Social and Behavioral Sciences Commons^™

Examining Cohort Differences And Resilience Among The Aging Lgbt Community: Implications For Education And Practice Among An Expansively Diverse Population, Michael Dentato, John Orwat, Marcia Spira, Benjamin Walker

Marcia Spira

Examining Cohort Differences And Resilience Among The Aging Lgbt Community: Implications For Education And Practice Among An Expansively Diverse Population, Michael Dentato, John Orwat, Marcia Spira, Benjamin Walker

John Orwat

Inequality And Its Discontents, Jill Littrell, Fred Brooks, Jan Ivery, Mary Ohmer

jill l littrell Dr.

In the last two decades, the income and security of the individual middle class worker has declined and the gap between the rich and the poor has widened. We will examine those policies that strengthened the middle class after World War II, which included strengthening the bargaining power of labor. We will proffer suggestions for reviving the middle class now with particular focus on empowering labor. We will offer suggestions for the role of the practitioner in this endeavor.

The Swedish Studies Of The Adopted Children Of Alcoholics, Jill Littrell

jill l littrell Dr.

The authors of the widely cited studies analyzing the Swedish adoption records of the children of alcoholics have advanced the notion that there are three distinct paths for the inheritance of alcoholism. One path results in moderate alcoholism in men and a form of somatization but no alcoholism in women. A second path results in severe and mild alcoholism in men and alcoholism in women. The third path results in a particular variety of alcohol abuse in men and a particular variety of somatization in women. This article analyzes the authors' claims. It is argued that the data were improperly …

The Status Of Freud’S Legacy On Emotional Processing: Contemporary Revisions, Jill Littrell

jill l littrell Dr.

This paper evaluates, in light of current empirical data, several of the assumptions contributed to our field by Freud about how emotions operate. The idea that expression of emotions dissipates these emotions is evaluated. The idea that bottling up emotion results is ill health is reviewed. The idea that pain of trauma and loss needs to be confronted will be examined. Additionally, the assumption that traumatic events invariably result in distress will be discussed. It is argued that empirical findings reject the Freudian model of emotion as energy that must be discharged. Empirical findings also support the view that revisiting …

Incorporating Information From Neuroscience And Endocrinology Regarding Sexual Orientation Into Social Work Education, Jill Littrell

jill l littrell Dr.

The brains of heterosexual males and heterosexual females are different. Moreover, the brains of gay men are similar to heterosexual females whereas the brains of lesbians are similar to heterosexual males. Neuroscience research supporting these postulates is reviewed. The gestational processes that might explain the differences in brain structure and function corresponding with gender are reviewed. Following a discussion of the physiological bases for sexual orientation, a discussion of the physiological bases for the expression of gender related traits and a discussion of factors contributing to sexual identity are provided. Throughout the article, alternative ways to think about gender are …

Is There Evidence For The Bipolar Spectrum And The Safety Of Pharmaceutical Interventions?, Jill Littrell

jill l littrell Dr.

Social workers constitute a high proportion of mental health professionals and a high percentage of social workers provide mental health care. Thus, psychiatric diagnoses and pharmaceutical interventions are relevant for many social workers. This paper reviews the rise in the diagnoses of Bipolar spectrum disorders for both children and adults. It considers the safety of antipsychotic medications, a mainstay of treatment for children and adults, which, in addition to other well-documented negative side effects, have recently been shown to decrease brain volume by a significant percent. These issues are particularly relevant for children in the foster care system.

Controversies In Psychiatry And Dsm-5: The Relevance For Social Work (Occasional Essay), Jill Littrell, Jeffrey R. Lacasse

jill l littrell Dr.

This essay addresses recent controversies surrounding the forthcoming fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5—the first major revision of the DSM since 1994), as well as questions regarding the safety and efficacy of psychotropic medications discussed in the public domain. Mental health professionals across a wide range of professions have signed a petition to the DSM-5 Task Force protesting changes in the new edition, and critiques of psychiatric medications are increasingly disseminated in the media. These issues have particular relevance for children in foster care, who receive diagnoses and medication at high rates. The general …

Taking The Perspective That A Depressive State Reflects Inflammation: Implications For The Use Of Antidepressants, Jill Littrell

jill l littrell Dr.

This paper reviews both the evidence that supports the characterization of depression as an inflammatory disorder and the different biochemical mechanisms that have been postulated for the connection between inflammation and depression. This association offers credible explanation for the short term efficacy of antidepressants, which have short term anti-inflammatory effects. Evidence for those anti-inflammatory effects is discussed. Evidence of the contrary long-term effects of antidepressants, which increase rather than decrease inflammation, is also reviewed. It is argued that this increase in inflammation would predict an increase in chronicity among depressed patients that have been treated with antidepressants drugs, which has …

Expression Of Emotion: When It Causes Trauma And When It Helps, Jill Littrell

jill l littrell Dr.

