Weak etiologic links between control and the externalizing behaviors delinquency and substance abuse in adolescence

Impulsive/disinhibitory personality traits have consistently been associated with externalizing symptomatology such as delinquency and substance use problems, often starting in adolescence. Yet the etiological nature of this co-occurrence is not well understood. Using a classic twin study design with self-report data from 717 male and female twin pairs, aged 15–18 years, a hierarchical psychometric model was examined. In this model the shared variance and etiological structure between control, delinquency and substance abuse symptoms, was modeled through a common externalizing factor. Model fitting indicated that the genetic and environmental influences differed in strength between male and female adolescents. The heritability of the externalizing factor was 45% in males and 10% in females, though neither was statistically different from zero. A statistically significant influence of shared environmental factors was seen for both sexes, 21% in males and 54% in females. In both sexes, the externalizing factor accounted for little variance in control, indicating a weak association and little shared etiology with externalizing liability. These results illuminate further that facets of impulsivity are differentially associated with vulnerability for externalizing symptomatology.     

Multiple forms of child abuse and neglect: adult retrospective reports

There are few research reports of the experience of multiple forms of child abuse and neglect (multi-type maltreatment). A critical review is presented of 29 studies in which adult retrospective reports of more than one form of child maltreatment (sexual abuse, physical abuse, psychological maltreatment, neglect, or witnessing family violence) are assessed. Empirical investigations of the extent and impact of multi-type maltreatment are identified. Data on the relationship between the different forms of maltreatment and the adjustment problems associated with each type of maltreatment are critiqued. As well as using dichotomous measures of maltreatment, an important methodological problem was the failure of researchers to assess all child maltreatment types, the relationship between multi-type maltreatment and adjustment, and the role of variables influencing the occurrence or impact of maltreatment. Considerable overlap was found in the occurrence of maltreatment types. The compounding or interacting effects of experiencing multi-type maltreatment were ignored in many studies. Where an assessment was made of the specific impact of multi-type maltreatment, it was associated with greater impairment than single forms of abuse or neglect. A multi-dimensional approach to prevention and treatment of child abuse and neglect is required in which children's vulnerability to multi-type maltreatment is addressed.     

A “Wife’s Duty” and Social Suffering: Sexual Assault in Marital Relationships in Vietnam

ABSTRACT

Sexual assault in marital relationships tends to be somewhat neglected in Vietnam compared to other forms of domestic violence. This relative neglect does not occur because of a lack of concern for abused women among Vietnamese people. Rather, it is due to structural barriers, cultural assumptions and stigma associated with sexuality, sexual violence, domestic violence, and secrecy, or misunderstanding on the part of many abused Vietnamese women. Yet, these women confront a variety of emotional, bodily, and social assaults from their husbands. Suffering is commonly expressed by abused Vietnamese women as they narrate their experiences of the violence. Abused women express their suffering as bodily and emotional pain, shame, frustration, disorientation, and social marginalization. Contemporary marital sexual violence and domestic violence more broadly in Vietnam are linked to the state’s emergent political and economic goals, as well as gender and kinship ideologies drawn upon in support of these goals. These processes have resulted in abused women experiencing social suffering derived from intersecting Vietnamese state, cultural, and social forces. I suggest institutional practices, and non-supportive perspectives and approaches of some professionals and state employees assisting abused women, have made addressing marital sexual violence a difficult and painful process, as well as an additional source of suffering. Second, layered upon these structural and cultural barriers has been the neglect by some professionals of intersecting inequalities based on gender, class, and disability. Third, some institutions in Vietnam provide more effective and beneficial assistance to abused women, making the process of acquiring assistance complex.     

BOOK REVIEWS

No abstract available for this article.     

Family Therapy for Substance Use among Sexual Minority Youth: A Review of Treatment Options

Abstract

Substance use disorders are nearly twice as common among sexual minority youth (SMY) as among their heterosexual peers. Most applied literature about this population suggests interventions on either the individual or community level, and the benefits of family therapy for this population are often overlooked. The present literature review (a) outlines clinical knowledge related to sexual minority youth and substance use (e.g., prevalence rates, contributing factors), (b) discusses the importance of clinical self-awareness around these topics, and (c) outlines clinical behaviors and interventions from literature that may be employed when working with substance-using SMY and their families.     

