Reducing High-Risk Drinking Among Student-Athletes: The Effects of a Targeted Athlete-Specific Brief Intervention

Abstract

Objective: This study examined the effects of a single-session motivational interviewing–based in-person brief alcohol intervention that contained student-athlete–specific personalized drinking feedback. Participants: Participants were 170 National Collegiate Athletic Association Division I student-athletes meeting screening criteria for heavy episodic drinking. Methods: Baseline assessments of alcohol use frequency and quantity, norm perceptions of peers' alcohol use, experiences of negative consequences, and use of protective behaviors were administered to student-athletes prior to a 1-session brief intervention containing personalized feedback highlighting the relationship between alcohol use and athletic performance. Follow-up assessment was conducted 3 months post intervention. Results: Student-athletes participating in the athlete-specific brief intervention showed significant reductions in their alcohol use and alcohol-related negative consequences, increases in use of protective behavioral strategies, and corrections in norm misperceptions at 3 months post intervention relative to a no-treatment comparison group. Conclusions: Student-athlete–specific brief alcohol interventions show promise in addressing high-risk drinking, reducing associated harms, and supporting health.     

The Effect of Graduate School on Identity Issues

Abstract

Objectives: To provide a critical review of the efficacy of brief interventions for alcohol use in college health centers. Methods: Studies were included if (a) they examined brief intervention trials that were conducted in college- or university-based student health centers or emergency departments, and (b) they provided pre–post data to estimate change. Results: Twelve studies suggested that screening and brief interventions in these settings are acceptable, feasible, and promote risk reduction. Conclusions: Findings support continued use of time-limited, single-session interventions with motivational interviewing and feedback components.     

Efficacy of a Web-Based,Tailored, Alcohol Prevention/Intervention Program for College Students: Initial Findings

Abstract

Objective: Reduce college student at-risk drinking (ARD) using a Web-based brief motivational alcohol prevention/intervention called Michigan Prevention and Alcohol Safety for Students (M-PASS). Participants: Participants included 1,137 randomly sampled first-year college students, including 59% female, 80% white, and averaged age 18.1 years. Methods: Intervention group participants (n = 616) attended 4 online M-PASS sessions, receiving feedback tailored to individual drinking patterns and concepts from 4 behavior change theories. Control group participants (n = 521) completed a mid-phase survey, and both groups were surveyed at baseline and posttest. Results: Evidence of M-PASS's efficacy was found. The intervention was associated with advanced stage of change, lower tolerance of drinking and drink/driving, fewer reasons to drink, and use of more strategies to avoid ARD. Preliminary evidence of behavioral change was also found. Efficacy was greater for women than men. Conclusions: Web-based programs may be useful in reducing alcohol-related risk among college students. Further evaluation is needed.     

Two Patterns of Establishing Trust: The Marijuana User

Abstract

Trust has been little investigated outside the experimental laboratory situation, and its processual aspects have largely been neglected (cf. Swinth, 1967). Two common interactional patterns through which the marijuana user establishes the relationships of trust necessary for his drug-related activity are examined. The “disclosure pattern” occurs in three stages and provides the marijuana user with a coherent set of “identity documents” (Gross and Stone, 1964) as a basis for defining another person as trustworthy. The “extension pattern” provides the marijuana user with a trusted third party's definition of another as trustworthy as a basis for defining that other as trustworthy. It is suggested that these two interactional patterns may occur among groups as well as between individuals.     

What “likes” have got to do with it: Exposure to peers' alcohol-related posts and perceptions of injunctive drinking norms

Objective: Examine 1) whether observed social reinforcements (i.e., “likes”) received by peers' alcohol-related social media posts are related to first-year college students' perceptions of peer approval for risky drinking behaviors; and 2) whether associations are moderated by students' alcohol use status. Participants: First-year university students (N = 296) completed an online survey in September, 2014. Method: Participants reported their own alcohol use, friends' alcohol use, perceptions of the typical student's approval for risky drinking, and ranked 10 types of social media posts in terms of the relative numbers of “likes” received when posted by peers. Results: Observed social reinforcement (i.e., “likes”) for peers' alcohol-related posts predicted perceptions of peer approval for risky drinking behaviors among non-drinking students, but not drinking students. Conclusions: For first-year college students who have not yet initiated drinking, observing peers' alcohol-related posts to receive abundant “likes” may increase perceptions of peer approval for risky drinking.     

Do “Clicker” Educational Sessions Enhance the Effectiveness of a Social Norms Marketing Campaign?

Abstract

Objective: Social norms campaigns are a cost-effective way to reduce high-risk drinking on college campuses. This study compares effectiveness of a “standard” social norms media (SNM) campaign for those with and without exposure to additional educational sessions using audience response technology (“clickers”). Methods: American College Health Association's National College Health Assessment questions are used to evaluate actual and perceived use. Additional survey questions assess individual exposure to the interventions. Results: The authors find “clicker” technology to be more effective than social norms poster media alone in reducing misperceptions of normative alcohol use for those students who attended clicker sessions. Conclusion: Poster SNM campaigns may be most effective when supported by group “clicker” heath-related sessions.     

