Alcohol, sexual arousal, and intentions to use condoms in young men: applying alcohol myopia theory to risky sexual behavior.

Data from 7 studies were aggregated to examine how reported sexual arousal and alcohol intoxication interact to affect attitudes and intentions toward engaging in unprotected sexual intercourse in college-age men (N = 358). When participants were in a sober or placebo condition, their self-reports of sexual arousal had no effect on their responses. When participants were intoxicated, however, those who felt sexually aroused reported more favorable attitudes, thoughts, and intentions toward having unprotected sex than did those who did not feel aroused. These findings support alcohol myopia theory (C. M. Steele & R. A. Josephs, 1990), which states that alcohol intoxication restricts attentional capacity so that people are highly influenced by the most salient cues in their environment. It is suggested that sexual arousal is a powerful internal cue that interacts with alcohol intoxication to enhance attitudes and intentions toward risky sexual behaviors.     

Culture-specific models of men's sexual aggression: intra- and interpersonal determinants

The role of intra- and interpersonal variables was examined in samples of Asian American (N = 91) and European American (N = 377) men. A path model for Asian American men suggested 2 interpersonal paths and 1 intrapersonal path to sexual aggression. For Asian Americans, concern about social standing is a risk factor among those who hold misogynous beliefs and who use alcohol before sex. Concern about the negative reputational impact of sexual aggression is a protective factor among Asian Americans who do not hold these negative attitudes. A European American model suggested only an intrapersonal path to sexual aggression consisting of misogynous beliefs, with interpersonal variables not being predictive of sexual aggression. These results suggest both individualist and collectivist determinants of Asian American sexual aggression, whereas only individualist determinants were found for European American sexual aggression.     

Effects of alcohol abuse and familial alcoholism on physical health in men and women

Detoxified alcoholic men (n = 76) and women (n = 72) and nonalcoholic control men (n = 50) and women (n = 51) were given a structured interview that assessed five categories of physical health: medical history, alcohol-related disorders, trauma history, drug use history, and, for females, female-related disorders. Approximately half the subjects in each group were family history positive for alcoholism. Significant differences between alcoholics and controls were found for all five categories; family history effects were significant for four of the five categories, and sex differences were present in two categories. The results indicate that (a) alcoholics suffer pervasive physical health difficulties, (b) a family history of alcoholism is predictive of health problems in both alcoholics and controls, (c) the effects of alcohol abuse and family history of alcoholism on health appear to be independent and additive, and (d) women may be more "illness prone" than men and exhibit an increased vulnerability to the adverse effects of alcoholism.     

The cycle of schizoaffective disorder, cognitive ability, alcoholism, and suicidality

In this study we investigated the putative role of cognitive dysfunction, diagnosis (schizoaffective versus schizophrenia disorder), and alcoholism as risk factors for suicidal behavior among individuals with DSM-TV schizophrenia or schizoaffective disorders. Subjects received cognitive tests and medical records were reviewed for evidence of a history of suicide attempts or suicidal ideation. Discriminant analysis was used to identify cognitive test performance measures that distinguished those with versus those without suicidal behavior. None of the cognitive measures discriminated between the two groups. The rates of suicidal behavior (suicidal ideation and suicide attempts) did not differ between participants with versus those without comorbid alcohol use. An association was found between suicidal behavior and the diagnosis of schizoaffective disorder. It was concluded that the history of prominent mood syndromes characteristic of schizoaffective disorder contributes to increased risk of suicidal behaviors. Cognitive dysfunction and/or alcoholism did not contribute additionally to risk in this study.     

Aging, body image, and body shape

Participants were 25 older men (M age = 72 years, SD = 10 years) and 27 older women (M age = 71 years, SD = 8 years) who examined multiple line-drawing figures of babies, children, young adults, middle-aged adults, and older adults. Participants picked a number on a Likert-type scale ranging from 1 (very thin) to 9 (very obese) in response to questions including "Which is the most attractive?" and "Which figure would you most like to look like?" They also completed questionnaires about their body image and body shape. In response to the age-specific line drawings (e.g., those depicting older men and older women), older women endorsed thinner figures (e.g., picked smaller numbers) than did men. Likewise, older women reported thinking more about their body shape and appearance than did men and perceived their body image as "a little too big" in comparison with the older men who perceived their body image as "just the right size." However, a breakdown of normal and overweight women in this sample revealed that for some overweight elderly women, obesity could become a satisfactory way of life. Much as with college-aged women, the endorsement of a thinner body image by many of the older adult female participants appeared to persist into late adulthood and suggests that research into body image issues with older adults is relevant and necessary.     

