Pathological gambling: Etiologic considerations and treatment efficacy of eye movement desensitization/reprocessing

This study of 22 subjects who meet DSM IV criteria for Pathological Gambling (PG) tests a theory that the development of PG lies in the existence of unresolved trauma-related anxiety, similar to Post Traumatic Stress Disorder, and predicts that reduction of that anxiety will result in reduced pathological gambling behavior. The study compares the effect on gambling event frequency of Eye Movement Desensitization and Reprocessing (EMDR) therapy with cognitive therapy to that of cognitive therapy alone for subjects with and without reported trauma history. Results are significant for pre- vs post-EMDR (p =.04), for those with reported trauma history, (p=.01) and when controlled for frequency of sessions and time in therapy prior to the treatment (p=.04). Findings support an anxiety based model for the etiology of PG behavior.     

Eye movement desensitization and reprocessing. A brief and effective treatment for stress

1. Eye movement desensitization and reprocessing (EMDR) is an integrative therapy that "unlocks" disturbing memories or beliefs and reprocessess them, in some way, so they are no longer as disabling. 2. EMDR can be used for any experientially based psychological problems and has proven especially effective for traumatic imagery associated with posttraumatic stress disorder. 3. A primary benefit of EMDR is its time efficiency, requiring as few as 3 to 5 hours of treatment. 4. Many potential mechanisms (i.e., cognitive, hypnotic, self-disclosure, biological) may account for the effectiveness of EMDR.     

Using nursing students to enhance one college's immunization program.

In New York State, all college students who were born on or after January 1, 1957, are required to show proof of immunity against measles, mumps, and rubella (MMR) before the 1st day of classes. Colleges have established immunization programs so that those students who do not have the required proof can be given the necessary injections. Often, our health service office does not have enough staff to administer the MMR shots during the registration period, resulting in long lines of students waiting to be immunized. In this article, the authors describe how one college used nursing students to assist with and enhance its immunization program. The 45 nursing students who participated in this project administered 694 injections over a 5-day period, They received credit from the nursing department for clinical time and all of the participants agree that the project was a success.     

Using environmental affordances to direct people natural movement indoors

Understanding and predicting people's displacement movement is particularly important for professionals involved in planning complex buildings (e.g., hospitals, convention centers, subway stations and university campus). Some decisions taken by the visitors while choosing what route to follow can be influenced by some environmental cues which can act as a factor of attraction, influencing the wayfinding process. Therefore, the main objective of this study was to evaluate the hypotheses that, in the context of a simulated emergency egress, people prefer to move along either a wider and with more lighting corridor or to bear right. To collect the users' responses, a constant stimulus method was used, combined with a two forced choices method, involving the projection of stereoscopic images in a wall-screen. Results suggest that, in a "T-type" intersection, users randomly chose which direction to follow. However, if there is an increment in the width of the side corridor, users tend to follow the wider corridor. When light is inserted, users also prefer to choose the corridors with more lighting. In situations where the variables corridor width and existence of lighting are concurrent, the corridors with light are the most chosen by the users.     

Effectiveness of couples treatment for spouse abuse

Despite its controversy, carefully conceptualized and delivered couples treatment appears to be at least as effective as traditional treatment for domestic violence, and preliminary data suggests that it does not place women at greater risk for injury. However, the body of research on which these conclusions rest is sparse. Only six experimental studies have been done, each using different eligibility criteria, outcome measures, and treatment approaches. Thus, further study of this modality is warranted. Marriage and family therapists have an important part to play in continuing to develop and test innovative ways of helping couples end violence and improve their relationships--an endeavor that promises to improve the quality of the partners' lives as well as those of their children.     

Using multiple lines of evidence and independent teams to enhance the credibility of evaluations

The utilization of evaluation findings is an ongoing issue among evaluators. This article presents an approach to conducting evaluations that can be used to enhance the credibility of findings and to facilitate the production of adequate documentation in support of evaluation findings. The concepts of multiple lines of evidence and the use of independent teams are discussed. Use of this approach is expected to improve the utilization of evaluation findings.Two program evaluations that were undertaken at Canada's federal department of Consumer and Corporate Affairs are presented. To undertake the data collection and analysis, these studies were broken into separate “evaluation modules, ” each one undertaken by an independent team. The teams reported to an in-house study director, responsible for weighing the evidence and findings of each of the teams and writing the final evaluation report.     

