Conceptualizing and Treating Problem Gambling as a Family Issue

Few family therapists have training in the identification, assessment, and treatment of problem gambling and its impact on couple and family relationships. The authors conceptualize problem gambling (PG) as a family issue and encourage clinicians and researchers to pay attention to the systemic antecedents and consequences of PG on family relationships. A review of the literature and clinicians' experiences regarding the impact of PG on couple and family relationships are presented and discussed. In light of the limited systemic-based treatments for PG, marriage and family therapists are urged to begin paying attention to this emerging issue that has significant couple and family ramifications.     

Is it Generalized Anxiety Disorder or Poverty? An Examination of Poor Mothers and Their Children

This paper addresses generalized anxiety disorder in poor families and argues that DSM definitions have led to an expansion in the domains of what is considered disorder. Social factors, which are importantly involved in many samples used to study GAD, have been overlooked. This was a secondary analysis of data from the Fragile Families and Child Wellbeing Study (N?=?4,898). The findings confirmed that the poorest mothers had greater odds of being classified as having generalized anxiety disorder. We also conducted a structural equation model. Our findings suggest that anxiety in poor mothers is not psychiatric, but a reaction to severe environmental deficits. Thus assessment and interventions should be targeted at the environmental level and diagnostic labels should be used judiciously.     

Freirian Codifications and Social Work Education

Abstract

Although social workers have been writing about the significance of the Freirian framework for decades, a gap exists in the social work literature on Freirian conscientization—Freire's term for the ongoing learning process involved in co-learning. This article attempts to fill that gap by outlining an approach to training students that will enable them to facilitate conscientization. The approach involves the construction and use of politicizing pictures, which Freire called “codifications”. The author describes Freire's method and gives detailed guidance on how to provide training suitable for social work students. The benefits for social work students with this training are that they will be better able to facilitate reflection and abstraction, will become more sensitive to different oppressed groups, and will become more dialogical.     

Focused Foster Care for Children with Serious Sexual Behavior Problems

Properly implemented, foster family care may represent a uniquely appropriate placement/treatment alternative for young children with pronounced or dangerous sexual behavior problems. A few programs have reported preliminary but promising results with such children in fostering environments specifically designed to address their special problems. This study details the salient components of one such program that has proven successful over the past six years with most of thirty youthful clients referred to it facing few alternative placement options. Rankings by program staff and program parents of the relative importance of ten program components to client success are reported, and updates on previously published outcomes with the first six clients to enter the program are offered. Subjective but important “lessons learned” by staff and parents about working with this difficult population in the fostering environment are also discussed.

Sibling incest: reports from forty-one survivors

An exploratory study was conducted with a convenience sample of 41 adult survivors of sibling incest using a retrospective survey design. Participants were interviewed about their childhood sexual experiences with a sibling. Most participants reported vaginal or oral intercourse and coercive experiences. Half of the sample reported sexual experiences with family members, as well as other child abuse. Half of the participants showed evidence of distorted beliefs about child sexual abuse. Disclosure of the incest during childhood was rare. doi:10.1300/ J070v15n04_02.     

Building Career PATHS (Postschool Achievement Through Higher Skills) for Young Women With Disabilities

The PATHS (Postschool Achievement Through Higher Skills) curriculum is designed to address the career development needs of young women with disabilities and other barriers. Participants (N = 110) in a pilot test of the curriculum showed increases in vocational self‐efficacy, social efficacy, and awareness of disability/gender issues related to career planning, whereas those in the comparison group did not make similar gains. Qualitative findings from focus groups (N = 68) revealed that PATHS participants improved in self‐confidence, self‐awareness, ability to identify strengths, knowledge of multiple career options, and the capacity to set goals and plan for future careers.     

Alcohol Screening and Brief Intervention as Standard Practice: Working with the American Indian/Native Alaskan Populations

Alcohol use and the resulting problems associated with high-risk drinking in the American Indian/Native Alaskan (AI/NA) population are well-documented, as alcohol misuse has taken an incredible toll on many AI/NA communities. Presently, both overall health issues and alcohol use occur disproportionately within this population. This article provides an updated overview of the impact of alcohol use in the United States and within AI/NA communities specifically. It also provides recommendations for an alcohol-related screening and brief intervention instrument that social workers can begin using in their practice and can be utilized within the AI/NA community.     

Applied network sampling

In principle, network sampling is an attractive method for estimating density and degree for large populations. This paper, based on the first extensive application of network sampling, reports some of the problems that may often arise in sampling and reaching respondents. The network sample or samples may be based on a list imperfectly reflecting the target population, the samples may be drawn nonrandomly from the list, and response may be nonrandom. We suggest and illustrate strategies for coping with each of these problems.