Multiple sessions of systolic blood pressure biofeedback: Its effects on ability to control systolic pressure during training,after training,and its effects on pulse rate

Seventy-one normotensive subjects participated in four training sessions in which they were either (a) instructed to increase their blood pressure, (b) instructed to decrease their blood pressure, or (c) not instructed to change their blood pressure. The subjects either (a) were provided with biofeedback concerning systolic blood pressure or (b) were not provided with biofeedback concerning systolic blood pressure. After the last training session, subjects participated in a transfer session in which they were again instructed concerning changes in pressure but were not provided with biofeedback. Analyses conducted on data from the training and transfer sessions indicated that subjects who were instructed to increase pressure and given biofeedback to aid them showed higher pressure than subjects in other conditions and that there were no differences among those other conditions; that is, biofeedback was effective for teaching subjects to increase pressure but was not effective for teaching subjects to decrease pressure. Additional training sessions did not add to the effect achieved in the first training session. During training sessions, subjects who were instructed to increase pressure showed higher heart rates than subjects in other conditions. The results raise questions concerning the interpretation of earlier experiments that did not include no-treatment, instructions-only, and attention control conditions.     

Effects of response requirement and alcohol on human aggressive responding.

Nine men participated in two experiments to determine the effects of increased response requirement and alcohol administration on free-operant aggressive responding. Two response buttons (A and B) were available. Pressing Button A was maintained by a fixed-ratio 100 schedule of point presentation. Subjects were instructed that completion of each fixed-ratio 10 on Button B resulted in the subtraction of a point from a fictitious second subject. Button B presses were defined as aggressive because they ostensibly resulted in the presentation of an aversive stimulus to another person. Aggressive responses were engendered by a random-time schedule of point loss and were maintained by initiation of intervals free of point loss. Instructions attributed these point losses to Button B presses of the fictitious other subject. In Experiment 1, increasing the ratio requirement on Button B decreased the number of ratios completed in 4 of 5 subjects. In Experiment 2, the effects of placebo and three alcohol doses (0.125, 0.25, and 0.375 g/kg) were determined when Button B presses were maintained at ratio values of 20, 40 and 80. Three subjects who reduced aggressive responding with increasing fixed-ratio values reduced aggressive responding further at higher alcohol doses. One subject who did not reduce aggressive responding with increasing fixed-ratio values increased aggressive responding at the highest alcohol dose. The results of this study support suggestions that alcohol alters aggressive behavior by reducing the control of competing contingencies.     

Perception of sexual intent: The role of gender,alcohol consumption,and rape supportive attitudes

This study examined the effects of participant's gender, participant's rape supportive attitudes, and target's alcohol consumption on participant's perceptions of target's sexual intent. Female and male college students read vignettes in which a young woman and man who were socializing consumed either alcoholic or nonalcoholic beverages. At the studied university, approximately 86% of undergraduates were Caucasian, 8% were African American, 3% were Asian, and 3% had other ethnic backgrounds. As hypothesized, men perceived female targets as behaving more sexually than did women, especially men high in rape myth acceptance. Male and female targets' alcohol consumption interacted, such that when both individuals were drinking alcohol they were perceived as being most sexual and their drinking was viewed as most appropriate. The rape myth acceptance and alcohol findings are discussed in terms of their implications for sexual assault and substance abuse prevention programming.Many thanks to Mary Jo Smith for assistance with data management and analyses. ARBOR staff provided assistance with data coding.     

Transitioning into and out of large-effect drinking in young adulthood

As individuals age beyond the college years into young adulthood, many exhibit a tendency to moderate or "mature out of" alcohol involvement. The current study classified effect-drinking statuses in young adults and examined transitions among statuses using latent transition analysis, a latent variable state-sequential model for longitudinal data. At 3 occasions over 7 years (Years 1, 4, and 7), 443 men (47%) and women (mean age of both at baseline = 18.5 years; 51% with family history of alcoholism) responded to 3 past-30-day items assessing drinking and subjective effects of drinking: whether the respondent drank alcohol, felt high, and felt drunk. Latent statuses included abstainers (14% at Year 1), limited-effect drinkers (8%), moderate-effect drinkers (23%), and large-effect drinkers (54%). Respondents with family history of alcoholism were less likely to transition out of large-effect drinking than those without family history. Men exhibited more severe initial effect-drinking statuses and lower transition probabilities into less severe effect-drinking statuses than women.     

Does d-Cycloserine Augmentation of CBT Improve Therapeutic Homework Compliance for Pediatric Obsessive–Compulsive Disorder?

