The association between childhood sexual abuse and sexual coercion in men: a test of possible mediators

ABSTRACT

We examined the associations between childhood sexual abuse (CSA), childhood physical abuse (CPA), sexual domain variables, antisocial tendencies, and sexually coercive behaviour in a non-forensic sample of 173 heterosexual men. CSA was associated with paraphilic interests and experiences, a more extensive sexual life history, and early antisocial tendencies. CPA was associated with paraphilic interests and experiences, more self-reported delinquency, higher sensation seeking, and early antisocial tendencies. Sexual domain variables (e.g. number of sexual partners, sexual interest in sadomasochism) mediated the link between CSA and sexually coercive behaviour, but antisocial domain variables (e.g. delinquency, sensation seeking) did not. Of the two sexual domains examined, extensive sexual life history rather than paraphilias mediated the association between CSA and sexually coercive behaviour. These results suggest CSA and CPA are associated with both sexual and antisocial outcomes, and that, for some victims of CSA, having an extensive sexual life history may account for the association between CSA and sexually coercive behaviour later in life.     

Donor requests for economic analysis of humanitarian field programmes

Humanitarian organisations respond to increasing donor requests to assess economic aspects of their programmes, including cost-effectiveness. This article presents results from a survey of humanitarian agency staff and donor agencies, investigating such requests. Findings indicate a need for clear guidelines and capacity building in these economic assessments, expressed by both humanitarian staff and donor agencies themselves. While improving efficiency is important to ensure effective humanitarian response, caution is warranted in adopting overly burdensome and complex assessments of efficiency which are poorly understood by staff requesting and responding to them, the outcomes of which may lead to reductive and decontextualised decision-making.     

Perceived Parental Monitoring,Adolescent Disclosure,and Adolescent Depressive Symptoms: A Longitudinal Examination

Parental monitoring has long been stressed as an important parenting practice in reducing adolescents’ susceptibility to depressive symptoms. Reviews have revealed, however, that measures of monitoring have been confounded with parental knowledge, and that the role of adolescent disclosure has been neglected. In the present study, adolescents (N = 2,941; 51.3% female) were surveyed each year from grades 9–12. To disentangle parenting factors, bidirectional associations among parental knowledge, adolescent disclosure, and parental monitoring (i.e., solicitation and control) were examined. Higher parental knowledge was associated with lower adolescent depressive symptoms over time. Adolescent disclosure and parental control also predicted lower adolescent depressive symptoms indirectly through knowledge. Conversely, higher adolescent depressive symptoms predicted lower parental knowledge, adolescent disclosure, and parental solicitation over time, highlighting the bidirectional nature of associations among parenting factors and adolescent depressive symptoms. Importantly, these effects were invariant across gender and grade, suggesting that interventions can be broadly based.     

Positional Asphyxia in Opioid-Related Deaths: Is It Being Overlooked?

The contribution of positional asphyxia in opioid-related deaths is currently unknown. Diagnostic criteria for positional asphyxia include finding the decedent in a position that does not allow for adequate respiration and an inability to extricate themselves from the position due to various conditions. Our primary objective was to assess whether positional asphyxia and the resulting airway compromise were a contributing factor to death due to the toxic effects of opioids. We evaluated 225 deaths where the death scene investigation contained adequate information to evaluate for positional asphyxia and performed a Pearson chi-square test to determine if the proportion of deaths found in an airway compromising position was higher when opioid(s) caused the death. The proportion of decedents found in a potential airway compromising position was greater when the death was related to opioid use (p < 0.0001). Further, narrowing the dataset to decedents who were definitely in an airway compromising position [Yes (24.49%) vs. No (11.02%)] showed a statistically significant association between positional asphyxia and deaths related to opioid use (p = 0.0021). Carefully documenting the position in which the decedent was initially found may be a significant factor in accurate reporting and in harm reduction efforts to decrease the opioid mortality rate.     

Emotion Dysregulation,Gender, and Intimate Partner Violence Perpetration: An Exploratory Study in College Students

Intimate partner violence (IPV) is a prevalent problem, as it is bidirectional and perpetrated by both men and women. Emotion dysregulation may influence IPV perpetration among men and women. This cross-sectional survey study of 598 college students investigated the associations between two important factors related to IPV perpetration: gender and emotion dysregulation. Findings illustrated an association between emotion dysregulation and IPV perpetration. The bivariate association between physical violence and one facet of emotion dysregulation differed by gender, such that lack of emotional awareness was associated with violence perpetrated by women, but not men; however, this was not supported in multivariate analyses. These preliminary findings suggest that future work should examine how different emotion regulation deficits may increase IPV by gender.     

Appeals against detention in conditions of excessive security: outcomes and decision-making

The Mental Health (Care and Treatment) Scotland Act 2003 introduced the right for patients to appeal against detention in conditions of excessive security initially to those in high security. Aim: to further investigate appeal outcomes and to examine Tribunal decision-making. Results: responsible medical officer support, being on the transfer list and not having a diagnosis of learning disability increased the chances of a successful appeal. Qualitative analysis of the Tribunal’s decision-making produced 5 themes and 17 subthemes. These were used to develop a ‘checklist’ framework to improve understanding of relevant appeal factors. Conclusions: Neither appeal outcomes nor patient characteristics have changed over time. The checklist may be useful as a training tool and clinical guide. This study is timely given that the Mental Health (Scotland) Act 2015 extended the right of appeal against excessive security to patients detained within medium secure units from November 2015.