Search Results (11)

Healthcare abuse is a critical human rights and public health issue, particularly impacting medical interns and trainees who are vulnerable to mistreatment during their formative professional years. This cross-sectional study, conducted from February to June 2024, evaluated the prevalence and psychological impact of harassment and discrimination among 463 healthcare interns in Saudi Arabia from various specialties, including medicine, nursing, pharmacy, and dentistry. Using a self-administered online questionnaire, we found that mistreatment was widely reported, with female interns experiencing significantly higher rates of sexual harassment and gender-based discrimination. Common perpetrators included residents, lecturers, professors, nurses, and patients, with incidents most frequently occurring in surgical and internal medicine departments. Despite high prevalence, only 9% of interns reported the abuse due to mistrust in reporting systems or failure to recognize the behavior as abuse. These experiences were associated with significant psychological distress, including frustration, reduced motivation to learn, and higher DASS scores, particularly among female interns. The study underscores the need for institutional reforms, including policy development, cultural change, and effective reporting systems to ensure a safe and supportive learning environment for future healthcare professionals. Addressing abuse in medical training is essential for individual well-being and the sustainability and integrity of healthcare systems. Full article

This study aims to analyze maladaptive schemas through the Young Schema Questionnaire—Short Form 3 among 895 high school students, with an average age of 18.15 years, in relation to the potentially traumatic experience of being the victim of violence inflicted by family members through hitting and beating and in connection with violent behavior (in and outside school). Almost half of the students reported that, in their families, there were prolonged problems in the couple relationship of their parents/caregivers, and almost 40% of these students were involved from time to time in at least one form of violence in or outside school, with the highest share of this violence resulting from physical aggression by hitting and pushing and verbal or emotional abuse. A factor analysis was performed using a unifactorial model and a mediation model, and it indicated that the presence of trauma increases the total violence score. A higher violence score was recorded in students who were subjected to family violence (t(890) = −6.267, p < 0.001). The schemas that proved to be the most relevant for the violence factor were those of Punitiveness (PU: 0.89) and Mistrust/Abuse (MA: 0.77), followed by the schemas of Emotional Inhibition (EI: 0.68), Unrelenting Standards/Hypercriticalness (US: 0.63), and Entitlement/Grandiosity (ET: 0.58). The mediation that the Punitiveness schema achieves between victimization in the family and subsequent aggressive behavior is based on the internalization of the punitive parental figure and the victim’s development of the belief that violence is the only answer when others do not meet their expectations. Full article

Adverse childhood experiences (ACEs) represent one of the most critical factors contributing to the manifestation of psychiatric disorders later in life. Furthermore, such experiences are often associated with deficits in interpersonal relationships, manifesting as mistrust and violent behaviors, and are indicative of a fragmented personality. This study aimed to analyze the correlative relationships between personality deficits influenced by ACEs and the expression of reactive and appetitive aggression using self-report questionnaires in 53 male forensic psychiatric patients with a drug dependency background detained under §64 of the German Criminal Code between 2019 and 2022. Instruments included the Operationalized Psychodynamic Diagnosis Structure Questionnaire (OPD-SF), the Maltreatment and Abuse Chronology of Exposure Scale–German Version (KERF), and the Appetitive and Facilitative Aggression Scale (AFAS). Specifically, the OPD-SF used the following subscales: self-perception, self-regulation, the regulation of object relations, emotional communication inward/outward, internal/external attachment, and total score. The results demonstrate a significant relationship between childhood traumatic experiences, personality structure, attachment capacity, self-perception, and regulation and the expression of both reactive and appetitive aggression. While the association with reactive aggression is intuitively plausible, the findings notably reveal that the propensity to derive pleasure from violence is also associated with personality deficits caused by adverse childhood experiences. These findings have important implications for the treatment of offenders with personality disorders and should be considered in therapeutic interventions. Full article

