Children's exposure to trauma is a ubiquitous stressor associated with severe adjustment problems. Although mental health services can effectively reduce this distress, families often spend months waiting for treatment. Beyond timely access to care, the needs and concerns of families on the waitlist for trauma-focused treatment are unknown. In the present study, we addressed this gap by conducting interviews with key participant groups: adult caregivers with a child on the waitlist for trauma-focused services (n = 16) and providers of trauma-focused treatment (n = 17). Participants completed semistructured interviews on the needs and concerns of families on the waitlist for trauma-focused mental health services for their child. Interview transcripts were analyzed using a combination of deductive and inductive thematic analysis. Consolidated thematic coding yielded four themes related to waitlist concerns: waitlist duration, worsening symptoms, family not feeling supported, and safety. Six additional themes emerged related to waitlist needs: parenting services, psychoeducation on trauma, check-ins on well-being and status, case management, financial resources, and referrals to other services. The results suggest that both caregivers and providers are largely aligned in their perspectives of the needs and concerns of families on the waitlist for trauma-focused treatment. Several of the identified needs could be addressed by low-intensity interventions delivered by paraprofessionals. The accessibility and appropriateness of providing support to families on the waitlist for treatment should be explored.
Screening, brief intervention, and referral to treatment (SBIRT) is a widely used public health approach for delivering early intervention for substance misuse. SBIRT adaptations that incorporate content on interpersonal violence and posttraumatic stress disorder (PTSD) symptoms may be warranted, as experiences of interpersonal violence are prevalent and associated with greater substance misuse; however, more research is needed to refine the delivery of PTSD-substance use content within the SBIRT model. This study examined clinical data collected as part of a web-based SBIRT developed for co-occurring substance misuse and PTSD symptoms after interpersonal violence to characterize the clinical symptoms and responses of adults presenting to agencies serving intimate partner and sexual violence survivors. The respondents (N = 52) completed self-report measures during the SBIRT tool to personalize the recommendations, as well as motivational enhancement exercises. Descriptive statistics were conducted. The results underscored high rates of probable PTSD, substance use, and trauma-related motives for substance use. The respondents were ready to change their substance use on average after receiving personalized feedback. Many expressed values related to trauma recovery and self-empowerment, perceived these values as useful for substance use reduction, and set goals to seek mental health services or reduce their drinking quantity. The findings point to several clinical targets for integrated PTSD-substance misuse interventions for interpersonal violence survivors.
Exposure to trauma is a pervasive stressor that globally impacts millions of children and adults and can lead to severe adjustment problems. Although receiving evidence-based trauma-focused mental health treatment can effectively reduce distress associated with exposure to trauma, over half of those who schedule an intake session fail to attend, known as preintake attrition. Understanding factors that predict preintake attrition is essential for improving clinical care and triaging the allocation of clinic resources. This study examined clinic archival data sourced from an outpatient training clinic that focuses on delivering evidence-based trauma treatment. Data included records from 249 clients (n = 96 children; n = 153 adults) who completed a phone screen at the clinic between January 2022 and December 2023. Of the 249 total clients placed on the clinic waitlist, 52% (n = 129) attended their intake appointment. Results indicated that certain factors assessed during the initial phone screen (demographic characteristics, index trauma, and referral source) predicted preintake attrition. Notably, waitlist duration also emerged as a predictor of attrition; children who did not attend their intake spent nearly twice as many days on the waitlist compared with children who attended their intake. These findings provide insight into predictors of preintake attrition and suggest potential targets for developing strategies to increase engagement in trauma-focused treatment. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
To slow the spread of COVID-19 many mental health providers transitioned to telehealth delivery of trauma-focused treatment for maltreated children. However, these providers faced myriad challenges, including equitable access to equipment and technical demands of telehealth software. Training clinics overseeing pre-doctoral clinical psychology interns experienced the added challenge of providing quality supervision and training via telehealth. This study involves a retrospective application of the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework to describe the innovative adaptation to a telehealth service delivery model in a training clinic providing evidence-based trauma-focused treatment to children and their families. Mixed methods data from clinic records and intern evaluations indicate that compared to pre-COVID (February 2019 - February 2020), during early COVID (April 2020 - April 2021) more patients accessed clinic services, interns reported fewer hours of individual supervision, and interns reported greater satisfaction with their training experiences. Implications for ongoing provision of telehealth services are discussed.
