Medicine and Health Sciences Commons^™

Determinants Of Satisfaction With An Automated Alcohol Evaluation Program., Daniel Z Lieberman

Psychiatry and Behavioral Sciences Faculty Publications

High rates of untreated mental illness cause serious health problems in the United States and worldwide. The use of computer-administered therapy has the potential to increase access to mental health care for certain patient populations. An online version of an alcohol check-up was developed that guided subjects through a series of standardized questionnaires, and provided them with feedback designed to enhance their appreciation of the negative aspects of their alcohol use. Ratings of the helpfulness of the questionnaires were evaluated in order to determine the characteristics of individuals who would potentially benefit from an automated substance abuse intervention, and to …

Criminality Groups And Substance Abuse, Dana Brown

Masters Theses & Specialist Projects

This descriptive study was designed to determine whether substance abusers could be differentially characterized by past involvement in crimes and, further, whether there is a relationship between the type of substance abused and the degree of violence of the crimes committed. By comparing the socio-demographic characteristics, substance-use, and strain-inducing events reported by 598 residential and outpatient treatment seekers in the Kentucky Treatment Outcome and Performance Pilot Studies Enhancement Project, this study provides further understanding of the crime-substance relationship. This study utilized Robert Agnew's 1992 general strain theory. Results suggest that substance addicts and substance users can be characterized in terms …

Resiliency Factors Related To Substance Use/Resistance: Perceptions Of Native Adolescents Of The Southwest, Margaret A. Waller, Scott K. Okamoto, Bart Miles, Donna E. Hurdle

The Journal of Sociology & Social Welfare

This exploratory, qualitative study examined risk and protective factors influencing drug and alcohol use and/or resistance of Native youth in the Southwest. Thirty-two Native middle school students participated in 10 focus groups that explored their experiences with alcohol and drugs in their school and reservation communities. The findings indicate a complex interaction of both risk and protective factors related to substance use. Respondents' cousins and siblings, in particular, played a key role in their decisions to use or resist drugs. Implications for social work practice are discussed.

A Smoking Cessation Project For African American Women: Implications For Relational Research, Suzanne M. Hanna, Patricia W. Walker, Jerome F. Walker, Jacalyn A. Claes, Cheryl K. Stewart, Ann M. Swank, L. Jane Goldsmith

SHU Faculty Publications

Smoking cessation among African Americans is a primary health objective for the nation. African American women are more likely than their counterparts to have a high dependency upon nicotine. Studies with African American women report lower quit rates than those for whites. A culturally sensitive pilot project was designed for African American women to investigate smoking, perception of family environment (FES-R, Life Events Scale, family survey), feasibility of family-focused followup sessions, and an exercise program. Baseline cigarettes were negatively correlated with the FES-R subscales for cohesion, active-recreational orientation, and moral/ religious emphasis; they were positively correlated with negativity in an …

Socio-Economic And Demographic Factors Associated With Injecting Drug Use Among Drug Users In Karachi, Pakistan, A. Agha, S. Parviz, M. Younus, Zafar Fatmi

Community Health Sciences

Objective: To identify the socio-economic and demographic factors associated with injecting drug users (IDUs) in Karachi.

Methods: We recruited 242 IDUs (taking drugs through sub-dermal routes) and 231 non-IDUs (taking drugs other than sub-dermal routes) from February through June 1996. IDUs were interviewed regarding sociodemographic factors, economic condition, and social network (marital status, living with spouse). In addition, information regarding location of drug users within the city (districts of Karachi) and current history of sexually transmitted diseases (STDs) were gathered. Moreover, blood samples were also obtained for HIV testing

.Results: Multivariate analysis showed that the income generation via illegal …

Client Commitment Language During Motivational Interviewing Predicts Drug Use Outcomes, Paul Amrhein, William R. Miller, Carolina Yahne, Michael Palmer, Laura Fulcher

Department of Psychology Faculty Scholarship and Creative Works

Client language from a motivational interview (MI) and drug use outcome were investigated. Interview videotapes of 84 drug abusers were coded for frequency and strength of utterances expressing commitment, desire, ability, need, readiness, and reasons to change or maintain their habit. Cluster analysis of proportion days abstinent (PDA) revealed 3 groups: high PDA at intake and follow-up (3, 6, 9, 12 months; maintainers); low intake PDA/high follow-up PDA (changers); and low intake PDA/low to moderate follow-up PDA (stragglers). Distinct group patterns emerged for commitment strength (CS) during MI. Clients dishonest in checklist self-report exhibited CS similar to stragglers. CS for …

The Lived Experience Of Welfare Reform In Drug-Using Welfare-Needy Households In Inner-City New York, Eloise Dunlap, Andrew Golub, Bruce D. Johnson

