UNDERSTANDING VIOLENT INJURY

了解暴力伤害

• 批准号: 2032873
• 负责人: JOHN A RICH
• 金额: $ 14.63万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-02-01 至 2002-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2032873
• 关键词: African American; attitude; behavioral /social science research tag; clinical research; crime victims; human subject; injury; interview; longitudinal human study; male; posttraumatic stress disorder; racial /ethnic difference; substance abuse related disorder; violence; young adult human (21-34)

DESCRIPTION (Applicant's Abstract): The broad goal of this proposal is to understand how young black men experience interpersonal violence and how that experience impacts their lives. The proposed research is an extension of the applicant's pilot work consisting of open-ended interviews with 18 young black men who were victims of violence. The analysis of these data revealed several types - innocent bystander, object of revenge, mistaken victim, escalating argument and injured avenger - reflecting the circumstances which led to the injury. In the proposed study, the applicant will conduct interviews with up to 120 young men who have been shot, stabbed or assaulted and are hospitalized at Boston City Hospital. These interviews will explore the patient's story of his injury and the impact of violence upon his life. Standardized assessments of post traumatic stress disorder (PTSD) and substance abuse will also be administered. The transcripts of the interviews will be analyzed using grounded theory to understand the participant's interpretation of the meaning of his injury, and narrative analyses to understand the sequence of events leading to the injury. Through the analysis of the patient's story, each case will be assigned to one of the types identified in the pilot study or will be used to define a type. Using the cases in the study a topology will be developed, based upon the participant's narrative of his injury. The relationship between victim type and PTSD and substance abuse will also be examined. In a second study, the applicant will also identify a subset of cases and conduct interviews with the patient and the health care providers involved in his care. The applicant will analyze these cases to uncover discrepancies between the patients understanding of his injury and the impressions of his providers. The applicant's research and career development plan will permit him to (1) acquire greater expertise in the areas of victimization, post traumatic stress, urban street culture and provider attitudes and (2) acquire expertise in the application of qualitative methods to the study of urban violence and other mental health issues. These goals will be accomplished with the guidance of two preceptors Catherine Riessman, Ph.D., an experienced sociologist and expert in the analysis of qualitative data and Elliot Mishler, Ph.D. a senior researcher in mental health and patient-provider interaction. In addition, the applicant will receive training in post traumatic stress disorder, victimology and urban street culture through individual tutorials. Tutorials will be conducted by Jacquelyn Campbell, Ph.D. (victimology and family violence), Richard Famularo, M.D. (PTSD) and Terry Williams, Ph.D. (urban street culture). The applicant will also complete course work in research methods in epidemiology, field methods, survey research methods and crime and delinquency in the graduate schools of Boston University.

描述（申请人的摘要）：本提案的广泛目标是 了解年轻的黑人男性如何经历人际暴力，以及如何 这种经历会影响他们的生活。 这项研究是一个扩展 申请人的试点工作，包括开放式面试18 年轻的黑人男性是暴力的受害者。 对这些数据的分析 揭示了几种类型-无辜的旁观者，报复的对象，错误的 受害者，不断升级的争论和受伤的复仇者-反映了 导致受伤的情况。 在拟议的研究中，申请人 将对多达120名被枪杀、刺伤的年轻人进行采访 或被袭击并被送往波士顿市立医院 这些采访 将探讨病人的故事，他的伤害和暴力的影响， 他的生命。 创伤后应激障碍的标准化评估 （PTSD）和药物滥用也将被管理。 的成绩单 访谈将使用扎根理论进行分析，以了解 参与者对其受伤含义的解释，以及叙述 分析以了解导致伤害的事件顺序。 通过分析病人的故事，每个病例将被分配到 试点研究中确定的类型之一，或将用于定义 类型. 使用研究中的案例，将根据以下内容开发拓扑结构： 参与者对自己受伤的描述 受害者之间的关系 还将检查创伤后应激障碍和药物滥用。 在第二项研究中， 申请人还将确定一部分案例并进行面谈 与病人和参与其护理的医疗保健提供者进行沟通。 的 申请人将分析这些案例，以发现 病人对他的伤害的理解和他的供应商的印象。 申请人的研究和职业发展计划将允许他（1） 在受害、创伤后 压力、城市街头文化和供应商态度;（2）获得 专业知识的定性方法的应用，以研究城市 暴力和其他心理健康问题。 这些目标将会实现 在两位导师凯瑟琳·里斯曼博士的指导下，一个 经验丰富的社会学家和定性数据分析专家， Elliot Mishler博士心理健康高级研究员， 医患互动 此外，申请人还将获得 创伤后应激障碍、受害者心理学和城市街道方面的培训 通过个别教程的文化。 Tutorial将由 Jacquelyn坎贝尔博士（受害者学和家庭暴力），理查德 Famularo，医学博士（PTSD）和Terry威廉姆斯博士（城市街头文化）。 的 申请人还将完成研究方法的课程， 流行病学、实地方法、调查研究方法和犯罪与 波士顿大学研究生院的犯罪行为。