Disposable Time and Disposable Income: Problem Casino Gambling Behavior in Older Adults

Increasing numbers of retirees spend their leisure time in the ever-growing number of gambling casinos in this country. For most older adults, casino gambling is a new form of excitement and entertainment. However, for some retirees, especially those vulnerable to depression from the changes and losses that can occur in aging, casino gambling can become disordered, problematic, and/or an addiction. Although prevalence studies have examined the incidence of problem gambling in other age groups, little attention has been directed to the impact of casino gambling on older adults. The authors discuss problem and pathological gambling in retired older adults, and provide clinical case examples of a growing number of older adults with problem gambling behaviors seen in an outpatient geriatric psychiatry clinic. Finally, they urge that an evaluation of gambling behaviors be a routine portion of geriatric clinical evaluations.     

Beliefs and Values of Successful Scientists

This article discusses a construction of academic work ethic among 16 gifted Finnish scientists. It highlights theoretical assumptions and practical implications of values and beliefs in the context of scientific work. Following the work of Kolhberg (1969, 1984) and Gilligan (1982), we build our theoretical pre-understandings on the ethics of justice and care. However, these orientations are insufficient to explain all the beliefs and values associated with academic work. Various forms and levels of negotiations help us to construct a new structural illustration of scientists' moral orientations, which include an additional, previously less recognized ethical component--the ethic of empowerment. Those negotiations between different data sets, existing theoretical frameworks and researchers' differing epistemological assumptions characterize our research process and guide the creation of an ethic of empowerment, which describes scientists' beliefs and values established and practiced by individual and independent academics.     

A comparison of impulsivity and sensation seeking in pathological gamblers and skydivers

The aim of this study was to compare pathological gamblers and skydivers in relation to measures of impulsivity and sensation seeking. The Eysenck Impulsivity Scale - Narrow Impulsiveness Subscale and the Arnett Inventory of Sensation Seeking were administered to pathological gamblers (n = 29), skydivers (n = 93), and a control group (n = 43). A two-way multivariate analysis of variance was conducted to explore differences in impulsivity and sensation seeking between the groups and possible group by gender and group by age interaction effects. The significant effects were further investigated using follow-up univariate analysis of variance. The results showed significant main effects of Group, Gender and Age, and a significant Group by Gender interaction effect. The results showed no statistically significant differences in impulsivity between pathological gamblers and skydivers; however, both groups scored higher than the controls. The skydivers scored higher compared to the pathological gamblers and controls on both sensation seeking subscales. Pathological gamblers scored higher than the controls on the subscale Need for Stimulus Intensity, although lower than the controls on the subscale Need for Novelty. We conclude that skydivers and pathological gamblers do not seem to differ in terms of impulsivity, but that the two groups differ in terms of sensation seeking. Skydivers are hence characterized by more sensation seeking compared to pathological gamblers. Skydiving, as opposed to pathological gambling, is not considered a psychiatric disorder, and skydiving may represent a more non-pathological way to fulfill the need for stimulus intensity.     

Alcohol Consumption and Computer Blackjack

The authors considered compliance with a decision aid that E. Thorp (1966) designed to minimize loss in a gambling paradigm under different levels of risk or impairment. Twenty adult men (aged 18-46) completed the South Oaks Gambling Screen (SOGS; H.R. Lesieur & S. B. Blume, 1987) and the Alcohol Use Disorders Identification Test (AUDIT; J. P. Allen, D. F. Reinert, & R. J. Volk, 2001) and then played a computer blackjack program before and after ingesting alcohol. The decision aid (online Basic advice) increased players' compliance with optimal play and also increased players' willingness to wager more at high stakes. Participants attained a mean peak blood alcohol concentration (BAC) of 0.048%. Alcohol increased the rate of play. After consuming alcohol, participants appeared to spend less time on their decisions and were more reliant on support. The authors explained these results in terms of an alcohol-induced myopia that enhances responses to salient cues.     

谈“酒精滥用”的诊断意义和伦理学问题

随着经济的发展,酒精使用障碍已经成为一个重大的公共卫生问题,对我国居民酒精使用现状的调查迫在眉睫。在流行病学调查中,因我国文化的差异,DSM-IV酒精滥用诊断标准在实际应用时产生分歧,本文举例说明分歧所在,并阐明文化因素在不同诊断系统中的重要影响以及伦理学问题。     

Comorbidity of drug abuse treatment

Research has suggested that comorbidity, the concurrence of substance abuse disorders with other psychiatric disorders, may have prognostic value and important implications for the treatment of substance abuse. Knowledge of the prevalence of comorbid disorder is important because it will enable treatment services to be appropriately configured and designed for clinical drug treatment populations. The form and duration of comorbidity may be influenced by a variety of factors, which include the class of drug being abused, the duration of drug use, the individual sensitivity to drug effects, and whether the drug effects are acute or due to withdrawal or residual conditions. This paper addresses three important scientific questions: (1) What is the prevalence of comorbid disorders in a drug abuser population? (2) What is the stability of psychiatric diagnoses in a drug abuser population? (3) Does the existence of a comorbid disorder influence the outcome of drug abuse treatment?     

