Differences in HIV-related knowledge, attitudes, and behavior among psychiatric outpatients with and without a history of a sexually transmitted infection

HIV infection among the mentally ill is estimated to be at least eight times the prevalence in the general population. Psychiatric patients may also be disproportionately vulnerable to other sexually transmitted infections (STIs), but this has not been well studied. We sought to characterize the prevalence and correlates of STIs in a sample of psychiatric outpatients (N=464). Over one-third of the sample (38%) reported a lifetime history of one or more STIs. Multivariate analyses showed that, relative to those without an STI history, patients with a lifetime STI history were more knowledgeable about HIV, expressed stronger intentions to use condoms, and perceived themselves to be at greater risk for HIV. However, those with a past STI were also more likely to report sex with multiple partners and reported more frequent unprotected sex in the past 3 months. Treatment for an STI may increase HIV knowledge and risk reduction motivation, but does not necessarily lead to changes in sexual risk behavior among psychiatric patients. Findings highlight the need for STI/ HIV risk reduction interventions in psychiatric settings, particularly for patients with high-risk profiles.     

The unintended impact of the therapeutic intentions of the New Zealand Mental Health Review Tribunal? Therapeutic jurisprudence perspectives

Mental health review bodies engage in complex decision-making that may explicitly incorporate a therapeutic philosophy. Examination of select decisions of the New Zealand Mental Health Review Tribunal offers a foundation for understanding some implications of a pro-therapeutic approach. This analysis draws upon therapeutic jurisprudence scholarship in relation to three aspects of the hearings as documented in the written decisions: advocacy, therapeutic intervention, and the dignitary potential of the proceedings. The research explores the unintended consequences of a pro-therapeutic approach and evaluates the potential application of therapeutic jurisprudence within a mental health law context.     

Text Matters: Some Reflections on the Forging of a New Constitutional Jurisprudence in South Africa

The South African Constitution establishes a constitutional democracy with a strong form of constitutional review. The Constitutional Court is required to declare invalid any legislation or conduct of the President which is inconsistent with the Constitution. The author, a former judge of the Constitutional Court, argues that the text of the Constitution has been an important determinant of the Court's jurisprudence, both in relation to the Court's jurisprudence concerning the institutional structures established by the Constitution and its Bill of Rights jurisprudence.     

Child maltreatment histories among female inmates reporting inmate on inmate sexual victimization in prison: the mediating role of emotion dysregulation

Despite data indicating that child maltreatment (CM) in various forms is associated with adult sexual victimization among community women, few studies have explicitly explored how types of CM might relate to prison sexual victimization. Because little is known about how CM might give rise to prison sexual victimization, the present study also examined emotion dysregulation emanating from early abuse experiences as a potential mediator in the link between early CM and inmate-on-inmate prison sexual victimization. Approximately 168 incarcerated women completed self-report inventories assessing various types of childhood maltreatment, emotion dysregulation, and coerced or forced sexual experiences in prison. Nearly 77% of the sample endorsed experiencing at least one form of CM, with 64% of inmates reporting that they experienced two or more forms of CM. Approximately 9% of inmates reported sexual coercion and 22% reported a forced sexual experience in prison. Each form of CM was associated with prison sexual coercion; however, fewer associations emerged between CM and forced prison sexual experiences. Emotion dysregulation was found to mediate links between CM, particularly co-occurring CM, and sexual coercion in prison, but it was unrelated to forced prison sexual experiences. Implications are discussed.     

Physical Health in Preschool Children Exposed to Intimate Partner Violence

Exposure to violence and traumatic events during childhood has long been associated with poor physical and psychological health during adulthood. Very few studies, however, have taken steps to understand the immediate relationship between exposure to intimate partner violence (IPV) and physical health problems in young children. In this study, we examined the mother-reported physical health problems of 102 preschool-age children who have been exposed to IPV. We found that children exhibiting more traumatic stress symptoms displayed fewer total health problems; however, gastrointestinal problems and asthma were related to poor psychological adjustment. We also found that preschool-age girls were more likely to display health problems than boys. Future studies of the physical health consequences of exposure to IPV in young children would benefit from examinations of specific changes in physiological processes to draw conclusions about the effects of violence on immune system functioning and physical health.     

Risky Facilities: Crime Radiators or Crime Absorbers? A Comparison of Internal and External Levels of Theft

Objectives

To undertake the first exploration of the nature of the relationship between internal crime (those that happen within facilities) and external crime (those occurring outside but in the nearby locale of facilities). The following questions are addressed. Do those localities that suffer high volumes of crime internally within their facilities also suffer high levels of crime in their immediate external environment? How is this influenced by the distribution of internal theft across facilities? What are the likely mechanisms for any relationship found?

Methods

Spatial regression is used to explore these relationships using data for 30,144 incidents of theft from a Metropolitan area of the UK arranged into small 50 × 50 m grid squares. Variables used in the analysis include counts of external and internal theft, counts of victimized and ‘risky’ facilities, indicators of land-use and a proxy for the on-street population.

Results

There is found to be a strong positive relationship between internal and external theft that appears to be strengthened by the existence of facilities suffering particularly high crime volumes. Results suggest that internal theft problems precede external ones and that the physical concentration of chronically risky facilities is a particularly strong predictor of external theft problems.

Conclusions

An argument is made that risky facilities act as crime ‘radiators’, causing crime in the immediate environment as well as internally. This has implications for crime prevention policy in terms of facility placement and management.     

The use of mindfulness to promote ethical decision making and behavior: Empirical evidence from the public sector in Thailand

The study has two main purposes. First, the study explores core ethical values and behaviors from the perspective of Thai public service organizational leaders. Second, the study investigates the extent to which public sector leaders in Thailand consider Buddhist-based mindfulness practice to be a potentially effective mechanism for reinforcing core ethical values and behaviors in the public sector in Thailand. Using interview data derived from in-depth semi-structured interviews with 12 senior public sector officials in Thailand, the analysis elicits four dimensions of core ethical values and behaviors that are perceived by Thai public service organizational leaders as central to ethical behavior in the public sector. The study also sheds light on the interviewees' positive perceptions towards mindfulness and the role its associated practices can play in promoting ethical decision making and behavior in the public sector in Thailand.     

‘Brightening their leisure hours’? The experiment of BBC Women's Hour, 1923–1925

ABSTRACT

On 2 May 1923, the newly established BBC, launched Women's Hour, a daily bespoke programme aimed at its female audience produced by Ella Fitzgerald, a former Fleet Street journalist. In December 1923 a Women's Advisory Committee (WAC) was established to represent women's interests at the BBC with eminent members who included the Chairman of the National Federation of Women's’ Institutes, Lady Denman; the actress Dorothea Baird and the physician Elizabeth Sloan Chesser. The WAC, working with Fitzgerald and other BBC officials, introduced into Women's Hour an innovative range of programme ideas. It also prompted a debate about the premise of the programme, whether it should be about domesticity or provide escapism from the ‘common task’ of housework. In addition the WAC challenged the Women's Hour name. Through a consideration of the programme and the WAC, both of which were short-lived, this article explores how the BBC sought to address its female audience in the early 1920s.