Trauma-Informed Care for Sexual and Gender Minority Survivors of Intimate Partner Violence

Thesis advisor: V. Paul Poteat === Intimate partner violence (IPV) occurs in LGBTQ (lesbian, gay, bisexual, transgender, queer) relationships at rates equal to or even higher than cisgender heterosexual relationships (Walters, Chen, & Breidig, 2013). The health consequences of IPV are well docum...

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Main Author: Scheer, Jillian Ryan
Format: Others
Language:English
Published: Boston College 2018
Subjects:
Online Access:http://hdl.handle.net/2345/bc-ir:107451
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spelling ndltd-BOSTON-oai-dlib.bc.edu-bc-ir_1074512019-05-10T07:38:00Z Trauma-Informed Care for Sexual and Gender Minority Survivors of Intimate Partner Violence Scheer, Jillian Ryan Thesis advisor: V. Paul Poteat Text thesis 2018 Boston College English electronic application/pdf Intimate partner violence (IPV) occurs in LGBTQ (lesbian, gay, bisexual, transgender, queer) relationships at rates equal to or even higher than cisgender heterosexual relationships (Walters, Chen, & Breidig, 2013). The health consequences of IPV are well documented (Kwako et al., 2011). Trauma-informed care (TIC) is one service approach receiving increasing support for use with IPV survivors (Warshaw, Lyon, Phillips, & Hooper, 2014). Nevertheless, there is little research exploring the association between TIC and health among LGBTQ IPV survivors. Immobilization is prevalent for IPV survivors for whom fight or flight may increase risk of violence during traumatic situations (van der Kolk, 1989). TIC might be well-positioned to counter these immobilizing effects in effort to facilitate mobilization and better health for IPV survivors. The relationship between TIC and health through mobilizing mechanisms has not yet been tested. This study examined several mobilizing mechanisms as mediating the relationship between TIC and health including: 1) lower social withdrawal; 2) lower shame; 3) greater emotion regulation; and, 4) greater empowerment. Among 227 LGBTQ adults, structural equation modeling analyses tested the relationship between TIC and health, and the mediating effects of lower social withdrawal and shame, and greater emotion regulation and empowerment on the relationship between TIC and health. Results indicated that the direct effects of TIC on mental and physical health were not significant. Indirect effects of TIC on mental and physical health through the set of mobilizing mechanisms were not significant. However, TIC did predict greater empowerment and emotion regulation and lower social withdrawal. Lower social withdrawal and lower shame also predicted better mental health, while lower shame and emotion regulation predicted better physical health. Practitioners need to uncover additional services and resources beyond TIC that could improve health among LGBTQ IPV survivors. Research should continue to examine the potential effects of TIC in addition to how it is applied in the context of evidence-based treatment programs that are adapted for sexual and gender minorities. Abuse health Intimate partner violence LGBT Trauma Trauma-informed care Copyright is held by the author, with all rights reserved, unless otherwise noted. Thesis (PhD) — Boston College, 2018. Submitted to: Boston College. Lynch School of Education. Discipline: Counseling, Developmental and Educational Psychology. http://hdl.handle.net/2345/bc-ir:107451
collection NDLTD
language English
format Others
sources NDLTD
topic Abuse
health
Intimate partner violence
LGBT
Trauma
Trauma-informed care
spellingShingle Abuse
health
Intimate partner violence
LGBT
Trauma
Trauma-informed care
Scheer, Jillian Ryan
Trauma-Informed Care for Sexual and Gender Minority Survivors of Intimate Partner Violence
description Thesis advisor: V. Paul Poteat === Intimate partner violence (IPV) occurs in LGBTQ (lesbian, gay, bisexual, transgender, queer) relationships at rates equal to or even higher than cisgender heterosexual relationships (Walters, Chen, & Breidig, 2013). The health consequences of IPV are well documented (Kwako et al., 2011). Trauma-informed care (TIC) is one service approach receiving increasing support for use with IPV survivors (Warshaw, Lyon, Phillips, & Hooper, 2014). Nevertheless, there is little research exploring the association between TIC and health among LGBTQ IPV survivors. Immobilization is prevalent for IPV survivors for whom fight or flight may increase risk of violence during traumatic situations (van der Kolk, 1989). TIC might be well-positioned to counter these immobilizing effects in effort to facilitate mobilization and better health for IPV survivors. The relationship between TIC and health through mobilizing mechanisms has not yet been tested. This study examined several mobilizing mechanisms as mediating the relationship between TIC and health including: 1) lower social withdrawal; 2) lower shame; 3) greater emotion regulation; and, 4) greater empowerment. Among 227 LGBTQ adults, structural equation modeling analyses tested the relationship between TIC and health, and the mediating effects of lower social withdrawal and shame, and greater emotion regulation and empowerment on the relationship between TIC and health. Results indicated that the direct effects of TIC on mental and physical health were not significant. Indirect effects of TIC on mental and physical health through the set of mobilizing mechanisms were not significant. However, TIC did predict greater empowerment and emotion regulation and lower social withdrawal. Lower social withdrawal and lower shame also predicted better mental health, while lower shame and emotion regulation predicted better physical health. Practitioners need to uncover additional services and resources beyond TIC that could improve health among LGBTQ IPV survivors. Research should continue to examine the potential effects of TIC in addition to how it is applied in the context of evidence-based treatment programs that are adapted for sexual and gender minorities. === Thesis (PhD) — Boston College, 2018. === Submitted to: Boston College. Lynch School of Education. === Discipline: Counseling, Developmental and Educational Psychology.
author Scheer, Jillian Ryan
author_facet Scheer, Jillian Ryan
author_sort Scheer, Jillian Ryan
title Trauma-Informed Care for Sexual and Gender Minority Survivors of Intimate Partner Violence
title_short Trauma-Informed Care for Sexual and Gender Minority Survivors of Intimate Partner Violence
title_full Trauma-Informed Care for Sexual and Gender Minority Survivors of Intimate Partner Violence
title_fullStr Trauma-Informed Care for Sexual and Gender Minority Survivors of Intimate Partner Violence
title_full_unstemmed Trauma-Informed Care for Sexual and Gender Minority Survivors of Intimate Partner Violence
title_sort trauma-informed care for sexual and gender minority survivors of intimate partner violence
publisher Boston College
publishDate 2018
url http://hdl.handle.net/2345/bc-ir:107451
work_keys_str_mv AT scheerjillianryan traumainformedcareforsexualandgenderminoritysurvivorsofintimatepartnerviolence
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