Doctor of Philosophy / School of Family Studies and Human Services / Amber V. Vennum / Sexual desire is important to personal and relational well-being but inevitably declines over time in committed relationships. Individuals, further, commonly report times when they desire more or less sex than their partners (desire discrepancy) which is negatively associated with both relationship and sexual satisfaction. How partner’s make meaning out of (i.e., attributions about their partner’s lower desire for sex) and respond (pursue, withdraw or engage) to moments of discrepant desire is likely influenced by the extent to which partners are able to maintain a clear sense of self in the context of physical and emotional closeness (i.e., their level of differentiation), although this has yet to be tested. Through two studies, I explored the types of attributions and behaviors in response to desire discrepancies and how negative attributions and behaviors mediate the link between differentiation and sexual desire. Specifically in Study 1, I analyzed open-ended responses from 463 participants, using deductive content analysis to examine types of negative attributions and behaviors in response to moments of desire discrepancy. In Study 2, using the findings from Study 1, I developed items to quantitatively measure specific negative attributions and behaviors in response to desire discrepancies. Using a sample of 511 participants, I refined the factor structure of the Desire Discrepancy Attributions and Behaviors Scale and used a path analysis to examine how differentiation is associated with sexual desire both directly and indirectly through negative attributions, emotions, and behaviors (pursue-withdraw). Results indicated that an individual’s level of differentiation is positively associated with sexual desire and this link is significantly mediated by negative attributions and certain negative behaviors. The clinical implications and areas for future research based on the findings of this study are discussed.

Leafflower plant/leafflower moth brood pollination mutualisms are widespread in the Paleotropics. Leafflower moths pollinate leafflower plants, but their larvae consume a subset of the hosts' seeds. These interactions are highly phylogenetically constrained: six clades of leafflower plants are each associated with a unique clade of leafflower moths (Epicephala). Here, we report a previously unrecognized basal seventh pollinating Epicephala lineageassociated with the highly derived leafflower clade Glochidionin Asia. Epicephala lanceolaria is a pollinator and seed predator of Glochidion lanceolarium. Phylogenetic inference indicates that the ancestor of E. lanceolaria most likely shifted onto the ancestor of G. lanceolarium and displaced the ancestral allospecific Epicephala pollinator in at least some host populations. The unusual and apparently coadapted aspects of the G. lanceolarium/E. lanceolaria reproductive cycles suggest that plant-pollinator coevolution may have played a role in this displacement and provide insights into the dynamics of host shifts and trait coevolution in this specialized mutualism.

Annually, nearly 7 million women and 5.5 million men experience some form of intimate partner violence, which has serious health impacts. IPV has also been shown to limit the impact of early childhood home visiting interventions. Given the positive impacts of home visiting, reducing IPV in that setting could alleviate the negative impacts of IPV and improve mother and child outcomes as well. The analysis performed are from data from a randomized trial of an intimate partner violence intervention that was embedded into the Nurse Family Partnership, an evidence-based home visiting program. The intervention focused on identifying IPV, and for women without severe IPV, improving relationship skills including communication patterns and conflict resolution. The goal of this analysis is to examine how changes in partner and history of IPV moderate the relationship skills outcomes. This study aims to fill the gap in knowledge regarding the relationship between a home visiting intervention and relationship skill outcomes in women enrolled in the home visiting program, the Nurse Family Partnership. The purpose of the study is to discover whether the relationship skills differ in participants with stable vs. unstable partnerships and with those who experienced IPV before the start of the study. Women were randomized to NFP as usual (n=105) or NFP+, which included NFP plus the IPV intervention (n=133). Participants were surveyed at baseline, and at one and two-year follow-up with 81% retention over 2 years. Standardized assessment tools assessed relationship quality, communication, problem solving, partner support, relationship decision making, and psychological maltreatment. Marginal modeling was conducted to examine whether the intervention accounted for any change in relationship variables and whether the impact is moderated by history of IPV and changes in partnership. Multilevel modeling of the outcome variables showed some main effects of time such that conflict resolution improves for the intervention group (p<0.05). There is one clinically significant three-way interaction showing reduced relationship danger in the intervention for women with a history of IPV (p<0.06). There were no significant interactions for the partnership change moderator.

