• Kathleen Thimsen added an answer:
    How can we protect the human rights of elderly?

    Here, I am working on social gerontology. So, I am interested in that how we protect the human rights of the elderly? Because today, elderly population is near 8% of the total population. We also listen many times, abuse against elderly.

    Kathleen Thimsen · Barnes-Jewish College

    Luis, stated very well. In the US, the literature and social attention to the issue of elder care and abuse, is not of high interest.

    Your recommendations on increasing the visibility and awareness of the issue is so very true.

    I think that it may pose an interesting approach to many countries, if we created a collaboration on education and literature that identifes how this violence occurs, why it happens, who is at risk and what can be done about it. The interventions are inter-professional (medicine, nursing, social services, law enforcement, regulatory and legal to name a few). 

    All of our countries have this growth spurt happening with the 65 years and older population. As one of the authors (Chism)  in elder abuse has stated, "the face of aging will forever be changed" ... I believe that the time is here for us to do this important work.

  • Justin Snyder added an answer:
    Where can I find research articles on teaching hope to trauma sufferers?
    Hope is an essential part of the healing process. There is some research on how it can be used in counseling those suffering from substance abuse. Having difficulty finding any research articles that have research teaching Hope or incorporating it in counseling with trauma experience.
    Justin Snyder · Saint Francis University, USA

    Judith Herman, Trauma and Recovery

  • Naheed Nabi Lena added an answer:
    What neurological changes affect abused children in the onset of puberty?

    Are neurological changes in the amygdala responsible for accelerating the rate of puberty and in abused children?  Which hormones specifically are responsible? Do these neurological changes have other consequences as the child matures to adulthood? 

    Naheed Nabi Lena · Boston Children's Hospital

    They develop poor attention, pseudoseizure and some become unusually quiet. regession in their school performance and may have school phobia.

  • Dorita F. Diaz added an answer:
    Current therapies of domestic violence used for male/female perpetrators of physical/psychological abuse?

    Domestic violence and its therapies. Do they work? What sort of therapies are currently being utilised in the UK? 

    Dorita F. Diaz · University of West London

    Thanks Roy for your contribution. I would like to know, if possible, what is your professional opinion on hypnotherapy for DV victims? Would it be an effective treatment method?

  • Kathy Sias added an answer:
    Does anyone know of a tool (which can be retrieved easily) to assess symptoms of PTSD among children aged 3-8 years old?

    I will use this tool to assess PTSD symptoms among children at shelters for abused children. This is for my dissertation. Thank you.

    Kathy Sias · Florida International University

    As an aside, if you are also looking for individual treatment for trauma with children other than CBT-trauma consider trauma incident reduction.  

  • Marcel M. Lambrechts added an answer:
    Do you agree that the authors to be included and their order- should be decided while planning the project, even before starting the bench work?

    This can practically avoid authorship abuse including Honorary authors, Ghost authors, Gift authors and Guest authors, mostly obligatory in nature, are obvious misattribution and fraudulent practices at their worst.

    At times, if there are colleagues who have contributed in the later part of execution of the project, with mutual consent of all the contributors could be included as one of the authors. 

    Marcel M. Lambrechts · Centre d'Ecologie Fonctionnelle et Evolutive, Montpellier, France

    I think it is very difficult to decide it before the project starts because of at least two reasons:

    1) The time interval between the onset of a project and the publications of the first results can be years, e.g. 5 years

    2) Science and knowledge is so dynamic that fixed rules are impossible to impose. For instance, new ideas/new published knowledge can suddenly come perhaps requiring to adjust the project and its approaches (and the people involved). 

  • Dr. Godfred A. Menezes added an answer:
    Are systemic antibiotics being abused nowadays by practitioners??

    There are several myths on use of antibiotics providing a notion that::

    myth #1 Antibiotics cure patients!!

    Myth #2 Antibiotics are substitutes for surgical interventions!!

    Myth #3 Antibiotics if indicated??? 

    These creates dilemma!!! 

    Dr. Godfred A. Menezes · Jawaharlal Institute of Postgraduate Medical Education & Research- JIPMER, India (past), Erasmus MC, Holland (past), Sree Balaji Medical College & Hospital (Current)

    Of course yes, systemic antibiotics are misused by practitioners. Prescription/ use of antibiotics should depend on individualized needs. 