The idea that clients should be encouraged to express strong emotion regarding the traumas they have suffered is widely assumed. This paper asks whether the empirical literature supports the underlying assumption that emotional expression leads to positive outcomes (better health and dissipation of distress). Studies in which individuals who have been given an opportunity to express emotions about past traumas are compared with subjects placed in appropriate control conditions are reviewed. The empirical literature suggests that eliciting emotion is harmful when it is not associated with reappraisal of past trauma, but helpful when the reappraisal occurs. The following guideline emerges: …

In Defense Of The Community Reinvestment Act, Jill Littrell, Fred Brooks

jill l littrell Dr.

In the wake of the 2008 global financial crisis, the Community Reinvestment Act (CRA) of 1977 has probably received more media attention in the past two years than it garnered cumulatively over the previous 30 years. Numerous conservative pundits and commentators have blamed the CRA for the subprime crisis and the subsequent world-wide financial meltdown. Most social workers are probably unaware that the CRA is probably responsible for more investment, loans, and wealth creation in low and moderate income neighborhoods than any other single piece of federal legislation over the past 40 years. This paper highlights the following features about …

The Controversy Over Antidepressant Drugs In An Era Of Evidence-Based Practice, Jill Littrell, Jeffrey Lacasse

jill l littrell Dr.

Questions regarding the efficacy of antidepressant drugs have been a recent focus of attention in the national news both in print and in the television media. Many clients will have questions regarding what they can believe and how they can address mood problems. Social workers constitute a greater percentage of the mental health work force than any other profession. Thus, social workers will probably be asked by clients about these issues. This article presents information on the efficacy of antidepressants for both the short and long term. It covers adverse effects and withdrawal symptoms. Clients' self-determination should be honored. However, …

Perspectives Emerging From Neuroscience On Why People Become Addicted And What To Do About It, Jill Littrell

jill l littrell Dr.

This paper reviews the new ideas emerging from neuroscience regarding the question of why some people are compelled to use drugs. During the process of drug exposure, the brain’s motivational system is changed in ways that co-opts the individual’s motivational system. Changes in the brain’s motivational structures along with changes in the brain’s self-regulatory structures compel an individual to drug use. Ways to reverse those changes in an addicted brain have been identified, as have ways to enhance self-regulatory control. The information from neuroscience offers a new perspective on “loss of control” as well as offering implications for treatment.

Why You Should Care About The Threatened Middle Class, Jill Littrell, Fred Brooks, Jan Ivery, Mary Ohmer

jill l littrell Dr.

In the last two decades, the income and security of the individual middle class worker has declined and the gap between the middle class and the wealthy has widened. We explain how this is bad for democracy, the economy, and the aggregate health of the nation. We examine the governmental policies and interventions that increased the middle class following the depression and maintained its vigor through the post-World War II period. The impetus for these changes in governmental policies in the 1930s was to end the Great Depression. We pose the question of whether a nation can recover from a …

Can A Diagnosis Be Epidemic, With Therapeutic Efforts The Catastrophe?, Jill Littrell

jill l littrell Dr.

The diagnosis of Bipolar Spectrum Disorders (BSD) given for office visits has risen 40 fold for children and has risen dramatically for adults as well. Some of the growth may have been fueled by re-categorization of individuals who would previously have received diagnoses of major depression along with the widening of diagnostic criteria for BSD. Concomitant with the rise in BSD diagnoses, the number of adults and children receiving atypical antipsychotics has increased dramatically. Recent evidence finds that atypical antipsychotics cause considerable reduction in brain volume. It is thus imperative to ensure that those with diagnoses comprising BSD—Bipolar I, Bipolar …

Will The Treatment Protocols For Schizophrenia Be Changing Soon?, Jill Littrell

jill l littrell Dr.

In recent decades the understanding of the core physiology giving rise to schizophrenia has advanced markedly. Current pharmacological interventions fail to target the core problems in schizophrenia. Several important outcome studies call into question whether current medications actually make long term outcomes worse. These new studies follow the recognized negative side effect of anti-psychotic drugs. The implication of these findings for social workers who work with the seriously mentally ill are discussed. Alternatives to current pharmacological treatments which are more targeted toward the core physiology of schizophrenia are reviewed.

How Addiction Happens, How Change Happens, And What Social Workers Need To Know To Be Effective Facilitators Of Change, Jill Littrell

jill l littrell Dr.

During the last two decades, neuroscience research has proliferated examining brain mechanisms that explain why some people are compelled to pursue drugs and alcohol. The findings suggest that addiction is independent of pleasure, and that drug seeking can be triggered outside of conscious awareness (Berridge, Robinson, & Aldridge, 2009; Goldstein et al., 2009; Kalivas, Volkow, & Seamans, 2005). The observations and conclusions from this research can be used to advantage in treating addiction. The use of social psychological principles, in the context of motivational interviewing, offers a platform for taking advantage of these new insights. After a brief sketch of …

Children In Foster Care And Excessive Medications, Jill Littrell

jill l littrell Dr.

Children in foster care system are more likely to receive diagnoses of major mental illness and to be medicated with powerful medications such as antipsychotic drugs. Reasons for the increased risk of the actual mental illnesses and for the diagnoses of illness among children in foster care are reviewed. The reliabilities of various diagnoses are considered. The legitimacy of the rationale for early medications to prevent later disability is discussed. The very real hazards of medicating with antipsychotics, anticonvulsants, stimulants, mood stabilizers and antidepressants are reviewed. A discussion of advocacy efforts occurring around the United States on behalf of medicated …

Book Review: “Mental Illness In The Family: Issues And Trends”, Jill Littrell

jill l littrell Dr.

