Introduction: Sexual misconduct is a pervasive and deleterious issue within military contexts. Commonly cited psychological sequelae of sexual assault include anxiety, depression, suicidality, posttraumatic stress disorder (PTSD), as well as interpersonal relationship functioning issues. The experience of military sexual trauma (MST) is unique in that the environment in which the harm occurs, the culture, plays a significant role in the impact of the harm on survivors. MST is often also related to feelings of institutional betrayal and moral injury. While clinical treatment of interpersonal trauma history is common, there is a lack of research regarding the development and efficacy of clinical interventions used with couples affected by MST. The objective of the thesis is to examine how dimensions and impacts of MST affect intimate partner relationships. Methods: A multi-method qualitative approach was taken in the thesis, including a scoping review and two narrative reviews, contextualized using primary qualitative data in the conclusion chapter. Results: MST affects dimensions of intimate partner relationships including communication, trust and attachment, intimacy, conflict, aggression, as well as sexual function and satisfaction. The present work highlights the unique considerations for those affected by MST, suggesting that the relationship between adverse psychological outcomes, such as PTSD, and relationship distress appears to be greater for military than among civilian populations. While clinical work aims to amplify positive outcomes within couple relationships, and reduce individual symptomatology, there exists a lack of interventions tailored to meet the needs of couples affected by MST specifically. Discussion: The present thesis contributes to the growing understanding of how MST affects intimate partner relationships, as researchers and clinicians continue to seek to improve supports available for military members. The work is an appropriate start to inspire and inform future research, identifying existing gaps in the literature spurring on forthcoming work that aims to improve the wellbeing of military-connected intimate partner relationships. / Thesis / Master of Science (MSc) / The present thesis explores how military sexual trauma may affect intimate partner relationships. The work highlights how the literature discusses and describes the link between sexual assault that occurs in the military, posttraumatic stress disorder, and intimate partner relationships. In addition, the work explores concepts related to the experience of sexual assault in the military, such as betrayal, guilt, shame, as well as military culture. The thesis also identifies and summarizes information about therapeutic interventions being used with couples who are affected by military sexual trauma. The present body of work contributes to the growing understanding of how military sexual trauma affects intimate relationships and survivors, while also informing research, clinical services, and policymakers who are making meaningful change in the health and wellbeing of military members and their partners.

A thesis submitted to the school of graduate studies in partial fulfilment of the requirements for the degree doctor of philosophy. / Experiencing intimate partner violence (IPV) is associated with a wide range of mental and physical health conditions that often have profound and enduring consequences in the lives of people, families and communities who are affected. Evidence suggests that many of these health concerns can be mitigated with timely access to medical care which addresses patient safety and needs for support. This has led to health policymakers framing IPV as a “health issue” which physicians are uniquely situated to address. Previous research suggests, however, that many physicians are ill-equipped to respond to patients who have experienced IPV, giving rise to questions about how physicians learn about IPV in the course of their training and how this training might be enhanced in order to improve medical care for people affected by IPV. This dissertation is comprised of three original studies that lie at the nexus of health policy and health professions education scholarship. The first study combines environmental scanning and critical discourse analysis to examine how physicians’ roles related to IPV are represented in training resources created for a Canadian medical audience. The second study uses qualitative description to identify physicians’ perceptions of their own roles in caring for patients affected by IPV and highlights the sites and sources of insight that are impactful in shaping these perceptions. The third study integrates key informant technique and interpretive description to synthesize recommendations from stakeholders outside of medicine about physicians’ roles in addressing IPV, and opportunities to improve medical education and practice in the future. Together, these studies offer a critical perspective on broader implications of constructing IPV as a “health issue” that informs practice for physicians, medical educators, researchers, policymakers, and organizers working to improve health care for people affected by IPV. / Dissertation / Doctor of Philosophy (PhD) / People who experience intimate partner violence (IPV) are at a higher risk of experiencing a wide range of serious and long-lasting health issues. Politicians and other policymakers framing IPV as a “health issue” have suggested that doctors are well-placed to address these concerns and to support patients who are dealing with IPV, but research suggests that many doctors lack knowledge or skills that are needed to address IPV with appropriate sensitivity. This dissertation examines how doctors learn about IPV in the course of their medical training by 1) analyzing how doctors’ roles related to IPV are presented in educational resources and policy documents, 2) interviewing doctors about their perceptions of IPV and their related training, and 3) talking to people who do work related to IPV outside of medicine about their suggestions for improving medical education in the future. Taken together, the studies that make up this dissertation can help to inform educators, politicians, and other policymakers working to improve health care for people affected by IPV.