  • Simi Shain asked a question:
    Standardized questionnaire on CKAQ - children's knowlege of abuse questionnaire

    Would like to do a study on sexual absue prevention concepts among children? Would like to know the possibility of getting the standardized questionnaire on CKAQ - children's knowlege of abuse questionnaire

  • Tony Salvatore added an answer:
    Does anyone know of any studies identifying elder abuse as a risk factor for elder suicide?
    Physical, psychological and sexual abuse have been found to be risk factors for suicide in adolescents and adults (<65). These modes of abuse would seem to be associated with increased suicide risk in the elderly. Is there any research in the literature citing elder abuse as a suicide risk factor in those aged 65/over?
    Tony Salvatore · Montgomery County Emergency Service

    Kathleen:

    Thanks for your comments and support. I concur that "the issue of suicide in the elderly extends across the board." Similarly the issue of suicide among victims of abuse would seem to as well as evident in what I found in that literature:

    Intimate partner violence and suicide appear linked in adult females of varying ages.  Women who have been victims of intimate partner violence and who have a chronic illness or disability have an increased risk of threatening or attempting suicide (Cavanaugh et al., 2011).  Women 55 years of age and older who had been discharged from inpatient psychiatric care and who were abused in the past or at present displayed a significantly higher incidence of suicidal behavior (Osgood & Manetta, 2001).  Women who experience intimate partner violence, particularly sexual abuse, are at risk for suicidal ideation or behavior (Simon et al., 2002).  Studies of domestic violence cases in hospital emergency rooms have found battered women to more likely have histories of past or present suicidal behavior (Abbott et al., 1995; McCoy, 1996).  One emergency room study urged that “domestic assault patients should be asked about suicidal ideation” (Boyle et al., 2006).

  • Thomas Karl Hillecke added an answer:
    Predominated reductionism has caused abuses and crimes against psychiatric patients every time in the history of psychiatry. Do you agree?
    Any all-encompassing theory constitutes a threat to the dignity and the respect of the person.
    Thomas Karl Hillecke · SRH Hochschule Heidelberg
    Dear Giacinto,

    I agree. But trying to find a way out of the misery means to integrate a lot of critical perspectives. The history of psychiatry is full of ethical problems and interventions that harmed human dignity. So no one can blame people who exaggerate an extreme position against these developments. Psychiatry deals with human minds, so a humanistic perspective is necessary in every case. Reductionism harms, because it reduces real humans and human events to theoretical assumptions.

    Regards Thomas
  • Paul Toth asked a question:
    Are there any predictors of or traits common to physicians who abuse patients?
    I am interested in any full-text articles even remotely related to this subject, from any field. Specifically, I am studying emergency room sexual abuse of patients by physicians, but I am beginning to find that reports related to this subject across medical specialties. Any texts will be deeply appreciated and, if used, properly cited, of course.
  • Paul Toth asked a question:
    MMPI results and sexual abuse amonsgt specific professionals?
    For example, physicians, priests, etc. who engage in sexual abuse and the traits via MMPI common amongst those in the same profession engaging in similar acts?
  • Lynn Higgs asked a question:
    What are some ways to teach others about boundaries in a non-clinical setting?
    Boundaries are important to develop healthy relationships with others. Many who suffered from experiences of abuse do not practice setting or keeping healthy boundaries. It is easy to talk and discuss setting healthy boundaries with people, it is not something that is always applied outside of sessions.
  • Rawan Alheresh added an answer:
    Can anyone recommend literature about occupational therapy with survivors of torture? Thank you.
    There is scant research about the application of OT with survivors of torture, but some crossover with working with refugees and asylum seekers.
    Rawan Alheresh · Boston University
    No problem! please find attached the publication!
  • Patrice S. Rasmussen added an answer:
    What can be suggested to counselors, whose passion is to assist those suffering from experiencing abuse, but have no personal experience with abuse?
    Many have decided to specialized in treating individuals that experience abuse but have no understanding of the experience. This can cause both the counselor and the individual harm. The experiences of abuse may cause a number of symptoms and responses to therapy. It is important for counselors to understand the clients they are serving. Sometimes counselors enter into a therapeutic relationship with abused clients, without any knowledge of the experience. Many times the counselors bring their preconceived ideas of what the client is feeling or should feel. When the client's emotions and descriptions do not line up, it causes many problems. Counselors interested in assisting those who experienced abuse can better equip themselves with the reality of what the abused has experienced. How can a counselor take this knowledge, transfer it into understanding how an abuse experienced will respond to treatment? It is not always the best intention to provide the best results. Sometimes and especially in these types of situations the best intentions may create the most harm.
    Patrice S. Rasmussen · University of South Florida
    Please understand at the end of a session it is hard for the traumatized person as they may have just discussed different experiences and may be left feeling confused and in some cases abandoned.
    I recommend five to ten minutes prior to leaving to prepare in advance what to think about for the next week. Mention positive discussion and progress while looking ahead to continued journey ahead in the following week
    Remember, the traumatized patient may actually not be in a good place to leave due to the discussion...think about ensuring a secure ending to the session before the time just stops.

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