Increasing the Economic Self-Sufficiency of Rural Families

ABSTRACT

Rural poverty affects 2.5 million U.S. children annually. The implementation of Child/Parent Individual Development Account (IDA) policies and programs may reflect a “best practices” strategy for reducing the incidence and impact of rural poverty. IDAs are dedicated savings accounts designed to help low-income individuals save for home ownership, postsecondary education, and small business development purposes. A brief policy analysis and feasibility study indicates Child/Parent IDA programs are a feasible way to address long-term social, psychological, and economic development for rural adults and children. Social work's continued involvement in evaluating IDA policy is paramount for improving the well-being of rural families.     

The Longitudinal Effects of a Rape-prevention Program on Fraternity Men's Attitudes,Behavioral Intent,and Behavior

Abstract

Rape myth acceptance, likelihood of raping, and sexually coercive behavior of 145 fraternity men randomly assigned to a control group or a rape-prevention program were surveyed. One third of 23 fraternities on a mid-Atlantic public university campus volunteered to participate in the study. The rape-prevention intervention consisted of “the men's program,” a victim empathy-based presentation titled “How to help a sexual assault survivor: What men can do.” Although no evidence of change in sexually coercive behavior was found, significant 7-month declines in rape myth acceptance and the likelihood of committing rape were shown among program participants. In the case of rape myth acceptance, the 7-month decrement remained lower in the participant group than in the control group. Implications of using these initial findings from the men's program for rape-prevention programming are discussed.     

Getting is Giving: Time Banking as Formalized Generalized Exchange

This article applies principles of the social exchange framework of social psychology to the social phenomenon of time banking. A “time bank” is an organization that facilitates the giving and receiving of services among its members by allowing them to provide a service, such as an hour of tutoring, in exchange for a “time credit,” which can then be redeemed for receipt of a service, such as an hour of yard work. Empirical research on time banking has focused on its ability to build community and its place within the sharing economy as a form of “connected consumption.” We build on these lines of thought by examining the practice of time banking as a formalized version of generalized exchange. Generalized exchange is a prosocial type of social exchange in which benefits are repaid indirectly, sometimes referred to as “paying it forward.” We discuss how two of time banking's most commonly cited benefits, building social capital and empowering members, can be better understood through this lens of generalized exchange. We then identify two specific motivational issues that time banks face and use a social exchange perspective to propose a possible solution under a framework we refer to as getting is giving.     

Becoming an Ally: Breaking the Cycle of Oppression (2nd edn)

Abstract

In the present context of “get tough on crime” and “back to criminal justice” campaigns that continue to dominate political agendas throughout Australia, critics point to the inadequacy of “welfarist” or reformist criminological and sociological theories that have informed interventions in the past and reinforce the need for “retributive justice” models of penal policy. The present paper examines historical evidence on the role of the human sciences in juvenile justice administration during the 1940s, a formative time when psychiatric, psychological, and social work expertise came together in the form of the Children's Court Clinic in Victoria. It suggests that contemporary critiques about the failure of the welfare model of juvenile justice inadequately capture the historical functioning of expertise in justice administration and the real extent to which the welfare model as “actual rehabilitative intervention” was ever implemented.     

Community Participation Reconsidered

ABSTRACT

This paper describes the process of planning, developing, and implementing a community-based project with Hmong women in a large Midwestern city. Combining action and research to forge relationships, identify common goals and garner resources, the Hmong Women's Project applied principles of both feminist and participatory action research (PAR). In light of the successes and challenges of this ongoing project, we critically evaluate the oft-encouraged goal of “maximum community participation” in PAR projects by questioning common definitions of “community” and “participation.” We argue that the parameters of what constitutes a “community” and what counts for “participation” are inherently unstable, requiring constant negotiation of ideas, values, identities and interests among all who participate in a PAR project.     

Conceptions of Gay Male Life-Span Development

Abstract

Four of Erikson's eight psychosocial crises were used in this qualitative, exploratory study as an organizing framework. Using a semi-structured questionnaire, seven men were interviewed with the goal of understanding how they have navigated Erikson's life stages. Significant results included: an early sense of being different and a period of time between “coming out to self” and “coming out to another person,” both complicating Erikson's sense of “social trust.” The men also described finding non-biological ways of achieving generativity as well as the development of a strong internal sense of authority or locus of control. Other strengths gained included: achieving a broad base of social support or a “family of choice,” and becoming role models themselves in response to a clear absence of positive role models during their own adolescence, which many identified as delaying their coming out. Finally, AIDS was discussed by many as a critical factor affecting how these men navigate each of Erikson's stages. Implications of these tentative findings are suggested for research, teaching, practice, and for psychosocial theory itself.     

