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Darroch FE, Varcoe C, Montaner GG, Webb J, Paquette M. Taking Practical Steps: A Feminist Participatory Approach to Cocreating a Trauma- and Violence-Informed Physical Activity Program for Women. Violence Against Women 2024; 30:598-621. [PMID: 36357357 PMCID: PMC10775643 DOI: 10.1177/10778012221134821] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2023]
Abstract
Trauma- and violence-informed physical activity (TVIPA) is a feasible approach to improve access/engagement in physical activity for pregnant/parenting women with experiences of trauma. Through feminist participatory action research, 56 semistructured interviews were completed to understand TVIPA. Four themes were identified: (1) "I have to be on edge": Trauma and violence pervade women's lives, (2) "It should be mandatory that you feel safe": Emotional safety is essential, (3) "The opportunity to step up and be decision-makers and leaders": Choice, collaboration, and connection create safety, and (4) "It's a good start for healing," strengths-based and capacity building foster individual and community growth.
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Affiliation(s)
| | | | | | - Jessica Webb
- Community Partner Organization, Vancouver, BC, Canada
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2
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Sharp P, Ogrodniczuk JS, Sha M, Kelly MT, Montaner GG, Kealy D, Seidler ZE, Rice SM, Oliffe JL. Working with men in the context of distressed and disrupted intimate partner relationships: A qualitative study. Patient Educ Couns 2023; 115:107873. [PMID: 37421685 DOI: 10.1016/j.pec.2023.107873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 05/26/2023] [Accepted: 06/26/2023] [Indexed: 07/10/2023]
Abstract
OBJECTIVE To describe key considerations for working with men experiencing distressed and disrupted intimate partner relationships. METHODS Individual Zoom interviews were conducted with help-seeking men (n = 25) who had experienced an intimate partnership break-up, and health service providers (n = 30) working with men in the relationships space. Interpretive Description methodology was used to generate considerations for working with men in distressed and disrupted relationships. RESULTS Three thematic findings were inductively derived; 1) A whole life approach for deconstructing relationships, wherein men engaged in discussions about their broader experiences and circumstances within the context of intimate partnerships; 2) Affirming men's relationship emotions and vulnerabilities as normative and changeable, comprising coaching for embodying transformative masculinities; and 3) Tangible 'to do's' in and after a relationship, outlining men's present and prospective self-work with action-oriented strategies. CONCLUSION Strategies tailored to men's receptivity and needs can increase connection with professional services and providers to bolster the mental health of men in and after disrupted intimate partner relationships. PRACTICE IMPLICATIONS With men increasingly accessing professional mental health services, the present study offers key considerations and recommendations regarding assessment, communication, and treatment for health service providers working with men in the relationships space.
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Affiliation(s)
- Paul Sharp
- School of Nursing, University of British Columbia, Vancouver, Canada; Department of Psychiatry, University of British Columbia, Vancouver, Canada.
| | - John S Ogrodniczuk
- Department of Psychiatry, University of British Columbia, Vancouver, Canada
| | - Matthew Sha
- School of Nursing, University of British Columbia, Vancouver, Canada
| | - Mary T Kelly
- School of Nursing, University of British Columbia, Vancouver, Canada
| | | | - David Kealy
- Department of Psychiatry, University of British Columbia, Vancouver, Canada
| | - Zac E Seidler
- Orygen, Parkville, Melbourne, Australia; Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia; Movember, East Melbourne, Australia
| | - Simon M Rice
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia; Movember, East Melbourne, Australia
| | - John L Oliffe
- School of Nursing, University of British Columbia, Vancouver, Canada; Department of Nursing, University of Melbourne, Melbourne, Australia
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Oliffe JL, Broom A, Ridge D, Kelly MT, Gonzalez Montaner G, Seidler ZE, Rice SM. Masculinities and men's emotions in and after intimate partner relationships. Sociol Health Illn 2023; 45:366-385. [PMID: 36377646 DOI: 10.1111/1467-9566.13583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Accepted: 10/28/2022] [Indexed: 06/16/2023]
Abstract
Men's emotions in intimate partner relationships have received little research attention. The current interpretive descriptive study included 30 Canadian-based men to address the research question: What are the connections between masculinities and men's emotions in and after intimate partner relationships? Three inductively derived themes included emergent distressing emotions wherein participants' predominance for holding in abeyance their concerns about the relationship manifested varying levels of emotional stoicism. Within this context most men denied or downplayed and did not express their emotions. When the relationship broke, men were overwhelmed by mixed and weighty break-up emotions comprising diverse and often-times discordant emotions, including sadness, shame, anger, regret and guilt, calling into question men's rationality for deciphering and expressing what was concurrently but inexplicably felt. Shame and anger were prominent emotions demanding the participant's attention to all that happened in and at the end of the relationship. In the third theme, understanding and transitioning after-burn emotions, participant's grief levered their efforts, including soliciting professional help for deconstructing, reframing and expressing their emotions in the aftermath of the partnership ending. The findings contextualise and in some instances counter claims about the utility of men's emotional stoicism by mapping participants' feelings in and after intimate partner relationships.
