Our 2-phase method proved effective for identifying the range of disorders relevant to planning clinical services in postconflict developing countries. The unmet needs of the mentally ill in countries such as Timor Leste pose a major challenge to psychiatry.
Mothers in same-sex relationships face unique challenges when help seeking for intimate partner violence (IPV). Formal helping systems often invalidate their family relationships, leaving them vulnerable and distrustful when help seeking. To better understand their experiences, the authors interviewed 24 lesbian/bisexual mothers who were either in or had left abusive same-sex relationships. Increasing severity of violence, effects of violence on children and families, and "being tired" influenced their definitions of the situation. Decisions to seek formal help appeared to be influenced by their support from informal networks and perceived stigma related to the intersection of IPV and being lesbian or bisexual.
Twenty-four lesbian mothers (12 African American, 9 White, and 3 Latina) who had experienced physical abuse by a same-sex partner were interviewed. Three types of IPV were found: intimate terrorism, situational violence, and mutual violent control. Further, relationships between mothers/abusers, mothers/children, and abusers/children were examined. Regarding relationships with abusers, 71% of mothers reported lengthy sagas, 17% had worked it out, and 13% made a clean break from the abuser. Regarding relationships with their children, 48% of mothers hid the violence, 26% minimized it, and 26% openly communicated about the situation. Relationships between abusers and the mothers' children were found to be either co-parental (29%), playmate (21%), abusive (21%), or non-parental (21%). Correlations among relational and demographic variables were also examined.
Variables associated with intimate partner violence (IPV) were examined within a sample of military personnel preparing to deploy. Soldiers with intimate relationships processed for mobilization through Fort Bliss, Texas, completed a questionnaire that queried demographic information, relationship satisfaction, stress, risky alcohol use behaviors, and tactics used during intimate relationship conflict. Four hundred forty-nine deploying soldiers (15.8% of 2,841 with usable data) reported IPV in the past year. Younger age, less education, less relationship satisfaction, more stress, and risky alcohol use behaviors were significant individual predictors of engaging in IPV. The results of this study are discussed in terms of their implications for targeting efforts to reduce IPV among military personnel.
Intimate partner violence (IPV) is a significant concern for some lesbian households with children. Yet we know of only one study that has examined lesbian mothers' experiences with IPV. In the current study we analyzed the counseling experiences of participants in our prior study. Interviews with 24 lesbian mothers (12 Black, 9 White, and 3 Latina) 23 to 54 years of age (M = 39.5) were coded using thematic analysis. Overall, lesbian mothers experiencing IPV did seek help from counselors (n = 15, 63%), typically after reaching a breaking point. Counselors were most helpful when addressing the abuse and promoting self-empowerment, and least helpful when victim-blaming or ignoring the abuse and/or the same-sex relationship. Lesbian mothers' perceptions that mental health professionals were sometimes ineffective have implications for provider training. In order to work effectively with this population, providers should attempt to eliminate or correct personal biases or prejudices with self-exploration and education. By becoming more aware and knowledgeable of the nuances, struggles, and strengths of the lesbian community, providers can gain competency in providing therapeutic services to such clients. Mental health professionals can also adopt an advocacy stance to assist in spreading cultural awareness to others and support policy or institutional changes to include same-sex IPV. Competencies can be assessed through future studies that identify the knowledge and skills gap among mental health professionals who frequently work with the lesbian population.
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