Web courses for evidence-based treatments (EBTs) are an important component of training models and broader treatment dissemination and implementation. However, there exists limited research on the efficacy of large-scale online training, as most studies exploring these trainings focus on web courses designed for a specific research project. This project explored participation and knowledge acquisition in two large-scale web courses for trauma-focused EBTs: TFCBTWeb2.0 and CPTWeb2.0. Data were extracted for 174,193 TFCBTWeb2.0 learners and 12,024 CPTWeb2.0 learners, including learner characteristics (e.g., degree, years of experience) and knowledge acquisition from course module pre- and posttest scores. Learners demonstrated significant increases in knowledge for all TFCBTWeb2.0 and CPTWeb2.0 modules. Examination of completion status (i.e., started vs. completed the course) indicated that learners who identified as trainees or early career professionals were more likely to complete a web course, compared to those with terminal degrees and 5+ years of experience. Learners who registered for TFCBTWeb2.0 prior to the COVID-19 pandemic also had slightly higher completion rates compared to peri-COVID-19 learners. Taken together, these findings suggest that web courses can be an effective tool for increasing EBT knowledge. Further, completion rates for both web courses suggest the potential importance of system-level factors (e.g., agency/supervisor support) to increase the likelihood of completing these types of trainings.
Background: Although children's self-blame appraisals are recognized as important sequelae of child victimization that contribute to subsequent adjustment problems, little is known about the factors that predict their development and longitudinal course. Objective: The current study examines the stability and longitudinal predictors of children's self-blame appraisals among a sample of children re-ported for family violence.Participants and setting: Children (N = 195; 63 % female) aged 7 to 17 years (M-age = 12.17) were recruited as part of a longitudinal assessment of families referred to the United States Navy's Family Advocacy Program due to allegations of child physical abuse, sexual abuse, or intimate partner violence.Methods: Children completed assessments on self-blame at 3 time points (baseline, 9-12 months, and 18-24 months) and baseline measures of their victimization experience, caregiver-child conflict, and depression.Results: In univariate analyses, victimization that involved injury (r = 0.29, p < .001), the number of perpetrators (r = 0.23, p = .001), the number of victimization types (r = 0.32, p < .001), caregiver-child conflict (r = 0.36, p < .001), and depression (r = 0.39, p < .001) were each positively associated with baseline self-blame. When examined in a single longitudinal multilevel model, results indicated only caregiver-child conflict (b = 0.08, p = .007) and baseline depression (b = 0.06, p = .013) predicted increases in self-blame.Conclusion: Findings suggest clinicians and researchers may consider assessment of victimization characteristics, caregiver-child relationships, and depression symptoms to identify children most at risk for developing self-blame appraisals.
Numerous differences exist between and within research projects related to assessment and operationalization of potentially traumatic events (PTEs) for youth, especially when measuring polyvictimization. However, few studies have systematically examined how polyvictimization measurement differences influence PTE's relation to functioning. This study sought to address these knowledge gaps by conducting a secondary data multiverse replication (SDMR) to systematically (re)evaluate PTE polyvictimization measurement approaches. Participants included 3297 adolescents (M age = 14.63; 50.59% female; 65.15% white) from the National Survey of Adolescents-Replication study who completed a structured interview on PTE exposure and emotional and behavioral health (i.e., posttraumatic stress and major depressive disorder, drug and alcohol use, and delinquency). Results indicated that PTE operationalizations using a count variable tended to demonstrate better model performance and prediction of youth at-risk of emotional and behavioral health challenges, compared to models using a binary (yes/no) PTE operationalization. Differences in model performance and prediction were less distinct between models examining multiple forms of a single type of PTE (e.g., maltreatment, community violence), compared to models examining multiple PTE types. These findings emphasize the importance of using multidimensional approaches to PTE operationalization and the need for more multiverse analyses to improve PTE evidence-based assessment.