Yes / Objectives: The quality of the relationship between people with dementia and their informal caregiver maybe an important determinant of life satisfaction and well-being for both members of the dyad. Taking a dyadic perspective, the aim of this study was to examine whether self- and partner- rated relationship quality influences life satisfaction and well-being for both people with dementia and their caregivers. Design and methods: Using data from 1283 dyads in the Improving the Experience of Dementia and Enhancing Active Life (IDEAL) cohort, we examined the impact of current relationship quality on life satisfaction and well-being in dementia caregiving dyads. Data were analysed using the Actor–Partner Interdependence Model (APIM) framework. Results: Self-rated relationship quality was associated with own life satisfaction and well-being for both people with dementia and caregivers. Partner-rated relationship quality did not influence own life satisfaction or well-being for either member of the dyad. Conclusion: This study is the first to use the APIM framework to explore the dyadic associations between relationship quality and life satisfaction and well-being in a large cohort of dementia caregiving dyads. The obtained findings suggest that the individual perception of the quality of the caregiving relationship held by each member of the caregiving dyad is an important factor for that member’s life satisfaction and well-being, while the partner’s perception of relationship quality is not. The findings highlight the importance of considering the individual perspective of both the person with dementia and the caregiver and enabling each to maintain positive perceptions of relationship quality. / ‘Improving the experience of Dementia and Enhancing Active Life: living well with dementia. The IDEAL study’ was funded jointly by the Economic and Social Research Council (UK) and the National Institute for Health Research (UK) through grant ES/L001853/2 ‘Improving the experience of dementia and enhancing active life: living well with dementia’

From a parent guiding their toddler when learning to brush their teeth to a physical therapist assisting a client with their range of motion, physically interacting with other people is ubiquitous in our daily life. While some researchers have shown that haptic human-human interaction benefits performance during training as well as later individual performance (Takagi et al. 2017), others have failed to replicate these benefits (Beckers et al. 2018). Participants in these interaction groups were not aware they were haptically linked to a partner and each participant had independent control over their own virtual cursor when tracking the target. Yet, we are typically aware when we are interacting with others and often do so with tasks where we have shared control over the same control point (e.g., a toothbrush). Here, we tested the effectiveness of training alone versus training with a virtual partner when individuals were made aware of their interaction in a redundant reaching task. Participants (N = 100) completed 50 baseline trials followed by 200 trials with a clockwise cursor rotation in one of four randomly assigned groups. Two of the groups performed the adaptation trials with a virtual partner that represented either the fast (Human + Fast Agent Group) or slow (Human + Slow Agent Group) state of the two-state model (Smith et al. 2006) with 30-deg rotation. The two remaining groups performed the task alone with either the 30-deg rotation (Solo full rotation) or a 15-deg rotation (Solo half rotation). Results showed that participants in the fast agent group contributed less to correcting the rotational error early in the adaptation block, but were responsible for most of the correction later in this block, with performance most similar to the solo full rotation group. Conversely, participants in the slow agent group corrected for a greater proportion of the initial errors, but their contribution began to drift during adaptation, with performance resembling that of the solo half rotation group. This pattern of results were consistent with our theory-driven simulations. / Thesis / Master of Science (MSc) / Working with a physiotherapist is the gold-standard in rehabilitating many injuries, but this can be very time consuming and repetitive in nature. This makes it worthwhile to explore other alternatives to supplement standard rehabilitation, such as working with a virtual partner. In our experiment, we tested two partners based on human models. Participants were paired with one of the virtual partners and had to reach a target using a handle, adjusting their reach to a rotation. The partners differ in how fast they help the participant adjust for the rotation. It was found that those who completed the task with a fast-learning partner corrected less error initially and more later on, while those with the slow-learning partner corrected more error initially and less later on. These results suggest that we can influence participant behaviour with different virtual partners.

