1,045 research outputs found

    A Comparison of Women of Color and Non-Hispanic White Women on Factors Related to Leaving a Violent Relationship

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    This study compares women of color and non-Hispanic White women regarding the influence of socioeconomic status, family investment, and psychological abuse on leaving a violent relationship. It was found that most women who left stayed away for less than a month. Women of color and non-Hispanic White women did not differ in their length or rate of leaving, although women of color left more frequently when they did leave. Factors associated with leaving for both groups were threat with a weapon, psychological abuse, being single, and having fewer adults in the household. Women of color with higher socioeconomic status were less likely to leave, which was not the case for non-Hispanic White women. Non-Hispanic White women were more likely to leave if they had lived with their partners less than 5 years and had children at home.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/90886/1/Lacey-Saunders-Zhang 2011-Women of color vs white women - factors in leaving violent relationahip JIV .pd

    The resource group method in severe mental illness:Study protocol for a randomized controlled trial and a qualitative multiple case study

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    Background The resource group method provides a structure to facilitate patients’ empowerment and recovery processes, and to systematically engage significant others in treatment and care. A patient chooses members of a resource group (RG) that will work together on fulfilling patients’ recovery plan. By adopting shared decision-making processes and stimulating collaboration of different support systems, a broad and continuous support of patients’ chosen goals and wishes is preserved and problem solving and communication skills of the RG members are addressed. Objective The objectives of this study are (1) to establish the effectiveness of the RG method in increasing empowerment in patients with severe mental illnesses (SMI) in the Netherlands; (2) to investigate the cost-effectiveness and cost utility of the RG method; and (3) to qualitatively explore its dynamics and processes. Methods/design This multisite randomized controlled trial will compare the effects of the RG-method integrated in Flexible Assertive Community Treatment (FACT) (90 patients) with those of standard FACT (90 patients). Baseline assessments and 9-month and 18-month follow-up assessments will be conducted in face-to-face home visits. The primary outcome measure, empowerment, will be assessed using the Netherlands Empowerment List (NEL). The secondary outcomes will be quality of life (MANSA); personal, community and clinical recovery (I.ROC); general, social and community functioning (WHODAS 2.0); general psychopathological signs and symptoms (BSI-18); and societal costs (TiC-P). An economic evaluation of the cost-effectiveness and cost utility of the RG method will also be conducted. A qualitative multiple case-study will be added to collect patients’, RG members’ and professionals’ perspectives by in-depth interviews, observations and focus groups. Discussion This trial will be the first to study the effects of the RG method on empowerment in patients with SMI. By combining clinical-effectiveness data with an economic evaluation and in-depth qualitative information from primary stakeholders, it will provide a detailed overview of the RG method as a mean of improving care for patients with SMI

    3D characterization of diffusivities and its impact on mass flux and concentration overpotential in SOFC anodes

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    In recent years great effort has been taken to understand the effect of gas transport on the performance of electrochemical devices. This study aims to characterize the diffusion regimes and the possible inaccuracies of the mass transport calculation in Solid Oxide Fuel Cell (SOFC) anodes when a volume-averaged pore diameter is used. 3D pore size distribution is measured based on the extracted pore phase from an X-ray CT scan, which is further used for the calculation of a Knudsen number (Kn) map in the porous medium, followed by the voxel-based distribution of the effective diffusion coefficients for different fuel gases. Diffusion fluxes in a binary gas mixture using the lower boundary, upper boundary and average effective coefficients are compared, and the impact on overpotential is analyzed. The results show that pore diameters from tens to hundreds of nanometers result in a broad range of Knudsen number (1.1 ∌ 4.8 and 0.6 ∌ 3 for H2 and CH4 respectively), indicative of the transitional diffusion regime. The results highlight that for a porous material, such as an SOFC anode where Knudsen effects are non-negligible, using a volume-averaged pore size can overestimate the mass flux by ±200% compared to the actual value. The characteristic pore size should be chosen sensibly in order to improve the reliability of the mass transport and electrochemical performance evaluation

    Nonfatal Strangulation in a Sample of Domestically Violent Stalkers: The Importance of Recognizing Coercively Controlling Behaviors

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    © 2019 International Association for Correctional and Forensic Psychology. Strangulation is different to other types of physical violence as it often leaves no visible injuries and is frequently motivated by coercive control. Few studies have explored nonfatal strangulation and coercive control, and no studies have explored these factors within a sample of stalkers. Given that stalking perpetrators exhibit many of the coercively controlling behaviors related to nonfatal strangulation, the current study explored nonfatal strangulation and other coercively controlling behaviors in a stalking sample. A police dataset of 9,884 cases of domestic violence that involved stalking was analyzed. Results revealed that coercive control and related behaviors of excessive jealousy, victim isolation, victim fear, and victim’s belief that the perpetrator will kill them were associated with higher likelihood of having experienced nonfatal strangulation. These results may help first responders to identify victims at risk of nonfatal strangulation and suggest a need for nonfatal strangulation to be a criminal offense

    Risk Factors for Severe Violence in Intimate Partner Stalking Situations: An Analysis of Police Records

