Are women really difficult? Challenges and solutions in the care of women in secure services

Abstract

Concern about the approach to the care of women in secure hospitals led to radical Department of Health Guidance in 2002 and 2003. This paper explores the views and experience of senior clinicians and managers involved in delivering care through semi-structured interviews. The gendered nature of the therapeutic challenge and the complexity of the women in their care are both articulated as well as the extent to which respondents see themselves as having addressed clinical practice guidance. Service delivery is substantially informed by the ideas of relational security, attachment theory and the recovery model. Traditional concepts of security were considered unhelpful in the care of women. Reliance on respondents’ views as to the quality of care offered must remain limited in view of the continuing absence of corresponding clinical outcome data. However, their responses should inform amendments to current service organisation.     

Women who traffic women: the role of women in human trafficking networks – Dutch cases

In the context of human trafficking, women are frequently portrayed as victims, whereas men are usually seen as offenders. In this article, we will demonstrate that women can also fulfil active, even leading, roles in human trafficking networks. Based on data collected from 89 court files in various Dutch courts in 2006–2007, we have analysed the role, tasks, and activities of these women. Assessing their independence, their tasks, and the extent of their equality in relationships with male traffickers, we have divided them into three categories: supporters, partners-in-crime, and madams. We have found that there is a wide variety of possible roles within the framework of human trafficking activities, and that African madams hold key positions in international human trafficking networks.     

An exploratory study of women arrested for intimate partner violence: violent women or violent resistance?

With the advent of mandatory and pro-arrest laws for incidents of intimate partner violence, there has been an increase in the number of women arrested for domestic violence. Several explanations are posed in the literature that attempt to explain such a rise, including the hypothesis that women are being arrested not for offensive violence but rather for defensive violence. Few studies, however, have used empirical data to support such arguments. This exploratory study examines the characteristics of women arrested for intimate personal violence. Particular attention is paid to women arrested with their partner (i.e., dual arrestees) and the contextual characteristics of dual arrestee incidents. Important differences are uncovered in the context and consequences of arrest for dual arrestees (n = 21) compared to women arrested alone as the offender (n = 49). Implications of these findings and further research directions are discussed.     

Revictimizing the victims? Interviewing women about interpersonal violence

Research on women's experiences of interpersonal violence has grown dramatically and, as a result, the ethical issues surrounding this research are a concern. Although regulatory procedures ensure that research participants are protected from undue risk, little is known about the impact of victimization research on participants. In this study, the authors examine the differences in the abilities of a "vulnerable" population (142 incarcerated women) to complete interviews about the extent and nature of their violent experiences. Using quantitative and qualitative analysis, the authors assess whether the prevalence and incidence of women's victimization experiences, other stressful life events, and personal backgrounds are related to response rates to specific questions and completion rates. The authors find that the cumulative effect of violence over the life course has a significant relationship to women's disclosure of sensitive issues and that providing multiple avenues for disclosure of prior victimization is critical for facilitating a positive outcome for research participants.     

Secure pathways for women in the UK: lessons from the women’s enhanced medium secure services (WEMSS) pilots

Abstract

Women’s enhanced medium secure services (WEMSS) is a model of care aimed at providing a more appropriate level of security for women and, in so doing, reducing the number of women in high secure psychiatric services. In 2007, three Department of Health commissioned WEMSS pilots became operational. This study compared the clinical outcomes of women in WEMSS with control women in six standard medium secure services and one high secure service matched on key clinical and risk characteristics, in order to examine their pathways of care. Our findings confirm that the WEMSS pilots were successful in transitioning women from high secure services who had previously been thought unsuitable for medium secure services. However, WEMSS showed no additional clinical benefit, suggesting that these women could be cared for equally well within standard medium secure services. We make recommendations about WEMSS and the future shape of women’s secure care in England.     

Gender and sexual orientation in women： The double discrimination

Nowadays, sexual orientation is a cause of discrimination with its own autonomy in laws of European Union. The Treaty of Amsterdam, which came into force on May 1, 1999, marks a significant milestone for homosexual, bisexual, and transsexual persons. In this process, the rich experience of the European Union in combating discrimination due to gender in the workplace is very important. The great opportunity created by article 13 of the Treaty of Amsterdam was the extension of protection to a much wider range of discrimination, including sexual orientation. On the other hand, if we consider the situation of lesbian, bisexual and transsexual women in the workplace, it may be very difficult to ascertain if the discrimination is due to their gender or their sexual orientation. In fact, cases of double discrimination are very common. For example, The Commission＇s 1991 Code of Practices on Sexual Harassment states that lesbian women are disproportionately at risk of sexual harassment. This is revealing the potential overlaps between gender and sexual orientation, with a great difficulty to adapt anti-discrimination protections to deal with these situations.     

Women in older ages—“old” women?

