Abstract
We examined help-seeking and internal obstacles to receiving psychosocial support in the wake of community violence exposure in a sample of 1,835 Arab and Jewish adolescents living in Israel. Paper and pencil surveys conducted in schools examined adolescents’ personal victimization and witnessing of community violence in the past year, and then queried adolescents about their help-seeking after violence exposure. Our findings indicated widespread exposure to community violence, particularly for the Arab respondents. Only one in three Arab and one in four Jewish adolescents reported seeking help from anyone to cope with such experiences following their violence exposure, and only rarely did adolescents seek help from a mental health professional (one in twenty for Jewish and one in nine for Arab adolescents). Adolescents across both samples indicated a variety of internal obstacles that might explain their lack of seeking help to cope with violence exposure, including cognitive minimization of the event, deliberately maintaining the secrecy of the event, wishing to maintain their autonomy, and failing to believe in the efficacy of seeking help from others. Such findings shed light on the difficult challenges to providing professional support to adolescents when they are exposed to community violence, and suggest that such challenges, while varying to a degree across cultures, are also prevalent across cultures.
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References
Andersen, R. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36, 1–10.
Bell, C., & Jenkins, E. (1993). Community violence and children on Chicago’s southside. Psychiatry, 56, 46–54.
Browne, A., & Finkelhor, D. (1986). Initial and long-term effects: A review of the research. A sourcebook on child sexual abuse, 143–179.
Buka, S., Stichick, T., Birdthistle, I., & Earls, F. (2001). Youth exposure to violence: Prevalence, risks, and consequences. American Journal of Orthopsychiatry, 71, 298–310.
Campbell, C., & Schwarz, D. (1996). Prevalence and impact of exposure to interpersonal violence among suburban and urban middle school students. Pediatrics, 98, 396–402.
Central Bureau of Statistics. (2003). Local authorities in Israel 2001. Jerusalem: Author (Hebrew).
Cooley-Quille, M., Boyd, R., Frantz, E., & Walsh, J. (2001). Emotional and behavioral impact of exposure to community violence in inner-city adolescents. Journal of Clinical Child & Adolescent Psychology, 30, 199–206.
Dodge, K., Pettit, G., & Bates, J. (1997). How the experience of early physical abuse leads children to become chronically aggressive. Rochester Symposium on Developmental Psychopathology, 8, 263–288.
Duckworth, M., Hale, D., Clair, S., & Adams, H. (2000). Influence of interpersonal violence and community chaos on stress reactions in children. Journal of Interpersonal Violence, 15, 806–826.
Farrell, A., & Bruce, S. (1997). Impact of exposure to community violence on violent behavior and emotional distress among urban adolescents. Journal of Clinical Child & Adolescent Psychology, 26, 2–14.
Finkelhor, D., Wolak, J., & Berliner, L. (2001). Police reporting and professional help-seeking for child crime victims: A review. Child Maltreatment, 6, 17–30.
Fitzpatrick, K., Piko, B., Wright, D., & LaGory, M. (2005). Depressive symptomatology, exposure to violence, and the role of social capital among African American adolescents. American Journal of Orthopsychiatry, 75, 262–274.
Foster, J., Kuperminc, G., & Price, A. (2004). Gender differences in posttraumatic stress and related symptoms among inner-city minority youth exposed to community violence. Journal of Youth and Adolescence, 33, 59–69.
Fowler, P., Tompsett, C., Braciszewski, J., Jacques-Tiura, A., & Baltes, B. (2009). Community violence: A meta-analysis on the effect of exposure and mental health outcomes of children and adolescents. Development and Psychopathology, 21, 227–259.
Gladstein, J., Rusonis, E., & Heald, F. (1992). A comparison of inner-city and upper-middle class youths’ exposure to violence. The Journal of Adolescent Health, 13, 275–280.
Gorman-Smith, D., & Tolan, P. (1998). The role of exposure to community violence and developmental problems among inner-city youth. Development and Psychopathology, 10, 101–116.
Guterman, N., & Cameron, M. (1997). Assessing the impact of community violence on children and youths. Social Work, 42, 495–505.
Guterman, N., & Cameron, M. (1999). Young clients’ exposure to community violence: How much do their therapists know? American Journal of Orthopsychiatry, 69, 382–391.
Guterman, N. B., Cameron, M., & Staller, K. (2000). Definitional and measurement issues in the study of community violence among children and youth. Journal of Community Psychology, 28(6), 1–17.
Guterman, N., Hahm, H., & Cameron, M. (2002). Adolescent victimization and subsequent use of mental health counseling services. Journal of Adolescent Health, 30, 336–345.
Harel, Y., Ellenbogen-Frankovits, S., Molcho, M., Abu-Asbah, K., & Habib, J. (2002). Youth in Israel: Social well-being, health and risk behaviors from an international perspective. Summary of findings from the second study (1998): Health behaviors in school-aged children (HBSC) a World Health Organization cross-national study. Jerusalem: The Center of Children and Youth, JDC-Brookdale Institute (in Hebrew).
Harel, Y., Kanny, D., & Rahav, G. (1997). Youth in Israel: Social well-being, health and risk behaviors from an international perspective: JDC-Brookdale Institute and Bar Ilan University Press (in Hebrew).
Kaplan, S., Pelcovitz, D., Salzinger, S., Weiner, M., Mandel, F., Lesser, M., et al. (1998). Adolescent physical abuse: Risk for adolescent psychiatric disorders. American Journal of Psychiatry, 155, 954–959.
