Research Objectives: Every day in the United States 110 people are killed with firearms, and more than 230 are shot and survive. Survivors of community-based gun violence encounter complex challenges, including increased mental health risks and re-victimization, amidst societal stigma and weakened trust in support systems. The fear of community-based gun violence substantially distorts the way that millions of people live their lives producing detrimental mental repercussions not only for survivors but for their family members as well. Research shows that parents and other family members of child and adolescent gunshot survivors experience an increase in mental health disorders.
Typically, Post-Traumatic Stress Disorder is a concept used to understand the traumatic aftermath and symptomatology of this type of violence. However, it overlooks the anticipatory threat of community-based gun violence, which continually influences future decisions and behaviors while lacking the historical context that accounts for the disproportionate nature of community-based gun violence (e.g. race and socioeconomic status). Continuous Traumatic Stress (CTS) focuses on the ongoing anticipation of future threats and traumas, rather than those from the past. CTS has mainly been utilized within the international literature in war-torn countries and highlights how persistent poverty, racial and gender-based violence, as well as violence committed by institutional actors (e.g. law enforcement), continuously traumatizes vulnerable populations.
Understanding community-based gun violence through CTS may provide a new perspective of its psychological and social impact. As a result, a CTS pilot scale was developed to focus on how often participants have experienced community violence and the frequency in which it consumed their thought process. Moreover, little research has investigated the impact of gun violence on the family system. This study seeks to help fill these gaps by applying CTS and family systems theory (FST) to understand the continuous traumatic stressors that community-based gun violence and their families experience post injury and how is this violence perceived to impact on the family system.
Methods: This qualitative study used a hermeneutic phenomenological approach to conduct 21 separate qualitative interviews between November 2022 and March 2024 with survivors of gun violence and their chosen family members from Brooklyn, NY. Participants were first asked questions pertaining to CTS and were then administered the CTS pilot scale. The pilot scale gathered lifetime data about their exposure to direct and indirect violence as context for the present and future based threats that have been highlighted within the CTS literature. They were then asked questions pertaining to FST. The interviews were transcribed verbatim and then analyzed by a team of three researchers. Given that the hermeneutic phenomenology is not restricted to a set of analytical techniques, a deductive thematic analysis approach was first used to utilize a predefined set of codes, rooted in the foundational components of family systems theory and CTS to begin the analysis. Then an inductive thematic analysis approach was then used to analyze the data to derive concepts and themes that were not apparent in the FST or CTS literature.
Results: Qualitative analysis from interviews with gunshot survivors and their chosen family members yielded three key thematic findings pertaining to FST. 1) Alterations in Communication 2) Reconstructing Masculinity and 3) Identity and Support Changes. Qualitative analysis pertaining to CTS with gunshot survivors and their chosen family members yielded three key thematic findings: 4) Absence of protection 5) Present and Anticipated Trauma and 6) Post Traumatic Growth.
Conclusion: Specific implications for the field of social work, including those who work with survivors of community violence are outlined. Additionally, this chapter details modifications to social work practices and policies aimed to reduce gun violence that may improve outcomes for social workers and participants. The chapter closing by addressing the theoretical implications for CTS and FST, implications for future research, and finally, disclosing limitations.
| Identifer | oai:union.ndltd.org:columbia.edu/oai:academiccommons.columbia.edu:10.7916/511n-k952 |
| Date | January 2024 |
| Creators | Aguilar, Nathan |
| Source Sets | Columbia University |
| Language | English |
| Detected Language | English |
| Type | Theses |
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