Health and social care staff responses to working with people with a learning disability who display sexual offending type behaviours

Abstract

This study found that 59% of social care staff were currently supporting a client with a learning disability who had offended or displayed an offending type behaviour. The range of behaviours was similar to that displayed by clients in a secure health facility and included rape, sexual assault and exposure. Only 22.9% of social care staff had received training in this area, while none of the health staff had. Both groups expressed low levels of confidence in supporting this client group. The areas of difficulty were common to both groups and included personal attitudes and attitudes of others to the behaviour, and concerns over risk, responsibility and safety. In respect of attitudes, social care staff were found to be significantly more likely to hold negative attitudes towards the person's behaviour, while health staff were significantly more likely to feel negatively towards the person. Health staff were significantly more likely to identify training as a means of further support, while social care staff identified professional input. Both groups identified the need for theoretical training about working with this client group. Despite this no significant differences were found between those who had and had not received training and confidence, attitudes and the need for further support.     

Reputation and behavior of battered women who kill their partners: Do these variables negate self-defense?

Vignettes describing a case in which a battered woman killed her husband were presented to college students. Independent variables were the presence or absence of verbal aggression by the woman toward her husband before the final beating, the woman's reputation and social desirability as a wife and mother, and whether or not a weapon was present when the battering husband threatened the woman before she killed him. After reading a vignette, subjects (N=413) selected a verdict, reported what influenced their verdicts, and completed attitudinal measures on sex-role attitudes, attitudes toward wife-beating, and “just world” attitudes. The presence of verbal aggression by the woman increased the odds of subjects choosing a guilty verdict by 1.71 times compared to the absence of verbal aggression. A defendant characterized as a “bad” wife/mother or a dysfunctional wife/mother was, respectively, 6.24 and 2.49 times more likely to be found guilty rather than not guilty by reason of self-defense (NGRSD) than the “good” wife/mother. Use of a weapon by the husband did not significantly increase the number of NGRSD verdicts over conditions in which no weapon was present. Neither subjects' attitudes nor demographics appeared to be related to their choice of verdicts.     

Is knowledge power? The effects of a victimology course on victim blaming

The current study examines the impact of a victimology course on students' perceptions of the blameworthiness of crime victims and knowledge of victimization issues. Victim-blaming attitudes among college students enrolled in a victimology course were compared with students enrolled in other courses. Results from a pretest and posttest suggest that the victimology students were significantly less likely to blame victims and these students also gained significantly more knowledge over time compared with the students who did not enroll in the course. Results from the multivariate analysis indicate that less knowledge over time and a higher propensity to blame victims at the beginning of the semester predicted more victim-blaming attitudes on the posttest. Overall, the findings suggest that knowledge of victimology significantly affects students' propensity to blame victims of crime.     

A review of the role of radical feminist theories in the understanding of rape myth acceptance

Abstract

Research into rape myth acceptance (RMA) first emerged in the 1970s, when authors such as Brownmiller (1975) and Burt (1980) proposed that rape was a mechanism that allowed men to exert power over women and that the endorsement of rape myths justified this sexual dominance. These influential theories have meant that subsequent definitions of rape myths have failed to acknowledge male victims of serious sexual assault, despite an increase in prevalence rates. More recent research has attempted to explore RMA in relation to male victims, with results suggesting that men are more likely than women to endorse rape myths regarding male victims when the victim is assumed to be homosexual, or when the victim is heterosexual and the perpetrator is female. Brownmiller's theory is challenged and a more holistic view of the importance of sex-role traditionality is explored, while acknowledging the contribution of individual factors relating to the development of RMA.     

Evaluation of a Health Care Provider Training Program to Identify and Help Partner Violence Victims

This study tested four hypotheses about the impact of a 3-h domestic violence training program with 752 health care providers on attitudes and values related to screening and helping partner violence victims. Hypotheses 1, 2, and 3 were that training would be related to: 1) increased self-efficacy to identify and help partner violence victims, 2) increased endorsement of the role of health care providers and settings for helping partner violence victims, and 3) increased comfort making appropriate community referrals to help partner violence victims. Hypothesis 4 was that training effects would be moderated by prior training and by prior experience with helping a victim. Following training, health care providers reported increased self-efficacy, increased comfort making appropriate community referrals, and increased valuation of health care providers and the health care system as having an important role in stopping domestic violence. Hypothesis 4 was also supported. Prior training and/or experience with an abuse victim predicted smaller changes in the dependent variables. These gains held at a 6-month follow-up. Implications for training curriculum design are discussed, in addition to institutional policy implications for determining the benefits versus costs of universal training, including staff who demonstrate prior training or experience with battered victims. Study limitations and future research directions, including the need to measure performance and policy compliance will also be outlined.     