An individual’s social adaptation is affected by their early maladaptive schemas. Previous studies have shown that early maladaptive schemas may be intergenerationally transmitted in families. It is important to explore the intergenerational effect of early maladaptive schemas on adolescents’ social adaptation, as they are in a critical period of growth and development. In this study, a cross-sectional design and questionnaire survey were used to collect data to explore the intergenerational influence of early maladaptive schemas in families and their relationship with adolescents’ social adaptation. The participants were 201 adolescents aged 12 to 16 years and their primary caregivers (father or mother), of whom 125 (62.2%) were boys and 76 (37.8%) were girls. There were 70 fathers (34.8%) and 131 mothers (65.2%). Chinese adolescents and their primary caregivers were surveyed using paired questionnaires, and the Young Schema Questionnaire (short form) and Adolescent Social Adaptation Scale were completed. The results show that adolescents’ early maladaptive schema plays an intermediary role between parents’ early maladaptive schema and adolescents’ social adaptation. Parental mistrust/abuse and insufficient self-control schemas affected adolescents’ social adaptation through the mediating effect of their corresponding schemas. Our results reveal the negative impact path of parents’ early maladaptive schemas on adolescents’ social adaptation and provide a new direction for the clinical practice of adolescent family therapy. Full article

The scientific literature has shown an increasing demand by citizens and society at large to stop using people who have committed sexual violence against children as a reference in academia. However, research has not explored the fact that in some sectors of society, the rejection of individuals who have exercised sexual abuse against children is entirely deliberate. This study analyzes, for the first time, the incoherence of many academics when it comes to their positioning regarding different renowned authors who commit sexual abuse against children, and the consequences of such incoherence according to several citizens. To that end, social media analytics and interviews with 16 individuals aged 27 to 70 years from different professions, including university professors, construction workers and retired lawyers, were conducted. The results show three main consequences of the incoherence of academics who use as a reference authors who have defended and exercised pederasty: promoting social mistrust toward those academics, as there is no coherence between what they say and do; normalizing and promoting pederasty and impunity toward abusers, creating a sense that “anything goes”; and silencing and revictimizing victims, which creates a context of great vulnerability to develop a healthy sexuality. Full article

Based on interviews, this article explores how the monitoring of foster homes is experienced by children and youths who have been exposed to what they consider abusive behaviour by foster parents. Using a thematic narrative theoretical framework, the article shows that a common narrative in the youths’ accounts is a story of mistrust towards social workers and monitoring officers, which relates to a general mistrust towards the child welfare service. The young individuals are reluctant to tell monitoring officers about how they truly experience their situation in their foster home. At the same time, some of the youths have difficulty comprehending what normal parenting behaviour is like, due to previous experiences of neglect from adults. The article discusses how successful monitoring of foster homes largely stands or falls on the children’s and youths’ ability to disclose their experiences to their supervisors and monitoring officers. We argue that the youths’ narratives tell a story of disempowerment. This represents a dilemma in the monitoring of Norwegian foster homes and in the children’s right to protection. Full article

Facebook is one of the most popular social media platforms. As well as facilitating contact and the exchange of information, the use of Facebook can lead to problematic Facebook use (PFU) among a small number of users. Previous studies have shown the relationship between PFU and early maladaptive schemas (EMSs). Additionally, previous studies have reported associations between PFU and perceived stress and between EMSs and perceived stress. Consequently, the main aim of the present study was to investigate the relationship between PFU and EMSs and the role of perceived stress as a mediator of this relationship. The study comprised 993 Facebook users (505 female, M = 27.38 years, SD = 4.79, aged from 18 to 35 years). PFU was assessed using the eight-item Facebook Intrusion Scale, perceived stress was assessed using the Perceived Stress Questionnaire, and EMSs were assessed using the Young Schema Questionnaire (YSQ–S3). The results suggested that insufficient self-control/self-discipline, approval seeking, dependence/incompetence, enmeshment, and entitlement/grandiosity schemas were positively associated with PFU. There was also a negative relationship between PFU and EMSs, such as social isolation/alienation and defectiveness/shame schemas. The findings showed that PFU was positively associated with external stress. Additionally, external stress had an indirect effect in the relationship between mistrust/abuse and PFU, failure to achieve and PFU, and self-punitiveness and PFU. These results contribute to a better understanding of PFU development mechanisms associated with early maladaptive schemas and perceived stress. Additionally, knowing the EMSs associated with PFU and perceived stress might improve the therapeutic interventions and prevention of this problematic behavior. Full article

