UNDERSTANDING VIOLENT INJURY

了解暴力伤害

基本信息

批准号：
2032873
负责人：
JOHN A RICH
金额：
$ 14.63万
依托单位：
BOSTON UNIVERSITY MEDICAL CAMPUS
依托单位国家：
美国
项目类别：
财政年份：
1997
资助国家：
美国
起止时间：
1997-02-01 至 2002-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2032873
关键词：
African American attitude behavioral /social science research tag clinical research crime victims human subject injury interview longitudinal human study male posttraumatic stress disorder racial /ethnic difference substance abuse related disorder violence young adult human (21-34)

项目摘要

DESCRIPTION (Applicant's Abstract): The broad goal of this proposal is to understand how young black men experience interpersonal violence and how that experience impacts their lives. The proposed research is an extension of the applicant's pilot work consisting of open-ended interviews with 18 young black men who were victims of violence. The analysis of these data revealed several types - innocent bystander, object of revenge, mistaken victim, escalating argument and injured avenger - reflecting the circumstances which led to the injury. In the proposed study, the applicant will conduct interviews with up to 120 young men who have been shot, stabbed or assaulted and are hospitalized at Boston City Hospital. These interviews will explore the patient's story of his injury and the impact of violence upon his life. Standardized assessments of post traumatic stress disorder (PTSD) and substance abuse will also be administered. The transcripts of the interviews will be analyzed using grounded theory to understand the participant's interpretation of the meaning of his injury, and narrative analyses to understand the sequence of events leading to the injury. Through the analysis of the patient's story, each case will be assigned to one of the types identified in the pilot study or will be used to define a type. Using the cases in the study a topology will be developed, based upon the participant's narrative of his injury. The relationship between victim type and PTSD and substance abuse will also be examined. In a second study, the applicant will also identify a subset of cases and conduct interviews with the patient and the health care providers involved in his care. The applicant will analyze these cases to uncover discrepancies between the patients understanding of his injury and the impressions of his providers. The applicant's research and career development plan will permit him to (1) acquire greater expertise in the areas of victimization, post traumatic stress, urban street culture and provider attitudes and (2) acquire expertise in the application of qualitative methods to the study of urban violence and other mental health issues. These goals will be accomplished with the guidance of two preceptors Catherine Riessman, Ph.D., an experienced sociologist and expert in the analysis of qualitative data and Elliot Mishler, Ph.D. a senior researcher in mental health and patient-provider interaction. In addition, the applicant will receive training in post traumatic stress disorder, victimology and urban street culture through individual tutorials. Tutorials will be conducted by Jacquelyn Campbell, Ph.D. (victimology and family violence), Richard Famularo, M.D. (PTSD) and Terry Williams, Ph.D. (urban street culture). The applicant will also complete course work in research methods in epidemiology, field methods, survey research methods and crime and delinquency in the graduate schools of Boston University.

描述（申请人的摘要）：该提案的总体目标是了解年轻黑人如何经历人际暴力以及如何这种经历会影响他们的生活。拟议的研究是一个延伸申请人试点工作的一部分，包括对 18 名申请人进行开放式访谈遭受暴力侵害的年轻黑人男子。对这些数据的分析揭露了几种类型——无辜旁观者、报复对象、误会者受害者、不断升级的争吵和受伤的复仇者——反映了导致受伤的情况。在拟议的研究中，申请人将采访多达120名被枪杀、刺伤的年轻人或遭到殴打并在波士顿市医院住院。这些采访将探讨患者受伤的故事以及暴力的影响在他的生命上。创伤后应激障碍的标准化评估（创伤后应激障碍）和药物滥用也将受到管理。的成绩单将使用扎根理论对访谈进行分析，以了解参与者对其受伤含义的解释和叙述分析以了解导致伤害的事件顺序。通过对患者故事的分析，每个病例都会被分配到试点研究中确定的类型之一或将用于定义类型。使用研究中的案例，将开发一个拓扑，基于参与者对其受伤的叙述。受害人之间的关系类型、创伤后应激障碍（PTSD）和药物滥用也将受到检查。在第二项研究中，申请人还将确定一部分案例并进行访谈与患者和参与其护理的医疗保健提供者一起。这申请人将分析这些案例以发现两者之间的差异患者对他的伤害的了解以及他的提供者的印象。申请人的研究和职业发展计划将使他能够（1）在受害、创伤后领域获得更多专业知识压力、城市街道文化和提供者态度，(2) 获得定性方法应用于城市研究的专业知识暴力和其他心理健康问题。这些目标将会实现在两位导师 Catherine Riessman 博士的指导下经验丰富的社会学家和定性数据分析专家艾略特·米什勒博士心理健康领域的高级研究员患者与提供者的互动。此外，申请人还将收到创伤后应激障碍、受害者学和城市街道培训通过个人教程培养文化。教程将由杰奎琳·坎贝尔博士（受害者学和家庭暴力），理查德 Famularo 医学博士（创伤后应激障碍）和 Terry Williams 博士（城市街头文化）。这申请人还将完成研究方法的课程作业流行病学、实地方法、调查研究方法以及犯罪和波士顿大学研究生院的犯罪行为。