Gamblers Anonymous and Cognitive-Behavioral Therapies for Pathological Gamblers

Numerous types of treatments for pathological gambling have been described, but two of the most common are Gamblers Anonymous (GA) and cognitive-behavioral therapy. This paper describes some outcome data associated with the two approaches. It also reviews evidence suggesting that a combined intervention may enhance therapy engagement and reduce relapse rates.     

Differences in childhood sexual abuse experience between adult Hispanic and Anglo women in a primary care setting

The literature on racial and ethnic factors in childhood sexual abuse is limited. The purpose of this exploratory study was to document Hispanic-Anglo differences in childhood sexual abuse experiences and assess whether these differences may be explained by socio-demographic and family environmental differences. Adult Hispanic (n = 69) and Anglo (n = 19) women from a family medicine clinic waiting room reporting a history of childhood sexual abuse completed an in-depth survey concerning the sexual abuse experience and their childhood environment. In this study, Hispanics were more likely to report a family member as the perpetrator and to experience more self-blame as a result of the abuse. Hispanics were also more likely to take action in response to the abuse, especially those who were more acculturated to U.S. culture. However, most of the observed differences in this study could be explained by socio-demographic or family environment variables, not by ethnic background. Qualitative research on the family environments of Hispanic victims of child sexual abuse may further explicate the dynamics and risk factors for abuse by family members.     

"I like to treat others as others would treat me": the development of prosocial selves in an urban youth organization

The development of moral identity is linked to a sense of self that is prosocial and connected to others. Youth organizations, if designed appropriately, may provide a setting for social interactions and relationships in which youth can enact and receive validation for moral behaviors and develop prosocial selves. This chapter reports on findings from a four-year study of identity construction within an urban Boys and Girls Club. The author conducted interviews and photography projects with seventeen youth ages twelve to eighteen, all of whom were active club members. Over half described their race or ethnicity as black or African American, while others were Hispanic, Afro-Latino, white, or other. All of them either lived in the housing project near the club or had close ties to it. Both boys and girls describe themselves as rooted in a rich relational milieu that promoted prosocial identities. The importance of respect emerged as a key theme in the teens' narratives about themselves and their activities. The author found that the club served as a site for the development of prosocial traits in an environment characterized by respectful and supportive relationships.     

The continuation of education after marriage among women in the United States: 1970

Data from the 1970 National Fertility Study are used to assess the extent and determinants of post-nuptial education among women in the United States. Over one-fifth of all women have attended high school or college since marriage; over one-third either have returned to school or anticipate returning to an academic institution sometime in the future. This phenomenon is apparently increasing since women married less than five years have already attended school in as great a proportion as women married 15-19 years. Examination of differentials reveals for both blacks and whites that post-nupital education is higher among women who: (1) attended college before marriage, (2) married early, (3) are currently separated or divorced, (4) support egalitarian sex-role attitudes, or (5) whose most recent occupation is in the professional, managerial, or administrative category. Post-nuptial trends in education undoubtedly reflect the much broader social phenomenon of changing sex-role perceptions.     

Do expressive mothers have expressive children? The role of socialization in children's affect expression

The effects of maternal expressiveness and children's gender on children's nonverbal expressiveness were assessed in two settings. In the laboratory, 30 boys and 30 girls of kindergarten age were unobtrusively videotaped while talking about happy, sad, and fearful experiences and while experiencing three social situations designed to elicit happy, disappointed, and apprehensive feelings. Videotapes were rated for emotion expression, using global ratings and EMFACS codes. In school, teachers rated these children's expression of four discrete emotions. In both the laboratory and school settings children were more positively expressive than negatively so, and positive and negative expressiveness were unrelated. In the laboratory children's positive expressiveness was consistent across the three social situations, but negative expressiveness varied across affective context. In both settings, children of low-expressive mothers were more positively expressive than children of high-expressive mothers, who tended to be more negatively expressive than children of low-expressive mothers. The difference in negative expression appeared most striking for anger. Gender was not predictive of children's expressiveness in either setting     

Maximization of reinforcement by two autistic students with accurate and inaccurate instructions

The present study examines maximization of reinforcement by two autistic individuals under conditions of no instructions, accurate instructions, and inaccurate instructions. Accuracy of instructions and magnitude of reinforcement for differential responding in a choice paradigm were systematically varied across phases. Subject one maximized reinforcement across all three conditions in seven experimental phases. Subject two maximized across these same seven phases, but also experienced three additional phases. In two of the additional phases, subject two maximized reinforcement. In a ninth phase, when reinforcement was intermittent rather than continuous, he failed to maximize reinforcement. Implications of the results for the controversies surrounding the concept of rule-governed behavior are discussed.

     

Worksite e-mail health promotion trial: Early lessons

In preparation for an electronic mail (e-mail) and web-based health promotion intervention across multiple worksites, secure, regulatory-compliant, user-friendly e-mail and Internet applications were used to recruit potential participants across worksites, to enroll participants, and to collect baseline health assessment data. Specific hardware and software information technology environments were required of the 19 participating worksites. Sequential e-mails introduced the study and invited participation. Twenty-four percent of all employees (1106 of approximately 4600) provided consent. E-mail delivered a web link for the baseline study assessment, and reminder e-mails were sent to prompt completion. Of those who consented, 888 (80%) completed baseline health and behavior data surveys. An HTML-native web survey software was more stable across computing environments. Using e-mail and web assessment, this research recruited, enrolled, and collected data from more than 850 participants. Technical and operational challenges emerged at each step. Solutions and recommendations are discussed. Overall, this experience suggests that the use of e-mail and web software can facilitate recruitment, enrollment, and data acquisition through direct contact with study participants. This experience yields a series of lessons learned for using e-mail and the Internet to support multi-site trials.     

Aging workers in search of employment & health insurance coverage

Aging workers, ages 55 to 64, face challenges finding employment and health insurance coverage. In the search for employment, they frequently discover that their skills and needs do not match the opportunities in today's work environment. Roadblocks in the search have the potential to negatively affect overall health and well-being. This article examines employment and health insurance challenges faced by aging workers and suggests nursing interventions that will help reduce stress and promote healthy aging.     

Bringing assisted living services into congregate housing: housing directors' perspectives

The purpose of this research is to explore the impact of an Assisted Living Services (ALS) program on directors of state-funded congregate housing. Using focus groups, we interviewed congregate housing directors about how adding the ALS program to their facilities impacted their management experiences. Four themes emerged from the analysis of the focus group data: (1) importance of assisted living services for promoting aging in place; (2) "costs" of offering ALS; (3) differences in how the ALS program was implemented; and (4) organizational issues emerging from the merger of housing and health-care models. Based on the present findings, we propose a number of policy issues that need to be addressed when services are added to existing housing.