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    Stalkers can be violent, and empirical studies have sought to identify factors associated with violence perpetrated by the stalker. Most of these works view physical violence as a homogeneous construct and do not differentiate between moderate and severe violence. The present study aims to identify correlates of nonviolent, moderate, and severe physical violence within an archival sample of 369 domestically violent police incident reports, where stalking behavior was indicated. The incident reports utilized in this study occurred between 2013 and 2017, among intimate or ex-intimate partners. The present study explored 12 independent variables that have yielded mixed findings in previous stalking violence literature, as well as two previously untested factors of nonfatal strangulation and child contact. The police records were coded for severity of physical violence using the Revised Conflict Tactics Scale and analyzed using a logistic regression. The regression analysis revealed significant independent associations between the outcome variable of severe physical violence and child contact, history of domestic violence, separation, nonfatal strangulation, jealousy, previous injury, and victim belief of potential harm. These results may help produce pragmatic recommendations for law enforcement agencies and other relevant bodies who seek to identify victims at risk of severe violence, increasing the potential for early intervention and prevention of physical harm. The awareness of factors that are shown to be related to serious physical violence may assist first responders in recognizing which victims may be at risk of serious harm, as well as effectively allocating any appropriate resources to reduce and prevent harm

    Hidden from Plain Sight: Residents' Domestic Violence Screening Attitudes and Reported Practices

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    Domestic violence (DV) is prevalent across all racial and socioeconomic classes in the United States. Little is known about whether physicians differentially screen based on a patient's race or socioeconomic status (SES) or about resident physician screening attitudes and practices. OBJECTIVE : To assess the importance of patient race and SES and resident and clinical characteristics in resident physician DV screening practices. DESIGN, PARTICIPANTS : One-hundred and sixty-seven of 309 (response rate: 54%) residents from 6 specialties at a large academic medical center responded to a randomly assigned online survey that included 1 of 4 clinical vignettes and questions on attitudes and practices regarding DV screening. MEASUREMENTS : We measured patient, resident, and clinical practice characteristics and used bivariate and multivariate methods to assess their association with the importance residents place on DV screening and if they would definitely screen for DV in the clinical vignette. RESULTS : Residents screened the African-American and the Caucasian woman (51% vs 57%, P =.40) and the woman of low SES and high SES (49% vs 58%, P =.26) at similar rates. Thirty-seven percent of residents incorrectly reported rates of DV are higher among African Americans than Caucasians, and 66% incorrectly reported rates are higher among women of lower than of higher SES. In multivariate analyses, residents who knew where to refer DV victims (adjusted odds ratio [AOR]=3.54, 95% confidence interval [CI]: 1.43 to 8.73) and whose mentors advised them to screen (AOR=3.46, 95% CI: 1.42 to 8.42) were more likely to screen for DV. CONCLUSION : Although residents have incorrect knowledge about the epidemiology of DV, they showed no racial or SES preferences in screening for DV. Improvement of mentoring and educating residents about referral resources may be promising strategies to increase resident DV screening.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/75245/1/j.1525-1497.2006.00494.x.pd

    Attributions of Victim Blame in Stranger and Acquaintance Rape: A Quantitative Study

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    Aims and objectives: are to, on a sample of nurses and the general public, examine whether victim blame varies according to level of familiarly between victim and perpetrator. It also examines how Ambivalent Sexism (AS) and Rape Myth Acceptance (RMA) impacts on this. Background: Around one in five women will be victims of sexual assault during their lifetime. The majority are acquaintance rapes, and these victims are generally attributed more blame than victims of stranger rape. Research indicates that nurses hold similar attitudes on gender roles and victim blame as do the general public. Methods: Eighty-one participants read a story depicting a sexual assault of a woman by either a stranger or an acquaintance, and completed scales measuring victim blame, AS and RMA. Results: indicated that victim-perpetrator relationship, benevolent sexism (BS), hostile sexism (HS) and whether he participant was a nurse contributed to the variance in attributed victim blame. Hierarchical regressions revealed that whether or not the participant was a nurse contributed to the variance in victim blame in the acquaintance rape condition, and HS and BS contributed to the variance in victim blame in the stranger rape condition. Conclusions: This paper gives a novel insight into attitudes involved in victim blame in rape cases, and makes a unique comparison between nurses and the general public. Findings suggests that victim blame correlates primarily with aggressively sexist attitudes, and that nurses generally attribute more blame to the victim of acquaintance rape

    The toll of stalking: the relationship between features of stalking and psychopathology of victims.

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    Information on the psychological consequences of stalking on victims is scarce. The present study aimed to investigate whether stalking victims have a heightened prevalence of psychopathology and the extent to which symptom levels are associated with stalking features. Stalking victims (N = 241) completed the General Health Questionnaire and provided information on specific features of their stalking experiences. High levels of psychopathology were found among stalking victims. Symptom levels were comparable with those of psychiatric outpatients. The frequency, pervasiveness, duration, and cessation of stalking were associated with symptom levels but explained only 9% of the variance of the level of distress. It is concluded that stalking victims generally have many symptoms of psychopathology. The symptoms are largely independent of features of their stalking experience. These findings indicate that better therapy outcomes can be expected from therapies focusing on boosting general coping skills and on decreasing general vulnerability than from therapies focusing on specifically dealing with the stalking situation
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