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Using Northeastern University School of Law’s Domestic Violence Institute’s (DVI) virtual clinic as a case study, this chapter contends that service design methods can address systemic and pernicious access to justice issues that have a chilling effect on survivors seeking legal services. It details foundational information about domestic violence survivors and the work of the clinic pre-COVID-19, before detailing the danger, disruption, and delays that the public health measures and Court closures had on survivors’ lives. It then details the process and outcomes of a rapid-response service design intervention that quickly overhauled DVI’s operations and created a survivor-centered framework that remains in place today, tackling systemic and pernicious access to justice issues while simultaneously amplifying the voices, experiences, and needs of survivors.
On Saturday, February 28, 1626, the Mansfeld Regiment’s second-in-command Theodoro de Camargo stabbed his wife Victoria Guarde twelve times for sleeping with other men and plotting to kill him. This chapter uses this incident as an entry into a discussion of sex, gender, and family life in seventeenth-century European armies. Before the Industrial Revolution, women and families traveled with armies in large numbers. Armies were sites of male violence against women as well as against other men; these intersected in Camargo’s attempts to assert his authority within a regiment that may not have respected him. Since Guarde described her own actions as attempts to be happy, this chapter also briefly discusses the history of happiness. Although Camargo was acquitted in a rigged trial, the regimental secretary Mattheus Steiner may have disapproved of Guarde’s murder. If so, he said nothing, but he intervened the next time Camargo tried to abuse one of his subordinates.
With a specific focus on violence and abuse, this chapter explores some the challenges that LGBTIQ people often experience, but also the strengths that LGBTIQ people display. The chapter reviews research on intimate partner violence experienced by LGBTIQ people (including identity-related abuse) and the violence perpetrated against animals in these contexts. Situating challenges alongside strengths is an important counter to the often negative messages and stereotypes that circulate about LGBTIQ people, as it encourages a focus on identifying sites of resistance and opportunities for change. The chapter therefore also explores the resiliencies that LGBTIQ people display in the face of adversity, including through relationships with animal companions.
High rates of intimate partner violence (IPV) and mental disorders are present in Mozambique where there is a significant treatment gap. We aimed to report Mozambican community stakeholder perspectives of implementing couple-based interpersonal psychotherapy (IPT-C) in preparation for a pilot trial in Nampula City.
Methods
We conducted 11 focus group discussions (6–8 people per group) and seven in-depth interviews with key informants in mental health or gender-based violence (n = 85) using purposive sampling. We used grounded theory methods to conduct an inductive coding and then deductively applied the consolidated framework for implementation research (CFIR).
Results
For the outer setting, local attitudes that stigmatize mental health conditions and norm IPV as well as an inefficient legal system were barriers. Stakeholders expressed high acceptability of IPT-C, although a lack of resources was a structural challenge for the inner setting. Adaptation of the approach to screen for and address potential mediators of IPV was important for adopting a multisectoral response to implementation and planning. Delivering IPT-C in the community and in collaboration with community stakeholders was preferable.
Conclusion
Stakeholders recommended multilevel involvement and inclusion of community-based programming. Task shifting and use of technology can help address these resource demands.
Around 30% of women worldwide have been subjected to either physical or sexual intimate partner violence (IPV) in their lifetimes. In Europe, one in 20 women over the age of 15 has been raped. Meanwhile gross misogyny and sexual violence against women is becoming more normalised in society. When women have been victims of physical, sexual violence, emotional abuse or coercive control the impact on their mental health can be severe.The sense of shame can be overwhelming. Mental health problems are not an inevitable consequence of IPV but anxiety, depression, post-traumatic stress disorder, psychosis, self-harm, substance misuse and getting a diagnosis of borderline personality disorder (BPD) are all more common. Domestic violence can also result in suicide and is linked to murder-suicide and ‘honour’ killing. However, women who have killed abusive men have been repeatedly denied justice. Mental health services need training about IPV and sexual violence and to make strong links with organisations in the community. Each of us needs to ensure that we would know what we would do to help a friend, family member or colleague who is experiencing domestic violence or sexual assault.
