College of Behavioral & Social Sciences

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    A randomized controlled trial of mental health interventions for survivors of systematic violence in Kurdistan, Northern Iraq
    (Springer Nature, 2014-12-31) Bolton, Paul; K Bass, Judith; Zangana, Goran Abdulla Sabir; Kamal, Talar; McIvor Murray, Sarah; Kaysen, Debra; Lejuez, Carl W; Lindgren, Kristen; Pagoto, Sherry; Murray, Laura K; Van Wyk, Stephanie Skavenski; Ahmed, Ahmed Mohammed Amin; Amin, Nazar M Mohammad; Rosenblum, Michael
    Experiencing systematic violence and trauma increases the risk of poor mental health outcomes; few interventions for these types of exposures have been evaluated in low resource contexts. The objective of this randomized controlled trial was to assess the effectiveness of two psychotherapeutic interventions, Behavioral Activation Treatment for Depression (BATD) and Cognitive Processing Therapy (CPT), in reducing depression symptoms using a locally adapted and validated version of the Hopkins Symptom Checklist and dysfunction measured with a locally developed scale. Secondary outcomes included posttraumatic stress, anxiety, and traumatic grief symptoms. Twenty community mental health workers, working in rural health clinics, were randomly assigned to training in one of the two interventions. The community mental health workers conducted baseline assessments, enrolled survivors of systematic violence based on severity of depression symptoms, and randomly assigned them to treatment or waitlist-control. Blinded community mental health workers conducted post-intervention assessments on average five months later. Adult survivors of systematic violence were screened (N = 732) with 281 enrolled in the trial; 215 randomized to an intervention (114 to BATD; 101 to CPT) and 66 to waitlist-control (33 to BATD; 33 to CPT). Nearly 70% (n = 149) of the intervention participants completed treatment and post-intervention assessments; 53 (80%) waitlist-controls completed post-intervention assessments. Estimated effect sizes for depression and dysfunction were 0.60 and 0.55 respectively, comparing BATD participants to all controls and 0.84 and 0.79 respectively, compared to BATD controls only. Estimated effect sizes for depression and dysfunction were 0.70 and 0.90 respectively comparing CPT participants to all controls and 0.44 and 0.63 respectively compared to CPT controls only. Using a permutation-based hypothesis test that is robust to the model assumptions implicit in regression models, BATD had significant effects on depression (p = .003) and dysfunction (p = .007), while CPT had a significant effect on dysfunction only (p = .004). Both interventions showed moderate to strong effects on most outcomes. This study demonstrates effectiveness of these interventions in low resource environments by mental health workers with limited prior experience.
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    Why Refugees Rebel: Militarization in Jordan and Worldwide
    (2012) Lebson, Micah; Telhami, Shibley; Government and Politics; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    Why do some refugee groups militarize while others do not? Existing literature focuses on structural explanations and neglects factors related to refugee groups themselves. While acknowledging the importance of exogenous factors in enabling militarization, I fill this gap by proposing a framework of refugee militarization including factors endogenous to refugee groups, which will help explain the motivation of refugees to militarize and the framing used to mobilize them. In this framework, four conditions are necessary and sufficient to lead to refugee militarization in a particular host country at a particular time: a collective project to redeem the homeland from a clear enemy, socioeconomic marginalization from the host state, militancy entrepreneurs and political opportunity. This framework is applied to in-depth case studies of two refugee groups, Palestinians and Iraqis in Jordan. Why did Palestinians militarize from 1964 to 1970, but not earlier or later? Why have Iraqis not militarized despite fears that they might? What are the implications for the likelihood of militarization by either group in the near future, given the ongoing upheavals of the Arab Spring? From 2010 to 2011 I conducted 174 interviews of Palestinian and Iraqi households and local experts in Jordan. The results of these interviews reveal that from 1948 to 1963 there was a collective project among Palestinians in Jordan, but most refugees were waiting for powerful states to redeem the homeland on their behalf. From 1964 to 1970 all four conditions were met. From 1971 to 2011 militarization has not occurred mainly due to lack of political opportunity. This suggests that Palestinians would likely militarize again if political opportunity arose. Among ordinary Iraqis, however, there is little collective project, despite the presence of militancy entrepreneurs, so it is unlikely that they would militarize even if given the opportunity. To extend the global applicability of this framework, I apply it also to cases of Rwandans and Afghans, using secondary literature. I conclude with suggestions for future research, a projection of refugee militarization in the context of the new Middle East, and recommendations to reduce the risk of militarization.
