Women who are sexually assaulted experience more vivid memories than women coping with the aftermath of other traumatic, life-altering events not associated with sexual violence, according to a new Rutgers University–New Brunswick study.
The research, published in Frontiers in Neuroscience, found that women who had suffered from sexual violence, even those who were not diagnosed with post-traumatic stress disorder (PTSD), had more intense memories – even years after the violence occurred – that are difficult, if not impossible to forget.
“To some extent it is not surprising that these memories relate to more feelings of depression and anxiety because these women remember what happened and think about it a lot,” said Tracey Shors, professor in the Department of Psychology and W.M. Keck Center for Collaborative Neuroscience in the School of Arts and Sciences who coauthored the study. “But these feelings and thoughts are usually associated with PTSD and most women in our study who experienced these vivid memories did not suffer from PTSD, which is generally associated with more intense mental and physical reactions.”
The study included 183 college-aged women between the ages of 18-39. Sixty-four women reported that they were victims of sexual violence while 119 did not have a history of sexual violence. Less than 10 percent were on anti-anxiety or antidepressant medication.
The women with a history of sexual violence reported stronger memories with specific details that included seeing the event clearly in their mind. They reported having a harder time forgetting the incident and believed it to be a significant part of their life story, according to the research.
“Each time you reflect on an old memory, you make a new one in your brain because it is retrieved in the present space and time,’’ said Shors. “What this study shows is that this process can make it even more difficult to forget what happened.”
Studies have shown that sexual aggression and violence is one of the most likely causes of PTSD in women, a condition that is associated with decreased brain functions related to learning and memory that can be both physically and mentally debilitating and difficult to overcome.
“Women in our study who ruminated more frequently also reported more trauma-related symptoms. One could imagine how rumination could exacerbate trauma symptoms and make recovery from the trauma more difficult,” said Emma Millon, a Rutgers graduate student and coauthor of the research.
According to the World Health Organization, 30 percent of women worldwide experience some kind of physical or sexual assault in their lifetime with adolescent girls much more likely to be the victims of rape, attempted rape or assault. Recent surveys indicate that as many as one in five college students experience sexual violence during their university years.
Shors has developed a new treatment to lessen these vivid memories and help women recover that is different from the traditional Prolonged Exposure Therapy, which includes recollecting the traumatic memory during interviews, story writing and even revisiting the traumatic location.
Mental and Physical Training (MAP Training) developed by Shors combines 30 minutes of mental training with silent meditation followed by 30 minutes of aerobic exercise, twice a week for six weeks. In previous studies, MAP Training diminished trauma symptoms in women who experienced violence, with those participating reporting significantly fewer trauma-related thoughts and ruminations about the past.
“This problem will not go away soon and we must keep our attention focused on prevention and justice for survivors – and their recovery,” Shors said.
A Call to Action for Social Workers! The Time is Now to ELEVATE
As we recognize March as Social Work Month, let’s awaken that original passion in each other and build on our strengths and core social work values to make change and lead the way for others to do so as well.
My fellow social workers, the time is now to lead the way for our nation regarding human rights and human well-being. The shocking cruelty and violation of human rights that occur each day in our nation under the current administration not only violates our Code of Ethics, but is cruel, unjust, and the epitome of what we as social workers dedicate our lives to fight against—socialinjustice.
We cannot risk becoming desensitized to any injustice, despite hearing about a new, abhorrent policy, practice or incident, every day. Let’s channel our frustration into collective action because this is our domain. We are the experts of social welfare, and we are uniquely trained to recognize social injustice and empower individuals, families, organizations, and communities toward positive social change.
It’s what we do every day as social workers. Since we know how to do this, we should be leading the way. This social work month lets ELELVATE our dedication and translate it into collective action for social justice. I believe that in doing so, we honor of the many pioneer social workers who have blazed the trail for us and worked to give us many of the rights we now enjoy.
Every day I am in awe of our society and our government’s attitudes and policies toward the most vulnerable people in our society. Racism, anti-Semitism, sexism and homophobia seem to be increasing at alarming rates (or perhaps are just more acceptably overt now) and this is resulting in more violence, conflict, and division among families and communities.
To me, that constitutes an emergency. Children are being legally separated from their parents, put in cages, often abused or neglected and “lost” by our government. If that isn’t an emergency, I’m not sure what is. Banning PEOPLE from serving in the military, sending refugees back to their country of origin to face certain death, and women’s reproductive rights at risk are all emergencies to me.