Bitch lurked in the English language for centuries, but then it emerged as an everyday word. Why? Bitch changed along with the changing social roles of women during the nineteenth and twentieth centuries. By the mid 1900s, the use of bitch had exploded; its meteoric rise was a backlash against feminism. In response it was reclaimed by feminists – to some extent, that is. In modern times, bitch is still an insult for a woman who is considered to be unpleasant, disagreeable, or malicious. But in the word’s evolution it has also come to mean a woman who is revered (or reviled) as tough, strong, and assertive. For better or for worse, bitch is interwoven with the history of feminism. It is a word that represents both feminism and anti-feminism at the same time.
This chapter picks up the discussion on gendered violence and gendered order established by the Nazarbayev regime. Never before did any movement pay so much attention to this agenda. Never before in the contemporary history of Kazakhstan did protest movements call out openly on double oppression of the regime – through its patriarchal and authoritarian nature of governing. In this chapter, I also focus on the ideas of class, inequality, and transnational dialogue of Oyan, Qazaqstan and Qazaq Koktemi with other protest movements in the world. Dwelling further on my argument about Qazaq Koktemi representing the fading of the post-Soviet era, I also analyse in detail the 8 March 2021 Women’s Rally in Almaty and the many actors united behind its call for de-Sovietizing and de-stereotyping this vital day of mobilization. I believe that the 2021 Women’s March opened many eyes to the fact that there is a vibrant plurality of views and activist forms within Qazaq Koktemi and that these forms are no longer chained by the old paradigms of the ‘gender’ question in Nazarbayev’s terms, with the tokenization of female politicians and persistent sexism in the political domain.
This cross-sectional study, carried out from 2021 to 2022, investigated the factors associated with domestic violence in 400 Brazilian pregnant women during the COVID-19 pandemic. Violence was assessed with the World Health Organization's Violence Against Women questionnaire and the Abuse Assessment Screen. Demographic, socioeconomic, obstetric, lifestyle and mental health data were collected.
Results
Violence at any time in their lives was reported by 52.2% of the women, and psychological violence was the most prevalent type (19.5%). Violence was associated with being single and mental health changes. Pregnant women exposed to any lifetime violence and psychological violence were, respectively, 4.67 and 5.93 times more likely to show mental health changes compared with women with no reported violence.
Clinical implications
Training health professionals involved in prenatal care in the early detection of single women and women with mental health changes could be important in preventing domestic violence.
Domestic violence is a major cause of social exclusion and human rights violations affecting millions of human beings around the world, making them victims of murder, physical, sexual and psychological violence, subjected to humiliation and various types of abuse.The vast majority of these acts of violence are committed against women in intimate relationships. In recent decades, the reflection produced by multiple studies has challenged and encouraged international organizations and governments to develop measures to prevent and combat the phenomenon. However, despite some important steps taken and innovative legal frameworks, there is still a large gap between the law and practice. This chapter presents a critical analysis of the phenomenon considering three dimensions: the contribution of theoretical approaches to its social and political unveiling and to the development of new conceptual paradigms; the evolution of the international political and legal agenda; and, based on the experiences of two countries, Portugal and East Timor, the challenges to public policies and the role of the courts in preventing and combating domestic violence against women.
Codes of ethics provide guidance to address ethical challenges encountered in clinical practice. The harmonization of global, regional, and national codes of ethics is important to avoid gaps and discrepancies.
Methods
We compare the European Psychiatric Association (EPA) and the World Psychiatric Association (WPA) Codes of Ethics, addressing main key points, similarities, and divergences.
Results
The WPA and EPA codes are inspired by similar fundamental values but do show a few differences. The two codes have a different structure. The WPA code includes 4 sections and lists 5 overarching principles as the basis of psychiatrists’ clinical practice; the EPA code is articulated in 8 sections, lists 4 ethical principles, and several fundamental values. The EPA code does not include a section on psychiatrists’ education and does not contain specific references to domestic violence and death penalty. Differences can be found in how the two codes address the principle of equity: the EPA code explicitly refers to the principle of universal health care, while the WPA code mentions the principle of equity as reflected in the promotion of distributive justice.
