Adolescent girls’ race/ethnic status, identities, and drive for thinness

Using data from 7272 adolescent US girls, we explore how girls’ race/ethnic group status affects their bodyweight, perceptions of overweight, and weight control practices. We hypothesize that a girl’s race/ethnic status influences her basic identity which in turn prompts her to adopt or reject a “drive for thinness.” After controlling for family and peer support, school engagement, family SES, maturation, and family structure, we find that girls’ race/ethnic status influences their susceptibility to the thinness ideals of mainstream culture. African American girls weigh more than Asian, Hispanic, or White girls, but at any given weight they perceive themselves as overweight and attempt to control their weight less. Asian American and White girls invest most in thinness dynamics. Some evidence also suggests girls from lower SES families are less driven to be thin. Our results affirm the utility of viewing material bodies as “situations” that are experienced and interpreted in accord with identity group relations and dynamics.     

Adolescent Sibling Relationship Quality and Adjustment: Sibling Trustworthiness and Modeling,as Factors Directly and Indirectly Influencing These Associations

The main goal of this study was to examine the direct and moderating effects of trustworthiness and modeling on adolescent siblings' adjustment. Data were collected from 438 families including a mother, a younger sibling in fifth, sixth, or seventh grade (M = 11.6 years), and an older sibling (M = 14.3 years). Respondents completed Web‐based surveys describing sibling conflict and warmth. Siblings reported on trustworthiness and modeling, and mothers described adjustment. Sibling conflict was directly associated with internalizing and externalizing behaviors for both siblings. The older siblings' reports of trustworthiness were directly associated with the outcome measures. The younger siblings' reports of trustworthiness were less directly associated, but a possible salutary effect was most evident under the highest levels of sibling conflict or warmth. Higher sibling modeling was a risk factor for adjustment problems in relations characterized by high conflict. Results support exploring trustworthiness as a key dimension of sibling relations.     

Cost-effectiveness analysis of the New South Wales adult drug court program

In New South Wales, Australia, a cost-effectiveness evaluation was conducted of an adult drug court (ADC) program as an alternative to jail for criminal offenders addicted to illicit drugs. This article describes the program, the cost-effectiveness analysis, and the results. The results of this study reveal that, for the 23-month period of the evaluation, the ADC was as cost-effective as were conventional sanctions in delaying the time to the first offense and more cost-effective in reducing the frequency of offending for those outcome measures selected. Although the evaluation was conducted using the traditional steps of a cost-effectiveness analysis, because of the complexity of the program and data limitations it was not always possible to adhere to textbook procedures. As such, each step involved in undertaking the cost-effectiveness analysis is discussed, highlighting the key issues faced in the evaluation.     

Internet use among community college students: implications in designing healthcare interventions

The Internet has become a commonly used venue for seeking healthcare information. Young adults search the Internet for health information more than any other group, yet little is known about use patterns among community college students. The authors surveyed a diverse community college to assess students' use of the Internet for health-related information. More than 80% had home Internet access, regardless of race or gender. Men and women searched for health information in almost equal numbers. Most students were interested in searching for diet/nutrition topics, and least interested in smoking information. Although the digital divide appears to be closing, varying levels of interest in a variety of important health topics remain. Understanding these differences could guide the design of more effective Web-based health interventions.     

Effects of information on college students' perceptions of antidepressant medication

The authors examined the impact of pharmaceutical companies' advertisements on college students' perceptions of depression and concomitant treatment with antidepressants among 13 male and 31 female undergraduates from a midwestern university. The students were randomly assigned to groups that read either pharmaceutical company advertisements or scientific information about depression and its treatment. The analysis revealed that 40% of the women in the advertisement condition as opposed to 1 woman (6%) in the scientific condition rated themselves as having mild, moderate, or severe depression on the Beck Depression Inventory, second edition. Women in the advertisement condition were significantly more likely to believe that depression required treatment with antidepressant medication and were more willing than women in the scientific condition to suggest antidepressant treatment to others.     

When therapists do not want their clients to be homosexual: a response to Rosik's article

This commentary is a response to Rosik's "Motivational, Ethical, and Epistemological Foundations in the Treatment of Unwanted Homoerotic Attraction" (this issue). Such treatment raises complex questions that cannot be resolved by focusing on the therapist's conservative versus liberal values. Most such clients are deeply ambivalent about their homosexual attractions. The degree to which their homosexuality is "unwanted" is highly variable among them and sometimes within them over time. Clients who are exclusively homosexual are very unlikely to be able to change their sexual attractions, whereas some clients who are bisexual may be more able to "manage" their homoerotic attractions (acting only on their heterosexual feelings). Marriage and family therapists should be able to support a client along whatever sexual orientation path the client ultimately takes, and the client's sense of integrity and interpersonal relatedness are the most important goals of all.     

Beyond enmeshment: evidence for the independence of intrusiveness and closeness-caregiving in married couples

In a 1996 article on family theory, we (Green & Werner) proposed that family enmeshment should not be equated with high cohesion and that the construct of enmeshment fails to discriminate between two distinct relationship processes: Closeness-caregiving and intrusiveness. In this study, our model of these two independent dimensions of family connectedness was tested by assessing spouses from 264 couples, using the California Inventory for Family Assessment (CIFA). The CIFA scales showed acceptable reliability. Significant interspouse validity correlations also were obtained. As predicted by our theory, factor analyses distinguished dimensions of intrusiveness (blurring of boundaries) from dimensions of closeness-caregiving (such as warmth and nurturance). On all but two factors, behaviors of only one spouse (but not of both) had interpretable loadings. That is, in most areas, the two spouses' behaviors did not load together to form meaningful factors. The latter finding suggests that family systems theory--with its central notion of reciprocally contingent behaviors between family members--may be useful in understanding only a few dimensions of spouses' behavior (such as reciprocal aggression) whereas personality-in-context theories may be better for understanding most other dimensions (such as warmth and nurturance).     

Race and Place in the Adaptation of Mariel Exiles*

The influx of lower class émigrés during the 1980 Mariel Boatlift complicates the “success story” image of previous waves of Cuban exiles to the United States. Examination of Mariel exiles in terms of racial variation in adaptation does not exist; nor is analysis of the geographic distribution and internal migration of Mariel Cubans within the United States represented. Mariel exiles maneuver along distinguishable paths of adaptation as evidenced by patterns of settlement and geographical mobility. I argue that place is a necessary ingredient in illuminating diverse adjustment experiences among immigrants and refugees in the United States.

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