Violence Research Articles

Mental Health Nursing Care for Mrs. R with the Main Issue of Risk of Violent Behavior Due to Paranoid Schizophrenia in the Brotojoyo Ward, Dr. Amino Gondohutomo Psychiatric Hospital

Background: Paranoid schizophrenia is a mental disorder characterized by severe psychopathological symptoms, including delusions and hallucinations, which often lead to a risk of violent behavior. Purpose: This case study aims to provide nursing care for patients with paranoid schizophrenia at RSJD dr. Amino Gondohutomo, Central Java. The case discussed involves Mrs. R, who experiences a risk of violent behavior as a consequence of paranoid schizophrenia. Methods: The method used in this discussion is a case study with a mental health nursing care approach, including assessment, nursing diagnosis, intervention, implementation, and evaluation. Results: The results of the nursing care show that appropriate interventions, such as physical and verbal anger control exercises, as well as spiritual approaches, can reduce the intensity of violent behavior in the patient. Family support and patient compliance in undergoing pharmacological therapy also play a significant role in the recovery process. Conclusion: In conclusion, comprehensive and collaborative nursing care can improve the patient's psychological condition and reduce the risk of violent behavior.

Factors reported by the participants in group therapy for intimate partner perpetrators as helping

Little is known about the factors that facilitate change in interventions designed for intimate partner perpetrators. This qualitative study examined factors perpetrators in a voluntary-based batterer programme had experienced as having helped them reduce their intimate partner violence. The data were drawn from video-recorded group meetings. The data comprised recordings of 30 videotaped weekly group sessions held over a two-year period. The data were analysed by data-driven content analysis. We also examined which of the participants – facilitators or perpetrators – initiated discussion on factors helpful in reducing intimate partner violence Multiple factors that perpetrators had found useful in reducing their violent behaviours were found: New skills, Changes in attitudes and ways of thinking, Receiving peer support in the group, and Increased personal well-being and functioning. These factors might be connected as part of a process of critical self-reflection which was enabled through reduced feelings of shame and increased empathy. These discussions began at the initiative of the facilitator or group members, by sharing the experiences of another group member, or by open-ended questions from group members to others.

Expression level of myocardial enzymes in patients with schizophrenia: Predictive value in the occurrence of violence

BACKGROUND Schizophrenic patients are prone to violence, frequent recurrence, and difficult to predict. Emotional and behavioral abnormalities during the onset of the disease, resulting in active myocardial enzyme spectrum. AIM To explored the expression level of myocardial enzymes in patients with schizophrenia and its predictive value in the occurrence of violence. METHODS A total of 288 patients with schizophrenia in our hospital from February 2023 to January 2024 were selected as the research object, and 100 healthy people were selected as the control group. Participants’ information, clinical data, and laboratory examination data were collected. According to Modified Overt Aggression Scale score, patients were further divided into the violent (123 cases) and non-violent group (165 cases). RESULTS The comparative analysis revealed significant differences in serum myocardial enzyme levels between patients with schizophrenia and healthy individuals. In the schizophrenia group, the violent and non-violent groups also exhibited different levels of serum myocardial enzymes. The levels of myocardial enzymes in the non-violent group were lower than those in the violent group, and the patients in the latter also displayed aggressive behavior in the past. CONCLUSION Previous aggressive behavior and the level of myocardial enzymes are of great significance for the diagnosis and prognosis analysis of violent behavior in patients with schizophrenia. By detecting changes in these indicators, we can gain a more comprehensive understanding of a patient’s condition and treatment.

Novel loss-of-function variants in WDR26 cause Skraban-Deardorff syndrome in two Chinese patients.

