Social Categorization and the Influence of Drug Involvement on Drug Attitude Structures: Implications for Assessing Drug Use and Tolerance in the Workplace1

Theories of social categorization were used to generate hypotheses concerning the impact of drug involvement on the attitudes and knowledge structures that people use in making drug-related judgments. Data indicated that greater drug exposure tended to foster more complex knowledge structures for drugs and drug users as revealed by subjects’ perceptions of drug users, tolerance for drug use, and perceptions of drug seriousness. Basically, high drug involvement in terms of personal alcohol use and associating with illicit drug users was related to greater individuation of drug user types. Therefore, high-involved subjects, relative to low-involved individuals, were better able to discriminate between different drug user subtypes and drug user subtypes were more important to high-involved subjects when responding to drug-related survey items.     

Expanding the traditional user versus non‐user dichotomy amongst ecstasy users

Differences in the drug use characteristics and psychosocial variables in the use and non‐use of ecstasy within 845 16–25 year‐olds in the UK was examined. Based on levels of ecstasy use and intentions, two groups of non‐users (resistant and vulnerable), three groups of users (light, moderate and heavy) and an ex‐user group were identified. It was found that there is predictive utility in this way of expanding the widely employed ‘user versus non‐user’ dichotomy. Resistant non‐users were more likely to be younger, female, and were characterized by lower levels of use of four other drugs (amphetamine, cannabis, cocaine and LSD). Those ‘at risk’ of using ecstasy reported more frequent use of amphetamine, LSD, and cannabis than resistant non‐users. Heavy user groups reported using amphetamine, cocaine and LSD more frequently than all the other groups. Having ecstasy using friends increased the odds of being an ‘at risk’ non‐user or an ecstasy user. Normative influence also differentiated between the three user groups (light, moderate, and heavy). Beliefs about ecstasy use being immoral, ecstasy offers being difficult to resist, ecstasy use making one feel guilty and ecstasy being readily available differentiated between user and non‐user groups. These factors could usefully inform the content of health education materials designed to change ecstasy use. Copyright © 2003 John Wiley & Sons, Ltd.     

Same clinic,different conceptions: Drug users’ and healthcare professionals’ perceptions of how stigma may affect clinical care

Stigma experienced by drug users by their healthcare professionals can be a barrier to treatment engagement, which in turn affects mortality and morbidity rates. Attribution theory suggests that stigma will be greatest whenever drug use is attributed to factors within personal control. Here, clients (n = 76) and healthcare professionals (n = 62) identified features that characterize good and bad clinical interactions, and responded to a vignette about a drug user who attributed his use to personal control or situational factors. Healthcare professionals completed the vignette and drug users gave their best guess of how healthcare professionals would react to this vignette. Clients and professionals held overlapping prototypes of clinical interactions. Clients overestimated both how negative healthcare professionals’ reactions would be, and the extent to which healthcare professionals’ reactions would accord with attribution theory. Despite healthcare professionals’ believing they are acting in nonstigmatizing ways, they may engender stigma in clinical situations more than they realize. Discrepancies between professionals’ hypothetical responses and clients’ anticipation of these responses are discussed in terms of the influence of self‐stigma and societal understandings of drug use and control. Attribution theory only offers a limited explanation for these discrepancies, because professionals’ beliefs about drug users are complex. Implications for theories of stigma and engagement with services are discussed, and the importance of clients’ anticipation of stigma is highlighted as a primary target for addressing treatment disengagement. Anti‐stigma campaigns may also benefit from changing their focus from individuals’ attributions to holistically addressing discrepant conceptions of treatment.     

From ‘Virgin Births’ to ‘Octomom’: Representations of Single Motherhood via Sperm Donation in the UK News

The use of sperm donation by single women has provoked public, professional and political debate. Newspapers serve as a critical means of both broadcasting this debate and effecting a representation of this user group within the public sphere. This study uses the theory of social representations to examine how single motherhood by sperm donation has been represented in the UK news over time. The study sampled news coverage on this topic in eight British newspapers during three 4‐year periods between the years 1988 and 2012. The dataset of news reports (n = 406) was analysed using a qualitative approach. Findings indicated that UK media reports of single women using donor sperm are underpinned by conventional categories of the ‘personal’, the ‘traditional’ and the ‘natural’ that when paired with their corollaries produce a representation of this user group as the social ‘other’. The amount of coverage on this topic over time was found to vary according to the political orientation of different media sources. Using key concepts from social representations theory, this article discusses the relationship between themata and anchoring in the maintenance of representations of the social ‘other’ in mass mediated communication. Findings are explained in relation to theoretical conceptions of the mass media and its position within the public sphere. It is argued that the use of personal narratives in news reports of single mothers by sperm donation may have significant implications for public understandings of this social group. © 2016 The Authors. Journal of Community & Applied Social Psychology published by John Wiley & Sons Ltd.     

