Integrated group therapy for bipolar disorder and substance abuse by Weiss,R. D., & Connery,H. S.

This article begins with the discussion versus action dilemma in work with groups of adolescents and proposes an in-between solution, "interacting out." The author goes on to demonstrate how interacting out can help to accomplish major treatment goals like increased autonomy and impulse control through group development. Finally, the article provides some practical suggestions for developing and treating groups of adolescents with special emphasis on some affective and stylistic issues for workers with groups of adolescents.     

“Sometimes You Just Have to Have a Lot of Bitter to Make It Sweet”: Substance Abuse and Partner Abuse in the Lives of HIV-Positive Men Who Have Sex with Men

Although links between partner abuse (PA) and substance abuse (SA) are well-documented in the literature, we know less about these relations among HIV-positive men who have sex with men (MSM). We conducted a qualitative study with this group (N = 28). Participants reported (1) social modeling of SA in childhood and in adult social networks, (2) initial use of substance to cope with child abuse and neglect, and (3) the reinforcement of problematic SA by experiences of PA, whereby SA led to PA, resulting in increased SA. Recommendations for clinicians working with HIV-positive MSM are discussed.     

Understanding the Influence of Loneliness on HIV Risk Behavior in Young Men Who Have Sex with Men

In this study we used grounded theory methodology to understand the influence of loneliness in YMSM in terms of HIV risk behavior. Twenty-two YMSM, 18–29 years of age, of HIV-negative/unknown status were interviewed. Results indicated that loneliness is defined in two ways: emotional and social. A cyclical pattern emerged that included negative symptoms, “self-treatment” of loneliness through drug use and sex, temporary relief, remorse related to engaging in HIV risk behaviors, negative self-image, and ultimately the reemergence of initial loneliness symptoms. Results suggest that loneliness in YMSM plays a greater role in HIV-related behavior than previously understood. A preliminary explanatory model, implications, and directions for future research are discussed.     

The Healthy Young Men's Study: Sampling Methods to Recruit a Random Cohort of Young Men Who Have Sex With Men

Recruiting a scientifically sound cohort of young men who have sex with men (YMSM) is an enduring research challenge. The few cohort studies that have been conducted to date on YMSM have relied on nonprobability sampling methods to construct their cohorts. While these studies have provided valuable information about HIV risk behaviors among YMSM, their generalizability to broader YMSM populations is limited. In this article, the authors describe a venue-based sampling methodology used to recruit a large and diverse cohort of YMSM from public venues in Los Angeles County, California. Venue-based sampling is a multistage probability sampling design that uses standard outreach techniques and standard survey methods to systematically enumerate, sample, and survey hard-to-reach populations. The study design allowed the authors to estimate individual, familial, and interpersonal psychosocial factors associated with HIV risk and health-seeking behaviors for a cohort of YMSM with known properties. Study participants completed an extensive baseline survey and over a 2-year period completed four follow-up surveys at 6-month intervals. The baseline survey was administered in both English and Spanish.     

Avant-Garde Militarism and a Post-Hip-Hop President

Feminist global politics scholars have long investigated militarized masculinities to demonstrate the toxic and mutually constitutive relationship between war, militarism and masculinity. This article investigates this relationship in the political sphere by analysing the embodiment, performance and construction of presidential masculinities. In particular, I compare and contrast the presidential masculinities of George W. Bush and Barack Obama. Through a multimodal discursive analysis of online presidential photo galleries, I demonstrate that Obama has recast US presidential and African American masculinities in contradictory but significant ways. I argue that Obama constructs and performs a hybrid presidential masculinity that is contemporary, demilitarized and characterized by a post-hip-hop ghetto-style cool. This presidential masculinity and the avant-garde militarism that accompanies it stands in stark contrast to Bush and cleverly camouflages, even reinvigorates, ongoing US militarism across the globe. After all, Obama further institutionalized the ‘War on Terror’, but has a Nobel Peace Prize amongst his accolades. Throughout, I elucidate the concept of presidential masculinities, noting their relationship to hegemonic masculinities. I conclude that Obama's hybrid presidential masculinity may very well be a more sophisticated deployment and embodiment of US hegemonic masculinity in the twenty-first century.     

How accommodations affect the duration of post-injury employment spells

I examine the effects of accommodations on the duration of employment spells using a sample of workers reentering the work force after an occupational injury. Unlike previous research, I analyze the post-injury employment history, i.e., more than one employment spell. The results indicate that accommodations have a smaller effect on employment duration than previous studies for workers who have not left their jobs. In addition, only certain types of accommodations, flexible work schedules and modified workplaces, are associated with significant increases in employment duration. The implications of these estimates for disability policy are also briefly discussed.     

Web-based nutrition education for college students: Is it feasible?

College students have poor nutrition habits and often exhibit at-risk weight control behaviors; yet, health promotion efforts on campuses often target other risk behaviors such as alcohol and tobacco use. The goal of this study was to determine program content and examine the feasibility of a web-based nutrition education program for college students using innovative applications of tailoring, targeting and personalization of information. Comprehensive program planning entailed three phases: focus groups and use of concept mapping methodology, prototype web program development, and feasibility testing of the prototype. Results of concept mapping suggested that students and experts agreed on the relative importance of the major content areas unique to the college audience. A prototype web program, informed by health promotion theories, was developed and evaluated. Students and college health professionals participated in the feasibility evaluation, which included acceptance and usability testing of the prototype. Mean scores were computed for the acceptance ratings that indicated that the prototype web program was not only feasible, but also compelling and relevant for the college audience. In conclusion, a tailored, web-based interactive nutrition program could potentially be used to provide individualized nutrition information to encourage college students to adopt healthy eating behaviors.     

The assessment of values in medical decision making

Individuals, families, and health care providers consider medical treatment decisions in light of their respective values about life iin varying states of health. The clarification of health care values is important not only in the context of everyday clinical decision making, but also for advance care planning and the resolution of ethical dilemmas. This article argues that objective assessment tools may facilitate the process of clarifying and communicating health care values in these contexts. The article reviews arguments for the importance of values assessment in health care planning, methods used to date for health care values assessment, conceptual and methodological challenges for the measurement of health care values, and lessons learned through the process of developing and piloting a Health Care Values Survey. Objective values assessment tools appear useful for eliciting health care values, although multiple challenges for reliable, valid, and clinically useful measurement of values are identified.     

Lower-Status Participation and Influence:Task Structure Matters

Status hierarchies readily form in groups and , once established , limit lower-status group members' opportunities for contributing to and influencing group decisions . Recent findings , however , suggest that the type of task on which a group works may allow lower-status individuals to break through power and prestige orders in a cooperative way while conflicting with ideas of their higher-status group members . In this article , we review a research program that investigates how task structure relates to status and influence in small groups . In one experiment, using groups of three female students as participants , we found that open-structured tasks allow lower-status group members to participate , receive positive evaluations , and improve their status more than closed-structured tasks . In a second experiment, using groups of two female students and a female experimenter as participants , we found that open-structured tasks and lower-status confederates foster more divergent thinking and indirect influence than closed-structured tasks and higher-status sources . Our findings contribute to the understanding of how immediate problem-solving environments contribute to status change and influence in small groups.