Using GIS to enhance programs serving emancipated youth leaving foster care

This article describes a GIS prototype designed to assist with the identification and evaluation of housing that is affordable, safe, and effective in supporting the educational goals and parental status of youth transitioning from foster care following emancipation. Spatial analysis was used to identify rental properties based on three inclusion criteria (affordability, proximity to public transportation, and proximity to grocery stores), three exclusion criteria (areas of high crime, prostitution, and sexual predator residence), and three suitability criteria (proximity to health care, mental health care, and youth serving organizations). The results were applied to four different scenarios to test the utility of the model. Of the 145 affordable rental properties, 27 met the criteria for safe and effective housing. Of these, 19 were located near bus routes with direct service to post-secondary education or vocational training programs. Only 6 were considered appropriate to meet the needs of youth who had children of their own. These outcomes highlight the complexities faced by youth when they attempt to find affordable and suitable housing following emancipation. The LEASE prototype demonstrates that spatial analysis can be a useful tool to assist with planning services for youth making the transition to independent living.     

Using a systems orientation and foundational theory to enhance theory-driven human service program evaluations

This paper offers a framework for using a systems orientation and “foundational theory” to enhance theory-driven evaluations and logic models. The framework guides the process of identifying and explaining operative relationships and perspectives within human service program systems. Self-Determination Theory exemplifies how a foundational theory can be used to support the framework in a wide range of program evaluations. Two examples illustrate how applications of the framework have improved the evaluators’ abilities to observe and explain program effect. In both exemplars improvements involved addressing and organizing into a single logic model heretofore seemingly disparate evaluation issues regarding valuing (by whose values); the role of organizational and program context; and evaluation anxiety and utilization.     

Using Trellis software to enhance high-quality large-scale network data collection in the field

Trellis is a mobile platform created by the Human Nature Lab at the Yale Institute for Network Science to collect high-quality, location-aware, off-line/online, multi-lingual, multi-relational social network and behavior data in hard-to-reach communities. Respondents use Trellis to identify their social contacts by name and photograph, a procedure especially useful in low-literacy populations or in contexts where names may be similar or confusing. We use social network data collected from 1,969 adult respondents in two villages in Kenya to demonstrate Trellis’ ability to provide unprecedented metadata to monitor and report on the data collection process including artifactual variability based on surveyors, time of day, or location.     

Using practical ergonomic evaluations in the restaurant industry to enhance safety and comfort: a case study

Restaurant employees must deal with loud noise, busy environments, difficult customers, heavy, awkward, sharp, and hot objects, repetitive motions, and stress on various joints, all of which can lead to fatigue, sudden accidents, and longterm musculoskeletal injury. The goal of this case study was to assess the risk of injuries and accidents from conducting various tasks in the restaurant, specifically carrying/lifting, table management, and polishing silverware. The nine participants were servers at a local country club restaurant. Physical workload was measured by a scale of physical exertion. Cognitive workload was assessed, as well as cumulative trauma disorder risk. Overall results show that there is sufficient risk in some of the tasks to warrant concern. Specific results are discussed, as well as recommendations for improved safety.     

Doing good while doing business: Using financial viability to enhance employability for the disadvantaged

The employment social enterprise (ESE) model can provide an opportunity to create a financially viable business that helps individuals with employment barriers become integrated into the labor force. This research studied eight ESEs. Findings suggest that by applying private‐sector business principles to a workforce development programs, social enterprises can provide participants with meaningful and valuable work experience, while offsetting program costs. Analysis identified four promising practices that social entrepreneurs should adopt when setting up a new enterprise. Enterprises should (a) provide soft‐skill training and social services to participants; (b) operate at a size that allows for economies of scale in production and the provision of support services; (c) have few occupational skill requirements; and (d) hire supervisors with both industry knowledge and the capacity to support individuals with employment barriers.     

