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Flynn, Sandra. "A mixed methods study of homicide followed by suicide." Thesis, University of Manchester, 2013. https://www.research.manchester.ac.uk/portal/en/theses/a-mixed-methods-study-of-homicide-followed-by-suicide(7e0cd421-62f3-4bda-9387-aadf9f84d2c5).html.
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Background: Homicide-suicides are rare events in which an individual commits a homicide and then takes his or her own life. Despite extensive media coverage and a recent increase in research in this field, our understanding of these events is limited as most studies are descriptive. There is little reliable evidence regarding mental illness in individuals who commit homicide-suicide. Aims: The central aim of this study was to examine the role of mental illness in cases of homicide-suicide. The objectives were to: (1) determine the prevalence of mental illness; (2) describe the characteristics of perpetrators and victims, and the circumstances of the offence; (3) examine the psychopathology of perpetrators prior to the offence. Method: The research design was a mixed methods study of homicide-suicide. Quantitative and qualitative techniques were used to examine a national consecutive case series, in England and Wales, between 1st January 2006 and 31st December 2008. The sample contained 60 cases. Descriptive statistical analysis and a thematic framework analysis were undertaken on documents obtained from coroners, the police, GP medical records, records of mental health services contact and newspaper articles. The social, behavioural, offence and clinical characteristics of these incidents were reported. Results: Most of these offences were committed by men (53, 88%). The average age of perpetrators was 44 years (range 18-85). The overwhelming majority of these incidents involved close family members, mainly current or former intimate partners and/or the children of the perpetrator. Over half of the perpetrators had previously been diagnosed with mental health problems by a GP, most commonly depression. The incident was, in most cases, preceded by an actual separation from an intimate partner, or the perpetrator perceived separation to be imminent. The emotional responses to the loss of the relationship included: anger; frustration; humiliation; jealousy; desire for revenge; hopelessness, guilt and remorse. Poor coping strategies were observed, with many having a history of previous self-harm or suicide attempts, and difficulty controlling their aggression. Despite the high proportion of lifetime mental illness, few had been in recent contact with their GP for psychological problems prior to the incident. In the majority of cases, incidents involving mentally ill perpetrators were reported responsibly in newspapers. However, there were instances in which journalists sensationalised the incidents and provided stereotypical portrayals of the perpetrator. Conclusion: The findings from this study add valuable empirical qualitative data to the literature. These incidents occur in the context of existing and challenging common social issues, such as intimate partner violence, child custody disputes, an ageing population, and mental disorder. The evidence from this study shows that these perpetrators had an extreme reaction to an interpersonal crisis resulting in severe emotional distress. Perpetrators from vulnerable groups had complex needs and exhibited previous poor coping strategies that may put them at increased risk. However, prevention is difficult as these are rare events and though under distress, these individuals were less likely to seek help from services. More research is required to identify risk factors in targeted sub-groups of homicide-suicide, such as intimate partner, filicide-suicide and elderly homicide-suicide, in the context of social, economic and clinical problems.
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Kibreab, Hermon. "Våld i nära relationer, psykisk ohälsa och vårdnad : En kvalitativ studie." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för socialvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-6916.
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The purpose of this study is to investigate what family law court secretaries take into consideration in investigations regarding custody where domestic violence and possible mental illness because of the violence are present. Since it is primarily women who experience domestic violence, this study chose to focus on the mothers parenting abilities and her possible mental illness. To answer the study's research questions and purpose the approach was qualitative and the method used was semi-structured interviews. Semi-structured interviews allow a more in depth and nuanced understanding of the social problem which is being studied. The result was interpreted by using thematic analysis and then analyzed through a theoretical framework, which was Marianne Hester's "Three planet model". The theoretical framework consisted of three planets which are called domestic violence, child protection and child contact. The results of this study show that family law secretaries struggle to discern whether domestic violence has occurred or not, since there rarely are any police rapport that supports claims of domestic violence. Regarding the mother's parenting abilities, she is considered not being able to fully parent the child, due to the domestic violence she has been exposed to. Furthermore, the results show that mental illness in investigations of custody focuses on whether the mother is still capable of raising the child. The results also show that mental illness is broad and difficult to define, since the spectrum for mental illness is quite broad.
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Mamak, Mini. "Violence and major mental illness." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ27767.pdf.
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Martin, Michael. "Detection and Treatment of Mental Illness Among Prison Inmates: A Validation of Mental Health Screening at Intake to Correctional Service of Canada." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36479.
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Mental health screening is frequently recommended to facilitate earlier detection of mental illness in prisons. For this goal to be achieved: (1) the screening process must be accurate; (2) appropriate follow-up treatment must be provided; (3) the treatment must lead to improved outcomes. The current thesis aimed to evaluate mental health screening in relation to these three criteria by studying 13, 281 prisoners admitted to Correctional Service of Canada. Screening achieved comparable accuracy to tools that have been studied internationally and many inmates received at least some treatment. However, interruptions in treatment were frequent and long-term treatment was rare. There was weak evidence that treatment led to reduced rates of institutional incidents of suicide, self-harm, victimization and violence. While screening remains widely endorsed, further study of its impacts is needed to maximize its value. This could include considering alternatives to screening itself, or as follow-up for those who screen positive.
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McKinney, Brinda Kay. "Witnessing Parental Domestic Violence and Young Girls' Dating Relationships." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1202.
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Domestic violence afflicts people regardless of ethnicity, socio-economically status, age, or gender. Too often, girls enter and remain in abusive relationships, despite the trauma and risks of doing so. Using Roy's theory of adaptation, this study explored the effect of witnessing inter-parental violence on girls' experiences of physical violence or sexual abuse in their dating relationships. Original data collection occurred at a Midwestern U.S. university via e-mail using questions adapted from the CDC's Youth Risk Behavior Survey Surveillance System. The study used 526 responses from female participants who self-disclosed if they had or had not witnessed inter-parental violence for categorical placement. Participants mirrored the population of the university with regard to age, race, and GPA. Using an ANOVA, the groups were compared on the independent variable of witnessing inter-parental violence and the dependent variable of experiencing physical or sexual dating violence. Results showed witnessing inter-parental violence did not predict whether or not a girl would experience physical or sexual violence in a dating relationship. Findings indicated adaptation on the part of the girls after witnessing inter-parental violence and beginning their own dating relationships. Additional research is needed to gain knowledge of this adaptation process and to explore what happened between the time of witnessing inter-parental violence and entering dating relationships that helped prevent them from experiencing dating violence. Knowledge of these participants' adaptation processes may provide insight for counselors and therapists on how to support children who witness inter-parental violence. This insight may help girls develop adaptation mechanisms to prevent experiencing violence in dating relationships.
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Haddow, Christine. "Patient and prisoner experiences : major mental illness and masculinity in the context of violent offending behaviour." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/9751.
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Traditional understandings of violence by the mentally disordered largely look to mental illness to explain such behaviour. More recently, research has begun to examine the role of alternative factors in driving violent offending in this context. Masculinity is one such factor to which little consideration has thus far been given, in spite of a wealth of literature which associates the construction and maintenance of a masculine identity with violence in the non-mentally disordered context. This thesis proceeds from these current understandings, and examines the nature of the relationship between mental illness, masculinity and violent behaviour. In order to examine this issue, interviews were conducted with a group of 10 male patients diagnosed with major mental illness and with violent offending histories, in a medium secure forensic psychiatric hospital in Scotland. A group of 10 male prisoners serving life sentences in a Scottish adult male prison following convictions for homicide offences were also interviewed, and acted as a comparator group. Following an analysis of these interviews, findings emerged in relation to three key areas of patients’ and prisoners’ accounts: past experiences of violent offending, present experiences of institutional settings, and future hopes for recovery and desistance. In particular, significant similarities and divergences in the experiences of the two groups were apparent, and this thesis advances two key arguments in light of this. Considering first the similarities in patients’ and prisoners’ experiences, it is posited here that for both the mentally ill and non-mentally ill male population the task of constructing and maintaining a masculine identity is a particularly pervasive force in their life histories. It will be demonstrated that for patients and prisoners in this study, masculinity plays a significant role in past violent offending, as well as having important implications for adaptation to present institutional settings, and the creation of a recovered and desisting identity for the future. Second, in looking to the divergences in patients’ and prisoners’ accounts, it is asserted that where major mental illness is present it serves to intercede in these three areas of men’s lives. Extracts from interviews with male patients will illustrate the interceding role of mental illness in violent scenarios from their pasts. In addition, it will be demonstrated that patients’ and prisoners’ respective present situations in institutional settings vary, as diagnosis of mental illness leads patients to be placed in a secure hospital rather than the prison, and the differing nature of these environments results in divergences in adaptation to these settings. Finally, in relation to the future, while prisoners focussed on their hopes for desistance from offending, the diagnosis of mental illness led patients to place recovery from such disorders as the primary process at this point.
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Diamond, Donna Jo, and Geneva Naomi Hannigan. "Intervention outcome differences for adult children of domestic violence." CSUSB ScholarWorks, 2008. https://scholarworks.lib.csusb.edu/etd-project/3363.
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The purpose of this study was to investigate intervention outcomes for domestic violence in families and adult children. This study targeted intervention outcomes of families and adult children from domestic violence homes for the purpose of comparing those self referred versus those who were mandated for intervention.
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Bruwer, Marise. "Characteristics of domestic homicide perpetrated by persons with severe mental illness - a forensic psychiatry observation population-based study." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27454.