Clinical studies in adults and children with obsessive–compulsive disorder (OCD) have shown that d-cycloserine (DCS) can improve treatment response by enhancing fear extinction learning during exposure-based psychotherapy. Some have hypothesized that improved treatment response is a function of increased compliance and engagement in therapeutic homework tasks, a core component of behavioral treatment. The present study examined the relationship between DCS augmented cognitive-behavioral therapy (CBT) and homework compliance in a double-blind, placebo controlled trial with 30 youth with OCD. All children received 10 CBT sessions, the last seven of which included exposure and response prevention paired with DCS or placebo dosed 1 h before the session started. Results suggested that DCS augmented CBT did not predict improved homework compliance over the course of treatment, relative to the placebo augmented CBT group. However, when groups were collapsed, homework compliance was directly associated with treatment outcome. These findings suggest that while DCS may not increase homework compliance over time, more generally, homework compliance is an integral part of pediatric OCD treatment outcome.     

Characteristics of children of alcoholics: putative risk factors, substance use and abuse, and psychopathology.

A sample of 253 children of alcoholics (COAs) and 237 children of nonalcoholics (non-COAs) were compared on alcohol and drug use, psychopathology, cognitive ability, and personality. COAs reported more alcohol and drug problems, stronger alcohol expectancies, higher levels of behavioral undercontrol and neuroticism, and more psychiatric distress in relation to non-COAs. They also evidenced lower academic achievement and less verbal ability than non-COAs. COAs were given Diagnostic Interview Schedule alcohol diagnoses more frequently than non-COAs. The relation between paternal alcoholism and offspring alcohol involvement was mediated by behavioral undercontrol and alcohol expectancies. Although gender differences were found, there were few Gender X Family History interactions; the effects of family history of alcoholism were similar for men and women. When gender effects were found, they showed greater family history effects for women.     

Alcohol intake leads people to focus on desirability rather than feasibility

According to alcohol myopia theory (Steele and Josephs in Am Psychol 45:921–933, 1990) intoxicated people disproportionally focus on the most salient aspects of a situation and ignore peripheral information. We investigated whether consuming alcohol leads people to disproportionally focus on the desirability rather than feasibility of important personal goals. Students named an important personal goal and then either consumed alcohol or a placebo. Thereafter, we asked them to freely think about their goal and to write down their thoughts and images. We content-analyzed students’ elaborations with regard to what extent they focused on the goal’s desirability and on its feasibility. Intoxicated students wrote more about aspects of desirability and less about aspects of feasibility than those who consumed a placebo. The results suggest that this effect is one mechanism by which alcohol intake leads people to feel committed to personal goals despite low feasibility of attaining these goals (Sevincer and Oettingen in J Abnorm Psychol 118:623–633, 2009).     

Spatial learning of visual 'nonsense figures' during experimental ethanol intoxication

The interaction of alcohol and visuospatial learning was evaluated during two experimental sessions. During one session, participants were experimentally intoxicated to obtain a blood alcohol concentration of at least 0.10%. During another session, a nonalcohol placebo was administered. The learning task consisted of a paired-associate paradigm requiring participants to learn the distinct spatial positions of 6 visually presented "nonsense shapes." The visuospatial learning of participants in the placebo condition was generally superior to their learning while intoxicated. However, intercorrelations of performance measures indicated that the relation between alcohol ingestion and performance differences across conditions was not linear.     

Alcohol and Drug Abuse in Men Who Sustain Intimate Partner Violence

Extensive work has documented an association between sustaining intimate partner violence (IPV) and alcohol/drug abuse among women, yet little research has documented the same association in men, even though men comprise 25–50% of all IPV victims in a given year. This study investigates the associations among sustaining IPV and alcohol/drug abuse among both a clinical and community sample of men. The clinical sample is comprised of 302 men who sustained intimate terrorism—a form of IPV that is characterized by much violence and controlling behavior—from their female partners and sought help. The community sample is composed of 520 men, 16% of whom sustained common couple violence, a lower level of more minor reciprocal IPV. Analyses showed that among both groups of men who sustained IPV, the prevalence and frequency of alcohol/drug abuse was significantly higher than in men who did not sustain IPV. However, a dose–response relationship between sustaining IPV and alcohol/drug abuse was found only among men in the community sample. Path modeling showed that, for the community sample, the best fitting models were ones that showed that the alcohol/drug abuse predicted IPV victimization, an association that was fully mediated by their use of IPV. Aggr. Behav. 38:31‐46, 2012. © 2011 Wiley Periodicals, Inc.     

The effects of familial risk, personality, and expectancies on alcohol use and abuse

This study tested a structural model of the association between familial risk, personality risk, alcohol expectancies, and alcohol abuse in a sample of 224 young adult offspring of alcoholics and 209 offspring of nonalcoholics. The results provided support for 2 personality-risk pathways, a social deviance proneness and an excitement/pleasure seeking path, that accounted for a significant portion of the association between a familial alcoholism and alcohol abuse. The path from familial alcoholism to social deviance proneness lead directly to alcohol problems. The path from familial alcoholism to excitement/pleasure seeking was associated with increased drinking, which, in turn, was associated with alcohol problems. Positive alcohol expectancies accounted for part of the association between excitement seeking and alcohol use. The results suggest 2 different biopsychosocial mechanisms that elevate risk for abuse in the offspring of alcoholics.     

