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Zeitschriftenartikel zum Thema "Threats and violence were made aware"

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Alfred, Kelly C., Timothy Turner und Aaron Young. „State Medical Board Exposure to Threats of Violence“. Journal of Medical Regulation 99, Nr. 3 (01.09.2013): 11–17. http://dx.doi.org/10.30770/2572-1852-99.3.11.

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ABSTRACT Between 2010 and 2012, the Federation of State Medical Boards Research and Education Foundation (FSMB Foundation) conducted a survey of state medical boards in an effort to ascertain the extent to which state medical board members and staff have experienced threats of violence and the actions taken by state boards in response to such threats. The survey also assessed current and anticipated levels of security being provided by state boards. Of the 70 boards queried, 37 responded, with 73% (n=27) of these boards reporting that their board members and/or staff had experienced either explicit or implied threats of violence. These threats targeted board members (85%), board staff (78%) and others (15%). Many of the threats directed at board members occurred after board meetings and/or hearings and were made by either a physician or a family member of a physician. Most of the threats directed at board members, staff and others were verbal, including threats of death. Most boards provide a security presence at board meetings, ranging from local law enforcement agencies to private security firms, but less than half of the respondents in the survey expressed satisfaction with their present security level. The results of the survey suggest that the state medical board community should be aware of the potential for violence against board members and staff, and should formulate prevention and threat-assessment policies as a precaution. Educational and training resources may be needed at the state board level. This could include the development of educational modules to train state public officials in conflict management, the prevention and handling of acts of violence, and how to identify and assess the seriousness of a potentially violent or stressful situation.
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Tung, Le Thanh, Truong Tuan Anh, Nguyen Thi Minh Chinh und Nguyen Hoang Long. „Public Reactions in Online Newspapers to Workplace Violence Against Nurses“. SAGE Open Nursing 7 (Januar 2021): 237796082110038. http://dx.doi.org/10.1177/23779608211003819.

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Background Nurses frequently suffer from workplace violence, but the public is often not fully aware of the situation because many events are not widely reported. Methods This study is an attempt to describe public perceptions of and reactions to reports of incidents of violence against nurses in online newspapers. Articles about such violence in Vietnamese online newspapers published from January to December 2019 as well as readers’ comments on those articles were collected for thematic analysis. Results Nine assaults were reported in 152 articles, and 367 comments were left in the threads. The analysis found four themes: 1) proposing punishment, 2) showing sympathy, 3) being skeptical, and 4) taking gender into account. In particular, the audience called for stricter punishment of the assaulters and showed sympathy for the nurses. However, commenters’ prior experiences with poor nursing services sometimes made them skeptical about the motivations of the attackers. Additionally, commenters saw the violence as a conflict between a man (assaulter) and a woman (assaultee) rather than between a client and a professional nurse. Conclusions In general, the public showed support to nurses. Nurses should take advantage of this support to advocate improved policies and measures to protect themselves from violence at work.
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Kaplan, Sebastian G., und Dewey G. Cornell. „Threats of Violence by Students in Special Education“. Behavioral Disorders 31, Nr. 1 (November 2005): 107–19. http://dx.doi.org/10.1177/019874290503100102.

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We compared threats of violence made by K–12 students in special education (120 cases) or general education (136 cases) in schools that were implementing threat assessment guidelines for managing student threats of violence (Cornell, Sheras, Kaplan, McConville, Posey, Levy-Elkon, et al., 2004; Cornell & Sheras, in press). Students in special education made disproportionately more threats, as well as more severe threats, than peers in general education. Students classified as emotionally disturbed (ED) exhibited the highest threat rates. Nevertheless, use of school suspension as a disciplinary consequence for threats was consistent for students in special and general education, and few students were expelled. Our findings support the use of threat assessment to manage threats of violence by students in special education.
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Levin, Carole, und C. J. Kracl. „Violence in Elizabeth’s England: Tudors and Turbervilles“. Explorations in Renaissance Culture 46, Nr. 1 (24.06.2020): 57–69. http://dx.doi.org/10.1163/23526963-04601004.

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Throughout her life Elizabeth Tudor was aware of the perennial violence that threatened her, threats that were also reflected in the England she ruled over. The experiences of the prominent Turberville family paralleled the type of violence Elizabeth faced, violence in which familial, political, and religious interests intersected. The most well-known of the Turbervilles was the writer George, whose Catholicism may have been the reason that Robert Jones attempted to murder him. Perhaps even more terrifying than religious violence was family violence. In her sister’s reign Elizabeth greatly feared that Mary would execute her. Shockingly, George’s older brother Nicholas was murdered by his brother-in-law. Elizabeth knew intimately the complex dangers of the time and so did her subjects.
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Davies, Stephen. „Assaults and threats on psychiatrists“. Psychiatric Bulletin 25, Nr. 3 (März 2001): 89–91. http://dx.doi.org/10.1192/pb.25.3.89.

