Biomedical subjects

Ineke Way

Publications and source records attributed to Ineke Way.

4 recordsLinked to original sources

PubMed2006

Vicarious trauma: an exploratory study of the impact of providing sexual abuse treatment on clinicians' trust and intimacy.

This study examined vicarious trauma effects in male and female clinicians who treat sexual abuse survivors (n = 111) and sexual offenders (n = 272). The national survey was conducted using a random sample of clinical members of two professional organizations. Analyses tested the relationships between demographic variables, maltreatment history, client population served, and cognitions about trust of and intimacy with others, using the Trauma Stress Institute Belief Scale (TSIBS-R-L, Pearlman 2003), the Childhood Trauma Questionnaire (CTQ, Bernstein & Fink, 1998), and author-generated questions. Respondents reported high rates of multiple forms of childhood maltreatment; however there was no relationship between history of child sexual abuse and vicarious trauma effects. Scores for self-reported disruption in cognitions about intimacy with others exceeded norms for mental health professionals. Sequential regression analyses were used to examine theoretically-derived variables. Implications for practice and research are detailed.

Adult↗

PubMed2004

Vicarious trauma: a comparison of clinicians who treat survivors of sexual abuse and sexual offenders.

This study compared vicarious trauma in a random sample of male and female clinicians who treat survivors (n=95) and those who treat offenders (n=252). A national survey was conducted with members of the Association for the Treatment of Sexual Abusers (ATSA) and the American Professional Society on the Abuse of Children (APSAC). These data were used to test the relative contribution of variables theorized to contribute to two vicarious trauma effects (avoidance and intrusions) using the Impact of Event Scale. The sample reported high levels of avoidance and intrusions. Variables associated with vicarious trauma differed based on client population served. Sequential regression analyses were used to examine theoretically derived variables. Implications for practice and further research are discussed.

Adaptation, Psychological↗

PubMed2003

Cross-type recidivism among child maltreatment victims and perpetrators.

OBJECTIVE: This study investigated the extent to which child maltreatment victims and perpetrators were reported for different types of maltreatment over time (cross-type recidivism). Second, this study examined whether certain individual, community or child welfare service variables were associated with a tendency for the first recidivism event to be the same as the initial report among cases involving sexual abuse, physical abuse and neglect. METHOD: Statewide administrative data on child abuse reporting at the child and perpetrator levels were linked to data on child welfare services and census information to examine cross-type recidivism prospectively for 4.5 years. Analyses include descriptive and logistic regression techniques. RESULTS: There was substantial cross-type recidivism at both the child and perpetrator levels, with neglect being the most common recidivism type. Among neglect cases, "lack of supervision" was the most frequent subtype at time of re-report regardless of the initial subtype of neglect reported. Predictors of remaining within-type varied by the type of maltreatment initially reported and by perpetrator compared to child-level analyses. For example, among physical abuse cases, older child victims were more likely to remain within-type, while the opposite was true for neglect. CONCLUSIONS: Cross-type recidivism is common among re-reported cases of maltreatment. Non-neglect cases that re-reported to child welfare agencies are likely to return for neglect. Child welfare risk assessment, service provision, and research on children and families with a recidivism event should be focused neglect and on broad areas of need and risk rather than rely on typologies based on the index event. Researchers attempting to model recurrent maltreatment should consider recurrence at the child and perpetrator levels separately.

Child↗

PubMed2003

Substantiation and recidivism.

This article reports rates of recidivism among initially substantiated and initially unsubstantiated child maltreatment events to determine if substantiation status is associated with higher risk of recidivism. This is an important question given recent concerns that unsubstantiated cases may have as high or almost as high a risk of recidivism as do substantiated cases. The data are analyzed at both the victim level and the case level, divided by type of maltreatment, and followed for 4.5 years. The data used are administrative and combine a series of state databases with census data. Analyses are performed at the bivariate and multivariate (Cox proportional hazards model) levels. The main finding is that unsubstantiated cases are at high risk for recidivism, in many cases as high a risk as substantiated cases. Implications for practice, policy, and research are presented with a focus on the importance of providing preventative services to unsubstantiated cases.

Adolescent↗