Mutations in the protein WD repeat structural domain 26 (WDR26, MIM 617424) have been identified as the cause of autosomal dominant Skraban-Deardorff syndrome, a rare genetic disorder characterized by intellectual disability (ID), developmental delay (DD), hypotonia, epilepsy, infant feeding difficulties, gait abnormalities and distinctive facial features. The objective of this study is to investigate the genetic factors that may contribute to the development of Skraban-Deardorff syndrome in affected individuals. In this study, we used whole-exome sequencing (WES) to analyze pathogenic and likely pathogenic variants in two unrelated Chinese patients with DD and ID. We confirmed the origin of the variants by conducting Sanger sequencing and classified them according to ACMG/AMP guidelines. Here, two novel de novo variants (c.1797delC(p.His599fs*11) and c.1414C>T(p.Gln472*)) in the WDR26 gene have been identified in two Chinese patients with Skraban-Deardorff syndrome. These patients exhibit a range of symptoms, including varying degrees of ID, DD, speech delay, an abnormal wide-foot and/or stiff-legged gait, facial dysmorphism, behavioural abnormalities, with or without seizures. In this study, We report two unrelated Chinese patients with Skraban-Deardorff syndrome caused by novel de novo pathogenic variants of the WDR26 gene. These patients showed a clinical phenotype similar to that of patients with the WDR26 variant. Compared to reported cases with WDR26 pathogenic variants, patient 2 presented a novel complication of severe behavioural problems, including hyperactivity, social anxiety, self-mutilation, impulsivity and violent behaviour. This research broadens the range of genetic and clinical features of Skraban-Deardorff syndrome. In addition, the symptoms may become more pronounced as the patient ages. Furthermore, our report highlights the clinical diversity of Skraban-Deardorff syndrome. The findings may assist healthcare professionals in providing more accurate genetic testing and counselling to affected families and improving the overall management of the condition.

Asuhan Keperawatan Jiwa Pada Ny. T Dengan Masalah Utama Risiko Perilaku Kekerasan Akibat Skizofrenia Paranoid di Ruang Dewaruci RSJD Dr. Amino Gondohutomo Provinsi Jawa Tengah

Schizophrenia is a serious mental disorder with clinical manifestations such as: delusions (false beliefs), hallucinations, loss of contact wit reality (psychoisis), risk of violent behavior, abnormal thoughts that can inhibit daily activities that give rise to emotions, perceptions, thoughts, movement and behavior (Pertiwi et al., 2023). The purpose of this paper is to determine and provide psychiatric nursing care to Mrs. T with the main problem of the risk of violent behavior due to paranoid schizophrenia in the Dewaruci ward of dr. Amino Gondohutomo Mental Hospital, Cental Java Province in accordance with nursing standards. The method used is a descriptive method in the form of interviews, observations, documentation studies and literature studies. From the case review, it was found that the patients main complaint said “I was angry, shouted and even punched the door twice, ma’am”. There are 3 nursing problems, namely the risk of violent behavior, self-care deficit. Interventions are arranged base on TUM and TUK as well as on the client’s condition and can be implemented.

Obstetric violence in the context of community violence: The case of Mexico

This study examines the relationship between community violence and obstetric violence in Mexico, where the so-called “War on Drugs” has led to sustained high levels of homicides and one-third of pregnant people report experiencing abusive treatment from healthcare providers during childbirth. We combine unique nationally representative survey data on experiences of obstetric violence for births that occurred between 2016 and 2021 with administrative homicide data at the month-municipality level. Using fixed effects models, we investigate how different manifestations of obstetric violence relate to community violence in the short-, medium-, and long-term. Results suggest that the intensity of community violence matters for obstetric violence. Specifically, we find that sustained high-intensity homicidal violence is associated with an increased risk of mistreatment at childbirth, particularly in the form of physical abuse and non-consensual care. Associations are stronger among adolescent, low-educated, and urban respondents. Addressing obstetric violence requires recognising the structural role of sustained high-intensity community violence and the normalisation of violent behaviour that exposure to such environmental stressors may create.

A scoping review about the portrayal of mental illness in commercial video games

Current research is sparse on the relatively new but highly relevant topic of mental disorders in video games. This scoping review aimed to map the existing research on portrayal of mental illness in video games. PubMed, PsychInfo, PsycArticles, Medline, Scopus and the ACM Digital Library were searched, resulting in the final inclusion of seven records. Prevalences for the representation of mental illness ranged from 12 to 24%. Findings indicate that video games’ portrayal of mental illness is predominantly stigmatizing and negatively connoted. Mental illness frequently serves as a reason for violent behavior and is portrayed in line with paranormal experiences. Yet, some games portray mental illness in a more neutral way, using game mechanics to elicit empathy. While this review emphasizes the need for non-stigmatizing depiction, potentially through the inclusion of experts in the development process, future research should examine how much consumers are affected by the negative or positive portrayal of mental illnesses in video games.