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Aims and MethodTo determine the annual rates of assaults and threats to psychiatrists, describing the situations and staff involved, using a retrospective postal questionnaire of 139 doctors working in South Wales.ResultsOver the year, 17% of respondents reported one or more assaults (of these, 42% were assaulted more than once) and 32% reported one or more threats. The most junior senior house officers (SHOs) were significantly more likely to have experienced an incident, regardless of the individual's gender or attendance at a course in managing aggression. Most assaults (61%) were committed by patients from general adult psychiatry, and half occurred during urgent assessments. Eighteen (58%) of the assailants were known to have previously assaulted amember of staff, and this information was known to the doctor before the assault for 16 (88%). Five (16%) of the assailants had been drinking alcohol prior to the assault. Twenty-nine (78%) of the assaults were documented in the case notes and 6 (19%) were reported to management.Clinical ImplicationsSome staff (in particular, inexperienced SHOs) are at greater risk, and efforts should be made to identify and help these individuals and/or grades to deal with aggression. All psychiatric staff should be trained to manage violence. Staff should be encouraged to report incidents to management, so that employers can identify and address problem areas.
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Roberts, Lynne, und David Indermaur. „Boys and Road Rage: Driving-Related Violence and Aggression in Western Australia“. Australian & New Zealand Journal of Criminology 38, Nr. 3 (Dezember 2005): 361–80. http://dx.doi.org/10.1375/acri.38.3.361.

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This article reports on the results of a population survey of 1208 West Australian drivers designed to measure the prevalence of drivingrelated violence and aggression as well as perceptions of these behaviours. A clear distinction is made between driving-related violence (restricted to criminal acts of violence, threats of violence and vehicle damage) and other aggressive driving behaviours. Although the majority of survey respondents had experienced some form of aggressive driving behaviour, only 13% reported ever being a victim of driving-related violence. However, 17% of respondents believed they were likely, or very likely, to be a victim of driving-related violence within the coming year. More than two thirds of respondents thought their likelihood of being a victim of driving-related violence had increased over the past 10 years. Both aggressive driving behaviours and driving-related violence were typically perpetrated by young males against other males. The article concludes with a discussion of the masculinist characteristics of road rage and what this implies for the prevention of this crime.
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Zhikharevich, Boris. „Risks and Threats in Russian Regional Strategies“. Regionalnaya ekonomika. Yug Rossii, Nr. 4 (Dezember 2020): 19–29. http://dx.doi.org/10.15688/re.volsu.2020.4.2.

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The article presents the results of the Russian experience of the inclusion of risks and threats in regional strategies of social and economic development. The official documents of 85 strategies were analyzed, the quality of risks and risk assessment was expertly assessed at a five-point scale. A ranked number of strategies was made taking into account an additional parameter, i.e. the number of references to the word “risk”. A list of the best strategies was made. They are the strategies of Sakhalin, Kurgan, Novosibirsk, Ivanovo regions, Zabaykalsky krai, and Republic of Crimea. The author notes that in most strategies of the Russian regions, attention is paid to risks and threats, but only in a third of strategies they are analyzed relatively well, and measures to deal with risks have been developed in no more than 10% of strategies. An abnormally large number of references to the word “risk” were identified when they are described in relation to all projects (Arkhangelsk region) or events (Zabaykalsky krai). The methodological problems associated with the analysis of risks and threats were systematized. They are a mixture of the concepts of problem, weakness, threat, risk, negative factor; lack of assessments of the likelihood and strength of the impact of risks; lack of description of measures to reduce the consequences of risks. The absence of a correlation between the quality of work with risks and threats and the regional resilience index characterizing the region’s resistance to economic and financial crises was found. The author notes that the regions that are aware of their vulnerability work better than other ones which mentioned threats and risks in their strategies, but this circumstance has little effect on their shock resistance against economic crises. The recommendations concerning the improvement of strategic planning are suggested. They are a thorough analysis of threats and weaknesses at the stage of a SWOT analysis, identification of a separate section on strategic risks, and development of an appropriate set of adaptive scenarios, creation of a regional risk management system.
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V, MARAGATHAM. „A study on customers purchase decesion making green marketing products in tamil nadu with special reference to coimbatore city“. Journal of Management and Science 1, Nr. 4 (30.12.2015): 316–22. http://dx.doi.org/10.26524/jms.2015.28.