Results of a curriculum intervention with seventh graders regarding violence in relationships

This research measured the effects of a violence prevention curriculum on the knowledge and attitudes of seventh grade health education students (N=239) about woman abuse using a valid and reliable inventory. Pretests, post-tests, and post-post-tests were administered to experimental and comparison groups. The experimental group received the curriculum intervention,Skills for Violence-Free Relationships. Significant differences were found between the experimental and comparison groups from pretest to post-test on both the knowledge (p=.0027) and attitude (p=.0089) sections of the inventory. This impact did not remain stable at post post-test. These results confirm those found in other studies and reinforce recommendations of the battered women’s movement to integrate violence-free principles into school curricula. Within the experimental group, significant gender differences were found only on the attitude section from post-test to post post-test (p=.0335); females showed greater change over time. Such limited change was not unexpected in a middle school population given the reported formative nature of the subjects’ gender acquisition as contrasted with those at an older age.     

Support groups for battered women: Research on their efficacy

An evaluation of 12 support groups for women victims of domestic assault revealed substantial benefits associated with group participation. A total of 76 women responded to an assessment package before, immediately after, and six months following the group. Significant improvements were found in self-esteem, belonging support, locus of control, less traditional attitudes towards marriage and the family, perceived stress, and marital functioning. Unexpectedly, clients currently living with their spouses also reported significant decreases in both physical and nonphysical abuse.     

Attitudes among stakeholders towards compulsory mental health care in Norway

Objectives

The Norwegian Mental Health Care Act allows use of coercion under certain conditions. Even though the current practice has been criticized, little empirical data exist about the attitudes towards compulsory mental health care.

Method

This study used Q-methodology to identify prototypical attitudes and to test possible differences of attitudes between groups of stakeholders towards the use of coercion in mental health care. Sixty-two respondents who represented six groups with different roles in mental health care participated: former patients, relatives of psychiatric patients, members of supervisory commissions, psychiatrists, other physicians, and lawyers.The participants were asked to assess the degree to which they agreed on 30 statements concerning use of coercion for the mentally ill.

Results

Three factors that in a meaningful way express different attitudes towards the question were found. The most widely shared attitude stated that a trusting relationship between patient and therapist is more important than the right to have an attorney. This attitude gives partial support to the present Mental Health Care Act. However, the second most common attitude argues that involuntary hospitalization, if necessary, should be decided in a court and not by the hospital doctor.

Conclusions

Differences in attitude could partly be explained by the respondents' role in mental health care. Both psychiatrists and “somatic” physicians expressed more agreement with the present legislation than the other stakeholders. The findings may have implications for the legal protection of mental health care patients.     

Violence in Juvenile Dating Relationships Self-Reported Prevalence and Attitudes in a Portuguese Sample

The objective of this study was to determine the prevalence of physical and emotional abuse in Portuguese juvenile dating relationships and to investigate attitudes about these forms of violence. A sample of 4,667 participants, aged 13 to 29 years, completed two questionnaires, one behavioral and one attitudinal. At least one act of abuse perpetrated by a dating partner during the previous year was reported by 25.4% of participants (13.4% reported to have been victims of physical abuse and 19.5% of emotional abuse). Abuse of a partner was reported by 30.6% of participants; at least one act of physical abuse was reported by 18.1% and of emotional abuse by 22.4%. The attitudinal data revealed, however, a general disapproval of violence use. Violence support was higher among males, participants with lower educational and social status and those who had never been involved in a dating relationship. Women reported more acts of partner abuse than males; no gender differences were found regarding self-reported victimization. Both perpetration and victimization were reported more by older students. Although university students tend to report more acts of general and emotional abuse against their partners, students from professional schools are more represented among both perpetrators and victims of physical and severe violence. The best predictors of violence were educational status and attitudes toward partner.     