What do you think? What constitutes a national emergency to you? Whatever you answer, the good news is that we know how to deal with crisis as social workers and are bound together by social workvalues. So, let’s do it. Someone has to, and why not us—this is our domain. Plus, we have a lot of professional strengths to build on.
• We know how to build on strengths.
• We know how to organize.
• We know how to educate.
• We know how to build bridges, not walls.
• We know how to empower individuals, families, organization, and communities.
• We understand human rights and human dignity.
• We know how to advocate on micro through macro levels.
• We know how to push through when we are tired because people’s lives depend on us.
• We understand human behavior more than most.
• We know how to critique social policy.
• We know how to conduct research and translate it into practice.
• We know how to problem solve and are used to complex problems.
• We value diversity and we know how to celebrate it.
As a social work educator, I have the privilege of working with budding social workers every day. Their passion for social justice is raw and strong. However, as some seasoned social workers know, that passion may not go away, but it may grow tired, and frustrated by red tape, high case-loads and lack of support.
My fellow social workers, I ask you to ask yourself: How do you want to use your unique innate gifts and your professional skills as a social worker to help our nation awaken to the humanity of others? We cannot let human suffering being the norm or be a line item on news that people shake their head to and go on about their day. Jane Addams would not approve.
Climate Change Increases Potential for Conflict and Violence
Images of extensive flooding or fire-ravaged communities help us see how climate change is accelerating the severity of natural disasters. The devastation is obvious, but what is not as clear is the indirect effect of these disasters, or more generally of rapid climate change, on violence and aggression.
That is what Craig Anderson sees. The Iowa State University Distinguished Professor of psychology and Andreas Miles-Novelo, an ISU graduate student and lead author, identified three ways climate change will increase the likelihood of violence, based on established models of aggression and violence. Their research is published in the journal Current Climate Change Reports.
Anderson says the first route is the most direct: higher temperatures increase irritability and hostility, which can lead to violence. The other two are more indirect and stem from the effects of climate change on natural disasters, failing crops and economic instability. A natural disaster, such as a hurricane or wildfire, does not directly increase violence, but the economic disruption, displacement of families and strain on natural resources that result are what Anderson finds problematic.
One indirect way natural disasters increase violence is through the development of babies, children and adolescents into violence-prone adults, he said. For example, poor living conditions, disrupted families and inadequate prenatal and child nutrition are risk factors for creating violence-prone adults. Anderson and Miles-Novelo noted these risk factors will become more prevalent as a result of climate change-induced disasters, such as hurricanes, droughts, floods, water shortages and changing agricultural practices for efficient production of food.
Another indirect effect: Some natural disasters are so extensive and long term that large groups of people are forced to migrate from their homeland. Anderson says this “eco-migration” creates intergroup conflicts over resources, which may result in political violence, civil wars or wars between nations.
“This is a global issue with very serious consequences. We need to plan for ways to reduce the negative impacts,” Anderson said. “An inadequate food supply and economic disparity make it difficult to raise healthy and productive citizens, which is one way to reduce long-term violence. We also need to plan for and devote resources to aid eco-migrants in their relocation to new lands and countries.”
Which is worse?
There are no data and there is no method to estimate which of the three factors will be most damaging, Anderson said. The link between heat and aggression has the potential to affect the greatest number of people, and existing research, including Anderson’s, shows hotter regions have more violent crime, poverty, and unemployment.
However, Anderson fears the third effect he and Miles-Novelo identified – eco-migration and conflict – could be the most destructive. He says we are already seeing the migration of large groups in response to physical, economic or political instability resulting from ecological disasters. The conflict in Syria is one example.
Differences between migrants and the people living in areas where migrants are relocating can be a source of tension and violence, Anderson said. As the level of such conflicts escalates, combined with the availability of weapons of mass destruction, the results could be devastating.
“Although the most extreme events, such as all-out war, are relatively unlikely, the consequences are so severe that we cannot afford to ignore them,” Anderson said. “That is why the U.S. and other countries must make sure these regional conflicts and eco-migration problems don’t get out of hand. One way to do that is to provide appropriate aid to refugees and make it easier for them to migrate to regions where they can be productive, healthy and happy.”
Taking action now
Anderson and Miles-Novelo say the purpose of their research is to raise awareness among the scientific community to work on prevention efforts or ways to limit harmful consequences. The long-term goal is to educate the public on the potential for increased violence.