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First of all, environment and environmental problems, one of the reason why the green marketing emerged. According to the American Marketing Association, green marketing is the marketing of products that are presumed to be environmentally safe, To analyse the factors influencing the green marketing products in Coimbatore city.Objectives of the study, To analyse the factors influencing the green marketing products in Coimbatore city. The describptive research has used this study. Primary as well as secondary data has been used in this study. Primary data collected from structured questionnaire. Secondary data were collected from journals, magazines, news paper etc. Simple random sampling technique adopted in this study.Suggested this study, Consumer needs to be made more aware about the merits of Green products. The consumer needs to be educated and made aware of the environmental threats. It should be made sure that the consumer is aware of and concerned about the issues that your product attempts to address. Green Marketing campaign and green advertising is good step toward it. Conclude this study, an environmental committed organization may not only produce goods that have reduced their detrimental impact on theenvironment, they may also be able to pressure their suppliers to behave in a more environmentally responsible fashion.
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Jassim, Bushra Ahmed, und Amal Kazem Mira. „Violence against wives and the Mental health’s impact on the battered students (wives)“. Al-Adab Journal, Nr. 115 (15.03.2016): 1–28. http://dx.doi.org/10.31973/aj.v0i115.1322.

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Abstract Violence against wives and the Mental health’s impact on the battered students (wives) The problem of the study lies in replying to the following research questions: What types of violence are practiced against the battered students (wives)? Which type is the most commonly practiced one? Is it the physical violence, economic violence, psychological violence, sexual violence? What is the extent of effect of violence in its different forms on the psychological health of the battered students (wives). This research addresses the following issues: 1- To be more aware of the most widely or commonly practiced types of violence against the battered students (wives) whether this violence takes the forms of physical violence, economic violence, psychological violence or sexual violence. 2- To be more aware of the violence’s impact on the psychological health of the battered students (wives). This research is restricted to the battered students (wives) who refer to the Psychological and Educational Guidance and Counseling Unit in the Deanship of Students/ University of Sharjah, and the Psychological and Educational Guidance and Counseling Unit at Girls College of Education / University of Baghdad. The two researchers identified this as the battered students (wives): who referred to the Psychological and Educational Guidance and Counseling Unit in the Deanship of Students / University of Sharjah Affairs, and the Unity of Psychological and Educational Guidance at Girls College of Education/ University of Baghdad, where they were actually diagnosed as being exposed to one of the physical or psychological, sexual or economic violence. The two researchers defined the mental health as the imbalances in the psychological functions resulting from violence against wives where we can infer this through the degree obtained by the battered wife through her answers to questions included in the (symptoms list) which is amended and adopted in this research. The theoretical framework of the concepts of research has been shown in some theories such as Freud's analytical approach, the social learning theory, and the previous studies pertaining to the concepts dealt with in this research. The research samples includes (83 battered students (wives)) where the two researchers have built the psychological health scale, verified its psychometric properties in terms of (sincerity, steadiness and excellence) and used the appropriate statistical methods. The findings of the current research were presented and interpreted and they have made some recommendations and proposals.
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Thiers, Barbara, Roslyn Rivas und Elizabeth Kiernan. „Using Data From Index Herbariorum to Assess Threats to the World’s Herbaria“. Biodiversity Information Science and Standards 2 (15.06.2018): e26440. http://dx.doi.org/10.3897/biss.2.26440.