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Background: Domestic homicide (killing of a person aged 16 or older by a family member or a current or former partner) accounts for 50% - 70% of homicides perpetrated by offenders with mental illness. Despite these statistics, surprisingly little is currently known about the characteristics of domestic homicides perpetrated by those with severe mental illness. To the best of our knowledge, domestic homicide in the context of severe mental illness has not been researched in South Africa. Objective: To investigate domestic homicides by offenders with severe mental illness referred to the Forensic Mental Health Service at Valkenberg Hospital for forensic psychiatric observation. Methods: A five-year retrospective folder review was conducted to obtain data on the characteristics of offenders and victims, as well as the circumstances surrounding the homicide. Results: The majority of the offenders in our sample were young (mean age of 31), single, unemployed males who were known to mental health care services. Substance use disorders and non-adherence to medication were common. Psychotic disorders were the most prevalent diagnoses. The majority of victims were male and a significant minority of the domestic homicides were parricides (28.6%). The incident took place at the victim's residence or the victim and perpetrator's shared residence in most cases. Stabbing was the most common method used. Almost half of the perpetrators were psychotic when the incident took place and 60% of these were first episode psychoses. In spite of the high prevalence of substance use disorders (66.7%), only 23.8% of the sample reported that they were intoxicated when they committed the offence. Conclusions: The majority of our sample was known to mental health care services. This implies that there were potential missed opportunities to prevent these lethal assaults. Our research identified treatment adherence, comorbid substance use disorders and aggressive treatment of first episode psychosis as a possible focus of future interventions in order to prevent domestic homicides due to mental illness.
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Moloney, Anne. "The relationship between maternal and child mental health among residents in domestic violence refuges." Thesis, University of Manchester, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.525903.
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Miljak, Kristina. "Experiences of workplace violence among health care workers : A qualitative study of violence from the perspective of care professionals." Thesis, Malmö universitet, Malmö högskola, Institutionen för kriminologi (KR), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-43562.
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Violence and threats of violence is described as a common and relevant issue in various care units. Mental health care workers often feel frustrated and unsatisfied in their work with mentally ill patients. Experienced mental health care workers find that learning how to treat and cope with violent patients is beneficial. The aim of this study was to gain knowledge and understanding of mental health care workers experiences and perspectives on workplace violence. The method used was qualitative semi-structured interviews with mental health care workers ofdifferent care facilities. The results found that the patients’ illness appear to be the source of the violence. The environment can also be a source of violence. Violence was common in caring situations, particularly when mental health careworkers were physically close to their patients. The mental health care workers experienced feelings of anger, humiliation, remorse, and helplessness. The participants expressed that they questioned their own abilities and at times believed that their ability to communicate with patients and relax them was inadequate. Colleagues, relatives, and friends were perceived to be the most supportive, and the most common way of coping with violence in the workplace. Furthermore, the conclusion of the study is that the environment must be adjusted to meet the needs of the mental health care workers in meetings with threatful and violent patients. Mental health care workers need education and guidance on how to proceed as well as encouragement to report violent incidents.
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Smith, Laura. "African Caribbean men with conduct disorder and severe mental illness : reducing violence and improving therapeutic engagement." Thesis, Canterbury Christ Church University, 2011. http://create.canterbury.ac.uk/10338/.
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Section A: A review of literature focused on African Caribbean men with diagnoses of both conduct disorder (as an indicator of antisocial behaviour) and severe mental illness. The review concludes that disorganised infant attachments appear to be predictive of conduct disorder, psychosis and poor engagement with services in a reciprocal 'vicious circle'. Section B: Empirical Paper: This study examined the relationships of African Caribbean men with severe mental illness and a history of conduct disorder, linking this to engagement with services. This was explored qualitatively using attachment theory and Lacanian discourse analysis within a psychosocial methodology. Four interviews were conducted and the texts were analysed. The findings echo the evidence base in showing that, according to this interpretation, all participants showed signs of disorganised attachment. All had had adverse encounters within mental health services although all could also cite discrete experiences which had been helpful and supportive. Each participant held different views about the interaction of ethnicity with care. Section C: A critical reflection on the research process, including: thoughts on learning experiences; retrospective changes to the study; clinical implications; and ideas for future research.
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Yuen, Jessica Michelle. "Metamorphosis Journey: Voices of Asian Domestic Violence Survivors Through Art Exploration." Digital Commons at Loyola Marymount University and Loyola Law School, 2011. https://digitalcommons.lmu.edu/etd/77.
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Using a qualitative, narrative based, and art based approach, this study explored the experiences of Asian domestic violence survivors living in an Asian-based domestic violence transitional shelter, and how their cultural identity as an Asian immigrant woman played a role in their experiences. The participants were two out of six women living at the domestic violence shelter provided by the Asian Pacific Women’s Center. Three overarching themes were formed after the analysis of all the emergent categories: The women experienced isolation that were influenced from their marginalized cultural values, the shelter was viewed as a foundation for growth, and the art was useful as a means for communication.
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Chmielewski, Kristen Elizabeth. "Silver screen slashers and psychopaths : a content analysis of schizophrenia in recent film." Thesis, University of Iowa, 2013. https://ir.uiowa.edu/etd/1441.
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Stigma proves to be a serious barrier for individuals living with mental illness, and research has shown that the media heavily contribute to and support damaging stereotypes about individuals with mental illness. This study examined how current films feed into fears about mental illness, especially the stereotype that individuals with serious mental illness are violent. A population of films released from 1990--2010 containing a character with schizophrenia or a related disorder was compiled and 30 films were randomly selected for viewing from this list. The films were scored for acts of violence committed by characters with and without mental illness, and the acts of violence were coded for severity. This study found that characters with mental illness committed significantly more acts of violence than characters without mental illness did. The significance of these findings along with recurring themes found in the movies are discussed in this paper.
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Lugo, Blanca Lizbeth. "An exploratory study on mental health effects of therapist minimization of domestic violence victims' experiences." Thesis, Alliant International University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3717549.
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One in every three women are victims of domestic violence. The social phenomena of intimate partner violence has been classified as an epidemic due to its impact on political, economic, social, and health development of human female populations. Research frequently questions mental health professionals’ ability to properly assess domestic violence severity. The purpose of this study was to investigate the relationship between the level of DV severity, PTSD, self-esteem, and therapists’ minimization in female victims of DV. A total of 40 female victims of DV responded to the survey either online or on paper. The survey consisted of four measures and was administered in English or Spanish. Seven hypotheses were tested using the SEM path analysis, but none of them were supported. A close examination of the responses to the minimization scale revealed that half of the participants reported that their therapists minimized the need for law enforcement and courts to get involved in domestic violence situations. The need for further training in domestic violence treatment and addressing such subtle minimization is discussed. Major limitations of the study included small sample size and sample recruitment from DV shelters. Factors potentially contributed to the small sample size were explored. Suggestions for future qualitative research to explore and understand victims of domestic violence experience of minimization by mental health providers as well as quantitative research to develop and test a DV training program were discussed. Keywords: domestic violence minimization, PTSD, domestic violence, intimate partner violence.
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Angelis, Ekaterini. "Exploring the Long-Term Effects of Domestic Violence in Art Therapy Treatment." Digital Commons at Loyola Marymount University and Loyola Law School, 2017. https://digitalcommons.lmu.edu/etd/315.
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This qualitative case study explores the long-term effects of domestic violence through the lens of art therapy treatment. The study is based on a twelve-week long art therapy treatment group for women who have experienced domestic violence. The study includes a literature review and a qualitative analysis of the participants’ artwork and details of their experiences of domestic violence related trauma. The research focuses on two participants and utilizes textual and visual analysis to identify four emergent themes: Family and identity, hope in moving forward, support and connection, and freedom. The findings discuss the value of art therapy in revealing coping skills, strengths and internalized fears related to domestic violence trauma. The women in the study illuminate an increase in awareness of internal resources and hopeful narratives for healing. The study demonstrates the potential of art therapy to make visible the long-term effect of domestic violence, and assist in the treatment of survivors.
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Robinson, Lawanda, and Ramon Enrique Suarez. "BELIEFS ABOUT THE EFFECTS OF CHILDREN WITNESSING DOMESTIC VIOLENCE AMONG TITLE IV-E STUDENTS." CSUSB ScholarWorks, 2015. https://scholarworks.lib.csusb.edu/etd/200.
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This study analyzed the beliefs about the effects of children witnessing domestic violence among Title IV-E students at California State University San Bernardino. The study sample consists of eight Title IV-E students with at least one year of experience working in child welfare. Utilizing knowledge gained from various studies an instrument was developed to interview participants. In analyzing the responses, six core themes emerged as dominant beliefs about the effects of children witnessing domestic violence. Respondents indicated that mental illness, parental attachment, improving treatment, negative effects, external behaviors, and coping mechanisms are issues to consider when discussing the effects of children exposed to domestic violence.
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Scordato, Michele M. "Use of Services by Female Survivors of Intimate Partner Violence: In Their Own Words." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4941.
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Mui, Wai-keung, and 梅偉強. "Vicarious traumatization in social workers working with victims of domestic violence in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B45418184.
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Harryson, Lisa. "“An equal share, that’s my medicine”. Work, gender relations and mental illness in a Swedish context." Doctoral thesis, Umeå universitet, Allmänmedicin, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-67119.