“From past experience with natural disasters, we should be able to prepare for future problems by setting aside emergency resources and funds,” Miles-Novelo said. “We should tear down negative stereotypes and prejudices about those who will need help and humanely assist refugees and others who are displaced. By doing all these things we can reduce conflict and hostility.”
Changing attitudes and policies about immigration also will lessen the potential for conflict, Anderson said. He points to the backlash against refugees in many European countries.
“The view that citizens of wealthy countries often have about refugees needs to change – from seeing them as a threat to a view that emphasizes humanitarian values and the benefits refugees bring when they are welcomed into the community,” Anderson said.
Increased Inmate Deaths and the Lack of Accountability
One year after the death of Sandra Bland on July 13, 2015, the Huffington Post compiled a list of persons who died in jail. In the following twelve month period, there were 811 deaths, most of which were the result of suicide. In fact, 253 detainees committed suicide in the year after Sandra’s death, constituting 31% of all fatalities.
This heartbreaking statistic highlights a historical pattern; one of racial targeting and classism, poor management, health care oversight, and corruption. The criminal justice system fails our communities by allowing preventable inmate deaths while targeting the most vulnerable communities. These alarming trends in our prisons, jails, and juvenile detention centers have us wondering, why?
Experts examining suicide and death in our nation’s jails reveal disturbing trends across the most vulnerable communities. A recent New York Times article, for example, Preventing Suicide in America’s Jails, reveals in 2013 a total of 967 jail inmates died while detained in local corrections facilities. This statistic continued to grow the year after, even though the inmate population declined by 4%. Other authors and researchers cite poor management, inadequate health care, and perfunctory oversight as major culprits. Although these issues go mostly unresolved, they continue to institute a pattern of death and suicide.
Reasons Behind Inmate Deaths
Many jail fatalities are overlooked and underreported. Generally, jails are not required to disclose fatalities occurring within their facility to their community. Even the most egregious incarceration centers can go unnoticed by the community at large when they aren’t being held accountable for deaths occurring in their own institutions.
Different from prison, jail stays are shorter (approximately 21 days) and most of the inmates have yet to be sentenced. Jail inmates could also be under the influence of drugs, alcohol, or have mental or physical health issues that correctional staff might be unaware of. For these reasons, many jail suicides occur in the first week of incarceration as indicated below by the Prison Policy Initiative.
According to KyCIR’s reports in Kentucky’s Grant County Jail, rampant corruption, employee incompetence, ineffective staff preparation, and inmate maltreatment were all present in the jail’s culture. In an environment where accountability is minimal, inmates are more likely to be disregarded and mistreated, as is the case of Danny Ray Burden at Grant County Jail.
“Danny Ray Burden fell asleep mid-sentence as he was booked into the Grant County jail, toppling over on the bench where he sat. Prodded awake, he coughed, shook and pleaded for emergency medical attention. A blood test showed that the 41-year-old diabetic badly needed insulin. Instead of assisting with proper medical standards and medications, deputies put Danny Ray in a cell, where he was found unconscious just three hours after he had entered the jail on March 27, 2013. He died a week later.”
Reflecting on the data, including the specific cases of Sandra Bland and Danny Ray Burden, who is at risk for jail fatality?
Vulnerable groups at correctional facilities include:
- Persons booked for lesser crimes
- Those without financial resources who are unable to post bond
- Communities of color who are profiled by police and often receive harsher punishments
- Sex offenders and those accused of vicious crimes
Why Death by Suicide?
For inmates whose lives were previously difficult, a brief jail sentence could prove traumatic. The most at-risk inmates may be experiencing withdrawal symptoms, a lack of access to prescriptions, and/or low availability of medical or mental health services. An inmate with a troubled emotional, mental, or physical state of inmates suffers even more while imprisoned, especially when our system neglects their basic needs.
Correctional facility detainees may have anxiety about unemployment, broken relationships, loss of residence, healthcare, or the inability to care for children. Without financial resources, these issues are compounded by the inability to pay a bond. And for black inmates, especially those in the 18 to 29-year age range, accruing considerably greater bail amounts than their peers in other racial groups isn’t uncommon.
Suicide Prevention Strategies for Correctional Facilities
In Matti Hautala’s article In the Shadow of Sandra Bland: The Importance of Mental Health Screening in U.S. Jails, the author examines the multifaceted environment of our American jail system and garners evidence-based recommendations for inmate suicide prevention.