Background: On behalf of the National Board of Health, WHO and ICN code of ethics for nurses; are nurses responsible to provide holistic care to their patients. This includes sexual health. Previous studies have revealed serious shortcomings at this point both out in clinical practice but also in nursing training. Therefore, it is of interest to see which recommendations that is available for the nurse to work with sexual health. Aim: To describe recommendations for the nurse's work on sexual health – based on personcentered care. Method: A general literature review with inductive approach of data collection has been used from the databases Cinahl and PubMed. A total of 13 science articles were elected. Results: Three maincathegories was identified for the work of the nurse: basic recommendations, specific recommendations linked to the disease state and models for assessment and intervention. Conclusion: Sexual health is central to human well-being and quality of life. It is important that the work of nurse with sexual health is based on well-functioning principles and models, such as described in this literature review. / Bakgrund: På uppdrag av Socialstyrelsen, WHO och ICN:s etiska kod för sjuksköterskor ansvarar sjuksköterskan för att ge holistisk omvårdnad till sina patienter. Detta inbegriper den sexuella hälsan. Tidigare studier visar på allvarliga brister på denna punkt både i den kliniska verkligheten men även i sjuksköterskeutbildningen. Därför är det av intresse att se vilka rekommendationer som finns tillgängliga för sjuksköterskan att använda i omvårdnadsarbetet med sexuell hälsa. Syfte: Att beskriva rekommendationer för sjuksköterskans arbete med sexuell hälsa - utifrån personcentrerad omvårdnad. Metod: En allmän litteraturöversikt med induktiv ansats har använts. Datainsamlingen har gjorts från databaserna Cinahl och PubMed. Sammanlagt valdes 13 vetenskapliga artiklar ut. Resultat: Tre övergripande huvudkategorier identifierades för sjuksköterskans arbete med sexuell hälsa: grundläggande rekommendationer, specifika rekommendationer kopplat till sjukdomstillstånd samt modeller för bedömning och intervention. Slutsats: Då den sexuella hälsan är central för människans välbefinnande och livskvalitet är det viktigt att sjuksköterskans arbete med sexuell hälsa bygger på vedertagna välfungerande rekommendationer och modeller.

Prostatacancer är en av de mest vanliga cancersjukdomarna globalt sett och den vanligaste cancerformen i Sverige. Om männen när de får diagnosen är i en relation med någon kan även denna person påverkas av detta. Syftet med denna studie var att undersöka dessa partners erfarenhet av att leva med en man med prostatacancer. En litteraturöversikt baserad på kvalitativt material utfördes. Femton artiklar analyserades och åtta kategorier kunde identifieras: rsn, Anhörigvårdare, Information, Stöd, Sexualitet och Intimitet, Team, Kommunikation och Vardagen. Resultatet visade att kvinnor ofta tar på sig rollen som anhörigvårdare och att de visade ett behov av ytterligare information och stöd. Det sexuella samlivet var även något som kvinnorna ansåg påverkades som en följd av impotensen mannen drabbades av efter behandling. Vissa kvinnor beskrev hur de bemötte cancern tillsammans med sin man som en enhet. En bra kommunikation mellan kvinnorna och deras män uppfattades av vissa kvinnor som viktigt. Många kvinnor beskrev hur deras liv förändrades att de använde sig av olika strategier för att klara av vardagen. När kvinnor antar rollen som anhörigvårdare är det viktigt för dem att de från sjukvården får rätt typ av information och stöd i rätt tidpunkt för att för att kunna förbereda sig för och hantera denna roll. Sjukvården behöver därför utveckla riktlinjer så att kvinnornas behov inkluderas i vårdprocesserna kring mannen. / Prostate cancer is one of the most common cancers globally and the most common cancer in Sweden. If the men when diagnosed are in a relationship with someone, this person may be affected by this. The purpose of this study was to examine the partner's experience of living with a man with prostate cancer. A literature review based on qualitative material was carried out. Fifteen articles were analyzed and eight categories were identified: Changed outlook on life, Caregiver, Information, Support, Sexuality and Intimacy, Team, Communication, and Daily Life. The results showed that women often take on the role of caregivers and that they showed a need for additional information and support. According to women, the impotence the men suffered from after treatment had an impact on their sex-life. Although the women prioritized that their husbands were still alive instead of a functional sex-life many felt that their sex-life had been affected in a negative sense. Some women described how they responded to the cancer with her husband as a unit. Good communication between women and their husbands were perceived by some women as important. Many women described how their life changed and that they used various strategies to cope with everyday life. When women assume the role of caregivers it's important for them to have the right kind of information at the right time given to them by health care providers, this in order to be able to prepare for and respond to the role as a caregiver. Health services therefore need to develop guidelines to ensure that the needs of women are included in the care processes of the men.

