The association between comorbidity and outcome in pathological gambling: a prospective follow-up of recent quitters

A naturalistic sample of pathological gamblers (N = 101) who recently quit gambling was followed prospectively for a year (follow-up rate 80%). Lifetime mood disorders were identified in 61% of participants and 73% and 48% had lifetime alcohol use and drug use disorders, respectively. Current prevalence rates, however, were much lower. Current mood disorders were found for 20% and 7% had a current alcohol disorder and 7% a current drug use disorder. Age of onset for substance use disorders was earlier than gambling disorders but mood disorders were equally likely to predate or follow gambling disorders. Lifetime mood disorder was associated with a longer time to achieve 3 months of stable abstinence. Participants who were currently in treatment or attending Gamblers Anonymous and the small number of participants with current alcohol disorders were also more likely to achieve abstinence earlier. The results underscore the importance of increasing our understanding of the role of comorbid disorders in the recovery process from gambling problems.     

Immigrant Legal Status Disparities in Health Among First- and One-point-five-Generation Latinx Immigrants in California

Population Research and Policy Review - Restrictive US immigration laws and law enforcement undermine immigrant health by generating fear and stress, disrupting families and communities, and...     

A community of singers: employing exploratory cluster analysis to reveal profiles of psychosocial characteristics among members of a street choir for homeless and formerly homeless individuals

This exploratory study employed cluster analysis to identify profiles of resilience, social support, stress, and mental health among members of a homeless and formerly homeless street choir; we examined the association between choir attendance and cluster membership, and the interaction of cluster membership and race. Respondents (N?=?111, 66% African American, 84% homeless) had participated in the choir for an average of 12 months (SD?=?12.02). We stratified the analysis according to homelessness status. Among those housed, k-means cluster analysis revealed two profiles: (1) relatively resourced but lower resilience, and (2) high resilience. Three profiles emerged among the homeless: (1) psychologically vulnerable, high stress and mental health concerns; (2) relatively resourced, showing average levels of mental health concerns and social support, minimally elevated stress, and higher resilience; and (3) low resilience. Examining the interaction, non-African American, housed participants in the high resilience cluster reported the most frequent choir attendance (M?=?4.00, SD?=?0.00); among the homeless, non-African Americans in the psychologically vulnerable cluster reported the most frequent attendance (M?=?3.88, SD?=?1.25). Results support the need for programs that address higher order needs concurrently with housing; they also highlight the ongoing need to provide particular outreach to minority populations.     

A Trust-Based Intervention for Complex Developmental Trauma: A Case Study from a Residential Treatment Center

This case study, conducted in a Midwest residential treatment center, reports results from an attachment-based intervention that addressed the needs of a 16-year-old female, Rachel. Rachel had a long and documented history of severe abuse and neglect before her adoption from a Bulgarian orphanage at age 12 and numerous psychiatric hospitalizations in the years subsequent. Upon entering this residential treatment center, Rachel did not respond to traditional residential treatment modalities and was considered one of the most difficult children the facility had ever attempted to help. After the intensive attachment-based intervention for Rachel, her adoptive parents, and facility staff, dramatic increases in pro-social and attachment behaviors were noted, as well as a significant decrease in violent and self-injurious behaviors. The intervention consisted of three phases of differing levels of intensity and was designed to address the attachment system and related sub-systems in order to facilitate the development of healthy attachments.     

Barriers Associated with the Implementation of an Advance Care Planning Program in a Prison Setting

Advance care planning is considered a best practice within health care. However, the extent to which planning occurs within prison settings is unknown. Through the course of implementing an advance care planning (ACP) program for aging and dying offenders at a medical classification center, multiple barriers were identified that need to be addressed systemically to ensure the medical wishes of offenders were known and honored. This article will outline the barriers and the steps that were taken to create systems change to promote and sustain advance care planning.     

Effectiveness and feasibility of a 10-minute employee stress intervention: Outdoor Booster Break

There is a growing recognition that workplace environments affect employee health. Nature contact exposures in the workplace have been shown to be healthful for employees. This pilot study was designed to test the feasibility and efficacy of a daily outdoor work break (Outdoor Booster Break) compared to a daily indoor break. A census of university office staff was invited to participate (N?=?244). Phase 1 focused on feasibility—participants (n?=?119) reported that the Outdoor Booster Break was feasible (74%), practical (80%), and worthwhile (83%). During Phase II we used a single-site randomized controlled trial (RCT) to examine the effects of an Outdoor Booster Break—compared with a control indoor work break group—for 4 weeks on employee stress. Perceived stress was measured at pretest and posttest for both conditions. Mean posttest stress scores were lower for both the control group (n?=?19) and the treatment group (n?=?18). A main effects ANCOVA model controlling for baseline stress revealed posttest stress was lower for the treatment group compared to controls (p?=?.041). Taking a work break appears to have stress-reducing benefits, but the Outdoor Booster Break reduced stress significantly more than an indoor break. Implications for employers, worksite health promoters, and future research are discussed.     

IS WORK THE NEW NEIGHBORHOOD? Social Ties in the Workplace,Family, and Neighborhood

The work–family literature emphasizes how work intrudes into family life, and some scholars suggest that social ties based in the workplace may be replacing ties to family or neighbors. Using data from the Ecology of Careers Panel Study, we describe the prevalence of strong ties with family, coworkers, and neighbors in a dual‐earner, middle‐class sample. We also examine which respondents are more likely to have strong ties in the workplace. We find that most respondents do not have any strong ties with coworkers; however, coworker ties are much more common than ties to neighbors. Additionally, there are gender differences in network ties and these differences may have important consequences for social support.     

A touch of luck and a “real taste of Vegas”: a sensory ethnography of the Montreal Casino

ABSTRACT

In recent years, there has been an explosion of “experiential design” in casinos, driven in part by research suggesting that curating gambling sensescapes can lure patrons to spend more time – and money – inside the casino. Building on the promise of existing casino ethnographies, this paper argues that a sensory ethnographic approach to the study of gambling environments can offer valuable insight into the experiential design and mood management of the casino. We use sensory ethnography to explore the ambiance of the Montreal Casino, particularly during the casino’s “Vegas Nights” promotion. How does the casino feel (and how does it touch back)? What rhythms flow through its neon labyrinth? What does “getting a real taste of Vegas,” well … taste like? Moreover, we position this ambiance at the center of the casino’s “push-and-pull” approach to problem gambling – where this government-affiliated sensory extravaganza must toe a tenuous line between attraction and responsibilisation. In addition, we examine how the ambiance of the casino is co-produced by patrons and employees. Ultimately, we argue that the casino floor is unlike a sensory research laboratory – for here, sensations mix and mingle, and it takes a sensory ethnographer to quite literally “make sense” of the casino ambiance and its impact on visitor experience.     

Constructed Realities: Claude Cahun’s Created World in Aveux Non Avenus

ABSTRACT

In her 1930 publication, Aveux non Avenus, Claude Cahun used the relationship between her inwardly focused poetic writing and symbolic photomontages to construct a unique reality for self-expression. This article focuses on three chapters and respective photographic images from the publication to relate Cahun’s, and by association her partner Marcel Moore’s, discussion on sexuality and gender expression. The utopian dreamscape created investigates issues of narcissism and otherness, female homosexuality, dandyism and going beyond gender, individual and social critique, mocking the antiquated views of art and writing, accepting and breaking taboos, while allowing for other departures from the accepted norm. Through analysis of the publication and supporting evidence from early influences, it can be seen that Cahun created a world in Aveux non Avenus where she could exist in a space between the established feminine–masculine binary of 20th-century Europe.