The current study explores the lived experiences of female psychologists who provide psychological treatment to women survivors of sexual assault. These practitioners are a population of special interest due to the frequency of their exposure to narratives and graphic images of sexual trauma. Semi-structured interviews were conducted with 15 female South African psychologists. The data, which were analyzed using an interpretative phenomenological approach, revealed experiences characteristic of vicarious traumatization. Participants reported having an enhanced sense of personal vulnerability to sexual assault and heightened awareness of the betrayals of trust that women experience from male figures, which has led to increased mistrust of men and hypervigilance regarding the safety of their daughters. Internalization of feelings of helplessness experienced by the victim evoked self-blame for practitioners and appraisals of being complicit in abuse. Practitioners also experienced survivor guilt about being spared from harm. Symptoms of intrusive re-experiencing of client trauma and cognitive and behavioral disengagement were evident. These findings have important implications for clinical practice and underscore the necessity for clinicians to cultivate an awareness of the impact of treating sexual trauma and working in ways that are self-protective. Full article

The focus of this research was to explore school leadership in post-primary schools using an adapted Schmidt Toxic Leadership Scale ©, which the authors recalibrated to examine both constructive and destructive leadership, the impact on individuals professional and personal lives, and on staff morale. Using a mixed methods approach, data were collected from 111 teaching professionals via online survey. Findings indicated a notable emergence of toxic leadership experiences which is reported in this paper. In addition, participants reported various and concerning negative consequences including: decreased job satisfaction, professional agency, and staff morale; reduced performance; increased attrition; increased negative behaviours including incivility; stifled career development; reduced self-confidence; depression; stress and anxiety; fear; tearfulness; humiliation; anger; mistrust; exhaustion; burnout; health issues; migraines; weight gain; substance abuse, suicidal thoughts, as well as, negative consequences on personal/home life. The results indicate that the quality of leadership was perceived to influence the health of respondents and had a bearing on their occupational wellbeing. Further research is needed to understand the nature of toxic leadership in education and its effects on organisational members. Full article

The recreational use of nitrous oxide (N2O; laughing gas) has largely expanded in recent years. Although incidental use of nitrous oxide hardly causes any health damage, problematic or heavy use of nitrous oxide can lead to serious adverse effects. Amsterdam care centres noticed that Moroccan–Dutch young adults reported neurological symptoms, including severe paralysis, as a result of problematic nitrous oxide use. In this qualitative exploratory study, thirteen young adult Moroccan–Dutch excessive nitrous oxide users were interviewed. The determinants of problematic nitrous oxide use in this ethnic group are discussed, including their low treatment demand with respect to nitrous oxide abuse related medical–psychological problems. Motives for using nitrous oxide are to relieve boredom, to seek out relaxation with friends and to suppress psychosocial stress and negative thoughts. Other motives are depression, discrimination and conflict with friends or parents. The taboo culture surrounding substance use—mistrust, shame and macho culture—frustrates timely medical/psychological treatment of Moroccan–Dutch problematic nitrous oxide users. It is recommended to use influencers in media campaigns with the aim to decrease the risks of heavy nitrous oxide use and improve treatment access. Outreach youth workers can also play an important role in motivating socially isolated users to seek medical and or psychological help. Full article

Extant research has documented police interactions between racial and ethnic minority populations, including negative perceptions of and experiences with the police; police corruption and misconduct; and the deleterious effects of negative relationships with the police, such as reduced legitimacy and mistrust. Comparatively, exchanges between lesbian, gay, bisexual, trans, and queer (LGBTQ) populations and the police have received limited attention. This is despite work suggesting that LGBTQ citizens face an elevated risk of victimization, and a possible reticence in reporting their victimization, resulting from negative perceptions of police, fear of mistreatment, or even experiences of harassment and abuse by police. To extend the research in this area, I analyze 12 focus groups with LGBTQ participants (N = 98) in an urban setting to examine the circumstances in which LGBTQ people would seek assistance from the police, when they would avoid doing so, and their justifications for avoiding or contacting the police. I also considered intersectionality in shaping police–citizen interactions between sexual and/or gender minority citizens of color, as the sample was almost exclusively LGBTQ persons of color. I conclude by discussing implications for policing practices and policies. Full article