Conclusions
We recommend that both WPA and EPA periodically update their ethical codes to minimize differences, eliminate gaps, and help member societies to develop or revise national codes in line with the principles of the associations they belong to.
Minimizing differences between national and international codes and fostering a continuous dialogue on ethical issues will provide guidance for psychiatrists and will raise awareness of the importance of ethics in our profession.
Efforts to respond to women’s risk of domestic violence in India have resulted in two kinds of systemic responses. First, the formal or institutional response has focused on systems reforms to better meet the needs of survivors. Second, nongovernmental and grassroots responses to domestic violence have emphasized supporting survivors through survivor-centered and empowerment-based approaches. These include primary prevention through community activism aimed at transforming community norms, survivor empowerment, capacity-building, and community mobilization. This chapter describes an exemplary effort by “Shakti” (pseudonym), a grassroots agency based in India, to engage in community mobilization that facilitates psychological empowerment of survivors and community empowerment processes to respond to domestic violence in rural communities in the Delhi National Capital Region, India. The case example draws on data collected by the authors in 2017. Community organizing efforts like those described in this chapter along with individual-level work with survivors can together play an important role in fueling counter-narratives that facilitate disclosure of violence and support survivors.
The Epilogue links the book to Black Lives Matter activism and engages the work of Richard Hofstatder to explain the importance of thinking through American violence in a systemic manner.
What explains why these groups take on the practice of intersectional advocacy? In Chapter 5, this question is answered from an organizational perspective. Drawing again from the qualitative analysis of interviews with organizational leaders, the chapter presents the features of organizations that practice intersectional advocacy. There are four constitutive features of their organizations that were related to their engagement in intersectional advocacy. Despite a commitment to intersectional feminism, one of these organizations did not have all of these features and it also did not fully participate in intersectional advocacy. By discussing this case, the chapter demonstrates how an analysis of the four organizational features also help identify why groups such as these do not fully take on this practice. It then ends with how organizations with commitments to intersectionally marginalized groups but have not actualized them through intersectional advocacy, can change their varying organizational structures to take on this approach. This chapter is written in a way that scholars and organizational practitioners can both understand and appreciate the practice of intersectional advocacy.
Under what conditions can we expect international courts to be progressive? The introduction begins with a discussion of why it is compelling to answer this question by looking at the case of the European Court of Human Rights – a court that is not unambiguously progressive. It then lays out the theoretical and empirical foundations of the book, presenting the key concepts of forbearance and audacity – strategies that courts employ to adjust their sovereignty costs while maintaining a good institutional reputation. The theoretical framework explains why the Court needs to oscillate between forbearance and audacity, and how this oscillation has shaped the norm against torture and inhuman or degrading treatment. The empirical analysis, in its turn, combines social science methods and legal analysis to reveal the extent to which the Court has resorted to forbearance and audacity when interpreting the norm against torture and inhuman or degrading treatment, and how such episodes influenced the norm’s developmental trajectory. The introduction concludes by explaining the determinants of forbearance and audacity and putting forth the book’s key contributions to the existing debates.
Most family violence research has been conducted in high-income countries, although family violence rates are higher in low- and middle-income countries (LMICs), and outcomes more severe. Given the strong associations of family violence with substance use and mental illness, the aim of this systematic review was to examine interventions that targeted familial violence and at least one other condition of substance use or mental illness to determine effective treatments in LMICs. We conducted a systematic review of interventions that addressed family violence and mental illness or substance use. A committee of three researchers independently screened titles and abstracts and conducted full-text eligibility assessments. Two researchers conducted a risk of bias assessment. Data were extracted using a structured spreadsheet and narratively synthesized. Our search identified 29 articles produced from 19 studies conducted in 13 LMICs. Most (n = 15) studies randomized to study condition. Lack of blinding was the most common threat. The external validity of studies was generally poor. Fourteen studies had a primary intervention target of family violence, mental health, substance use, economic improvement, or HIV. None of the studies showed improvements in all intervention areas. Child maltreatment was less likely to be addressed than intimate partner violence (IPV). Targeted interventions for substance and mental health mostly improved primary outcomes, although they were less effective in reducing IPV. Evidence-based treatments must be rigorously evaluated before innovations in implementation can occur. Interventions overwhelmingly addressed IPV victimization and should consider how to work with couples and include men and children.