The role of the Self in assessing doping cognition: Implicit and explicit measures of athletes’ doping-related prototype perceptions

ObjectivesTo examine athletes’ implicit and explicit prototype perceptions of performance enhancing substance (PES) users and non-users.DesignA cross-sectional mixed-method study.MethodsCompetitive athletes from 39 sports (N = 226; mean age = 27.66 ± 9.74 years; 59% male) completed four self-report questions and two Brief Implicit Association Tests online, assessing prototype favourability and similarity of PES users and non-users.ResultsAthletes explicitly associated themselves with a non-user (M = 3.13 ± 0.92) more than a PES user (M = 0.56 ± 0.88) and perceived a non-user (M = 89.92 ± 14.98) more favourably than a PES user (M = 13.18 ± 21.38). Indexing behaviour on self-reports, doping contemplators did not differ from ‘clean’ athletes in their perceptions of PES user prototypes while dopers perceived PES users favourably and similar to themselves. In comparison, doping contemplators paired the concept of 'dopers' easier with themselves than with others, while clean athletes and dopers had no preference for either pairing (D = −0.33, -0.08 and 0.01, respectively). All groups demonstrated some degree of preference for ‘good and doper’, moving from slight to moderate to strong preference in the groups of clean athletes, dopers and contemplators, respectively (D = −0.20, −0.37 and −0.80, respectively).ConclusionsResults suggest that doping contemplators may have a positive bias towards doping which is not endorsed in self-reports. Implicit preferences, along with the disparity between the implicit and explicit measures of athletes’ doping-related prototype perceptions advance understanding of doping behaviour and make a unique contribution to research methodology. Factors influencing the interplay between explicit and implicit endorsements of PES user prototypes warrant further research.     

Beyond personal responsibility: Effects of causal attributions for overweight and obesity on weight-related beliefs,stigma, and policy support

Objective: The objective of this research was to compare the effects of different causal attributions for overweight and obesity, among individuals with overweight and obesity, on weight-related beliefs, stigmatising attitudes and policy support.

Design: In Study 1, an online sample of 95 US adults rated the extent to which they believed various factors caused their own weight status. In Study 2, 125 US adults read one of three randomly assigned online passages attributing obesity to personal responsibility, biology, or the ‘food environment.’ All participants in both studies were overweight or obese.

Main outcome measures: All participants reported beliefs about weight loss, weight-stigmatising attitudes, and support for obesity-related policies.

Results: In Study 1, biological attributions were associated with low weight-malleability beliefs and blame, high policy support, but high internalised weight bias. ‘Food environment’ attributions were not associated with any outcomes, while ‘personal responsibility’ attributions were associated with high prejudice and blame. In Study 2, participants who received information about the food environment reported greater support for food-related policies and greater self-efficacy to lose weight.

Conclusion: Emphasising the role of the food environment in causing obesity may promote food policy support and health behaviours without imposing the negative consequences associated with other attributions.     

The perceptions of the causes of cardiac diseases: a taxonomy

Objective: This study verifies whether the open-ended question of the B-IPQ can collect causal attributions of patients with cardiac diseases, define the more frequent causal attributions reported, classify them and describe the relation between the classification of the causes and patients’ characteristics.

Design: A group of 2011 patients with cardiac diseases was recruited during the first week of cardiac rehabilitation.

Primary outcome measures: Every participant filled in the B-IPQ and the HADS. The qualitative and quantitative analyses of the text using T-LAB identified the most frequent causal attributions and their co-occurrences.

Results: Among the patients, 26% did not recognise any causal attribution. The likelihood that the patients did not provide an answer was increased in older patients, females, patients with lower levels of education and higher levels of depression. Smoking and stress emerged as the most important attributions, followed by genetics, metabolic syndrome, work and nutrition. Four thematic clusters were identified: ‘work and stress’, ‘metabolic syndrome and hypertension’, ‘displeasures and body care’ and ‘heredity and other related diseases’.

