Open-Ended and Open-Door Treatment Groups for Young People with Mental Illness

The concept of open-ended groups is expanded to include an open-door model (OEOD) wherein members with severe mental illnesses, including schizophrenia disorders and bipolar, can join, leave, and reenter groups as their life circumstances dictate their availability and willingness for treatment. This model is grounded on the work of Schopler and Galinsky's (1984/2006 Schopler, J. H. and Galinsky, M. J. 2006. Meeting practice needs: Conceptualizing the open-ended group. Social Work with Groups, 28(3): 49–68. (Original work published 1984) [Google Scholar]) and Galinsky and Schopler's (1989 Galinsky, M. and Schopler, J. 1989. Developmental patterns in open-ended groups. Social Work with Groups, 12(2): 99–114. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar]) theses on the value and processes of open-ended groups and includes perspectives on mutual aid and group development. Groupwork with the OEOD format is illustrated with examples taken from a group of 79 participants diagnosed with first-episode schizophrenia/schizoaffective disorders, 40 of whom had cooccurring substance abuse. Of the 79 participants in the OEOD group program, 70 (89%) remained in treatment for the maximum of 3 years. The overall value of group treatment for this population is reviewed along with the small number of available publications on open-ended and open-door type groups.     

Typologies of Violence Among Youth Who Encounter Child Welfare Systems

This study explored patterns of violent delinquent behaviors using latent class analysis (LCA). The study sample consisted of 1,013 11- to 17-year-olds who participated in Wave 1 of the second National Survey of Child and Adolescent Well-Being (NSCAW II). LCA was used to identify distinct patterns of violent delinquent behavior among youth involved in the child welfare system. The study found a model consisting of the two following classes: violent and normative. The study also examined how exposure to domestic violence, youths’ mental health, and youths’ substance abuse function as characteristics of the latent classes. Results showed members of the violent class were significantly more likely to report clinically significant depression and substance abuse. Racial differences did exist, showing members of the violent class were more likely to be Black than members of the normative class. The study found no differences on whether members of each class had been physically or sexually abused, experienced physical neglect, been exposed to domestic violence, or having a substance abusing parent, or a substantiated child maltreatment investigation. Results from this study could illuminate opportunities for prevention and intervention resources.     

The Role of Dissociation in Self-Injurious Behavior among Female Adolescents Who Were Sexually Abused

The study aimed to examine the role of dissociation (persistent versus peritraumatic) in self-injurious behavior among at-risk Israeli female adolescents. In addition, the relationship between childhood sexual abuse, depression, dissociation, and potency was investigated. A convenience sample of 93 female adolescents aged 12 years to 18 years were recruited from institutions for at-risk adolescent girls in Israel. Participants were administered an anonymous self-report questionnaire that included six measures: Demographics, Dissociative Experiences Scale, Center for Epidemiologic Studies Depression Scale, the Peritraumatic Dissociative Experiences Questionnaire, the Traumatic Events Questionnaire, and the Potency Scale. Results indicated that childhood sexual abuse increases the risk for self-injurious behavior more than threefold. Higher levels of persistent dissociation were found among girls who reported child sexual abuse compared to those who did not. Self-injurious behavior was predicted by persistent dissociation. Girls who engaged in self-injurious behavior had lower potency and higher depression levels, regardless of childhood sexual abuse history.     

Sex for soap? A contextual approach for understanding young girls’ involvement in sex in Tanzania

ABSTRACT

Tanzania has made strides to end gender discrimination and sexual exploitation, yet, studies have found that these practices continue. One distinct form of exploitation is transactional sex. Girls agree to sex – often with older men known as “sugar-daddies” – in exchange for basic needs like breakfast or soap, something that other researchers have written about it with concern. Herein, I provide an overview of the published research and then discuss my research on this issue, based on interviews with women and participant observation with girls in a remote part of Tanzania. My intention was to discover if and how girls are taken advantage of, discriminated against, or solicited for sex in and around schools. Transactional sex, a practice sometimes encouraged by family members, emerged as a pertinent theme. Ultimately, I focus on strategies for prevention using Bronfenbrenner’s ecological model to consider interventions at multiple levels of these girls’ lives.     