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Background: Women and men in Sweden are in paid work to almost the same extent, but are found in different occupations and positions in the labour market. Still, women perform the bulk of the unpaid domestic work at home. Gendered inequalities in these respects leave women and men exposed to different work environments and responsibilities, which in turn can have gendered health consequences. In public health research there is a lack of studies on domestic work that include women and men, as well as a lack of qualitative studies exploring individuals’ experiences of domestic work and mental health. At the workplace level, few attempts have been made to analyse how several dimensions of gender equality at workplaces are related to health status and there is a lack of studies with a contextual approach combining many different variables that are at play simultaneously. Because of the cross-sectional design of previous studies on paid and domestic work there is a lack of analyses taking possible health-related selection into account, which makes it difficult to ascertain whether gender equality leads to better health or if good health is a prerequisite for gender equality. Aim: The aim of this thesis was to analyse gender relations of work (at workplaces and at home) in relation to mental illness among women and men. Methods: The thesis was based on data from the Northern Swedish Cohort. The baseline survey was conducted in 1981 when the participants were 16 years old (n= 1080, 574 boys and 506 girls), with follow-up at age 18, 21, 30 and 42. The response rate was 94 % throughout the last follow-up in 2007. Data from the Northern Swedish Cohort were supplemented with register data about the employees at the participants’ workplaces. The analysis methods for the questionnaire and register data were logistic regression analysis and cluster analysis. Interviews were performed with four women and four men in the Northern Swedish Cohort and were analysed with a Grounded Theory approach. Results: Women had overall greater responsibility for domestic work. Gender inequality in responsibility for domestic work and perceptions of gender inequality in the couple relationship (after adjustments for background variables and previous psychological distress) were associated with psychological distress among women and men. However, among men the relation between domestic work inequalities and psychological distress was affected by socioeconomic position relative to the partner. Having less responsibility for domestic work and a partner with higher socioeconomic position was associated with psychological distress among men. The qualitative analysis showed that gender relations were an important part of how the domestic work was unequally organised and related to experiences of mental illness among women and men. Among women the high burden of domestic work was experienced as an obstacle to experiencing good health. Among men the experience of being trapped in an outmoded masculinity was related to feelings of stress. At the workplace level, patterns of gender inequality were associated with psychological distress among women, but not among men. However, the most gender-equal pattern was related to lower as well as more similar levels of mental illness among women and men, which supports a convergence in health when women’s and men’s work conditions become more similar. Conclusion: Gender equality at home and at work is central for reducing mental illness among both women and men, but also for achieving a good average health status in the population, which is a central public health target. When investigating social inequalities in health, gender perspectives are of great importance for deepening the understanding of how and why gender inequalities in paid and domestic work are related to mental illness. Integrating gender perspectives into public health policy could be a way to acknowledge power relations that hinder good public health.Bakgrund: Kvinnor och män i Sverige yrkesarbetar i nästan samma sträckning, men återfinns i olika yrken och positioner på arbetsmarknaden. Samtidigt utför kvinnor merparten av det obetalda arbetet i hemmet. Könade orättvisor i dessa avseenden innebär att kvinnor och män utsätts för olika arbetsmiljöer och ansvarsområden, vilket kan medföra könade hälsokonsekvenser. Dock är det få folkhälsovetenskapliga studier om obetalt arbete i hemmet och hälsa som inkluderar både kvinnor och män. Det är också en brist på kvalitativa studier som undersöker individers upplevelser av det obetalda arbetet i hemmet och psykisk hälsa. På arbetsplatsnivå har det gjorts få försök att analysera hur olika dimensioner av jämställdhet på arbetsplatser är relaterade till hälsostatus, och det är en brist på studier med en kontextuell metod som tar hänsyn till hur flera olika variabler samspelar. Tidigare folkhälsovetenskapliga studier som undersökt förvärvsarbete och hemarbete har framförallt använt sig av en tvärsnittsdesign, vilket gjort det svårt att utreda riktningen av samband mellan jämställdhet och psykisk hälsa, det vill säga om jämställdhet leder till bättre hälsa eller om god hälsa är en förutsättning för jämställdhet. Syfte: Syftet med denna avhandling var att analysera genusrelationer i arbete (på arbetsplatser och i hemmet) i förhållande till självskattad psykisk ohälsa bland kvinnor och män. Metod: Avhandlingen bygger på data från Luleåkohorten. Baslinjeundersökningen genomfördes år 1981 då deltagarna var 16 år (n=1080, 574 pojkar och 506 flickor). Uppföljningar har genomförts vid 18, 21, 30 och 42 års ålder och svarsfrekvensen var 94% under det senaste uppföljningen år 2007. Data från Luleåkohorten kompletterades med registerdata om anställda på deltagarnas arbetsplatser. Analysmetoder för enkät- och registerdata var logistisk regressionsanalys och klusteranalys. Intervjuer har genomförts med fyra kvinnor och fyra män i kohorten och analyserats med grundad teori. Resultat: Kvinnor hade totalt sett ett större och män ett mindre ansvar för det obetalda arbetet i hemmet. Upplevelse av bristande jämställdhet i ansvar för obetalt arbete i hemmet och i parrelationen hade ett samband med psykisk ohälsa bland kvinnor och män (även efter justering för bakgrundsvariabler och tidigare psykisk ohälsa). Att ha mindre ansvar för det obetalda arbetet i hemmet och en partner med högre socioekonomisk klass hade även ett samband med psykisk ohälsa bland män. Den kvalitativa analysen visade att genusrelationer var en viktig del i en ojämställd organisering av hemarbete och relaterade till upplevelser av psykisk ohälsa bland kvinnor och män. En hög belastning av hemarbete var ett hinder för kvinnor att uppleva en god hälsa. Upplevelser av att vara instängd i en omodern maskulinitet innebar en stressfull situation bland män. Mönster av ojämställdhet på arbetsplatser hade ett samband med psykisk ohälsa för kvinnor, men inte för män. Däremot visade sig de mest jämställda arbetsplats-mönstern vara relaterade till lägre och mer liknande nivåer av psykisk ohälsa bland kvinnor och män, vilket stödjer en konvergens i hälsa när kvinnor och mäns arbetsplats förhållanden är likvärdiga. Slutsats: Jämställdhet på arbetsplatser och i hemmet är viktigt för att minska psykisk ohälsa både bland kvinnor och män, men också för att uppnå en god genomsnittlig hälsa i befolkningen, något som är ett centralt folkhälsomål. Vid analyser av social ojämlikhet i hälsa är genusperspektiv av stor betydelse för att fördjupa förståelsen om hur och varför ojämställdhet i på arbetsplatser och i hemmet är relaterat till psykisk ohälsa. Att integrera genusperspektiv i folkhälsopolicy kan vara ett sätt att ta hänsyn till de maktrelationer som förhindrar en god folkhälsa.
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Dasgupta, Kabir. "Essays on Mental Health and Behavioral Outcomes of Children and Youth." Diss., Temple University Libraries, 2016. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/394605.
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EconomicsPh.D.
This dissertation incorporates three essays related to youth’s health and human capital outcomes. The first two essays investigate the impacts of important public policies on adolescents’ mental health and risky behavioral outcomes. Essay three examines the effects of mothers’ non-cognitive skills on children’s home environment qualities and their cognitive and behavioral outcomes. Domestic violence is a large public issue in the United States. Chapter 1 investigates the effectiveness of warrantless arrest laws enacted by states for domestic violence incidents on multiple youth mental and behavioral outcomes. Under these laws, police officers can arrest a suspect without a warrant even if they did not witness the crime. Although young women remain at the highest risk of victimization of domestic violence, children ages 3 to 17 years are also at elevated risk for domestic violence. Further, over 15 million children witness domestic violence in their homes every year in the United States. Exposure to domestic violence is associated with various social, emotional, behavioral, and health-related problems among youth. Using variation in timing of implementation of the arrest laws across states, I utilize differences-in-differences analyses in multiple, large-scale data sets of nationally representative samples of youth population to study the impact of the laws on a number of youth mental and behavioral outcomes. Results indicate the presence of heterogeneity with respect to the impact of states’ arrest laws on the outcomes studied. The study is useful for policymakers as it provides important evidence on the effectiveness of state measures designed to reduce domestic violence. The estimates obtained in the analyses are robust to multiple sensitivity checks to address key threats to identification. Chapter 2 empirically examines the effects of state cyberbullying laws on youth outcomes with respect to measures of school violence, mental health, and substance use behavior. Electronic form of harassment or cyberbullying is a large social, health, and education issue in the United States. In response to cyberbullying, most state governments have enacted electronic harassment or cyberbullying law as a part of their bullying prevention law. The analysis uses variation in the timing of implementation of cyberbullying laws across states as an exogenous source of variation. Using nationally representative samples of high-school teenagers from national and state Youth Risk Behavior Surveys, the study finds evidence of a positive relationship between adoption of cyberbullying laws and students’ reporting of certain experiences of school violence, mental health problems, and substance use activities. Regression analyses also study the effects of some important components of state cyberbullying laws. Finally, this study examines the sex-specific impacts of cyberbullying laws and its components on youth. The causal estimates are robust to the inclusion of multiple sensitivity checks. This study provides evidence on the efficacy of public measures designed to address cyberbullying among school-age children. Chapter 3 utilizes matched data from National Longitudinal Surveys of Youth (NLSY79) and Children and Young Adults (NLSY79 CYA), to estimate the impact of mothers’ self-esteem on young children’s home environment qualities that enhance early childhood cognitive functioning and extend better emotional support. The estimates suggest that mothers with higher self-esteem provide better home environment to their children during early stages of childhood. The results are robust across different estimation methods, empirical specifications, and demographic groups. This study also finds that mothers with higher self-esteem are more likely to engage in parental practices that support young children’s cognitive and emotional development. Further analysis shows that mothers' self-esteem has a causal relationship with cognitive and behavioral outcomes of school-age children. The results obtained in this study indicate that early childhood development policies directed towards enhancement of non-cognitive skills in mothers can improve children’s human capital outcomes.
Temple University--Theses
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Jones, Carol L. "Clinicians' Perceptions of North Carolina's 10-Year Primary Prevention Plan." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2664.
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The cost of domestic and intimate partner violence (DIPV) exceeded $8 billion annually on a national level, and North Carolina spent $307 million on DIPV and DIPV-related mental health care. Studies have shown a correlation between DIPV, mental illness, and substance abuse. North Carolina was found to have higher than normal risk factors for DIPV. In response, the Centers for Disease Control and Prevention partnered with the North Carolina Coalition Against Domestic Violence (NCCADV) to develop the NCCADV 10-year primary prevention plan. This study investigated clinicians' perceptions of the effectiveness of the plan. Phenomenological thought served as the conceptual framework. A purposive sample of 10 clinicians who worked in the region with DIPV clients in the preceding 12 months responded to semistructured interview questions that investigated their perceptions of whether the 10-year plan had a positive influence on victims and if the plan could potentially impact victims' future mental health and substance use behaviors. Interview data were transcribed, open coded, and thematically analyzed with the aid of qualitative software. Study results indicated that these clinicians believed the plan did not impact DIPV clients' current behaviors and was unlikely to have a future impact. A policy recommendation in the form of a position paper resulted from the findings, which recommended the use of mass media that encompass old and new technologies to promote primary prevention efforts by stakeholders and practitioners for the general public. This study has implications for positive social change in that it may provide knowledge to clinicians and stakeholders at the study site that aids them in understanding and preventing DIPV, in addition to promoting an overall increase in public awareness of the negative effects of DIPV.
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Orengo-Aguayo, Rosaura E. "Implementation of an acceptance and commitment therapy skills group with incarcerated domestic violence offenders : a feasibility pilot study." Diss., University of Iowa, 2016. https://ir.uiowa.edu/etd/2127.
