Social Responsibility,Substance Use,and Sexual Risk Behavior in Men Who Have Sex With Men

Considerable public health literature focuses on relationships between problematic human characteristics (e.g., psychopathology) and unhealthy behaviors. A recent movement termed positive psychology emphasizes the advantages of assessing relationships between human strengths (e.g., altruism) and beneficial health behaviors. The present study assessed social responsibility, an orientation to help or protect others even when there is nothing to be gained as an individual, and its relationship to HIV-relevant behaviors. In our sample of 350 men who have sex with men (MSM), social responsibility was negatively correlated with substance use and HIV risk behaviors. Men who had been tested for HIV and knew their HIV status—a behavior that helps men protect their partners but does not protect themselves from the virus—also scored higher in social responsibility. Interventions designed to reduce HIV risk behavior in MSM may benefit from efforts to promote human strengths.     

Sibling Relationships and Social-emotional Adjustment in Different Family Contexts

The aims of this study were to examine family type (nonstep, stepfather, stepmother, and single mother) and sibling type (full‐ and half‐siblings) differences in sibling relationship quality (positivity and negativity), and to investigate links between sibling relationship quality and child externalizing and internalizing problems. The sample included 192 families with a 5‐year‐old target child and an older sibling. In addition, 80 of these families included a third older child. Mothers and the older siblings (8 years and older) completed questionnaires and interviews regarding conflict and support in their sibling relationships, and parents and teachers reported on each child's social‐emotional adjustment. Sibling negativity (conflict, aggression) was highest in single‐mother families and full‐siblings were more negative than half‐ and stepsiblings. There was some evidence that sibling antagonism was associated with more child behavioral and emotional problems, but these effects were moderated by family type.     

Accounting for Victimization: Social Constructionist Perspectives

This paper reviews research and theory on the social construction of victims and victimization. There are four areas of inquiry: victims’ self‐processes, the collaborative accomplishment of victimization, social problems claims‐making, and social movement framing. Scholars in each area take a symbolic interactionist perspective. Because victimization is potentially stigmatizing, much of this research and analysis draws on the literature on vocabularies of motive, aligning activities, and accounts. Literature on self‐processes examines how victims come to see themselves as victims and their situations as deviant. Often, when they try to establish their victim identities with others, they can be discredited or blamed if they do not meet expectations of typical victims. When people want to show that a social problem exists, they use images of victims to evoke sympathy and other emotions. Sometimes, collective identities may not be sympathetic, and also need to be managed, through the framing work of activists.     

The Impact of the Housing Environment upon the Ability of Disabled People to Live Independently

The independent living (IL) paradigm proposes that the presence of environmental barriers affects critically the level of independence of people with disabilities. This study refines the IL paradigm and evaluates empirically the role that the environment plays in independent living, especially the influence of home adaptations and other housing variables on disabled people and their families. The results of this research indicate that housing adaptations have a variety of impacts upon the productivity of disabled people. Other housing issues are very important to individuals with disabilities, particularly tenants. This paper concludes by presenting implications for theoretical development and recommendations for housing policies which are responsive to the needs of disabled people.     

Establishing self and meaning in low back pain narratives

Pain narratives encounter the problem of verbalising private and internalised experiences. Words appear to fall short of giving meaning to the feelings and impact of pain. In this paper we report on how people describe their low back pain and the way in which they claim to present this to clinicians. In the research interviews they need to establish themselves as believable narrators and provide accounts of how they legitimise their pain in clinical encounters. As a result, the interviews provide complex and layered narratives of pain and its representation.     

The Story of Alex—An Improvisational Drama

This paper describes the intensive, long-term psychotherapy of a woman, severely abused in childhood, who remembered her abusive experiences although devoid of any affect. Alex was agoraphobic and unable to sustain intimate relationships. This paper describes how, during the course of this long-term therapy, she used improvisational acting techniques to access and integrate those repressed affects.This paper was presented at the Conference of the National Membership Committee for Psychoanalysis in Chicago in March, 2002.     

Personal, health, academic, and environmental predictors of stress for residence hall students

The authors studied contributors to stress among undergraduate residence hall students at a midwestern, land grant university using a 76-item survey consisting of personal, health, academic, and environmental questions and 1 qualitative question asking what thing stressed them the most. Of 964 students selected at random, 462 (48%) responded to the survey. The authors weighted data to reflect the overall university-wide undergraduate population (55% men, 12% minority or international, and 25% freshmen). Women and US citizens experienced greater stress than did men and non-US citizens, respectively. Frequency of experiencing chronic illness, depression, anxiety disorder, seasonal affective disorder, mononucleosis, and sleep difficulties were significant stress predictors. Although alcohol use was a positive predictor, drug use was a negative predictor of stress. Both a conflict and a satisfactory relationship with a roommate, as well as a conflict with a faculty or staff member, were also significant predictors of stress.     

Moderators of the Relationship Between Physical Activity and Alcohol Consumption in College Students

Abstract

Objective: Among college students, several studies have found a positive relationship between physical activity and alcohol use. The current study tested gender, Greek status, and ethnicity as potential moderators of the physical activity-alcohol use relationship. Participants: Participants were college freshmen (n = 310) endorsing alcohol/drug use. Methods: Students completed questionnaires assessing a number of health behaviors. Results: Results indicated that gender and Greek status were significant moderators of the relationship between physical activity and alcohol consumption. There was a positive relationship between physical activity and alcohol use for men and Greeks, but not for females and non-Greeks. Conclusions: These findings suggest that exercise does not serve as a protective factor for any of the subgroups of college students studied and is positively associated with drinking among college students who are men and/or involved with the Greek system.     

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.