Conclusions: This study suggests a classification of the causal attributions in patients with cardiac diseases and identifies thematic patterns and unknown attributions. The themes identified can serve as categories for future closed-ended questions.     

Construct Validity of the Balloon Analogue Risk Task (BART): Relationship with MDMA Use by Inner-City Drug Users in Residential Treatment

In a program of research assessing the validity of the balloon analogue risk task (BART; C. W. Lejuez et al., 2002) as a measure of risk taking, the BART was administered to a sample of inner-city drug users in residential treatment (n = 76). Construct validity of the BART was evaluated by measuring risk-taking behavior and 3,4-methylenedioxymethamphetamine (MDMA) use while controlling for self-reported impulsivity, sensation seeking, polysubstance use, and demographic variables. Supporting the construct validity of the BART, while controlling for interrelated variables in the context of logistic regression analyses, (BART) risk-taking propensity accounted for significant incremental variance in differentiating MDMA users from non-users. BART scores, polysubstance use, and younger age were most associated with MDMA use, and together these variables were associated with 91% classification accuracy in predicting MDMA use.     

Online self‐help: Developing a student‐focused website for depression

Many depressed people, young men in particular, do not seek professional help. This social constructionist action research project aimed to construct a comprehensive self‐help website for students. Its goal was to give a multi‐layered (‘thick’) account of depression to website users offering empowering perspectives and strategies while challenging barriers to help‐seeking. Thirteen student interviewees, representing diverse demographics and depression experiences, attended semi‐structured interviews to elicit ‘coping’ narratives. Ten of them then formed an ongoing e‐mail focus group. An evaluative action research spiral was used to analyse and act upon public health guidelines, student interviews and student focus group commentary. Triangulation was provided via the specifications and ongoing feedback from the other project stakeholders. These were the funding charity steering group (including heads of university counselling services); the university providing programme/ethical approval; and the expert group offering clinical validation. The final site at www.studentdepression.org has nearly 100 pages of information and self‐help resources cross‐referenced with personal narratives. It provides a rich, complex account of how depression may be tackled and resisted. Both student and expert groups were impressed with final site quality and usefulness. Collaborative development with user‐group representatives is likely to have produced a far richer, more accessible and more comprehensive resource than counsellor authorship alone. 1 ¹Formerly at the Counselling Service, Royal Holloway University of London, UK.
     

A Dual-Process Discrete-Time Survival Analysis Model: Application to the Gateway Drug Hypothesis

The gateway drug model is a popular conceptualization of a progression most substance users are hypothesized to follow as they try different legal and illegal drugs. Most forms of the gateway hypothesis are that “softer” drugs lead to “harder,” illicit drugs. However, the gateway hypothesis has been notably difficult to directly test—that is, to test as competing hypotheses in a single model that licit drug use might lead to illicit drug use or the reverse. This article presents a novel statistical technique, dual-process discrete-time survival analysis, which enables this comparison. This method uses mixture-modeling software to estimate 2 concurrent time-to-event processes and their effects on each other. Using this method, support for the gateway hypothesis in the National Longitudinal Survey of Youth, 1997, was weak. However, this article was not designed as a strong test of causal direction but more as a technical demonstration and suffered from certain technological limitations. Both these limitations and future directions are discussed.     

Felt emotions,and verbally communicated emotions: the case of pride

Potential discrepancies between felt and verbally communicated emotions elicited by two Pride events (‘selected for a job among a large group’ and ‘being congratulated for one's own new partner’) were studied by means of a structured questionnaire. Italian male (n = 88) and female (n = 107) university students attributed felt and communicated emotions to the event protagonist P, choosing from a list of 14 emotions; the communication occurred with P‘s partner or friend, or with an acquaintance. Statistical analyses of subjects’ attributions confirmed the hypothesis that felt emotions are regulated in verbal communication to others: pride, triumph, self-satisfaction and excitement were de-emphasized in communication; joy, satisfaction, happiness and surprise were intensified; other emotions were communicated as felt. Event type, and to a lesser extent sex of subject, significantly influenced the direction and extent of regulation. The results are interpreted as showing that the verbal communication of emotion is influenced by emotion-related social norms and beliefs.     

