Socially excluded young adult Israeli women's social activism: A new approach to promoting well-being.

The present study explored the developmental trajectories and increased well-being of socially excluded young Israeli adult women participating in civic engagement peer groups. Twenty-one women participated in a qualitative longitudinal study design comprising 50 in-depth semistructured interviews at four assessment times. The interoperative phenomenological analysis approach revealed three main themes demonstrating a shift from survival to thriving. The first theme, "group connectedness," describes participants' positive feelings from participating in the group. The second theme, "exploring and practicing civic engagement," covers the gains in women's civic engagement abilities and definitions. The third theme, "From flaws to sparks," describes women's changes in mindset and their growing ability for reflection and making plans. The findings are discussed through the lens of the social justice paradigm to suggest a developmental model which sees developmental well-being as a human right. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Beyond Surviving: A Glimpse Into Jewish-Israeli Women's Recovery Trajectories After Experiencing Intimate Partner Violence.

The present study identifies and articulates the recovery trajectories of 12 Jewish-Israeli women who experienced intimate partner violence. An interpretative phenomenological analysis of the Clinical Ethnographic Narrative interviews revealed three central themes. The first theme dealt with the chronology of the violence and its escalation. The second theme described the turning points that facilitated the termination of the violent relationship. The third theme reflects these women's attempts to regain control and fulfil their needs for competence, autonomy, and relatedness. The findings are discussed through the lens of Jewish-Israeli culture, which is child-oriented and underscores the centrality of motherhood.

"It was wrapped in a kind of normalcy": The lived experience and consequences in adulthood of survivors of female child sexual abuse.

BACKGROUND: Survivors' surveys on the frequency of sexual offenses committed by women indicated a prevalence rate of 9.9 % to 11.6 %. Nevertheless, only a few studies have explored the long-term consequences of abuse on survivors. OBJECTIVES: Examine the lived experiences and the long-term consequences of child sexual abuse committed by women. PARTICIPANTS: Fifteen adult participants who experienced child sexual abuse conducted by female offenders participated in the study. METHODS: The Interpretive Phenomenological Approach was applied to semi-structured interviews. RESULTS: Three central themes emerged: types of abuse, characteristics of the perpetrator, and consequences of abuse. Most survivors experienced direct or indirect forms of sexual abuse committed by their mothers. In most cases, the offenders masked their abuse in caregiving, disciplinary or playful behavior. The survivors perceived their mothers as narcissistic, controlling, hostile, and having tremendous difficulties with separation. The survivors reported the need to engage in extensive negative long-lasting psychopathologies, which they attributed partly to having been invalidated and silenced by society. Many participants expressed fears of re-enacting the survivor or perpetrator role, which has led to difficulties in various relationships. They described an altered perception of their bodies as shameful and repulsive, manifesting in self-harm, eating disorders, and the elimination of signs of femininity. CONCLUSION: This complex form of sexual abuse hampers the internalization and the construction of positive feminine, masculine, and parental identities.

Adult Survivors of Child Sexual Abuse Draw and Describe Their Experiences of Dissociation.

The paper examined how dissociation is experienced and manifested in the drawings and narratives of female survivors of childhood sexual abuse (CSA) diagnosed with dissociative identity disorder. Fifteen Israeli women filled out a self-report questionnaire consisting of demographics, traumatic events, and dissociation severity. Then, they were asked to draw a dissociation experience and provide a narrative. The results indicated that experiencing CSA was highly correlated with indicators such as the level of fragmentation, the figurative style, as well as with the narrative. Two main themes emerged: a constant movement between internal and external worlds, and distorted perceptions of time and space.

"I'm in a Bloody Battle without Being Able to Stop It": The Dissociative Experiences of Child Sexual Abuse Survivors.

Dissociation in child sexual abuse (CSA) survivors remains under-recognized and diagnosed, partly because of the difficulties involved in identifying dissociative symptoms. Qualitative research can contribute to a better understanding of the lived experiences of dissociation. This study focused on the experiences of dissociation in the context of CSA. In all, 22 female incest survivors, all diagnosed with different dissociative disorders, provided narratives about their experiences of dissociation. The narratives were analyzed using interpretative phenomenological analysis. The narrative analysis revealed four central themes. The first theme deals with reliving the experience of the abuse. The second theme refers to the experience of disconnection from the body, the self, and the surroundings. The third theme covers the lack of coherence in the narrative, and the fourth theme describes the bridge between voluntary controlled and nonvoluntary uncontrolled use of dissociation. The data are discussed in light of several traumagenic constructs, including a lack of self-sense, being entrapped in a victim-aggressor relationship, and distorted time perception. It is suggested that the extent to which participants can control their dissociation and the coherency of their narratives reflects the severity of their dissociation. Clinicians can consider helping clients use dissociation as an adaptive defense mechanism.