Emotional support from a non-offending caregiver, often the child's mother, is theorized to help buffer children from the consequences of child sexual abuse (CSA). However, many mothers struggle to provide effective emotional support, suggesting it may be important to assess for factors related to mothers' abilities to support their child. CSA frequently occurs in families that have experienced other types of violence, including intimate partner violence (IPV), and many mothers have their own personal history of child abuse. This research examined the prevalence and influence of mothers' experiences of child abuse and adult interpersonal violence on the provision of emotional support following their child's CSA disclosure. Participants included 120 mothers and their children (aged 7-17) recruited from a children's advocacy center following the disclosure of CSA. Mothers and children completed convergent measures of emotional support. Mothers also completed semi-structured interviews assessing their experiences of adult IPV and child physical abuse and sexual abuse. Most mothers had experienced IPV (68%) and child physical abuse (87%). Nearly half (49%) had experienced CSA. Regression analyses indicated that mothers' experiences of CSA were negatively associated with mother-report of emotional support (partial η2 = .05); however, mothers' experiences of IPV and child physical abuse were positively associated with child-report of emotional support (IPV, partial η2 = .06; physical abuse, partial η2 = .09). The results highlight the importance of assessing for mothers' experiences of violence to best support families receiving services for CSA.
Maternal support is theorized as a critical predictor of children’s recovery from sexual abuse. However, following disclosure, several factors may cause maternal support to fluctuate over time. This study examined the effects of hypothesized risk factors, mother’s relationship to the perpetrator and maternal psychological distress, as well as protective factors, maternal belief of disclosure, lower levels of child blame, and mother–child relationship quality, as predictors of change in maternal support over a 9 month period. Mothers ( Mage = 38.42, SD = 8.99) and their children ( Mage = 11.57, SD = 2.69; 85% female), recruited from a child advocacy center following sexual abuse disclosure, completed measures of maternal support. Mothers reported on their relationship to the perpetrator, psychological distress, belief of disclosure, child blame, and mother–child relationship quality. On average, mother- and child-reports of maternal support were stable across time. Belief of disclosure and child blame predicted mother- and child-report of maternal support. Psychological distress and mother–child relationship quality predicted change in mother-report, but not child-report of maternal support. Researchers and clinicians should consider potential fluctuations in maternal support in assessment and intervention following child sexual abuse.
BACKGROUND:The Maternal Self-report Support Questionnaire (MSSQ) is among the most rigorously evaluated measures of caregiver support following child sexual abuse, but there is a paucity of data on the factor structure and variance of the MSSQ across diverse groups of caregivers and their children.OBJECTIVE:The present study examined the factor structure and measurement invariance of the MSSQ across 386 non-offending caregivers following a disclosure of child sexual abuse.PARTICIPANTS AND SETTING:Data were collected from non-offending caregivers at two Child Advocacy Centers (n = 277; n = 109) in the United States.METHODS:Caregivers completed the MSSQ and assessments of child age, caregiver-child relationship, and caregiver preferred language.RESULTS:Confirmatory factor analyses replicated the original two-factor structure, with the emotional support and blame/doubt subscales emerging as distinct factors. Multigroup confirmatory factor analyses showed measurement invariance across child age and caregiver-child relationship (mother vs. another caregiver). Evidence of partial invariance was found for caregiver preferred language. Comparisons of scores indicated caregiver support varied by child age and caregiver preferred language.CONCLUSIONS:Overall, findings suggest the MSSQ can be used to measure caregiver support across caregivers with children of different ages and both mothers and non-mothers, but caution should be practiced in interpreting mean-level differences between English- and Spanish-speaking caregivers.
The coefficient of variation (COV) of ozone residual is often used to compare the mixing performance of different ozone contacting systems. Multiphase mass transfer CFD modeling is performed and compared with experimental data to investigate the correlation between mass transfer efficiency, a corresponding full cross-sectional spatial COV, a corresponding "grab sample" temporal COV, and a comprehensive uniformity index for mixing for varying sidestream ozone doses. Typical sampling methodology for ozone residual is reviewed and general guidelines for better representative sampling are suggested.
