The Role of Food and Food Behaviors in Intimate Partner Violence

There is a paucity of research that systematically examines how food behaviors play a role in intimate partner violence (IPV). Therefore, this qualitative study aims to answer the broad question, what role do food behaviors play in intimate relationships? Food behavior narratives emerging from participants of court-mandated domestic violence (DV) offender treatment programs were analyzed using grounded theory methods. Five themes emerged. Two described inflammatory/harmful roles: (1) food as a trigger for anger and violence and (2) food as a mechanism of “othering.” One theme described the role of food behaviors in promoting unequal and equal relationships: (3) food as an embodiment of gender roles. Two themes described reconciliatory/beneficial roles: (4) food as a mechanism of recognition and (5) and food as a representation of group rapport. Food behaviors can escalate into conflicts but can also be used as a tool to resolve conflicts. Limitations and the need for future research are further discussed.

Association of Voluntary Legal Paternity and Breastfeeding Duration and Exclusivity in a Sample of Mothers in NewYork State, United States

Background and Objective: Globally, father engagement is deemed an important factor in mothers’ breastfeeding practices. In the U.S., the role of the father in breastfeeding is understudied. This study examines the association between voluntary legal paternity and maternal breastfeeding outcomes. Methods: Using data from a modified Pregnancy Risk Assessment Monitoring System survey (Monroe County, NY, 2015-2017) linked to New York State’s birth certificate data, we assessed breastfeeding outcomes (exclusivity and duration) by voluntary legal paternity (VLP) establishment. We examined breastfeeding duration (breastfeeding cessation at 13 weeks or less) and exclusive breastfeeding (at 13 weeks) among mothers whose infants had VLP (i.e., married, acknowledgment at birth), and those who had no-VLP (i.e., a court-mandated Paternity Affidavit or no legal paternity established). Univariate analyses were conducted, with additional variables (parental demographics, maternal social and clinical) included subsequently. The backward elimination method was used to determine the set of covariates to adjust in the model. Results: Of the 1,753 mothers initiating breastfeeding, 1,364 had VLP and 389 had no-VLP established. Mothers of infants with a no-VLP were more likely to be Black (29.49%), Hispanic (17.74%), have lower income (80.21%), have lower-education levels (44.73%) and were more likely to be <30 years old (61.7%), and had higher levels (14.4%) of reported traumatic stress before and during the most recent pregnancy. Among mothers initiating breastfeeding, those with no-VLP had a higher risk of breastfeeding cessation at 13 weeks (OR: 2.06; 95% CI, 1.25-3.42) after adjusting for maternal resilience, social support, hospital breastfeeding support, pre-pregnancy BMI, paternal age, and paternal education; and higher risk of breastfeeding cessation at 13 weeks (OR:1.46; 1.01-2.09). Conclusion and Implications for Translation: Voluntary legal establishment of paternity is associated with maternal breastfeeding outcomes. Screening of mothers may include legal paternity status as a further indication of the need for additional breastfeeding support, especially among socio-economically disadvantaged populations. Copyright © 2021 Alio et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

The Mediating Role of Moral Absolutism Between the “Binding Moral Foundations” and Sexist Attitudes: A Path That May Lead to Intimate Partner Violence

The binding foundations (loyalty, authority, and purity) constitute adaptive mechanisms for preserving groups’ interests. However, they have also been related to intergroup prejudice and violence. We show that the known relationship between the binding foundations and sexist attitudes is mediated by moral absolutism, a variable that reflects the degree to which people believe that their own definition of morality is objectively correct. Two different samples are used: a conventional one (Study 1, N = 321), and a forensic one at the beginning ( T1) and at the end ( T2) of court-mandated psychological therapy (Study 2, N = 354; N = 327).

Forensic mental health professionals’ perceptions of their dual loyalty conflict: findings from a qualitative study

Background Mental health professionals (MHP) working in court-mandated treatment settings face ethical dilemmas due to their dual role in assuring their patient’s well-being while guaranteeing the security of the population. Clear practical guidelines to support these MHPs’ decision-making are lacking, amongst others, due to the ethical conflicts within this field. This qualitative interview study contributes to the much-needed empirical research on how MHPs resolve these ethical conflicts in daily clinical practice. Methods 31 MHPs working in court-mandated treatment settings were interviewed. The interviews were semi-structured and our in-depth analysis followed the thematic analysis approach. Results We first outline how mental health professionals perceive their dual loyalty conflict and how they describe their affiliations with the medical and the justice system. Our findings indicate that this positioning was influenced by situational factors, drawing the MHPs at times closer to the caring or controlling poles. Second, our results illustrate how participating MHPs solve their dual loyalty conflict. Participants considered central to motivate the patient, to see the benefits of treatment and its goals. Further, transparent communication with patients and representatives of the justice system was highlighted as key to develop a trustful relationship with the patient and to manage the influences from the different players involved. Conclusions Even though individual positioning and opinions towards dealing with the influences of the justice system varied, the results of our research show that, in spite of varying positions, the underlying practice is not very different across participating MHPs. Several techniques that allow developing a high-quality therapeutic alliance with the patient are key elements of general psychotherapy. Transparency appears as the crucial factor when communicating with the patient and with representatives of the justice system. More specifically, patients need to be informed since the beginning of therapy about the limits of medical confidentiality. It is also recommended to develop guidelines that define the level of detailed information that should be disclosed when communicating with the authorities of the justice system.

