Settler colonial power and the American Indian sovereignty movement: forms of domination, strategies of transformation

The article extends the multi-institutional model of power and change through an analysis of the American Indian Sovereignty Movement. Drawing upon cultural models of the state, and articulating institutionalist conceptions of political opportunities and resources, the analysis demonstrates that this framework can be applied to challenges addressing the state as well as nonstate fields. The rational-legal diminishment of tribal rights, bureaucratic paternalism, commonsense views of tribes as racial/ethnic minorities, and the binary construction of American and Indian as oppositional identities diminished the appeal of "contentious" political action. Instead, to establish tribes' status as sovereign nations, tribal leaders aggressively enacted infrastructural power, transposed favorable legal rulings across social fields to legitimize sovereignty discourses, and promoted a pragmatic coexistence with state and local governments. Identifying the United States as a settler colonial society, the study suggests that a decolonizing framework is more apt than racial/ethnicity approaches in conceptualizing the struggle of American Indians.     

A re-evaluation of project pride, a redesigned school-based drug abuse prevention program

The present study examined the effectiveness of Project PRIDE, a school-based, counselor-administered, drug and alcohol prevention program. The study is presented in the context of Project PRIDE'S efforts to keep itself current and effective via continual evaluation-based development. In this outcome evaluation, Project PRIDE participants demonstrated greater pretest to posttest gains on five of six outcome measures compared to control students, although many of the changes were small or moderate and only two were statistically significant. Further, as predicted, gains in more factual or objective areas of the program were greater than in more subjective areas dealing with student perceptions and feelings. The limitations and implications of the findings are discussed. Also discussed are the advantages of the Binomial Effect Size Display as a data presentation mode that promotes both client and general audience understanding of results.     

Elder care as "frustrating" and "boring": Understanding the persistence of negative attitudes toward older patients among physicians-in-training

ObjectivesThis study explores the attitudes of physicians-in-training toward older patients. Specifically, we examine why, despite increasing exposure to geriatrics in medical school curricula, medical students and residents continue to have negative attitudes toward caring for older patients.MethodsThis study used ethnography, a technique used by anthropologists that includes participant-observation, semi-structured interviews, and facilitated group discussions. Research was conducted at two tertiary-care academic hospitals in urban Northern California, and focused on eliciting the opinions, beliefs, and practices of physicians-in-training toward geriatrics.ResultsWe found that the majority of physicians-in-training in this study expressed a mix of positive and negative views about caring for older patients. We argue that physicians-in-trainings' attitudes toward older patients are shaped by a number of heterogeneous and frequently conflicting factors, including both the formal and so-called “hidden” curricula in medical education, institutional demands on physicians to encourage speed and efficiency of care, and portrayals of the process of aging as simultaneously as a “problem” of inevitable biological decay and an opportunity for medical intervention.DiscussionEfforts to educate medical students and residents about appropriate geriatric care tend to reproduce the paradoxes and uncertainties surrounding aging in biomedicine. These ambiguities contribute to the tendency of physicians-in-training to develop moralizing attitudes about older patients and other patient groups labeled “frustrating” or “boring”.     

Settler colonialism and sociological knowledge: insights and directions forward

Theory and Society - What can the analytical framework of settler colonialism contribute to sociological theorizing, research, and overall understanding of the social world? This essay argues that...     

College students' early cessation from episodic heavy drinking: prevalence and correlates

The author surveyed 788 undergraduates at a large public university (overall response rate 54%) to (1) estimate the proportion of college students who cease engaging in a pattern of episodic heavy drinking (EHD) and (2) identify individual and contextual factors associated with early cessation. He used a staging algorithm to classify respondents into 4 stages of EHD cessation. Of the 60% who had engaged in EHD, 64% continued to drink heavily with no intention of stopping, 12% continued to drink heavily but were thinking about stopping, 14% had ceased temporarily, and 9% had ceased permanently. Students who had stopped EHD perceived more risks and fewer benefits associated with alcohol misuse, but they did not differ in their perceptions of normative alcohol use on campus. Many collegiate heavy drinkers cease EHD before graduation, and others may be predisposed to moderate their alcohol use. Tailored interventions that alter alcohol expectancies may facilitate early cessation from EHD.     

In Their Own Voice: Mothers in Drug Treatment and Their Views on Parenting,Behavioral Parent Training,and Barriers to Engagement

Behavioral parent training offers mothers in drug treatment a valuable opportunity to improve their parenting skills through real-time, individualized coaching, but these mothers might be reluctant to participate with their child. Participants were 23 mothers or female guardians from 4 drug treatment programs with children 1 to 10 years old. Focus group discussions and questionnaires asked about their perspectives on parenting and their interest in and obstacles to participating in behavioral parent training. Detailed narrative responses and quantitative analyses identified some unique issues in parenting for this population as well as logistical, attitudinal, and emotional barriers to participating in behavioral parent training with their children.