Impact of client suicide on social workers and counselors

Recent studies on the impact of client suicide on mental health professionals focus on psychiatrists and psychologists, while,in the current mental health system in our country, most clients receive services from other clinicians. This research focuses on the impact of client suicide on social workers and counselors as well as organizational responses to client suicide/attempt. Data were collected via interviews and survey of 121 clinicians. Client suicide impacts clinicians adversely in many ways. Many participants felt their agency/practice could have done more to support them during post-suicide management. Data presented in this report have the potential to aid in the creation of needed workforce development initiatives.     

Psychological vulnerability and problem gambling: an application of Durand Jacobs' general theory of addictions to electronic gaming machine playing in Australia

The aim of this study was to conduct an empirical investigation of the validity of Jacobs' (in J Gambl Behav 2:15-31, 1986) general theory of addictions in relation to gambling problems associated with electronic gaming machines (EGM). Regular EGM gamblers (n?=?190) completed a series of standardised measures relating to psychological and physiological vulnerability, substance use, dissociative experiences, early childhood trauma and abuse and problem gambling (the Problem Gambling Severity Index). Statistical analysis using structural equation modelling revealed clear relationships between childhood trauma and life stressors and psychological vulnerability, dissociative-like experiences and problem gambling. These findings confirm and extend a previous model validated by Gupta and Derevensky (in J Gambl Stud 14: 17-49, 1998) using an adolescent population. The significance of these findings are discussed for existing pathway models of problem gambling, for Jacobs' theory, and for clinicians engaged in assessment and intervention.     

PrEP Awareness in the Context of HIV/AIDS Conspiracy Beliefs Among Black/African American and Hispanic/Latino MSM in Three Urban US Cities

ABSTRACT

We examined HIV conspiracy beliefs and PrEP awareness in a convenience sample of minority MSM. Participants in three cities completed a behavioral self-assessment on sociodemographics, PrEP awareness, and HIV/AIDS conspiracy beliefs. HIV/AIDS conspiracy beliefs were more common among Black than Latino MSM (58% vs. 42%, p < .05), and among younger men than older men (age 18–29 (50%), 30–39 (22%), 40+ (28%); p < .05). PrEP awareness co-occurred with conspiracy belief less (37%) than with non-belief (63%, p < .05), persisting in multivariable regression (aOR = 0.52, 95% CI = 0.38–0.71). This relationship suggests that current HIV care and prevention messaging is either inaccessible or not credible to some minority subpopulations.     

Role Ambiguity Among Women Providing Care for Ex-Husbands

Twenty-one women were interviewed regarding their caregiving experiences for ill or dying ex-husbands. Emergent in the analyses was the variety of ways in which they experienced role ambiguity as ex-wife caregivers. This article describes the role ambiguity ex-wife caregivers encountered interpersonally through interactions with network members, institutionally in dealing with professionals and the workplace, and intrapersonally in confusion over their roles and feelings. Consequences of role ambiguity are discussed, and recommendations for policy and practice are made in light of the aging population, changing family forms, and women's care roles.     

Very Happy Youths: Benefits of Very High Life Satisfaction Among Adolescents

This study investigated the characteristics of adolescents reporting very high levels of life satisfaction. Participants (N = 410) were divided into three life satisfaction groups: very high (top 10%), average (middle 25%), and very low (lowest 10%). Results revealed that very happy youths had significantly higher mean scores on all included school, interpersonal, and intrapersonal variables, and significantly lower mean scores on depression, negative affect, and social stress than youths with average and very low levels of life satisfaction. Life meaning, gratitude, self-esteem, and positive affect were found to have a significantly more positive influence on global life satisfaction for the very unhappy than the very happy. Findings suggest that very unhappy youths would benefit most from focused interventions aimed at boosting those variables having the most influence on their level of life satisfaction. Results are discussed in light of previous findings and suggestions for future directions are briefly discussed.     

The Clustering of Psychiatric Disorders in High-Risk Gambling Populations

The aims of this study were to examine the associations between psychiatric disorders and pathological gambling (PG) and the clustering of psychiatric disorders in high risk gambler populations. The sample comprised 140 regular gamblers who were recruited from the general public. A variety of self- report and semi structured questionnaires was administered, including the Mini International Neuropsychiatric Interview, The Personality Diagnostic Questionnaire-4th Edition, NORC DSM-IV Screen for Gambling Problems Self- administered and Problem Gambling Severity Index. Axis I and Axis II psychiatric disorders and personality disturbances were found to be more prevalent amongst pathological gamblers than other gamblers with the strongest differences observed for mood and anxiety-related disorders. Almost two-thirds of pathological gamblers reported both an anxiety or mood disorder in conjunction with another type of disorder. These differences between the gambling groups existed even after controlling for gender. The results highlight the high rates of co-morbidity in pathological gamblers in the community and the extent to which anxiety and mood disorders co-existing with other forms of pathology. These results highlight the significant challenges facing treatment services in the treatment of PG and the extent to which this should be treated as the primary disorder.     

An Inductive Analysis of Young Adults’ Conceptions of Femininity and Masculinity and Comparison to Established Gender Inventories

This study provides an analysis of the content of feminine and masculine characteristics/behaviors described in writing by 366 young women and 289 young men from the U.S. Emergent characteristics/behaviors were placed into domains. For both femininity and masculinity, the domains of “physical differences related to sex” and “emphasized physical differences” emerged. For masculinity, additional domains were: “activities and interests focused on the body,” “powerful or oriented toward power,” and “emotion-control or emotionally-limited.” For femininity, additional domains were “lacking power,” “orientation to other people,” and “emotional.” We then compared the characteristics/behaviors and domains we discovered to gender inventories that are commonly used in the contemporary period. The masculine domains focused on physical differences, activities, and interests that emerged from the present study are mostly absent from these masculinity inventories. The domains focused on power and restricted emotion are evident in these inventories, but these inventories do not cover all of the characteristics within our domains. The feminine domains that emerged from the present study are more often covered in these inventories, but some of the specific feminine characteristics we found are not evident in these inventories. Results are discussed in terms of gender role theory, gender inequality, and potential application for qualitative and quantitative inquiries into the construction of gender.     

Understanding Men's Health and Illness: A Gender-relations Approach to Policy,Research, and Practice

Abstract

Men's health has emerged as an important public concern that may require new kinds of healthcare interventions and increased resources. Considerable uncertainty and confusion surround prevailing understandings of men's health, particularly those generated by media debate and public policy, and health research has often operated on oversimplified assumptions about men and masculinity. A more useful way of understanding men's health is to adopt a gender-relations approach. This means examining health concerns in the context of men's and women's interactions with each other, and their positions in the larger, multidimensional structure of gender relations. Such an approach raises the issue of differences among men, which is a key issue in recent research on masculinity and an important health issue. The gender-relations approach offers new ways of addressing practical issues of healthcare for men in college environments.     

The development and validation of intercultural understanding (ICU) instruments for teachers and students in primary and secondary schools

Intercultural understanding (ICU) is becoming an essential part of living and contributing effectively in our increasingly diverse society. In fact, ICU is a key capability in the Australian schooling curriculum, alongside other general capabilities such as numeracy and literacy. While there are current instruments assessing ICU, there is little evidence-based research surrounding their use in primary and secondary school settings. In the context of a larger project, this study outlines the development and validation of a new ICU instrument specifically for use in primary and secondary schools. Among a sample of teachers and students from 12 Australian primary and secondary schools, the study found a teacher ICU instrument with a four-factor structure and a student ICU instrument with a two-factor structure. Further research and implications are discussed.