The Journal of Sociology & Social Welfare

Welfare reform has transformed a needs-based family income support into temporary assistance for persons entering the workforce. This paper uses observations from an ethnographic study covering the period from 1995- 2001 to examine the impact on drug-using welfare-needy households in inner-city New York. The analysis suggests that studies may underestimate the extent to which substance use is associated with welfare problems. Nearly all of these already distressed households lost their AFDC/TANF benefits, had difficulty with work programs, and were having more difficulty covering expenses. The conclusion highlights ways to better study this population and policy initiatives that could help them …

The Social Problem Of Depression: A Multi-Theoretical Analysis, Rich Furman, Kimberly Bender

The Journal of Sociology & Social Welfare

The purpose of this paper is to discuss the social problem of depression from a multi-theoretical perspective. It explores depression through the lens of two psychologically based theories of human behavior, existential theory and cognitive theory, as well as through the vehicle of two sociological theories, Marxist theory and the theory of oppression. By understanding how each of these theories explains depression, social workers may be helped to see the complexity of treating the problem. It is the belief of the authors that social work literature, which is often dominated by reductionist, quantitativelybased research studies, has increasingly ignored theoretical explorations …

Group Therapy For Incarcerated Women Who Experienced Interpersonal Violence: A Pilot Study, Rebekah G. Bradley, Diane R. Follingstad

CRVAW Faculty Journal Articles

This study evaluated effectiveness of group therapy for incarcerated women with histories of childhood sexual and/or physical abuse. The intervention was based on a two-stage model of trauma treatment and included Dialectical Behavior Therapy skills and writing assignments. We randomly assigned 24 participants to group treatment (13 completed) and 25 to a no-contact comparison condition (18 completed). We evaluated treatment effects, using the Beck Depression Inventory, Inventory of Interpersonal Problems, and Trauma Symptom Inventory. The data demonstrate significant reductions in PTSD, mood, and interpersonal symptoms in the treatment group.

Identifying Compliance Issues In The Community Health Care Clinic Environment, Faye K. Beery

Student Dissertations & Theses

This study explored the high number of failed appointments and follow-up appointments at a community health care children’s clinic. A thirty-seven item questionnaire was randomly given to 112 participants seeking health care at the clinic on a random basis. Based on literature reviews, five hypothesis were generated to examine reasons for failing to keep appointments for children: 1. Communication difficulties between healthcare personnel and parents regarding patient comprehension of instructions and bottle directions were anticipated. 2. Patient/physician/clinic relationships were expected to influence patient compliance. The need for more reminder calls for appointments was anticipated to be a factor in patient …

Effects Of Perceived Costs And Rewards On Motivation And Retention Of Rape Crisis Center Volunteers, Amanda Grissom

Masters Theses & Specialist Projects

The purpose of this study was to obtain information that may assist Rape Crisis Center (RCC) volunteer coordinators and executive directors in the recruitment and retention of volunteers. The major hypotheses guiding this study are as follows: (a) the reasons that initially motivated volunteers to volunteer at the RCC will be the same as their reasons for why they are continuing to volunteer at the RCC and (b) volunteers at RCCs continue to volunteer because the perceived costs of volunteering do not exceed the perceived rewards of volunteering. Using a modified version of Black's (1989) questionnaire, respondents were asked to …

Psychosocial Stress And Cervical Neoplasia Risk, Ann L. Coker, Sharon M. Bond, Margaret M. Madeleine, Kathryn J. Luchok, Lucia Pirisi

CRVAW Faculty Journal Articles

OBJECTIVE: We assessed the association between psychosocial stress and preinvasive cervical neoplasia development controlling for HR-HPV infection.

METHODS: This case-control study enrolled low-income women receiving family planning services at health department clinics. There were 59 cases with biopsy confirmed HSIL and 163 with low-grade SIL and 160 controls with normal cervical cytology. A modified SLE scale was used to measure stressful events and the perceived impact of the event in the prior 5 years. Unconditional logistic regression was used to assess SIL risk and stressful events scores and by subscales.

RESULTS: After adjusting for age, HR-HPV infection, and lifetime number …

Compromised Constitutions: The Iranian Experience With The 1918 Influenza Pandemic., Amir Afkhami

Psychiatry and Behavioral Sciences Faculty Publications

The global demographic impact of the 1918-19 influenza pandemic continues to fascinate researchers and scholars. This paper examines the social and demographic effects of this outbreak on Iranian society, through a comprehensive investigation of the modes of transmission and propagation, mortality rates, and other distinctive features of the region, and reveals the importance of taking a country's unique sociopolitical settings into account. Iran was one of the regions hit hardest by the pandemic, with mortality rates significantly higher than in most regions of the world. Though globally the victims of influenza lived primarily in urban areas, it was Iran's rural …

Understanding The Terrorist Mindset, Randy Borum

Mental Health Law & Policy Faculty Publications

No abstract provided.