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Intimate partner violence (IPV) is a serious public health concern. Existing interventions for male IPV offenders (i.e., Duluth Model with CBT principles) have shown small-to-negligible effects in reducing future perpetration of violence and have high dropout rates. Offenders who fail to complete treatment, or are deemed to be at “high risk”, are sent to jail. Efficacious and acceptable interventions for incarcerated IPV offenders are needed. The objective of this dissertation study was to test the feasibility of implementing an Acceptance and Commitment Therapy (ACT) skills group with incarcerated IPV offers. The ultimate goal of ACT is to help individuals make behavioral choices in the service of their values, despite the presence of unwanted internal experiences, through the use of acceptance and mindfulness skills. The specific aims of the study were: 1) to examine post-treatment effects in the targeted ACT skills (i.e., present-moment awareness, acceptance, defusion, experiential avoidance), internalizing symptoms, and externalizing behaviors; and to test whether treatment effects were moderated by IPV-related criminal history severity (IPV-CHS); 2) to explore participants’ perceptions of the group; and 3) to examine whether pre-treatment IPV-CHS predicted worse ACT skills and greater symptom severity at pre-treatment.
A sample of 33 court-mandated IPV offenders who participated in the 1 month ACT skills group (12 sessions, delivered 3 times per week) and who completed self-report questionnaires at pre and post treatment was used to evaluate the first two aims. The sample used to evaluate aim three consisted of 58 participants who had completed either the ACT skills group or another treatment offered at the jail at the time (treatment-as-usual) and for whom pre-treatment data were available. Quantitative results revealed that ACT did not produce significant pre to post changes in any of the outcome measures (i.e., ACT skills, internalizing symptoms, and externalizing behaviors), that IPV-CHS did not reliably moderate treatment effects, and that IPV-CHS did not predict worse ACT skills or greater symptom severity at pre-treatment. Qualitative results, however, revealed that participants viewed the ACT treatment favorably, found the material useful, and felt accepted and understood by the facilitators. The present study provides evidence for the feasibility of administering a standardized ACT-based protocol within a correctional setting. It further demonstrated that incarcerated IPV offenders perceived ACT to be an acceptable and useful treatment approach. The quantitative data, however, do not support the widespread dissemination of this ACT protocol with incarcerated IPV offenders at this time. Future research should follow-up on these discrepant findings by testing this ACT protocol with a larger sample, randomizing into ACT versus control group, including multiple follow-up time points, collecting one-year recidivism data, and exploring the effects of longer treatment and alternate forms of delivery (e.g., combination of individual and group sessions). Strengths and limitations of the study, as well as additional recommendations and directions for future research, are discussed.
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O'Hanlon, Anne-Marie. "Frontal lobe deficits and anger as violence risk markers for males with major mental illness in a High Secure hospital." Thesis, University of Lincoln, 2012. http://eprints.lincoln.ac.uk/18953/.
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Prediction of violent recidivism is an essential component of forensic in-patient assessment and treatment. The significant impact of violent recidivism upon individual victims, families and our wider society is clear. In addition, high numbers of re-admission, coupled with potential for prolonged periods of detention following revision of the Mental Health Act, present high financial costs to already limited High Secure services. With unacceptable levels of post discharge violent crime reported, increasing demand is seen for the identification of valid and reliable violence risk markers. However, recent violence risk research appears to have moved towards community follow-up studies, which hold limited utility for improvement of in-patient assessment and treatment. As such, this study set out to conduct violence risk marker research with males with Major Mental Illness in a High Secure hospital. Consideration of the existing violence risk marker research revealed positive yet inconsistent findings with regard to anger and neglect surrounding the study of frontal lobe deficits. The utility of two measures of frontal lobe ability, specifically related to reasoning and decision-making, in addition to anger expression and control, were investigated as violence risk markers for patients with Major Mental Illness. 39 male adult in-patients were assessed using the Wisconsin Card Sorting Test (WCST), the Iowa Gambling Task (IGT) and the second edition of the State-Trait Anger Expression Inventory (STAXI-2). Finally, participants’ scores on the Violence Risk Scale (VRS) were used to quantify predicted risk of violent recidivism. It was hypothesised that poorer performance on the frontal lobe measures, higher anger expression index scores and lower anger control scores, would be associated with higher violence risk scores. In addition, it was hypothesised that poorer performance on the frontal lobe measures would be associated with poorer outward anger control. Finally, it was hypothesised that these frontal lobe and anger variables would be found to be significant predictors of violence risk score. Correlational analysis revealed that the Anger Control-Out and Anger Expression indices from the STAXI-2, as well as WCST total score, significantly correlated with Violence Risk Scale score in the hypothesised directions. Following linear multiple regression, WCST total score and the Anger Control-Out index score were found to significantly and independently contribute to the subsequent Violence Risk Scale predictive model [F(2, 36)=8.175, p <.01]. Discussion embeds these findings within the context of previous literature. Strengths and limitations of this study are discussed, as well as suggestions made for future research directions. Recommendations are made for new frontal lobe screening procedures, as well as the modification or refinement of existent treatments. Finally, an extended paper is presented in complement to the journal paper. This contains additional information relating to the research context which was beyond the scope of the journal paper. Extended methodological factors are addressed, with additional findings provided. This extended paper concludes with further discussion offered and a reflective commentary drawing focus upon the research process. Examples of materials used within the study and evidence of ethical approval can be found within the appendices of this portfolio.
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Puckett, Theresa Louise. "The Influence of Risk and Protective Factors on Health-Compromising Behaviors among Incarcerated Juveniles." University of Akron / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=akron1279594086.
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Ross, Allison Rosita. "Impact of psychoeducational advocacy training as compared to psychoeducational support group as an empowering tool for female survivors of domestic violence." Fordham University, 2013.
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Buzi, Ruth S., Peggy B. Smith, Claudia A. Kozinetz, and Constance M. Wiemann. "Pregnant Adolescents as Perpetrators and Victims of Intimate Partner Violence." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1498.
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The role of pregnant adolescents as perpetrators of intimate partner violence (IPV) is not well understood. Socioecological factors associated with IPV (physical assault and injury, and psychological aggression) perpetrated by pregnant adolescents and the association between IPV and attitudes toward the use of physical punishment to discipline children were examined among 246 pregnant adolescents. Pregnant adolescents were more likely to report perpetrating both physical assault (24%) and psychological aggression (52.7%) than being the recipient (12.2% and 38.6%, respectively) and having been physically injured (7%) than inflicting injury (4.1%). Risk factors for perpetrating physical assault included prior assault by partner, being African American, exposure to community violence, being in trouble with the police, and multiple lifetime drug use. IPV perpetrators had more favorable attitudes toward the use of physical punishment. Interventions should address IPV and parenting attitudes in young couples to maximize the health and safety of both mother and unborn child.
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French, Audrey L. "Experience of Resilience Among African American Women Who Left Abusive Relationships." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7291.
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The rate of DV for AA women is higher than other groups and often more severe; however, some AA women are successful in leaving the violence for good. Researchers continue to examine how victims move beyond their former life and into an abuse free environment by directing more attention on positive dynamics of victims of DV. One area is the study of resilience; however, little is known about the lived experience of resilience. The purpose of this phenomenological study was to explore the lived experiences of resilience in AA women who successfully abandoned an abusive relationship. The interview questions were used assist the participants in describing the lived experience of resilience. The survivor theory (ST) was used to demonstrate the participants' active role in leaving the relationship. ST was also used to dispute past research that indicated victims give up hope and therefore remain in the abusive relationship. Ten AA women from the Bell County, Texas area who are at least 18-years-old and have been free of an abusive relationship for 2 years were interviewed. Participants' perceptions were extracted and analyzed for patterns and themes using face-to-face interviews and written surveys. Data analysis procedures included the process of reducing participants' similar themes and statements in search of meaning. Results revealed three common themes that include having a positive mindset, establishing a strong relationship with God, and taking various forms of actions toward gaining control. Implications for social change include using the findings toward increasing education, intervention, and other supportive means used by those who provide services to victims.
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Bryant, Cindy G. "Evaluating the use of Narrative Therapy and Art Therapy among Women Who Have Experienced the Trauma of Domestic Violence." Digital Commons at Loyola Marymount University and Loyola Law School, 2020. https://digitalcommons.lmu.edu/etd/906.
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This research study is aimed at evaluating the artwork created by a woman who has experienced the trauma of domestic violence. A qualitative research approach was used to capture the phenomenological outcomes in the art created during art therapy sessions using the theoretical lens of narrative therapy to analyze the art. For this study the subject was a young woman from Central America who had come into therapy per court mandate to address the issues of domestic violence at a community-based mental health center where the researcher was conducting her second- year practicum. The data (art) was gathered after each art therapy session. Five sessions in total were conducted where the subject was given various art making directives. The subject created six total pieces of artwork during the five sessions. The researcher then analyzed the artwork created by the subject using a phenomenological approach while looking for common themes found in the artwork using a narrative therapy lens with which to view the artwork. Many themes uncovered in the artwork were parallel to narrative therapy theory such as resilience and empowerment and held the possibility of assisting the subject who experienced domestic violence in finding new outcomes.
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McLaurin, Shamla L. "Childhood Experiences of Sibling Abuse: An investigation into learned helplessness." Diss., Virginia Tech, 2005. http://hdl.handle.net/10919/27272.
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As various forms of interpersonal family violence receive more attention in the literature, sibling abuse is still in the background. Despite the increasing knowledge about the prevalence, causes, and effects of sibling abuse, many of us continue to relegate it to a childhood occurrence. Sibling abuse symptoms continue to go unrecognized and its demoralizing effects continue to be ignored (Wiehe, 1990). Minimization and denial of sibling abuse have also contributed to constraining the extent of knowledge related to this phenomenon. The present study seeks to add to the existing research confirming the existence of sibling victimization and its long-term impacts.
