Attitudes about addiction: a national study of addiction educators

The following study, funded by the National Institute of Drug Abuse (NIDA), utilized the Addiction Belief Inventory (ABI; Luke, Ribisl, Walton, & Davidson, 2002) to examine addiction attitudes in a national sample of U.S. college/university faculty teaching addiction-specific courses (n=215). Results suggest that addiction educators view substance abuse as a coping mechanism rather than a moral failure, and are ambivalent about calling substance abuse or addiction a disease. Most do not support individual efficacy toward recovery, the ability to control use, or social use after treatment. Modifiers of addiction educator attitudes include level of college education; teaching experience; licensure/certification, and whether the educator is an addiction researcher. Study implications, limitations, and directions for future research are discussed.     

HIV/AIDS Risk Reduction Intervention for Women who have Experienced Intimate Partner Violence

A growing body of literature highlights the association between women who have experienced intimate partner abuse (IPA) and their heightened risk for HIV/AIDS (human immune deficiency syndrome/ acquired immune deficiency syndrome) infection. Finding HIV risk reduction strategies that are contextually relevant for this population is an important public policy priority. This qualitative study researched women who have experienced intimate partner abuse in order to develop a HIV/AIDS risk reduction intervention unique to their circumstances. This pilot study explored the critical components of such an intervention among a racially/ethnically stratified (African-American, Mexican-American and Anglo) sample of women (n=43) who have experienced IPA. Focus groups were conducted and transcribed, and a content analysis was used to identify major themes. In all five focus groups, participants viewed the research as interesting, good, beneficial, and/or important based on their perceptions of risk for infection. Respondents felt that they knew of ways to protect themselves from infection in non-abusive relationships; however, acknowledged the difficulties of doing so given the context of their abusive relationships. Examining the racial/ethnic differences across focus groups showed that the language used by women is quite variable. The ways in which survivors define rape, sexual abuse, and their own experiences are all unique; however, their actual experiences have many similarities. Discussed at length are the topics participants shared as critical in informing the design of an intervention and the relevance of the findings to social work clinical practice is explained.     

‘A Blinding Lack of Progress’: Management Rhetoric and Affirmative Action

In this study we explore how versions of organizational reality and gender are constructed in management discourse and whether such patterns change over time. Specifically, we examine management explanations and accounts of the gendered nature of their organizations through their commentaries on their affirmative action programmes. In Australia private sector organizations with 100 or more employees are required to report to government on their affirmative action programmes for women. In these documents, management representatives outline objectives for the coming year and report on their progress in reducing employment‐related barriers for women. In doing so they account for the ‘problem’ of gender‐based discrimination that affirmative action is designed to address, justify their actions (or lack of action) and reproduce versions of gendered identity. Thus we use affirmative action reporting as cases of management rhetoric to explore how aspects of gender and organization are constructed, taken for granted, challenged or problematized. Comparing reports from the hospitality sector over a 14‐year period, we explore whether there is any evidence of discursive change in management accounts of the gendered nature of their organizations.     

Suicide Prevention Training Program for Gatekeepers Working in Community Hospice Settings

Gatekeepers in community hospice settings encounter patients and caregivers struggling with suicidal thoughts. Limited guidance is available for training staff on the prevention of suicide in hospice care. This study evaluated one promising, evidence-based, suicide prevention program with a behavioral rehearsal practice session. A pre- and post-, one group design, was utilized to measure the training impact and educational needs of staff working in community hospice settings (N =39). Training increased awareness of the risk factors for suicide, as reported by nearly 80% of participants. Self-efficacy scores showed a statistically significant Increase, t(df = 35), ?9.59, p= .00 (two-tailed), from pretraining (n=36, M=2.21, SD= .65) to posttraining (n=36, M=3.03, SD=.56). Satisfaction and the need for additional devoted time for suicide prevention training were highly rated. Suicide prevention training programs can enhance self-efficacy, knowledge, and skills for gatekeepers working in community hospice settings.     

Reconciling Work, Family and Child Outcomes: What Implications for Family Support Policies?