Bakgrund: Våld i nära relationer är ett utbrett problem som sträcker sig över alla geografiska områden och samhällsklasser. Vårdpersonal har goda förutsättningar att känna igen signaler och ta upp frågan, men empiriska bevis tyder på att de är ovilliga eller saknar kunskap att ta upp den. Syfte: Syftet med studien var att beskriva vårdpersonalens erfarenheter av mötet med våldsutsatta kvinnor på akutmottagningen. Metod: Studien genomfördes med en kvalitativ metod. Materialet samlades in vid fem intervjuer på en akutmottagning i södra Sverige och analyserades med induktiv innehållsanalys. Studien utfördes under hösten 2016. Resultat: Resultatet visade att det finns rutiner men att det behövs mer kunskap bland vårdpersonalen. När det kom till att ställa frågan om våld så finns det delade meningar kring hur det ska ställas. Det framkom även att det är betydelsefullt för båda parter att skapa ett förtroende och att de första sekunderna i mötet spelar en stor roll. Slutsats: Att möta våldsutsatta kvinnor är ett komplext problem. Grunden till hur mötet med den våldsutsatta kvinnan blir beror mycket på de första sekunderna med vårdpersonalen. Det spelar ingen roll vilken vårdpersonal som möter kvinnan om bara hjärta och tid finns. Nyckelord: Intimate Partner Violence, Våldsutsatta Kvinnor, Vårdpersonal, Sjuksköterska, Erfarenhet / Abstract Background: Intimate partner violence is a widespread problem that crosses all geographical areas and social classes. Healthcare staff are well placed to recognize signals and address the issue, but empirical evidence suggest that they are unwilling or lack the knowledge to act. 
Aim: The purpose of the study was to describe healthcare staffs experience of meeting with women exposed to violence at an emergency department. Method: The study was conducted with qualitative approach. The material was collected with five interviews at an emergency department in the south of Sweden and analyzed by an inductive content analysis. The study was done during autumn 2016. Results: The result showed that there are routines, but more knowledge among the healthcare staff is needed. When it came to ask the question about violence, there are different opinions about how it should be done. It also emerged that it is important for both parties to create a trust and that the first few seconds of  the meeting plays a big role. Conclusion: To meet women exposed to violence is a complexed problem. The first seconds in the meeting with abused women will play a big role. It doesn´t matter which healthcare professionals meet these women as long as they have their heart in the right place and that the time exist. Keywords: Intimate partner violence, battered women, caregivers, nurse and experience

Objectives To examine the associations of Intimate partner violence (IPV) with stress-related sleep disturbance (measured using the Ford Insomnia Response to Stress Test [FIRST]) and poor sleep quality (measured using the Pittsburgh Sleep Quality Index [PSQI]) during early pregnancy. Methods This cross-sectional study included 634 pregnant Peruvian women. In-person interviews were conducted in early pregnancy to collect information regarding IPV history, and sleep traits. Adjusted odds ratios (aOR) and 95% confidence intervals (95%CIs) were calculated using logistic regression procedures. Results Lifetime IPV was associated with a 1.54-fold increased odds of stress-related sleep disturbance (95% CI: 1.08–2.17) and a 1.93-fold increased odds of poor sleep quality (95% CI: 1.33–2.81). Compared with women experiencing no IPV during lifetime, the aOR (95% CI) for stress-related sleep disturbance associated with each type of IPV were: physical abuse only 1.24 (95% CI: 0.84–1.83), sexual abuse only 3.44 (95%CI: 1.07–11.05), and physical and sexual abuse 2.51 (95% CI: 1.27–4.96). The corresponding aORs (95% CI) for poor sleep quality were: 1.72 (95% CI: 1.13–2.61), 2.82 (95% CI: 0.99–8.03), and 2.50 (95% CI: 1.30–4.81), respectively. Women reporting any IPV in the year prior to pregnancy had increased odds of stress-related sleep disturbance (aOR = 2.07; 95% CI: 1.17–3.67) and poor sleep quality (aOR = 2.27; 95% CI: 1.30–3.97) during pregnancy. Conclusion Lifetime and prevalent IPV exposures are associated with stress-related sleep disturbance and poor sleep quality during pregnancy. Our findings suggest that sleep disturbances may be important mechanisms that underlie the lasting adverse effects of IPV on maternal and perinatal health.