This study has two primary purposes: 1) to capture the beliefs, feelings, and firsthand account of the abusive sibling experiences from the perspective of victims, and 2) to investigate the potential learned responses associated with sibling abuse and their possible impact on adult relationships by exploring participantsâ emotional and relational histories, and belief systems. This study presents data taken from a clinical sample of six adult female sibling abuse survivors. Individual semi-structured interviews were conducted and data analyzed using cross case analysis, constant comparison, and analytic induction techniques. Data suggests the long-term impacts of learned responses associated with sibling abuse can be detrimental to both interpersonal relationships and mental health. Emergent themes related to family functioning and environment and resiliency after abuse are also presented. Implications of findings and suggestions for future research are discussed.Ph. D.
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Dulen, Shanna B. "Treatment of Trauma for Latina and African American Survivors of Intimate Partner Violence." Scholarly Repository, 2011. http://scholarlyrepository.miami.edu/oa_dissertations/522.
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The mental health field lacks an array of effective interventions designed to assist women victims of intimate partner violence (IPV). Moreover, treatment modalities responsive to the needs of racially and ethnically diverse populations are under researched. This presents a significant challenge to serving ethnic minority women who are known to experience more crime, violence victimization, and psychological trauma than their dominant-ethnic group counterparts. This study integrated research and theory of trauma with current IPV literature and tested the utility of a brief trauma-based approach in reducing trauma related symptomatology in a predominantly Latina and African American clinical sample. Traumatic Incident Reduction (TIR) is a time limited intervention that seeks to resolve trauma and psychological symptoms through various memory-based methods, guided exposure techniques, and the use repetitious story-telling of traumatic event(s). By taking this approach, this research sought to add to the emerging literature on the effects of TIR in alleviating symptoms associated with trauma exposure. Treatment effects in 106 survivors of IPV were examined (age = 36, SD=9, 80.2% Latina, 19.8% African American, mean hours spent in TIR treatment M = 6.4, SD = 5.28). Paired t-tests supported the hypotheses that TIR significantly (p < .001) reduced symptoms of PTSD, anxiety, and depression and increased self-concept. Multiple regression analyses found that as the hours in TIR increased so did the participants self-concept (R2 = .179, F(4, 75) = 4.08, p = .005). Multiple regression analysis also supported the hypothesis that as the total number of crimes as a victim increased Depression increased significantly (R2 = .125, F(4, 76) = 2.72, p = .036). Chi squares and t-tests found no differences between those who remained in treatment versus those who terminated prematurely.
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Tobin, Martin James. "Risk Management for Persons with Serious Mental Illness: A Process Analysis of Washington State Department of Corrections' Tools." Antioch University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1572238409240387.
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Huskey, Michael G. "Evaluation of Program Effectiveness: a Look at the Bedford Police Department’s Strategy Towards Repeat Victimization in Domestic Violence and Mental Health." Thesis, University of North Texas, 2014. https://digital.library.unt.edu/ark:/67531/metadc699900/.
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The primary goal of this study was to evaluate the effectiveness of a program being run by the Bedford Police Department’s Repeat Victimization Unit on domestic violence and mental health and mental retardation. The study sought to determine whether the program was effective in reducing instances of repeat victimization in domestic violence and MHMR victims. Additionally the program investigated whether or not the program was effective at reducing victimization severity, and which demographic could be identified as the most victimized. Participants consisted of 157 domestic violence and MHMR victims in the city of Bedford, Tx between November 11, 2012 to July 30, 2013. Findings indicate that levels of repeat victimization for domestic violence and MHMR are relatively low regardless of whether the victim received services through the repeat victimization program or not. Additionally the severity of these repeat victimizations remains relatively constant regardless of whether services were received through the program or not. Implications and findings are discussed.
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Ouzounian, Zena. "Childhood Witnessing of Domestic Violence and Its Impact On Character Development Across Time and Adulthood Relationships." Antioch University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1576091625968322.
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Danielson, Marci Mae. "Multiple forms of maltreatment and the effects on mental health in Hispanic and Caucasian women." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3121.
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The purpose of this study was to examine the effects of multiple forms of abuse (physical, psychological, and sexual) on later psychopathology (depression, anxiety, and somatic complaints as assessed by the Hopkins Symptoms Checklist -HSCL) among two ethnic groups (non-Hispanic Caucasian and Hispanic).
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Spooner, Dionne Lynn. "An Exploration of Male Batterers' Perceptions of a Standardized Batterers' Treatment Program." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2765.
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The focus of this hermeneutic phenomenological, qualitative study was to gather an in-depth understanding of the lived experiences of male batterers participating in a standardized Duluth-model batterers' treatment group. The study had three main goals: (a) to understand the experience of male batterers participating in a standardized male batterers' treatment program, (b) to improve the treatment being provided to male batterers, and (c) to improve services to those impacted by domestic violence. Results from previous studies indicated that treatment for male batterers is ineffective and inconsistent and that the treatment provided, regardless of framework or modality, has little or no effect on recidivism. This study advances understanding of male-batterer treatment by exploring treatment from the perspective of those who receive it. The study included 9 men currently participating in a Duluth model batterer's treatment program in Minot, North Dakota. From the study results, 3 overall themes emerged: (a) overall group experience, (b) facilitators, and (c) Duluth model. Results indicated that the current delivery of the treatment is not effective for batterers. Findings suggested that the facilitators played an essential role in the treatment program. Findings further suggested that participants believed the Duluth model could be an effective treatment modality for batterers. Study findings may inform a more responsive and comprehensive treatment modality for male batterers. Such an intervention may improve service delivery for both batterers and victims as well as improve recidivism. These changes may result in positive social change for not only families caught in the cycle of violence but also for every sector of society.
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Hildebrand, Natália Amaral 1981. "Fatores de risco e proteção para transtornos mentais em crianças e adolescentes vítimas de violência doméstica." [s.n.], 2012. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310891.
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Orientadores: Maria de Lurdes Zanolli, Eloisa Helena Rubello Valler CeleriDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Introdução: Existe uma tendência natural de enxergar a infância como um período na vida em que o sujeito está isento de problemas ou qualquer tipo de preocupação. Entretanto, muitas crianças e adolescentes apresentam transtornos psiquiátricos, principalmente associados a fatores de risco como situações de violência doméstica. Objetivo: Estudar fatores de risco e proteção para transtornos mentais em crianças e adolescentes vítimas de violência doméstica; e, sob a perspectiva da promoção da saúde, verificar propostas de encaminhamento em relação ao projeto terapêutico individual das crianças, adolescentes e suas famílias. Método: Este estudo utilizou as abordagens quantitativa e qualitativa. Os sujeitos desta pesquisa foram crianças e adolescentes vítimas de violência doméstica (de 4 a 16 anos) e suas famílias, atendidos por instituições que compõe o Serviço Especializado nesta temática, vinculados ao CREAS (Centro de Referência Especializado de Assistência Social) do Município de Campinas, além dos professores e profissionais da área da psicologia e promoção social que os acompanham. Para a coleta de dados, foram aplicados instrumentos estruturados, entrevista semiestruturada e grupo focal. Este estudo utilizou inicialmente dois questionários de aplicação individual, SDQ - Strength Dificults Questionarie, para identificar problemas de saúde mental e DAWBA - Development and Well-Being Assessment, que tem como objetivo gerar diagnóstico em saúde mental infantojuvenil. Para obter maior confiabilidade no diagnóstico, o segundo instrumento foi aplicado nas três versões existentes (crianças ou adolescentes, responsáveis e professores). Depois, realizou-se um Grupo Focal com os profissionais que acompanham as famílias com o objetivo de propor uma discussão sobre a problemática das crianças e adolescentes em atendimento, fatores de risco e proteção, atuação profissional e sobre o encaminhamento em relação ao projeto terapêutico dos indivíduos e suas famílias. Resultados: A prevalência de problemas de saúde mental no grupo estudado foi de 65,5% (IC 95%; 59,3-71,3). Foram fatores de risco para o desenvolvimento de psicopatologias na infância e juventude: uso preocupante de bebida alcoólica do responsável (p=0,018), este estar fora do processo produtivo (p=0,04), e a idade dos sujeitos, pois quanto maior a idade, maior o número de transtornos psiquiátricos (comorbidade). Foi fator de proteção o responsável estar inserido em algum tipo de trabalho. Verificou-se através do grupo focal a necessidade de: mudanças em relação às condições de trabalhos dos profissionais dos Serviços Especializados; realização de um trabalho efetivo de articulação em rede visando à mudança de paradigma sobre o fenômeno da violência doméstica na infância e juventude; rever e avaliar políticas públicas efetivas de prevenção e tratamento dessa população. Considerações Finais: A violência doméstica vivenciada na infância e juventude é, por si só, um fator de risco significativo para o desenvolvimento de transtornos mentais em crianças e adolescentes, sendo agravado pelo uso preocupante de bebida alcoólica do responsável ou este estar fora do processo produtivo. Além disso, identificou-se que quanto maior a idade, maiores são os riscos de transtornos psiquiátricos, principalmente de comorbidades. É fundamental garantir a integralidade do cuidado e o avanço na efetivação dos direitos das crianças e adolescentes, sendo para isso, necessário rever e avaliar políticas públicas efetivas de prevenção e de tratamento especializado em Saúde Mental para crianças e adolescentes vítimas de violência doméstica
Abstract: Introduction: There is a natural tendency to see childhood as a period in life when the subject is free of any problems or concerns. However, many children and adolescents have psychiatric disorders, mainly associated with risk factors such as domestic violence situations. Objective / Aims: To study risk and protection factors for psychiatric disorders in children and adolescents victims of domestic violence, and, from the perspective of health promotion, verify referral proposals in relation to the individual therapeutic project for children, adolescent and their family. Method: This study utilized quantitative and qualitative approaches. The subjects of this research were children and adolescents victims of domestic violence (4-16 years) and their families, attended to a Specialized Service in care of domestic violence against children and adolescents in the city of Campinas, in addition to teachers and professionals of psychology and social promotion area that accompany them. For data collection, structured instruments, semi-structured interviews and focus groups were applied. This study initially used two questionnaires for individual applications, SDQ - Strength Dificults Questionarie, to identify mental health problems and DAWBA - Development and Well-Being Assessment, that aim to generate diagnosis in child and adolescent mental health. For greater reliability in the diagnosis, the second instrument was applied in the three existing versions (children or adolescents, caregiver/ parents and teachers). Then, it was performed a Focus Group with professionals that accompany the families in order to propose a discussion and analysis about the diagnosis of children and adolescents in care, risk and protection factors, professional activity and also on the referral in relation to therapeutic project of each individual and their family. Results: It was verified a prevalence of 65.5% of mental health problems in studied group. The risk factors for the development of psychopathologies in childhood and young adulthood included: alarming use of alcohol charge caregiver /parents (p=0,018), this one being out of the productive process (p=0,04) and the age of the subjects (p=0,031), because the higher the age, the greater the number of psychiatric disorders (comorbidity). It was a protection factor the caregiver/ parents be inserted in some kind of work. It was verified through focus groups the need of: changes in the work conditions of the professionals of Specialized Services; a construction of an effective network articulation aiming to change the paradigm of the domestic violence phenomenon in childhood and young adulthood; review and evaluate effective public policies of prevention and treatment of this population. Conclusion: The domestic violence experienced in childhood and young adulthood is, by itself, a significant risk factor for the development of psychiatric disorders in children and adolescents, aggravated by the alarming use of alcohol charge caregiver /parents or this one being out of the productive process. Furthermore, it was found that the higher the age, the greater the risk of psychiatric disorders, especially of comorbidities. It is essential to ensure the integrality of care and the progress in the effectuation of children and adolescents rights, and for this, it is necessary to review and evaluate effective public policies of prevention and specialized treatment in Mental Health for children and adolescents victims of domestic violence
Mestrado
Saude da Criança e do Adolescente
Mestra em Ciências
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Rodriguez, Luana. "A Curriculum on Culturally Competent Practices to Prevent Retraumatization in Diverse Survivors." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3202.
