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981.
SUMMARY

Although the negative impact on children exposed to spouse abuse is well documented, little empirical research is available to guide clinical interventions. A brief review of the research literature describing these detrimental influences on children's adjustment is presented. Factors are discussed which mediate the consequences for children exposed to spouse abuse. These variables include those that are child-related as well as factors which are situational/contextual. Next, several theoretical/conceptual models are presented to assist with an understanding of how this impact on youngsters' psychological and emotional functioning takes place. These models suggest both direct and indirect mechanisms of influence. Finally, recommendations regarding clinical interventions are delineated based on these models as well as the available literature on the treatment of children of battered women. Suggestions related to appropriate types of treatment, including symptom-and mechanism-specific interventions, are made.  相似文献   
982.
This review examines the policy and practice of interventions with male perpetrators of domestic violence in light of the widely accepted principles of evidence-based practice. Thus far, these policies and practices have enjoyed immunity from the external, empirical accountability available through implementing the findings from evaluations research and other empirical practice analyses. This immunity is supported by a policy framework where, for example, the state certifying agencies may presumptively forbid methods of intervention, with no obligation to empirically assess their efficacy or safety, that contradict the approved model. Based on the review of findings from both explanatory research and interventions research, evidence-based recommendations for policy and program change are proposed.  相似文献   
983.
Summary

Despite increased recognition of trauma's association with conduct disorders, trauma treatment for the conduct-disordered population has been neglected. This study evaluated the effect of short-term, cognitive processing therapy (CPT) treatment on self-reported symptoms of trauma, such as anxiety, depression, intrusion, avoidance, and numbing. After treatment, the CPT group showed significant declines in these symptoms, while the wait-list control group did not.  相似文献   
984.
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.  相似文献   
985.
Summary

In the following article, we will explore the nature of the therapeutic relationship as it relates to batterers' treatment programs. We will consider the impact of obligations created by forces outside the relationship, such as those imposed by legal proceedings. We will discuss the concepts of confidentiality, privilege, and agency and their impact on the therapeutic relationship and the extent to which the therapists' understanding of the role these concepts play may be altered by court orders that impose treatment on a client/patient. Finally, we examine the issues and choices a therapist must make when engaging in court-ordered treatment of batterers, and the implications of those choices for both therapist and client; we will also suggest guidelines to help therapists sort through the often conflicting goals of therapy and the legal process.  相似文献   
986.
Intimate partner violence (IPV) is a social problem associated with significant morbidity; however, victims do not always utilize treatment and resources. One's readiness to change might be one variable impacting his or her pursuit of treatment and other resources. This study investigated correlates of readiness to change, and readiness to change's impact on treatment utilization. Data were collected from 223 women residing in battered women's shelters. Correlational analyses find that generally victims with more psychopathology and distress, as well as more social support, were more ready to change. Posttraumatic stress disorder symptoms, overall distress, and social support were the strongest predictors of readiness to change. Finally, victims higher in readiness to change were more likely to seek mental health treatment and other IPV-related services.  相似文献   
987.
This uncontrolled pilot study assessed the effects of cognitive behavioral therapy for insomnia in veterans with long-standing posttraumatic stress disorder. Male veterans with current chronic insomnia and PTSD (n?=?8; M age = 58.6, SD?=?3.0; 87.5% African American, 12.5% European American; 87.5% Vietnam Veterans, 12.5% 1st Gulf War Veterans) reported a trauma related to their military service. Participants appeared for five weekly individual sessions of cognitive behavioral therapy for insomnia and completed one-week assessments of objective sleep (actigraphy) and subjective sleep (sleep diaries), the Insomnia Severity Index, and measures of functioning, posttraumatic stress disorder, and psychological distress both before and after treatment. Paired t tests revealed significant posttreatment improvements for various subjective assessments of sleep patterns but actigraphy-defined sleep was unchanged. Measures of functioning, nightmares, and posttraumatic stress disorder severity were also unchanged at posttreatment. Preliminary results were encouraging in improving subjective perceptions of sleep in individuals with posttraumatic stress disorder, warranting further study with more rigorous methodology.  相似文献   
988.
ABSTRACT

All empirically-evaluated partner violence prevention programs were reviewed. Most changed knowledge and attitudes regarding dating and sexual aggression, but few demonstrated behavioral change. Peer violence and substance use programs directed toward at-risk individuals demonstrate much larger effects than those directed at all individuals. Research is needed to (a) identify risk-factors for violence persistence, (b) examine the cost-benefit of universal and targeted programs, and (c) explore the ability of programs, such as parenting, stress management, and substance abuse programs, to reduce partner aggression. We recommend that institutions implement hierarchical systems of prevention, with brief interventions for all; more extensive program for moderate levels of aggression; and intensive psychosocial and legal interventions for serious offenders.  相似文献   
989.
Two experiments were conducted to investigate sex differences in risktaking behavior on a computer-generated and controlled task. Male and female subjects faced a video display of simulated mine fields with varying numbers and patterns of dots representing mines in the fields. In Experiment 1, they estimated the probability that a tank might successfully cross 100 mine fields when starting from an unknown point below each field. This was followed by the risk-taking task in which they decided whether to send a tank across each of the fields. The participants were tested on the risk-taking task once in Experiment 1 and over four separate sessions in Experiment 2. Scores, based on decision outcomes, and decision latencies were recorded. No significant sex differences were found in the participants' ability to estimate probabilities or in their total scores for decisions made on the risk-taking task. In low probability-of-success situations, women initially took greater risks than men but took longer to make their decisions; in all subsequent sessions, this pattern was reversed, with men taking greater risks and a longer time to make decisions. The findings support the growing body of evidence that men are more inclined to take risks than women in a variety of situations, indicate the importance of obtaining data over repeated sessions when investigating sex differences in risk taking, and demonstrate that computer-simulated tasks can provide a valid means for laboratory studies of sex differences in risk taking.  相似文献   
990.
The author designed, constructed, and demonstrated an apparatus the function of which was to make possible the study of the effects of a stressor animal upon experimental animals.  相似文献   
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