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Abuse: An International Impact Journal最新文献

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At What Price? Managing the Costs of Tolerating Corrupt or Criminal Partners in Stability Interventions 代价是什么?管理在稳定干预中容忍腐败或犯罪伙伴的成本
Pub Date : 2021-10-14 DOI: 10.37576/abuse.2021.026
Rohan Jayawardena, Queensland Australia Independent Researcher
States or coalitions may conduct intervention operations to stabilise weak or failing states. Intervening powers often use military or police forces to impose security while development agencies rebuild the affected state’s institutions, including the Rule of Law. However, recent experience suggests that interventions may perpetuate criminal conduct. This paper examines the NATO missions in Afghanistan and other interventions to suggest links between partnering with corrupt or criminal actors and subsequent setbacks in stabilisation. It then proposes strategies by which future intervention forces may mitigate the risks of perpetuating criminal conduct. The paper asserts that intervention forces may empower criminal actors inadvertently or deliberately. It suggests that criminal allies may offer apparent security gains, and command popular support; and may be the only allies available. However, it concludes that perpetuating crime and corruption undermines the legitimacy of the affected state’s government and the intervention force, and potentially enables state capture. These outcomes may perpetuate violence. The paper suggests that intervention forces may mitigate these risks by setting clear priorities, planning against all potential threats including organised criminals, linking aid to the achievement of governance objectives, delaying transition until the affected state’s institutions are ready, and conducting deep selection of future leaders.
国家或联盟可以进行干预行动,以稳定弱小或失败的国家。在发展机构重建受影响国家的制度(包括法治)的同时,干预国经常使用军队或警察部队来维持安全。然而,最近的经验表明,干预可能使犯罪行为永久化。本文考察了北约在阿富汗的任务和其他干预措施,以表明与腐败或犯罪行为者合作与随后的稳定挫折之间的联系。然后,它提出了未来干预部队可能减轻犯罪行为长期存在的风险的战略。该论文断言,干预力量可能无意或有意地赋予犯罪行为者权力。这表明,犯罪同盟可能会带来明显的安全收益,并获得民众的支持;而且可能是唯一可用的盟友。然而,报告得出的结论是,长期存在的犯罪和腐败破坏了受影响国家政府和干预力量的合法性,并有可能导致国家被捕。这些结果可能使暴力永久化。这篇论文建议,干预力量可以通过设定明确的优先级、针对包括有组织犯罪在内的所有潜在威胁进行规划、将援助与治理目标的实现联系起来、推迟过渡,直到受影响国家的机构准备就绪,以及对未来领导人进行深入的选择,来减轻这些风险。
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引用次数: 0
Working with sex offenders with a history of sexual trauma: An Interpretative Phenomenological Analysis 研究有性创伤史的性犯罪者:解释性现象学分析
Pub Date : 2021-10-08 DOI: 10.37576/abuse.2021.027
A. Woodhouse, Tees, Sarah Craven-Staines
Gender differences impact the work that professionals engage in with sexual offenders and victims of sexual trauma (with females often perceived as more likely to experience sexual trauma, and males as more likely to commit a sexual offence). However, there is no evidence looking at these factors in combination. This study aimed to address this gap, asking: “Are experiences of nursing staff working with sex offenders with a history of sexual trauma affected by gender differences, that is, in terms of gender of the staff member, and gender of the client they are working with?” Eight participants, (four male, four female) working within a Forensic Mental Health Service took part in semi-structured interviews. Interviews were transcribed and analysed using Interpretative Phenomenological Analysis. Five superordinate themes emerged from the data, along with a number of subordinate themes. Superordinate themes included: ‘Gender has a role’, ‘The trauma response’, ‘How we cope’, and ‘What we need’. Nursing staff working with sexual offenders with historic sexual trauma found work to be challenging both emotionally and socially. Such challenges were complicated by the gender interaction between them as professionals, and the patients who have experience of being both victims and perpetrators of sexual abuse.