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During the past few years, natural disasters, political or social unrest and institutional actions have imperiled herbaria. The question has been raised multiple times whether or not the data gathered about herbaria in Index Herbariorum could be used to predict which herbaria are at the greatest risk. Armed with such knowledge curators and the greater collections community might be in a better position to safeguard those herbaria. To explore the feasibility of using Index Herbariorum data in this way, we have identified a set of specific threats and then scored herbaria according to their susceptibility to those threats. These threats fall into two categories: Physical and Administrative. Physical threats are those that could lead to loss of collections through outright destruction due to catastrophic events (e.g., earthquake, flood) or loss of the protective controls (e.g., air conditioning, building security) that ensure a safe collections environment. Determination of these threats is based on location. Administrative threats involve decisions made by the governing body to remove staff support, appropriate space or climate control measures for the collection. Physical threats were determined using GIS to plot the location of all herbaria, and then overlaying these with map layers indicating current earthquakes, floods, cyclones and landslides and potential future threats (sea level rise and civil unrest). We deduced Administrative threats from Index Herbariorum data elements. These include the status of the herbarium (active or inactive), whether or not the Index Herbariorum entry for an institution has been updated in the past 10 years, whether or not the herbarium has a designated curator, the ratio of staff to specimens, and whether or not the collection has been digitized. Each threat was assessed as absent or present, and assigned a value of 0 or 1 accordingly. Using this method, less than 4% face no identified threats; 65% face one to three threats and 35% face five or more threats. The criteria used in this study cannot alone predict the future security of a collection, or the lack thereof. The reasons for the loss of a collection are usually more complicated than Index Herbariorum data can convey. However, the large proportion of herbaria that face multiple threats suggests that all herbaria should be aware of the risk factors for their collection, perhaps conducting a self-evaluation using the criteria presented here or others, and where possible should incorporate responses to those threats into their strategic and disaster preparedness plans.
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Dissertationen zum Thema "Threats and violence were made aware"

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Lundquist, Ann-Charlotte. „I skolan medvetandegörs hot och våld : Intervjustudie med personal från gymnasieskolor“. Thesis, Jönköping University, Högskolan för lärande och kommunikation, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-53552.

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Syftet med denna uppsats var att redogöra för det förebyggande arbetet kring hot och våld men också hantering av hot och våld i gymnasieskolan. Därmed användes en kvalitativ intervjustudie med rektorer, lärare samt en kurator som gav svar på följande frågeställningar; hur förebyggdes hot och våld i gymnasieskolan, hur identifierades hot och våld i gymnasieskolan samt hur bemöttes hot och våld i gymnasieskolan. Personalens svar på dessa frågeställningar analyserades utifrån Paulo Freires befrielseteori och därmed gavs en tydligare bild av skolans situation gällande hot och våld. Medvetandegöra-(conscientização) innebar att handlingsplanerna kritiskt reflekterades över som uppdaterades årsvis samt granskning av elevenkäter och medarbetarenkäter. I arbetslaget samtalades och delades erfarenheter som var en del i att hot och våld medvetandegjordes. Förutom i arbetslaget delades olika erfarenheter genom föreläsningar, litteratur och poddar, vilket ökade kunskapen om hot och våld. Eleverna diskuterade värdegrunden, normer och de förtryckta samt förtryckarnas världsbild. Därtill fick elever kännedom om den hjälp som fanns såsom kurator, socialtjänst och utväg om de hamnade i en våldsam eller hotfull situation. Det förebyggande arbetet kring hot och våld sammanfattades i följande strategier: skapandet av en trygg arbetsmiljö samt ökning av elevers och lärares kunskap. Dessutom behövdes både teoretiska och praktiska kunskaper om hur elever och lärare skulle agera vid hotfulla och våldsamma situationer. Olika handlingsplaner tillämpades vid olika hotfulla och våldsamma situationer. Vid övning av inrymning förbereddes lärare och elever hur de skulle agera vid våldsamma och hotfulla situationer. Dessutom behövdes kännedom om vilka aktörer som fanns inom skolan såsom elevhälsoteam, som oftast bestod av kurator, psykolog och skolläkare. Därutöver bestod en krisgrupp av andra professioner såsom pastor, diakon, mentor, präst eller imam. I samhället fanns det vid större katastrofer och olyckor stöd och råd från socialtjänsten och POSOM-gruppen att tillgå. Begrepp: Hot och våld medvetandegjordes, i skola, i nära relationer, i hemmet, barn for illa, elevhälsoteam, Krisgrupp, Socialtjänsten, Polisen, POSOM-gruppen
The purpose of this essay was to account for the preventive work on threats and violence but also the management of threats and violence in high school. Thus, a qualitative interview study was used with principals, teachers and a counselor´s who provided answers to the following questions; how threats and violence were prevented in high school, how threats and violence   were indentified in high school and how threats and violence in high school were adressed. The staff´s answers to these questions were analyzed on the basis of Paulo Freire´s liberation theory and thus gave a clearer picture of school´s sitaution regarding threats and violence. Awareness-raising (conscientização) meant that the action plans were critically reflected on, which were updated annually, as well as a review of student surveys and employee surveys. The work team discussed and shared experinces that were part of raising awareness of threats and violence. In addition to the work team, different experiences were shared through lectures, litterature and podcasts, which increased knowledge about threats and violence. The students discussed the values, norms and the world of oppressed and the opressors. In addition, students become aware of the help that was available, such as a counselor, social services and a resort if they ended up in a violent or threatening situation.  The preventive work on threats and violence was summarized in the following strategies: the creation of safe working environment and an increase students and teachers knowledge. In addition, both theoretical and practical knowledge was needed about how students and teachers should act in threatening and violent situations. Different action plans were applied in different threatning and violent situations. When practicing accomodation, teachers and students were prepared to act in violent and threatening situations. In addition, knowledge was needed about which actors were present within the school, such as student health teams, which usually consisted of a counselors, psychologists and school doctor. In addition, a crisis group consisted of other professions such as pastor, deacon, mentor, priest or imam. In the event of major disasters and accidents, support and advice from the social services and the POSOM group were availible. Concepts: Threats and violence were made aware, in school, close relationships, at home, children got hurt, student health team, Crisis-group, Social services, Police, POSOM group
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Bücher zum Thema "Threats and violence were made aware"