Court-Mandated Treatment Outcomes for Prescribed Opioid Use Disorder: A Gender Based Study

This study provides empirical information suggesting court-mandated treatment may be a more effective treatment pathway for opioid use disorder (OUD). To examine the effects of mandated treatment for prescription opioid users, we consider the differences in discharge completion rates for court-mandated and non-mandated treatment for both males and females. We use the Treatment Episode Data Set-Discharges (TEDS-D) from 2015 to 2017 with 13,239, 14,765, and 15,433 cases, respectively, to study successful completion rates for males and females with OUD. Logistic regression analysis confirms a greater completion rate for mandated treatment episodes. Of all mandated females, 59% completed treatment in each of the 3 years as compared to the 59%, 65%, and 64% of successful completion for mandated males, respectively, from 2015 to 2017. Our results suggest court-mandated treatment pathways are more effective on treatment completion for individuals with OUD, yet treatment completion disparity between sexes increases even when females are mandated.

What characterizes a good mental health professional in court-mandated treatment settings?: Findings from a qualitative study with older patients and mental health care professionals

Background Therapist-related activities and characteristics such as empathy and genuineness are factors that significantly contribute to psychotherapy outcome. As they play a role in psychotherapy more generally, it can be expected that they are equally important in the treatment of court-mandated patients more specifically. At the same time, these treatment settings come with specific challenges—e.g. due to coercion and control—and it could thus be that some therapist-related characteristics might have a different empathy on the therapy. This interview study sought to investigate service providers’ and users’ perspectives on therapist-related characteristics in the context of detention. Methods We conducted a qualitative interview study with 41 older incarcerated persons mandated to treatment, and 63 mental health professionals (MHP). The data analysis followed thematic analysis. Results Patients and experts both emphasized the importance of treating patients with respect by taking a humanistic approach, that is, condemn the deeds but embrace the person and display genuine interest in supporting patients with any issue or concern that is of relevance to them. Furthermore, interviewees underscored that the coerciveness of the therapy context required to incorporate patients’ wishes into treatment planning, recognize and respond to the patients’ needs, and allow some choice within the given framework. Such inclusive attitude was deemed critical to engage and motivate patients to participate in treatment. In addition, it was emphasized that feedback and advice by the therapists need to be concrete, detailed and applied to each person’s current situation. Lastly, patients questioned MHP’s qualification when they did not progress in therapy. Discussion Our findings indicate that some therapist-related activities and characteristics are of particular importance in court-mandated settings. These include genuine interest in the patient, a respectful and positive attitude, as well as the capacity to target sensitive issues in a directive but non-confrontational manner. Further research needs to identify specific expressions and behaviors that are linked to the aforementioned characteristics in the forensic context. Our study therefore contributes to much-needed empirical research on clinician and patient perspectives on therapist characteristics and activities in the treatment of court-mandated patients.

Domestic Violence Intimate Partner Violence Male-Identified Latino Diaspora Participants Program Experiences

Domestic Violence Intimate Partner Violence with Male Identified Latino Diaspora participants research was to give a voice to a group of men who committed violence against their partners and provide them an opportunity to talk about who they are, where they learned to be who they are, and how they were impacted by mandatory court programs. Before this study, no significant research had been done on the experiences of Latino Diaspora men within the Greater Toronto Area. The theoretical and methodological lens utilized Critical Race Theory and Latino Critical Theory. Three semi-structured interviews were conducted with male-identified individuals who completed court mandated programs within the Greater Toronto Area in the last five years. The outcomes were an improved understanding about the benefits and gaps that still exist within the mandatory court programs. Findings present much-needed information and consideration about the benefits of linguistic specific supports and the needs for greater educational supports related to healthy relationships.

Domestic Violence Intimate Partner Violence Male-Identified Latino Diaspora Participants Program Experiences

Domestic Violence Intimate Partner Violence with Male Identified Latino Diaspora participants research was to give a voice to a group of men who committed violence against their partners and provide them an opportunity to talk about who they are, where they learned to be who they are, and how they were impacted by mandatory court programs. Before this study, no significant research had been done on the experiences of Latino Diaspora men within the Greater Toronto Area. The theoretical and methodological lens utilized Critical Race Theory and Latino Critical Theory. Three semi-structured interviews were conducted with male-identified individuals who completed court mandated programs within the Greater Toronto Area in the last five years. The outcomes were an improved understanding about the benefits and gaps that still exist within the mandatory court programs. Findings present much-needed information and consideration about the benefits of linguistic specific supports and the needs for greater educational supports related to healthy relationships.