Inke Kusumastuti
Department of Psychiatry, Faculty of Medicine, University of Jember, Jember, Indonesia

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Sexism and Attitude Toward Reporting of Child Sexual Abuse Inke Kusumastuti
Journal of Agromedicine and Medical Sciences Vol 7 No 3 (2021)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v7i3.25254

Abstract

Long-standing sexism in the Balinese community, based on its traditional paternalistic culture, may become the main factor to underlie children's vulnerability for abuse. School teachers, considering their regularity to interact with children in schools, might play a significant role in early detection and intervention of such cases. We conducted a cross-sectional observational study by sampling Junior High School teachers in Denpasar as an initial effort to analyze the correlations between sexism and attitude toward reporting of child sexual abuse in Bali. Subjects were requested to complete the questionnaires Ambivalent Sexism Inventory (ASI) and a Teachers’ Reporting Attitude Scale for Child Sexual Abuse (TRAS – CSA). The two scales were then analyzed for correlations. The score of ASI Hostile sexism (HS) domain was inversely correlated with total TRAS-CSA, while a positive correlation was found between total TRAS-CSA score and total ASI Benevolent Sexism (BS) domain score for Paternalism subdomain. This research also pointed to the tendency of the Balinese sample to conduct the practice of benevolent sexism instead of hostile sexism. In correlation with teachers’ reporting for sexual abuse, cautions should be taken for possible inadequate reporting that might potentially lead to the chronicity of the abuse. Keywords: attitude, reporting, child sexual abuse, sexism, teacher
Caregiving Burden in Family Caregivers Of Patients With Schizophrenia Post-Pasung in Jember Lusi Padma Sulistianingsih Mata; Inke Kusumastuti; Ida Sri Surani Wiji Astuti; Sheilla Rachmania
Journal of Agromedicine and Medical Sciences Vol 9 No 2 (2023)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v9i2.25247

Abstract

Pasung (restrain) towards people with schizophrenia has yet to recede from being a complex problem in Jember, East Java. One of many aspects of pasung that has not been widely studied is the caregiving burden in the post-pasung period. This research aimed to comprehend the meaning-making of the caregiving phenomenon as experienced by the families of people with schizophrenia during the patients’ post-pasung period in Jember. This research utilizing the interpretive phenomenological analysis (IPA) recruited 11 participants (7 caregivers of people with schizophrenia and 4 community mental health nurses) who were purposively sampled and underwent semistructured interviews from November to December 2019. Two themes emerged in this study namely the experience of the post-pasung caregivers and triangulation with the community mental health nurses which consisted of 8 and 3 subthemes, respectively. Post-pasung caregiving burden experienced by families in this study consisted of subjective, objective, and iatrogenic burdens. Compared with the pasung period, the burden was lighter both for objective and subjective caregiving burden. The most dominating burden is the subjective burdens including apprehensiveness, stigma from the family and the society, and advice from external parties that were against the process of recovery and the objective burden came in the form of the caregiver’s significant health problems. Caregivers made various efforts supported by the provision of accessible and holistic health services as well as interdisciplinary coordination to ease the burden. This study indicates the diversity of the caregiving burden of post-pasung people with schizophrenia. This diversity suggests that interventions aimed at lightening the burden should be carefully selected based on the actual needs of the caregivers. Keywords : caregiving burden, caregivers, pasung, schizophrenia