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Kelly, Benjamin. Repression, Resistance and Rebellion. Herausgegeben von Paul J. du Plessis, Clifford Ando und Kaius Tuori. Oxford University Press, 2016. http://dx.doi.org/10.1093/oxfordhb/9780198728689.013.29.

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This chapter reconstructs the legal underpinnings of repressive responses to fundamental threats to the Roman political order: sedition, conspiracies, riots and provincial revolts. It outlines the legal and ethical limitations on state power that were invoked in relation to acts of repression. It argues that there was a tension in Roman civilization between ideas about the appropriate limitations on the exercise of state violence against the individual and the need to deal with fundamental political threats. With the growth of autocracy in the later Empire, the ethics of rulers’ responses to fundamental threats to the political order came to be emphasized rather than the legal rights of the rebellious. The chapter argues that attempts were made to downgrade legally or discursively the civic statuses of individuals accused of threatening the political order. Such attempts aimed to reduce concerns about repressive actions that would have been considered illegal or unethical.
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Buchteile zum Thema "Threats and violence were made aware"

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Ghiselli, Andrea. „Diverse Threats, Diverse Responses“. In Protecting China's Interests Overseas, 170–202. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780198867395.003.0007.

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As the Chinese leadership became more aware of the threats to the country’s interests overseas, this chapter shows that the different agencies under their control started to change and adapt. While the Ministry of Foreign Affairs was the first to undergo significant change as great efforts were made to establish and strengthen the consular protection system, the Chinese Communist Party set up the Central National Security Commission in order to improve inter-agency coordination to respond to non-traditional security threats overseas. Even state-owned companies tried to adapt to the new situation and, in an interesting twist, they attempted (and failed) to lobby the government in order revise and expand the legislation. Naturally, the People’s Liberation Army, too, had to change. The analysis of the institutional and doctrinal evolution of the Chinese military reveals the marked sophistication of the thinking about Military Operations Other Than War overseas and the growing preparation to carry them out in the post-2011 period.
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Resnick, Phillip J. „Stalking Risk Assessment“. In Stalking. Oxford University Press, 2007. http://dx.doi.org/10.1093/oso/9780195189841.003.0010.

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This chapter examines the frequency of recidivism, threats, and violence in male and female stalkers. The risk factors associated with ordinary violence are distinguished from the risk factors for severe violence and homicide in stalkers. Common risk factors for ordinary violence among stalkers include substance abuse, prior criminal offenses, making threats, suicidality, and a prior intimate relationship to the stalking victim. Risk factors for stalkers committing severe violence or homicide include appearing at the victim’s home, prior violence, major depression, threats to harm the victim’s children, and placing threatening messages on the victim’s car. Celebrity stalkers have a different set of risk factors for violence. Distinctions are made between those stalkers who make threats and those who pose threats, and between affective and predatory violence by stalkers. The overlap between domestic violence and stalking is explained. An approach to evaluating stalking situations for dangerousness is offered. Increased vigilance is necessary when events humiliate or anger the stalker. Finally, the chapter discusses how to assess threats by stalkers and when to consider seeking restraining orders. Stalking and violence are two separate phenomena, but they often occur together. Because stalking is defined as a pattern of harassment that induces fear of harm in the victim, it is not surprising that some stalking victims are indeed violently assaulted by their stalkers (Meloy, 2002). The science of assessing stalkers for violence risk is still in its infancy. Because stalking has been defined as a crime for only the last approximately 15 years, a limited number of research studies regarding stalking and violence have been completed. The majority of early studies were based on referrals to court psychiatric clinics. These studies had an overrepresentation of subjects with mental illness and were more often serious cases than random stalking in the community. Of the adult participants in the National Violence Against Women Survey (NVAWS) whose experiences fulfilled their criteria of stalking, only 55% of women and 48% of men reported their experiences to the police (Tjaden & Thoennes, 1998, 2000a).
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Susanto, Heru. „Revealing Cyber Threat of Smart Mobile Devices within Digital Ecosystem: User Information Security Awareness“. In Data Integrity and Quality. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.95752.

