Condom use by prostitutes: behavior,factors and considerations

119 female prostitutes were interviewed over the period July 1990-March 1991 about their sex behavior and condom use, their working attitude, and perception of risk in an attempt to combine qualitative and quantitative research methods to gain insight into the determinants of condom use in prostitution by putting high or low risk taking behavior into context. The participants were recruited from different regions of the Netherlands, of mean age 29.8 years, and had been working in the field for an average 6.8 years. Most of the 28% of participants who did not have Dutch nationality were from Germany or Latin America. Health locus of control and attributions concerning an unpleasant proceeding of client contacts were assessed by means of item lists. Prostitutes were identified as either consistent condom users, selective risk takers, or risk takers. Consistent condom users used condoms on all occasions, selective risk takers used condoms for vaginal sex with all but a few selected clients, and risk takers seeing no possibility of consistently getting clients to use a condom for vaginal sex used condoms the least frequently. 78% were consistent users, 11% were selective risk takers, and 11% were risk takers. Protection behavior was found to be linked to working attitude. Condom use is most likely among women with a moderately positive, yet businesslike, working attitude, and least likely among those with a negative working attitude and when there is no positive identification with the professional group. It appears that health locus of control is of no influence on protection style, but risk takers attribute an unpleasant proceeding of client contacts significantly more to powerlessness and helplessness. The authors conclude that the objective situation of women influences condom use at least as strongly as subjective motivations.     

Validity of factors of the Psychopathy Checklist--Revised in female prisoners: discriminant relations with antisocial behavior, substance abuse, and personality

The validity of the Psychopathy Checklist-Revised (PCL-R) has been examined extensively in men, but its validity for women remains understudied. Specifically, the correlates of the general construct of psychopathy and its components as assessed by PCL-R total, factor, and facet scores have yet to be examined in depth. Based on previous research conducted with male offenders, a large female inmate sample was used to examine the patterns of relations between total, factor, and facet scores on the PCL-R and various criterion variables. These variables include ratings of psychopathy based on Cleckley's criteria, symptoms of antisocial personality disorder, and measures of substance use and abuse, criminal behavior, institutional misconduct, interpersonal aggression, normal range personality, intellectual functioning, and social background variables. Results were highly consistent with past findings in male samples and provide further evidence for the construct validity of the PCL-R two-factor and four-facet models across genders.     

Alcoholism, drug abuse, and the homeless.

Credible estimates of the prevalence of alcohol and drug abuse suggest that alcohol abuse affects 30% to 40% and drug abuse 10% to 15% of homeless persons. A review of policies that address substance abuse among the homeless finds that interventions alternate between control and rehabilitation. However, the unique needs of a changing homeless population require an integration of alcoholism and drug abuse recovery services with programs for women, adolescents, and the mentally ill. Alcohol- and drug-free housing is essential to support and maintain recovery. Psychology can contribute in the development of effective programs for homeless individuals struggling with addiction and alcoholism.     

Sexual abuse allegations in divorce and custody disputes

Child sexual abuse allegations arising during divorce and custody conflicts are complicated and difficult. Most professionals believe that the highest percentage of false allegations occurs in this circumstance, but there is disagreement over just how many of these allegations are false. In evaluating cases of suspected sexual abuse, the professional must remain open and objective, carefully examine each case, and take an empirical stance. Assessment and evaluation must be done with rigorous adherence to the highest standards of the profession, and professionals must attend to the characteristics of real versus false allegations. They must not immediately dismiss an allegation as false because the parents are in the midst of a divorce but must also guard against presuming guilt and aligning themselves with the reporting parent's agenda.     

Crime,drug abuse,mental illness,and homelessness

In this project, 345 homeless persons were interviewed during the period from May, 1985 to May, 1986 in Richmond, Virginia. Data reveal that current afflictions (e.g., hallucinations) are related to major life events in the past (i.e., psychiatric hospitalizations). Further, certain experiences prior to adulthood (e.g., drug use) predict these major life events (e.g., crime). Thus, the data support a general “drift down” hypothesis as a useful explanation of homeless for future theory development. Some policy implications are given.     

Characteristics of male and female prisoners involved in bullying behavior

This study explores bullying behavior in a larger and more representative sample than previous prison-based research. It has two core aims, first to explore the nature of bullying in relation to indirect and direct aggression and, second, to explore the predictors of bully-category membership with particular reference to behavioral characteristics. Participants were adult men (n=728) and women (n=525) prisoners. All completed a behavioral measure of behavior indicative of bullying (Direct and Indirect Prisoner behavior Checklist, DIPC) that also explored prison-based behavior such as negative acts towards staff or prison rules, positive acts and drug-related behavior. Indirect aggression was, as predicted, reported more frequently than direct aggression, although this only held for perpetration. Bully-victims, as predicted, showed more negative behavior. Pure bullies and pure victims also showed more negative behavior than the other categories. The findings are discussed in relation to the environment in which bullying behavior is being assessed and with attention to the possible motivations underlying both bullying and negative behavior. Directions for future research are suggested.     

Sexual arousal,situational restrictiveness,and aggressive behavior

Eighty male college freshmen participated in an experiment designed to investigate the hypotheses that enhanced arousal will facilitate subsequent aggressive behavior and that an increase in aggressive behavior will be more likely to occur in a setting of situational permissiveness rather than situational restrictiveness. Subjects were either angered or not angered by a same-sex confederate, then told to imagine either a sexually arousing or a nonarousing situation during relaxation, and finally provided with an opportunity to aggress against this person by means of electric shocks. For half of the subjects, a setting of permissiveness was created, while for the other half the setting was one of situational restrictiveness. The results indicated that, even in a permissive setting, sexual arousal may inhibit aggressive behavior mediated by self-consciousness or anxiety. For nonaroused men, however, situational permissiveness tended to facilitate subsequent aggression. The investigation was considered a replication and an extension of the Baron (1974) study on the aggression-inhibiting influence of heightened sexual arousal.     