以文化俗 澳门民间信仰中的文化遗产及文化价值

澳门虽然没有出台具体的有关民间信仰管理的制度或条例,但将民间信仰及其庙宇作为(物质和非物质)文化遗产来进行管理,受到《文化遗产保护法》的保护,突出民间信仰及其庙宇的文化属性,从而将民间信仰的宗教色彩大大降低。澳门民间信仰盛行,民间信仰庙宇大约有49座,广泛分布在澳门三大区域,且都具有悠久的历史,其中澳门半岛分布有31座,路环和氹仔岛分别有9座,虽然数量不多,但相较于澳门的面积,澳门民间信仰庙宇的密度还是很密集的。     

Adolescent gambling and drug use

In this study, 4516 adolescents (aged 11–16 years) completed a questionnaire examining the relationship between underage National Lottery gambling, underage scratchcard gambling, cigarette smoking, drinking alcohol and drug use. It was found that these behaviours were closely linked. Adolescent gamblers reported that they were significantly more likely to drink alcohol (particularly ‘alcopops’), smoke tobacco and take drugs compared to non-gamblers. © 1998 John Wiley & Sons, Ltd.     

Self-reported levels of psychopathology of drug abusers not currently in treatment

This study assessed levels of psychopathology, as measured by the Symptom Checklist-90-Revised, of drug users not in treatment. These levels were then compared with levels of psychopathology reported previously in the literature of drug users in treatment, the general population, psychiatric inpatients, and psychiatric outpatients. Results suggest that drug users not in treatment endorse significantly lower levels of psychopathology than drug users in treatment, psychiatric inpatients, and psychiatric outpatients. However, they endorse significantly higher levels of pathology than adult nonpatients and they appear most similar to adolescent nonpatients. Implications for clinical work (prevention and intervention) as well as for future research are discussed. The study also established preliminary cultural validity of SCL-90-R with Alaska Natives.     

Religion and Gambling Among U.S. Adults: Exploring the Role of Traditions,Beliefs, Practices,and Networks*

Opportunities for legal gambling of various types have expanded rapidly in the United States in recent years. Our study develops a series of theoretical arguments linking multiple dimensions of religious involvement—traditions, beliefs, practices, and networks—with the frequency of gambling activity. Relevant hypotheses are then tested using data from the Panel Study of American Religion and Ethnicity (PS‐ARE), a recent nationwide probability sample of U.S. adults. Findings underscore the importance of co‐religionist networks in deterring gambling. In addition, biblical inerrantists and members of conservative Protestant and sectarian groups are relatively disinclined to gamble. Religious attendance is also inversely associated with gambling frequency. Differences in gambling by religious tradition are amplified among persons with strong co‐religionist networks. Several study limitations are noted, and promising future research directions on the dynamics and functioning of church‐based networks are identified.     

The Relationship Between Parental Alcoholism and Adolescent Psychopathology: A Systematic Examination of Parental Comorbid Psychopathology

The relationship between parental alcohol dependence (with and without comorbid psychopathology) and adolescent psychopathology was examined in a sample of 665 13-17 year-old adolescents and their parents. Results indicated that adolescents who had parents diagnosed with alcohol dependence only did not significantly differ from adolescents who had parents with no psychopathology in regard to any of the measures of psychological symptomatology (substance use, conduct disorder, and depression) or clinical diagnoses (alcohol dependence, marijuana dependence, conduct disorder, or depression) assessed. In contrast, adolescents who had parents diagnosed with alcohol dependence and either comorbid drug dependence or depression were more likely to exhibit higher levels of psychological symptomatology. In addition, adolescents who had parents diagnosed with alcohol dependence, depression, and drug dependence were most likely to exhibit psychological problems. These findings underscore the importance of considering parental comorbid psychopathology when examining the relationship between parental alcoholism and offspring adjustment.     

Peer Effects in Drug Use and Sex Among College Students

Past research suggests that congregating delinquent youth increases their likelihood of problem behavior. We test for analogous peer effects in the drug use and sexual behavior of male (n = 279) and female (n = 435) college students, using data on the characteristics of first-year roommates to whom they were randomly assigned. We find that males who reported binge drinking in high school drink much more in college if assigned a roommate who also binge drank in high school than if assigned a nonbinge-drinking roommate. No such multiplier effect is observed for females, nor are multiplier effects observed for marijuana use or sexual behavior for either males or females. Students who did not engage in these behaviors in high school do not appear to be affected by their roommates high school behavior.     

Effect of Favorable Employment Change on Alcohol Abuse: One- and Five-Year Follow-Ups in the National Longitudinal Survey of Youth

Job loss has been linked to adverse outcomes such as alcohol abuse, but improved employment, usually assumed to be beneficial, has seldom been evaluated and may not help with addictive disorders. Using the National Longitudinal Survey of Youth, young adults who were unemployed or underemployed (low income or involuntary part-time) in 1984 were followed up in 1985 and 1989. Controlling for 1984 alcohol abuse, there were no effects of positive employment change on 1985 symptoms, but there were significant restorative effects on 1985 binge drinking among those who were heavy drinkers in 1984. There also appeared to be an indirect link of favorable 1984–1985 employment change to heavy drinking in 1989 via 1989 employment status. Because the effects of underemployment partially resembled those of unemployment, the discussion cautions against the conventional wisdom of promoting any work, including underemployment, as curative for the ills of unemployment.     