The author suggests the initial entry procedure, including the preliminary psychological evaluation, acclimates the inmate to the criminal justice environment. This experience could have a lasting impact on the immediate future for that inmate; although alternative programs such as parole, probation, or mental health courts are recommended. Community supervision, rather than incarceration, is especially effective for those with psychological or mental health issues. Further recommendations include:
- Psychological evaluation instruments and qualified evaluators
- Proper procedures regarding medical records and treatment
- Limiting the use of restraint and isolation
- Frequent visual follow-ups, every 15 minutes, with suicidal or homicidal inmates.
The gross lack of culpability by local and state corrections personnel and increasing inmate deaths calls for advocacy and reform. Social workers, helping professionals, and concerned citizens must engage our political and community leaders in evidence-based dialogue and program development to reduce the number of inmate fatalities in our nation’s correctional facilities.
By engaging with our local communities and representatives, together, we can hold our system accountable. We can force our jail and correctional facilities to say “mea culpa!” and reform our policies to prevent tragic and unnecessary death.
Brexit: Paradise Lost – or Have We Forgotten?
For over a year now the UK has been wracked with a host of political scandals which rival the most intricate episodes of Yes, Prime Minister.
Yes, Britain is apparently leaving the European Union (a matter knife-edge enough). Yes, there are questions about the tenability of the Prime Minister’s position, and who will usurp her. Yes, the Paradise Papers have long ago told us what we already knew: the rich aren’t paying tax. Yes, our government is regularly implementing and justifying racist policies. But the hottest of the hot topics was, at least for a time, this:
Our government has been dealing with everything from rape to groping and sexual assault, sexual harassment, and sexual or inappropriate comments. Women set up a WhatsApp group specifically to share information about whom to be cautious of.
The Secretary of State For Defence (that’s right, the person responsible for defending the United Kingdom against attacks) resigned on November 1st, 2017 before the full range of allegations was even made public.
The media has, of course, sought answers, ranging from It was the culture to Women need to toughen up to a disappointingly modest mainstream smattering of power, privilege and toxic masculinity.
Some outlets have linked this (to some, unsurprising) spurt of public revelations to the infamous Harvey Weinstein allegations. This is a man whom, for decades, sexually harassed and abused (mostly) women in Hollywood. His behaviour was known-yet-unknown, referenced in public but never revealed.
Given this, Hollywood responded with the full spectrum of shock, anger, feeling ‘sad’ and ‘bad for’ Weinstein, expressing renewed curiosity about women’s dress codes and naïveté of ‘the culture we live in’. This British Bank Holiday, on the 25th May 2018, he was finally charged, with rape, sex abuse, and sexual misconduct pertaining to two women. Two.
However, we now know about comedian Louis CK, actor Steven Segal, and the once-beloved Kevin Spacey. Morgan Freeman is on the list of those accused. Heartbreakingly, there will be others to come.
To what extent can we continue to suggest it’s women’s responsibility and women’s fault – when it’s happening to a whole spectrum of people? Let’s be clear: every single accused person is a man. And we are all – no matter our personal gender – at risk of the violence of male power.
As Judith Hermann writes in her seminal work Trauma and Recovery, “It is now apparent that the traumas of one are the traumas of the other. The hysteria of woman and the combat neurosis of men are one. Recognising the commonality of affliction may even make it possible at times to transcend the immense gulf that separates the public sphere of war and politics – the world of men – and the sphere of private domestic life – of women” (p. 32).
It should be noted here that Hermann’s usage of ‘hysteria’ was of hysteria a debunked and oppressive conceptualisation of women. She discusses how a range of traumas, apparently so different, are linked by the political – they are characterised by fear and threat, power and violence.
Her words ring true, except now the traumatic event is the same for both men and women. The personal world of child sexual abuse – largely perpetrated by men – has become political. And, unfortunately, that is meant both metaphorically and literally.
For Britain, however, this does not follow the Hollywood accusations as some have suggested. Its cultural foundations more likely rest on the ‘watershed moment’ of the British Jimmy Savile story.
Between 2011-2013 Jimmy Savile – an English radio, TV, and media personality who was an avid charity fundraiser – was posthumously exposed as having perpetrated prolific sexual abuse.
Some of the abuse happened live on air, with cameras rolling. Some was with unconscious and disabled children. He was buried as Sir Jimmy Saville, just two months before the truth of his abuse was unearthed to the public.