Doctor of Philosophy / School of Family Studies and Human Services / Amber V. Vennum / Sexual desire is important to personal and relational well-being but inevitably declines over time in committed relationships. Individuals, further, commonly report times when they desire more or less sex than their partners (desire discrepancy) which is negatively associated with both relationship and sexual satisfaction. How partner’s make meaning out of (i.e., attributions about their partner’s lower desire for sex) and respond (pursue, withdraw or engage) to moments of discrepant desire is likely influenced by the extent to which partners are able to maintain a clear sense of self in the context of physical and emotional closeness (i.e., their level of differentiation), although this has yet to be tested. Through two studies, I explored the types of attributions and behaviors in response to desire discrepancies and how negative attributions and behaviors mediate the link between differentiation and sexual desire. Specifically in Study 1, I analyzed open-ended responses from 463 participants, using deductive content analysis to examine types of negative attributions and behaviors in response to moments of desire discrepancy. In Study 2, using the findings from Study 1, I developed items to quantitatively measure specific negative attributions and behaviors in response to desire discrepancies. Using a sample of 511 participants, I refined the factor structure of the Desire Discrepancy Attributions and Behaviors Scale and used a path analysis to examine how differentiation is associated with sexual desire both directly and indirectly through negative attributions, emotions, and behaviors (pursue-withdraw). Results indicated that an individual’s level of differentiation is positively associated with sexual desire and this link is significantly mediated by negative attributions and certain negative behaviors. The clinical implications and areas for future research based on the findings of this study are discussed.

An extensive review of the existing literature makes apparent that academics who study intimate partner violence focus primarily on physical violence in heterosexual relationships. Non-physical forms of abuse receive secondary attention, despite reported claims from survivors that non-physical forms of abuse are more common, more painful, and have longer lasting effects than physical forms of abuse. The dominant focus on intimate partner violence as a social problem enacted by males on their female partners results in a lack of sufficient literature or conversation pertaining to abuse that exists outside these parameters. Members of sexual minority groups are deliberately excluded from the mainstream movement to protect and support survivors of intimate partner violence. Influenced by these realizations, this research explores the dynamics of non-physical forms of intimate partner violence in lesbian relationships; particularly the ways survivors frame the abuse and their experiences with seeking help.

Thesis advisor: Natana DeLong-Bas / The Syrian Civil War and its displacement of individuals has led to a dramatic increase in intimate partner violence (IPV) among refugee women. Statistics display that 99% of IPV survivors undergo financial control and exploitation, making it difficult to leave these toxic relationships. In 2016, UN Women created a cash-for-work initiative in the Zaatari refugee camp in Jordan intended to provide Jordanian and Syrian refugee women with protection through financial empowerment. The initiative was quickly successful, showing a 20% decrease in intimate partner violence. My research over the past year builds on this logic to explore digital social entrepreneurship as a manner of addressing IPV within the Syrian refugee population in Jordan. I argue that digital social entrepreneurship, ICT startups with a greater social mission, is key to addressing many of the MENA region’s most pressing issues post Arab Spring, as well as beneficial to empowering women. My analysis culminated in a policy recommendation for a cross sectional program to give refugee women in Jordan the resources they need to establish their own digital, socially conscious firms and establish a place for themselves and their families in both the Jordanian and Syrian post civil war economy. / Thesis (BA) — Boston College, 2018. / Submitted to: Boston College. College of Arts and Sciences. / Discipline: Departmental Honors. / Discipline: Islamic Civilization and Societies.