Secondary Popular Culture

In the context of “primary process” assumptions concerning mass distributed culture, the idea of “secondary process” assumptions is developed. A secondary popular culture process (1) is focused on the time period after “legitimate” distribution is conventionally considered complete, (2) treats “finished” cultural materials as raw materials, (3) takes for granted the design and actualization features of “legitimate” production and distribution (which is tantamount to “sacredness”), (4) “turns over” nationally (and internationally) produced wants (“markets”) at the local level for local profit, and (5) creates localized occupational, professional, and stylistic identities which are unanticipated consequences of the centralized producer's work. The idea is then illustrated through a brief discussion of the author's research concerning local popular music performers.     

Assessing University Students’ Self-efficacy to Employ Alcohol-Related Harm Reduction Strategies

Abstract

Objective: Develop and evaluate key psychometric properties of a self-report questionnaire specifically designed to assess student drinkers’ self-confidence to employ a variety of strategies intended to reduce unhealthy consequences of high-risk drinking. Methods: Four hundred ninety-eight participants rated their confidence (from “not at all confident” to “completely confident”) to employ 17 harm reduction strategies when drinking. Results: Factor analysis and internal consistency reliability analyses indicated that the 17 items constitute a single scale with good test–retest reliability. Consistent with other research examining previous use of such strategies, women in our sample reported significantly higher harm reduction self-efficacy than did men. Harm reduction self-efficacy was also associated with reported number of high-risk drinking episodes in the previous 2 weeks. Conclusion: This brief and easily administered questionnaire holds promise as a clinical tool to identify individuals with low harm reduction self-efficacy and as an outcome measure for health promotion and educational interventions.     

Heterosexism and Social Work

Abstract

This study examined heterosexism among 409 Illinois school social workers. Heterosexism was found to be negatively correlated with “education about” and “positive contacts with” gay and lesbian individuals and positively correlated with “religiosity.” Most respondents showed some level of heterosexism with a few having very high levels. Only 15% were non-heterosexist. Respondents reported receiving little or no education about sexual minorities in their social work training. Most indicated that the training received was not adequate preparation for working with gay and lesbian individuals. Amount of education received increased with each of CSWE's educational mandates about sexual minorities but had no significant effect on heterosexism.     

In Search of Resiliency in Families

Abstract

This study explores the process of relationship development in marriages that foster personal and relationship growth. Semi-structured interviews were conducted with twelve individuals/six couples in marriages that promote individual and relationship growth. Grounded theory methodology was employed and “Empowering Connections” emerged as the core theme. Empowering connections are characterised by a process of growth captured by the following categories: “Connecting Emotionally,” “Loving Respectfully,” “Expanding One's Self,” and “Experiencing Empowering Connections.” The results of the study contribute to the understanding of marriage and provide insight to premarital couples, people who want to improve their marriage, and to therapists working with couples.     

In Praise of Feedback: An Effective Intervention for College Students Who Are Heavy Drinkers

Abstract

The efficacy of brief motivational feedback to reduce drinking among college students has been reported by several researchers. As an extension of this theoretical and applied framework, the author tested the use of mailed feedback to influence the drinking behavior of students self-identified as moderate-to-heavy drinkers in two randomized trials. A 6-week follow-up of the efforts suggested the efficacy of the feedback intervention at reducing alcohol consumption. The feedback mechanism used in the studies is described in detail and possible reasons for its efficacy are explored. In light of the cost-effective nature of this intervention, it may warrant a place in larger campus prevention programs.     

Reading and Writing,Talking and Listening Introducing Studies in Gender and Sexuality

This essay offers a brief history of how the stereotype “the female homosexual” was created through three installments of psychoanalytic theorizing, starting with Freud's (1920) case study. A second, brief history presents the various strands of critical theorizing that have identified “the female homosexual” as a stereotype. The essay then makes a contribution to current discussion of female homosexuality by suggesting an instinct theory that features ego instincts and sexual instincts interacting (as Freud' theory did before 1920). Reference is made to Takeo Doi's concept of amae (expectation of affection) and to amae as an ego instinct. This theory then is the framework for a clinical v ignette focused on a female homosexual's ego-instinctual needs.     

Family Social Work: The Past and the Present

SUMMARY

It is easy to blame the dysfunction of a family member on his or her behavioral patterns. I use the title, “It's the Relationship, Stupid!” not to talk down to family therapists, but to remind myself that the source of dysfunction is usually family relationships, especially the marriage relationship. This article gives several case studies for practical application of therapy techniques that focus on developing the “WE” of the family unit. One practical technique that I developed is a communication typology. The married couple (and family members) are divided into “Painters” and “Pointers.” This typology explains much of the conflict and mis-communication that leads to the breakdown of the “WE.” This article also presents dysfunction within the individual as a relationship problem and introduces the concept of the “spirit” of the individual as expressing the relationship the person has with self.