The Forgotten Ones: Siblings of Substance Abusers

Although factors shaping sibling relationships and the developmental dynamics of such consanguinity have been addressed by various scholars, investigations questioning how the risky behaviors of one sibling, specifically substance abuse, may impact brothers versus sisters are few. The current study explored non–substance-abusing siblings’ reports of their mood, attitudes, feelings of social support, and emotions if one of their brothers or sisters was perceived to be a substance abuser. Surprisingly, 22% of a college-aged convenience sample (N = 312) described one or more of their siblings as a substance abuser and reported being exposed to drugs at an earlier age than their non–substance-abusing counterparts, in addition to other differences. Sisters, more than brothers, were also affected. These exploratory findings, although limited by potential sampling bias, highlight potential areas for future research that could clarify and perhaps improve the experience of the “forgotten” siblings in a risky family constellation.     

Spiritual Transformation: A Phenomenological Study Among Recovering Substance Abusers

As a complement to an earlier quantitative investigation, this qualitative study was concerned with describing the lived experience of spiritual transformation within the context of a 12-month resident substance abuse recovery program called the Lazarus Project, which is sponsored by a southern U.S. Pentecostal-based congregation. We conducted phenomenological interviews with 10 participants (eight European-Americans; two African-Americans) who had been in the program from six to nine?months and asked that they describe their most important spiritual experiences that brought about change. A hermeneutical analysis found that a pattern of five overlapping themes emerged consistently across all 10 protocols to describe the meaning of the experience of spiritual transformation for these participants. The themes were: (1) “Sick and Tired”, (2) Unmerited Love, (3) “I’m Changing,” (4) Fast/Gradual, and (5) Destiny. The themes are discussed from an existential perspective and related to the literature on spiritual transformation as well as the earlier quantitative study at the Lazarus Project.     

Tracking Substance Abusers in Longitudinal Research: Understanding Follow-Up Contact Difficulty

Studies examining follow-up contact difficulty provide useful information for planning longitudinal studies and for assessing the validity of follow-up data. Contact difficulty was examined among 96 substance abusers following substance abuse treatment. Interview completion rates at the 3-month and 6-month follow-ups were 93 and 97%, respectively. The extent of contact efforts required to complete follow-up interviews varied substantially but tended to be greater at the 3-month follow-up than at the 6-month follow-up. Contact difficulty was related to reuse of substances at the 3-month and at the 6-month follow-ups with reusers requiring greater contact efforts than abstainers. None of the baseline individual and contextual variables examined significantly predicted level of contact effort at follow-ups. Attrition-related validity implications are discussed along with practical suggestions for planning tracking efforts.     

Health-Related Quality of Life Among Substance Abusers in Residential Drug Abuse Treatment

Health-related quality of life (HRQOL) in substance abusers remains an area of inquiry in need of investigation. The few studies on the topic have found substance abuser HRQOL less than that of the general population. The present research compared 303 substance abusers in long-term residential therapeutic community treatment in New York with a general non-institutionalized adult sample from New York (N = 27,465) whose data were collected between 2002 and 2006 during the yearly administrations of the Behavioral Risk Factor Surveillance System (BRFSS), a state-based system of health surveys gathering data from upwards of 350,000 adults per year across all 50 states. One sample t-tests found that the in-treatment substance abusers reported significantly more physically and mentally unhealthy days over the past 30 days, as well as significantly more inactive days over the past 30 days due to illness.     

A Longitudinal Analysis of Psychiatric Severity upon Outcomes Among Substance Abusers Residing in Self-Help Settings

A longitudinal analysis of psychiatric severity was conducted with a national sample of recovering substance abusers living in Oxford Houses, which are self-run, self-help settings. Outcomes related to residents' psychiatric severity were examined at three follow-up intervals over one year. Over time, Oxford House residents with high versus low baseline psychiatric severity reported significantly more days using psychiatric medication, decreased outpatient psychiatric treatment, yet no significant differences for number of days abstinent and time living in an Oxford House. These findings suggest that a high level of psychiatric severity is not an impediment to residing in self-run, self-help settings such as Oxford House among persons with psychiatric comorbid substance use disorders.     