Bi-racial identity: Children born to African-American and white couples

The quest for self-identity has been more complex for African-Americans than for all the groups in American society. This quest has been especially troubling for children where one parent is African-American and the other parent is white. The scholarly literature is replete with themes on black identity and self-esteem, but this literature does not speak to the issue of biraciality since societal attitudes decree that any person with a drop of black blood is black. There is a move afoot by bi-racial (black and white) young adult children to claim both parts of their ethnic heritage. This paper suggests that the issue of bi-racial identity must be revisited and re-examined.     

Using attachment theory to understand the treatment of adult depression

John Bowlby developed attachment theory to explain connections between infant and caregiver behavior and how these impacted children’s behavior. Extended and researched heavily in a variety of contexts, attachment theory has advanced clinical thinking over time. Its core ideas regarding infant and caregiver connections are very useful to mental health practitioners today and have particular ramifications for clinical work with adults. This paper discusses the application of Bowlby’s attachment theory to the clinical treatment of adult depression and explores a relevant case example.     

Dual-earner couples and the decision to work less: A conceptual model

This paper examines the factors that affect the decision made by dual-earner couples concerning the possibility of one (or both) partners working a reduced-hours schedule. We rely on a comprehensive review of the literature on part-time work among dual-earner couples and on the factors that affect the decisions couples make about their work hours as well as preliminary findings from our ongoing study to consider two key questions: (1) What factors do dual-earner couples take into account when they consider whether one or both might work a reduced-hours schedule? (2) If the couple decides that one partner will work a reduced-hours schedule, how do they decide which partner reduces the hours of employment? Most previous research has focused on the centrality of gender in the decisions that couples make concerning the hours that they work. However, our review of the literature and the preliminary findings of our current research suggest that there are other factors that affect (directly or indirectly) the couples' decisions related to part-time options. Based on this review we present a new decision-making model for two-earner couples that will have implications for future research and policy initiatives. This paper is particularly timely for several reasons: the number of dual-earner couples continues to increase; there is some indication that more employees would choose to reduce their work hours if that were a viable option; and recently, managers and professional workers have become more vocal about their interest in part-time career options.     

Quality of marriage: a comparison between golden wedding couples and couples married less than fifty years

The quality of marriage is investigated for a sample of 79 couples living in a midwestern comprehensive retirement community. These 158 older, middle-class men and women are healthy and average 74.8 years of age. Marital length averages 41 years, and 34.8 percent have celebrated their fiftieth wedding anniversary. Marital quality, morale, and sexual behavior are not significantly different for golden wedding couples than for couples married less than 50 years. Couples married less than 50 years spend more time socializing with other couples each week than do those who have passed the 50 year mark; they also have higher levels of sexual interest, and are more likely to have been previously married. All of these couples are happily married, have high morale, and most are still sexually active (62.8 percent).     

Positive behavioral interventions and supports: using strength-based approaches to enhance the culture of care in residential and day treatment education environments

Positive Behavioral Interventions and Supports model, first introduced into public schools, has been extended to alternative settings. This article highlights applying PBIS to day treatment and residential treatment education programs increasingly challenged to serve seriously emotionally disturbed youth whose risk factors have become more complex. The results demonstrate a more positive environment enhancing children's treatment and education along with decreasing numbers of safety holds and need for out-of-classroom supports.     

Life satisfaction and family strengths of older couples

The purpose of this study was to examine the relation between family interaction quality of married elderly and their offspring and life satisfaction of older persons. Information was obtained by means of mailed questionnaires completed by both spouses of 68 married, retired couples living in Georgia and North Carolina who were identified through churches, senior centers, and congregate housing units and through personal contacts. For the total sample, health status was the strongest predictor of life satisfaction followed by certain family strengths factors and job prestige, respectively. Males and females differed concerning which variables contributed most to explaining variance in life satisfaction. Variance in life satisfaction of males was best explained by job prestige, family strengths, and financial help given. Variance in life satisfaction of women was best explained by their perception of their health, family strengths, and job prestige.