Sexual abuse as a theme in group-analytic therapy

The group-analytic approach, which emphasises the individual in a network of group relationships, is described with reference to the subject of sexual abuse in childhood. Three different National Health Service psychotherapy groups run by the author provide contrasting examples of how the theme, originating in an individual participant, was manifested in the dynamics of the group-as-a-whole. The therapeutic significance to the individual and the group is explored.     

Sexual orientation and suicidal behavior

In a large sample of 4700 individuals who belong to a website for body modification, the 1759 bisexuals and the 228 homosexuals reported a greater incidence of prior suicidal ideation and attempts than did the 2647 heterosexuals, even after controls for sex and self-reported depression.     

Sexual development and behavior in black preadolescents

As part of a longitudinal study of the sociosexual development of black preadolescents, sexual maturation and sociosexual behaviors were assessed and the relationships between these variables determined in a sample of 101 nine- to eleven-year-old middle- and low-income boys and girls. Sexual maturation was measured by Tanner's staging criteria of specific secondary sex characteristics. Involvement in heterosexual behaviors was elicited via self reports and was classified on a five-point heterosexual physical activity scale (HPA). The data corroborate other studies in demonstrating that girls were more advanced than boys in the process of sexual maturation. Considerable variation in stages of maturation for chronological age existed in both boys and girls, but was more pronounced for girls. In girls, there was no significant association between HPA and degree of biologic maturation. However, genital development in boys was significantly related to their sexual behavior. Income level was not significantly associated with the HPA score. A baseline from which to chart the progress of sociosexual behaviors in these developing preadolescents was established.     

Sexual behaviour in injecting drug users

A survey of the self-reported sexual behaviors of 1239 intravenous drug users recruited off the streets in Sydney, Australia, highlighted the impact of both sexual orientation and gender on the risk of human immunodeficiency virus (HIV) infection in this population. The sample included 908 men (mean age, 27.9 years) and 331 women (mean age, 26.3 years), the majority of whom were unemployed or receiving social security benefits. Among male respondents, 50 were homosexual, 117 were bisexual, and 719 were heterosexual; for females these numbers were 10, 95, and 220, respectively. Oral and vaginal sex were the most commonly reported practices among heterosexuals, while homosexuals primarily reported manual stimulation and oro-genital contact. The regular sexual partners of male intravenous drug users tended not to be addicts, while female drug users were primarily involved with male partners who also abused drugs. Among male respondents, condom use was highest among homosexuals, followed by bisexuals, and lowest among heterosexuals; there were no significant differences by sexual orientation in female respondents' condom use. Overall, condoms were most likely to be utilized in anal sex and least likely in the case of oral sex. Condom use was about 5% lower when a regular as opposed to casual sexual partner was involved. Most of the 64 HIV-positive respondents were homosexuals, suggesting that sexual orientation rather than drug abuse was the primary risk factor. Given the finding that there is substantial variation in condom use among subgroups of intravenous drug abusers, it is recommended that HIV prevention programs adopt a diversified rather than uniform approach.     

Behavioral economics of drug self-administration and drug abuse policy.

The concepts of behavioral economics have proven useful for understanding the environmental control of overall levels of responding for a variety of commodities, including reinforcement by drug self-administration. These general concepts are summarized for application to the analysis of drug-reinforced behavior and proposed as the basis for future applications. This behavioral agenda includes the assessment of abuse liability, the assay of drug-reinforcer interactions, the design of drug abuse interventions, and the formulation of drug abuse public policy. These separate domains of investigation are described as part of an overall strategy for designing model projects to control drug use and testing public policy initiatives.     

Counselling in Action: Sexual abuse in an Asian family

This case study concerns a family of three generations of Asians living in London. It involves three children (two boys and a girl) who were sexually abused by one of the members of the extended family, for a period exceeding 5 years. Attempts to deal with the problem within the secrecy of the family conspiracy failed. It led to a breakdown of communications within the family network. Subsequently, the problem came under police investigation. The perpetrator was found guilty and sentenced to a term of imprisonment. Of the three young victims, the girl was extremely traumatized. Initially, she refused to meet with the therapist, but gradually, at the gentle persuasion of her parents, she relented. The case study is an account of the therapist's culturally relevant use of indigenous techniques to successfully deal with the trauma, thus helping in the rehabilitation of the victim.     

Violent and disruptive behavior among drug-involved prisoners: relationship with psychiatric symptoms

This study examines the relationship between psychiatric symptoms and violent/disruptive behavior among 192 inmates who participated in prison-based substance abuse treatment. Participants came from two sites able to provide narrative reports of disciplinary actions in the Criminal Justice Drug Abuse Treatment Studies' Co-Occurring Disorders Screening Instrument study. In multivariate logistic models, a lifetime history of thought insertion/control ideation (OR, 11.6; 95% CI, 1.8-75.2), antisocial personality disorder (OR, 3.3; 95% CI, 1.2-8.9), and disciplinary action related to possession of controlled substances or contraband (OR, 4.9; 95% CI, 1.9-12.3) were associated with increased risk for violent or disruptive behavior while in prison, whereas lifetime phobic symptoms (OR, 0.2; 95% CI, 0.1-0.54) and high school graduation (OR, 0.4; 95% CI, 0.2-1.0) were associated with a decreased risk of violence and disruptive behavior in general. We conclude that, among inmates in substance abuse treatment, symptoms that increase risk for violence or disruptive behavior include thought control/insertion ideation and disciplinary infractions related to controlled substances, contraband, or failure to participate in assigned programs, as well a history of antisocial personality disorder.