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In recent years, the number of mobile device users has increased at a significant rate due to the rapid technological advancement in mobile technology. While mobile devices are providing more useful features to its users, it has also made it possible for cyber threats to migrate from desktops to mobile devices. Thus, it is important for mobile device users to be aware that their mobile device could be exposed to cyber threats and that users could protect their devices by employing cyber security measures. This study discusses how users in responded to the smart mobile devices (SMD) breaches. A number of behavioural model theories are used to understand the user behaviour towards security features of smart mobile devices. To assess the impact of smart mobile devices (SMD) security and privacy, surveys had been conducted with users, stressing on product preferences, user behaviour of SMD, as well as perceptions on the security aspect of SMD. The results was very interesting, where the findings revealed that there were a lack of positive relationships between SMD users and their level of SMD security awareness. A new framework approach to securing SMD is proposed to ensure that users have strong protection over their data within SMD.
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Woo, Susie. „GIs and the Kids of Korea“. In Framed by War, 33–56. NYU Press, 2019. http://dx.doi.org/10.18574/nyu/9781479889914.003.0002.

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This chapter centers upon the US military in Korea between 1945 and 1953. While Koreans experienced war violence firsthand, American and international audiences grew increasingly aware of and concerned about the devastation wrought by the US military as the war raged on. It was in this context that US military officials actively paired US servicemen with Korean orphans to help narrate the unpopular war. This chapter demonstrates how the American soldier was transformed from the bringer of bombs to the rescuer of children. Using US military records, army chaplain logs, Department of Defense raw footage, newsreels, photographs from popular US magazines, as well as US and Korean newspapers, this chapter traces how violent soldiers were transformed into caring fathers. Mandated by the US military and perpetuated through media, these relationships helped to recoup the losses of war and deflect international accusations of US imperialism, while drawing Americans together with Koreans in intimate ways. The chapter closes with a look at the symbolic purposes of these actions, goals made clear by military officials who blocked Korean houseboys from living in the barracks and stopped servicemen from formally adopting Korean children, intimacies that exceeded the intentions of these rescue narratives.
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Kleinman, Arthur. „Social and cultural anthropology: salience for psychiatry“. In New Oxford Textbook of Psychiatry, 275–79. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199696758.003.0036.