性别差异影响了专业人员从事的性犯罪者和性创伤受害者的工作(女性通常被认为更容易遭受性创伤,而男性更容易犯下性犯罪)。然而,没有证据表明这些因素是综合的。这项研究旨在解决这一差距,提出这样的问题:“护理人员在治疗有性创伤史的性犯罪者时的经历是否受到性别差异的影响,也就是说,在工作人员的性别和他们所治疗的客户的性别方面?”在法医心理健康服务机构工作的8名参与者(4男4女)参加了半结构化访谈。访谈记录和分析使用解释性现象学分析。数据中出现了五个上级主题,以及一些下级主题。高级主题包括:“性别有一个角色”、“创伤反应”、“我们如何应对”和“我们需要什么”。与有历史性创伤的性犯罪者打交道的护理人员发现,工作在情感和社交方面都具有挑战性。作为专业人员的他们,以及作为性侵犯受害者和施暴者的患者之间的性别互动,使这些挑战变得更加复杂。
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引用次数: 0
A systematic review: The role of gender in staffs’ experience of working with adult survivors of sexual trauma 系统回顾:性别在员工性创伤成年幸存者工作经验中的作用
Pub Date : 2021-08-12 DOI: 10.37576/abuse.2021.025
A. Woodhouse, Tees, Sarah Craven-Staines
Despite the vast amount of research being devoted to the field of sexual abuse and trauma, literature surrounding a gender informed stance is still very much in its infancy. This article presents a systematic review aiming to provide an impartial critical examination of relevant existing literature with the main aim of exploring the role of gender in staffs’ experience of working with survivors of sexual trauma. Electronic databases were searched online. Studies were eligible for inclusion if they investigated the experience and gender of staff working with adult survivors of sexual trauma. The exclusion criteria were studies that focussed on child and adolescent participants, and survivors with an intellectual disability. Eight studies were eligible for inclusion, and as such reviewed by authors; each highlighted the crucial role gender plays in the unique work between professionals and survivors of sexual trauma. Findings from the review highlighted gender as influencing interpersonal dynamics when focussing in on the client and/or the clinician. Clinician gender was felt to be particularly impactful and potentially detrimental should the gender of the professional be the same of that of the client’s historic abuser. Further societal stereotypes and perceptions of what connotes an abuse survivor has implications for working with male and female survivors of sexual trauma. As a result, there is potential for males being discouraged from making disclosures due to a subconscious reduced openness to males as survivors, rather than abusers. Increased empathy was found more often to be afforded to female survivors, with harsher punishments attributed to their abusers. Evidence was also suggested for the global adverse impact of working with this client group on professionals with an increased risk of vicarious traumatisation and burnout highlighted amongst clinicians. Limitations are highlighted in relation to the review’s ability to truly explore gender as the study only made reference to biological sex.
尽管有大量的研究致力于性虐待和性创伤领域,但围绕性别知情立场的文学仍然处于起步阶段。这篇文章提出了一个系统的回顾,旨在对相关的现有文献进行公正的批判性检查,主要目的是探索性别在工作人员与性创伤幸存者一起工作的经验中的作用。在网上搜索电子数据库。如果研究调查了与性创伤成年幸存者一起工作的工作人员的经历和性别,则有资格纳入研究。排除标准是关注儿童和青少年参与者以及智力残疾幸存者的研究。8项研究符合纳入条件,并由作者进行了综述;每个人都强调了性别在专业人员和性创伤幸存者之间的独特工作中所起的关键作用。回顾的结果强调,当关注客户和/或临床医生时,性别会影响人际动态。临床医生的性别被认为是特别有影响和潜在的有害的,如果专业人员的性别是相同的客户的历史施虐者。进一步的社会陈规定型观念和对虐待幸存者的看法对与性创伤的男性和女性幸存者一起工作有影响。因此,男性有可能因为潜意识里对幸存者而不是施虐者的开放性降低而不愿披露。研究发现,女性幸存者更容易产生同理心,施虐者受到更严厉的惩罚。证据还表明,与该客户群体合作对专业人员的全球不利影响,增加了临床医生所强调的间接创伤和倦怠的风险。由于该研究仅参考了生理性别,因此该综述在真正探索性别方面的能力存在局限性。
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引用次数: 0