This interview, conducted over the span of several months, tracks the respective journeys of Constantin V. Boundas and Daniel W. Smith with the philosophy of Gilles Deleuze. Rather than “becoming Deleuzian,” which is neither desirable nor possible, these exchanges reflect an array of encounters with Deleuze. These include the initial discoveries of Deleuze’s writings by Boundas and Smith, in-person meetings between Boundas and Deleuze, and the wide-ranging and influential philosophical work on Deleuze’s concepts produced by both Boundas and Smith. At stake in this discussion are key contributions by Deleuze to continental philosophy, including the distinction between the virtual and the actual and the very nature of a “concept.” Also at stake is the formative or pedagogical impact of a philosopher, like Deleuze, on those who find and fully engage with his texts, concepts, and project. Cette interview, menée sur plusieurs mois, suit les parcours respectifs de Constantin V. Boundas et Daniel W. Smith avec la philosophie de Gilles Deleuze. Au lieu de « devenir Deleuzien, » ce qui n’est ni souhaitable ni possible, ces échanges reflètent un éventail de rencontres avec Deleuze. Il s’agit notamment des premières découvertes des écrits de Deleuze par Boundas et Smith, des rencontres en personne entre Boundas et Deleuze, et du travail philosophique vaste et inluent sur les concepts de Deleuze produit par Boundas et Smith. L’enjeu ici étant les contributions clés de Deleuze à la philosophie continentale, y compris la distinction entre le virtuel et l’actuel, et la nature même d’un « concept. » Mais il y a aussi l’impact formateur ou pédagogique d’un philosophe, comme Deleuze, sur ceux qui trouvent et s’engagent pleinement dans ses textes, ses concepts et ses projets.
Reviewed by: The Translator on Stage by Geraldine Brodie Daniel Smith The Translator on Stage. By Geraldine Brodie. Bloomsbury, 2018. Paper $26.95. xi + 195 pages. Geraldine Brodie’s fascinating and accessible book bridges translation studies and theatre practice, examining the contributions of various artists to translated plays on the London stage. A significant goal of her project is “to interrogate the agency of the translator within the collaborative field of theatre translation” (7). Drawing her corpus from the 2005 London theatre season, Brodie examines eight productions with original texts from six European source languages: Ancient Greek, Danish, German, Norwegian, Russian, and Spanish. Brodie is interested in complicating narratives about the translator’s invisibility, especially in the context of theatre where a celebrity playwright without knowledge of the source language might be credited with a translation, adaptation, or version. The engaging introduction describes her method, informed by sociology and her previous experience as an accountant. Using Bruno Latour’s actor-network theory, Brodie’s goal is to situate each translated play within a network of theatre companies and collaborators. Avery useful table gives a sense of the book’s scope, listing the study’s eight plays with author, translator, type of translation, literal translator (if applicable), producing theatre, and director (10). Brodie’s purpose is to understand and valorize the role of collaboration in theatre translation. She accomplishes this task by studying the conditions of production by theatre companies and the various agents involved in [End Page 127] collaboration, with a view to understanding multiple forces that shape translation for the stage. In chapter 2, “London Theatre: Contexts of Performance,” Brodie analyzes the economic and cultural capital of the London theatre scene, examining the commonalities and differences among theatres that produced the plays in her sample. She identifies four significant factors linking companies that produced these new translations: Arts Council England funding; a focus on commissioning and new work; employment of someone tasked with literary management; and ties to the Society of London Theatres (SOLT). In addition to providing useful groundwork for Brodie’s arguments about the status of translation within the marketplace of theatre, this chapter will interest theatre educators as potentially effective reading to assign for study abroad programs in London. Brodie discusses budgets and programming styles of notable theatre companies including the National Theatre, the Royal Court Theatre, the Almeida, and the Royal Shakespeare Company (RSC). The chapter also includes a number of photographs of theatre buildings. Chapter 3, “Eight Productions and Their Translation Teams,” delves into the collaborative process of theatre-making and the development of a translated text for production. Drawing on programs, reviews, archival records, and interviews with theatre artists, Brodie tracks the visibility of translation and networks of theatre collaboration for each of