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Anthropology's chief contribution to psychiatry is to emphasize the importance of the social world in diagnosis, prognosis, and treatment, and to provide concepts and methods that psychiatrists can apply (the appropriate cross-disciplinary translation first being made, however). But that is not the only contribution that anthropology offers. Ethnographers are aware that knowledge is positioned, facts and values are inseparable, and experience is simply too complex and robust to be easily boxed into tight analytical categories. Hence a sense of the fallibility of understanding, the limitation of practice, and irony and paradox in human conditions is the consequence of ethnography as a method of knowledge production. Anthropology also complements the idea of psychosomatic relationships with evidence and theorizing about sociosomatic relationships. Here moral processes—namely what is at stake in local worlds—are shown to be closely linked with emotional processes, which are frequently about experiences of loss, fear, vexation, and betrayal of what is collectively and individually at stake in interpersonal relationships. Change in the former can change the latter, and this can at times work in reverse as well. Examples include the way symptoms intensify or even arise in response to fear and vexation concerning threats perceived as serious dangers to what is most at stake. The relationship of poverty to morbidity and mortality is a different example of sociosomatic processes. Poverty correlates with increased morbidity and mortality. Psychiatrists have often had trouble getting the point that public health and infectious disease experts have long understood. But it is not just diarrhoeal disease, tuberculosis, AIDS, heart disease, and cancer that demonstrate this powerful social epidemiological correlation—so do psychiatric conditions. Depression, substance abuse, violence, and their traumatic consequences not only occur at higher rates in the poorest local worlds, but also cluster together (much as do infectious diseases), and those vicious clusters define a local place, usually a disintegrating inner-city community. Hence the findings of the National Co-Morbidity Study in the United States of America that most psychiatric conditions occur as comorbidity is a step toward this ethnographic knowledge—that in the most vulnerable, dangerous, and broken local worlds, psychiatric diseases are not encountered as separate problems but as part of these sociosomatic clusters. Finally, anthropology is also salient for policy and programme development in psychiatry. Against an overly narrow neurobiological framing of psychiatric conditions as brain disorders, anthropology in psychiatry draws on cross-national, cross-ethnic, and disintegrating community data to emphasize the relationship of increasing rates of mental health problems, especially among underserved, impoverished populations worldwide, and increasing problems in the organization and delivery of mental health services to fundamental transformations in political economy, institutions, and culture that are remaking our epoch. In so doing, anthropology projects a vision of psychiatry as a discipline central to social welfare and health policy. It argues as well against the profession's ethnocentrism and for the field as a larger component of international health. Anthropology (together with economics, sociology, and political science) also provides the tools for psychiatry to develop policies and programmes that address the close ties between social conditions and mental health conditions, and social policies and mental health policies. In this sense, anthropology urges psychiatry in a global direction, one in which psychiatric knowledge and practice, once altered to fit in more culturally salient ways in local worlds around the globe, have a more important place at the policy table.
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„psychiatric illness. In refusing to admit the evidence the judge considered Graham and Howe and said that if the word ‘characteristics’ was given the natural wide meaning it would include personal mental characteristics and if these were included the objective test would be undermined completely. Therefore, there must be a limited meaning in this context and it seemed to the judge it would include such things as age, sex, and serious physical disability, but he did not consider it included mental characteristics such as inherent weakness, vulnerability and susceptibility to threats. The history was inadmissible as hearsay and the doctor could not say whether the appellant was in fact threatened nor could he say whether he was affected by any threats which might have been made. The psychiatrist’s opinion that the appellant was by nature pliable or vulnerable could not concern the jury because that would circumvent the objective test. The death of his father a year or more before the offences was something within the ordinary scope of human experience (see Turner (1974) 60 Cr App R 80). In support of his argument that the judge was wrong, counsel relied on a passage from the Law Commission Report (No 83, para 228), which said that the personal characteristics of a defendant were most important. Threats directed against a weak, immature or disabled person might well be much more compelling than against a normal healthy person. However, that recommendation was not enacted by Parliament and did not represent the law. The court was bound by Graham and Howe, and Lord Lane’s judgment in Graham did not comply with the suggestion of the Law Commission. The second limb of the test, which passed an objective test, required the jury to ask themselves whether a person of reasonable firmness, otherwise sharing the characteristics of the defendant, would or might have responded as he did to the threats to which he was subjected. If the standard for comparison was a person of reasonable firmness it must be irrelevant for the jury to consider any characteristics of the defendant which showed that he was not such a person, but was pliant or vulnerable to pressure. It would be a contradiction in terms to ask the jury this question, and then to ask them to take into account, as one of his characteristics, that he was pliant or vulnerable. For the purposes of this appeal, evidence of personal vulnerability or pliancy falling short of psychiatric illness was not relevant. R v Hegarty [1994] Crim LR 353 (CA) Facts: At the appellant’s trial for robbery, and possession of an imitation weapon, his defence was duress. He claimed that some Asian men who accommodated him when he was on the run later attacked him and threatened violence against his family unless he carried out the robberies. The Crown challenged the existence of the Asians or the threats. In support of the plea of duress the appellant sought to put before the court the evidence of two medical witnesses who would testify to his mental instability. He had a conviction for manslaughter of his wife on grounds of diminished responsibility, and the“. In Sourcebook Criminal Law, 567. Routledge-Cavendish, 1996. http://dx.doi.org/10.4324/9781843143093-135.