This case was unprecedented; ghastly, shocking, unspeakable and yet the country could speak of little else. The grim reality of the tale started to unravel with one small thread: a ‘handful of cases’ in the 1960s.
At first, people couldn’t believe it.
Then, eventually, nobody could question it.
His final victim count – following a snowball effect of increased confidence in reporting, public attention, support and helplines – was around 500. At least, that we know of.
It is to the shame of Britain this happened. It is to the shame of Britain nobody listened until it was too late.
Consider now the current political mess. Consider the heated discussions about everything from consensual flirting to discomfort to harassment to rape. At once point, these discussions consumed the media as much as the media is consumed by its audience. Now, the attention has cooled in light of the scandal-machine that is our current government.
However, the sexual consent movement has been built upon the backs of those who were brave enough to stand up and say: this happened. It was real. It is also built upon the humiliation and isolation we heaped upon so many hundreds of thousands of others, by not believing them in the first place.
Arguably, such open discussions about child sexual abuse could not have happened before. They repeat an age-old story, except this time people are compelled and able to hear it.
The personal is political and the political is personal. The social and cultural context for victims, survivors and survivor-victims to finally unburdening their stories is ripe. And abuse is rife.
What does this tell us? It tells us we have a problem with how we teach our men. And it tells us we have a problem with power.
Judith Hermann predicts every few decades, society can acknowledge traumas and set the stage for action and reparation. However, the unspeakable nature of trauma begs that we push it back into our collective unconscious.
And we can’t. We simply can’t let that happen. Not in my country.
The original meaning of ‘watershed’ is an area of land which separates rivers which flow in two different directions. Politically, culturally, socially, morally, we need to make sure things flow in the right direction.
Crucially, we can’t let this stop with perpetrators who are famous, who have pockets of accusers sharing their stories together for their own safety. We need to support ordinary people (ordinary women, particularly), to share their stories outside of the limelight where the public’s support is less tangible. We need to support the poor, the less ‘credible’, the young, those of ethnic, gender and sexual minorities, those already in sex work, those with ‘bad reputations’.
Let’s continue to bring those in power to task.
Let’s support and donate to groups like Refuge and Broken Rainbow, the NSPCC, and other local charities in your area. Let’s protest the closure of women’s shelters. Let’s give our gratitude to groups like Sisters Uncut. And for goodness’ sake, for all that is healthy in this world…
Stop blaming women. Stop blaming victims. Start listening. Don’t let us forget what it felt like when these allegations and stories were fresh. Let’s turn the political back personal again.
Is It More Than Just A Shooting?
Several articles in response to the shootings in Minnesota, New Orleans, and Dallas point fingers at PTSD and mental illness. Although these issues are valid, there is a multitude of factors making this issue far more complex than a singular culprit like mental illness.
Underneath all these shootings and acts of violence is fear, an emotion we don’t often factor in when discussing shootings. Fear causes fight or flight reactions in humans, a strong, protective instinct which can, at times, cause reactions that aren’t typical of our normal behaviors.
When we experience fear, whether real or perceived, our adrenaline increases and as an act of self-preservation. Our reactions to fear may cause us to act in ways our “normal” brain might not have. Unfortunately, it can also cause us to react in a way which can take the life of someone in the name of self-protection or justice.
So, imagine the stress of living in a neighborhood where people are killed, gunshots are heard regularly, and those around you are involved in nefarious activities. Long-term stress can have severe consequences – such as physical health issues and problems with cognitive thinking. For children, toxic stress results in behavioral and development issues.
Living in a state of constant fear never allows an individual to care for themselves, always on the alert for potentially dangerous situations. Living in fearful conditions where a community’s needs aren’t met and their safety is questionable, a physically and mentally harmful lifestyle is already enough to deal with. Now, factor in racial profiling, police bias and brutality, and classist targeting.
In low-income neighborhoods, police are not always responsive. The police don’t often know you or your family and tend to approach certain neighborhoods with harmful preconceived ideas. Whether it’s internalized hate, racial profiling and learned bias, classism or just plain ignorance, many police officers are not educated about communities different from their own and only have reference points from television and media, which reinforce harmful stereotypes. If this is the basis from which police are viewing the public, it’s highly likely police will target certain groups out of fear.
It is important as a society, we do not downplay the personal responsibility we have for our actions nor the sheer horror of violence. But we are not born disliking people of color, women, immigrants or cultures different from our own.
