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Search Results (3,674)

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17 pages, 313 KB  
Article
The Lived Experience of Men in Chaotic and Violent Relationships
by Jean-Luc Arrigo, Sally Fitzpatrick and Lynne McCormack
Fam. Sci. 2026, 2(2), 11; https://doi.org/10.3390/famsci2020011 - 14 Apr 2026
Abstract
Men who have used violence against intimate partners remain an under-researched population, despite their potential to advance understanding of motivations and relational dynamics underlying such behavior. This study employed semi-structured interviews and interpretative phenomenological analysis to examine the lived experiences of five adult [...] Read more.
Men who have used violence against intimate partners remain an under-researched population, despite their potential to advance understanding of motivations and relational dynamics underlying such behavior. This study employed semi-structured interviews and interpretative phenomenological analysis to examine the lived experiences of five adult men with histories of partner violence. A superordinate theme, Chaotic Interpersonal and Systemic Relationships, encompassed five experiential themes describing volatile partnerships shaped by mutual vulnerabilities. Participants commonly reported trauma histories and/or antisocial traits influencing partner selection, with abuse experienced as bidirectional. Disillusionment emerged when participants perceived that the mutual nature of violence was unacknowledged, limiting their engagement in meaningful change. Although behavior change programs were often understood at a conceptual level, participants struggled to translate insight into sustained behavioral transformation. Consistent with post-traumatic growth theory, participants described developing greater personal responsibility and more constructive views of relationships over time. Greater systemic recognition of bidirectional violence, identified in the literature as a prevalent form of intimate partner violence, may strengthen the therapeutic alliance and support more nuanced etiological inquiry. Shifting systemic responses from deficit-based, gendered models toward strength-based approaches may better harness men’s capacity for more permanent positive psychological and behavioral change. Full article
12 pages, 217 KB  
Article
In the Texture of Things: Collage as a Site of Material Constraint and Possibility
by molly rosabelle ackhurst
Arts 2026, 15(4), 79; https://doi.org/10.3390/arts15040079 - 14 Apr 2026
Abstract
This article explores the affective and material complexities of creating arts-based artefacts to explore and represent sexual violence. It does so through attending to both the materials used and the embodied practices of those making them. Focusing on collage, it examines how the [...] Read more.
This article explores the affective and material complexities of creating arts-based artefacts to explore and represent sexual violence. It does so through attending to both the materials used and the embodied practices of those making them. Focusing on collage, it examines how the physical properties of materials mediate what can be imagined, simultaneously enabling expression and constraining it within familiar visual vocabularies often shaped by state, security, and punitive logics. I argue that materiality operates not only through objects but through the bodies, gestures, and decisions of makers, shaping what can be imagined. Through engagement with Nancy Naples’ (2003) formative work on survivor discourse alongside novel empirical data and cultural texts, the article makes the subtle yet significant contention that attending to these entangled materialities—of both maker and medium—reveals how friction between imaginative intent and material affordances can generate methodological insights, open alternative futures, and disrupt dominant discourses. Full article
23 pages, 319 KB  
Review
Innovating Through Diversity: The Inclusion of Women with Disabilities
by Maria-Leticia Meseguer, Felix-Manuel Vargas and Francisco-Ramon Sanchez-Alberola
Disabilities 2026, 6(2), 36; https://doi.org/10.3390/disabilities6020036 - 10 Apr 2026
Viewed by 208
Abstract
One of the main focuses of social innovation is the fight for social inclusion for all. The prevalence of violence against women with disabilities shows how the lack of recognition of diversity hinders real equality for these individuals. This violence is a structural [...] Read more.