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This DNP project addresses the healthcare issue of intimate partner, domestic, and sexual violence (IPDSV), its impact on survivors, and reducing the potential for retraumatization by those who care for them in the clinical, behavioral, and social settings. Trauma-informed care interventions are designed to address the sequelae of trauma, promote recovery, and support resilience. Since IPDSV is a global health issue, supporting cultural needs of all clients is an essential aspect of trauma-informed care. This project was guided by a central research question that examined if trauma-informed, culturally competent curriculum be viewed by community stakeholders as an appropriate intervention for the education of their workforce in preventing survivor retraumatization. The framework for this project was informed by the sanctuary model, the 4 major tenets of Leininger's theory of culture care diversity and universality, and the 5 constructs of cultural competence by Campinha-Bacote. The focal site was a domestic violence shelter that provides care for a multitude of culturally diverse trauma survivors. Demographic data were collected, and a descriptive analysis performed to determine the diversity and needs of the residents. These data were then used to develop a culturally competent program using trauma-informed principles to prevent the effects of recidivism, and to promote healing, empowerment, and resilience in survivors.
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Gonzales, Gerald G. 1974. "Predicting Adolescent Resilient Outcomes for Children Who Experienced Interparental Violence During Childhood." Thesis, University of Oregon, 2011. http://hdl.handle.net/1794/12086.
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xv, 238 p. : ill.This dissertation study is an examination of childhood contextual factors that contributed to adolescent resilient outcomes among children who experienced interparental violence (IPV). More specifically, the study examined the degree to which verbal ability, temperament, behavior problems, parenting quality, parent-child conflict, IPV, and parent's perceived support in childhood account for variance in behavioral problems, self-efficacy, and parenting received in adolescence. The present study addresses gaps in IPV and resilience literature in the following ways: (a) Few studies have focused on adaptive outcomes of children who experienced IPV; (b) little is known about which contextual factors are most important in facilitating resilient outcomes for this population; (c) factors beyond the microsystem were included as predictors; and (d) little is known about the early predictors of general self-efficacy (a defining attribute of resilience) and parenting (a protective factor that facilitates resilience) for the present population. The sample was derived from an existing data set from the Project on Human Development in Chicago Neighborhoods. This is a longitudinal data set using a nonclinical, randomly selected sample. Using regression models to test whether childhood ecological factors could predict adolescent outcomes, the study had four primary findings. First, childhood (Wave 1) emotionality temperament predicted childhood internalizing problems, which predicted adolescent (Wave 3) internalizing problems. Second, childhood emotionality and parenting quality predicted childhood externalizing problems, which predicted adolescent externalizing problems. Third, none of the childhood variables were strong predictors of adolescent general self-efficacy. Lastly, parenting quality in childhood predicted parental monitoring in adolescence; however, none of the study variables were strong predictors of parenting quality in childhood. Results are discussed in the context of varying adolescent outcomes and the larger literature on IPV. The study highlights directions for future research, including the need to further examine protective processes among children survivors of IPV.
Committee in charge: Dr. Krista M. Chronister, Chair; Dr. Ellen H. McWhirter, Member; Dr. Jeffrey L. Todahl, Member; Dr. Philip A. Fisher, Outside Member
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Crawford, Rebekah Perkins. "A Spectrum of Silence and the Single Storyteller: Stigma, Sex, and Mental Illness among the Latter-day Saints." Ohio University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1532978500917072.
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Almeida, Cláudia Vicentini Rodrigues de. "Manda quem pode, obedece quem (não) tem juízo - corpo, adoecimento mental e intersubjetividade na polícia militar goiana." Universidade Federal de Goiás, 2012. http://repositorio.bc.ufg.br/tede/handle/tede/7514.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
This thesis studies the relationship between mental illness and military police through the analysis of oral narratives. The theoretical bases for this study are the theoreticalmethodological formulations in the field of medical anthropology as studied by Good (1994), Kleinman (1980; 1988; 1995) and others, such as Das et al (1997), Csordas (1994; 1999; 2008), and also Bourdieu (1980) who tried to articulate the individual and socio-cultural dimensions when privileging such notions as experience, social suffering, inter-subjectivity, agency and body. The empirical narrowing of the research privileged corporal and police officers from the Military Police of the State of Goiás (PMGO), males only and in active duty, under psychiatric care by the military institution. The field observations and semi-structured opened interviews took place at the Military Police Hospital of PMGO (HPM), where forensic psychiatric appointments take place as well as psychological care for those who work for the PMGO. Above all this research tries to answer two mutually implied questions: how a military order appears in the meaning attributed by military policemen to their experience of mental illness since their trained bodies signify identity and masculinity; and, on the other hand, what do the meaning attributed to their experience of illness have to say about individuals inscribed in the military order and about the social relationships dramatized in it.
Este trabalho trata da relação entre adoecimento mental e polícia militar por meio da análise de narrativas. O seu referencial teórico apoia-se nas formulações teóricometodológicas do campo da antropologia da saúde empreendidas por B. Good (1994), A. Kleinman (1980;1988;1995) e outros, como Das et al (1997), Csordas (1994;1999;2008) e também Bourdieu (1980), que procuram articular as dimensões individuais e socioculturais ao privilegiar noções como as de experiência, sofrimento social, intersubjetividade, agenciamento e corpo. Seu recorte empírico é composto por cabos e soldados da Polícia Militar do Estado de Goiás (PMGO), do sexo masculino, na ativa, atendidos pelo serviço de psiquiatria oferecido pela instituição militar. As observações de campo e as entrevistas semiestruturadas e abertas aconteceram no Hospital da Polícia Militar da PMGO (HPM), onde são realizados consultas psiquiátricas periciais e atendimentos psicológicos ao efetivo da PMGO. Fundamentalmente, esta pesquisa busca responder dois questionamentos mutuamente implicados: de que maneira a ordem militar se apresenta nos significados atribuídos por policiais militares às suas experiências de adoecimento mental, vez que os seus corpos construídos constituem terreno de identidade e masculinidade; e, do contrário, o que os significados atribuídos às experiências de adoecimento mental têm a dizer sobre os indivíduos inseridos na ordem militar e sobre as relações sociais nela dramatizadas.
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Liao, Min-Yu. "An examination of the types of services used by women who have experienced domestic violence in Taiwan to deal with the physical, mental and spiritual impact of abuse." Thesis, University of Bristol, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.551291.
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There is no empirical research in Taiwan looking at the provision of services for abused women from a body (physical), mind (mental) and spiritual (inner strength/meaning of life) perspective. Based on this gap, the aims of this thesis are to explore the type of services/healing approach that abused women in Taiwan have, or would like to have, used and examine the effect of these individual and/or integrated approaches. Concerning the methodology, a multi-method research approach has been adopted that used both quantitative and qualitative methods. A questionnaire survey (N=141) and semi-structured interviews (N=15) were conducted with a sample of women in Taiwan who had. experienced domestic violence. The findings of the study suggest that abused women used a range of physical, mental and spiritual health services (i.e. hospital treatment; talking with people you trust; praying in a temple). This study, as well as identifying the types of services abused women use, also identifies whether these services were perceived as positive or negative. Identifying how abused women experience these services is important in helping practitioners to better target the most effective resources. To further inform the qualitative results, case studies were used that found that most interviewees used a body-mind-spirit approach, but with only a few using it in an integrated way. Using these approaches separately was helpful because it addressed the multiple needs of individual woman. However, the lack of an integrated approach meant that the potential for empowerment through this holistic perspective was lost. Feminist theories suggest that various factors including traditional Chinese values, the effect of religious and spiritual values, and the financial dependence of women on men may all contribute to gender inequality and unequal power and result in domestic violence. Through applying feminist empowerment theory, this thesis found that participants could negotiate the impact of gender inequality through the empowerment they gained from using a range of health, welfare and legal services. This does not preclude the possibility that an integrated body, mind and spirit approach might be the most successful in empowering abused women in Taiwan. It suggests that such services are either unavailable in an integrated way or that women access whichever services meet their multiple needs, irrespective of the approach or perspective used.
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Paterson, Brodie. "Events and social policy : an exploration of the influence of two homicides on developments in mental illness social policy in England 1985-2000." Thesis, University of Stirling, 2006. http://hdl.handle.net/1893/248.