Future directions for research into the psychological determinants of problem gambling patterns

Abstract

Rapid increases in the availability of gambling have led to an increased recognition of problem gambling as a major public health concern. A growing body of empirical research has contributed greatly to current knowledge; however, most has centered on prevalence and on risk factors for problem gambling. In this paper, the authors argue for the need to extend the investigative scope of the gambling studies field to improve understanding the natural course of problem gambling over time and to the identification of psychosocial determinants of gambling patterns. Elucidating these issues would constitute an important first step in refining preventive and therapeutic efforts toward curbing possible increases in problem gambling and attendant consequences. Important research areas and methodologies identified in this paper are: large‐scale prospective studies using repeated measures, investigations into factors that may protect from or facilitate progression to problem gambling, especially factors that may be amenable to change, and broadening research samples to community‐based regular gamblers, particularly subclinical (in transition) individuals.     

Exploring the relationship between gambling,debt and financial management in Britain

The issue of how and why gamblers end up in debt has received comparatively little attention in the literature. Data from the 2007 Adult Psychiatric Morbidity Survey (APMS) revealed that although problem gamblers were more likely than non-problem gamblers to have forms of financial debt, just under two-thirds of problem gamblers (62%) reported having no debt. Using a qualitative approach, this study aimed to explore the issue from the perspective of gamblers themselves through interviews with 27 purposively sampled gamblers drawn from participants who took part in the APMS and the British Gambling Prevalence Survey 2010. Analysis, using the Framework method, suggested the existence of four kinds of gamblers categorized by their approach to gambling spending and their approach to their general spending: ‘controlled gamblers’, ‘uncontrolled gamblers’, ‘uncontrolled spenders’ and ‘chaotic spenders’. Also proposed on the basis of these data is an ecological model which aims to capture the different levels of personal and environmental factors that influenced people's financial decisions, including cognitive factors, control and compulsion, normative spending, resource and financial management, and the credit environment. The implications for practice are also discussed.     

Impact of problem gambling on financial,emotional and social well-being of Singaporean families

Problem gambling has a profound impact on family members. While this has been previously documented, this paper reports on the first study to consider the extent of this impact in Asian societies where the family continues to be a very important basis for social organization. This study, based on in-depth interviews with 50 Singaporeans with a family member who is a problem or pathological gambler, examines how their financial, emotional and social well-being is impinged upon by gambling. The enormous losses of savings, property and lifestyle, the emotional tensions based on constant harassment from moneylenders, the threats of suicide by the gambler and the distancing of social networks place family members of problem gamblers in a vulnerable state. The qualitative data in this paper fleshes out the lived experience of family members and reveals the extent to which the family is mobilized in Asian societies to cope with problem gambling. While the impact of problem gambling on families is similar across societies, routine mobilization of the extended family and the greater role of public shame and embarrassment in dictating Asian families' responses underscore the need for specialized services in these societies to assist family members to better cope with the financial, emotional and social strains caused by problem gambling.     

The Social Significance of Human Biomonitoring

Over the past few decades, developments in analytical chemistry have made it possible to measure low‐level chemical exposures in human fluids and tissues through a process called human biomonitoring. Recent biomonitoring data suggest that humans are exposed to a wide variety of naturally occurring and synthetic environmental chemicals ranging from pesticides and plasticizers to flame‐retardants. These data have provoked new questions about the safety of many environmental chemicals and the adequacy of environmental regulations. Biomonitoring has also attracted the attention of social scientists and scholars in the humanities, resulting in a small but growing body of literature that examines the social impacts of this technique in the contexts of environmental advocacy and environmental justice efforts, chemical regulation and toxic torts, and studies that provide research participants with personal exposure data. Some work also addresses how biomonitoring data are reshaping notions of the body and its ties to historic and contemporary economic and political processes. This paper shows that while there is agreement that biomonitoring data provide novel information about the relationships between bodies and environments, there is debate about the extent to which this information will be used to advance environmental justice and the adoption of more precautionary chemical policies.     

Group Buying of Competing Retailers

Under group buying, quantity discounts are offered based on the buyers' aggregated purchasing quantity, instead of individual quantities. As the price decreases with the total quantity, buyers receive lower prices than they otherwise would be able to obtain individually. Previous studies on group buying focus on the benefit buyers receive in reduced acquisition costs or enhanced bargaining power. In this paper, we show that buyers can instead get hurt from such cooperation. Specifically, we consider a two‐level distribution channel with a single manufacturer and two retailers who compete for end customers. We show that, under linear demand curves, group buying is always preferable for symmetric (i.e., identical) retailers. For asymmetric retailers (i.e., differing in market base and/or efficiency), group buying is beneficial to the smaller (or less efficient) player. However, it can be detrimental to the larger (or more efficient) one. Despite the lower wholesale price under group buying, the manufacturer can receive a higher revenue. Interestingly, group buying is more likely to form when retailers are competitive in different dimensions. These insights are shown to be robust under general nonlinear demand curves, except for constant elastic demand with low demand elasticity.