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Dismissive attitudes and affirmative journeys: Parental perspectives on the mental health support of gender diverse children 轻视的态度和肯定的旅程:父母对不同性别儿童心理健康支持的看法
Pub Date : 2024-04-13 DOI: 10.37576/abuse.2024.053
Karl Hind
Transgender/gender diverse (TGD) children experience poorer mental health and social outcomes than those who do not identify as TGD (Smith et al., 2014; Geist et al., 2019), including increased risk for depression and suicidal ideation (Haas et al., 2011; VanBergen & Love, 2022). Research has linked these poor outcomes to the micro-aggressions and dismissive attitudes of their families, communities and wider society (Brooks, 2000; Ryan et al., 2010). This service evaluation used Interpretive Phenomenological Analysis (IPA) with a small number of purposively sampled parents (n = 5) to explore experiences of their children’s involvement with CAMHS (Child and Adolescent Mental Health Services). The aim was to add to the understanding we have of the needs of TGD client groups and to inform service provision. This study supports the wider research base linking affirmative attitudes to more positive mental health outcomes, and adds additional nuance to our understandings of parental attitudes. Parents are not typically polarised in ‘affirmative’ or ‘dismissive’ positions, but rather engaged in journeys of personal growth and development, generally becoming more affirmative over time. These parents also described significant additional support needs with social deprivation, family breakdown and the impact of developmental difference highlighted. Recommendations for intervention are made.
变性/性别多元化(TGD)儿童的心理健康和社会结果比那些未被认定为变性/性别多元化的儿童更差(Smith 等人,2014 年;Geist 等人,2019 年),包括抑郁和自杀倾向的风险增加(Haas 等人,2011 年;VanBergen & Love,2022 年)。研究将这些不良后果与他们的家庭、社区和更广泛的社会的微观侵害和轻蔑态度联系起来(Brooks,2000;Ryan 等人,2010)。这项服务评估采用了解释性现象学分析法(IPA),有目的地抽取了少数家长(n = 5),探讨他们的子女参与 CAMHS(儿童和青少年心理健康服务)的经历。其目的是加深我们对 TGD 客户群体需求的了解,并为提供服务提供依据。这项研究支持将积极态度与更积极的心理健康结果联系起来的更广泛的研究基础,并使我们对家长态度的理解更加细致入微。家长们通常不会采取 "肯定 "或 "蔑视 "的两极分化态度,而是会参与到个人成长和发展的历程中,随着时间的推移,他们的态度通常会变得更加肯定。这些家长还描述了大量的额外支持需求,强调了社会贫困、家庭破裂和发展差异的影响。提出了干预建议。
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引用次数: 0
CASEE – Introducing a new assessment tool for supporting victims of Child Sexual Exploitation CASEE - 引入新的评估工具,为儿童性剥削受害者提供支持
Pub Date : 2024-04-13 DOI: 10.37576/abuse.2024.054
C. Ireland, Jane L. Ireland
This narrative review of theory introduces the basis for a new assessment tool; the CASEE (Child Adolescent Sexual Exploitation Evaluation, Ireland, Lewis & Ireland, 2023), which is then illustrated using a case study approach. The CASEE considers the vulnerability and protective factors for children and young people where concerns of child sexual exploitation (CSE) have been raised. Such concerns can include known exposure to CSE, suspected or a potential risk of exposure. The CASEE considers various vulnerability and protective factor items, developed from research involving the CASEE authors, and in response to additional research in the field. A child/young person is rated for the presenting evidence of several vulnerability factors that could present as a heightened risk of exposure to CSE, alongside protective factors that can buffer against these concerns. A key component of the CASEE is completion of an individualised formulation of understanding as to what can exacerbate vulnerabilities, alongside consideration of risk scenarios for how vulnerability can present. The aim is to understand vulnerabilities around the time of CSE concerns, and how protective factors can be maximised to safeguard the child/young person. The plans for validation of the CASEE are outlined.
