A history of abuse in childhood increases the likelihood of lifetime psychopathology; this association appears stronger for women than men.

Debates around the issues of knowledge of, and for, social work and other social justice–oriented professions are not uncommon. More prevalent are the discussions around the ways by which social work knowledge is obtained. In recent years, social work scholars have drawn on the epistemology of pragmatism to present a case for its value in the creation of knowledge for social work and other social justice–oriented professions. The primary focus of this essay is on providing a critical review and synthesis of the literature regarding pragmatism as a research paradigm. In this essay, we analyze the major philosophical underpinnings and methodological challenges associated with pragmatism, synthesize the works of scholars who have contributed to the understanding of pragmatism as a research paradigm, articulate our thoughts about how pragmatism fits within social work research, and illustrate how it is linked to the pursuit of social justice. This article brings together a variety of perspectives to argue that pragmatism has the potential to closely engage and empower marginalized and oppressed communities and provide hard evidence for the macro level discourse.

Background Few studies have examined stress reactivity and its relationship to major depressive disorder (MDD) and posttraumatic stress disorder (PTSD) among maltreated youth. We examined differences between maltreated and control participants in heart rate and cortisol resting and reactivity levels in response to a psychosocial stressor. Methods We recruited 67 female youths aged 12 to 16 with no prior history of depression from child protection agencies and a control group of 25 youths matched on age and postal code. Child maltreatment was measured with two self-report instruments. Psychiatric status was assessed using the Schedule for Affective Disorders and Schizophrenia for School-Aged Children. Results Piecewise multilevel growth curve analysis was used to model group differences in resting and reactivity cortisol levels and heart rate in response to the Trier Social Stress Test (TSST). During the resting period, both the maltreated and control groups showed a similar decline in levels of cortisol. During the reactivity phase, youth in the control group showed an increase in cortisol levels following the TSST and a gradual flattening over time; maltreated youth exhibited an attenuated response. This blunted reactivity was not associated with current symptoms of MDD or PTSD. There were no group differences in resting and reactivity levels of heart rate. Conclusions These findings provide further support for hypothalamic-pituitary-adrenal axis dysregulation among maltreated youth. Since the ability to respond to acute stressors by raising cortisol is important for health, these findings may assist in understanding the vulnerability of maltreated youth to experience physical and mental health problems.

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