The civic engagement community participation thriving model: A multi-faceted thriving model to promote socially excluded young adult women.

Social policies to promote socially excluded young adult women generally concentrate on education, employment, and residence but tend to neglect thriving. The current article puts forward a Civic Engagement Community Participation Thriving Model (CECP-TM) that views thriving as a social policy goal in and of itself. It posits that civic engagement, beyond its contribution to social justice, serves as a vehicle for thriving through self-exploration and identity formation. Both are considered key components of successful maturation and thriving. Nonetheless, civic engagement and self-exploration tend not to be nurtured in socially excluded young adult women, a unique group experiencing intersecting discrimination. The model shows how active civic engagement in the context of a community of peers contributes to developing a sense of belonging and connectedness and promotes new self-reflection, identity formation, and agency capabilities. When situated within the context of intersectionality, these encourage the development of critical consciousness and new understandings of "who I am and how I fit into the social world in which we live." These can provide a sense of meaning, contribute to identity formation, and promote the thriving of the self and the community. Several examples illustrate the model.

Civic Engagement in Socially Excluded Young Adults Promotes Well-Being: The Mediation of Self-Efficacy, Meaning in Life, and Identity Exploration.

Civic engagement is thought to contribute to well-being among young adults. However, less is known about the ways in which civic engagement promotes well-being in general and in particular in socially excluded populations. This study investigated whether civic engagement contributes to life satisfaction and hope in a sample of 127 socially excluded young Israeli women who participated in social activism programs for a period of eight months. A mediation model incorporating self-efficacy, meaning in life, and identity exploration was used to examine the contribution of positive attitudes toward civic engagement, civic engagement skills, and political awareness to the participants' life satisfaction and hope. Indirect effects were found between positive attitudes toward civic engagement, civic engagement skills, and political awareness and the participants' life satisfaction and hope via self-efficacy. Positive attitudes toward civic engagement and political awareness also predicted the participants' life satisfaction via meaning in life. A positive direct effect was found between political awareness and hope. However, contrary to the hypothesis, a negative direct effect was found between positive attitudes toward civic engagement and life satisfaction. Civic engagement skills and political awareness also predicted identity exploration. These findings underscore the need for clinicians to be aware of the potential benefits of civic engagement for the well-being of socially excluded populations.

Introduction to the Special IssueThe Use of Creative Art Therapies in the Prevention, Screening, and Treatment of Child Sexual Abuse.

The significant gap between the prevalence of child sexual abuse and disclosure underscores the need for new, innovative, and creative screening tools to identify victims to end the abuse and provide these victims with appropriate treatment. This article presents the cumulative efforts of a series of innovative studies dealing with sexually abused survivors and offenders that concentrates on preventing, assessing, screening, and treating Child Sexual Abuse (CSA). We start by describing the need and rationale for using the arts for purposes of identification and treatment. We discuss how these arts help bypass censorship and dissociation mechanisms involving the body as a critical factor during the assessment and the treatment. Each of the articles is then presented. The introduction is organized to show how non-verbal techniques for the prevention, screening, assessment and treatment of sexual abuse in chidren can move beyond verbal techniques that are known to be limited in their effectiveness.

Understanding processes that advance suicidal behavior among Israeli active duty soldiers: A mediation model.

OBJECTIVES: The current study was aimed to identify the factors and mechanisms that promote nonsuicidal self-injury and suicidal ideation (SI) as precursors of suicidal behaviors in a sample of 553 Israeli active-duty soldiers. METHODS: A mediation model was used to examine the contribution of posttraumatic stress disorder (PTSD) symptoms, emotion-regulation difficulties, habituation, and risk-taking behaviors to soldiers' self-injury and SI. RESULTS: Results indicated direct effects between PTSD symptoms and self-injury and SI, as well as between emotion regulation difficulties and self-injury. Indirect effects were found between PTSD symptoms and nonsuicidal self-injury (NSSI) through the mechanisms of habituation and risk-taking behavior and between difficulties in emotion regulation and NSSI through the mechanism of risk-taking behaviors. CONCLUSION: To tackle soldiers' suicidal behaviors, clinicians might assess soldiers' PTSD symptoms and difficulties in emotion regulation and intervene by lessening their access to thrill-seeking situations and situations that increase habituation to pain and death.

