ABSTRACT
Recent studies indicate that men experience unique barriers to disclosure of child sexual abuse. Blind spots held by mental health providers and social service agencies may inadvertently help produce and sustain these barriers. However, therapists who specialize in treating this population may also hold important insights into the barriers clients face. Because delayed and nondisclosure of child sexual abuse have been associated with negative mental health outcomes for adult survivors, understanding these barriers is critical to improve clinical practice and facilitate help-seeking. Using conventional content analysis, this study examined the perceptions of nine therapists who specialize in the treatment of men who were sexually abused in childhood, many of whom are considered pioneers in the field. Analyses identified nine types of barriers, which were organized into three categories: intrapersonal experience (difficult feelings, lack of language, and self-engagement), social milieu (internalized social stigma, negative responses, social loss or judgment, and masculine identity dissonance), and health care environment (structural barriers, relational challenges with therapists, and unhelpful therapeutic strategies). Implications for future research, clinical training, and clinical practice are discussed.
Subject(s)
Adult Survivors of Child Abuse/psychology , Child Abuse, Sexual/psychology , Delivery of Health Care , Disclosure , Men/psychology , Social Stigma , Adult , Child , Health Personnel , Humans , Male , PsychotherapyABSTRACT
While the components of effective pediatric exercise interventions have been identified in structured research settings, recent reviews have highlighted the need for translating these interventions into accessible programs. In this paper we evaluate a behavioral intervention-based exercise program designed to serve community children and teens at risk for adult obesity. Measures of weight, strength, cardiovascular fitness, and exercise intensity improved significantly over the course of this program, and qualitative assessments indicated that attitudes towards exercise also improved. Our experiences suggest that structured, protocol-driven exercise interventions can be successfully translated into effective programs accessible to children of different ages and socioeconomic levels.
Subject(s)
Exercise , Obesity/prevention & control , Adolescent , Child , Female , Humans , Male , Muscle Strength , Physical Fitness , Program Development , Program Evaluation , Prospective StudiesABSTRACT
The Cartoneras projects aim to promote the celebration of language, culture, and creativity through a collaboration between top literary minds and cardboard collectors in Buenos Aires and Lima. They produce and publish beautiful books with hand-painted cardboard covers that speak of the wonderful literature inside. Inspired by those projects, the Paper Picker Press (PPP) program in Boston aims to engage higher-order thinking through an arts-based approach to rediscovering literature through play. PPP starts with the premise that a student who is thinking creatively is also thinking critically. Creative play is critical thinking.