Widows in contemporary and past societies are normally portrayed as passive individuals needing to be cared for by their children or relatives, the community, or the state. This article challenges this assumption by documenting the extent and range of the participation of widows in the labor market and the number of dependents for whom they were responsible. The introduction discusses the longstanding image of the widow and the attempts made to coerce widows to behave in accordance with the image. The reasons for the high degree of regulation and supervision, particularly of sexuality, are discussed. The image and associated regulations are then contrasted with the reality of the widows' struggle to survive. It is argued that many widows perceived their age and widowhood as less of a burden and more as a form of liberation from the social and economic constrictions of married life. As widows developed strategies to reorganize their lives, friendships with other women were often decisive.     

Working women in France,nineteenth and twentieth centuries. Where,when, and which women were in work at marriage?

We look at women's labour force participation for the whole of France in the nineteenth and twentieth centuries. We study to what extent young women were working at the time of their marriage, in which occupations, and how differences in labour force participation might be explained. Using a sample of 53,451 marriage records from the TRA project, we identify regional and temporal differences in rates of female labour force participation and in types of work in France between 1860 and 1986.We observe rather stable levels of female labour force participation between 1860 and 1950 of about 60 per cent, but higher levels in the second half of the twentieth century. Over time, women started to work across virtually all occupational sectors. Regional differences declined over time but continued to exist in the late twentieth century. We formulate a set of hypotheses to explain which women worked, taking into account their resources, as well as their expectations, in a male-breadwinner-dominated society. The results of our hierarchical logistic analysis indicate that women with fewer parental resources were more likely to work.     

End of life decisions and pregnant women: do pregnant women have the right to refuse life preserving medical treatment? A comparative study

In this article the practice of end of life decisions is applied to pregnant women. This is not an easy task as shown by the extensive case law and literature on the subject. The main conclusion of the article is that the pregnant woman's wishes should always be respected whatever the consequences for the foetus may be. Another position would unjustly sacrifice the woman's fundamental rights to bodily integrity and self-determination for the benefit of a non-person. The result is repeated in the situation where the woman is found to be incompetent or brain dead.     

Why weren't (many) European women ‘missing’?

In a 1990 article, Amartya Sen observed “More than 100million Women … Missing” from the populations of parts of south and east Asia. Direct observation and census data suggested that gender ratios deviated sufficiently from what is known to be normal in modern human populations to suggest that the phenomenon was not random. Researchers have explored major proximate causes of “missing” girls and women such as female-selective abortion, routine neglect of young girls in their families including differential access to modern medical care, and even infanticide. This article uses Sen's work and the research of others on Asia to compare with evidence of the disadvantaging or even “mortal neglect” of girls and women in Western European society in the early modern and modern periods — roughly from the sixteenth to the nineteenth centuries. It argues that the current state of the evidence suggests little support for similar gender-specific forms of mortal neglect in Western Europe. It explores why this may have been so, using evidence from economic, social, demographic and religious life.     

Making mothers: parenting classes in a women’s jail

In the wake of the War on Drugs, more mothers are incarcerated in US prisons and jails than ever before. Parenting classes have become ubiquitous in penal facilities that incarcerate women, but research about mothers’ experience in parenting class is limited to measures of efficacy about things like parenting attitudes and mental-health indicators. This study supplements existing research by adding an ethnographic lens to women’s experiences with parenting classes during incarceration. Drawing on 18 months of participant observation in the women’s unit of a county jail and 83 interviews with incarcerated mothers, I analyze incarcerated mothers’ experiences with parenting classes. Staff and inmates used parenting classes to create ways for women to do mothering during incarceration. Mothering in your head, longing to mother, and guilt as mothering enabled incarcerated mothers to maintain their identities as mothers despite their separation from their children. However, these practices could also be poor substitutes for spending time with children and did not necessarily reflect the reality of women’s lives outside of jail. These ways of doing mothering from afar were also a form of social control for the penal institution, as these mothering behaviors were consistent with being a good inmate.     

Violence against women as conveyed by surveys – the Finnish case

The methodological choices made in a survey may partly shape the picture a survey conveys of partnership violence. This article considers some of the choices made in the Finnish survey on violence against women, such as the way the violence was defined and how the definition tried to take into account the special characteristics of this kind of violence, in order to help the respondents to identify and recall different events of it. The empirical analyses showed that the used definition of violence had not reached all the respondents representing different population groups. The experiences of partner violence among older, less educated women, and the experiences of those who felt embarrassed or ashamed to speak about issues concerning their partner or partnership, were more probably under-represented in the survey.     

Language,gender and ‘reality’: Violence against women

This paper examines the theory behind and some examples of the relationships between gender, language, cognition and perception in the context of the criminal justice system. In particular, we consider the language of domestic violence and sexual assault and how words and communication styles can affect and are affected by what we think and believe to be ‘reality’. The paper illustrates how the language used to describe violence against women may operate to minimise these acts, and the dominant conversational style and female violence victims' genderlect may collide to produce evidentiary issues and a credibility gap. We argue that there is an inherent dilemma in engaging with legal constructs which continue to negate women's understandings of reality, and that the voices of female rape and domestic violence victims remain muted by the baritone ‘voice’ of the legal system.