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Biomedical subjects

D R Follingstad

Publications and source records attributed to D R Follingstad.

18 recordsLinked to original sources

Utilizing disclosure in the treatment of the sequelae of childhood sexual abuse: a theoretical and empirical review.

Although disclosure is a component of many therapeutic approaches to treating the long-term symptoms associated with child sexual abuse (CSA), the ameliorative mechanisms of this approach are still unclear. This review investigates the expected benefits of disclosure in therapy by looking at the theoretical and empirical support for its effectiveness in treating the specific psychopathological sequelae associated with a history of CSA. In order to accomplish this task, a core group of sequelae associated with sexual abuse are presented. The components of disclosure as a therapeutic process are divided into three processes: disclosure-through-description, disclosure-through-rethinking, and disclosure-in-relationship. The review describes the ways in which these elements of disclosure are used within different therapeutic approaches. The treatment outcome literature is then reviewed in terms of the elements of disclosure included in the treatment approaches and the symptoms improved by treatment. In conclusion, implications are presented concerning the appropriate uses of disclosure in psychotherapy directed at alleviating the long-term sequelae associated with a history of CSA.

Adult↗

Justifiability, sympathy level, and internal/external locus of the reasons battered women remain in abusive relationships.

Reasons why battered women remain in abusive relationships were rated by college students as to the degree of sympathy the reasons engendered, the degree to which the reasons seemed to justify the woman remaining, and whether the reasons appeared more within the woman's control (internal) or imposed upon her (external). Four clusters of reasons emerged that varied on the sympathy and justifiability ratings: Physical Restraint/Lack of Resources; Maintenance of the Relationship; Personal Deficits; and Loss of Resources. Sympathy for the individual reasons was correlated with viewing these reasons as more justifiable for keeping her in the relationship. Both sympathy and justifiability ratings were higher if the reasons were seen as externally imposed on the woman. The more the participants viewed the battered woman as possessing socially desirable traits, the more they had sympathy for the reasons she stayed and viewed them as justifiable. Gender and ethnicity differences on the ratings were also found. Implications for future research and application of the findings are discussed.

Adolescent↗

Violence in lesbian and gay relationships: theory, prevalence, and correlational factors.

This article reviews and critiques the existing empirical literature examining interpersonal violence in lesbian and gay relationships. Studies assessing psychological, physical, and nonconsenting sexual forms of violence in intimate, same-sex relationships are reviewed, and their findings are integrated with what is known about partner abuse in heterosexual relationships. Nineteen studies are described and categorized according to the specific questions being addressed. This body of literature suggests that prevalence rates of same-sex partner abuse are high and its correlates show many similarities to those identified in incidents of heterosexual partner abuse. This article addresses the need for substantially increased efforts in this field of study in terms of well-controlled and theory-driven research design. In terms of other implications of this body of literature, the high prevalence rate of partner abuse among lesbian and gay populations needs to be recognized by providers of both physical and mental health services who potentially treat victims, so that they can more accurately identify appropriate interventions. More research is warranted, not only in the general area of lesbian and gay partner abuse, but in examining various treatment modalities and their effectiveness in helping perpetrators to end the cycle of violence.

Domestic Violence↗

Risk factors and correlates of dating violence: the relevance of examining frequency and severity levels in a college sample.

To determine whether categorizing levels of violence along dimensions of frequency and severity would result in informative distinctions among individuals using dating violence, reported use of physical violence, along with variables theorized to be related to use of force in intimate relationships, was assessed in a sample of 617 college students (males = 290; females = 327). When participants' scores were analyzed by dichotomizing them along the lines of ever versus never using dating violence, numerous past findings were replicated. However, participants using a higher frequency of force were distinguished by needing to control their partner and by less inhibition in expressing their anger. Higher severity of force by an individual was predicted only by a need to control his/her dating partner. Implications for these findings were discussed.

Adaptation, Psychological↗

Effects of battered women's early responses on later abuse patterns.

Abused women (N = 234) were interviewed using a structured questionnaire to determine whether violence increases during the course of an abusive relationship. Comparisons were made between women with short-term violence and long-term abusive relationships to assess whether strategies used by victims during early incidents affected the duration of the violence. Women out of the relationship were also contrasted with women still in the relationship. The data supported the picture of increasing abuse for 18 months with a relatively stable rate from then on. The number of forms of abuse and the severity of them tended to quickly increase over early events. Women with short-term violence were more likely to make plans following early incidents, typically involving changing the marital situation. Whether experiencing short-term or long-term abuse, battered women perceived their own sanctions on the abusers as responsible for the cessation of the violence. Continued investigation is necessary to replicate these findings and to identify strategies for reducing violence while women are in the relationship.

Adult↗

Professionals' adherence to mandatory child abuse reporting laws: effects of responsibility attribution, confidence ratings, and situational factors.

This study investigated the relationship between responsibility attribution and tendency to report child sexual abuse among practicing psychologists. Two hundred ninety-five licensed psychologists from two states completed vignettes in which the sex of the child and the father's admission or denial of alleged sexual abuse were systematically manipulated. Subjects assigned relative percentages of responsibility to the father, mother, child, and society for the abuse and indicated their tendency to report and their level of confidence that abuse was occurring. Results indicated a significant effect for responsibility to the mother which varied as a function of the father's response to the allegation of abuse. Mothers were blamed significantly more for the abuse when the father denied being abusive. Responsibility attribution did not predict reporting, while confidence in the occurrence of abuse did. Also, sex differences were found among participants where male subjects assigned significantly more responsibility to the abusive father than female participants, and the females blamed the mother more than the males. Results are discussed in the context of previous research on responsibility attribution in child abuse.

