Substance Abuse Prevention:

Components of a successful substance abuse prevention program are discussed. Substance use and abuse trends in school-aged populations are briefly reviewed. Prevention program strategies deemed desirable through recent research efforts are incorporated in describing a model program. Educational approaches and substance abuse intervention strategies are differentiated. Program planning guideliens are presented and discussed. These guidelines are designed to establish and maintain school and community support for prevention programs.     

Counselor Treatment of Coexisting Domestic Violence and Substance Abuse: A Qualitative Study

This study explored the philosophical issues hindering the linkage of substance abuse and domestic violence treatment. Results suggest that counselors tend to use treatment models that could not concurrently assign responsibility and address either present or past victimization.     

Suicide Protective Factors in Outpatient Substance Abuse Patients: Religious Faith and Family Support

The purpose of this study was to identify the protective roles of religious faith and family support in buffering against suicidal behavior in a sample of substance abuse outpatients seeking treatment. Data were collected from 112 clinical outpatients seeking treatment for substance abuse. We hypothesized that religious faith would be related to lower levels of suicidal behavior through a negative association with depressive symptoms. We expected this mediation effect would differ across varying levels of family support, providing support for a moderated mediation effect. The results indicate that religious faith exerts stronger direct and indirect effects on suicidal behavior at low levels of family support. Religious faith was significantly and negatively related to suicidal behavior only at low levels of family support. The findings suggest that in the absence of family support, religious faith may play a compensatory role in protecting against suicidal behavior.     

Family Dynamics and AIDS Phobia: A Case Study

The author introduces and defines AIDS phobia. He illustrates the hypochondria type of AIDS phobia from a combined individual, couple, and family treatment perspective. He describes the treatment process and outcome after an effective countertransference-based intervention, connects the individual manifestations of the index patient's illness to the family dynamics, and concludes with an analysis of the multigenerational contributions to the individual's psychopathology.     

Physical Attractiveness and Psychological Adjustment Among Substance Abuse Inpatients: A Longitudinal Study1

Relations between psychological adjustment and physical attractiveness were examined longitudinally in substance abuse inpatients, controlling for the effects of length of drug abuse, length of inpatient stay, age, and socioeconomic status. Measures of adjustment and attractiveness were obtained during the first week of admission and six weeks later (within two weeks of discharge). Regression analyses indicated that initial attractiveness did not predict later adjustment, and initial adjustment did not predict later attractiveness. Partial correlation analyses revealed a positive association between attractiveness and adjustment at the first time point, but not at the later time point. These results suggest that physical attractiveness exerts only a temporary effect on judgments of adjustment in an inpatient setting. Attractiveness may affect decisions made when screening patients at mental health facilities, but may not affect decisions made over the full course of inpatient treatment.     

A Study of Clinical Supervision Techniques and Training in Substance Abuse Treatment

Data from 57 clinical supervisors in licensed substance abuse treatment programs indicate that 28% had completed formal graduate course work in clinical supervision and 33% were professionally licensed or certified. Findings raise concerns about the scope and quality of clinical supervision available to substance abuse counselors.     

A Qualitative Study of Recovering and Nonrecovering Substance Abuse Counselors' Belief Systems

This study investigated recovering and nonrecovering substance abuse counselors' beliefs about the etiology and treatment of substance abuse disorders. Qualitative methods were used to investigate these variables. Analysis of the data revealed several key findings with implications for future research.     

Family Therapy and Drug Abuse: A National Survey

The following report describes the results of a national study of the role of family therapy in the drug abuse field. Characteristics of agencies that work with families are described, as well as the demographic characteristics and psychological problems of the clients most apt to be treated in family therapy. The study also looks at the role and structure of family therapy in the ecological system of the treatment institutions. A profile of the family therapists who are responsible for providing services to families is presented. An attempt was made to assess agencies' level of development with regard to family therapy by using an instrument, The Progress Index for Family Therapy Programs. Generally, findings indicated that there is considerable variation in expertise. More extensive training in family therapy techniques was of major concern, particularly among clinics with a heroin addict population.     

Screening and Assessing Adolescent Substance Abuse: A Primer for Counselors

Adolescent substance abuse is an increasing problem in US. society. This article provides an overview of adolescent substance abuse, screening, and assessment strategies; contact information related to specific assessment instruments; and information regarding ethics important to consider during the assessment process.     

