Adolescents with Gambling Problems: From Research to Treatment

Considerable interest in the area of youth gambling has prompted an increase in empirical investigations examining the correlates associated with youth experiencing severe gambling problems. Based upon the current state of knowledge and our clinical experience, the development of the treatment program for youth with serious gambling problems employed at the McGill University Youth Gambling Research and Treatment Clinic is described. The major tenets, underlying philosophy, and therapeutic processes are presented. A case study is included to illustrate the therapeutic approach. The authors present the need for greater funding for more basic and applied research and the necessity for further scientifically validated treatment and prevention programs.     

综合治理:解决城市流浪儿童问题的根本途径——基于江西南昌市救助管理站的调查

目前我国城市流浪儿童救助保护工作已进入一个新的发展阶段,本文通过实地调查,分析了当前城市流浪儿童救助过程中存在的问题,探讨了解决城市流浪儿童问题综合治理模式。这一模式将政府和民间组织、教育机构、医疗部门、公安交通、社区等纳入流浪儿童救助保护体系,形成政府统一领导、各部门协调工作、民间组织和社区共同参与的局面,本文同时提出了实施综合治理的途径和方法。     

Treatment of Female Pathological Gambling: The Efficacy of a Cognitive-Behavioural Approach

Given that a substantial proportion of current pathological gamblers are female, it is evident that women are underrepresented in the treatment outcome literature. The current study was designed to redress the limited information on the treatment of female pathological gambling. Although the use of cognitive-behavioural therapy is the most highly recommended approach as ‘best practice’ for the treatment of pathological gambling, no attempt to date has been made to evaluate the efficacy of this approach for female pathological gambling. Nineteen female pathological gamblers with electronic gaming machine problems were treated with a cognitive-behavioural program. While pathological gamblers placed on a waiting list did not show significant improvement on gambling behaviour and psychological functioning measures, the female pathological gamblers showed significant improvement on these measures over the treatment period, and maintained this improvement at the 6-month follow-up evaluation. By the completion of the follow-up period, 89% of participants no longer met diagnostic criteria for pathological gambling. Although further scientific demonstration and replication are required, the outcomes of this study indicate that the therapy that is considered ‘best practice’ in the treatment of pathological gambling is effective for female pathological gambling.     

克隆人刑事立法问题初探

由于克隆人在总体上违背了生命伦理原则，科学家的主流意见是坚决反对的。世界卫生组织及各国政府都明确表示反对克隆人。如果生殖性克隆得到允许，它对人类社会的破坏将是毁灭性的。应订立一部禁止克隆人的单行刑事法；在禁止克隆人的立法中也要注意对其它合法的有关人体胚胎的克隆进行约束，防止其向克隆人的方向转化。     

儿童自闭症干预新路向——整合治疗模式

目前针对儿童自闭症患者流行的是密集式的感觉统合训练和行为训练,虽然取得一定效果,但在自闭症儿童的情绪情感上疗效甚微。本研究在梳理目前常用的自闭症方法的基础之上创造性的形成了整合治疗模式。该模式旨在以行为分析方法为主导,结合结构化教学、音乐治疗、感觉统合训练、家庭支持式咨询等方法中的各项优势,以期帮助儿童更好的全面发展。     

Anxiety and Depression: Implications for Older Adults

By the year 2030, it is projected that one in every three Americans will be 55-years-old or older. This age group is by far thefastest growing segment of the population. With the growing number of older adults, the importance of understanding aging and common disorders of laterlife is essential. In particular, anxiety anddepression are among the most common problems in older adults. However, differentiating anxiety and depression at the mood, symptom, and syndromal levels has been a long-standing problem in psychopathology research. In addition to a growing need for research, clinicians will also need to take an active role in the development and implementation of treatment as the population of older adults increases. In particular, mental health service providers must become informed about the economic implications for older adults as the structure of health insurance continues to change.     

Accommodating stochastic departures from percentile invariance in causal models

Summary.  Consider a clinical trial in which participants are randomized to a single-dose treatment or a placebo control and assume that the adherence level is accurately recorded. If the treatment is effective, then good adherers in the treatment group should do better than poor ad- herers because they received more drug; the treatment group data follow a dose–response curve. But, good adherers to the placebo often do better than poor adherers, so the observed adherence–response in the treatment group cannot be completely attributed to the treatment. Efron and Feldman proposed an adjustment to the observed adherence–response in the treatment group by using the adherence–response in the control group. It relies on a percentile invariance assumption under which each participant's adherence percentile within their assigned treatment group does not depend on the assigned group (active drug or placebo). The Efron and Feldman approach is valid under percentile invariance, but not necessarily under departures from it. We propose an analysis based on a generalization of percentile invariance that allows adherence percentiles to be stochastically permuted across treatment groups, using a broad class of stochastic permutation models. We show that approximate maximum likelihood estimates of the underlying dose–response curve perform well when the stochastic permutation process is correctly specified and are quite robust to model misspecification.     

Barriers to substance use disorder treatment in a sub-acute setting

ABSTRACT

With the changing times, it is essential integrate behavioral health within the primary care of patients. The need is based on the research that links a number of health issues being directly to substance use and mental health diagnosis. With the current opioid epidemic there is a need to address substance use disorders when treating patients in different health care settings. Despite the necessity of integrated care, there are barriers to addressing addiction in sub-acute care settings. With the lack of buy-in from the patients and health care providers and the stigma surrounding addiction it is time to address the barriers that prevents integration of care where it is most needed.     

民族地区新型农村合作医疗制度建设探析

农村合作医疗几起几落,党和国家在研究“三农”问题时,找到了农民致贫的一个重要原因,那就是“因病致贫”。这种现象,在民族地区尤显突出。新农村建设中,如何建设好新型农村合作医疗(简称“新合医”),切实解决“因病致贫,因病返贫”的社会问题,有利于社会生产力的发展,有利于积累社会财富。对提高综合国力,具有现实的指导作用。     

Recovery Processes in a Treatment Program for Women

ABSTRACT

Recovery processes of 32 women were explored in six focus groups following completion of treatment in a community based women-specific substance abuse group program. Grounded theory analysis yielded an over-arching theme of Building a House of Recovery and several sub-themes describing women's perceptions of the processes that were central to their recovery.