Consensus Statement of the National Association of EMS Physicians International Association of Fire Chiefs and the International Association of Chiefs of Police: Best Practices for Collaboration Between Law Enforcement and Emergency Medical Services During Acute Behavioral Emergencies

Emergency Medical Services (EMS) and law enforcement (LE) frequently work as a team in encounters with individuals experiencing acute behavioral emergencies manifesting with severe agitation and aggression. The optimal management is a rehearsed, coordinated effort by law enforcement and EMS providing the necessary interventions to address behaviors that endanger the patient, the responders, and the public. The purpose of this document is to provide guidance and direction in the shared responsibility of managing and caring for a person displaying behavioral instability with irrational, agitated, and/or violent behavior. This is a discussion of the roles of law enforcement, 9-1-1 call centers (hereafter referred to as the Emergency Call Centers or “ECCs”), Fire, and EMS. A coordinated and unified response enhances the safety and effective management of potentially serious situations posed by individuals experiencing such acute behavioral emergencies. This paper provides the framework for an approach endorsed by NAEMSP, IACP, and the IAFC.

A - 146 Psychiatric Drugs Can Precipitate Neuropsychological Predicates of Homicide

Abstract Objective A man inexplicably killed his beloved wife. He had no history of violence, was a prominent member of the community, and gave no indications of the impending horrific act. He had been recently commenced treatment with psychiatric drugs, and his condition deteriorated, culminating in homicide. After his incarceration, he stopped taking psychiatric drugs and his mental health improved. Many practitioners are not aware that psychiatric drugs can create a risk for violence - or precursors of violence - such as anger, hostility, and agitation. This risk is often described on the product label. Method The subject was an intensive care nurse who became exhausted and despondent serving long hours during the Covid epidemic, when many of his patients were put on ventilators and died. He had suffered panic attacks from his difficulty breathing through the respiratory masks. He temporarily left employment and sought psychiatric assistance for his professional “burn-out” condition. After three doses of venlafaxine, he reported side effects including increased anxiety, blood pressure and heart rate. He was then prescribed escitalopram without tapering of the venlafaxine. As his anxiety progressed, he was prescribed escitalopram once daily and buspirone three times daily, yet he continued to deteriorate until the homicide. Results Expert genetic analysis found susceptibility to the psychiatric drugs prescribed. The neuropsychological evaluation, months post-homicide, found excellent neuropsychological function, although psychomotor and processing speed was deficit. Personality testing found no disorders, with a profile inconsistent with violent behavior. Conclusions Prescribers need to monitor patients carefully for potentially adverse and violent outcomes of treatment.

Psychopathy traits explain variance shared between features of substance use disorders and violence.

There is a substantial research literature on identifying risk and protective factors for violence perpetration. Substance use disorders have long been identified as constituting a significant predictor of violent behaviour. Psychopathy traits have also been similarly recognised, but inter-relationships between psychopathy traits, features of substance use disorders and violence have been little explored. To determine the degree to which shared variance between substance dependence symptoms and violence, as indicated by criminal charges for violent offences, among jailed men can be explained by psychopathy traits. Features of dependence on substances in three drug classes (alcohol, cannabis and cocaine) were assessed in a sample of 682 men in a county jail awaiting trial on criminal charges, many for violent offences. Statistical comparisons of zero-order and partial correlations tested whether accounting for psychopathy total and facet scores, assessed by the Psychopathy Checklist-Revised (PCL-R), affected associations between substance dependence symptoms and violent charges. Total PCL-R scores accounted for a significant proportion of the shared variance between the history of criminal charges for violence offences and lifetime substance dependence symptoms in all three drug classes. At the facet level, controlling for ratings on the interpersonal and modified antisocial facets reduced the association between criminal charges for violent offences and symptoms of cocaine dependence; controlling for ratings on a modified antisocial facetalso attenuated links between alcohol and cannabis dependence symptoms and history of charges for violent offences. These findings build on the sparse literature to date on the role of psychopathy traits on relationships between features of substance use disorders and violence. Given that the observed connection between substance dependence symptoms and charges for violent offences is partly accounted for by individual differences in psychopathy traits, it follows that effective treatment for those traits may be useful, perhaps essential to reducing links between features of some substance use disorders and violent offending.