One of the main focuses of social innovation is the fight for social inclusion for all. The prevalence of violence against women with disabilities shows how the lack of recognition of diversity hinders real equality for these individuals. This violence is a structural problem that is caused by a combination of gender and disability dynamics, the perpetuating inequalities and social exclusion. Researchers have analyzed specific vulnerabilities in the areas of work, education and health, and point out that only by addressing diversity can we overcome the consequences of such discrimination. Using a qualitative methodological approach, this study utilized critical documentary analysis and a thematic review of recent scientific, academic, and institutional literature, alongside empirical data, to identify the most prevalent forms of violence faced by women with disabilities: sexual (affecting up to 80% of women with disabilities), economic (with wage gaps exceeding 24%), and institutional (a lack of accessibility to basic services). The barriers hindering these women’s access to resources and services are also highlighted. The results point to the urgent need to develop innovative public policies and social strategies that value social diversity as a driver of change. This study concludes with specific recommendations for implementing inclusive approaches that promote equality, universal accessibility, and comprehensive protection in order to move toward more just, cohesive, and innovative societies. Full article
26 pages, 372 KB  
Article
Attitudes Toward Sexual and Digital Consent and Institutional Distrust as Determinants of Gender-Based Violence Prevention: Evidence from an Urban Adult Population
by Esperanza García Uceda, Diana Valero Errazu and Jesús C. Aguerri
Int. J. Environ. Res. Public Health 2026, 23(4), 480; https://doi.org/10.3390/ijerph23040480 - 10 Apr 2026
Viewed by 289
Abstract
Gender-based and sexual violence are major public health concerns, and norms about consent are central to their prevention. This study examines how attitudes toward sexual consent relate to digital sexual consent and to the occasional feeling of distrust in public consent campaigns and [...] Read more.
Gender-based and sexual violence are major public health concerns, and norms about consent are central to their prevention. This study examines how attitudes toward sexual consent relate to digital sexual consent and to the occasional feeling of distrust in public consent campaigns and institutions. We conducted a cross-sectional online survey embedded in the evaluation of a municipal consent campaign in Zaragoza (Spain). Adults (N = 404; 56.7% women) completed a 14-item short version of the Sexual Consent Scale–Revised, two items on digital sexual consent, and three items on institutional reluctance (perceived “sermonizing” tone, distrust in effectiveness, and lack of personal identification with the message). Correlation and multiple regression models with robust standard errors were estimated, controlling for gender, age, education, income, relationship status, and social media use. Attitudes toward sexual consent were strongly and positively associated with digital sexual consent. Gender was the most consistent sociodemographic correlate: men showed less egalitarian attitudes than women across all consent measurements. Institutional reluctance was systematically related to less supportive consent attitudes: perceiving institutional messages as exaggerated or personally irrelevant predicted lower support for sexual and digital consent norms, whereas trust in the campaign’s effectiveness was associated with more egalitarian attitudes. The findings support the continuity between sexual and digital consent and highlight gender and institutional trust as key determinants for the prevention of gender-based and sexual violence. Public health and social policies should integrate digital consent into consent education and co-design campaigns that minimize defensive reactions and rebuild trust in institutions. Full article
17 pages, 263 KB  
Article
“It Was Traumatizing, Because It Makes You Feel Like You Are Not Right”: 2S/LGBTQIA+ Survivors’ Experiences Accessing Care for Intimate Partner Violence-Caused Brain Injury
by Emily Chisholm and Tori N. Stranges
Healthcare 2026, 14(8), 997; https://doi.org/10.3390/healthcare14080997 - 10 Apr 2026
Viewed by 253
Abstract
2S/LGBTQIA+ survivors of intimate partner violence (IPV) face multiple, intersecting barriers to accessing care, yet little is known about how these barriers are shaped by IPV-caused brain injury (IPV-BI). Background/Objectives: This study aimed to explore how stigma and institutional trust influence 2S/LGBTQIA+ survivors’ [...] Read more.
