Seton Hall University eRepository @ Seton Hall Seton Hall University Dissertations and Theses Seton Hall University Dissertations and Theses (ETDs) Spring 6-20-2018 The Relationship Between the Strong Black Woman Archetype and Attitudes Towards Seeking Professional Psychological Help in Intimate Partner Violence Relationships Among African American Women Monica S. Young [email protected] Follow this and additional works at:https://scholarship.shu.edu/dissertations Part of theCounseling Psychology Commons Recommended Citation Young, Monica S., "The Relationship Between the Strong Black Woman Archetype and Attitudes Towards Seeking Professional Psychological Help in Intimate Partner Violence Relationships Among African American Women" (2018).Seton Hall University Dissertations and Theses (ETDs). 2557. https://scholarship.shu.edu/dissertations/2557 THE RELATIONSHIP BETWEEN THE STRONG BLACK WOMAN ARCHETYPE AND ATTITUDES TOWARDS SEEKING PROFESSIONAL PSYCHOLOGICAL HELP IN INTIMATE PARTNER VIOLENCE RELATIONSHIPS AMONG AFRICAN AMERICAN WOMEN BY Monica S. Young, M. S. Dissertation Committee Pamela Foley, Ph.D., ABPP, Chair Christiana Awosan, Ph.D., Committee Member Corinne Datchi, Ph.D., ABPP, Committee Member John Smith, EdD., Committee Member Submitted in partial fulfillment of the requirements for the degree Doctor of Philosophy Department of Education and Human Services Seton Hall University 2018 © 2018 Monica S. Young Abstract Intimate Partner Violence (IPV) is a serious issue that can affect not only women’s lives, but also their health (Wong & Mellor, 2014). Research has shown that the psychological effects of IPV can significantly influence women’s attitudes towards help-seeking, but, for Black women, the effects of racial discrimination can further complicate this. Research has also highlighted the underutilization of professional mental health services as an area of great concern in the African American communities. It is believed that some of the reluctance on the part of African American women to seek services for themselves is deeply rooted in the historical and culturally-based beliefs of the Strong Black Woman (SBW). Although researchers have provided preliminary descriptive information and some empirical research has been published exploring women’s beliefs about The Strong Black Woman Archetype (SBWA), there is little to no research addressing African American women’s attitudes towards seeking professional mental health services for IPV, and the relationship of the SBWA to these attitudes. The purpose of this study was to examine the relationship between the SBWA and attitudes towards seeking psychological professional help among African American women in an IPV relationship. Addressing the psychological effects of the SBWA on Black women is important, as understanding of this phenomenon can add to the formulation of interventions and policies that address the multiple barriers and low utilization rates that affect this population. The participants included African American women who self-identified as having been in an IPV relationship at some point in their lives and not currently being in the abusive relationship. All of the participants were residing in domestic violence shelters or using domestic violence resource centers. A hierarchical multiple regression was used to evaluate the relationship between the SBWA and attitudes towards seeking professional psychological help among African American women in an IPV relationship, after controlling for post-traumatic stress symptoms, IPV severity, and length of abuse. Findings indicated that higher levels of endorsement of the SBWA were associated with more negative attitudes towards seeking professional psychological help. The findings from this study II suggest that professionals working with Black women in IPV relationships should be aware that the SBWA is a factor that may affect these women’s willingness to seek help. III Table of Contents CHAPTER 1: INTRODUCTION ______________________________________________________ 1 BACKGROUND OF THE PROBLEM _______________________________________________________ 1 STATEMENT OF THE PROBLEM _________________________________________________________ 4 RATIONALE ________________________________________________________________________ 8 RESEARCH QUESTIONS ______________________________________________________________ 12 DEFINITION OF TERMS ______________________________________________________________ 13 CHAPTER II: REVIEW OF THE LITERATURE _______________________________________ 17 INTRODUCTION ____________________________________________________________________ 17 INTIMATE PARTNER VIOLENCE AND PSYCHOLOGICAL DISTRESS ___________________________ 17 PREVALENCE OF POST-TRAUMATIC STRESS DISORDER ___________________________________ 18 PTSD IN AFRICAN AMERICAN WOMEN _________________________________________________ 20 HELP-SEEKING BEHAVIOR IN IPV _____________________________________________________ 23 COMMON HELP-SEEKING BARRIERS FOR AFRICAN AMERICAN WOMEN _____________________ 27 AFRICAN AMERICAN INFORMAL HELP-SEEKING _________________________________________ 38 AFRICAN AMERICAN FORMAL HELP-SEEKING ___________________________________________ 39 STRONG BLACK WOMAN ARCHETYPE _________________________________________________ 41 INTIMATE PARTNER VIOLENCE AND THE STRONG BLACK WOMAN ARCHETYPE _______________ 46 CHAPTER III: METHODOLOGY ___________________________________________________ 49 STUDY DESIGN _____________________________________________________________________ 49 POPULATION AND PARTICIPANT SELECTION ____________________________________________ 49 DATA COLLECTION AND PROCEDURE __________________________________________________ 50 INSTRUMENTS _____________________________________________________________________ 51 DEMOGRAPHIC QUESTIONNAIRE ______________________________________________________ 52 THE STRONG BLACK WOMAN ARCHETYPE SCALE _______________________________________ 52 THE IMPACT OF EVENT SCALE- REVISED _______________________________________________ 53 THE SEVERITY OF VIOLENCE AGAINST WOMEN SCALE ___________________________________ 