A scoping review on combating workplace violence against psychiatry residents

PurposeThis paper aims to illuminate the issue of workplace violence (WPV) against psychiatry residents. Workplace violence is known to negatively impact physical and emotional well-being, professional development and the quality of the care that mental health professionals provide to patients. The authors discuss the prevalence of, risk factors for and consequences of WPV against psychiatry residents, as well as the need for support and resources to help residents cope with the emotional challenges of their job.Design/methodology/approachThis paper is a review of the literature on WPV against psychiatry residents, and includes studies on its prevalence, associated risk factors and consequences.FindingsPsychiatry residents face a heightened risk of WPV, including physical and verbal attacks, which can harm their mental and physical health and disrupt their continuity of care. Factors that contribute to WPV against psychiatry residents include exposure to aggressive or violent behaviors, inadequate training in WPV, understaffing, the stigmatization of mental illnesses, and discriminatory treatment. Furthermore, psychiatry residents who encounter WPV may develop negative emotions and attitudes toward their patients, which can compromise the care they provide.Research limitations/implicationsThe inherent heterogeneity of study designs highlighted in this review could hinder the establishment of definitive conclusions about the impact of workplace violence on psychiatry residents. A focus on studies published in English may inadvertently exclude relevant literature in other languages, potentially limiting the comprehensiveness of study findings.Originality/valueThis paper highlights resident physicians’ personal experiences with and perceptions of WPV encountered during residency training. In response, potential solutions are proposed to address WPV, including increased support for resident physicians, mandatory reporting of WPV incidents, and a cultural shift toward zero tolerance for WPV. In addition, the paper raises awareness of the limited research on this topic and the importance of further investigation.

Strategies for Implementing GlobalConsent to Prevent Sexual Violence in University Men (SCALE): Study Protocol for a National Implementation Trial.

Globally, women 15-24 years are at heightened risk of sexual violence victimization, a risk factor for adverse mental, physical, and behavioral health outcomes. Sexual violence is common at universities and most often perpetrated by men, yet few evidence-based prevention strategies targeting men have been tested in low- and middle-income countries. GlobalConsent is a six-module, web-based educational program adapted from an efficacious U.S.-based program. Nine months post-treatment in a randomized trial in Vietnam, GlobalConsent reduced men's sexually violent behavior (Odds Ratio [OR] = 0.71, 95%CI 0.50-1.00) and increased prosocial intervening behavior (OR = 1.51, 1.00-2.28) relative to an attention-control. Evidence regarding optimal implementation strategies for scale up is needed. We will randomize six medical universities in North, Central, and South Vietnam to deliver GlobalConsent using two different packages of implementation strategies that vary in intensity. Higher-intensity strategies will include greater 1) pre- and post-implementation engagement with university leaders and faculty, and 2) greater pre-implementation outreach, follow-up, and incentives for students to promote engagement and completion of GlobalConsent. Higher intensity universities will receive additional training and support for their added activities. We will compare implementation drivers and outcomes, intervention effectiveness, and cost-effectiveness across the two implementation bundles. Our mixed-methods comparative interrupted time-series design includes 1) qualitative interviews and quantitative surveys with university leaders and implementation teams to assess implementation barriers and facilitators; 2) repeated surveys with leaders and faculty, implementation teams, and male students to assess multilevel implementation drivers and outcomes, 3) repeated surveys with male students to assess behavioral outcomes (sexual violence and intervening behavior) and mediating variables (knowledge, attitudes, affect, and capacities), and 4) time diaries and cost tracking to assess cost effectiveness of the two implementation-strategies bundles. This project is the first to assess packages of implementation strategies to deliver an efficacious web-based sexual-violence-prevention program for undergraduate men across all regions of Vietnam and synergizes with a violence-prevention training initiative (D43TW012188). This approach will produce rigorous evidence about how to disseminate GlobalConsent nationally, which holds promise to reduce gender-based health inequities linked to sexual violence as GlobalConsent is brought to scale. NCT06443541. Retrospectively registered with clinicaltrials.gov.

Psychological assessment of violent behaviors in schizophrenic patients followed up in My EL Hassan health center of Kenitra, Morocco

BackgroundDisorders of the aggressive behavior frequently mark the entry in schizophrenia. They are not specific and very varied. The objective of this study was to assess the different risk factors associated with the manifestation of violent and aggressive behavior of schizophrenic patients who follow consultations in service of psychiatry at Kenitra, Morocco. One-hundred twenty-seven patients with schizophrenia were included, and the Modified Overt Aggression Scale (MOAS) and Positive and Negative Syndrome Scale (PANSS) were used respectively to assess the state of aggressiveness and to identify the type of psychotic symptomatology of schizophrenic patients. Clinical and sociodemographic data were obtained from all patients.ResultsThe study shows that criminal history, drug addiction, motives for aggressiveness, and the moment of aggressiveness are all potential factors for aggression, and the profile of the patient likely to take the act is that of young schizophrenics under 39 years old, predominantly male, and the majority are single. Judicial history, habits toxic, and the positive psychotic symptoms are reported as the most frequently risk factors. The index of Cronbach (0.64) showed a strong connection between the four items of aggression and strong relation between MOAS and PANSS categories has been shown by independent test (p < 0.001).ConclusionAggressive behavior is a frequent symptom of schizophrenia in studied population and poses many clinical challenges. It requires collaboration with the patient for handling difficult situations.