2S/LGBTQIA+ survivors of intimate partner violence (IPV) face multiple, intersecting barriers to accessing care, yet little is known about how these barriers are shaped by IPV-caused brain injury (IPV-BI). Background/Objectives: This study aimed to explore how stigma and institutional trust influence 2S/LGBTQIA+ survivors’ experiences of help-seeking following IPV-BI. Guided by a Community Advisory Board, four semi-structured focus groups were conducted with 29 2S/LGBTQIA+ IPV-BI survivors. Methods: Reflexive thematic analysis was used to examine participants’ help-seeking accounts, with attention to minority stress and intersecting stigmas related to IPV, BI, and 2S/LGBTQIA+ identity. Results: The findings indicate that survivors navigated compounded stigmas that limited access to safe, affirming services and heightened vulnerability during help-seeking. Institutional trust was central to participants’ decisions to disclose sensitive information and engage in care, with confidentiality emerging as a critical determinant of perceived safety. Participants described negotiating disclosure, anticipating discrimination, and avoiding services when systems were perceived as unsafe or unresponsive. Conclusions: These findings highlight the need for service systems to integrate IPV-BI into screening and support protocols, provide training on the intersections of IPV, BI, and 2S/LGBTQIA+ identities, and centre confidentiality as a condition for trust and access, ultimately fostering safer, more responsive systems of care. Full article
19 pages, 266 KB  
Article
The Virtue of Violence in Sport
by Evan Thomas Knott
Philosophies 2026, 11(2), 60; https://doi.org/10.3390/philosophies11020060 - 10 Apr 2026
Viewed by 257
Abstract
This paper explores the ethical dimensions of violence in sporting contexts, proposing that violence can be a virtue when characterized by controlled physicality. While society often views violence negatively, the paper argues that within rule-governed sports, certain forms of violence are morally permissible, [...] Read more.
This paper explores the ethical dimensions of violence in sporting contexts, proposing that violence can be a virtue when characterized by controlled physicality. While society often views violence negatively, the paper argues that within rule-governed sports, certain forms of violence are morally permissible, strategically valuable, and essential to upholding the integrity of the game. Drawing on Suitsian terms and Kantian ethics, the paper develops a theory of lusory violence, distinguishing it from uncontrolled physicality or unmitigated violence. By examining the roles of enforcers in hockey, the development of MMA, and the ethics of sport jiu-jitsu, the paper suggests that violence is acceptable within a lusory framework only when it is purposive, strategically relevant, and constrained by rules that prioritize technical skill over raw damage. Ultimately, the paper argues that the ability to modulate violent behaviour represents a form of moral development, framing virtuous violence as a necessary tool for maintaining natural justice and personal excellence within specific sporting environments. Yet, virtuous violence is subordinate to technique, justice, and other defining elements of sports. Full article
(This article belongs to the Special Issue Philosophy of Sport and Physical Culture)
25 pages, 595 KB  
Article
The Socio-Religious Forgiveness and Reconciliation in Desmond Mpilo Tutu, as a Possible Inspiration for the Post-Genocide Rwanda
by Celestin Ntaganira
Religions 2026, 17(4), 474; https://doi.org/10.3390/rel17040474 - 9 Apr 2026
Viewed by 147
Abstract
Rwanda has experienced the tragedy of conflict and hatred based on what was politically created as ethnicity. That bad condition grew in history with the post-colonial leaders and produced the genocide of the Tutsi population in the country in 1994. Currently, there is [...] Read more.
Rwanda has experienced the tragedy of conflict and hatred based on what was politically created as ethnicity. That bad condition grew in history with the post-colonial leaders and produced the genocide of the Tutsi population in the country in 1994. Currently, there is no open violence in Rwanda, but there are some significant elements of socio-religious crisis that are consequences of the recent past, genocide, and war. Therefore, in this article, the effort is made to examine what has been done in Society and the Catholic Church, to which 44% of Rwandans religiously belong, and what the weak points are in the Church and the State’s reconciliation efforts, that could be improved by inspiration through the concept of reconciliation of Desmond Mpilo Tutu. To carry on this research, this study adopts a comparative and hermeneutic method where the various sources on the Rwandan journey in forgiveness and reconciliation are analysed, and then, the forgiveness and reconciliation work of Desmond Mpilo Tutu. The meeting of two contexts shows that both victims and perpetrators need the restoration of their humanity and dignity, but also that there is “no future without forgiveness”. Full article
(This article belongs to the Special Issue Social Justice in Theological Education: Challenges and Opportunities)
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21 pages, 1779 KB  
Article
Between Flesh and Miracle: Phenomenological Dimensions of Pain and Healing in The Green Mile
by Ulugbek Ochilov, Shuhrat Sirojiddinov, Muhabbat Baqoyeva, Feruza Khajieva, Otabek Fayzulloyev, Bakhtiyor Gafurov, Kakhramon Tukhsanov, Dilnoza Sharipova, Makhmud Babaev, Gulrukh Bobokulova, Shahnoza Kholova and Shahnoza Tuyboeva
Humanities 2026, 15(4), 57; https://doi.org/10.3390/h15040057 - 9 Apr 2026
Viewed by 216
Abstract
This article examines the interaction between phenomenological illness theory and magical realism in Stephen King’s The Green Mile. It uses ideas from phenomenological psychopathology and illness narrative theory to explain how King presents supernatural events through a restrained and matter-of-fact narrative register. [...] Read more.