Through our learned experiences with family, school, media, or religious institutions, we learn to be separate and fear groups who are not like us. We look around and see people who only look like us and learn to live in a comfortableness rather than question the status quo which oppresses certain groups more than others.
So, how do we get past this fear? Education, compassion, and empathy are key. As a community, we need to be more responsible to one another and have difficult conversations about race, gender, and class while challenging our own internalized biases.
Speaking to our legislators, media representatives, friends, and family is a power to hold ourselves and others accountable for racial profiling, classism, abuse of power, and internalized fears. We need to put our foot down and refuse to settle for superficial conversations or answers to large, complex problems.
How Should Social Work Respond To The United States Leaving The Paris Agreement?
“Logic clearly dictates the needs of the many outweigh the needs of the few” – Dr. Spock (Star Trek)
This quote is at the heart of a complex political debate; Dr. Spock doesn’t think it’s that complex. Social justice is one of the tenants of social work practice. This often places social work on the wrong side of Dr. Spocks quote.
Frequently, social workers are providing for or advocating for the needs of the few. Dr. Spock had some help in posing this quote. The question originates from the philosophy of Utilitarianism. John Stewart Mill argued that society is a collection of individuals and that what was good for individuals would make society happy.
You can see this gets messy… and quick. This philosophy was recently put to the test with President Donald Trump’s decision to withdraw from the Paris Climate Accords. A 195 country agreement to reduce carbon emissions and offer assistance to developing nations to do so as well. Mr. Trump makes a case for economic justice that our involvement in the Paris Accord forces us to over-regulate businesses. He also argues it places an unfair burden on The United States contribution to developing nations. Trump asserts both factors create undue pressure on some of the most economically vulnerable areas in the country. Taking a strict stance stating he “Does not represent Paris…I represent Pittsburgh”. He believes the needs of local Americans outweigh the need to cost-share climate change with the globe.
Should the United States share in the cost of global warming at the cost of our local economies? The economic impact is up for significant debate. The best analysis of this complex issue is provided by FactCheck.org. I’ll let you read it but the economic rationale for leaving the Paris Accord seems questionable. The report he cited on the economic impact ignores many factors including the growth in the renewable sector.
From the social work perspective, this creates an interesting dilemma. The virtues of Globalism versus the “America First” Populism will remain a challenge. How do the local needs of the “Rust Belt” and “coal country” interact with the global energy economy impacted the Paris Accords?
The issue of Global Warming challenges social work to think about where our “systems thinking” begins and ends. Is our profession concerned for the global good or just the area’s they serve? In a recent speech, the UN Secretary-General argued the poor and vulnerable will be hit by climate change first.
Also, what is not in question is the economic impact in the Rust Belt and Coal Country of the United States. This also depends on where you are placing “The needs of the many”. The loss of manufacturing and energy jobs has had a significant impact on services in these areas. These voters were activated by a hope of a potential change in their economic future. These parts of the country who rely on manufacturing and energy have been economically depressed. There is fear further government regulation and lack of money in these areas will make this worse.
Even if the move out of the Paris Climate Accords does fix local economies, it creates another complex systemic problem. Again thinking about where does our “systems” thinking end? I touched on this in my post about Facebook’s global vision for the world. The debate on globalism is a complex one, but The United States leadership on climate change is not. Have we put ourselves at disadvantage by not being a leader willing to partner in climate change?
Are countries going to want to “make a deal” with us about innovation and technology in the energy sector? How will the impact on the global economy affect our local economy? Seems like this blog post has more questions than answers.
To attempt to answer this, I again consult the National Association of Social Workers Code of Ethics. Section 6.04 in social action says…
(c) Social workers should promote conditions that encourage respect for cultural and social diversity within the United States and globally. Social workers should promote policies and practices that demonstrate respect for difference, support the expansion of cultural knowledge and resources, advocate for programs and institutions that demonstrate cultural competence, and promote policies that safeguard the rights of and confirm equity and social justice for all people.
No easy answers when thinking about dedicating United States funds which may help globally but detract from the local action. This also brings about thoughts of our core value of competence. That whatever we do to help the most vulnerable citizens in the Rust Belt, I hope it based on sound evidence.
Those policies are based on science and evidence-based practices to try to help these local economies. Whatever we do globally it places the people we serve in the healthiest and most prosperous situation. It’s not just social workers who are thinking about the impact but physicians are weighing in as well …
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