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Background. A number of commentators (Holloway 1996 Muijen 1996a; 1996b) have suggested that two events in the form of homicides carried out by mental health service users came to exert a disproportionate influence on English mental health policy over the period 1985-2000. In particular it has been suggested that the events formed the focus for a ‘moral panic’ caused by ‘irresponsible’ and ‘sensationalist’ reporting in UK newspapers (Neal 1998; Prins and Swan 1998). Aims. In the light of such claims this study critically explores the role played by the deaths of Jonathan Zito and Isabel Schwarz play in establishing violent assaults perpetrated by people experiencing mental illness as a ‘social problem’. It examines whether a shift in the discourse on mental illness took place in UK newspapers and explores how the deaths of Isabel Schwarz were and Jonathan Zito were framed in terms of causal responsibility. Finally it evaluates what influence, if any, the deaths in question had on the social policy agenda. Design. Case study / mixed design integrating quantitative and qualitative methods. Method. Content analysis consisting of a longitudinal analysis of the nature of the representation of mental illness changed over the period in two UK newspaper. Framing a sub-type of discourse analysis examined changes in the discourse of mental illness and the effects of the emergence of the community care tragedy as a ‘new’ narrative. It was also used to examine the potential influence on social policy on mental illness of changes in societal level frames particularly the emergence of the risk society. Results. The content analysis found that mental illness appeared increasingly in the context of a threat to public safety in newspapers over the period but that the overall representation was more balanced. The framing analysis identified and evidenced a competitive process in framing the issue of homicides committed by service users with mental health problems and demonstrated the potential influence of macro level social frames on the policy making proces
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Sokudela, Funeka. "A comparison of psychosocial and psychiatric features of mentally capable versus mentally incapable individuals referred by the courts for forensic psychiatric observation in relation to an alleged sexual offence." Thesis, University of Pretoria, 2018. http://hdl.handle.net/2263/65810.
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This is a mixed research methods study based at the forensic mental health unit of Weskoppies Psychiatric Hospital in Pretoria, Gauteng Province, South Africa. The overarching aim of the study was to help add insights that could indirectly inform the wider discourse on sexual offending in society and to the body of knowledge on the prevention of sexual violence – including in forensic mental health. Qualitative and quantitative methods were applied through concurrent and transformative mixed research methods, premised on the philosophical stance of pragmatism. Records of individuals accused of sexual offences were explored and in-depth interviews with individuals accused of sexual offending and / or other types of charges referred for observation in terms of the Criminal Procedure Act, 51, 1977 (CPA 1977) were conducted. Psychiatric and psychosocial features and general perspectives on sexual offending were explored. Data collection was done from the end of 2014 to the end of 2015.
In terms of findings, the record-based component of the study revealed that the majority of those referred were mentally capable, were known to the victims and lived in close proximity to them. Boys and girls, elderly women and socially isolated individuals seemed the most vulnerable irrespective of the mental capacity of the accused at the time of an alleged incident. In-depth interviews revealed scepticism, myths and new locally relevant ways of defining sexual violence. Socio-economic determinants of health seemed to render potential perpetrators of sexual offending vulnerable to violence and included adverse childhood events, poverty, unemployment and inequality. Experiences during and after arrest revealed possible human rights violations of alleged offenders by communities and law enforcement systems. Mental illness worsened stigma even in the hands of law enforcement systems.
Central phenomena viz. ‘the perceived oppression of men’ and ‘vulnerability’ of potential victims and potential perpetrators emerged. A tentative theory of ‘vulnerability’, as an explanation and an approach to preventing sexual and other forms of violence in society, is proposed for both victims and potential perpetrators. Public health, socio-ecological frameworks of sexual violence prevention and other explanatory and prevention frameworks on sexual offending seem aligned to the study’s findings. Patriarchy, collective violence inherited from South Africa’s past, social cognitive theory on learning, trauma re-enactment, and other factors seem to play a role. In terms of mixed research contributions, a need for robust ways of studying diverse populations such as South Africa is emerging. Further, an initial stance of studying prevention of sexual violence from a victim-centred advocacy lens, has been transformed to yield accused individuals’ advocacy issues as well. Multi-system prevention approaches involving at-risk potential perpetrators, and not just victims, seem to be the next frontier for research and interventions. The study reveals insights that may contribute to the field of violence prevention.Thesis (PhD)- University of Pretoria, 2018.
Psychiatry
PhD
Unrestricted
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Silva, Angela Cristina Dornelas da. "Associação entre violência intrafamiliar e desnutrição infantil: um estudo caso-controle." Universidade Federal de Alagoas, 2009. http://repositorio.ufal.br/handle/riufal/916.
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It is estimated that in developing countries, about 30% of the population of
children under 5 years of age are malnourished. According to UNICEF the causes of
malnutrition include other factors besides availability of food and family violence
have been cited as a risk factor for child malnutrition. In order to check whether there
is an association between violence and moderate or severe malnutrition in children it
was conducted a case-control study in a community of the city of Maceió, Alagoas.
Cases were 65 pairs of mother malnourished child (children with moderate or
severe malnutrition, aged between six and sixty months of age), attended at the
Center for Nutritional Rehabilitation and Education (CREN) - Maceió, and controls
were 64 pairs of mother- eutrophic child in the same age and without malnourished
siblings. We used the questionnaire Brazilian version of the WorldSAFE to detect
violence against women and against children and anthropometric evaluation to
detect child malnutrition. Data were analyzed utilizing the chi square test and the
odds ratio (OR). It was utilizaed the value of p ≤ 0.05 and confidence interval of
95%. The results showed that both severe physical violence against children by
parents, and as physical violence against women by the husband or partner in the
last twelve months were very high in both groups. It was higher among cases, but
without statistical significance. For children, the threat of abandonment was the type
of violence higher among malnourished. For mothers, the threat with a firearm was
the type of violence higher among malnourished. Among the socio-demographic
variables low maternal schooling (OR = 2.1, CI: 1.0 - 4.2), low paternal schooling
(OR = 4.2, CI: 1.8 - 9.8), number of children (OR = 4.3, CI: 1.9 - 10), greater number
of residents in the home (OR = 2.8, CI: 1.3 - 5.9) and low economic class (OR = 3.4,
CI: 1.1 - 9.9) were associated with malnutrition. The study concluded that there was
no association between violence and moderate or severe chronic malnutrition and
that other studies are needed for a better understanding of the relationship between
child malnutrition and violence.Estima-se que nos países em desenvolvimento, cerca de 30% da população de crianças menores de 5 anos de idade sofre de desnutrição. De acordo com a UNICEF as causas da desnutrição estão além do baixo consumo de alimentos e neste cenário a violência intrafamiliar tem sido citada como fator de risco para a desnutrição infantil. Com objetivo de verificar se existe associação entre violência intrafamiliar e a desnutrição moderada ou grave em crianças foi realizado um estudo caso-controle em uma comunidade da cidade de Maceió, Alagoas. Os casos foram 65 duplas de mãe - criança desnutrida (criança com desnutrição moderada ou grave, na faixa etária entre seis e sessenta meses de idade), atendidas no Centro de Recuperação e Educação Nutricional (CREN) - Maceió, e os controles foram 64 duplas de mãe-criança eutrófica na mesma faixa etária dos casos e sem irmãos com desnutrição oriundos da mesma comunidade. Foi utilizado o questionário WorldSAFE Brasil versão 2007 para detectar violência contra mulher e contra criança e a avaliação antropométrica para detectar a desnutrição infantil. Os dados foram analisados através do teste do qui quadrado e do cálculo da razão de chances (OR) considerando o valor de p≤ 0,05 e o intervalo de confiança (IC) de 95%. Os resultados demonstraram que tanto a violência física severa contra criança perpetrada pelos pais, como a violência física contra mulher perpetrada pelo marido ou companheiro dos últimos doze meses foram muito altas em ambos os grupos, sendo que alcançaram proporções mais altas entre o grupo dos casos, porém sem significância estatística. Para as crianças, a ameaça de abandono foi o tipo de violência com tendência a ser maior entre desnutridos. Para as mães, a ameaça com arma de fogo foi o tipo de violência com tendência a ser maior entre desnutridos. Dentre as variáveis sócio-demográficas estudadas a baixa escolaridade materna (OR=2,1, IC:1,0 4,2), baixa escolaridade paterna (OR=4,2, IC:1,8 9,8), maior número de filhos (OR=4,3, IC:1,9 - 10), maior número de residentes no domicílio (OR=2,8, IC: 1,3 5,9) e a baixa classe econômica (OR=3,4, IC:1,1 9,9) apresentaram associação com a desnutrição. O estudo concluiu que não houve associação entre violência intrafamiliar e desnutrição crônica moderada ou grave e que outros tipos de estudo são necessários para compreensão mais aprofundada da relação entre desnutrição e violência.
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Evans, Rachel M. "The Social Politics of Nico Muhly's Marnie." Bowling Green State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1594569041054224.
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Alexandre, Paulo Pinto. "A punição física de crianças com deficiência mental no ambiente doméstico." Universidade Presbiteriana Mackenzie, 2008. http://tede.mackenzie.br/jspui/handle/tede/1684.
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Previous issue date: 2008-02-19Fundo Mackenzie de Pesquisa
The objectives of this study were: 1) describes the severe physical punishment and non-severe physical punishment against the children from the age of 0 to 12 years old with clinical diagnosis of mental deficiency in the family environment, in the last 12 months; 2) investigate whether these children's parents suffered any type of severe or non-severe physical punishment in their childhood and adolescence; and 3) whether the parent s severe or nonsevere physical punishment has any association with the physical punishment that they now practice against their children. Based on a traverse-cut study, a sample of 132 families was analyzed and the information given by the children's parents. These children attend a rehabilitation clinic of a private institution in the boundaries of São Paulo city ou in the metropolitan area o São Paulo, in the State of São Paulo. The definition of serious evere physical punishment and non-severe physical punishment against children was accomplished starting from the Brazilian pilot study of the World Studies of Abuse in Family Environments. The definition of severe physical punishment and non-severe physical punishment against the parents was accomplished using the survey questionnaire made by Drª Viviane Nogueira Guerra, researcher of the Child's Laboratory (LACRI) of the Institute of Psychology of USP/SP. The structured questionnaires were applied by trained interviewers. The physical punishment among children with mental deficiency of this sample was frequent: 12,1% had suffered severe physical punishment and 60,6% non- severe physical punishment. The boys tend to be hit more than the girls (OR = 2,1, p = 0,08). Besides, the children of the s who were victims of punishment in their childhood or adolescence have bigger chances to be punished physically than the children of the parents who had not been victims of punishment (OR=1,2; p=0,01). The frequency of physical punishment among children with mental deficiency seems to be as high as among children without deficiency and the transgeracionality becomes clear in this study. Therefore, preventions are necessary. This is to minimize the effects of the physical punishment against the children with deficiency and avoid its repetition, once the rates in this study are high.