Enhancing school safety through psychological support: Key findings and strategies

A crucial aspect of creating a safe and supportive learning environment is the integration of psychological support to reduce school violence. Research highlights that school violence impacts not only students' physical safety but also their mental health and emotional development. Effective psychological support can play a pivotal role in preventing and mitigating violent behaviors by addressing underlying emotional difficulties and unresolved trauma. Key strategies include implementing early interventions through school psychologists and counselors, who offer individual and group counseling to help students manage conflicts and intense emotions constructively. Additionally, psychological support programs can improve the school climate through workshops on emotional intelligence, stress management, and social skills, fostering empathy and reducing conflicts. Integrating psychological services with other school resources, such as emotional education programs and violence prevention strategies, is essential. Collaboration among school psychologists, teachers, parents, and administrators ensures a holistic approach to violence prevention, considering all aspects of students' school lives. The research demonstrates that peer social support significantly mediates the relationship between school victimization and psychological health. Social support acts as a buffer, mitigating the negative effects of violence, and is crucial for students of all genders and ethnicities. Furthermore, family support is identified as a vital moderator, enhancing adolescent mental health despite exposure to violence. Psychological intervention strategies, such as establishing psychological warning systems and prevention mechanisms, are essential in proactively addressing violence. Schools should focus on creating a protective environment and integrating psychological strategies into broader prevention efforts. Continuous mental health education and a safe space for students to express concerns can significantly reduce violent behaviors and support a positive educational atmosphere.

Unveiling Violence and Masculinity through a Psychoanalytic Study of Sam Shepard's Curse of the Starving Class (1977), Sarah Kane' Blasted (1995) and The Body of a Woman as a Battlefield in Bosnian War (1996) by Matei Visniec

The examination of violence and its association with masculinity is depicted in three distinct plays: Blasted, written by Sarah Kane in 1995; Curse of the Starving Class, authored by Sam Shepard in 1977 (it was made into a Hollywood film in 1994); and Matei Vişniec’ The Body of a Woman as a Battlefield in the Bosnian War (1996). Utilizing a qualitative approach, this study employs close textual analysis and an extensive review of relevant literature to examine the representation of violence and masculinity in theatrical framework while also exploring the wider societal implications of such portrayals. The chosen plays present a wide range of viewpoints regarding violence, encompassing both highly intense manifestations of violence and the repercussions of warfare on the individuals. This analysis utilizes Judith Butler's theory of gender construction and Antonio Artaud's Theatre of Cruelty in order to examine the ways in which these plays either challenge or uphold conventional gender. Furthermore, it investigates the intricate correlation between trauma and aggressive conduct as depicted in the plays. By going deeply into the text and exploring its underlying concepts, it reveals the crucial function of theater in tackling and evaluating complex social problems. The plays act as a mirror for society viewpoints, forcing readers and the audiences to face uncomfortable truths about aggression, masculinity, and emotional anguish. The impacts of trauma on individuals and communities are brought to light. These plays demonstrate how war trauma can induce rage and promote violent behavior. It also highlights the power of theater to challenge harmful social conventions and catalyze positive social change by challenging traditional gender roles and power dynamics. Improving the audiences understanding of cultural attitudes and potential paths for societal change, this study contributes significantly to the assessment of violence and masculinity as depicted in theatrical performances.

Asuhan Keperawatan Jiwa pada Ny. R Dengan Masalah Utama Risiko Perilaku Kekerasan Akibat Skizofrenia Tak Terinci di Ruang Arimbi RSJD dr. Amino Gondohutomo Provinsi Jawa Tengah

Schizophrenia is a syndrome with a variety of causes, where each patient exhibits different clinical manifestations, therapeutic responses, and disease progression. Clinical manifestations of schizophrenia include disorganized speech, restlessness, pacing, and aggression, often exhibited through violent behavior. According to WHO data, in 2019, approximately 24 million people worldwide suffered from schizophrenia (WHO, 2019). The purpose of this paper is to understand the nursing care process for Mrs. R, with the main issue being the risk of violent behavior due to unspecified schizophrenia. The writing method used is a descriptive case study through a nursing process approach, where the assessment is conducted using interview techniques, observation, documentation review, and literature study. The nursing diagnoses identified include the risk of violent behavior, self-concept disturbance: low self-esteem, and self-care deficit. The interventions developed involve implementing strategies for both the patient and the family. The evaluation of the nursing care for Mrs. R showed that the diagnosis of risk of violent behavior was partially resolved, and the self-care deficit was resolved.