No abstract provided.

The Mind-Body Connection: Not Just A Theory Anymore, Jill Littrell

jill l littrell Dr.

The field of psychoneuroimmunology has witnessed an explosion of empirical findings during the last two decades. Research has documented the mechanisms through which stressful emotions alter white blood cell function. Stress diminishes white blood cell response to viral infected cells and to cancer cells. Moreover, vaccination is less effective in those who are stressed and wounds heal less readily in those who are stressed. While stress decreases the activity of some white blood cells, stress does not compromise the function of all types of white blood cells. Indeed, some types of autoimmune disease, which involve particular subsets of white blood …

New Developments In Understanding Cardiovascular Disease And The Implications For Social Work, Jill Littrell

jill l littrell Dr.

Cardiovascular disease is now viewed as an inflammatory disease. An index of chronic inflammation (viz., C-Reactive Protein) is as good a predictor of heart attacks as are fats in blood. The data suggest that stressful events are so closely associated with chronic inflammatory states, that the body’s stress response can be viewed as an inflammatory state. This paper summarizes and explains the link between stress and cardiovascular disease. Negative health outcomes, particularly for cardiovascular diseases, are higher among those of lower socio-economic status. Differential stress among socio-economic tiers is considered as an explanation for the disparities. The literature linking cardiovascular …

A Library And The Disciplines: A Collaborative Project Assessing The Impact Of Ebooks And Mobile Devices On Student Learning, Barbara C. Glackin, Roy Rodenhiser, Brooke Herzog

Roy Rodenhiser

With the proliferation of technology usage, it is essential to understand the effect of implementation of technology in the academic setting. Specifically, this article examines the impact of eBooks and mobile devices on student learning. A pilot study was conducted with three areas of interest. The first question of interest found that owning or having access to two or more mobile devices significantly increased respondents' frequency of accessing eBooks. The second question examined the pros and cons of using mobile devices. Accessibility and cost savings were found as pros; while functionality and pedagogy were reported as drawbacks to mobile device …

Adolescentes Nas Franjas Dos Territórios E As Violências: Vozes E Existências, Susy Cristina Rodrigues

Susy Cristina Rodrigues

Este artigo tem o objetivo de contribuir com apontamentos sobre uma pesquisa em andamento com a temática de adolescentes que sofrem violências e vivem em territórios periféricos. A expectativa desse texto é aproximar os leitores da vida nas periferias, trazendo seus sentidos, a partir da narração das vozes dos sujeitos da pesquisa com as metodologias da história oral de vida e do grupo focal, a fim de potencializar suas experiências e vivências.

The Influence Of A Neo Liberal World View On Health, John Orwat, Michael Dentato, Michael Lloyd

Michael P. Dentato, PhD, MSW

Women's Reaearch And Action Group, Report Of Activites, Professor Vibhuti Patel

Professor Vibhuti Patel

WRAG commenced in 1993 in the context of very active public discourse about Muslim women’s rights under family law (in the wake of Supreme Court judgment in Shah Bano’s case where a 70-odd year old woman was granted maintenance from her husband who had divorced her). WRAG was also established soon after the destruction of Babri Masjid on 6 December 1992, subsequent to which there were attacks against the Muslim community in many parts of India including Mumbai. In this context, WRAG felt the need to understand Muslim women’s perspectives on family laws that govern them. It commenced, in 1994, …

Using Audio Documentary To Engage Young People Experiencing Homelessness In Strengths-Based Group Work, Brian L. Kelly Phd

Brian L.Kelly

Educational Determinants Of Readiness To Practise With Lgbtq Clients: Social Work Students Speak Out, Shelley L. Craig Phd, Michael P. Dentato Phd, Msw, Lori Messinger, Lauren B. Mcinroy

Michael P. Dentato

Trauma Trifecta Of Military Sexual Trauma: A Case Study Including Mind And Body In Clinical Social Work Treatment With A Survivor Of Mst, Terry Northcut, Amy Kienow

Terry Northcut

No abstract provided.

Development And Validation Of An Instrument To Assess Imminent Risk Of Homelessness Among Veterans, Ann Elizabeth Montgomery, Jamison Fargo, Vincent Kane, Dennis P. Culhane

Dennis P. Culhane

Aging Out Of Foster Care, Johanna K.P. Greeson, Allison E. Thompson

Johanna K.P. Greeson, PhD, MSS, MLSP

The transition from adolescence to adulthood is a significant developmental stage. When foster youth age out of the child welfare system, they are at risk of having to transition without family support. This chapter applies the life course perspective to describe the theoretical and contextual foundation that explains the hardships foster youth experience when emancipated from the US child welfare system. Next, the theoretical basis for natural mentoring among foster youth is explored using the resiliency perspective to frame the discussion. Then, current research on natural mentoring among foster youth is reviewed. Implications are drawn for US child welfare practice, …