Men's likelihood of sexual aggression: the influence of alcohol,sexual arousal,and violent pornography

Previous research findings have indicated that both alcohol intoxication and violent pornography exposure may contribute to increased sexual aggression by men. This study used an experimental paradigm to examine the effects of a moderate alcohol dose, alcohol‐related beliefs, and victim response on men's self‐reported likelihood of committing sexual aggression. A community sample of male social drinkers (N=84) participated in an experiment in which they read an eroticized rape depiction after completing an alcohol administration protocol. The stimulus story varied whether the victim, who initially expressed unwillingness to engage in sexual activity, expressed pleasure or distress in response to the man physically forcing her to perform several explicit sex acts. A path analytic model illustrated that participants' self‐reported likelihood of behaving like the sexual aggressor in the story was directly related to their own sexual arousal. Heightened sexual arousal was reported by participants who had consumed alcohol, those who read the victim‐pleasure story, and those who believed that drinking women are sexually vulnerable. Results suggest that sexual arousal to violent pornography, as influenced by acute alcohol intoxication and other factors, may be an important component of men's perceptions of their own sexual aggression likelihood. Aggr. Behav. 32:581–589, 2006. © 2006 Wiley‐Liss, Inc.     

Psychological performance assessment via interactive voice response systems

Two experiments examined the feasibility of psychological assessment using interactive voice response (IVR) technology and the potential sensitivity of such assessments to alcohol and fatigue effects. In Experiment 1, 10 subjects performed a 12-min battery of six IVR-administered tasks, Monday through Friday, over 2 weeks. Minimal learning effects were evident during training. Repeated administrations indicated high test-retest reliabilities. In Experiment 2 (double-blind, alcohol/placebo crossover design), 7 subjects were tested every 2 h over a 24-h period during two experimental sessions (peak blood alcohol concentrations =80 mg/dL). Several IVR-administered tasks were sensitive to alcohol impairment, but not as sensitive as laboratory-based measures specifically designed to assess alcohol impairment. Little evidence for fatigue-related impairment was obtained. The results support optimism for the potential to assess psychomotor and cognitive functioning distally via telephony; however, further refinement and validation of the methods are needed.     

Extinction of morphine analgesic tolerance

It has been suggested that the analgesic effect of morphine becomes attenuated over the course of successive administrations by a conditional, compensatory, hyperalgesic response elicited by the administration procedure, thus accounting (in part) for analgesic tolerance. On the basis of this associative model of tolerance, it would be predicted that established tolerance would be extinguished by placebo sessions. In experiments of apparently similar design (but conducted by different experimenters in different laboratories), data both confirming and refuting this prediction have previously been published. The present experiment, conducted jointly by the experimenters who reported the divergent findings, was designed to determine the reasons for the different results. It was found that placebo sessions do consistently attenuate morphine analgesic tolerance. Such extinction is not limited to the experimenter, drug preparation, rat strain, or apparatus used in the original, successful demonstration of the phenomenon, but rather is also demonstrable under conditions similar to those used in subsequent experiments which failed to demonstrate extinction of tolerance. Results of the present experiment suggest that the failures to demonstrate extinction of tolerance were attributable to insufficient extinction training.     

Beauty Is in the Eye of the Beer Holder: An Initial Investigation of the Effects of Alcohol,Attractiveness, Warmth,and Competence on the Objectifying Gaze in Men

Despite literature revealing the adverse consequences of objectifying gazes for women, little work has empirically examined origins of objectifying gazes by perceivers. Integrating alcohol myopia and objectification theories, we examined the effects of alcohol as well as perceived female attractiveness, warmth, and competence on objectifying gazes. Specifically, male undergraduates (n?=?49) from a large U.S. Midwestern university were administered either an alcoholic or placebo beverage. After consumption, participants were asked to focus on the appearance or personality (counterbalanced) of pictured women who were previously rated as high, average, or low in attractiveness, warmth, and competence. Replicating previous work, appearance focus increased objectifying gazes as measured by decreased visual dwell time on women’s faces and increased dwell time on women’s bodies. Additionally, alcohol increased objectifying gazes. Whereas greater perceived attractiveness increased objectifying gazes, more perceived warmth and perceived competence decreased objectifying gazes. Furthermore, the effects of warmth and competence perceptions on objectifying gazes were moderated by alcohol condition; intoxicated participants objectified women low in warmth and competence to a greater extent than did sober participants. Implications for understanding men’s objectifying perceptions of women are addressed, shedding light on potential interventions for clinicians and policymakers to reduce alcohol-involved objectification and related sexual aggression.