Esta pesquisa descreve a punição física grave e não grave contra a criança de 0 a 12 anos de idade com diagnóstico clínico de deficiência mental no ambiente doméstico nos últimos 12 meses. Além disso, serão investigados se os pais destas crianças sofreram algum tipo de punição física grave e não grave em sua infância e adolescência e se isto tem alguma associação com a punição física que pratica atualmente contra seu filho. Com base em um estudo de corte transversal, foi analisada uma amostra de 132 famílias sendo a informação prestada pelos pais das crianças. As crianças da amostra são freqüentadoras de uma clínica de reabilitação de uma instituição privada do Grande ABC, Estado de São Paulo. A definição de punição física grave e não grave contra a criança foi realizada a partir do estudo piloto brasileiro do World Studies of Abuse in Family Enviroments. A definição de punição física grave e não grave contra os informantes foi realizada a partir do questionário de sondagem de autoria da Drª Viviane Nogueira Guerra, pesquisadora do Laboratório da Criança (LACRI) do Instituto de Psicologia da USP/SP. Os questionários estruturados foram aplicados por entrevistadores treinados. A punição física entre criança com deficiência mental desta amostra foi freqüente: 12,1% haviam sofrido punição física grave e 60,6% punição física não grave. Mostrou-se que os meninos tendem a apanhar mais que as meninas (OR = 2,1, p = 0,08). Além disso, filhos de informantes vítimas de punição na infância ou adolescência têm maiores chances de serem punidos fisicamente que filhos de informantes que não haviam sido vítimas de punição (OR=1,2; p=0,01). A freqüência da punição física entre crianças com deficiência mental parece ser tão alta quanto entre crianças sem deficiência e a transgeracionalidade fica clara neste estudo. Assim, fica evidente a necessidade de prevenções para remediar os efeitos da punição física contra a criança com deficiência e evitar a sua repetição, pois as taxas encontradas por esse estudo são altas.
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Mansoorzadeh, Katerina, and Marianna Oleshkevich. "Att bemöta patienter med psykisk ohälsa och personlighetsförändringar på röntgenavdelning : Praktiska råd för röntgensjuksköterskor och annan vårdpersonal." Thesis, Luleå tekniska universitet, Institutionen för hälsovetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-60813.
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Inledning: Patienter med psykisk ohälsa och personlighetsförändringar på röntgenavdelning utgör en grupp av patienter som kan bete sig verbalt eller fysiskt aggressivt. Våld på arbetsplatser förekommer i alla arbetsmiljöer men vårdpersonalen är mest utsatt. Precis som alla andra vårdtagare har dessa patienter rätt till jämlik och säker vård. Syfte: Syftet med studien var att ta fram praktiska råd som röntgensjuksköterskor kan använda för att bemöta patienter med psykisk ohälsa/personlighetsförändringar och kunna förebygga och hantera situationer med aggression och våld. Metod: Studien utfördes som en allmän litteraturöversikt. Tolv vetenskapliga artiklar analyserades. Resultat: Studien kom fram till tre faktorer som kan bidra till att aggressiva situationer i vårdmiljön uppstår (interna, externa och kommunikativa). Det beskrivs fem typer av signaler som röntgensjuksköterskor ska vara uppmärksamma på för att förutse aggression: vad patienten säger, ändringar i rösten, ansikte, beteende, kroppsspråket och i känslouttryck. Många praktiska råd lyfts fram och de flesta baseras på holistiskt synsätt på patienten. Det är viktigt att bygga upp en förtroenderelation på gemensam basis, respektera patientens val och på så sätt låta patienten ha kontroll över sitt liv. Kontinuerlig utbildning och träning med olika scenario rekommenderas att tillämpa på arbetsplatserna för att öka röntgensjuksköterskors kunskap inför möten med denna patientgrupp. Slutsats: Studien besvarade forskningssyfte genom att lyfta fram faktorer som kan leda till aggression, signaler från patienter som röntgensjuksköterskor ska vara uppmärksamma på och praktiska råd som är viktiga vid bemötande av patienter med psykisk ohälsa/personlighetsförändringar.
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Roberts, Kelly Eileen Cahill. "An Evaluation of the Expect Respect: Preventing Teen Dating Violence High School Program." Ohio : Ohio University, 2009. http://www.ohiolink.edu/etd/view.cgi?ohiou1242323117.
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Jesus, Luane Sales de. "Imagem corporal e sa?de mental de mulheres que sofreram viol?ncia dom?stica: diferenciais segundo ra?a/cor da pele." Universidade Estadual de Feira de Santana, 2015. http://localhost:8080/tede/handle/tede/451.
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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES
The body image involves a tangle of factors that define how individuals see themselves and how they think and are seen by others people. Be satisfied or not with de image body is a constant training process, as from the experiences, the individual may feeling dissatisfied with your body image. The violence and racial discrimination are listed how negative influencers for the concept of body image of the individual, because after suffered aggresions by subject, is possible that your concept of satisfaction with your bodyimage, be reversed for dissatisfaction. However, there aren?t studies in Literature the relate to mental health and feelings of women`s satisfaction/dissatisfaction feelings, victms of domestic violence with their body image, considering the differentials by race/color. OBJECTIVE: Avaliate the satisfaction with body image and situation of mental health of the women, victms of domestic violence highlighting differences by race/color, attended at Women?s Reference Center in Bahia. METHODOLOGY: A descriptive quantitative study used document analysis and interviews among the women attended at women?s Reference Dandara Center, in Serrinha-Bahia. An individual questionnaire was applied, with the Stunkard Silhouettes Scale, the Self Report Questionnaire (SRQ-20), Beck?s depression inventory and the Patient Health Questionnaire (PHQ). The data collection was searched in October 2014 to June 2015. RESULTS: The most women were young, single, with children, low level of education, took head family, worked,they received less than a minimum salary, practiced leisure activities and were predominantly black women, also as related most variables from race/color. There was a predominance of the violence by intimate partners, into their own homes, specially the psychological and physical violence. Found predominance of dissatisfaction about their body image, particularly about black women, aged less than 40 years, without partners and received less than a minimum salary. The most women, indicated like dissatisfied about body image, showed high levels of disorders and depression. CONCLUSION: Leave the this violent means and the reduction of racial discriminations, can be important actions to reduce the dissatisfactions about the body image, mental disorders and depression. This study provides informations to developing strategies for a good mental health of the women in domestic violence situation, specially the black women, to minimize the consequences of suffered violence by them.
A imagem corporal envolve um emaranhado de fatores que definem como os indiv?duos se veem e como acham que s?o vistos pelas outras pessoas. Estar satisfeito ou n?o com a imagem do corpo ? um processo em constante forma??o, pois a partir das experi?ncias vividas, o indiv?duo pode se sentir insatisfeito com a sua imagem. A viol?ncia e a discrimina??o racial est?o elencadas como fortes influenciadores negativos para o conceito da imagem corporal do indiv?duo, pois a partir das agress?es sofridas pelo sujeito, ? poss?vel que seu conceito de satisfeito com a imagem corporal seja revertido para insatisfa??o. No entanto, s?o escassos na literatura estudos que relacionem a sa?de mental e os sentimentos de satisfa??o/insatisfa??o de mulheres v?timas de viol?ncia dom?stica com a imagem corporal, considerando os diferenciais por ra?a/cor. OBJETIVO: avaliar a satisfa??o com a imagem corporal e a situa??o de sa?de mental das mulheres v?timas de viol?ncia dom?stica com destaque para diferenciais segundo ra?a/cor, atendidas em um Centro de Refer?ncia da Mulher em um munic?pio da Bahia. METODOLOGIA: Foi realizado um estudo quantitativo descritivo que utilizou an?lise documental e entrevista com mulheres em situa??o de viol?ncia atendidas no Centro de Refer?ncia da Mulher Dandara em Serrinha-Ba. Foi utilizado um question?rio individual, contendo a Escala de Silhuetas de Stunkard, o Self Report Questionnaire (SRQ-20), o Invent?rio de Depress?o de Beck e o Patient Health Questionnaire (PHQ). A coleta de dados foi realizada de Outubro de 2014 at? Junho de 2015. RESULTADO: A maioria das mulheres era jovem, solteira, com filhos, baixo n?vel de escolaridade, assumia a chefia da fam?lia, trabalhava, tinha renda mensal menor que um sal?rio m?nimo, praticava atividades de lazer e era, predominantemente, negra, tamb?m quando relacionadas ? maioria das vari?veis com a ra?a/cor. Houve predomin?ncia da viol?ncia praticada por parceiro ?ntimo, no pr?prio lar, destacando-se a viol?ncia psicol?gica e f?sica. Constatou-se predomin?ncia de insatisfa??o com a imagem corporal, principalmente em mulheres negras, com idade menor que 40 anos, sem parceiro e com renda menor que um sal?rio m?nimo. A maioria das mulheres indicadas como insatisfeitas com a imagem corporal apresenta elevados n?veis de Transtorno Mental Comum e Depress?o. CONCLUS?O: Abandonar o meio violento e a redu??o da discrimina??o racial podem ser a??es importantes para a redu??o da insatisfa??o com a imagem corporal, transtornos mentais e Depress?o. Este estudo fornece subs?dios para elabora??o de estrat?gias para a melhoria da sa?de mental das mulheres que se encontram em situa??o de viol?ncia dom?stica, em especial as negras, a fim de minimizar as consequ?ncias da viol?ncia sofrida.
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Kramer, Angela C. "Everything Endlessly Rising." Bowling Green State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu161659952570974.
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