Nomophobia and self-reported smartphone use while driving: An investigation into whether nomophobia can increase the likelihood of illegal smartphone use while driving

In Australia, illegal smartphone use while driving is on the rise, increasing the likelihood drivers could be distracted and crash. Smartphones avail users a sense of belonging, connectedness, and access to information. As such, the sensation of being without one’s smartphone has developed into the prevalence of nomophobia, defined as the fear and anxiety associated with being without smartphone. The aim of the current study was to specifically examine the relationship between smartphone use while driving and nomophobia by 1) determining the types and frequency of illegal phone use while driving and, 2) exploring the relationship between nomophobia and illegal phone use while driving. The sample consisted of 2,774 Victorian smartphone users (47.0% male) with a valid driver’s licence. Driver’s nomophobia levels were measured using the Nomophobia Questionnaire (NMP-Q), while driver’s smartphone use was measured using an original scale developed by the authors. A binary logistic regression was conducted which showed that the longer average time spent per day on a smartphone and a lack of knowledge of the mobile phone road law were the strongest positive predictors of illegal use (OR = 1.32, 95% CI = 1.09–1.60; OR = 1.84, 95% CI = 1.48–2.28, respectively). However, only one nomophobia factor (i.e., access to information) significantly predicted illegal smartphone use (OR = 1.06, 95% CI = 1.04–1.09). Smartphone use is a complex and contextual behaviour, therefore, focusing on the fear of being without in dependency overlooks the nuances of the need to be with. This study offered several practical interventions that may mitigate illegal smartphone use and reduce the likelihood of crashes among Victorian road users.     

A case-control analysis of felony convictions among recreational drug users

This study applied an epidemiologic case-control design to the identification of variables predicting which subjects in a population of recreational drug users were likely to have a felony conviction. A sample of 158 self-identified drug users responded to the web-based DRUGNET survey from February, 1997 through June, 1998. In this sample of 704 U.S. citizens who reported using illicit drugs, 79 (11.2%) reported having a drug-related felony conviction. A further 52 (7.4%) subjects reported felony convictions not related to drugs. Control subjects were drawn from the same sample and matched to cases on sex, age, and ethnicity. Subjects with drug-related convictions differed significantly from controls on 13 variables and those with nondrug-related convictions differed on 11 variables out of the 82 used in this study. Although there are major limitations given the self-selection of the sample, the differences between the groups indicates that we should be wary in generalizing from the minority of drug users who are arrested or incarcerated to the population of drug users in general.     

Inspired by Mary Jane? Mechanisms underlying enhanced creativity in cannabis users

Previous research suggests cannabis may enhance some aspects of creativity, although the results remain somewhat equivocal. Moreover, it is unclear whether differences in cannabis users’ personalities may account for any potentially beneficial effects of cannabis on creativity. This study was designed to examine whether sober cannabis users demonstrate superior self-reported and objective creativity test performance relative to non-users, and to determine whether any of the Big 5 personality domains underlie these effects. A sample of sober cannabis users (n = 412) and non-users (n = 309) completed measures of cannabis consumption, personality, self-reported and objective creativity. Relative to non-users, sober cannabis users self-reported higher creativity, and performed significantly better on a measure of convergent thinking. Controlling for cannabis users’ higher levels of openness to experience abolished these effects. Therefore, while cannabis users appear to demonstrate enhanced creativity, these effects are an artifact of their heightened levels of openness to experience.     

Preschoolers' and adults' attributions of who causes interpersonal events

Adults and 4‐year‐olds explained who caused prosocial or antisocial interactions between two characters who differed in two dimensions that underlie interpersonal traits. Participants saw pictures depicting every pairwise combination of four characters (good/powerful, good/weak, bad/powerful or bad/weak) as initiators or recipients of six actions. Both children and adults made causal attributions to ‘good’ characters for prosocial behaviours and to ‘bad’ characters for antisocial behaviours. Potency influenced the frequency of attributions. Adults and children differed in the justifications of their attributions and in their reconciliations of contradictory information, e.g. a positive character initiating an antisocial act. Explanations of social events are based on characteristics of both interactants in combination with whether the event is prosocial or antisocial. The findings thus extend work on children's ‘theory‐of‐mind’ to the realm of interpersonal interactions, where beliefs, desires or dispositions of either of two characters can cause an event. Copyright © 2003 John Wiley & Sons, Ltd.     