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    EXPLORING TRENDS IN THE TARGETING OF VIOLENCE IN IRAQ THROUGH THE LENS OF CONFLICT THEORY: MARCH 2003 TO MAY 2006
    (2008-08-27) Foster, David Robert; LaFree, Gary; Criminology and Criminal Justice; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    Elements from Weber's Conflict theory are combined with a focus on legitimacy in order to predict the effects that major social and political events have on political violence in the Diyala province of Iraq. Using 39 months of time-series data from Diyala in an ARIMA analysis, this research determines the effects of eight major events on the targeting of violence across Diyala as well as against four specific target sectors: law enforcement, government, military and civilian. This research finds mixed support for conflict theory, although a clearer picture emerges when findings are summarized by target sector, hypothesis and by event. This model is particularly effective at explaining trends in political violence directed against civilian targets. Despite the suboptimal data used, this research provides support for conflict ability to offering insight into the causes and course of political violence in a nation undergoing rapid social and political change.
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    Sheathing the Sword of Damocles: Assessing Al Qaeda and Devising a US Response
    (2007-12-18) McGrath, Kevin; Schreurs, Miranda; Government and Politics; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    Al Qaeda killed over 3,000 US citizens on September 11, 2001, and terrorism leapt to the fore of US strategic and political priorities. Yet, after nearly six year of concerted effort by the United States, the dominant power in the international system, Al Qaeda survives and is still acknowledged as a potent threat. This begs the question not just of why, but of what the United States can do to redress the situation. This dissertation seeks answers by examining the four key aspects of Al Qaeda that enable it function as a successful terrorist entity - strategy, organization, financing, and politics. These factors area analyzed relative to the dynamics of the phenomenon of terrorism in the US-Al Qaeda struggle. For each variable, Al Qaeda's perspective and efforts, as well as the perspective and efforts of the United States, are scrutinized. This dissertation assesses Al Qaeda is primarily a political threat, not a military one. Terrorists subvert legitimate political processes to achieve political ends. Al Qaeda challenges not only specific US political decisions, but also the very nature of the US political system, a classical liberal democracy, and the nature of the US-created post World War II international order. The character of the US political response is critical. As such, this dissertation concludes that US efforts to combat such a threat cannot be limited solely to a hard power approach. Such a component must be present in US strategy, for it alone directly degrades Al Qaeda's capacity for violence, the source of its power. The US approach must, however, include a greater emphasis on the US-Al Qaeda struggle's political dimension. The political aspect both drives the conflict and frames its execution, thus shaping the possible outcomes in both the near and far term. Fortunately, as the leader of the international system, the United States is in a position to politically undercut Al Qaeda. The United States can do so by adhering to globally revered traditional US political values and foreign policy emphases - the rule of law, a participatory political system emphasizing the importance of international institutions, and democratic values, such as human rights - in not just the execution, but also the formulation of US policy. The potential impact is significant. Internally, manipulating the US-Al Qaeda struggle's political dimension in accordance with traditional US values can weaken Al Qaeda's internal cohesion. Externally, the United States can narrow Al Qaeda's room for maneuver by depriving it of political support, thus strategically degrading Al Qaeda's operational capability. In the process, the United States will also stunt the terrorism process's subversive effects on the United States' political character. In short, addressing the US-Al Qaeda struggle's political dimension in a manner consistent with traditional US political values ensures US political integrity while also yielding national advantage.