这篇理论综述介绍了新评估工具 CASEE(儿童青少年性剥削评估,爱尔兰、刘易斯和爱尔兰,2023 年)的基础,然后使用案例研究方法对其进行了说明。CASEE 考虑了对儿童性剥削 (CSE) 有担忧的儿童和青少年的脆弱性和保护因素。这种担忧可能包括已知的接触 CSE、怀疑或潜在的接触风险。CASEE 考虑了各种脆弱性和保护因素项目,这些项目是根据 CASEE 作者参与的研究以及该领域的其他研究制定的。在对儿童/青少年进行评级时,要看其是否有证据表明存在几种脆弱性因素,这些因素可能会增加接触 CSE 的风险,同时还要看其是否存在保护性因素,这些因素可以对这些问题起到缓冲作用。CASEE 的一个关键组成部分是完成对可能加剧脆弱性的因素的个性化理解,同时考虑脆弱性如何表现的风险情景。这样做的目的是为了了解发生儿童和青少年犯罪问题时的脆弱性,以及如何最大限度地利用保护因素来保护儿童/青少年。概述了验证 CASEE 的计划。
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引用次数: 0
Illuminating the dark side: Life story and formulation work to understand criminogenic capacities and human harmfulness 照亮阴暗面:了解犯罪能力和人类危害性的生活故事和配方工作
Pub Date : 2024-04-13 DOI: 10.37576/abuse.2024.056
Jon Taylor, Kerensa Hocken
The assessment of risk is a central component of forensic practice with clinicians regularly being required to undertake formal risk assessments using Structured Professional Judgment tools. While these tools guide practitioners to identify areas of concern, they do little to establish the function of risk factors or the context(s) that influenced the consolidation of harmful capacities. In this paper we argue for a compassionate approach to risk assessment that incorporates a functional analysis of the influence of learning experiences and promotes insight into the initial function of risks. We attempt to illustrate this process using case studies throughout.
风险评估是法医实践的核心组成部分,临床医生经常被要求使用结构化专业判断工具进行正式的风险评估。虽然这些工具可以指导从业人员确定需要关注的领域,但它们在确定风险因素的功能或影响有害能力形成的背景方面作用甚微。在本文中,我们主张采用一种富有同情心的风险评估方法,对学习经历的影响进行功能分析,并促进对风险最初功能的深入了解。我们试图通过案例研究来说明这一过程。
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引用次数: 0
Tackling poor mental health and self-harming tendencies among students: Indicative evidence of the effectiveness of a novel partnership-based approach to intervention 应对学生中的不良心理健康和自残倾向:基于伙伴关系的新型干预方法有效性的指示性证据
Pub Date : 2024-04-13 DOI: 10.37576/abuse.2024.057
Mark O'Brien, Joanne Worsley
Poor mental health and self-harm are becoming increasingly common in student populations. Strategic partnerships between universities and NHS mental health services can ensure that students have access to appropriate support. The current paper reports on a pilot service evaluation of a brief therapy service for students who have recently self-harmed, namely University-Community Outpatient Psychotherapy Engagement (U-COPE) service. The aim of the pilot evaluation was to ascertain the efficacy of the U-COPE service as well as offer insights around partnership working between university and NHS mental health services in relation to the design, implementation, and delivery of the U-COPE service. Students completed measures of psychological distress before and after the intervention, as well as across the four therapy sessions. There was a reduction in psychological distress between assessment and discharge. Psychological distress also reduced significantly between the first and final therapy session. Most students (93%) continued their programme of study from the year in which they had accessed the U-COPE service to their next year of study. The provision of brief, relational psychotherapy to students presenting with self-harm related difficulties is a novel approach to intervention. The success of this approach illustrates how multiple organisations play a role in supporting student mental health, bringing a blend of diverse skills and expertise together. Although the U-COPE service shows promise as a brief intervention for students who self-harm, these findings should be treated with caution due to the small sample size. Further investigation of this brief intervention is warranted to ascertain whether U-COPE has a long-term impact on difficulties and distress-related behaviours.