Thesis advisor: V. Paul Poteat / Intimate partner violence (IPV) occurs in LGBTQ (lesbian, gay, bisexual, transgender, queer) relationships at rates equal to or even higher than cisgender heterosexual relationships (Walters, Chen, & Breidig, 2013). The health consequences of IPV are well documented (Kwako et al., 2011). Trauma-informed care (TIC) is one service approach receiving increasing support for use with IPV survivors (Warshaw, Lyon, Phillips, & Hooper, 2014). Nevertheless, there is little research exploring the association between TIC and health among LGBTQ IPV survivors. Immobilization is prevalent for IPV survivors for whom fight or flight may increase risk of violence during traumatic situations (van der Kolk, 1989). TIC might be well-positioned to counter these immobilizing effects in effort to facilitate mobilization and better health for IPV survivors. The relationship between TIC and health through mobilizing mechanisms has not yet been tested. This study examined several mobilizing mechanisms as mediating the relationship between TIC and health including: 1) lower social withdrawal; 2) lower shame; 3) greater emotion regulation; and, 4) greater empowerment. Among 227 LGBTQ adults, structural equation modeling analyses tested the relationship between TIC and health, and the mediating effects of lower social withdrawal and shame, and greater emotion regulation and empowerment on the relationship between TIC and health. Results indicated that the direct effects of TIC on mental and physical health were not significant. Indirect effects of TIC on mental and physical health through the set of mobilizing mechanisms were not significant. However, TIC did predict greater empowerment and emotion regulation and lower social withdrawal. Lower social withdrawal and lower shame also predicted better mental health, while lower shame and emotion regulation predicted better physical health. Practitioners need to uncover additional services and resources beyond TIC that could improve health among LGBTQ IPV survivors. Research should continue to examine the potential effects of TIC in addition to how it is applied in the context of evidence-based treatment programs that are adapted for sexual and gender minorities. / Thesis (PhD) — Boston College, 2018. / Submitted to: Boston College. Lynch School of Education. / Discipline: Counseling, Developmental and Educational Psychology.

Empirical research exploring the physical health of female sex workers and their risk of contracting and spreading sexually transmitted infections has been over-researched. There have also been numerous studies conducted on sex workers highlighting physical violence, rape and stigmatisation. There is, however, little empirical evidence exploring the personal lives of female sex workers especially with regards to their husbands and the impact that their wives choice in career may have on the constructions of their masculinity. Accordingly, this research aimed to qualitatively explore and understand, via a comparative in-depth case study with two married couples, how the masculinity of a man, who is married to a high-income female sex worker, may be constructed, as compared to a man who is married to a woman who is not involved in the sex industry. It was found, after conducting semi-structured, one-on-one interviews with each of the married couples, that the males constructed their masculinity in relation to their wives occupation, their income in comparison to that of their wives, their wives sexuality, familial and historical notions regarding infidelity, certainty regarding paternity, and issues of romantic jealousy (both sexual and emotional). It was found that, at least for the man from a non-traditional marriage (where his wife was a FSW), by constructing and reconstructing one’s masculinity (when faced with perceived threats regarding one's sense of masculinity), one is able to reclaim the typical patriarchal characteristics. This is done by strongly conforming (and potentially overcompensating by doing so) to traditional masculine and social patriarchal standards and/or by constructing one’s masculinity to align with a more liberal feminist perspective. Therefore one demonstrates a contemporary appreciation of gender equality and non-traditional gender roles for one’s female partner.