Work volition in women with fibromyalgia: a phenomenological analysis.

AIMS AND OBJECTIVES: This study develops a working model characterizing work volition among women suffering from fibromyalgia syndrome (FMS) to better understand the vocational challenges these women face, the drivers behind their ambitions, and the coping strategies they implement. MATERIALS AND METHODS: A qualitative phenomenological study was conducted consisting of semi-structured interviews with 15 women diagnosed with FMS who are currently employed. The interviews were analyzed according to the principles of Interpretative Phenomenological Analysis. RESULTS: The findings point to the enormous efforts these women make to ration their energy and preserve their careers by implementing calming cognitive, social, and solution-focused strategies. Several motivational factors governing work volition emerged from the interviews: (1) a drive for esteem, power, and control; (2) achieving self-actualization and a sense of meaning in life by nurturing of others; (3) preserving a sense of existence through their career achievements; and (4) pushing beyond their physical limits. They reported implementing four calming, cognitive-focused, social support, and solution-focused strategies to reduce pain. CONCLUSIONS: Work plays an important role in grounding these women's sense of vitality and normalcy. This is coupled with their enormous efforts to pursue and preserve their careers by calming the mind and the body. Paradoxically, however, these efforts appear to aggravate their physical exhaustion and distress. The complexity of maintaining a career when diagnosed with FMS as well as issues of general physical and mental health are discussed.Implications for rehabilitationCareer has an existential significance for women with Fibromyalgia.Motivational factors for work volition were identified; these include ambition for esteem, the obtaining of meaning, and gaining a sense of existence.Enormous efforts have been taken to save energy and preserve careers.Women are trapped between their desire to work and the need to conserve energy.Body-mind interventions are recommended for women's rehabilitation.

The Experience of Mothers from the Israeli Jewish Ultra-Orthodox Sector after Disclosure of Their Child's Sexual Abuse as Manifested in Drawings and Narratives.

Child sexual abuse is present in all strata of Israeli society. However, there is scant research on the emotional experiences of non-abusing mothers after disclosure. In particular, no studies have examined the experiences of these mothers from the Jewish Ultra-Orthodox community in Israel. The current study analyzed the drawings and short narratives of 21 Israeli Ultra-Orthodox mothers to explore the effects of the disclosure of their child's sexual abuse. A phenomenological approach was used to analyze the drawings and yielded four different phenomena: (1) squiggles that represented distress, (2) the mother-child relationship, (3) pseudo-sweet houses, and (4) split drawings. The drawings were either colorful, sweet or shallow, or alternatively were in black and white. As confirmed by the narratives, these drawings primarily expressed the negative emotions of shock, sadness, distress, guilt, and failure as mothers. While some mothers reported breaking down and that pain had permeated their daily lives others coped by dissociating the painful experience, putting up a façade of normalcy, or splitting their lives into two parts corresponding to before and after the disclosure.

"God, why?": The Experience of Mothers from the Israeli Ultra-Orthodox Sector after their Child's Disclosure of Sexual Abuse.

Studies dealing with the experiences of non-offending mothers from the general population and minority groups after their child's disclosure of sexual abuse are scarce, and studies on mothers from the Jewish ultra-Orthodox community are non-existent. This study takes an initial step in filling this gap by exploring how the normalization of sexual abuse shapes these mothers' experiences. A qualitative phenomenological study was conducted on a sample of 21 mothers from the ultra-Orthodox sector whose children had been sexually abused. It consisted of in-depth, semi-structured interviews of the mothers followed by a drawing task on their experience. The analysis of the interviews yielded four central themes: the role of social stigmatization and religion on the mother's ability to share her child's abuse; the effect of the disclosure on the mothers' mental state and maternal competency; the mothers' ongoing experience in the shadow of this unprocessed/unresolved trauma; and the mothers' coping strategies, including acceptance, faith, and meaning making. The findings highlight the influence of the tension between the need to adhere to religious norms and preserve the social fabric and the need to enhance mothers' and children's well-being.

Unpacking Community-Based Youth Mentoring Relationships: An Integrative Review.