Childhood Trauma and Psychosis: The case for exploring Eye Movement Desensitisation and Reprocessing (EMDR) as an adjunctive treatment for schizophrenia 儿童创伤和精神病:探索眼动脱敏和再加工(EMDR)作为精神分裂症辅助治疗的案例
Pub Date : 2021-06-07 DOI: 10.37576/abuse.2021.023
I. Qurashi, S. Chu, H. Ashcroft, Benjamin Cross, R. Bentall, N. Husain, Blackburn Uk. East Lancashire Hospitals Nhs Trust
There is an association between childhood trauma and the development of psychosis in adulthood and a treatment recommended to reduce the symptoms of trauma is Eye Movement Desensitisation and Reprocessing (EMDR). Studies of EMDR in adults with psychotic experiences and a history of trauma have shown encouraging results. As psychosis is a core feature of schizophrenia, and many persons with schizophrenia will have experienced childhood trauma, we review the evidence that EMDR may be a safe and effective adjunctive treatment for schizophrenia. We conclude that the evidence base supports well-designed and adequately powered randomised controlled studies of EMDR in schizophrenia with careful consideration given to inclusion criteria, participant acceptability and selection of clinically relevant outcome measures. Mechanism of action and potential effects on cognitive functioning should also be explored.
儿童期创伤与成年期精神病的发展之间存在关联,目前推荐的一种减少创伤症状的治疗方法是眼动脱敏和再处理(EMDR)。对有精神病经历和创伤史的成人的EMDR研究显示出令人鼓舞的结果。由于精神病是精神分裂症的核心特征,许多精神分裂症患者将经历童年创伤,我们回顾了EMDR可能是一种安全有效的精神分裂症辅助治疗的证据。我们的结论是,证据基础支持精心设计和充分支持的精神分裂症EMDR随机对照研究,这些研究仔细考虑了纳入标准、参与者可接受性和临床相关结果测量的选择。作用机制和对认知功能的潜在影响也有待探讨。
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引用次数: 0
The complexities of measuring change in prisoners with sexual offence histories 衡量有性犯罪史囚犯变化的复杂性
Pub Date : 2021-06-04 DOI: 10.37576/abuse.2021.022
Tamara Sweller, Sydney Australia. Corrective Services New South Wales, Stuart D M Thomas, M. Daffern
Assessing change in incarcerated sexual offenders is critical to release decision-making and risk management. This study measured change in a group of treatment completers from a custody-based treatment program. Change was determined through comparison of pre- and post-treatment psychological testing and structured therapist assessment. Data were analysed at the group and individual levels. Multiple complexities were evident when examining the psychometric test results; many participants were considered ‘functional’ (within the normal range) according to extant test norms prior to treatment, and many who were regarded as ‘dysfunctional’ pre-treatment remained in this range post-treatment. Tests measuring constructs from the same risk factor domain often produced inconsistent results and, for most participants, change was only evident on some tests. Psychometric assessment results and therapist ratings were associated. These results highlight the complexities inherent in the evaluation of change. Clinical implications for the measurement of change and test selection are discussed.
评估被监禁的性犯罪者的变化对释放决策和风险管理至关重要。这项研究测量了一组治疗完成者在基于监护的治疗方案中的变化。通过比较治疗前和治疗后的心理测试和结构化治疗师评估来确定变化。数据在群体和个人层面进行分析。在检查心理测试结果时,多重复杂性是明显的;根据治疗前的现有测试规范,许多参与者被认为是“功能正常”(在正常范围内),许多被认为是“功能失调”的人在治疗后仍然在这个范围内。从相同的风险因素域测量结构的测试经常产生不一致的结果,对大多数参与者来说,变化只在一些测试中是明显的。心理测量评估结果与治疗师评分相关。这些结果突出了变化评估中固有的复杂性。临床意义的测量变化和测试选择进行了讨论。
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引用次数: 0
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Abuse: An International Impact Journal
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