The Intrapersonal and Interpersonal Effects of Anger on Negotiation Strategies: A Cross‐Cultural Investigation

This study assessed the effects of negotiators’ anger on their own and their counterparts’ use of negotiation strategies and whether such effects were moderated by national culture. Participants (N= 130) were 66 sojourning Chinese and 64 Americans who performed an intracultural negotiation simulation. Findings indicated that (a) anger caused negotiators to use more positional statements and propose fewer integrative offers, (b) anger caused the counterparts to use fewer positional statements but also exchange less information about priorities, (c) Chinese negotiators used more persuasive arguments as their counterparts’ anger increased, whereas Americans did not, and (d) Chinese negotiators used more distributive and fewer integrative tactics than American negotiators. Theoretical and practical implications of these findings are discussed in this article.     

Users of secondary school‐based counselling services and specialist CAMHS in Wales: A comparison study

Background: The increasing prevalence of mental health issues in young people has contributed to a rise in the provision of school‐based counselling services in the UK. Between 2008/09 and 2010/11, data were collected from users of secondary school‐based counselling services in Wales. Aims: To identify the characteristics of users of school‐based counselling services in Wales – including demographics, referral pathways, presenting issues, and predominant issues – and how they compare to users of specialist CAMHS in Wales and Welsh secondary school pupils in general. Method: Data were collected on 10,687 episodes of counselling. School counsellors completed a client record sheet after each counselling episode and submitted these to their Local Authority. Collated results were then compared to matched data from Welsh specialist CAMHS and Welsh secondary schools data. Results/findings: A typical user of a secondary school‐based counselling service in Wales was female, of white ethnicity, and from the ‘middle’ school years. There was a marked under‐representation of users from BME backgrounds. Users were most often referred by school staff, and the most common presenting issues were family‐related, anger, and behaviour‐related. Conclusions: There was a higher proportion of females accessing school‐based counselling services than males. This was in direct contrast to data from specialist CAMHS and possible explanations for this are discussed. The under‐representation of BME populations suggested that there were some equality issues associated with accessing these services. Implications for practice: Future research should explore equality issues associated with young people from BME backgrounds accessing intervention services.     

Counselling young people: Counsellors' perspectives on ‘what works’ – An exploratory study

Aim: Counsellors who work with young people in a range of contexts know that they are not engaging with ‘mini‐adults’. The issues young people bring to counselling are often complex, challenging and wide‐ranging, as adolescents are experiencing times of turbulence and change in their physical, emotional, social and psychological development. This paper focuses on a research project undertaken with five counsellors who work with young people, and asks the question: ‘What works?’ Method: The research project is an in‐depth qualitative study into the counsellor's experience of counselling young people, using a narrative approach. Findings: Four key shared themes emerged: the significance of ‘safety’ in the relationship; building the therapeutic alliance; flexibility and integration relating to theoretical orientation; and the use of creativity. Outcomes: This paper offers counsellors the opportunity to reflect on ‘what works’ and consider the professional knowledge, which underpins their own counselling practice with young people.     

THE ENCOUNTER BETWEEN FAITHS AND AN ‘AESTHETIC ATTITUDE’

This paper contains a discussion of the idea of using what could loosely be called an ‘aesthetic attitude’ (stemming largely from Kantian notions of disinterest and explicitly articulated by such writers in the 20^th century as Edward Bullough and Jerome Stolnitz) in the context of the encounter between religions. The ‘problem’ that is addressed is formulated as an attempt to find a space in which the participation of those with committed faith positions (e.g. conservative evangelicals) in sympathetic and empathetic meeting with other faiths can be facilitated. To this end, the paper is critical of the use of spirituality (or inter‐spirituality) as an oft‐suggested mode by which religions meet and ‘converse’ in depth‐encounters. That is, it is argued that the language of inter‐spirituality that is employed by some interfaith writers often betrays liberal assumptions that are unsettling for more committed religious persons. Thus, it is suggested that by changing the language of encounter from ‘inter‐spirituality’ to a more aesthetic (or playful) mode of discourse, one is creating a different, but nonetheless experientially recognisable, space of empathetic meeting and encounter that might be deemed ‘safer’.