Attitude↗

Verbal coercive sexual behavior among college students.

Coercive sexual behavior exists at alarming rates on college campuses. Researchers attempting to identify factors related to sexual coercion have primarily investigated either the coercing college male or the coerced college female, independent of relationship factors. The present study investigated the prevalence of verbal sexual coercion, the beliefs and attitudes of sexually coercive and noncoercive men, and the differences in affective states between groups and at different stages of relationship development. Undergraduate students were grouped on the basis of their self-reported sexual experience history as being sexually inexperienced, having had consensual sexual relationships only, or having had coercive sexual relationships. Also, subjects who reported having been sexually experienced were asked to rate the nature of their relationship to their sexual partner. Subjects completed measures referring to sexual attitudes, sexual arousal patterns, and the emotional components of a sexual encounter. Analyses indicated that 42% of the males in the sample had engaged in verbal sexual coercion. Differences on the measures were found between the sexual experience groups and the relationship type subgroups. Results are discussed in the context of the situational model, in which the coercive male plays an active role in shaping his environment.

Adult↗

Mental health professionals and suspected cases of child abuse: an investigation of factors influencing reporting.

The prevalence and effects of child abuse have been reported in numerous studies. Although mandatory reporting laws require professionals to report suspected cases of child abuse, studies have indicated that large percentages of mental health professionals report selectively. The present study investigates professionals' tendency to report and attribution of responsibility for child abuse. One-hundred and one mental health clinicians working within three community mental health centers (CMHCs) completed experimentally controlled vignettes manipulating victim age, type of abuse, and victim reactions during an interview. Results indicated 81% of the clinicians tended to report the presented case of child abuse. Clinicians' tendency to report depended on the level of certainty they had that abuse was occurring. Professionals' attribution of responsibility to the father and mother varied as a function of the type of abuse occurring. The impact of victim characteristics on clinicians' reporting is discussed.

Child↗

The relationship between communication and marital satisfaction: a review.

This paper provides a comprehensive methodological review of the literature assessing the relationship between marital satisfaction and communication. The investigations vary greatly in the adequacy of their assessment measures and soundness of their research design. Although it is generally concluded that both content and process communication are related to marital satisfaction, replication of the better designs is necessary. Specific findings and their practical implications for both future research and marital therapy are discussed.

Communication↗

Sex fantasies revisited: an expansion and further clarification of variables affecting sex fantasy production.

Findings of prior research which indicated both external factors (experimental response cues) and internal factors (sex guilt) influencing subjects' writing of their sexual fantasies were expanded. University males (N = 88) and females (N = 122) were studied. They read sex fantasy examples varying in conventionality of the sexual activity and the relationship context before reporting their own fantasies. Sex guilt level of all subjects was measured as well as their subjective responses to writing the fantasies. The data were analyzed to determine whether varying response cues along certain dimensions could influence subjects to write parallel fantasies. Sex guilt levels and sex of the subject were the best predictors of the length, explicitness, and variety of content of subjects' reported fantasies. Males wrote longer, more explicit and varied fantasies but were affected similarly by sex guilt levels as females. High sex guilt subjects in general produced more restricted content and shorter fantasies. They also experienced more embarrassment and less arousal. Females were more likely to have high levels of guilt about sex than males. The varying dimensions of the fantasy examples had little effect on the types of fantasy material revealed and therefore the erotic/explicit aspect of the examples found in the prior research seems to be the factor that produces effects on fantasy production. Comparing the two studies, females may respond with longer, more explicit fantasies when given erotic but more traditional sexual examples.

Adolescent↗

Psychological factors that predict reaction to abortion.

Investigated demographic and psychological factors related to positive or negative reactions to legal abortions performed during the first trimester of pregnancy in 62 females in an urban southern community. Results suggest that the social context and the degree of support from a series of significant persons rather than demographic variables were most predictive of a positive reaction.

Abortion, Induced↗

A sexual-enhancement workshop: beyond group systematic desensitization for women's sexual anxiety.

This study investigated whether six women who previously had received 15 sessions of group systematic desensitization (SD) for their sexual anxiety would report additional treatment gains from participation in a sexual-enhancement workshop with their partners. After group SD six couples participated in six, 1 1/2 hour weekly group sessions. The women reported a significant increase in marital adjustment and a significant decrease in sexual anxiety. A significant decrease was found in the women's sexual nonresponsiveness as perceived by their partners. Future studies should (1) contrast the effects of group SD with women alone versus couple group treatment, (2) determine which treatment components are most influential for defined subject types, and (3) obtain data on men's sexual functioning.

Anxiety↗

Effects of a marathon group on self-actualization and attitudes toward women.

This study investigated the impact of a 16-hour marathon session on levels of self-actualization and attitudes toward women both 1 day and 5 weeks after the group experience. Female undergraduates were assigned randomly to one of two marathon groups or to a no-treatment control group. Ss in both marathon groups experienced a significant shift toward increased independence or self-supportedness on both posttests. However, a differential group effect was found from separate comparisons of each marathon group with the control group reflected significantly shifts in attitudes toward women; Ss in one marathon group reflected significantly greater agreement with profeminist attitudes on the first posttest and experienced an even greater shift in that direction on the second posttest, while Ss in the other marathon group did not differ significantly from the control Ss on either posttest.

Attitude↗