the eight productions she has identified. For instance, David Hare’s version of The House of Bernarda Alba is based on Simon Scardifield’s annotated translation from the Spanish. Scardifield’s translation was commissioned by the National Theatre for this particular production, and his extensive experience as an actor lends dramaturgical authority to the translation. Brodie understands Hare as the most visible agent in this translation process due partly to his status as a celebrity playwright, but perhaps more to his longstanding working relationship with the National. In another scenario, director Richard Eyre adapted Hedda Gabler from a translation by Karin and Ann Bamborough. Brodie contends that the creation of the English text by the same person who is directing the production shapes the process somewhat differently. A third instructive example is Tony Harrison’s version of Hecuba for the RSC. Harrison studied Greek, and no intermediary translator is listed. But this does not necessarily mean that he is the only agent of translation. By analyzing edits in the prompt book, Brodie suggests that Vanessa Redgrave exercised some amount of agency over the text she spoke as Hecuba. Brodie’s interviews with theatre practitioners continually reinforce the complexity of theatre collaboration and its impact on translated plays. Conflicting testimony suggests the difficulty of pinpointing how and when specific decisions were made. Though she is more interested in using this context to rehabilitate the celebrity translator within the field of translation...
This paper explores the relation of the theory of time and the theory of truth in Deleuze's philosophy. According to Deleuze, a mutation in our conception of time occurred with Kant. In antiquity, time had been subordinated to movement, it was the measure or the "number of movement" (Aristotle). In Kant, this relation is inverted: time is no longer subordinated to movement but assumes an independence and autonomy of its own for the first time. In Deleuze's phrasing, time becomes the pure and empty form of everything that moves and changes not an eternal form (as in Plato), but precisely the form of what is not eternal. In turn, the theory of time is inextricably linked to the concept of truth, since to say that a proposition is true means that it is true "in all times and in all places." Truth, in other words, is timeless, eternal, non-temporal. When the form of the true is confronted with the form of time, the concept of truth is necessarily put into crisis, and Deleuze's argument is that time allows the power of the false to assume an autonomy of its own. The analysis will attempt to show how the liberation of time from movement (the pure and empty form of time) leads to a liberation of the false from the true (the power of the false).
Spinoza posed the fundamental problem of politics as a question of desire: Why do humans fight for their servitude as if it were their salvation?Why does desire desire its own repression?Gilles Deleuze and Félix Guattari take up this question in Anti-Oedipus and attempt to provide a rigorous response.Whereas Plato defined desire in terms if lack (if I desire something, it is because I lack it), Kant effected a revolution in thought by defining desire in terms of production (because I desire something, I produce it).It is this productive concept of desire that allows Deleuze and Guattari to effect a synthesis between Freud (libidinal economy)and Marx (political economy), though as I argue Deleuze and Guattari's deeper points of reference are Spinoza and Nietzsche.We conclude by analyzing Deleuze and Guattari's relation to the question of a democratic politics.
The study examined a new child report measure of maternal support following child sexual abuse. One hundred and forty-six mother-child dyads presenting for a forensic evaluation completed assessments including standardized measures of adjustment. Child participants also responded to 32 items considered for inclusion in a new measure, the Maternal Support Questionnaire-Child Report (MSQ-CR). Exploratory factor analysis of the Maternal Support Questionnaire-Child Report resulted in a three factor, 20-item solution: Emotional Support (9 items), Skeptical Preoccupation (5 items), and Protection/Retaliation (6 items). Each factor demonstrated adequate internal consistency. Construct and concurrent validity of the new measure were supported in comparison to other trauma-specific measures. The Maternal Support Questionnaire-Child Report demonstrated sound psychometric properties. Future research is needed to determine whether the Maternal Support Questionnaire-Child Report provides a more sensitive approximation of maternal support following disclosure of sexual abuse, relative to measures of global parent-child relations and to contextualize discrepancies between mother and child ratings of maternal support.