Perceptions of help resources for victims of intimate partner violence

Intimate partner violence (IPV) constitutes a major public health problem in the United States. This cross-sectional survey of 108 emergency department (ED) care providers and 146 ED visitors at three metropolitan EDs compared the beliefs of ED health care providers with those of community members about the relative benefits of the helpfulness of resources for IPV victims using hypothetical case scenarios. Although providers generally indicated that help resources were helpful in all scenarios, visitors were more discriminating, showing less support for resources in the lower-risk scenario. Regarding differences between groups, visitors selected police and attorneys more frequently than providers as a helpful resource, whereas providers selected shelters and counselors more frequently than visitors. Adjustment for previous experience with IPV did not change these results. Understanding the differences between health care providers' and community members' perceptions of resources for victims of IPV may improve the effectiveness of referral to IPV resources.     

“All the System is Simply a Soap Bubble”: Legal Help-Seeking for Domestic Violence Among Women in Kyrgyzstan

This paper examines limitations in how law enforcement and public health systems respond to domestic violence in Kyrgyzstan. Findings from interviews with domestic violence victims show that these women are subject to ineffectual practices and negative attitudes that tend to minimize domestic abuse and disempower victims. The findings reveal several problematic issues: inconsistencies in the implementation of the law, impunity for abusers because of both personal attitudes and social affinities between the police and abusers, ineffective enforcement of protective orders, and superficial processing of domestic violence cases by the legal system. Additional barriers to help-seeking include a lack of institutional support and guidelines for offering mental health services for victims as well as a scarcity of housing, childcare, and employment opportunities for women seeking to break the cycle of abuse. The findings underscore the need for society-wide changes in attitudes toward domestic violence, stricter mechanisms for enforcing the law, and mandatory training for service providers to facilitate the provision of more accessible and affirmative support to victims.     

Cognitive-behavioral treatment of men who batter: The short-term effects of group therapy

A cognitive-behavioral approach for the treatment of wife abuse was evaluated using a pre-post design and multiple outcome measures. The treatment approach consisted of assertiveness training, relaxation training, and cognitive restructuring. Treatment also focused on increasing the client's acceptance of sex-role changes. Data were available on 92 men who completed 12 sessions of a skills group and eight sessions of a supplemental process group. There were significant changes in the desired direction in anger level, jealousy, depression, and attitudes about women's roles. These changes were maintained after adjusting scores for social desirability response bias. The importance of adjusting scores for response bias or obtaining spouse's reports of the man's behavior is discussed.     

The measurement of concern about victims: Empathy,victim advocacy and the Victim Concern Scale (VCS)

Purpose . In a series of studies, the authors developed the Victim Concern Scale (VCS) to assess levels of concern for diverse types of crime victims. The goal was to derive a psychometrically sound instrument and to assess victim concern in relation to other crime‐related attitudes and victim advocacy endorsements. Methods . Through several scale iterations, participant responses to the VCS were examined. Participants also completed measures of empathy and provided judgments about specific victim/crime scenarios. In addition, in two large samples (college [N = 276] and community [N = 478]), victim concern was compared with other attitudes, attributions and participant demographics. Results . Participants readily distinguished among different victims. Four factors emerged from the VCS. Raters endorsed the highest levels of concern for victims of violent crimes and the lowest level for ‘culpable’ victims. Women and older respondents showed higher levels of concern across all categories of victims. Both victim concern and emotional empathy influenced advocacy responses to victimization. Victim concern was unrelated to such traits and attitudes as authoritarianism, political ideology or punishment goals; moreover, a high level of concern for victims did not preclude endorsement of rehabilitative goals for offenders. Conclusions . The VCS appears to be a valid instrument for assessing levels of concern for victims. It differs meaningfully from measures of general empathy. The VCS could be used to assess differential attitudes across demographic groups or as a measure of change following exposure to educational or other persuasive intervention.     

Aspects of Help Seeking among Collegiate Victims of Dating Violence

This study applied Andersen’s model of health service use to help-seeking among collegiate dating violence (DV) victims, and examined factors for help-seeking. A total of 338 students from a Midwest public university were included in the sample. The study results showed many college students experience psychological, physical, sexual and technological violence; substance use is associated with DV; the type of violence experienced is associated with the type of help sources that victims will use; and victims seek help from informal sources more than formal sources. Implications for social work research, practice and policy are discussed.     

