Multiple Co-occurring Behaviours among Gamblers in Treatment: Implications and Assessment

A substantial portion of gamblers in treatment may have co-occurring mental health disorders including substance use disorders, especially alcohol dependency, personality disorders, affective disorders, anxiety disorders and impulse control disorders. Co-occurring mental health disorders affect treatment seeking, the treatment process and its outcome, quality of life and functioning in many mental health disorders. Participants in this study were 78 adults enrolled in state-supported out-patient services for pathological gambling and current Gamblers Anonymous attendees. The majority of participants (76.6%) had co-occurring behaviours; 55.8% had multiple co-occurring behaviours. Participants with multiple co-occurring behaviours were more likely to report that a co-occurring behaviour increased the severity of their gambling symptoms. A dose/response relationship between number of co-occurring behaviours and severity of gambling problems was found. Co-occurring behaviours can interact with gambling behaviour. Brief, validated screening instruments are available for screening and diagnosing co-occurring behaviours among gamblers presenting for treatment.     

Will Swedish and Dutch drug policy converge? The role of theory

Sweden and The Netherlands are often referred to as the archetypes of prohibition and harm reduction, respectively. Both nations have, however, recently adopted political measures that fit well in the other country's model. But they have also taken steps that reflect traditional thinking. Are we witnessing the initial stages of convergence or are recent developments better interpreted as adjustments? This article addresses these questions by comparing Swedish and Dutch theoretical understandings of ‘the drug problem’. Goals and practices are illuminated in the context of underlying theory, raising the question: Can substantial convergence be achieved without significant prior changes in theoretical perceptions? It is found that the theoretical understandings of the two paradigms do not mix easily, complicating attempts at convergence. Moreover, both countries have invested a great deal of political prestige in their respective models, further exacerbating the problem. A conceivable way to circumvent these difficulties is suggested.     

Aetiology of anorexia nervosa in Hong Kong: a social work qualitative inquiry

This paper reports the results of a qualitative inquiry into the aetiology of anorexia nervosa in Hong Kong. These results are part of our main research project about family treatment and families with a daughter suffering from anorexia nervosa. This present qualitative study adopts a multiple case study approach (n = 8) and employs a multiple‐source data collection method, involving pre‐ and post‐family treatment interviews, clinical observations of the participants during the treatment sessions and home visits, as well as detailed field notes. The findings indicate that there are biological, psychological, socio‐cultural and familial interpretations of the aetiology of anorexia nervosa. This study challenges the dominant discourse on anorexia nervosa in Hong Kong, which states that the root of the disease lies in a desire for slenderness and beauty, and suggests instead that the aetiology of anorexia nervosa can be discovered only if approached from the systems level. Implications for social work practice are highlighted.     

Services for troubled adolescents: exploring user variation

This paper outlines some of the main findings from an exploratory study of a sample of 257 adolescents living in children's homes, foster homes and residential special schools ‘for pupils with emotional and behavioural difficulties’ (‘EBD’). It focuses on the characteristics of service users, particularly contrasting the looked after and EBD groups. Though there are some similarities, there are also important differences between the populations in terms of age, gender, ethnicity, reasons for separation, legal status, family background and education. An attempt was made systematically to compare groups by creating a subsample of ‘difficult’ adolescents, based on involvement in anti‐social behaviour. Unexpectedly, this revealed that half of the teenagers were not ‘difficult’. Factors associated with being identified as ‘difficult’ were explored.     

From child rescue to family protection: The evolution of the child protective movement in the United States

The child protective movement, an offshoot of animal protective work, initially adopted a punitive, law enforcement emphasis. Under the leadership of the Massachusetts Society for the Prevention of Cruelty to Children, anti-cruelty work took on a broader focus based on prevention rather than punishment. The new approach stressed the need to maintain and enrich family life through broad social supports, relying on family casework and social reform. “Normal family life,” a vaguely denned but firmly middle-class notion, was established as the ideal to which social agencies should subscribe in their drive to protect children and insure an orderly society. Child protection, formerly isolated from the child welfare movement, gradually became a part of it.