The Protocol to the African Charter on Human and Peoples’ Rights on the Rights of Women in Africa (Maputo Protocol) established a reporting process to monitor compliance. Despite its shortcomings, this process provides an opportunity for states to engage in a frank, constructive and open dialogue with the African Commission on the measures they have adopted to realize women's rights and the challenges they face. The DRC's initial report on implementing the Maputo Protocol provides an opportunity to assess how the country has advanced women's rights. This article notes that the DRC has adopted legislation and policies to comply with some of its obligations under the protocol. However, these have not brought about much transformation in terms of effective enjoyment of rights due to the contested nature of many women's rights and the community's patriarchal mindset. The article argues that states should focus on extra-legal measures that can counteract negative attitudes and beliefs towards women's rights.
Edited by
Masum Khwaja, Imperial College of Science, Technology and Medicine, London,Peter Tyrer, Imperial College of Science, Technology and Medicine, London
Since the 1950s, there has been a substantial shift from long-term institutional mental health (MH) care to community-based services. The introduction of specialist community-based teams and a 70 per cent reduction in MH beds in the UK since the late 1980s means that people with greater acuity of illness and complexity are being treated in the community. As a consequence, MH services are more likely to need to manage violent behaviour in the community. Within MH services, successful management of violence is predicated on a range of factors/interventions. These include management of specific conditions, most notably schizophrenia, personality disorder and substance misuse. Multidisciplinary team working, effective communication and collaboration across services play important roles, arguably more so than the service model. Key clinical risk factors for violence in mental illness, how to modify these risks in community MH services, different service models that may help achieve this, domestic violence and lone working are discussed. Liaison with the police, the role of AMHPs, MHA assessments, and law and guidance on personal safety in the community are also discussed. The criminal justice system has an important role in addressing violence, and there is mention also of the Code for Crown Prosecutors and MAPPA arrangements.
Chapter 1 presents the theoretical framework used throughout the book. We argue that the federalist system creates varying layers of inequality for women in their human security. We argue that it is crucial that we understand how and under what circumstances domestic violence policies are adopted so that we can better assess what the laws are intended to fix and how reformers can utilize these pathways in the future to address domestic violence. We provide an overview of the scholarship on federalism as well as descriptions of domestic violence offenses, the rates of domestic violence , and a roadmap for the rest of the book.
Chapter 2 presents the federal response to violence against women. We begin the chapter with a brief overview of the history of domestic violence in the United States. We then analyze the response of Congress to the domestic violence epidemic as compared to the Supreme Court’s response. This detailed presentation reveals the gaps that federal laws havr created by leaving states the option to enforce them and relegating nearly all of the enforcement of domestic violence law to local authorities. This chapter underscores the role and limi, of federal policy in remedying the inequities among women in their personal protection from domestic violence. The lack of a cohesive federal response contributes to all four levels of gender inequality in domestic violence policy.
We explore the policy feedback process and describe how state policies have evolved or devolved in the specific issue area of firearm laws and domestic violence. This chapter demonstrates how and when states respond to the need to reform their domestic violence laws and shows how key actors in that process, including legislators and interest groups, affect the content of the policy that is adopted. The chapter includes examples of states whose definition and scope of domestic violence laws vary and contrast them with each other and with federal law. We present six studies of states that differ in their legislative histories on domestic violence laws to identify key factors that can explain this variation; we test these factors in the quantitative analysis presented in Chapter 4.