A Multi-Dimensional Conceptual Framework for Trauma-Informed Practice in Addictions Programming

Previous research has conceptualized trauma-informed practice in relation to five key values: safety, trust, choice, collaboration, and empowerment. This research identifies key organizational, programmatic, and interpersonal characteristics in community-based residential addictions treatment programming that exemplify each of these principles. Utilizing qualitative research methods, involving open-ended, one to one interviews with clients in residential substance misuse treatment (n = 41), respondents identified the importance of experiencing “safety” in relation to physical safety, confidentiality, reassurance, rule enforcement, and peer relationships. “Trust” was manifested in sharing, staff availability, nonjudgmental interactions, positive relationship dynamics, and caring. “Choice” was articulated in relation to individual needs, participation, opportunities, and focus of efforts. “Collaboration” was characterized in relation to opportunities for feedback, planning, goal setting, specificity, and support. Finally, “empowerment” was characterized by comfort in sharing, trigger management, trauma awareness, and understanding. The findings provide a conceptual framework for a trauma-informed social services organizational practice environment. Findings can inform adaptations to social service delivery processes and programs to become aligned with the values of trauma-informed practice. Future research can build on this framework by testing the study findings with quantitative methods along with replicating current methods in other social service delivery sectors.     

Models for the analysis of C-reactive protein in statin trials

Elevation in C-reactive protein (CRP) is an independent risk factor for cardiovascular disease progression and levels are reduced by treatment with statins. However, on-treatment CRP, given baseline CRP and treatment, is not normally distributed and outliers exist even when transformations are applied. Although classical non-parametric tests address some of these issues, they do not enable straightforward inclusion of covariate information. The aims of this study were to produce a model that improved efficiency and accuracy of analysis of CRP data. Estimation of treatment effects and identification of outliers were addressed using controlled trials of rosuvastatin. The robust statistical technique of MM-estimation was used to fit models to data in the presence of outliers and was compared with least-squares estimation. To develop the model, appropriate transformations of the response and baseline variables were selected. The model was used to investigate how on-treatment CRP related to baseline CRP and estimated treatment effects with rosuvastatin. On comparing least-squares and MM-estimation, MM-estimation was superior to least-squares estimation in that parameter estimates were more efficient and outliers were clearly identified. Relative reductions in CRP were higher at higher baseline CRP levels. There was also evidence of a dose-response relationship between CRP reductions from baseline and rosuvastatin. Several large outliers were identified, although there did not appear to be any relationships between the incidence of outliers and treatments. In conclusion, using robust estimation to model CRP data is superior to least-squares estimation and non-parametric tests in terms of efficiency, outlier identification and the ability to include covariate information.     

An Exploratory Study of Financial Remittances Among Non-Resident Indians in the United States

Remittances by immigrants and temporary workers of Indian origin in industrialized countries are a growing part of India’s economy. In this exploratory study we examine the social and economic characteristics affecting the remittance pattern of working households (or families) of Indian origin residing in the United States. As most previous studies have been undertaken at the macroeconomic level, our main contribution lies in identifying the household level factors that may influence remittances. Using an online and a mail-in survey of 39 households we find some of the significant factors affecting remittances. We also validate some of the remittance-related policies of the Indian government.

Invisibility,Illegibility, and Stigma: The Citizenship Experiences of Divorced Gays and Lesbians

The campaign for marriage equality emphasized that without access to legal marriage, gays and lesbians were relegated to “second-class citizenship.” Following the U.S. Supreme Court’s decision in Obergefell v. Hodges (2015), gays and lesbians find that marrying can lead to greater acceptance and support from family, friends, and colleagues, suggesting that marriage helps gays and lesbians achieve citizenship, defined in terms of belonging and inclusion. However, it remains unclear whether such acceptance and support then disappears or diminishes after divorce. In this article, the informal social consequences associated with same-sex divorce were explored by drawing on in-depth interviews with a small convenience sample of recently divorced gays and lesbians. Results indicate that same-sex divorce is largely invisible, which leads divorced gays and lesbians to worry that their life circumstances will make them illegible to others. In turn, some also withdraw from social interaction, and others report experiencing stigma.     

Misspecifications of the Normal Distribution

Incorrect statements about the normal distribution are discussed and illustrated with counterexamples.     

Men's sexual coercion in intimate relationships: development and initial validation of the Sexual Coercion in Intimate Relationships scale

We report the development and initial validation of the Sexual Coercion in Intimate Relationships Scale (SCIRS), a measure designed to assess the prevalence and severity of sexual coercion in committed intimate relationships. We review existing measures of sexual coercion and discuss their limitations, describe the identification of the SCIRS items, perform a principal components analysis and describe the resulting three components, and present evidence for the convergent and discriminative validity of the SCIRS. Because sexual coercion in intimate relationships often takes the form of subtle tactics, the SCIRS items assess communicative tactics such as hinting and subtle manipulations in addition to tactics such as the use of physical force. The SCIRS provides researchers and clinicians with a valid, reliable, and comprehensive measure with which to study the dynamics of sexual coercion in intimate relationships.     

Prevalence and correlates of alcohol-induced blackouts among college students: results of an e-mail survey

The authors conducted an e-mail survey of 772 college students to learn more about their experiences with blackouts. Approximately half (51%) of those who had ever consumed alcohol reported they had experienced a blackout at some point in their lives, and 40% had experienced 1 in the year before the survey. Among those who drank in the 2 weeks before the survey, nearly 1 in 10 (9.4%) had experienced a blackout during that period. Many later learned that, during the blackout, they had vandalized property, driven an automobile, had sexual intercourse, or engaged in other risky behaviors. Experiencing 3 or more blackouts was associated with a variety of other experiences, including heavier drinking, lower grades, an earlier age of drinking onset, and having others express concerns about their drinking. The female students who reported blackouts during the 2 weeks before the survey drank far less than male students did during this time period, supporting the use of gender-specific definitions of risky drinking.     

Longitudinal associations among adolescents’ organized activity involvement and sociopolitical values

Organized activities represent a potentially important context for the development of adolescent sociopolitical values, but few studies have examined longitudinal associations between youths’ sociopolitical values and activity involvement. Adolescents (N = 299, Time 1 M_age = 15.49, SD = .93, 62% female) reported on their organized activity involvement (volunteering, church, sports, arts/music, school and community clubs) and sociopolitical values (materialism, social dominance, authoritarianism, patriotism, spirituality) at baseline and one year later. Greater involvement in arts/music predicted lower spirituality and patriotism one year later and greater involvement in church predicted higher levels of spirituality and lower levels of social dominance one year later. Higher levels of materialism predicted less involvement in arts/music one year later and higher social dominance values predicted less involvement in volunteering one year later. Findings support the importance of organized activities in sociopolitical development, and suggest that sociopolitical values may guide decisions concerning future organized activity involvement.