Browsing by Author "Green, Johan"

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Hedern gör skillnad - En kvalitativ studie kring socialsekreterares föreställningar om hedersrelaterat våld och skapandet av ”de andra”
(2013-08-14) Diding, Martina; Green, Johan; Göteborg University/Department of Social Work; Göteborgs universitet/Institutionen för socialt arbete
Syftet med uppsatsen var att undersöka socialsekreterares förklaringsmodeller för hedersrelaterat våld i förhållande till annat våld i nära relation och eventuella skillnader eller likheter mellan dessa. Syftet var även att undersöka vilka effekter deras förklaringsmodeller får för deras klienter. Frågeställningarna vi besvarar i uppsatsen är vilka föreställningar socialsekreterarna har om hedersrelaterat våld i förhållande till annat våld i nära relation, hur deras föreställningar om offer och förövare inom hedersrelaterat respektive annat våld i nära relation ser ut samt om dessa föreställningar påverkar deras arbete med klienter. Vi har utfört enskilda intervjuer med fem socialsekreterare som arbetar i Göteborgs kommun. Genom att använda oss av postkolonial teori, systemteori, makt, essentiellt och socialkonstruktionistiskt perspektiv på etnicitet och kultur samt tre forskningsteoretiska perspektiv (kulturellt perspektiv, könsperspektiv och intersektionellt perspektiv) på hedersrelaterat våld har vi kommit fram till att socialsekreterarna gör en skillnad på hedersrelaterat våld i förhållande till annat våld i nära relation. Skillnaden ligger främst i att de kopplar hedersrelaterat våld till kultur och systemteoretiska förklaringsmodeller, medan annat våld i nära relation tillskrivs individuella förklaringsmodeller. Detta tycks också få effekt i socialsekreterarnas arbete genom att klienter som anses utsatta för, eller utövande av, hedersrelaterat våld främst erbjuds familjebehandling. Klienter som anses utsatta, eller utövande av, annat våld i nära relation erbjuds istället individuell behandling.
INTOXICATED WITNESSES TO IPV: The Effects of Alcohol Intoxication and Repeated Interviewing on Perceived Aggression
(2018-09-05) Green, Johan; University of Gothenburg / Department of Sociology and Work Science; Göteborgs universitet / Institutionen för sociologi och arbetsvetenskap
Aims and objectives: Many witnesses law-practitioners deal with are intoxicated, especially witnesses to violent crime such as intimate partner violence. There is little research, however, regarding how alcohol influences witnesses’ perception of aggression and how interview strategy can moderate this influence. This study examined to what extent alcohol intoxication and time of interview affected perceived aggression in an intimate partner violence scenario. Method and data: One hundred and thirty-five (n = 135) participants were randomly allocated into one of three groups based on blood alcohol content (BAC); a non-alcohol group, a moderate alcohol group (BAC = 0,04 – 0,08) or a high alcohol group (BAC = 0,08 – 0,15). Participants consumed drinks either containing juice and vodka or only juice in a laboratory setting after which they witnessed a film depicting a staged IPV scenario. The interview condition was operationalized by interviewing fifty percent of the participants twice; once in direct association to the film and again one week later. The other fifty percent were only interviewed after a one-week delay. Results: Results indicated that during the direct interview, moderately intoxicated witnesses rated neutral demeanor in the film as more hostile and physical aggression as less severe compared to sober witnesses. During the repeated interview, the ratings of intoxicated and sober witnesses did not differ. Highly intoxicated participants did not differ from the sober during the direct interview but suffered memory loss during the delayed interview and rated aggression as less severe. The repeated interview resulted in a more stable aggression assessment than the delayed, highlighting the import of repeated interviewing for intoxicated witnesses. Criminological relevance and future research are discussed.
The three troubles of the triply troubled. Forensic perspectives on patients with a mental disorder, substance use disorder, and a history of violent crimes
(2025-05-02) Green, Johan
Patients in the forensic mental health services who suffer from a mental disorder, substance use disorder, and a high risk of violence are sometimes referred to as the "triply troubled". These patients have poor prognoses for both disorders and suffer heightened risks of relapse, criminal recidivism, and substance-related mortality. The overall aim of this thesis was to generate knowledge concerning the triply troubled patient group in order to better guide treatment development and improve patient outcomes. Study I explored clinic staff members' experiences with implementing clinical guidelines for substance use treatment in a high security forensic mental health service facility in Sweden. Interviews with staff at the start of implementation (N = 12) and one year later (N = 7) revealed the challenges with treating co-occurring disorders. Staff reported a division in attitudes regarding the legitimacy of substance use disorder, highlighting the underlying stigmatisation of the condition. Educational opportunities, sustained organisational support and motivation enhancing interventions emerged as important investments to facilitate tailored interventions for the heterogeneous patient group. In Study II person-oriented mixture modelling was used to investigate clinically relevant subgroups of patients. A three-step latent class analysis of patients’ (N = 98) primary mental disorders and substance use history identified four distinct patient types. Class 1 (42%) consisted of patients with a psychotic disorder, substance use disorder, and polysubstance use. Patients in class 2 (26%) also had a psychotic disorder but with cannabis-limited substance use. Class 3 (22%) was characterised by autism and almost no risk of substance use. Class 4 was the smallest class (10%) and was characterised by borderline personality disorder and polysubstance use. Both polysubstance use classes (1 and 4) had a significantly more extensive lifetime history of aggression, had an earlier age of onset of criminality and had a more extensive criminal past. The characteristics of these patient types suggest that co-occurring disorders cannot be treated as separate problems, and that treatment must be adapted to the severity of substance use and the specific mental disorder with which it co-occurs. Study III explored patients' experiences with co-occurring disorders and forensic treatment. An interpretative phenomenological analysis of interviews (N = 13) showed that the three troubles of the triply troubled are conceived of as expressions of a self-sustaining ecosystem often referred to as simply "it." Being enmeshed in "it" meant that substance use interventions would also have to target every other aspect of patients' lives with which substance use had become associated. Results suggest that forensic services are often considered rigid and overly focused on diagnoses with which patients do not fully agree. This thesis contributes to the empirical foundation for treatment development for co-occurring mental and substance use disorders in forensic mental health services. It offers insights from three perspectives: staff experiences, patient typology, and patient-reported experiences. These contributions have significant clinical implications for developing integrated, patient-centred treatment approaches for this complex patient group.