Trauma-Informed Care for Infant and Early Childhood Abuse

ABSTRACT

Trauma-informed care for those who experienced early childhood maltreatment is being developed to meet the needs of infant, toddler, and preschool victims of child abuse and neglect. This age group experiences a disproportionate amount of abuse, and the resultant toxic stress during this rapid developmental stage is more damaging than it is in later years. The concept of trauma-informed care in general is presented, followed by a focus on trauma care for early childhood abuse. Trauma-informed care for younger children is united by common principles and is seen as developmental, relational, sensory oriented, and evidence based in nature. Dissemination of knowledge about this unique population to every system that encounters survivors of any age has begun, although it must be broadened and increased. Evidence-based treatment programs for young children are available and effective but limited, especially for age 0–2. Home visiting programs for mothers and babies are effective and cost efficient. Major funding by U.S. Department of Health and Human Services to each state has significant potential for success because it targets mother-child attachment and care, as well as the disproportionate amount of damage resulting from early childhood abuse. Infants and preschoolers are in some ways comparable to children with disabilities due to their developmental limitations. The nature of this population requires a more rigorous and proactive awareness and identification process because these children are physically dependent on surrounding adults. Addressing child abuse in the first years of life offers an excellent opportunity to assist the most vulnerable victims and effectively reduce the impact to families and communities in the ensuing years.     

The Case for or Against Diagnostic and Therapeutic Sexism

No abstract available for this article.     

Understanding Intimate Partner Sexual Assaults: Findings from Sexual Assault Kits

ABSTRACT

In 2013, Cuyahoga County, Ohio, began DNA testing and investigating nearly 5000 previously unsubmitted sexual assault kits (SAKs) from 1993 through 2009. We examined case files from a sample of SAKs that were tested but not previously adjudicated (n = 429). More than 10% (n = 45) involved victims who reported to police that a former or current intimate partner sexually assaulted them. This article integrates the available data on the offenders, the victims, the initial investigation, and the specifics of the assaults to provide a more complete understanding of intimate partner sexual assault (IPSA). More than one-third of the IPSA offenders were serial sex offenders; that is, the offenders sexually assaulted an intimate partner and another person(s). Comparing IPSAs to all other sexual assaults, IPSAs more frequently involved bodily force, less frequently involved a weapon, and IPSA investigations were more frequently closed because (1) the victims stated they lied or the police doubted the victims and (2) the victims declined to prosecute. The most common sequencing of events was a demand for sex by the offender followed by a verbal refusal by the victim and the use of bodily force in the sexual assault. The findings, however, indicate a great deal of variation in the sequencing of events surrounding the sexual assault, with over 25% involving no physical confrontation before or after the sexual assault and no demands for sex. Unsubmitted SAK data provide a unique window into understanding the understudied and underreported issue of IPSA.     

Child witness statements about sexual abuse in day‐care: reports from a case with confessions from the suspect

Evaluation of alleged sexual abuse at day‐care centres usually has to be based mainly on child statements about their own victimisation. This study points at other possible sources of information. Thus, the child may give contributions to the investigative procedure also as a witness of abuse of other children, as a participator of group interaction related to abuse and as a receiver of a disclosure about abuse from another child. Data are presented from a case where the suspect had confessed. A quarter of the children at the day‐care centre had given information about other children's exposure. For more than half of the children, there were witness statements that reflected what these particular children might have been exposed to. Context and statement characteristics seemed to make an evaluation of some of these statements possible. Information about interaction between children and about disclosures between children was strikingly scarce which was probably due to the lack of questions from parents and investigators in these areas. Witness statements from children about other children's exposure to abuse stand out as an interesting complementary source of information in investigations of abuse at day‐care centres and may also provide a basis for interpretations at a group level. Copyright © 2005 John Wiley & Sons, Ltd.