This article examines the interaction between phenomenological illness theory and magical realism in Stephen King’s The Green Mile. It uses ideas from phenomenological psychopathology and illness narrative theory to explain how King presents supernatural events through a restrained and matter-of-fact narrative register. Instead of considering magical realism as a genre or a mere literary device, the article views magical realism as a stylistic mode that is produced by the tension between realistic descriptions and unexplained supernatural moments. Through a close reading of King’s prose, especially his diction, narrative voice and bodily descriptions, this study shows that John Coffey’s healing acts represent the otherwise incommunicable experience of suffering. These supernatural events make visible forms of institutional violence such as prison brutality, racial injustice and execution, which are often invisible in traditional realist narratives. This article also argues that magical realism is not limited to Latin American literature but can function effectively in American popular fiction. Finally, the findings suggest that, while magical realism may be helpful in exposing injustice and suffering, it may also have the danger of aestheticizing pain rather than fully transforming it into political critique. Full article
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16 pages, 377 KB  
Article
Maternal PTSD and Depression as Predictors of Child Internalizing and Externalizing Symptoms: The Mediating Roles of Parenting Stress and Maternal Mentalization
by Rossella Procaccia, Giulia Segre and Cristina Liviana Caldiroli
Healthcare 2026, 14(8), 984; https://doi.org/10.3390/healthcare14080984 - 9 Apr 2026
Viewed by 223
Abstract
Background: Exposure to intimate partner violence (IPV) represents a major risk factor for both maternal psychological well-being and child development. Maternal psychopathology—particularly depression and post-traumatic stress disorder (PTSD)—has been shown to impair parenting functioning and increase children’s vulnerability to emotional and behavioral difficulties. [...] Read more.
Background: Exposure to intimate partner violence (IPV) represents a major risk factor for both maternal psychological well-being and child development. Maternal psychopathology—particularly depression and post-traumatic stress disorder (PTSD)—has been shown to impair parenting functioning and increase children’s vulnerability to emotional and behavioral difficulties. Objectives: This study examined the associations between maternal depression and PTSD symptoms and children’s internalizing and externalizing problems, and explored whether parenting stress and maternal mentalization capacities mediate these relationships. Methods: The sample included 42 mothers (mean age = 43.38, SD = 10.56) and their preschool- and school-aged children (n = 42; mean age = 8.30, SD = 2.53) exposed to IPV. Mothers completed self-report measures assessing depressive and PTSD symptoms, parenting stress, and mentalization (uncertainty and certainty about mental states). Children’s internalizing and externalizing problems were assessed through maternal report. Mediation analyses with bootstrapping procedures were conducted to examine indirect effects. Results: Maternal depressive symptoms emerged as the strongest predictor of children’s internalizing problems. Parenting stress was associated with stronger relationships between maternal symptoms and children’s internalizing problems, while polarized mentalization—particularly uncertainty and, to a lesser extent, excessive certainty about mental states—partially mediated the relationship. Maternal PTSD symptoms predicted both internalizing and externalizing problems. Parenting stress fully mediated the association between PTSD symptoms and children’s externalizing behaviors, whereas excessive certainty and uncertainty about mental states showed partial mediation effects. Conclusions: These findings suggest that maternal psychopathology may influence child adjustment both directly and indirectly through increased parenting stress and dysregulated mentalization. The results highlight the importance of trauma-informed, dyadic interventions targeting maternal mental health, parenting stress, and reflective functioning to prevent the intergenerational transmission of trauma and support resilience in families exposed to IPV. Full article
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21 pages, 371 KB  
Review
Existing and Potential Therapies for Post-Traumatic Stress Disorder and Persistent Post-Concussion Symptoms in Intimate Partner Violence: A Narrative Review
by Charlotte Copas, Abigail D. Astridge, Jennifer Makovec Knight, Stuart J. McDonald, Sandy R. Shultz and Georgia F. Symons
Brain Sci. 2026, 16(4), 398; https://doi.org/10.3390/brainsci16040398 - 8 Apr 2026
Viewed by 281
Abstract
Background: Intimate partner violence (IPV) is a pervasive medical concern affecting millions of people worldwide, with the majority being women. IPV is linked to a number of long-term physical and mental health consequences, including brain injuries and associated persistent post-concussion symptoms (PPCS) and [...] Read more.