The Virgin of Guadalupe as an Ancillary Modality for Treating Hispanic Substance Abusers: Juramentos in the United States

During a 6-month research study of substance abuse outreach and retention methods in Mexico, the authors learned about the common practice of a self-control mechanism to abstain from substance abuse: Juramentos. Juramentos are pledges usually made to the Virgin of Guadalupe in the presence of a Catholic priest. The Jurado promises not to drink during a specified period of time. The authors discuss the dynamics of Juramentos and present data from an exploratory study indicating that Juramentos are being used among Mexican migrants in Florida and may provide a culturally sensitive adjunct for treatment of Mexican and other Hispanic clients in the United States.     

The Rehabilitation Counselor in an Educational Setting

The role of the rehabilitation counselor in a high school Work Experience and Study Program for the Educationally Mentally Handicapped is delineated. The most common problems in placement, and the manifest vocational needs that these students exhibit are examined.     

药物滥用者的歧视错觉:来自面部表情加工的证据

通过系统梳理酒精、尼古丁、大麻、可卡因、冰毒、摇头丸、阿片类和多药物等不同类型药物滥用者面部表情加工的研究,本文提出"歧视错觉"概念,用于解释药物滥用者对面部表情的负性化加工偏向,该观点为理解药物滥用行为激活机制提供了全新视角。未来可围绕面部表情特异性加工、面部表情加工阶段、面部表情加工的认知和神经机制以及面部表情加工训练展开相关研究,以进一步揭示药物滥用者面部表情加工的内在机制及其应用价值。     

Effectiveness of an Educational and Support Program for Family Members of a Substance Abuser

Abstract

This paper investigates the relationship between marital adjustment and congruency of couple preference regarding wife employment. Implications for marriage and family therapists are emphasized. Husband, wife, and couple scores were obtained on the Marital Status Inventory and Dyadic Adjustment Scale for eight work pattern categories. The first four (Dual-Career, Dual-Work, Pre-Dual-Career, Traditional Single-Career) were current couple work patterns perceived as desirable by both spouses. The last four categories (Incongruent Dual-Career, Incongruent Dual-Work, Incongruent Pre-Dual-Career, Incongruent Traditional Single-Career) were current couple work patterns that one spouse, in conflict with the other spouse, perceived as undesirable. In addition, number and ages of children and number of wife work hours were analyzed for their effects on marital adjustment in these couples. The results of this study indicate that marital adjustment is negatively influenced only when the wife wants to work in her career, is not employed, and her husband does not want her to be employed now or in the future. Possible reasons for these findings and suggestions for further research are included.     

The Role of Filipino Occupational Therapists in Substance Addiction and Rehabilitation: A Q-Methodology

More than the shortage of manpower, occupational therapists (OTs) in substance addiction and rehabilitation (SAR) practice have remained underused and misunderstood in the Philippines. This study aimed to identify the role of Filipino OTs in people with SUD based on the perspectives of OTs, mental health professionals, and former service users and carers in the community. Using Q-Methodology (QM), this research revealed a tripartite role for Filipino OTs in SAR: (a) “Promoter of occupational participation,” (b) “Collaborator to enhance participation and well-being,” and (c) “Facilitator of environmental supports for occupational participation.”     

An MMPI Typology of Cocaine Abusers

Three types were found in a cluster analysis of scores on the Minnesota Multiphasic Personality Inventory (MMPI) of 100 men voluntarily presenting for treatment of cocaine abuse. Type 1 (n = 59) had a mean MMPI profile consistent with the hypothesized grouping of persons who self-medicate with cocaine as a means of overcoming depression. The relatively normal mean MMPI profile obtained by Type 2 (n = 37) suggested little indication of significant psychopathology. Type 3's (n = 4) mean MMPI profile suggested either severe disturbance or profile invalidity. Types were found to differ in the nature of drug use, reactions to cocaine, education level, and social class, but not on the scales of the Adjective Check List.     

Financing A Voucher Program for Cocaine Abusers Through Community Donations in Spain

This study analyzed the viability of financing a voucher program for cocaine addicts in Spain through public and private donations. Of the 136 companies contacted, 52 (38%) provided donations. The difference between the benefits (15,670€/$20,371) and the costs (3,734€/$4,854) was 11,936€/$15,517. The type of reinforcer a company can offer, the size of the company, and the time elapsed before responding may be determining variables in a company''s decision whether to collaborate.     