Psychological Abuse of Chinese Wives

The present studies aimed to facilitate understanding of psychological wife abuse in Chinese families by extending the generality of the Index of Spouse Abuse (ISA) to Chinese. Study 1 examined the factorial validity of the original ISA using Chinese college students. Results of the confirmatory factor analysis rejected the 2-factor structure of the original ISA. Based on results of exploratory factor analysis, an alternative 19-item Chinese ISA was devised, which showed satisfactory internal consistency and correlated with the original ISA and the Conflict Tactics Scale (CTS). Study 2 aimed to determine the concurrent and construct validity of the Chinese ISA. Results showed that the scale could adequately differentiate between victims of wife abuse from those women who had no abuse experiences. It also correlated with the CTS, marital dissatisfaction, and negative mental health measures of general psychological symptoms, depression, and anxiety. The clinical cutting scores of the Chinese ISA were also determined to predict psychological and physical wife abuse in Chinese families.     

The experience of sexual assault: findings from a statewide victim needs assessment

A statewide assessment was conducted of assaults, experiences, needs, and recommendations of 125 adult victims receiving care at 19 sexual assault centers (SACs) in the State of Maryland. More than one half of the victims (55.6%) waited years before disclosing, with delays in reporting especially likely if the assault was perpetrated by a family member (the most frequent perpetrators at 42.4% of respondents). About one half of the victims (51.3%) had been previously sexually assaulted, yet only 9% of these victims had sought treatment. The majority of respondents (69.4%) indicated they would not be filing charges against perpetrators, and of those who did, 46.2% reported dissatisfaction with the interview with police. Psychological symptoms such as depression and anxiety were the most common reasons for seeking care at the centers. Nearly all of respondents rated the care they received at the centers as very good or excellent. Respondents recommended more SACs, better advertising of their services, more mental health care within them (especially group therapy), and improved laws and law enforcement of perpetrators.     

Males and females as victims of childhood sexual abuse: An examination of the gender effect

The data for this study were provided by a poll of 2627 adult Americans carried out by The Los Angeles Times in 1985. Five hundred and eighty five respondents (416 females and 169 males) reported having been victims of sexual abuse before they were 18 years of age. A portion of this subsample was used to systematically explore gender differences in the nature and context of abuse. Abusers where overwhelmingly male; however, differences were apparent among their victims. Males were more likely to report being victims of nonrelatives, with the abuse taking place outside of their home. Males were older than females at the time of first abuse and their abuser tended to be relatively close in age to them. Their abuse was more likely to be more severe than that of females but they were less likely to have reported it. Dichotomizing the sample into those abused by relatives and nonrelatives revealed that a number of differences in the profiles of male and female victims relate to the nature of their relationship to the abuser.     

The dynamics of health care opinion, 2008-2010: partisanship, self-interest, and racial resentment

Recent debate over the Patient Protection and Affordable Care Act highlights the extent of party polarization in Washington. While the partisan divide on this issue is stark among political elites, it is less clear how the mass electorate has responded to this divisive conflict. In this article we examine individual-level dynamics in health care attitudes between 2008 and 2010. We find partisan attachments and self-interests strongly predict change in health care attitudes, with Republicans growing more opposed to universal health insurance between 2008 and 2010, and those personally worried about medical expenses less likely to abandon support. We find, however, that the effect of partisanship is moderated by self-interest, with strong Republicans significantly less likely to switch to opposition if they were personally worried about medical expenses. Finally, we find that health care policy preferences, already tinged with racial attitudes in 2008, became increasingly so by 2010.     

A survey of drug use and attitudes toward drugs among male law students and police trainees in Queensland,Australia: A research note

During first semester 1980, 96 first and last year male police students and 166 law students were surveyed about their drug use patterns and attitudes towards alcohol. Of these students, 69.3 percent drank at least once a month, 80.7 percent used coffee or tea, 23.6 percent analgesics, 3 percent antihistamines and marijuana and less than 1 percent sedatives, tranquilizers, stimulants, hallucinogens, cocaine or opiates once a month or more. Law students used caffeine and marijuana significantly more frequently than police students. On the whole, there were more similarities than differences between the two groups in terms of drug consumption. In terms of attitudes, police students felt significantly more than law students that alcoholism was caused by moral weakness and medical illness as shown in the Attitude Towards Alcoholism questionnaire. But significantly more police students (82 percent) than law students (37 percent) felt that it was important to have drug and alcohol education as part of their course of study. Also significantly more police students (58 percent) than law students (24 percent) felt that they were prepared to manage drug or alcohol problems professionally.