Childhood Sexual Abuse and Intimate Partner Violence among Women in Methadone Treatment: A Direct or Mediated Relationship?

Women in substance use treatment report rates of childhood sexual abuse and intimate partner violence that far exceed those reported by women in the general population. Previous research with nonrandom samples of women in substance use treatment suggests that there is a statistically significant relationship between childhood sexual abuse and intimate partner violence; however, little is known about the mechanisms of risk between these two public health concerns among this population of women. To address this gap in knowledge and to inform intervention strategies, this study examined direct and mediated relationships between childhood sexual abuse and intimate partner violence risk among a random sample of 416 women in methadone treatment. In addition to high rates of childhood sexual abuse (57.9%), intimate partner violence (lifetime prevalence, 89.7%; 6-month prevalence, 78.4%), posttraumatic stress disorder (PTSD, 28.6%), and global psychological distress (19.5%), findings suggest that the relationship between childhood sexual abuse and intimate partner violence is mediated by mental health problems and that women experiencing PTSD or global psychological distress are 2.7 and 2.4 times more likely to experience intimate partner violence than women without such experiences, respectively. Although not a mediator in this relationship, financial independence reduced women's risk of partner violence by two-thirds. The paper includes discussion of social learning and stress and coping theories to explicate the findings and to inform intervention strategies. This study is based, in part, on the first author's dissertation. A previous version of this paper was presented at the Society for Social Work and Research Annual Conference held in January 2005 in New Orleans, Louisiana. The following grants provided funding for this study: R01DA11027 and 3T32MH014623-22S1.     

The Law and Incapacity Determinations: A Conflict of Governance?

This article will consider the highly charged questions raised by two major sets of law reforms in England and Wales, the Mental Capacity Act 2005 and the Mental Health Act 2007, which, although applying to closely related clinical populations, proceeded along entirely separate legislative paths. By justifying its proposals for reform of mental health legislation on the grounds of 'risk', the Government failed to take into account the implications of enforced treatment on patients who may retain decision-making capacity.     

紧急救治权问题研究

《侵权责任法》56条的规定完善了患者的紧急救治权,但是患者知情不同意的情况下,紧急救治行为是否应该进行,还是需要解决的问题。从我国相关法律对紧急救治权的规定及理论研究,国外对紧急救治权的规定及实务处理方面进行研究,继而提出对紧急救治权的完善。     

Chapter 9. Counseling South American Immigrants

Abstract

The Hispanic population in the United States is growing exponentially. There are a total of 1,506,654 South Americans in the United States who have come from Spanish-speaking countries. Most immigrants, if not all, experience difficulties triggered by migration, discrimination, acculturation, and second language acquisition. In this chapter, we briefly discuss major issues associated with migration and present literature and research on the construct of social support. We propose that integrating and utilizing social support during treatment will facilitate the adjustment process for the individual. We present interventions that allow the therapist to provide support while encouraging the client to seek support within him/herself and from other sources in the environment.     

社区矫正的现实问题和发展路向

如果说犯罪是使人不幸之祸害，而刑罚是因此加诸犯罪者身上之祸害，那么，行刑便是施害者。由于犯罪的存在和发生不可避免，因此，刑罚和行刑之害的日渐轻缓便是不二的方向和选择。社区矫正作为中国刑罚执行方式的实践创新，正合于这一趋势。经过十年多的试点之后，在理论和实践及法治建设等方面进行深入的分析和思考，对社区矫正的健康发展十分必要。     

“河长制”：一个中国政府流域治理跨部门协同的样本研究

流域治理的跨域特征所带来的问题超过了涉水部门单个主体的能力,从而带来了流域治理的协同失灵和碎片化问题。对“河长制”的观察表明,“河长制”跨部门协同可以较好地解决协同机制中责任机制的“权威缺漏”问题,短期内成效明显。通过横向层面和纵向层面的协调机制,大大提高了协同效率。这是一种新型的混合型权威依托的等级制协同模式。但是,以权威为依托的等级制纵向协同的基本特征没有改变,将会面临着“能力困境”、“组织逻辑困境”和“责任困境”的挑战。最后采用菲利普斯分析框架分析了影响“河长制”跨部门协同效率的因素。     

Dental shape match rates in selected and orthodontically treated populations in New York State: a two-dimensional study

Forensically identifying a suspect's dentition from a bitemark in an open population requires the supposition that every person's dental alignment is different. There have been few studies that have tested this claim. Four hundred and ten lower anterior dentitions from a selected population and 110 lower anterior dentitions from one that was orthodontically treated were measured using geometric morphometric analysis, allowing comparison of arch shape. Dental match rates of 1.46% and 42.7% of individuals were found in the respective populations, given an established measurement error. Orthodontic treatment had a strong effect on match rate suggesting that treated or naturally well-aligned dentitions may be indistinguishable. Sexual dimorphism was found to be only slightly significant. Principal shape variation in both populations was degree of arch curvature. Results of studying these populations show that dental matches can occur, and that statements of certainty concerning individualization in such populations should be approached with caution.     

外国人待遇新论

如何理解"外国人待遇",国内学者有不同意见。从词义、词源及逻辑关系来看,"外国人待遇"就是一国依法给予外国人的权利。给予外国人待遇(权利)的原由多种多样,国际上从主权、法治、政治、经济的角度给出了不同的答案,但从国家主权的相对性来看,外国人待遇缘于国家主权、国际人权保护和国家之间的关系。     

Temporal analysis of the cocaine metabolite benzoylecgonine in wastewater to estimate community drug use*

Abstract: Indirect estimation methods of cocaine consumption may not reflect the real extent of cocaine use. Another approach is sewage epidemiology. This direct approach is based on analysis of a stable cocaine metabolite, benzoylecgonine (BE), in wastewater. Influent to the Lubbock (Texas) Water Reclamation Plant was sampled twice a week to assess weekly variations in estimates of cocaine consumption over a 5‐month period. BE was extracted from influent wastewater samples using solid phase extraction and analyzed using gas chromatography/mass spectrometry. Measured concentrations of BE were converted to cocaine equivalents; the estimated average daily consumption of cocaine during the study period was 1152 ± 147 g. Based on BE concentrations and sewage epidemiology, higher cocaine consumption was observed on weekends compared to weekdays (p < 0.0003). This method was effective in monitoring BE in wastewater and could be used to complement survey data in estimating cocaine use at a local level.     

Orthodontic surgery and professional liability: the homozygote twin case

A professional liability lawsuit of an orthodontic case is presented through its medico-legal assessment. The patient underwent an orthodontic treatment combined with several maxillo-facial surgical interventions. Several temporomandibular joint complications followed, plus he was unhappy with aesthetic results and modifications to his facial features. He wanted to verify from a medico-legal point of view the treatment received as he believed something was not done lege artis. The result of the orthodontic assessment was that there were no indications for such surgical interventions, along with other professional negligence: no psychological support given and no indications as to the aesthetic results postsurgery. It was decided to carry out an orthodontic assessment also on his homozygote twin brother, who was discovered to have the same malocclusion. His medico-legal assessment did not substitute the evidence obtained from the deceased, but gave added weight to the final technical conclusion.