Tag Archives: mental health

Can Your Idea of Happily Ever After Interfere With IPV Patient Care?

Jennifer Ayres, PhD

Jennifer Ayres, PhD

As a trauma psychologist, I find that my greatest challenge in working with survivors of Intimate Partner Violence (IPV) is contending with my automatic bias that the “happily ever after” includes my patient leaving his or her perpetrator. When my bias arises, I reflect on three truths I learned from my undergraduate employment at a battered women’s shelter.

  • Most people go back.
  • If he or she goes back, and you made it clear that you thought it wasn’t a good decision, the patient can’t return to you the next time.
  • It will happen again.

And there are a couple truths I’ve learned since I worked at the shelter.

  • Basic decisions become complicated when you consider all the repercussions.
  • Leaving might not be the best decision.
  • If he or she does leave, the resources often aren’t available, and there is no referral for “make someone feel safe and free.”

These last three are challenging because I am much more comfortable with the patient who decides to flee the abusive situation or engage in the legal fight.

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But Names Will Always Hurt Me: School Bullying, Educator-Induced Post-Traumatic Stress Disorder, and Implications for Family Medicine

Ilene Abramson, PhD

Ilene Abramson, PhD

International estimates of overweight/obese youth currently approach 43 million, a figure expected to rise in the coming years. However, pertinent research overwhelmingly addresses physiological aspects of corpulence yet, by contrast, only modestly acknowledges concomitant emotional scars, especially those from bullying.

By definition, bullying is a cluster of actions encompassing name-calling, ridicule, social exclusion, and other forms of harassment instigated by classmates, instructors, and family members toward portly children and adolescents. The psychological effect of this phenomenon is tremendous, as evidenced by the derided student’s toxic coping mechanisms:  dangerous crash diets, suicide ideation, and the victim becoming a bully himself. 

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