A Comparison Of Symptom Severity Between University Counseling Center And Community Mental Health Center Clients, Joshua Gunn

Masters Theses & Specialist Projects

The present study compares presenting levels of psychological distress at a university counseling center and a community mental health center. The Brief Symptom Inventory (BSI) was completed by clients at intake, and the results were subjected to statistical analysis. A significant difference was found between the two service units on the Global Symptom Index and all nine scales of the BSI. There were no gender differences in overall levels of psychological distress; however, a difference was found on the interpersonal hostility scale. Implications of the study, as well as limitations and suggestions for future research, are discussed.

Alex Bradley, Carl Milofsky

Northern Ireland Archive

Bradley is a psychotherapist based in a religious NGO. His talk primarily involves general comments and observations about the events of Bloody Sunday, sectarian conflicts in general, and values statements from Bradley offered in response to student questions about the conflict in Northern Ireland. He continues to talk about the White Oak Center in Donegal, which is a residential treatment center that in this account it heavily concerned with treating alcohol abuse. The tape shifts to talk about Bradley's work treating trauma experiences related to the Troubles. He began working in the Catholic community but then was asked to work …

Welfare Reform: Adolescent Girls In Transition: A One-Year Follow-Up Study, Roger A. Boothroyd, Mary I. Armstrong, Angela Gomez, Haynes Diane

Mental Health Law & Policy Faculty Publications

The report summarizes the findings from a one-year follow-up study examining the current well-being and predictors of future hopes and aspirations of adolescent girls living in families receiving TANF. This mixed-method study includes two phases. Phase 1 involved face-to-face interviews using various standardized measures with 125 mothers who were receiving TANF in 2002 and their daughters while Phase 2 included in-depth qualitative interviews with a random sample of 20 adolescent girls participating in Phase 1. One year re-interview rates were 92% for Phase 1 interviews and 90% for Phase 2 interviews.

An Evaluation Of Methylphenidate Preference In Adults Diagnosed With Attention-Deficit/Hyperactivity Disorder, Emily Kathleen Macdonald

Dissertations

Methylphenidate (MPH) is widely used in the treatment of ADHD, and is associated with positive effects across a wide range of domains. In spite of the clinical effectiveness of MPH, concern has arisen with respect to its abuse potential. The present study examined the reinforcing effects and participant-rated effects of MPH in adults diagnosed with ADHD. Participants included 10 volunteers (ages 18-22) diagnosed with ADHD who were receiving MPH treatment. The reinforcing effects were assessed using a double-blind choice procedure with 4 sampling and 8 choice sessions. During sampling sessions, participants completed a self-report questionnaire before receiving either placebo or …

The First Four Months In A New Foster Placement: Psychosocial Adjustment, Parental Contact And Placement Disruption, James G. Barber, Paul H. Delfabbro

The Journal of Sociology & Social Welfare

Intake and four-month follow-up measures were obtained for 235 children referred into a new foster care placement over a 12-month period in the Australian State of South Australia. Twenty-five percent of the sample returned home within 4-months, and for those who remained in care throughout, there had been modest gains in behavior, psychological adjustment and adjustment at school. On the other hand, there were considerable levels of placement disruption, a high degree of non-compliance with parental visiting plans, and a high proportion of children fell outside ninety-five percent confidence intervals for the general adolescent population on most well-being measures, particularly …

Review Of The Environment: Its Role In Psychosocial Functioning And Psychotherapy. Carolyn Saari. Reviewed By Timothy Page., Timothy Page

The Journal of Sociology & Social Welfare

Book review of Carolyn Saari, The Environment: Its Role in Psychosocial Functioning and Psychotherapy. New York: Columbia University Press, 2002. $49.50 hardcover, $22.00 papercover.

Managed Care: The Impact On The Physician / Patient Relationship, Robert H. Adams Jr.

Seton Hall University Dissertations and Theses (ETDs)

.

Patterns Of Cocaine Consumption: A Sub-Analysis Of The Drugnet Survey, Nivedita Seerpi

Masters Theses & Specialist Projects

The myths and misconceptions that surround cocaine use lead to the over-estimation of the prevalence of cocaine addiction in society. Health education curricula and drug policy do not differentiate between cocaine use and abuse. This study describes the cocaine consumption patterns in a nonclinical, non-incarcerated sample of cocaine users. The resulting patterns are compared to those found by Cohen (1989) and Cohen and Sas (1993, 1994, 1995). DRUGNET is an online survey of recreational drug use by nondeviant adults via the WWW. Self-selected subjects completed a survey over the Internet between February and October 1997 (N= 701). This sample was …

The Inter Allied Games Of 1919, Don Morrow

Donald Morrow

No abstract provided.