Background: Intimate partner violence (IPV) is a pervasive medical concern affecting millions of people worldwide, with the majority being women. IPV is linked to a number of long-term physical and mental health consequences, including brain injuries and associated persistent post-concussion symptoms (PPCS) and post-traumatic stress disorder (PTSD). Despite the high prevalence of these conditions, there is sparse literature assessing accessible and effective therapeutic avenues specific to IPV victim-survivors. Methods: This narrative review had two aims: to identify therapeutic studies addressing PTSD and PPCS in women IPV survivors, and to provide a narrative overview of potential therapeutic categories, including psychotherapy, mindfulness and meditation, exercise, and pharmacotherapy. A comprehensive literature search was conducted using PubMed and Google Scholar. Inclusion criteria required full-text, peer-reviewed articles published in English, conducted in women with a history of IPV, reporting treatment outcomes related to PTSD or PPCS. Where no IPV-specific evidence was identified, findings from closely related populations including military veterans, athletes, and general TBI samples were narratively reviewed to inform potential therapeutic implications. Results: Nineteen studies addressing PTSD in women IPV survivors were identified, predominantly utilizing psychotherapeutic or mindfulness and meditation-based interventions. No intervention studies targeting PPCS specifically in IPV survivors were identified. Consequently, results for PPCS are largely extrapolated from adjacent populations. Although potential therapeutic avenues were narratively identified across psychotherapy, mindfulness and meditation, exercise, and pharmacotherapy, IPV-specific evidence remains limited, and validation for PTSD and PPCS in this population is needed before clinical recommendations can be made. Conclusions: While 19 studies identified promising therapeutic options for IPV-related PTSD, no IPV-specific PPCS interventions were identified, and implications for PPCS management remain largely inferential. Validation and integrated trauma-informed approaches addressing the intersection of PTSD and PPCS are needed for this understudied population. Full article
19 pages, 271 KB  
Article
Sexualized Deepfakes in UK Schools: Understanding and Preventing AI-Generated Image-Based Sexual Abuse Through Better AI Literacies
by Jessica Ringrose, Tanya Horeck and Edith Rodda
Behav. Sci. 2026, 16(4), 554; https://doi.org/10.3390/bs16040554 - 8 Apr 2026
Viewed by 957
Abstract
Responding to the lack of academic research on how young people are impacted by deepfake sexual abuse or how schools should address these issues, this paper explores levels of awareness of AI technology and sexualized deepfakes in UK schools and how schools are [...] Read more.
Responding to the lack of academic research on how young people are impacted by deepfake sexual abuse or how schools should address these issues, this paper explores levels of awareness of AI technology and sexualized deepfakes in UK schools and how schools are responding to these newly emergent harms. Drawing on interviews with students and teachers from eight schools across the UK, we found that teachers and students express uncertainty about how AI deepfake technology works. Some teachers underestimated how easy the technology is to use, and they lacked uniform comprehension that sexualized deepfakes should be treated the same way as non-consensual nudes, leading to inconsistency and variations in school responses. Students similarly lacked basic literacy about AI, equating AI with LLMs like ChatGPT, and even though sexualized deepfakes were occurring in their school contexts, students reported having received no explicit education on the topic. Educators and students connected sexualized deepfakes to a rise in misogyny via social media influencers, with some of the students and teachers calling for more education on AI, sexual violence, and consent at earlier ages. We advance the concept of AI-generated image-based sexual abuse, arguing that these harms should be understood as elements of technology-facilitated gender-based violence (TFGBV). We argue this framing is necessary to support systematic understandings of this issue and develop appropriate school responses. Our discussion offers recommendations for improving AI literacy, including preventative AI education that engages critically with AI harms and supports victims. Full article
16 pages, 231 KB  
Article
The Help-Seeking Experiences of Domestic Abuse Survivors in England: Insights from the Research Phase of an Experience-Based Co-Design Study
by Shoshana Gander-Zaucker, Gemma L. Unwin, J’nae A. Christopher and Michael Larkin
Soc. Sci. 2026, 15(4), 239; https://doi.org/10.3390/socsci15040239 - 7 Apr 2026
Viewed by 200
Abstract
Experience-based co-design emphasizes understanding service-users’ experiences to inform service improvement, yet little research has explored domestic abuse survivors’ perspectives within this framework. This study examined survivors’ accounts of their interactions with the police and organizations that support domestic abuse survivors. We aimed to [...] Read more.
