"Vaginal" bleeding in prepubertal age: a rare scaring riddle, a case of the urethral prolapse and review of the literature

The entities responsible for isolated vaginal bleeding are a broad spectrum of diseases. Vaginal bleeding in a prepubertal child is always treated as an alarming symptom both by parents and professionals. Most often, one of the first hypotheses is that a sexual abuse may be occurred and the clinical work up is oriented to explore it and eventually confirm or substantiante another diagnosis. Among the possible differential diagnosis urethral prolapse has to be considered. We report the case of a 6 years-old Caucasian girl referred to our Service for a mild vaginal bleeding and with the suspicion of sexual abuse, excluded after the confirmation of the presence of urethral prolapse. The clinical picture and workup are described and compared with a review of the international literature on the issue.     

Commentary on Foubert, Godin, & Tatum (2010): the evolution of sexual violence prevention and the urgency for effectiveness

Foubert, Godin, and Tatum describe qualitative effects among college men of The Men's Program, a one-session sexual violence prevention program. This article and the program it describes are representative of many sexual violence prevention programs that are in practice and provide an opportunity for a brief discussion of the development and evaluation of sexual violence prevention approaches. In this commentary, we will focus on two considerations for an evolving field: the adherence to the principles of prevention and the use of rigorous evaluation methods to demonstrate effectiveness. We argue that the problem of sexual violence has created urgency for effective prevention programs and that scientific and prevention standards provide the best foundation to meet this need.     

A Dyadic Approach to Understanding the Relationship of Maternal Knowledge of Youths’ Activities to Youths’ Problem Behavior Among Rural Adolescents

Most studies that explore parental knowledge of youths’ activities utilize parents’ and youths’ reports separately. Using a sample of 938 rural early adolescents (53% female; 84% White), we explore congruence between mothers’ and youths’ perceptions of maternal knowledge and its association with youth problem behaviors (delinquency, substance use, and attitudes towards substances). Maternal overestimation of knowledge (compared to youths’ ratings) was positively associated with delinquency and negatively associated with healthy drug attitudes. Significant differences in problem behaviors were found between four groups created based on mothers’ and youths’ level of knowledge (High Youth and Mother, High Youth/Low Mother, Low Youth/High Mother, and Low Youth and Mother). The High Youth and Mother group demonstrated less substance use and healthier drug attitudes than the Low Youth and Mother group. The Low Youth/High Mother group had significantly higher levels of substance use and delinquency than the High Youth and Mother group. Intervention implications are discussed.     

Influences of Childhood Abuse on Parenting Perspectives of Pregnant Cohabitors

Using thematic analysis, we examine the effects of childhood abuse regarding parenthood for pregnant cohabitors from qualitative interviews. Participants (N?=?18; 10 women and 8 men) recalled childhood abuse during the Adult Attachment Interview. Three themes emerged: (1) “Learning what not to do,” whereby abuse is discussed as something not to continue, and harmful toward children; (2) “Use but modify parents’ discipline,” whereby individuals state that they will employ methods of their parents, but in ways different for their children; and (3) “Ambiguous,” whereby discussions are unclear and confused about how the abuse will affect their parenting. These results suggest that even when pregnant cohabitors want to parent differently than their own parents, they may not have relevant models or skills. For practitioners, we suggest interventions aimed at providing alternative models for how to parent, and effective and appropriate disciplining methods, as ways to deter intergenerational abuse.     

Prospective effects of method of coercion in sexual victimization across the first college year

Women who enter college with a sexual victimization (SV) history may be at particular risk for deleterious outcomes including maladaptive alcohol involve posttraumatic stress, and re-victimization. Further, pre-college SV may be an impediment for the achievement of academic mile and may negatively impact the transition into college. Recent work shows that the method of coercion used in SV may be an important predictor of post-victimization outcomes. As such, the identification of pathways between type of SV and outcomes can aid in early identification and intervention for those at highest risk. In a sample of newly-matriculated female college students, this study examined unique outcomes associated with two specific types of SV, (1) threats/use of physical force (Force SV) or (2) incapacitation (Incap SV). Participants completed assessments of SV, alcohol involvement, posttraumatic stress, and academic outcomes at 6 time-points over their first year of college. Results showed differential outcomes based on pre-matriculation exposure to Force SV or Incap SV. Women with Incap SV were higher on problem drinking indices whereas women with Force SV were at greater risk for re-victimization and marginally more PTSD symptoms. Having a history of either type of SV predicted attrition, but there were no differences when comparing Force SV to Incap SV. Overall, results from this study support the utility of delineating SV experiences by method of coercion, and point to the potential of highlighting different outcomes in tailored intervention programs.     

Is it Time to Cut the Gordian Knot of Polar Sovereignty?

There has been recent discussion on the abandonment of sovereignty in the Arctic and territorial and marine claims in Antarctica in the interests of redefining these regions into global commons with joint management. Global commons refers to a region, or group of valued resources, protected from exploitation in the interests of the global population and future generations. While it may be reasonable to examine the possibility of shifting sovereignty in these regions and locking access to any of the resources, an academic examination must not focus on sovereignty in isolation from existing management regimes. Sovereignty is not displaced easily, and nor are sovereign rights; however there is a large capacity for negotiation, consent and agreement towards how resources and areas may be used and enjoyed while maintaining an indifference to existing or exerted territorial and/or marine claims. Sovereignty and sovereign rights can also be preserved, but their utility minimized in the presence of alternative arrangements, as exemplified in the Antarctic Treaty. In the absence of such arrangements, the self-interest of States is manifest. A false sense of probability is fostered by any examination that only considers sovereignty and disregards State practice or current management initiatives. This article demonstrates that the current governance arrangements are legitimate in a dynamic world, regardless of sovereignty, and identifies the lengths to which the stakeholders go to preserve both their national interest and that of the global community in de facto global commons areas. It concludes by offering a view that cutting the Gordian knot of polar sovereignty is both risky and premature in the absence of suitable alternatives.     

Child physical abuse and self-perceived social isolation among adolescents

This research examines the connection between physical abuse and social isolation. Using data from the National Youth Survey, a measure of self-perceived social isolation was constructed indicating the extent to which respondents feel detached from their friends and from school. Those who had experienced violence were predicted to be more isolated than those who had not. Results strongly supported the hypothesis, controlling for theoretically relevant variables. Explanation is provided in terms of damage to attachment skills, social competence, and self-esteem concomitant to being a victim of abuse. Males were more socially isolated than females, and Hispanics more than Whites. Children with involved parents were less socially isolated; those whose parents experienced normlessness were more isolated. Children who recently experienced a stressful event or were from riskier neighborhoods were more isolated. The number of children in the family was positively related to isolation. Social isolation decreases between seventh and eighth grades.