This paper discusses the potential of family policies to reconcile the multiple objectives that they are expected to serve, over and above their role in offsetting the economic cost of children. We start by emphasizing the need to consider the multiple challenges that family policies in European Union??and/or OECD??countries have to address through a broadening of the standard economic approach to the cost of children. Policies indeed aim to reduce the ??direct?? monetary cost of raising children, but they also aim to minimise the indirect cost arising from the incidence of children on the parents?? work-life balance and on the aggregate level of employment. Moreover, motives for policy intervention such as concerns about child development, gender equity or aggregate fertility levels are not fully captured by cost measurements. We thus analyse how, and to what extent, family policies can successfully reconcile these multidimensional objectives. We offer a holistic approach, pointing out that a coherent family policy mix supporting working parents with preschool children is the only way to reconcile or limit the conflicts between work, family and child outcomes. Three main dichotomies are identified to explain cross-country differences in family policy packages: the emphasis on poverty alleviation; the supposed antagonism between fertility and female employment; and the potential conflict between this latter and child development. Ways to reconcile these objectives and to improve the effectiveness and efficiency of family policies are further discussed.     

Computer experiment designs for accurate prediction

Computer experiments using deterministic simulators are sometimes used to replace or supplement physical system experiments. This paper compares designs for an initial computer simulator experiment based on empirical prediction accuracy; it recommends designs for producing accurate predictions. The basis for the majority of the designs compared is the integrated mean squared prediction error (IMSPE) that is computed assuming a Gaussian process model with a Gaussian correlation function. Designs that minimize the IMSPE with respect to a fixed set of correlation parameters as well as designs that minimize a weighted IMSPE over the correlation parameters are studied. These IMSPE-based designs are compared with three widely-used space-filling designs. The designs are used to predict test surfaces representing a range of stationary and non-stationary functions. For the test conditions examined in this paper, the designs constructed under IMSPE-based criteria are shown to outperform space-filling Latin hypercube designs and maximum projection designs when predicting smooth functions of stationary appearance, while space-filling and maximum projection designs are superior for test functions that exhibit strong non-stationarity.     

A Response to Susie Orbach: On Generation and Femininity

This article provides a response to the article by Susie Orbach proposing that a more intensively regulated framework of femininity is now directed to young women in the guise of freedoms won and choice exercised. Orbach is right to argue that among its various performances femininity has recently lost many of its subservient dimensions. However, this is replaced by a regime of cultural values associated with body image that both appropriates from feminism and disavows it as having any new place in young women's worlds.     

Anxiety and Depression: Implications for Older Adults

By the year 2030, it is projected that one in every three Americans will be 55-years-old or older. This age group is by far thefastest growing segment of the population. With the growing number of older adults, the importance of understanding aging and common disorders of laterlife is essential. In particular, anxiety anddepression are among the most common problems in older adults. However, differentiating anxiety and depression at the mood, symptom, and syndromal levels has been a long-standing problem in psychopathology research. In addition to a growing need for research, clinicians will also need to take an active role in the development and implementation of treatment as the population of older adults increases. In particular, mental health service providers must become informed about the economic implications for older adults as the structure of health insurance continues to change.     

Training Mental Health Professionals in Child Sexual Abuse: Curricular Guidelines

This study explored whether counseling practices with women survivors of child sexual abuse reflect the belief that women do not sexually abuse children. Canadian therapists (n?=?164) who work with women survivors of child sexual abuse were surveyed about their beliefs about what constitutes child sexual abuse, who commits child sexual abuse, and their practices regarding inquiries about abusive behavior. A majority self-reported that they ask women and think it is important to ask but most believe that clients will not spontaneously self-disclose inappropriate sexual thoughts or behaviors. How broadly or narrowly therapists defined child sexual abuse was not related to self-reported therapeutic discussion. Therapists demonstrated differential gender beliefs about child sexual abuse perpetration, but this did not relate to self-reported counseling practices. Implications for therapist education are discussed.     

Polygynists and Their Wives in Sub-Saharan Africa: An Analysis of Five Demographic and Health Surveys

Differential polygyny in Ghana, Kenya, Senegal, Uganda, and Zambia is investigated using individual-level Demographic and Health Surveys data. As well as contrasting polygynists' first wives with women in monogamous unions, the analysis distinguishes higher-order wives from first wives. This permits study of the determinants of the prevalence and intensity of polygyny respectively. Polygyny and other aspects of marriage interlock in very similar ways in all five countries. Individuals' experience of polygyny tends to reflect their luck in the marriage market rather than their socio-economic characteristics. While polygyny is less prevalent in urban areas, other socio-economic factors are important only in Kenya and Zambia, the two countries where less than 25 per cent of married women are in polygynous unions. The prevalence and intensity of polygyny are negatively associated. Thus, any drop in the prevalence of polygyny in Africa may be accompanied by a rise in the number of wives per polygynist.