Personality Characteristics of Substance Abusers: An MCMI Cluster Typology of Recreational Drug Users Treated in a Therapeutic Community and Its Relationship to Length of Stay and Outcome

The purpose of this investigation was to define homogeneous personality subtypes among substance abusers treated in a long-term, inpatient, drug-free therapeutic community and to determine how the resulting typology was related to length of stay and treatment outcome, A hierarchical agglomerative cluster analysis was performed on the Millon Clinical Multiaxial Inventory (MCMI) scale scores of 235 admissions to a therapeutic community. Five cluster types emerged,, which were similar to typologies found in studies with alcoholic inpatients. A concordant solution evolved when a different clustering algorithm was used with the same sample and when clustering was done with a different group of substance abusers. As hypothesized, clusters of patients with average MCMI elevations that indicated avoidant, schizoid, and antisocial qualities tended to stay in treatment fewer days and relapsed earlier during the 1-year follow-up. The implications, for substance abuse treatment are discussed.     

The Families of Drug Abusers: A Literature Review

This paper reveiws all relevant literature concerning the family background of compulsive drug abusers. The main content of the completed research is summarized and methodological criticisms are made. Future considerations for research on families of drug abusers are suggested.     

Autonomy's Substance

In this article, I argue that autonomy has to be conceived substantively in order to serve as the qualifying condition for receiving the full set of individual liberal rights. I show that the common distinction between content‐neutral and substantive accounts of autonomy is riddled with confusion and ambiguities, and provide a clear alternative taxonomy. At least insofar as we are concerned with liberal settings, the real question is whether or not the value(s) and norm(s) implied by an account of autonomy are acceptable to reasonable people, not whether these accounts are content‐neutral, procedural or input‐focused. Finally, I demonstrate how substantive constraints are compatible with, or even implied in, the notion of autonomy at play in (Rawls's) political liberalism. Overall, I present a normative reconstruction, clarification, and internal critique of liberalism, drawing on case law and statutes from England and Wales.     

Individual Differences in Substance Preference and Substance Use

Using H. J. Eysenck's (1957, 1967) theory of temperament, this study examined the relationship between drug preference, drug use, and personality among incarcerated inmates. Analysis indicated a general preference for marijuana and alcohol over 8 other commonly used drugs across different personality types. Theoretical and clinical implications are offered.     

A Dilemma for Kant's Theory of Substance

This paper poses a dilemma for applying the category of substance given Kant's different conceptions of substance in the Critique of Pure Reason. Briefly stated, if the category of substance applies to an omnipresent and sempiternal substance, then although this would ensure that all experiences of empirical objects take place in a common spatiotemporal framework, one could not individuate these empirical objects and experience their alterations. If the category of substance applies to ordinary empirical objects, however, then although one could individuate these substances and experience their alterations, the category would not pick out a common spatiotemporal framework for these experiences. I will argue that this dilemma can be overcome by examining the development of Kant's conception of substance in his final work, the Opus postumum.     

Executive Cognitive Functioning and Risk for Substance Abuse

Individuals with a substance use disorder (SUD) exhibit deficits in executive cognitive functioning (ECF). ECF is involved in the regulation of goal-directed behavior and includes abilities such as attentional control, strategic goal planning, organization, and cognitive flexibility. The prefrontal cortex is believed to be the primary cortical substrate that subserves ECF. Children deemed at high risk for drug abuse because they have parents with SUD similarly demonstrate cognitive limitations suggesting an ECF deficit. High-risk children, as a group, also exhibit deviations in temperament, an attenuated amplitude of the P300 event-related potential, and heightened aggressivity compared with control groups. These latter characteristics are associated with low ECF capacity and are believed to reflect dysfunction within the prefrontal cortex. It is hypothesized that deviations on these traits form a core disorder of affective, cognitive, and behavioral dysregulation that serves as a general vulnerability factor for SUD.     

Educational Opportunities for Older Adults

This paper challenges congregations to become centers for life-long learning. An experiment in educational programming conducted by Saint Olaf College at residences of the Ebenezer Society in Minneapolis, Minnesota is reported upon. The benefits derived From the program included: (1) growth in understanding of the Christian faith; (2) better understanding of political issues; (3) greater appreciation of the liberal arts; and (4) personal satisfaction. Also explored are the implications of the experiment for the educational programs of congregations. The greater interest in education by the new generation of elderly presents new opportunities to the churches.