Formal community-based youth mentoring relationships (CBM) are a popular form of intervention worldwide in which caring, non-parental adult figures are matched with at-risk children (i.e., children who experience an intense and/or chronic risk factor, or a combination of risk factors in personal, environmental and/or relational domains that prevent them from pursuing and fulfilling their potential) to promote development and health. Common models suggest that a close mentoring relationship is needed for the success of the intervention. However, it remains unclear which key relational processes and variables promote relationship quality to generate the most significant benefits. Using the PRISMA framework, 123 articles were identified as relevant for this review which explores the state of the literature on CBM relationships describing the main findings regarding the characteristics of the relationship and the mediating and moderating variables. An essential ingredient that consistently emerged for generating mentoring outcomes is characterized by feelings of support, sensitivity, and trust and accompanied by a purposeful approach to shaping the goals of the relationship. A balanced approach comprised of recreational, emotional, and catalyzing aspects has been reported as essential for mentoring success. Mentors' positive attitudes toward underprivileged youth, maturity in terms of age and experience are essential in forging positive relationships. Mentees who have better relational histories and more positive personality traits exhibited higher relationship quality. However, data imply the possibility of addressing mentees from moderate risk status. Preliminary evidence on thriving as a mediating variable was found. Program practices, such as training, parental involvement, and matching based on perceived similarities and similar interests, emerged as important factors. Generating many research suggestions, the review identifies research questions and uncharted territories that require inquiry.

"God is a painter": How Jewish Ultra-Orthodox art therapists and clients perceive mental health treatment.

The current study examined the ways in which 14 art therapists and adult clients from the Ultra-Orthodox sector in Israel perceive mental health and mental health treatment. Semi-structured interviews were subjected to an interpretative phenomenological analysis to capture the meaning ascribed to the treatment and its challenges. Four themes emerged: the perception of mental health as related to the centrality of functioning, purposefulness, and emotional balance; the specific challenges of therapy, in terms of suspicion regarding treatment and difficulties in establishing intimacy and self-disclosure; the interplay between the worlds of therapy and religion; and the intersection of art and religion. The discussion centers on an interpretation of the findings in light of the ontological typology of individualism versus collectivism.

"I Have No Hope": The Experience of Mothers in Polygamous Families as Manifested in Drawings and Narratives.

Polygamy is associated with lower marital satisfaction and is known to involve sexual, physical, and emotional abuse on the part of the husband. Less is known about the experience of mothers in polygamous families. This study was designed to shed light on the experiences of women in polygamous families in a sample of 80 Israeli Arab mothers living in polygamous families who use social services, domestic violence agencies, and health centers. Mothers were asked to draw their experiences in their families and to provide narratives for the drawings. A phenomenological approach was used to analyze the drawings, and yielded five different pictorial phenomena: (1) pseudo-sweetness, (2) houses, (3) the absentee father and the estranged mother, (4) incorporation of graphic symbols and lettering that represented distress, and (5) growth and development. Most of the drawings were restricted and shallow, indicating a complex emotional state of despair and distress. The central feelings that emerged from the drawings were negative emotions of anger, sadness, loneliness, and powerlessness. While some women longed for romantic relationships with their husbands, others expressed the desire for revenge and justice. Dissociation and parentification, as central coping strategies, emerged from the drawings and the narratives. The findings are discussed theoretically and clinically.

Can artificial intelligence achieve human-level performance? A pilot study of childhood sexual abuse detection in self-figure drawings.

Childhood sexual abuse (CSA) is a worldwide phenomenon that has negative long-term consequences for the victims and their families, and inflicts a considerable economic toll on society. One of the main difficulties in treating CSA is victims' reluctance to disclose their abuse, and the failure of professionals to detect it when there is no forensic evidence (Bottoms et al., 2014; McElvaney, 2013). Estimated disclosure rates for child sexual abuse based on retrospective adult reports range from 23 % to 45 % (e.g., Bottoms et al., 2014). This study reports the four stages in the development of a Convolutional Neural Network (CNN) system designed to detect abuse in self-figure drawings: (1) A preliminary study to build a Gender CNN; (2) Expert-level performance evaluation, (3) validation of the CSA CNN, (4) testing of the CSA CNN model. The findings indicate that the Gender CNN achieved 88 % detection accuracy and outperformed the CSA CNN by 19 percentage points. The CSA CNN achieved 72 % accuracy on the test set with 80 % precision and 79 % recall for the abuse class prediction. However, human experts outperformed the CSA CNN by 16 percentage points, probably due to the complexity of the task. These preliminary results suggest that CNN, when further developed, can contribute to the detection of child sexual abuse.

Perceptions of Child Abuse as Manifested in Drawings and Narratives by Children and Adolescents.