心理健康状况不佳和自我伤害在学生群体中越来越常见。大学与国家医疗服务体系(NHS)心理健康服务机构之间的战略合作关系可以确保学生获得适当的支持。本文报告了一项针对近期有自残行为的学生的简短治疗服务的试点服务评估,即大学-社区门诊心理治疗参与(U-COPE)服务。试点评估的目的是确定 U-COPE 服务的有效性,并就大学与 NHS 心理健康服务机构在 U-COPE 服务的设计、实施和交付方面的合作提供见解。学生们在干预前后以及四次治疗过程中完成了心理压力测量。从评估到出院期间,学生的心理压力有所减轻。在第一次治疗和最后一次治疗之间,心理压力也明显减轻。大多数学生(93%)在接受 U-COPE 服务的那一年继续完成他们的学业,直到下一年。为有自我伤害相关困难的学生提供简短的关系心理治疗是一种新颖的干预方法。这种方法的成功说明了多个组织如何在支持学生心理健康方面发挥作用,将各种技能和专业知识融合在一起。尽管 U-COPE 服务显示出了对自我伤害学生进行简短干预的前景,但由于样本量较小,因此应谨慎对待这些研究结果。有必要对这一简短干预措施进行进一步调查,以确定 U-COPE 是否会对困难和与痛苦相关的行为产生长期影响。
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引用次数: 0
Explorations of attitudes towards accessibility and accessing domestic violence and abuse (DVA) perpetrator support programmes by victim-survivors and perpetrators across five European countries 探讨五个欧洲国家的受害者-幸存者和施暴者对获得和利用家庭暴力和虐待 (DVA) 施暴者支持计划的态度
Pub Date : 2024-04-13 DOI: 10.37576/abuse.2024.055
Orlanda Harvey, Terri Cole, J. Levell, Jane Healy
This paper reports on findings from international empirical research that explored victim-survivors and perpetrators’ attitudes towards perpetrator support programmes. Ninety-three questionnaires with female victim-survivors of domestic partner violence and abuse, and 18 interviews with male perpetrators were conducted in five European countries. Results showed that of the 93 victim-survivors of domestic violence and abuse, half stated they would have stayed in their relationship with perpetrators if the abuse had stopped, and a similar number reported that they believed their relationships would have been different had there been help for the perpetrator. Analysis of perpetrator interviews showed that they faced barriers to obtaining support, such as being labelled a ‘perpetrator’ which, had they been addressed, may have enhanced their engagement with services. Whilst acknowledging the need for safeguarding and justice, this paper demonstrates the importance of reflecting both victim-survivor and perpetrator needs in order for perpetrators to fully engage with support services. Moreover, it highlighted the need to address the underlying societal issues related to hegemonic masculinity, which can lead to the abuse of women being normalised and the vulnerability of men being stigmatised, through education for young people around healthy relationships.
本文报告了国际实证研究的结果,这些研究探讨了受害者-幸存者和施暴者对施暴者支持计划的态度。在五个欧洲国家对家庭暴力和虐待行为的女性受害者-幸存者进行了 93 次问卷调查,并对男性施暴者进行了 18 次访谈。结果显示,在 93 名家庭暴力和虐待行为的受害者-幸存者中,有一半人表示,如果虐待行为停止了,她们会继续保持与施暴者的关系,还有同样多的人表示,如果施暴者得到了帮助,她们相信她们的关系会有所不同。对施暴者访谈的分析表明,他们在获得支持方面面临障碍,如被贴上 "施暴者 "的标签,如果这些障碍得到解决,可能会提高他们对服务的参与度。本文在承认保障和正义的必要性的同时,也表明了反映受害者-幸存者和施暴者需求的重要性,以便使施暴者充分参与支持服务。此外,本文还强调了通过对年轻人进行健康关系教育来解决与霸权主义男性气质相关的潜在社会问题的必要性,这些问题可能会导致虐待女性行为被正常化,而男性的脆弱性则被污名化。
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引用次数: 0
Preventive action against online abuse: An Australian perspective 预防网络滥用的行动:澳大利亚的观点
Pub Date : 2023-07-10 DOI: 10.37576/abuse.2023.049
Christine Lee
Previous research into various forms of online abuse tend to calculate indicative prevalence rates. Little research has examined what courses of action are adopted to prevent further online abuse. This gap in the academic literature is addressed in this article. Data were derived from responses to an online questionnaire into online abuse. Sample comprised participants aged 25-75 who were not currently transitioning between high school and university study, alongside the 18-24 cohort who have dominated most previous research samples. Results showed that blocking abusers was the common strategy to prevent further online abuse. This is the general advice given by social media platforms when users encounter online abuse and bullying. This was followed by participants choosing not to comment on matters including feminism and racism. Fear for their personal safety fuelled the desire for participants to censor their online commentary or cease altogether. However, these were not universally adopted with some participants making no changes to their online activities following incidents of abuse. Personal responsibility for online safety only addresses micro-level online abuse. This indicates that macro-level online abuse is not being addressed adequately by social media providers, who should become more proactive in preventing online abuse.