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Affiliation(s)
- John L Oliffe
- School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
- Department of Nursing, University of Melbourne, Melbourne, Victoria, Australia
| | - Alex Broom
- Sydney Centre for Healthy Societies, School of Social and Political Sciences, Faculty of Arts and Social Sciences, The University of Sydney, Camperdown, New South Wales, Australia
| | - Damien Ridge
- College of Liberal Arts and Sciences, University of Westminster, London, UK
| | - Mary T Kelly
- School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
| | | | - Zac E Seidler
- Orygen, Parkville, Melbourne, Victoria, Australia
- Centre for Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Simon M Rice
- Orygen, Parkville, Melbourne, Victoria, Australia
- Centre for Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia
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Abstract
Physical activity can be a conduit for improving men's social connectedness as well as physical gains for well-being. However, marginalised men, and fathers in particular, can be challenged to engage in leisure time physical activity. This qualitative study reports how fathers, who experience complex and significant social and health inequities, conceptualise and experience barriers to physical activity. Drawing from focus groups with 17 fathers, and semi-structured interviews with seven service providers about their perspectives on men's physical activity in Vancouver's Downtown Eastside (DTES), a highly marginalised neighbourhood. A masculinities framework was used to describe and contextualise physical activity in fathers' lives. Three themes were inductively derived through the analyses: (1) 'they're busy surviving' a finding referencing the work and limits invoked by poverty wherein survival was triaged ahead of leisure time physical activity; (2) 'there is no activity centre' chronicling the lack of physical activity spaces, programmes and resources available to fathers; and (3) 'lifestyle affects our capability to exercise' a theme detailing how social isolation amplified by factors including housing and opioid crises, and being a father in a resource poor setting imposed significant barriers to physical activity. The findings support reconceptualising physical activity programmes with men who are living in marginalising conditions to address behavioural and structural health inequities in tailoring father-centred programmes and resources.
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Affiliation(s)
- Francine E Darroch
- Francine E Darroch, Department of Health Sciences, Carleton University, 3303 Health Sciences Building, Ottawa, ON K1S5B6, Canada.
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Oliffe JL, Kelly MT, Gonzalez Montaner G, Seidler ZE, Kealy D, Ogrodniczuk JS, Rice SM. Mapping Men's Mental Health Help-Seeking After an Intimate Partner Relationship Break-Up. Qual Health Res 2022; 32:1464-1476. [PMID: 35758178 PMCID: PMC9411703 DOI: 10.1177/10497323221110974] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Deleterious effects of separation and divorce on men's mental health are well-documented; however, little is known about their help-seeking when adjusting to these all-too-common life transitions. Employing interpretive descriptive methods, interviews with 47 men exploring their mental health help-seeking after a relationship break-up were analyzed in deriving three themes: (1) Solitary work and tapping established connections, (2) Reaching out to make new connections, and (3) Engaging professional mental health care. Men relying on solitary work and established connections accessed relationship-focused self-help books, online resources, and confided in friends and/or family. Some participants supplemented solitary work by reaching out to make new connections including peer-based men's groups and education and social activities. Comprising first-time, returning, and continuing users, many men responded to relationship break-up crises by engaging professional mental health care. The findings challenge longstanding commentaries that men actively avoid mental health promotion by illuminating wide-ranging help resources.
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Affiliation(s)
- John L. Oliffe
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
- Department of Nursing, The University of Melbourne, Carlton, VIC, Australia
| | - Mary T. Kelly
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | | | - Zac E. Seidler
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
- Movember Foundation, East Melbourne, VIC, Australia
| | - David Kealy
- Department of Psychiatry, The University of British Columbia, Vancouver, BC, Canada
| | - John S. Ogrodniczuk
- Department of Psychiatry, The University of British Columbia, Vancouver, BC, Canada
| | - Simon M. Rice
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
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Oliffe JL, Kelly MT, Montaner GG, Kealy D, Seidler ZE, Ogrodniczuk JS, Sharp P, Rice SM. Men, relationships and partner-initiated break-ups: A narrative analysis. Health Psychol Open 2022; 9:20551029221142465. [DOI: 10.1177/20551029221142465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
For men, significant risks associated with partner-initiated break-ups include domestic violence, mental health challenges and difficultly with life transition. This narrative analysis study shares three storylines drawn from interviews with 25 men who experienced a partner-initiated break-up. Ill equipped to stay or to initiate leaving narratives positioned participants as conflict averse, lacking agency and withdrawing emotionally from the partnership and its demise. Victims of circumstance narratives included men who engaged in cyclic arguments and ongoing power struggles with partners, a pattern that often amplified conflict after the break-up. Transitioning these two impasse narratives were some participants whose Accountability and growth storylines highlighted their introspective self-work, aided by resources including professional help to deconstruct, understand, and adjust their behaviours. Making connections to masculinities theory, these findings suggest that tailored interventions, including narrative therapy, might usefully interrupt impasse narratives to aid men’s development and healthful transitions through partner-initiated break-ups.