Child abuse is an underreported phenomenon despite its high global prevalence. This study investigated how child abuse is perceived by children and adolescents as manifested in their drawings and narratives, based on the well-established notion that drawings serve as a window into children's mental states. A sample of 97 Israeli children and adolescents aged 6-17 were asked to draw and narrate what child abuse meant to them. The drawings and narratives were coded quantitatively. The results indicated that participants did not perceive a distinction between abuse and violence and referred to them interchangeably. Almost half of the participants focused on emotional abuse. The most frequent type of abuse within the family was between parents and children, and the most frequent abuse outside the family was peer victimization. Most of the drawings were figurative and realistic and half of the drawings included words suggestive of the participants' attempts to be heard and fully understood. The vast majority of drawings did not include the figure of the artist, about a third of the drawings employed dissociative techniques (i.e., included positive objects, were unrelated to abuse, used words alone, or did not follow the instructions), and almost half of the narratives were dissociative or characterized by negative resolution, describing feelings such as sadness, humiliation, and loneliness. These findings suggest the emotional pain associated with the abuse or violence and the use of dissociative mechanisms to bypass the pain. The findings are discussed in light of the literature on children's disclosure.

Revenge Fantasies After Experiencing Traumatic Events: Sex Differences.

Experiences of humiliation, unjust hurt caused by another or anger naturally, elicit the desire to seek revenge and fantasies of revenge. The current study examined the associations between a history of traumatic events and feelings of injustice and levels of desire for revenge-seeking and fantasies of revenge. Specifically, it tested whether feelings of injustice mediated the associations between the number of past traumatic events and the desire for revenge or revenge fantasies. Based on recent studies showing that retaliatory violence is gendered, sex differences in levels of feelings of injustice, desire for revenge, and the presence of revenge fantasies were explored, as well whether participants' sex conditioned the mediation models. The results showed positive associations between feelings of injustice and the desire for revenge and revenge fantasies. The mediation model indicated that feelings of injustice mediated the associations between the number of previous traumatic events and the desire for revenge or revenge fantasies. Men had higher levels of revenge fantasies than women, whereas women tended to perceive revenge as pointless. A sex effect was found for the mediation model, which revealed significant regressed models for women but not for men. The clinical implications are discussed.

Perspectives on Social Suffering in Interviews and Drawings of Palestinian Adults Crossing the Qalandia Checkpoint: A Qualitative Phenomenological Study.

The current study examined the psychological experience of Palestinians who daily cross an Israel Defense Forces (IDF) checkpoint to reach their schools or places of employment. The study employed an interpretative phenomenological analysis of semi-structured interviews and drawings to capture a depth insight regarding the psychological meaning of crossing the Qalandia checkpoint on a daily basis among 20 adult participants (10 males, 10 females). Three themes emerged. The first theme described deep feelings of distress and desperation and included the categories of humiliation and dehumanization, non-existence, rage, and pessimism and helplessness. The second theme concentrated on the participants' coping strategies of avoidance and dissociation, which usually characterize maladaptive trauma coping style, as well as exhibited aggressiveness toward their fellow community members, while the third theme described the social fragmentation of the Palestinians' solidarity. Furthermore, three pictorial phenomena emerged from the participants' drawings: squared restricted drawings, the use of multiple black tiny objects, and the use of split drawings. These phenomena supported and validated participants' verbal expressions. We suggest understanding these findings in light of the term "social suffering."

Parents' and Children's Cognitive Style: The Role of Parents' Practices.

Depression among children is a prevalent, distressing phenomenon. Children's hope and negative attributional style are significant precursors for children's depressive symptoms. Thus, the aim of the current study is to examine parents' characteristics that contribute to children's attributional style and hope in a sample of 85 Israeli young elementary school age children (mean [SD] age, 6.70 [0.49] years) and their parents. Results demonstrated positive associations between both mothers' and fathers' positive attributional style and children's hope and positive attributional style; however, parents' hope was not associated with children's hope or with children's positive attributional style. Mothers' overprotectiveness and psychological control were negatively associated with children's hope and positive attributional style, whereas fathers' overprotectiveness was positively associated with these variables. Moreover, few parent and child sex effects were found with fathers' criticism associating negatively with boys' attributional style and hope and positively with girls' attributional style. Finally, our study demonstrated a possible advantage of the fit between mothers' and fathers' practices to children's positive attributional style and hope. Theoretical and clinical implications are discussed.