Intimate partner violence (IPV) in sexual and gender minority relationships is an underexplored and misunderstood phenomenon. Much of what has been investigated has explored IPV from a heterosexual lens, without taking into account the complexities of these relationship dynamics. Further, outcomes of IPV traditionally focus on negative sequelae, such as depression or anxiety. In this study, we examined the propensity to forgive partner abuse as a means of adaptively coping with the trauma. Further, we looked at resilience as a possible factor in the process of forgiveness. We hypothesized that psychological resilience significantly moderates the forgiveness process in sexual and gender minorities who have experienced IPV. Our sample of 77 gender- and sexual-minority participants completed measures of psychological and physical IPV, resilience, and forgiveness. A regression analysis found our model accounted for 36% of the variance in forgiveness of self (adj. R2=.36, F (4, 72) = 10.34, p < .01) and 20% of forgiveness of others (adj. R2=.20, F (4, 72) = 5.01, p < .01). However, there was no significant moderating effect, nor was IPV a significant contributor to forgiveness. Results suggest trauma does not influence one’s likelihood to forgive, though some personal trait, such as resilience, is more likely to contribute to the forgiveness process. Implications are discussed.

Using data from the Chicago Homicide Dataset for years 1988-1992 and the Chicago Community Area Demographics, multiple regression and mediation analysis are used to examine various community level factors’ impact on Intimate Partner Homicide (IPH) rates per Chicago community area. The relationship between the percentage of non-white and IPH rate per Chicago community area is significant and positive, but disappears once economic strain is taken into account, as well as when family disruption is included in the model. There is a weak, but positive relationship between population density and IPH rates, but neither economic strain nor family disruption mediates the relationship between population density and IPH rates. Economic deprivation is positively related to IPH rates, but economic strain and family disruption partially mediate the relationship between economic deprivation and IPH rates. Finally, the relationship between the percentage of males aged 30-59 and IPH rates per community area in Chicago is moderately negative, but this relationship disappears once economic strain is accounted for in the model. However, family disruption does not mediate the relationship between the percentage of males aged 30-59 and IPH rates. These results indicate that some structural covariates impact IPH rates and that some relationships are mediated by economic strain and family disruption. These results also lend support to a modified approach to general strain theory (GST). More research is necessary to validate these results.

The thesis clarifies the operation of the limited partnership in the Czech law system. In particular, it explains the establishment, the operation and the expiration of the limited partnership. There are stated the basic characteristics of the limited partnership and there are described the differences between unlimited partner and limited partner. The establishment of the limited partnership from the limited liability company by the change of the legal form is explained on the concrete example. In conclusion, there is the explanation of the various manners of expirations.

Although prevalence rates of gay intimate partner violence (IPV) appear to equal heterosexual IPV rates, gay male IPV does not feature strongly in public anti-­‐violence messaging. This relative silence appears to hold even within the LGBTI (lesbian, gay, bisexual, transgender and intersex) community. This study addresses this silence. In-­‐depth qualitative interviews were conducted and a critical discourse analysis informed by Ian Parker’s (1992) perspectives, was used to analyse the results. A review of mainstream and critical discourses of violence show that IPV is usually constructed as an exclusively heterosexual phenomenon and these influenced participants’ constructions. Findings indicated that a range of discourses intersect to produce constructions of gay IPV as ‘not violence’, normative, un-­‐ harmful, unintimidating, ‘anti-­‐gay’, erotic, cathartic and intimate. All of these formations can result in gay IPV being silenced and it was shown that gay mens’ constructions of IPV were inextricably bound in gendered, power asymmetry. The study demonstrates how particular configurations of discourse are necessary for violence to become intelligible at all. The implications of these findings are discussed and possibilities for important community intervention suggested.