以前对各种形式的网络虐待的研究倾向于计算指示性的流行率。很少有研究调查采取了哪些措施来防止进一步的网络虐待。这篇文章解决了学术文献中的这一差距。数据来自一份关于网络虐待的在线调查问卷。样本包括25-75岁的参与者,他们目前没有从高中过渡到大学学习,以及18-24岁的人群,他们在之前的研究样本中占主导地位。结果显示,阻止滥用者是防止进一步网络滥用的常见策略。这是社交媒体平台在用户遭遇网络虐待和欺凌时给出的一般建议。其次,参与者选择不对女权主义和种族主义等问题发表评论。出于对个人安全的担忧,参与者希望审查自己在网上的评论,或者干脆停止讨论。然而,这些并没有被普遍采用,一些参与者在遭受虐待事件后没有改变他们的在线活动。个人对网络安全的责任只能解决微观层面的网络滥用问题。这表明,社交媒体提供商没有充分解决宏观层面的网络滥用问题,他们应该更加积极主动地防止网络滥用。
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引用次数: 0
The exploration of the psychological states, traits, and characteristics of non-organised crime homicide offenders in the commissioning of homicide 无组织犯罪杀人罪犯在凶杀委托中的心理状态、特征与特点探讨
Pub Date : 2023-04-17 DOI: 10.37576/abuse.2023.047
Courtney Date
The psychological state, traits, and characteristics of non-organised crime homicide offenders (NOCHO) and their body disposal methods is not a subject that has historically been explored. This research seeks to identify the specific states, traits and characteristics exhibited by NOCHO’s and predict body disposal methods, in order to aid criminal investigators and profilers faced with disorganised crime scenes. This research adopts a Rapid Evidence Assessment methodology to analyse the existing scientific evidence base between 2002 to 2022, providing a contemporary understanding of this area. Findings revealed that NOCHO’s are often delusional, impulsive, socially inadequate, unable to maintain interpersonal relationships, have higher rates of personality disorders, have criminal histories, are withdrawn, and use drugs or alcohol. Findings made throughout this series of studies will contribute to knowledge within this field.
非组织犯罪杀人罪犯(NOCHO)的心理状态、特征、特征及其尸体处理方法,在历史上并没有被探讨过。本研究旨在确定NOCHO所表现出的具体状态、特征和特征,并预测尸体处理方法,以帮助刑事调查员和侧写师面对无组织的犯罪现场。本研究采用快速证据评估方法来分析2002年至2022年间现有的科学证据基础,提供对该领域的当代理解。调查结果显示,NOCHO患者往往妄想、冲动、社交能力不足、无法维持人际关系、有较高的人格障碍率、有犯罪史、孤僻、吸毒或酗酒。这一系列研究的结果将有助于这一领域的知识。
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引用次数: 0
The Hate Crime-Violent Extremism nexus: An assessment of the relationship 仇恨犯罪与暴力极端主义的关系:对两者关系的评估
Pub Date : 2023-04-17 DOI: 10.37576/abuse.2023.046
P. Wheatley, Philip Birch
The past few decades have seen hate crime receive significant academic attention. Yet, while academics have researched the many aspects of hate crime, gaps still remain in the evidence base. This paper seeks to examine one of those gaps: the relationship between hate crime and violent extremism. To examine this relationship, the paper utilised a Rapid Evidence Assessment methodology. The authors searched multiple online databases with a focus on post ‘9/11’ literature through to December 2020, yielding a total of 38 articles. The research explored components of violent extremism and their similarities and differences to hate crime. Findings showed that while there is a relationship between hate crime and violent extremism, the nature and extent of this nexus is quite specific. Accordingly, by targeting the similarities between the two, practices and interventions that seek to prevent one may also be applied to the other.
