inner and Outer Family: Humanistic and Spiritual Approaches to the Mind-Body Systems Therapy(The Haworth Press, Inc., 1995). This overview briefly introduces and explains the power of meditation in psychotherapy, meditation and the use of the body, creating congruent communication, working with incongruence in couples and bridging the inner and outer couple.     

Are Transgender Persons at Higher Risk for HIV Than Other Sexual Minorities? A Comparison of HIV Prevalence and Risks

SUMMARY

Recent studies have shown that transgender people are at high risk for HIV. Few studies, however, have directly compared the HIV risks and sexual health of transgender persons with that of other sexual minority populations. This study used baseline data of intervention studies targeting transgender persons, men who have sex with men, and women who have sex with women and men to compare their HIV risk behavior and sexual health. No significant differences were found between transgender persons and nontransgender men or women in consistent condom use or attitudes toward condom use. Transgender persons were less likely to have multiple partners and more likely to be monogamous than men who have sex with men; no differences were found between transgender persons and the women in this respect. When combining data on condom use, monogamy, and multiple partners, transgender persons did not differ from either nontransgender group in their overall risk for HIV. Transgender persons were less likely than the men or the women to have been tested for HIV. With regard to HIV prevalence, 17% of the men compared to only one transgender person and none of the women reported being HIV-positive. Transgender persons were also less likely than men who have sex with men to use drugs; no differences were found in the use of alcohol. However, with regard to mental health, transgender persons were more likely than the men to have experienced depression and more likely than men or women to have considered or attempted suicide. Finally, transgender persons reported the lowest levels of support from family and peers. Thus, in our sample, transgender persons appear to be at lower risk for HIV but at higher risk for mental health concerns than men who have sex with men. Remarkably few differences were found between transgender persons and women who have sex with women and men-a finding which might reflect the impact of social stigma on sexual health and have implications for the design of future HIV/STI prevention efforts.     

Personality and riskier sexual behaviour: Motivational mediators

A model was hypothesized whereby personality traits influenced motives for having sex, which influenced self-determination of safer sex, which influenced riskier sexual behaviour. The study was a cross-sectional questionnaire survey. The participants were 18 to 21-year-old university students, 200 of whom were sexually experienced. The model was tested using structural equation modelling. According to the final model, autonomous motivation for safer sex reduced riskier sexual behaviour, whereas controlled motivation had no effect. Agreeableness reduced riskier behaviour by increasing autonomous motivation for safer sex, an effect mediated by intimacy motive for having sex. Conscientiousness reduced riskier sexual behaviour by increasing autonomous motivation for safer sex. Enhancement motive for having sex increased riskier behaviour. Such individual differences in personality and motivational processes should be taken into account when designing interventions to reduce riskier sexual behaviour.     

How much behaviour change should we expect from health promotion campaigns targeting cognitions? An approach to pre-intervention assessment

For those planning interventions based on social cognition models, it is usually not clear what impact on behaviour will follow from attempts to change the cognitions specified in these models. We describe a statistical simulation technique to assess the likely impact of health promotion targeting Theory of Reasoned Action (TRA)-based predictors of condom use. We apply regression-based simulation techniques to data from the SHARE project (n?=?756 Scottish adolescents) to assess the potential impact of changes in cognitions on condom use. Results support the predictive utility of TRA-based models of psychological antecedents of condom use but also provide a cautionary warning about the magnitude of behaviour change likely to be achieved by interventions based on such models.     

NEUROBEHAVIORAL SEQUELAE OF CHILD SEXUAL ABUSE

This study examined intellectual and memory functioning in a sample of sexually abused children compared to demographically and age-matched controls. The severity of abuse and other pertinent factors were also examined in relation to cognitive performance. Elevated levels of psychopathology were present in the abused children, as well as diminished performance on tasks influenced by attention/concentration. However, after controlling for differences in IQ and socioeconomic status (SES), significant differences in memory function were not found. Results are discussed in the context of stress effects on cognition and the potential resiliency of cognitive function in children undergoing treatment for sexual abuse.