Experience-based co-design emphasizes understanding service-users’ experiences to inform service improvement, yet little research has explored domestic abuse survivors’ perspectives within this framework. This study examined survivors’ accounts of their interactions with the police and organizations that support domestic abuse survivors. We aimed to identify aspects of practice experienced as either helpful or in need of improvement. Semi-structured interviews with six survivors in one area of England were analyzed using reflexive thematic analysis. Survivors described obstructive and supportive responses from formal services. Four interrelated themes were developed: The Importance of Being Understood, Believed, and Cared For; It Is Important That There Is Good Communication Between the Survivor and Formal Services; Survivors Want a Victim-Centered, Rapid, and Meaningful Response; and Specific Circumstances Sometimes Influence Opportunities for Help-Seeking. Survivors described being dismissed and disbelieved, which contributed to negative help-seeking experiences and heightened feelings of vulnerability. In contrast, empathic and timely responses validated survivors’ experiences and supported their sense of safety. The findings highlighted the importance of practice that recognizes the different forms abuse can take, provides timely, victim-centered support, and responds equitably to survivors in diverse circumstances. This study demonstrates the valuable insights gained through applying an experience-based co-design approach in this setting. Full article
(This article belongs to the Special Issue Contemporary Work in Understanding and Reducing Domestic Violence)
16 pages, 271 KB  
Article
At the Heart of the Heartless Bureaucracy of the UK Asylum System: Refugee Women’s Experiences of the State of Limbo in Between Violence and Protection
by Emmaleena Käkelä
Soc. Sci. 2026, 15(4), 238; https://doi.org/10.3390/socsci15040238 - 7 Apr 2026
Viewed by 159
Abstract
Considerations of gender have long been overlooked in legal discourses and public debates on asylum. In more recent years, the right-wing narrative has taken a strategic U-turn, instead misappropriating gendered concerns including gender-based violence for the purposes of promoting racialised border controls on [...] Read more.
Considerations of gender have long been overlooked in legal discourses and public debates on asylum. In more recent years, the right-wing narrative has taken a strategic U-turn, instead misappropriating gendered concerns including gender-based violence for the purposes of promoting racialised border controls on the grounds of cultural incompatibilities, and by painting refugees as a threat to British values, economy and security. This paper calls out the hypocrisy of such femonationalist framings for overlooking the ways in which Western institutions sustain refugee women’s ongoing vulnerabilities. Drawing from qualitative interviews and focus groups with refugee women survivors of female genital mutilation/cutting (FGM/C), this paper examines the continuities of harm in the lives of women who have fled gender-based persecution to Britain. The paper critically maps the way prolonged state control during the asylum process perpetuates a sense of violence as ongoing, and its damaging implications on survivors striving to navigate life after flight. In doing so, the findings contribute new insights into established scholarship on asylum harms by illuminating the gendered consequences of violence of waiting, and refugee women’s subtle individual and collective strategies to struggle against violent continuums. Full article
(This article belongs to the Special Issue Conducive Contexts and Vulnerabilities to Domestic Abuse)
10 pages, 398 KB  
Article
Educating for Equity: Preparing Student Midwives for Antenatal Care of Vulnerable Pregnant Women—A Pilot Study
by Janice Hill, Tina Werringloer, Ulrike Keim, Maria Meisl and Claudia F. Plappert
Healthcare 2026, 14(7), 952; https://doi.org/10.3390/healthcare14070952 - 5 Apr 2026
Viewed by 186
Abstract
Background: Maternity care for vulnerable pregnant women presents a particular challenge within midwifery practice. In Germany, maternity services lack standardized frameworks to adequately address the specific needs of individuals who have experienced, among other factors, sexualized violence, poverty, female genital mutilation/cutting (FGM/C), or [...] Read more.
