How to Be a Good Alcoholic

Alcoholism is not one singular thing. It takes many forms, some more dignified and less destructive than others. This article explores how people drinking in the early hours of the day in bars present themselves and their relationship with alcohol and alcoholism. By means of ethnographic data, I analyze their strategies in dealing with the deviant use of alcohol. I find that the early morning drinkers use distinctions along three dimensions: managing drunkenness, taking breaks from drinking, and claiming certain motives for drinking. These distinctions are used in order to position oneself on a normative scale of different types of alcoholics.     

The impact of first-birth timing on divorce: New evidence from a longitudinal analysis based on the central population register of Norway

The association between divorce risks in first marriage and the timing of the first birth is inspected in a life-table analysis of registered birth and marriage histories from Norway. One of the main conclusions is that the high propensity to divorce among women who have had a premarital birth is not confined to those who marry someone other than the father of their child. Also, women who have had a premarital child with their husband, run a much higher risk of marital breakup than do those who had their first baby in wedlock. The relative difference between these two groups, which appears to be particularly large at the beginning of marriage, has decreased during the last two decades. It is argued that couples who postpone childbearing beyond two years of marriage may have particularly low divorce rates.     

Treatment of psychogenic seizures in adolescents

This article will review the problem of psychogenic seizures in adolescents and the impact of family therapy and individual therapy on treatment. Why particular individuals are prone to psychogenic seizures, the relationship between psychogenic seizures and family dynamics, and unresolved individual issues will be covered. The article will address a selected case, with a specific clinical paradigm for treatment.     

‘He didn't mean to hit mom,I think’: positioning,agency and point in adolescents' narratives about domestic violence

This paper analyses the narratives of adolescents who have experienced domestic violence. It focuses on what we can learn about being an adolescent who experiences domestic violence, using a narrative approach. Attentive to both form and content, the paper sheds light on why the narrative is being told, who the actors in the narratives are, who are positioned in the forefront/background and what the point of the narrative is. The analysis shows that through the storytelling, the father's position as the reluctant/dangerous/weak aggressor is negotiated, the mother is positioned both in the background as a victim and in the forefront as an actor resisting his violent behaviour. The children position themselves as actors with power to alter the progress, to protect and stop the violence. The point of the narratives is to describe the father as the aggressor, and to describe the important role of the children. This picture of the father, mother and child questions the traditional understanding of the father as the aggressor, the mother as the victim and the child as a powerless bystander being exposed to the violence, and underlines the complexities of the dynamics in families living with domestic violence.     

Brief Screening and Intervention for Alcohol and Drug Use in a College Student Health Clinic: Feasibility,Implementation, and Outcomes

Abstract

Objective: Evaluation of the Brief Alcohol Screen and Intervention in College Students (BASICS) in a university primary care setting. Participants/Methods: Undergraduates (N = 449) participated in BASICS and electronic surveys assessing frequency/quantity of alcohol and drug use, psychosocial and mental health outcomes, and demographic information. Data were collected at baseline and 6-month follow-up between August 2006 and August 2008. Results: Drinking and drug use decreased between baseline and 6 months. Participants reported an increase in protective factors and in readiness to change alcohol-related behaviors, and a decrease in alcohol-related consequences and in distress symptoms. Heavy episodic drinking at baseline significantly moderated the changes in number of drinks in a typical week and in a typical weekend, and number of drinks on the occasion drank most on a weekend. Conclusions: BASICS can be implemented in a primary health care setting and university students may reduce their alcohol and/or drug use.     

Physical Activity,Exercise, and Sedentary Behavior in College Students

Abstract

Objective: This article examines students’ perceptions of individual and institutional responsibility for sexual health so that institutions can better provide for the needs of their students to increase academic success and healthy relationship outcomes. Participants: Students from 2- and 4-year colleges in 1 state (N = 78). Methods: From May through November 2010, the authors used go-along interviews to examine students’ perceptions of resources for sexual health on their campuses. Results: Participants believed that it is the college's responsibility to provide resources and the responsibility of students to access resources. Participants at 2-year schools wanted referrals to resources, whereas participants at 4-year schools expected resources to be available and emphasized the importance of a supportive community. Conclusions: Students at 2- and 4-year colleges have different expectations of their institutions; by making resources and referrals for sexual health available, colleges can better serve their students, which will result in improved health outcomes.     

Essential Data Elements for Reporters of Elder Abuse

Most states' adult or elder protective services and aging agency personnel prepare annual reports about their protective services. These reports vary by state and have different terms for the reporter of abuse. Reviewing annual reports from 46 states and the District of Columbia, 248 different terms were used for the reporter of abuse. To develop essential data elements for reporters of abuse, a literature search, a compilation of state elder abuse annual report list of abuse reporters, and a sorting exercise were conducted. Eleven terms were recommended for the different reporters of abuse, encouraging all state administrators and caseworkers to reach consensus to standardize the language.     

Elder Abuse: What Coroners Know and Need to Know

This article presents findings from a survey examining knowledge of elder abuse among Georgia's coroners. More than half of the 116 respondents indicated that they know “almost nothing” or “a little” about distinguishing signs of physical abuse from signs of aging (54%) and mandatory reporting laws and related elder abuse statutes (63%). When asked the frequency with which older adult cases were referred to the medical examiner, 49% indicated “rarely if ever.” Study findings reveal specific opportunities for enhancing training efforts aimed at coroners, who play a critical role in the identification of elder abuse.