Spirituality and Substance Abuse Recovery

Researchers explored patient and staff perceptions of spiritual well-being and the spiritual needs of patients enrolled in a residential substance abuse treatment program. The Spiritual Well-Being Scale was used to gather quantitative data. Additionally, a brief questionnaire containing one qualitative and two quantitative questions was completed by both clients and staff. A statistically significant difference was found, indicating a more positive sense of spiritual well-being among patients upon discharge. Although the staff and clients of the residential program have similar perceptions regarding the concept of spiritual well-being, their definitions do not appear identical.     

Intergenerational Suicide and Family Dynamics: A Hermeneutic Phenomenological Case Study

A phenomenological case study of a family in which the father committed suicide following incarceration and an adult daughter also committed suicide years later is described. This study used an embedded design to triangulate multiple sources of data (family documents and interviews with survivors) within the study of a single family. Four themes emerged to describe the relational dynamics between the father and adult daughter: (a) Mirroring, (b) Caretaking, (c) Death, and (d) Suicide. Four themes emerged from interviews with survivors about their coping process: (a) Ongoing Grief process, (b) Media Exploitation, (c) Separation and Transformation, and (d) Forgiveness. Results are discussed in terms of prevention and family processes in coping with suicide.     

A Sociocognitive Analysis of Substance Abuse: An Agentic Perspective

This article presents a social-cognitive theory of substance abuse. The exercise of self-regulatory agency plays a central role in this approach. Perceived self-efficacy is the foundation of human agency. Unless people believe they can produce desired effects by their actions, they have little incentive to act. Self-efficacy beliefs promote desired changes through cognitive, motivational, affective, and choice processes. Perceived self-efficacy exerts its effects on every phase of personal change—the initiation of efforts to overcome substance abuse, achievement of desired changes, recovery from relapses, and long-term maintenance of a drug-free life. Assessments of perceived efficacy identify areas of vulnerability and provide guides for treatment. Substance abuse is a social problem, not just a personal one. Reducing substance abuse also requires policy initiatives and social remedies achieved through the exercise of collective efficacy.     

Codependency,Perceived Interparental Conflict,and Substance Abuse in the Family of Origin

Codependency has been found to originate in many different environments, namely the family of origin. The most popularly researched environment is the family of origin that exhibits substance abuse. However, little research has clearly demonstrated that codependency is most prevalent in children of substance abusers. Previous research has not examined how codependency is correlated with perceived interparental conflict. This study examined the relationships among codependency, interparental conflict, and substance abuse in the family of origin. Results of this study found that codependency in adulthood was related to perceived interparental conflict in the family of origin, but was not related to the family of origin that exhibited substance abuse.     

Substance Abuse Among Adolescents

Substance abuse represents a major concern to our society. Although no one sector of our populace is immune to the effects of substance use, perhaps nowhere is the risk greater than for adolescents. The various physiological changes, psychosocial stressors and emotional factors confronting adolescents seem to make them particularly susceptible to adverse effects of alcohol and drugs. The purpose of this article, therefore, is to describe the phenomena of substance abuse among adolescents and to discuss its implications for special service providers in schools. In particular, emphasis will be placed on examining substance abuse in k-risk populations including handicapped adolescents. Implications are considered for school-based prevention and treatment approaches.     

A Cross-Validation of MMPI-2 Substance Abuse Scales

We evaluated the efficacy of the Addiction Potential Scale (APS) and the Addiction Acknowledgment Scale (AAS), two new scales designed to assess substance abuse problems with the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), in samples from settings different from those used in their development. Results replicate earlier findings that both scales discriminate between psychiatric and substance abuse samples and do so more effectively than other substance abuse scales designed for use with the MMPI and carried over to the MMPI-2. Results also suggest that APS may be more resistant than AAS to response distortion.     

A Preliminary Study Using the Substance Abuse Subtle Screening Inventory—Adolescent Form as an Outcome Measure With Adolescent Offenders

The authors describe a preliminary study using the Substance Abuse Subtle Screening Inventory‐Adolescent Form (SASS‐A; E Miller, 1994) as an outcome measure with adolescent offenders. Results indicate that the SASSI‐A can be successfully used as a treatment planning tool as well as a measure to evaluate programs.