Depression and PTSD in Survivors of Male Violence: Research and Training Initiatives to Facilitate Recovery

2003 ◽  
Vol 27 (2) ◽  
pp. 130-142 ◽  
Author(s):  
Mary P. Koss ◽  
Jennifer A. Bailey ◽  
Nicole P. Yuan ◽  
Veronica M. Herrera ◽  
Erika L. Lichter

Male violence is an enduring feature of women's lives from childhood through old age. The review covers child sexual abuse, rape, and partner violence with emphasis on the prevalence of violence, its mental health consequences, the course of recovery, and mediators and moderators of traumatic impact. The primary focus is depression and posttraumatic stress disorder, the two major diagnostic entities through which postassault emotions and behaviors have been conceptualized and measured. The effects of psychiatric conceptualizations of victimization and patterns of individual recovery are critically reviewed. The PTSD paradigm as the sole foundation for most victimization research is also debated. Following the review, mental health services for victimized women are examined. The article concludes with public policy recommendations to improve the availability and accessibility of mental health services with emphasis on reaching those survivors who are less likely to consult the formal system.

2020 ◽  
Vol 51 (10) ◽  
pp. 831-847
Author(s):  
Caleb J. Figge ◽  
Cecilia Martinez-Torteya ◽  
Sophie Dixon ◽  
Steven Santoro ◽  
Sopheap Taing ◽  
...  

Across contexts, the roles and responsibilities for children are shaped by a range of sociocultural factors; thus, a contextually specific exploration of adaptive functioning norms is important in optimizing the acceptability, effectiveness, and sustainability of mental health intervention and community programming. The current study aimed to examine child adaptive functioning behaviors for children in Cambodia, a country faced with continuing recovery efforts from war and genocide, intergenerational trauma transmission, poverty, and minimal access to health and mental health services. Qualitative interviews were conducted with 30 children (ages 10–13, 16 girls) and 30 caregivers (ages 30–62, 24 females) in the Battambang province of Cambodia receiving mental health services related to caregiver intimate partner violence. Results reveal trauma-affected children in Cambodia engage in a range of familial, occupational, social, religious, and academic functioning domains. Children in this sample reported behaviors that reflect policy and community level priorities of development of children as a societal and economic resource, distress management strategies of self and others informed by mental health therapy and local healing strategies, and engagement in religio-cultural Khmer Buddhist practices and ceremonies. Findings highlight the importance of contextually specific conceptualizations of functional impairment in guiding assessment and community program design and identifying areas for monitoring intervention effectiveness.


Author(s):  
Hamid Mirsalimi

Immigrants have unique mental health challenges and treatment needs. This chapter attempts to shed light on the challenges, barriers, and potential solutions to providing psychotherapy to immigrant populations. Topics covered are language barriers, financial barriers, insurance barriers, intimate partner violence issues, cultural variables regarding disclosure issues, fear of involvement with immigration authorities, trust issues regarding political matters, limited knowledge about psychotherapy, stigma about psychotherapy, lack of knowledge about provider types, differences in symptom expression, lack of cultural sensitivity on the part of the psychotherapist, lack of adequate literature and research, and limitations posed by state licensing boards. Additionally, effective strategies and empirically supported treatments for providing mental health services to immigrants are reviewed. Future steps are recommended and reviewed, for individual clinicians and mental health professions, to reduce barriers and ensure that immigrants receive the mental health services they need and deserve.


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