Exiting the Drug-Addict Role: Variations by Race and Gender

Our paper explores race and gender variations in the processes of exiting a “drug-addict role” and in creating a “recovering-addict role” within the ideological constraints of 12-Step programs. Our method is qualitative and features in-depth interviewing with 45 currently abstinent drug addicts from the 12-Step programs of Alcoholics Anonymous (A.A.) and Narcotics Anonymous (N.A.) in the Washington, D.C., Metropolitan Area as well as a residential and out-patient treatment program in mid-Michigan. Our respondents' exit processes typically began with doubts about the drug addict role followed by an often long and dynamic period of seeking alternatives to it without giving up drugs and alcohol completely. In some cases, however, participation in a new role initiated doubts about an existing one. Contrary to extant research, turning points or epiphanic moments in existing roles were not always identified. Most importantly, however, we found many differences by race and gender in what comprised the exit process. Gender socialization, cultural diversity, and the history of race relations in the United States help to explain this diversity.     

Overcoming medication refusal using a patient-centered approach

The refusal of psychotropic medication is a challenge faced by many healthcare providers when treating patients with mental illness. Controversy surrounds medication refusal because some mental health professionals believe that psychiatric patients should be forced to take medications for the safety of the general public, while patients are often acutely aware of potential lifelong adverse side effects and are sometimes reluctant to comply. The proposed alternative to this problem begins with developing the patient-provider relationship through a patient-centered approach. This approach emphasizes the individual needs of patients and creates opportunities for input from patients about their care, which helps form relationships of mutual trust and respect between patients and providers. This article explores the literature to: (1) understand some of the challenges and controversies involved in patient medication refusal from a clinical and societal level; (2) identify some issues in a patient-centered approach; and (3) make some brief clinical and policy recommendations that might help to bring about an increase in the use of patient-centered care. Hopefully, as efforts are made toward a patient-centered approach, increased psychotropic medication adherence and decreased medication coercion will result as providers listen and act upon the needs of their patients.     

Sensation-Seeking,Risk-Taking,and Problematic Financial Behaviors of College Students

College students are at especially high risk for serious financial problems due to easy availability of credit cards, rising tuition, and a declining economy. Arnett (Am Psychol 55:469–480, 2000) proposed 18–25 year olds may be considered emerging adults and are characterized by less stable financial situations than those who perceive themselves to be adults. A survey was given to 450 students at two Mississippi universities. The results showed student financial behaviors were related to age, gender, public assistance, adult status, sensation-seeking, and potential for problem gambling. This study is unique in that it investigated the relationship of emerging adult/adult status and other individual and socio-demographic variables to financial behaviors among college students, a conceptualization that has not been explored in the past.     

Do Volunteers Volunteer to do More at Work? The Relationship Between Volunteering,Engagement, and OCBs

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - Many non-profit organizations rely on volunteers to further their mission, but volunteer rates linger at only 25% of the...     

Locating “youth voice:” Considering the contexts of speaking in foster care

Within social services, an increasingly significant movement supports giving “voice” to children and youth, enabling them to express their views and to have those views taken into account in matters that affect them. In this article, the author draws from narratives of young people who grew up in foster care, examining stories of their efforts to impact the course of their own lives. The article explores the ways that very specific contexts and relationships of power shaped the utterances of young people in the foster care system and distorted, muted, or amplified their abilities to express their need and interests. This is a beginning attempt to identify ways that contexts of speaking in foster care can be understood and altered in order to strengthen the capacity of young people to voice their concerns and aspirations.     

Restructuring of the Financial Industry: The Disappearance of Locally Owned Traditional Financial Services in Rural America

Restructuring in the financial services industry has altered the relationship between small business owners and capital. In the past small businesses have relied on relational, or soft data, lending from locally owned banks for capital. The proliferation of absentee‐owned local branch networks brought standardized practices, thus eliminating the autonomy of local loan officers to utilize soft data in loan decisions. In this article we examine the changes in the percentage of traditional financial services that are locally owned in three county types: metropolitan, micropolitan, and noncore. We utilize the Longitudinal Business Database at the U.S. Census Bureau Center for Economic Studies. We examine changes in local ownership of traditional financial services between 1976 and 2007. We find that the rate of decline of local ownership has been greatest in the noncore (most rural) counties. We also explore to what extent these patterns are related to the emergence of alternative financial services during the same period. We find that such alternative services are growing in all three county types, but at rates not significantly different than the population growth for these county types. We supplement our analysis with data from qualitative interviews with small business owners throughout rural Texas. We conclude with a discussion of implications and plans for future research.     

‘Subjects,Participants, Collaborators’

Existing accounts of new war have not actively engaged with feminist analysis. Protest masculinity is suggested as an alternative explanatory framework to conventional explanations of violence in new war. To explore the intersection between masculinity and new wars the example of Sierra Leone's Revolutionary United Front has been investigated. The article concludes that masculinity is an essential cause to the creation of new war and to the form that new war takes once it has originated.     

Family Structure, Gender, and the Work–Family Interface: Work-to-Family Conflict Among Single and Partnered Parents

This study examined whether single parents experience greater reductions in work-to-family conflict from using resources than partnered parents do. The question of whether single mothers, single fathers, partnered mothers, or partnered fathers experienced differing levels of work-to-family conflict was also addressed. Data were from the 2002 National Study of the Changing Workforce, and only those respondents with at least one child under the age of 18 living in the household were included in the analysis (N = 1325). Findings indicated that single-parent status was not directly related to work-to-family conflict. Rather single-parent status interacted with other variables, including gender, control over work hours, and the number of other adults in the home, in predicting work-to-family conflict.