Treatment outcomes among adolescents with substance abuse problems: the relationship between comorbidities and post-treatment substance involvement

This study examines comorbid mental disorders in relation to post-treatment outcomes (12 months post-intake) among adolescents (N=419) who entered three residential drug treatment programs. When contrasted with youths who had no comorbid mental disorders or youths with a single comorbid condition, those with combined internalizing and externalizing disorders (mixed comorbidity) had higher levels of substance-related problems and poly-drug use at entry to treatment, and poorer outcomes, e.g. relapse, particularly evident for drugs other than alcohol or marijuana. A significantly higher proportion of those with mixed comorbidity were admitted to short term residential treatment, as compared to long term residential care. However, the effects of comorbidity were independent of both planned and actual length of stay, suggesting that comorbidities can negatively impact treatment outcome in multiple ways, apart from length of stay. Since co-occurring problems appear to profoundly limit treatment effectiveness, treatment strategies that address comorbidity are needed to improve outcomes.     

Understanding the experiences and needs of South Asian families caring for a child with learning disabilities in the United Kingdom: an experiential–contextual framework

The prevalence of learning disabilities amongst South Asian communities in the United Kingdom is thought to be almost three times higher than in any other community. Despite this, service utilisation amongst this group remains low and working cross-culturally can pose unique challenges for service providers. The experiences of South Asian families caring for a child with learning disabilities within the United Kingdom are multifaceted. This article proposes an experiential–contextual framework for exploring these experiences. The framework incorporates minority experiences as well as medical and social models of disability. The experiential–contextual framework has been applied to understanding important aspects of South Asians experiences, including: the interpretations and understanding of learning disabilities; interactions with healthcare systems; minority group pressures; and the influence of acculturation and diversity within ethnic groups.     

Ethnic mobilization in a multicultural society

The aim of the present paper is to demystify those anxieties that emerge out of the presence of ethnic minorities in developed capitalist societies in showing that these relate as much, if not more, to misconceptions about the issue of identity proper, that of national identity, as well as that of ethnic mobilization. It is argued that the relationship of immigrant minority cultures and identities to national culture and national identity can be thought of as paralleling that between class structures and identities. Ethnic mobilisation and ethnic movements can be thought of in terms of something like the class‐in‐itself problematic Ethnic groups can be seen as having a particular and distinct position in relation to economic and political resources, but whereas classes in the Marxian sense must develop their sense of identity, their forms of organisation and their culture ab initio, ethnic groups can call upon their sense of ethnicity and their forms of ethnic bonding as a resource and this may well make them more effective political actors than classes. However, whereas it is tempting, within this framework to think that out of a process of negotiation, there will emerge a multicultural society in which there is on the one hand a shared political culture of the public domain and on the other a world of private communal cultures, the actual situation is much more complex. What ethnic minorities in actuality confront is a hierarchy of cultures which have already been involved in a political struggle for the definition of a disputed shared political culture. This is bound to influence the process and character of ethnic mobilization as well as its likely outcomes.     

Plural analysis: Multiple approaches to quantitative research

The dominant approach to decision analysis in particular, and quantitative research in general, issingular, i.e., all conclusions are based on a single preferred model or approach. Inplural analysis, several singular analyses are pursued in parallel, the typically conflicting results are merged. Although it is a central feature of intelligent everyday thinking, plural analysis has largely been ignored by the research community. This paper reports on an ongoing, multidisciplinary, research program, supported by the National Science Foundation and the Office of Naval Research, to establish guidelines, grounded in defensible theory, for designing a plural analysis strategy (where appropriate) and integrating the results of analysis.     

An Examination of a Theory of Embodied Social Presence in Virtual Worlds*

In this article, we discuss and empirically examine the importance of embodiment, context, and spatial proximity as they pertain to collaborative interaction and task completion in virtual environments. Specifically, we introduce the embodied social presence (ESP) theory as a framework to account for a higher level of perceptual engagement that users experience as they engage in activity‐based social interaction in virtual environments. The ESP theory builds on the analysis of reflection data from Second Life users to explain the process by which perceptions of ESP are realized. We proceed to describe implications of ESP for collaboration and other organizational functions.     

Fertility differences in Andean countries: A reply to W. H. James

Abstract The lower fertility of the Indian-speaking parts of Bolivia, Ecuador and Peru compared with the Spanish-speaking parts of these nations has been the topic of several previous articles in this journal. In last year's journal William H. James argued that higher altitude was the chief cause of this reduced fertility level, whereas D. M. Heer has earlier argued that it might be accounted for by higher proportions of women in the labour force. James's data and Heer's further computations suggest that James's explanation has substantially more merit than that originally advanced by Heer.