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Affiliation(s)
- John L Oliffe
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
- Department of Nursing, University of Melbourne, Vancouver, BC, Canada
| | - Mary T Kelly
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | | | - David Kealy
- Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
| | - Zac E Seidler
- Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - John S Ogrodniczuk
- Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
| | - Paul Sharp
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
- Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
| | - Simon M Rice
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
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Oliffe JL, Kelly MT, Montaner GG, Links PS, Kealy D, Ogrodniczuk JS. Segmenting or Summing the Parts? A Scoping Review of Male Suicide Research in Canada. Can J Psychiatry 2021; 66:433-445. [PMID: 33719600 PMCID: PMC8107953 DOI: 10.1177/07067437211000631] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJECTIVE Suicide in Canadian men is high and rising. Research consistently indicates increased suicide risk in male subgroups including sexual minority, Indigenous, middle-aged, and military men. The current scoping review addresses the research question: Among male subgroups featured in Canadian suicide research, what are the key findings to inform suicide prevention efforts?. METHOD A scoping review was undertaken in accord with PRISMA-ScR guidelines. Structured searches were conducted in CIHAHL, Medline, PsychInfo, and Web of Science to identify studies reporting suicidality (suicidal ideation, plans and/or attempts) and suicide among men in Canada. Inclusion criteria comprised primary empirical studies featuring Canadian male subgroups published in English from 2009 to 2020 inclusive. RESULTS Sixty-eight articles met the inclusion criteria, highlighting significant rates of male suicidality and/or suicide in 3 categories: (1) health inequities (n = 29); (2) age-specific (n = 30); and (3) occupation (n = 9). The health inequities category included sexual minority men, Indigenous, and other marginalized males (i.e., homeless, immigrant men, and men who use opiates). Age-specific men focused on adolescents and youth, and middle-aged and older males. Active military, veterans, and first responders featured in the occupation category. Studies compared at risk male subgroups to females, general male populations, and/or other marginalized groups in emphasizing mental health disparities and increased suicide risk. Some men's suboptimal connections to existing mental health care services were also highlighted. CONCLUSION While male subgroups who are vulnerable to suicidality and suicide were consistently described, these insights have not translated to tailored upstream suicide prevention services for Canadian boys and men. There may be some important gains through integrating social and mental health care services for marginalized men, implementing school-based masculinity programs for adolescent males, orientating clinicians to the potential for men's mid-life suicide risks (i.e., separation, bereavement, retirement) and lobbying employers to norm help-seeking among activate military, veterans, and first responder males.
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Affiliation(s)
- John L Oliffe
- 70439School of Nursing, University of British Columbia, Vancouver, BC, Canada.,Department of Nursing, The University of Melbourne, Melbourne, Australia
| | - Mary T Kelly
- 70439School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | | | - Paul S Links
- 153002Department of Psychiatry and Behavioural Neurosciences at McMaster University, Hamilton, ON, Canada
| | - David Kealy
- 175098Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
| | - John S Ogrodniczuk
- 175098Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
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Oliffe JL, Kelly MT, Gonzalez Montaner G, Seidler ZE, Maher B, Rice SM. Men building better relationships: A scoping review. Health Promot J Austr 2021; 33:126-137. [PMID: 33561896 DOI: 10.1002/hpja.463] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Accepted: 02/06/2021] [Indexed: 02/01/2023] Open
Abstract
ISSUE ADDRESSED Health outcomes linked to men's relationships have the potential to both promote and risk the well-being of males and their families. The current scoping review provides a synthesis of men's relationship programs (excluding criminal court mandated services) in Australia, Canada and the United Kingdom to distil predominant program designs, access points, delivery modes and evaluative strategies. METHODS Databases CINAHL, Medline, PsycInfo and Web of Science were searched for eligible articles published January 2010 and June 2020. The inclusion criteria consisted of empirical studies focussed on relationship programs for men. RESULTS The review identified 21 articles comprising eight focussed on Fathering Identities as the Catalyst for Relationship Building and 13 targeting Men's Behaviour Change in Partner Relationships. Findings highlight the prevalence of group-based, in-person programs which men accessed via third party or self-referrals. Fathering programs highlighted the impact of men's violence on their children in appealing to attendees to strategise behavioural adjustments. Men's partner relationship programs emphasised self-control amid building strategies for proactively dealing with distress and conflict. Program evaluations consistently reported attendee feedback to gauge the acceptability and usefulness of services. CONCLUSIONS That most men attending fathering and partner relationship programs were referred as a result of domestic violence and/or intimate partner violence underscores men's reticence for proactively seeking help as well as the absence of upstream relationship programs. There are likely enormous gains to be made by norming boys and men's relationship programs to prevent rather than correct violent and/or abusive behaviours.
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Affiliation(s)
- John L Oliffe
- School of Nursing, University of British Columbia, Vancouver, Canada.,Department of Nursing, The University of Melbourne, Melbourne, Australia
| | - Mary T Kelly
- School of Nursing, University of British Columbia, Vancouver, Canada
| | | | - Zac E Seidler
- Orygen, Parkville, Melbourne, Australia.,Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.,Movember Foundation, East Melbourne, Australia
| | | | - Simon M Rice
- Orygen, Parkville, Melbourne, Australia.,Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
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