Koop, C., & Lundberg, G. (1992). Violence in America: A public health emergency. Time to bite the bullet back. Journal of the American Medical Association, 267, 3075–3076.
Kopiec, K., Finkelhor, D., & Wolak, J. (2004). While juvenile crime victims get mental health treatment? Child Abuse and Neglect, 28, 45–59.
Kuhl, J., Jarkon-Horlick, L., & Morrissey, R. (1997). Measuring barriers to help-seeking behavior in adolescents. Journal of Youth and Adolescence, 26, 637–650.
Margolin, G., & Gordis, E. (2000). The effects of family and community violence on children. Annual Review of Psychology, 51, 445–479.
Margolin, G., & John, R. (1997). Children’s exposure to marital aggression. Out of the darkness: Contemporary perspectives on family violence, 90–104.
O’Keefe, M., & Sela-Amit, M. (1997). An examination of the effects of race/ethnicity and social class on adolescents’ exposure to violence. Journal of Social Service Research, 22, 53–71.
Osofsky, J., Wewers, S., Hann, D., & Fick, A. (1993). Chronic community violence: What is happening to our children. Psychiatry, 56, 36–45.
Ozer, E., & Weinstein, R. (2004). Urban adolescents exposure to community violence: The role of support, school safety, and social constraints in a school-based sample of boys and girls. Journal of Clinical Child & Adolescent Psychology, 33, 463–476.
Phelps, L. F., McCart, M. R., & Davies, W. H. (2002). The impact of community violence on children and parents: Development of contextual assessments. Trauma, Violence and Abuse, 3, 194–209.
Ratner, H., Chiodo, L., Covington, C., Sokol, R., Ager, J., & Delaney-Black, V. (2006). Violence exposure, IQ, academic performance, and children’s perception of safety. Merrill-Palmer Quarterly, 52, 264–287.
Resh, N. (1987). Parents’ aspirations and their perception by their children as an influencing factor in the educational attainment process. Megamot, 30(1), 84–92. (Hebrew).
Richters, J., & Martinez, P. (1993). The NIMH community violence project: I. Children as victims of and witnesses to violence. Psychiatry, 56, 7–21.
Sanders-Phillips, K. (1997). Assaultive violence in the community: Psychological responses of adolescent victims and their parents. Journal of Adolescent Health, 21, 356–365.
Schwab-Stone, M., Chen, C., Greenbeger, E., Silver, D., Lichtman, J., & Voyce, C. (1999). No safe haven II: The effects of violence exposure on urban youth. Journal of the American Academy of Children and Adolescent Psychiatry, 38, 359–367.
Schwartz, D., & Proctor, L. (2000). Community violence exposure and children’s social adjustment in the school peer group: The mediating roles of emotion regulation and social cognition. Journal of Consulting and Clinical Psychology, 68, 670–683.
Selner-O’Hagan, M., Kindlon, D., Buka, S., Raudenbush, S., & Earls, F. (1998). Assessing exposure to violence in urban youth. Journal of Child Psychology and Psychiatry and Allied Disciplines, 39, 215–224.
Shields, N., Nadasen, K., & Pierce, L. (2008). The effects of community violence on children in Cape Town, South Africa. Child Abuse and Neglect, 32, 589–601.
Singer, M., Anglin, T., Song, L., & Lunghofer, L. (1995). Adolescents’ exposure to violence and associated symptoms of psychological trauma. Journal of the American Medical Association, 273, 477–482.
Slovak, K., & Singer, M. (2002). Children and violence: Findings and implications from a rural community. Child and Adolescent Social Work Journal, 19, 35–56.
Stein, B., Jaycox, L., Kataoka, S., Rhodes, H., & Vestal, K. (2003). Prevalence of child and adolescent exposure to community violence. Clinical Child and Family Psychology Review, 6, 247–264.
Sullivan, T., Kung, E., & Farrell, A. (2004). Relation between witnessing violence and drug use initiation among rural adolescents: Parental monitoring and family support as protective factors. Journal of Clinical Child & Adolescent Psychology, 33, 488–498.
Van der Kolk, B., & McFarlane, A. (1996). The black hole of trauma. In B. Van der Kolk, A. McFarlane, & L. Weisaeth (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society (pp. 77–101). New York: The Guilford Press.
Vermeiren, R., Schwab-Stone, M., Deboutte, D., Leckman, P., & Ruchkin, V. (2003). Violence exposure and substance use in adolescents: Findings from three countries. Pediatrics, 111, 535–540.
Voisin, D. (2003). Victims of community violence and HIV sexual risk behaviors among African American adolescent males. Journal of HIV/AIDS Prevention in Children & Youth, 5, 87–110.
Voisin, D. (2005). The relationship between violence exposure and HIV sexual risk behaviors: Does gender matter? American Journal of Orthopsychiatry, 75, 497–506.
Widom, C. (1989). The cycle of violence. Science, 244, 160–166.
Widom, C. (1998). Child victims: Searching for opportunities to break the cycle of violence. Applied and Preventive Psychology, 7, 225–234.
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This research was supported by grants from the C.R.B. Bronfman Foundation, the Sara Moses Fund, the Sondra and Chen Feldman Fund, and the Milton Rosenbaum Fund.
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Guterman, N.B., Haj-Yahia, M.M., Vorhies, V. et al. Help-Seeking and Internal Obstacles to Receiving Support in the Wake of Community Violence Exposure: The Case of Arab and Jewish Adolescents in Israel. J Child Fam Stud 19, 687–696 (2010). https://doi.org/10.1007/s10826-010-9355-x
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DOI: https://doi.org/10.1007/s10826-010-9355-x