在过去的几十年里,仇恨犯罪受到了学术界的广泛关注。然而,虽然学者们研究了仇恨犯罪的许多方面,但证据基础仍然存在差距。本文试图研究其中的一个空白:仇恨犯罪和暴力极端主义之间的关系。为了检验这种关系,本文采用了快速证据评估方法。作者搜索了多个在线数据库,重点是到2020年12月的“9·11”后的文献,总共产生了38篇文章。该研究探讨了暴力极端主义的组成部分及其与仇恨犯罪的异同。调查结果显示,虽然仇恨犯罪和暴力极端主义之间存在联系,但这种联系的性质和程度是非常具体的。因此,通过针对两者之间的相似之处,旨在预防其中一种的做法和干预措施也可适用于另一种。
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引用次数: 0
A pandemic within a pandemic: The investigation of Intimate Partner Violence (IPV) victimisation risk factors and stay/leave decisions during the UK COVID-19 lockdown 大流行中的大流行:对英国COVID-19封锁期间亲密伴侣暴力(IPV)受害风险因素和留/离开决定的调查
Pub Date : 2023-04-17 DOI: 10.37576/abuse.2023.045
Shawnelle Himsworth, R. Worthington
This study investigated IPV behaviour and decisions associated with whether to stay or leave an IPV relationship during the UK coronavirus pandemic in March 2020. The associations between gender, religion, proximity, financial strain, alcohol use, family cohesion, acceptance of partner behaviour, and emotional labour (surface acting and deep acting) were explored in relation to the presence of IPV and decisions to stay or leave IPV relationships. These variables were selected as they linked with the Lifestyle-Routine Activities Theory and Ecological Theory. A total of 179 participants completed an online questionnaire. The results of the study found that unbalanced family cohesion predicted all forms of IPV, and balanced family cohesion predicted stay decisions for victims. Surface acting predicted verbal abuse and religion predicted physical abuse. Additionally, the acceptance of positive closeness behaviours significantly predicted stay decisions for victims. The implications of these findings are discussed.
本研究调查了2020年3月英国冠状病毒大流行期间IPV的行为和与是否留下或离开IPV关系相关的决定。探讨了性别、宗教、邻近、经济压力、酒精使用、家庭凝聚力、对伴侣行为的接受和情绪劳动(表面行为和深层行为)与IPV的存在和维持或离开IPV关系的决定之间的关系。选择这些变量是因为它们与生活方式-日常活动理论和生态理论相关联。共有179名参与者完成了一份在线问卷。研究结果发现,不平衡的家庭凝聚力预测了所有形式的IPV,而平衡的家庭凝聚力预测了受害者的留下来决定。表面表演预示着言语虐待,宗教预示着身体虐待。此外,积极亲近行为的接受程度显著地预测了受害者的留下来决定。讨论了这些发现的意义。
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引用次数: 0
A Systematic Review into Risk and Protective Factors for Online Sex Offending 网络性犯罪风险及保护因素的系统分析
Pub Date : 2023-04-17 DOI: 10.37576/abuse.2023.044
Lisa Maria Beethoven Steene, N. Krishnan, J. Ireland, Lisa Gaylor
With the increased availability of the internet and new technologies, use of the internet to commit sex offences has been well documented. Despite increased interest, no systematic review has yet evaluated the risk and protective factors evidenced for online sex offending among those engaged in such behaviour. The current review aims to investigate this via a systematic review of 43 relevant articles. The emerged focus was on child abuse images. Thematic analysis identified seven risk factors: evidence for cognitive distortions; difficulties with relationships; managing isolation, loneliness, and boredom; psychological traits connected to low self-worth, poor psychological health, and impulse challenges; interest in deviant sexual material; child abuse images as reinforcing for emotions; and developing a hyper-fixation and preoccupation with sex. Limitations and implications are discussed, including the absence of researched protective factors.
随着互联网和新技术的日益普及,利用互联网实施性犯罪的情况有案可查。尽管人们对网络性侵犯的兴趣越来越大,但目前还没有系统的综述评估过网络性侵犯的风险和保护因素。本综述旨在通过对43篇相关文章的系统综述来调查这一问题。人们关注的焦点是虐待儿童的照片。专题分析确定了七个风险因素:认知扭曲的证据;人际关系上的困难;管理孤立、孤独和无聊;与低自我价值感、不良心理健康和冲动挑战相关的心理特征;对离经叛道的性材料感兴趣;儿童虐待图像对情绪的强化作用;对性的过度关注和专注。讨论了局限性和影响,包括缺乏研究的保护因素。
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引用次数: 0
期刊
Abuse: An International Impact Journal
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