Early antecedents of spouse abuse

Males taken into police custody for reported spouse abuse (n = 19) and a matched control group (n = 19) were asked to describe the drinking habits of their parents and the extent of intra-family violence witnessed by them as children. The retrospective data were compared to the participant's own present alcohol use and aggressiveness (CTS). Excessive paternal drinking and intra-family violence were recalled significantly more often by the spouse abusers than by the controls. A latent structure model suggested that the accumulated violence history was less well predicted by either paternal violence or present aggressiveness than by the direct and indirect effects related to drinking. Context-specific social learning could explain why the parental drunken violence behavior pattern witnessed by the child was repeated by the adult spouse abuser. Aggr. Behav. 23:239–243, 1997. © 1997 Wiley-Liss, Inc.     

Couple Therapy and Addictions

Abstract

Therapies for alcoholism, substance abuse, and other addictions traditionally focus on characteristics of individuals such as behaviors, thoughts, and emotions. These kinds of programs tend to target problems inside the abusing person rather than a relational system. Treatments that are more recent locate the problems within systems of people. Regardless of the locus or cause of the abuse or addiction, seen as arising from disease processes, systemic dynamics, or other mechanisms that lead to unfortunate habits and behaviors, utilizing the individual's partner or family in therapy has become an important part of successful treatment. This article reviews models of couple treatment for alcoholics and substance abusers in terms of initiation into treatment, primary treatment, and relapse prevention.     

The Puerto Rican Prison Experience: A Multicultural Understanding of Values,Beliefs, and Attitudes

This article presents the perspective that Puerto Rican men who are or who have been incarcerated are in multicultural variance with the dominant, middle class beliefs of American society. The authors also provide suggestions for counseling interventions with this population.     

Goals,Values, and Beliefs as Predictors of Achievement and Effort in High School Mathematics Classes

Gender and motivation in high school mathematicsclass were examined by using an expectancy-valueframework. There were 366 students (146 males, 212females)from a school with an enrollmentof approximately 1900 students (81% Caucasian, 8% NativeAmerican, 5% Hispanic, 4% African American, and 2%Asian). These students completed a questionnaireconsisting of 92 items which measured students'situation-specific goals (4 subscales), task-specific values (3subscales), task-specific beliefs (3 subscales), andgender self-schemata (2 subscales). Students' percentagegrade in math and selfreported effort in math class were the dependent variables. The three sets oftask-specific variables each accounted for between 11%and 14% of variance in achievement, while the genderself-schemata variables contributed another 2%. Task-specific goals were much strongerpredictors of effort than any other set of variables. Anunexpected finding was that, for both males and females,endorsing the stereotype that mathematics is a male domain was negatively related to reportedeffort. There were also differences in the prediction ofachievement and effort based on gender and math classtype (required or elective). Several path models supported these results.     

Psychometric Validation of the Temptation and Restraint Inventory in Two Samples of College Drinkers1

Drinking restraint, commonly measured by the Temptation and Restraint Inventory (TRI; Collins & Lapp, 1992), refers to a cycle of temptation to drink alcohol and attempts to control alcohol use that results in excessive consumption. Recent research has examined college drinkers using the TRI, however, it has been validated only in adult samples. This study validated the TRI in two samples of college drinkers, designated as “hazardous” (n = 480) and “harmful” (n = 231) drinkers. Using confirmatory factor analysis, the previously reported higher order two-factor structure was identified in both samples. In addition, multiple regression analyses using derived component scores demonstrated that TRI performance was associated with degree of alcohol dependence in both samples. These data support the use of the TRI in college samples.These data were previously presented in November 2002 at the 36th annual meeting of the Association for the Advancement of Behavior Therapy, Reno, NV     

Memory and Affect: Autobiographical Memory Distribution and Availability in Normal Adults and Recently Detoxifed Alcoholics

An autobiographical memory task was administered to a group of 15 male alcoholics (duration of abuse x = 16 years) and to a control group comprised of 15 nonabusers. The alcoholics were inpatients in a chemical dependence treatment program who had their last drink 8 days prior to testing. Two aspects of autobiographical memory were compared. First, the distribution of memories for life events over the lifespan clearly differed for the two groups. The alcoholic group recalled far fewer memories from the most recent 5 years and showed an exaggerated tendency to recall memories from their early adulthood when compared to the control group. This result is consistent with a model of the onset of a temporally graded retrograde amnesia subsequent to a protracted period of alcohol abuse. In such cases the context for self-evaluation may remain heavily rooted in late adolescence. Second, in contrast to results of the control group, the data from men in the alcohol group revealed no relationship between latency to report autobiographical memories associated with a particular affect and self-rated frequency of such affects. This dissociation indicates the possible impact of atypical memory performance on views of the self.