Psychological Reactance As A Personality Characteristic: Relationships To Attachment And Autonomy, Maurine Traville Hargrove Ladner

Doctoral Dissertations

Psychological reactance is a construct that motivates people to restore lost or threatened freedoms (Brehm, 1966). Research is beginning to show that psychological reactance may be related to family of origin dynamics. Autonomy is developed through a secure attachment. Dowd (1993) stated that autonomy is fostered by an optimal level of reactance, and one's personal identity is dependent on the development of a flexible autonomy. This study explored the relationship between psychological reactance and attachment. Additionally, research has suggested that level of reactance may be related to level of autonomy. This relationship was empirically explored. Participants were assessed using the …

An Investigation Of The Relationship Among Life-Skills, Self-Esteem, And Well-Being In Adults, Scott David Meche

Doctoral Dissertations

This study examined the relationship among life-skills, self-esteem, and well-being in 278 adults. Adults were classified into three age groups. Of the 278 participants, 96 were young adults, 92 were middle-aged, and 90 were older adults. Life-skills, global organizations of general coping skills that are learned behaviors which enable effective functioning, were assessed with the Life-Skills Inventory - Adult Form (Gazda, Illovsky, & Taylor, 1991). Analyses were performed to understand the influence of four generic life-skills areas, interpersonal communication/human relations, problem-solving/decision making, identity development/purpose in life, and physical fitness/health maintenance, on self-esteem. Self-esteem was measured with the Self-Esteem Inventory-Adult Form …

Modeling The Decision Process Of A Joint Task Force Commander, John Anthony Sokolowski

Computational Modeling & Simulation Engineering Theses & Dissertations

The U.S. military uses modeling and simulation as a tool to help meet its warfighting needs. A key element within military simulations is the ability to accurately represent human behavior. This is especially true in a simulation's ability to emulate realistic military decisions. However, current decision models fail to provide the variability and flexibility that human decision makers exhibit. Further, most decision models are focused on tactical decisions and ignore the decision process of senior military commanders at the operational level of warfare. In an effort to develop a better decision model that would mimic the decision process of a …

An Automated Treatment For Jet Lag Delivered Through The Internet., Daniel Z Lieberman

Psychiatry and Behavioral Sciences Faculty Publications

Seventy percent of persons who suffer from psychiatric illness do not receive treatment. Cost-effective, automated treatment can be delivered through the Internet but can be complicated by the lack of professional supervision. This open study piloted a fully automated, publicly available treatment for jet lag as a means of highlighting some of the issues involved in delivering treatment over the Internet. Twenty study participants rated the severity of their jet lag symptoms and their adherence to a light-exposure schedule calculated to accelerate adaptation to a new time zone. A significant negative correlation was observed between how closely participants followed the …

"Are You Beginning To See A Pattern Here?" Family And Medical Discourses Shape The Story Of Black Infant Mortality, Elaine R. Cleeton

The Journal of Sociology & Social Welfare

Postmodern and poststructuralist theorizations of the interrelations of the particular and the universal have identified women's bodies to be the last frontier for scientific discovery leading to and satisfying the modern compulsion to stabilize and control life from birth to death. This institutional ethnography of one city's response to an elevated infant mortality rate among the babies of African American urban, impoverished women explores their discursive transformation from single mothers who cannot begin prenatal care before the second trimester because too few physicians will treat Medicaid patients, into sexually-immoral, illegaldrug- using women who deliberately harm their babies. The study locates …

A Child's Death: Lessons From Health Care Providers' Texts, Nancy M. Bell, Marie L. Campbell

The Journal of Sociology & Social Welfare

This article originates from a research study that explores 'what happened' to a 10-year-old child with Rett syndrome, who died from "severe malnutrition" according to a Coroners Service inquest jury. The inquest evidence analyzed, using institutional ethnography, shows that approximately one week prior to this child's death three health care providers (an emergency physician, a hospice volunteer and a home care nurse) conducted individual assessments of the child. Child protection workers were also involved. Textual analysis of the health care providers' records shows how the child was officially and textually constructed as 'dying from a terminal illness' in contrast to …

Pre-Verbal Trauma, Dissociation And The Healing Process, Dorothy Dreier Scotten

Educational Studies Dissertations

This qualitative research study examines some of the ways in which the healing process takes place in adults who have experienced dissociation, and who have most likely been psychologically traumatized before full language development. The impact of early trauma on human cognitive, socio-emotional, and spiritual development are explored within the context of participant narratives in order to develop an understanding of what may be helpful in developing effective teaching strategies for clinical and teacher education. In-depth interviews were conducted with four adult persons who had been diagnosed with Dissociative Identity Disorder. All had histories of infant psychological trauma and all …