Background: Maternity care for vulnerable pregnant women presents a particular challenge within midwifery practice. In Germany, maternity services lack standardized frameworks to adequately address the specific needs of individuals who have experienced, among other factors, sexualized violence, poverty, female genital mutilation/cutting (FGM/C), or discrimination. Limited access to healthcare among these populations contributes to increased maternal and neonatal morbidity and mortality. Emerging evidence indicates that comprehensive medical and psychosocial support provided by midwives can substantially improve obstetric outcomes for marginalized pregnant women. Methods: An elective course, Antenatal Care for Vulnerable Women, was offered in the sixth semester of the Bachelor’s program in Midwifery Science at the University of Tübingen in 2025. The course provided insights into the psychosocial challenges faced by vulnerable pregnant women and prepared students for these specific aspects of midwifery practice. The curriculum incorporated foundational lectures and innovative teaching formats aimed at cultivating constructivist approaches to problem-solving. All sixth-semester midwifery students were asked to assess their knowledge and skills across five vulnerability categories: asylum-seeking, FGM/C, intimate partner violence, trauma, and racism. A pilot pre–posttest analysis using a 6-point Likert scale (1 = very good, 6 = poor) was conducted as hypothesis-generating and curriculum-guiding. The pretest included 38 respondents. The posttest included 11 respondents who attended the course. Results: Students who attended the course demonstrated observable gains in knowledge and skills across all categories, with the greatest improvements in asylum-seeking, median of 5 (IQR 4–5) vs. 2 (2–3); FGM/C, 5 (4–5) vs. 2 (2–3); and racism, 5 (3–5) vs. 2 (2–3). Conclusions: Innovative teaching methods may contribute to preparing midwifery students for targeted care of vulnerable pregnant women. Findings from the pre- and posttests provide preliminary insight into the potential value of experiential learning and may inform the further development of practice-oriented teaching methods. Full article
(This article belongs to the Special Issue Midwifery-Led Care and Practice: Promoting Maternal and Child Health)
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28 pages, 3157 KB  
Article
Between Colonial Hierarchies and Mental Health Care: Structural Racism in the Lives of Racialised Brazilian Women in Portugal
by Izabela Pinheiro, Mariana Holanda Rusu, Conceição Nogueira and Joana Topa
Societies 2026, 16(4), 124; https://doi.org/10.3390/soc16040124 - 4 Apr 2026
Viewed by 298
Abstract
Mental health inequities affecting migrant populations stem from structural determinants that hierarchize access to resources, recognition, and social protection. Among these determinants, structural racism plays a central role in the experiences of racialised Brazilian immigrant women in Portugal, producing vulnerabilities at the intersection [...] Read more.
Mental health inequities affecting migrant populations stem from structural determinants that hierarchize access to resources, recognition, and social protection. Among these determinants, structural racism plays a central role in the experiences of racialised Brazilian immigrant women in Portugal, producing vulnerabilities at the intersection of race, gender, nationality, and migration status. Grounded in intersectional feminist and decolonial epistemology, this study analyses how structural racism operates as a health determinant through specific mechanisms traversing material conditions of life, distress trajectories, and experiences of psychological care, and it examines how these women navigate the limitations of mental health services, identifying conditions for a practice committed to racial equity. Fifteen semi-structured interviews were conducted with racialised Brazilian immigrant women and analyzed through Reflexive Thematic Analysis. The findings indicate that racism is manifested through professional devaluation, labour precarity, documentation instability, and linguistic racialisation, impacting access to rights and the production of psychological distress. Mental health inequities are not limited to barriers to access, as institutional and clinical dynamics tend to individualize distress and disregard its historical and social bases, operating as epistemic violence. The community-based strategies mobilized by participants challenge models centred on individual intervention. This study underscores the need for structurally competent approaches and for institutional reforms oriented toward equity and racial justice within mental health systems. Full article
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