54 THE ATTITUDES TOWARD SEEKING PROFESSIONAL PSYCHOLOGICAL HELP __________________ 55 ANALYSIS _________________________________________________________________________ 56 CHAPTER IV: RESULTS ___________________________________________________________ 58 DATA CLEANING AND SCREENING _____________________________________________________ 58 DESCRIPTIVE STATISTICS ____________________________________________________________ 58 TABLE 1 __________________________________________________________________________ 59 PRIMARY STUDY VARIABLES _________________________________________________________ 59 TABLE 2 __________________________________________________________________________ 60 TABLE 3 __________________________________________________________________________ 61 HIERARCHICAL REGRESSION ANALYSES _______________________________________________ 61 TABLE 4 __________________________________________________________________________ 62 TABLE 5 __________________________________________________________________________ 63 IV Table 6________________________________________________________________________________ ___________________________________________________________________________________65 SUMMARY _________________________________________________________________________ 65 CHAPTER V: DISCUSSION ________________________________________________________ 67 INTERPRETATION OF FINDINGS _______________________________________________________ 67 LIMITATIONS ______________________________________________________________________ 71 CLINICAL IMPLICATIONS ____________________________________________________________ 72 RECOMMENDATIONS FOR FUTURE RESEARCH ___________________________________________ 75 CONCLUSION ______________________________________________________________________ 77 REFERENCES ____________________________________________________________________ 78 APPENDIX A: LETTER TO SHELTER _______________________________________________ 98 APPENDIX B: LETTER OF SOLICITATION _________________________________________ 99 APPENDIX C: SHELTER FLYER __________________________________________________ 101 APPENDIX C: SHELTER FLYER __________________________________________________ 102 APPENDIX D: DEMOGRAPHIC INFORMATION ____________________________________ 103 APPENDIX E: STRONG BLACK WOMAN ARCHETYPE SCALE ______________________ 105 APPENDIX F: IMPACT OF EVENT SCALE-REVISED ________________________________ 109 APPENDIX G: SEVERITY OF VIOLENCE AGAINST WOMEN SCALE (SVAWS) ________ 110 APPENDIX H: ATTITUDES TOWARD SEEKING PROFESSIONAL PSYCHOLOGICAL HELP SHORT SCALE __________________________________________________________________ 112 APPENDIX I: PERMISSION TO USE THE ATTITUDES TOWARD SEEKING PROFESSIONAL PSYCHOLOGICAL HELP SHORT SCALE __________________________ 114 APPENDIX J: PERMISSION TO USE THE STRONG BLACK WOMAN ARCHETYPE SCALE ________________________________________________________________________________ 115 APPENDIX K: PERMISSION TO USE THE IMPACT OF EVENT SCALE-REVISED ______ 116 APPENDIX L: IRB APPROVAL LETTER____________________________________________ 117 V LIST OF TABLES Table 1. Demographic Characteristics of the Sample ............................................................................ 62 2. Descriptive Statistics for Primary Variables ............................................................................ 60 3. Correlation Matrix of the Study Variables ............................................................................... 61 4. Summary of Hierarachical Multiple Regression Analyses Prediciting Attitudes Toward Seeking Professional Psychological Help .................................................................................... 62 5. Summary of Hierachahial Multiple Regression Analyses Prediciting Length of Abuse .......... 63 6. Sumarry of Hierarachaical Logistic Regression Analyses prediciting Likelihood of Seeking Help ............................................................................................................................................... 65 VI Chapter 1: Introduction Intimate Partner Violence (IPV) is a serious issue that can affect not only women’s lives, but also their health (Wong & Mellor, 2014). Research has shown that the psychological effects of IPV can significantly influence women’s attitudes towards seeking professional psychological help, but for Black women, the effects of racial discrimination can further complicate this. The purpose of this study is to examine the relationship between the Strong Black Woman Archetype (SBWA) and attitudes towards seeking professional psychological among African American women in an IPV relationship. Background of the Problem Intimate Partner Violence. Over the past several years, IPV and battered women as a population have received increasing attention. Dealing with intimate partner abuse is a complex problem that has moved up the government's policy agenda in recent years because it is now known that it affects one in four women, and accounts for a quarter of all violent crime (Sarkar, 2009). According to The National Intimate Partner and Sexual Violence Survey (2010), one in three women in the United States has experienced some form of IPV within her lifetime (Black & Peacock, 2011). An estimated 4,000 women die annually in the United States as a result of IPV (Brown, 2008). In 2010, the United Stated Department of Justice study reported 907,000 incidents of IPV. Of these incidents reported, 4 out of 5 were reported by women (Catalano, 2012). Notably, one study suggested that, overwhelmingly, 92% of women who are victims of IPV are women who are in heterosexual relationships (Finigan, 2010). Tjaden and Thoennes (2000) completed a survey in the early 2000’s and found that violence against women is primarily IPV or violence perpetrated by someone intimately familiar with the victim (Tjaden & Thoennes, 2000). Sixty-four percent of women reported that a current or former spouse, cohabitating partner, boyfriend, or date in their lifetimes had physically assaulted them. Most 1
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