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„reports described him as ‘emotionally unstable’ and in a ‘grossly elevated neurotic state’. The judge refused to admit the evidence, and on appeal following conviction it was contended that he was wrong. The primary contention was that the appellant’s pre-existing mental condition made him vulnerable to threats. Held, dismissing the appeal, the duress relied upon was duress by threats, but in some cases a defendant might be able to rely on ‘duress by circumstances’ (see Conway [1989] QB 290; Martin [1989] 1 All ER 652), and although not argued in this way it was proposed to consider whether the medical evidence could have been introduced on the basis that Hegarty might have been able to set up such a defence. Duress by threats provided a defence to a charge of any offence other than murder (see Howe [1987] AC 417), attempted murder (see Gotts [1982] 2 AC 412) and some forms of treason. It was founded on public policy considerations (see AG v Whelan [1934] IR 518). The fact that the defendant’s mind had been ‘overborne’ by the threats did not mean that he lacked the requisite intent to commit the crime (see DPP for Northern Ireland v Lynch [1975] AC 653, 703B). It followed that the law might have developed on the lines that, when considering duress, a purely subjective test should be applied, and it might well develop in this way in the future (see Law Com 218, para 29.14, November 1993, Cmnd 2370 and draft Criminal Law Bill, cl 25(2)). As the law stood however the test was not purely subjective but required an objective test to be satisfied (Howe). The jury had to consider the response of a sober person of reasonable firmness ‘sharing the characteristics of the defendant’. They could take account of age, sex and physical health, but it was open to consideration whether the shared characteristics could include a personality disorder of the kind suffered by the appellant. His counsel argued that the expert evidence was relevant to explain the reaction of a man like him to threats of violence to himself and his family, and admissible because the pathological aspects of his personality and the effect of his disorder on his behaviour were matters which lay outside the knowledge and experience of a judge and jury. Counsel referred to a passage in Emery (1993) 14 Cr App R (S) 394, 398 where Lord Taylor CJ said that: ‘... The question for the doctors was whether a woman of reasonable firmness with the characteristics of [the appellant], if abused in the manner which she said, would have had her will crushed so that she could not have protected her child.’ It was accepted that for the purposes of the subjective test medical evidence was admissible if the mental condition or abnormality was relevant and its effects lay outside the knowledge and experience of laymen. In the present case, the reports before the judge did not go that far, and the judge had to decide on the material before him. There were no grounds for disturbing his decision. As the evidence was not admissible to explain the reaction of the appellant himself, it was clearly not admissible on the objective test. The passage cited could not be read in isolation“,. In Sourcebook Criminal Law, 568. Routledge-Cavendish, 1996. http://dx.doi.org/10.4324/9781843143093-136.

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„reversing he accidentally drove over one of his own passengers who had failed to get into the car in time. The magistrates’ court convicted him of driving with excess alcohol but the Crown Court allowed his appeal against conviction on the basis of duress. The prosecutor appealed against the Crown Court decision by way of case stated. Held, dismissing the appeal, it was clear that the defence of duress was made out where fear engendered by threats caused a person to lose complete control of his will (see Willer (1986) 83 Cr App R 225; Ortiz (1986) 83 Cr App R 173, 176, per Farquharson J). On the facts found by the Crown Court the appellant was in terror when he drove off and it was a hypothetical question whether he might have driven in the same way if he had not been in fear from the threats. A further important finding of fact was that he drove off only ‘some distance’ down the road and not, for example, all the way home so that the defence of duress/necessity continued to avail him. (DPP v Jones [1990] RTR 33 distinguished.) The prosecution had failed to negative the defence of duress. DPP v Davis; DPP v Pittaway [1994] Crim LR 600 (DC) Facts: The respondents were charged separately with driving with excess alcohol, contrary to s5(1)(a) of the Road Traffic Act 1988. Magistrates dismissed the charges finding that, in each case, the defence of duress had been proved. The DPP appealed by way of case stated. Davis: Magistrates found Davis had been suffering stress and anxiety when he had accepted an invitation to go for a meal with a male acquaintance. After the meal he returned to the other man’s flat where he became the subject of an unwelcome homosexual advance. Magistrates found he feared for his life and had run from the flat. After breaking free from the other man’s clutches, he had driven away. Magistrates applied a subjective test in deciding it was more likely than not that events had caused Davis to lose complete control of his will. Pittaway: Pittaway had recently divorced her husband who had been violent towards her. Magistrates found that, as a result of the violence she was frightened of men. She formed a new relationship with the appellant. At a party, she and the appellant had a row, leading to an angry exchange of words outside the party and unspecified threats being made by the appellant. Magistrates found the respondent believed she would suffer immediate violence from the appellant and, although she ran to her house which was about 200 yards from the party, she decided instead to hide in her car. After five minutes or so, she drove 200 yards before being stopped. The appellant was not in the vicinity at the time. Held, allowing both appeals and remitting the cases to the magistrates with a direction to convict, there was not evidence raising the defence of duress. Davis: Although the defence of duress was subjective, it also had objective elements to it, namely whether there was good cause to fear death or serious injury would occur unless the respondent acted as he had done, and whether a sober person of reasonable firmness, sharing the respondent’s characteristics“,. In Sourcebook Criminal Law, 596. Routledge-Cavendish, 1996. http://dx.doi.org/10.4324/9781843143093-141.

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