Asuhan Keperawatan Jiwa pada Ny. N dengan Masalah Utama Risiko Perilaku Kekerasan Akibat Skizofrenia Paranoid di Ruang Arimbi RSJD Dr. Amino Gondohutomo Provinsi Jawa Tengah

Schizophrenia is a chronic mental disorder known for unclear thoughts, strange behavior and unreal sensory experiences that affect a person's thinking, feeling and acting and can make it difficult to distinguish between what is real and what is not. Patients with schizophrenia who experience delusions often feel angry and may be violent towards people they believe have hurt them. Uncontrolled anger in patients with schizophrenia will cause the risk of violent behavior (Auliati &amp; Lubis, 2023; Wulandari et al., 2024).

A cyberterrorist behind the keyboard

Abstract Given the diverse backgrounds of people living in modern societies as well as the international nature of cyber-terrorist threats, profiling the type of person behind cyber-mediated crimes has become a norm in terrorist profiling practice. This study contributes to timely efficient terrorist profiling and threat assessment by showcasing an automated content analysis of cyber-mediated terrorist texts, using natural language processing technology and AI-assisted analysis. To characterise the terrorist type of texts and provide clues to threats, the study employs a ‘psycholinguistic profiling’ approach to authorship analysis (Grant 2008). That is, it seeks to describe the likelihood of an author’s engagement in violent extremist activity, identify motives for violence, and provide clues vis-a-vis would-be and actual violent behaviours. The study takes twenty texts produced by international terrorists involved in jihadism and far-right violent extremism as a case study. The findings reveal the investigative value of automated psycholinguistic profiling for security and intelligence practitioners, with the semantic patterns yielding helpful information for an understanding of the criminal nature of terrorist language. Also revealed is the attentional pattern of extremists and their discourse together with clues-based conclusions about text type, as well as ‘warning’ behaviours and motives for aggression which vary according to the authors’ ideological differences.

Motivations for Methamphetamine (Mkpurummiri) Use and Consequences Among Nigerian Users

Media reports show that methamphetamine use is growing in Nigeria, but there is a paucity of empirical research that examines the motivations for, and consequences of, using the drug. In this study, we explored motivations or reasons for methamphetamine use and implications among 18 users and service providers. We analysed the data thematically to generate themes. The findings show that while most users initiated methamphetamine use in friendship networks, drug dealing also facilitated the initiation. Some participants were motivated to use methamphetamine to stay awake at night and engage in online businesses, while others used the drug to enhance their energy for manual work to improve productivity and enhance sexual drive, performance and pleasure. Although participants believed that methamphetamine use performed some functions, they reported its adverse effects on them and their friends, including irritation, hostility, extreme violent behaviour, delusion, psychiatric disorders, and inability to urinate or defecate for seven days. Additional findings showed that stigma is a prominent barrier to accessing treatment. Therefore, individuals do not use treatment facilities until their condition deteriorates. The findings suggest the need for the urgent provision of information to deter people from methamphetamine uptake and to provide interventions and pathways to treatment that will protect people who use methamphetamine from stigmatisation and other forms of discrimination.

New perspectives on fighting violence against women.

Gender-based violence (GBV) and, more specifically, violence against women (VAW) are commonly considered a consequence of a patriarchal structure-a social system granting the senior male absolute authority over the family and the community as a whole. Anthropologists have documented that human male dominance is rooted in evolution, with male violent behavior observed among the great apes. Given that evolution is a continuous process, human progress over millennia has modified pre-existing behavior, demonstrating that humans can move beyond ancestral ways of life over time. Precisely because of the imperative to change and improve, at the global international level as well as in individual countries, strong movements are in action to eliminate GBV/VAW. FIGO has been and continues to be at the forefront of the battle for equality, with initiatives that cover many aspects of this, including the imperative to involve men, who-in the majority of cases-are the perpetrators. Since men are often the root of the problem, they must also be at the forefront of the battle to eradicate it. GBV/VAW comprises many facets, including selective female abortion, infanticide, femicide, honor killing, female genital mutilation, and child marriage. These deeply rooted forms of violence continue to perpetuate gender inequalities, remain major obstacles to health and societal progress, and violate the most basic human rights.