COURSEWORK AND SELF-STUDY IN THE FAMILY TREATMENT OF ALCOHOL AND DRUG ABUSE: EXPANDING HEATH AND ATKINSON'S CURRICULUM

In designing a course on the family treatment of alcohol and drug problems, a number of important issues and topics need to be addressed. A design by Heath and Atkinson (1988) provides an excellent, innovative model for such coverage. These authors, however, had to contend with certain constraints that have had a bearing on the course content and how it is taught. The present paper offers some revisions and alternatives to Heath and Atkinson's model in order to make it generalizable to a greater number of contexts. For clinicians who are less interested in teaching such a course, the two papers, combined, could serve as a guide for self-study in this area.     

Trends in Gambling Studies Research: Quantifying, Categorizing, and Describing Citations

As opportunities to gamble have increased during the 20th century, so has gambling research. This study used new strategies, methods, and technology to examine citation trends and the growth of knowledge in the field of gambling studies. The sample included 2,246 citations that were published between 1903 and 2003. By using multiple keywords to classify each citation into distinct topic areas, this study yielded a more comprehensive analysis than was previously available. The results reveal that gambling-related research has grown at an exponential rate. The most prevalent topics explored within gambling studies citations have been pathology, risk-taking, decision-making and addiction. Between 1999 and 2003, studies addressing epidemiology, drug abuse, comorbidity and neuroscience have become increasingly prevalent. Based on these trends and their implications, this paper provides several recommendations for both future areas of inquiry within the field of gambling studies and better classification techniques for citations within all fields of psychology.     

Getting reluctant substance abusers to engage in treatment/self-help: a review of outcomes and clinical options

This review examines the results from 19 outcome studies, involving 1,501 cases, within 10 different clinical approaches to getting alcohol or drug abusers to engage in treatment or self-help. Each approach is summarized and its "success rate(s)" presented. Comparisons are made across various subcategories, such as alcohol vs. drug abusers, adolescents vs. adults, and experimental conditions vs. controls. A distinction is drawn between "Dual-Purpose" approaches, which combine engagement with counseling of the concerned person who originally sought help for the substance abuser, and "Engagement-Primary" approaches, which generally confine their efforts (through working with family members and others) to getting the substance abuser into treatment/self-help. "Best bet" clinical options are presented in terms of which particular approach appears to have the edge with which kind of substance abuser.     

Measuring maternal mortality through the census: rapier or bludgeon?

There is increased demand for maternal mortality estimates as a result of the choice of the Maternal Mortality Ratio as the key indicator for Millennium Development Goal 5. Given this strong demand, the United Nations Principles and Recommendations for Population Censuses suggest the inclusion of questions on recent household deaths, plus questions to identify pregnancy-related deaths in countries lacking empirical, national estimates. This paper evaluates the results of census-based measurement of pregnancy-related mortality using three different types of consistency checks applied in selected countries. Results from these evaluations are mixed. Overall, the census approach seems to produce robust estimates of the number of births. However, the consistency and plausibility of results relating to mortality vary substantially by country and by indicator. It is not clear whether the census-based methodology performs better or worse than the frequently used sibling histories. The results presented here clearly demonstrate the need for careful data evaluation and interpretation.     

Governance Implications of the Global Financial Crisis: United States Experience

In the financial debacle, public and private organizations failed to protect owners and stakeholders from calamity. Given the immense financial bubble, could improved governance have made a difference? Many large complex financial institutions may not be sufficiently governable to avoid unpleasant major surprises. Ponderous processes of enacting laws and regulations, and the substantial influence of powerful stakeholders in those processes, mean that fluid markets are likely to mitigate or even avoid the impact of regulatory improvements that policymakers suggest. Better information must flow to decision makers, but the dynamics of a bubble may impede effective risk management by financial firms and government.     

THE TIME LINE AND THE “WHY NOW?” QUESTION: A TECHNIQUE AND RATIONALE FOR THERAPY,TRAINING, ORGANIZATION CONSULTATIONS AND RESEARCH

A method is presented for quickly and graphically clarfying the relationships between life cyle evnts and the onset of probles Its basic from involves laterally organizing events in terms of the points in time at which they ocurred. A structural version-expressed in two formate-elucidates the interaction between nodal events and changes in family/organization structure. The device can both tease out hypotheses and identify directoins for treatment. It addreses the “Why now?” question for therapists and trainees and can provide a normalizing, edifying, and encouraging experience for families. It is also adaptable for research and for use in organizational development and consultation with agencies and businesses.     

SPIRITUAL CAPITAL AND THE “GOOD LIFE”

Recent research indicates that reward level is a better predictor of marital adjustment for urban than for rural women, while some specific reward areas are better predictors for urban men. Based upon questionnaire responses from 209 young, married subjects, the present study continues this line of inquiry by examining the impact of a variety of variables, in addition to reward levels, on adjustment. Findings indicate that more factors are significantly related to adjustment for urban than for rural subjects and that they are better predictors for the urban group. Rural/urban differences exist in the relative importance of the variables in predicting adjustment, with fairness issues being more important for rural respondents. The model explains 31.8% more of the variance in adjustment for urban than for rural subjects (75.1% vs. 43.3%). Results suggest that different social psychological process may be operating in the two groups. Implications for family scholars are discussed.     

THE 2000 NORTH CAROLINA RELIGIOUS ADHERENCE RATE: A DEMOGRAPHIC EXPLANATION

An area's religious adherence rate may be impacted by such factors as community stability, deregulated religious markets, educational attainment, income level, the sex ratio, and a population's age structure. Utilizing 2000 Glenmary and census data for each of North Carolina's 100 counties, the impact of these demographic factors on the religious adherence rate is assessed. North Carolina is an interesting case since it has traditionally been a strong Southern Baptist state. However, in recent years the state has experienced significant growth through migration. As a result Baptist primacy has eroded slightly. Findings indicate that the religious adherence rate varies directly with a community's income level and the percentage of the population that is elderly. More importantly, support is given to Stark's claim that monopolistic and competitive forces may interact within a given religious market to stimulate religious involvement.