Incarcerated Mothers: Mutual Support Groups Aimed at Reducing Substance Abuse Relapse and Recidivism

Interventions to reduce relapse and recidivism for the increasing number of mothers incarcerated for illicit drug use are needed to prevent maternal/child separation and high public expenditures. This paper describes mutual support groups for women inmates aimed at strengthening family coping skills, especially communication, anger management, and parenting skills. Qualitative data collected during the group sessions indicated that the healing support of shared experiences, stories, poetry, and staying in the present were identified as spiritually uplifting. Problem solving and improved family interactions constituted additional themes extracted from the qualitative data. Future plans include including quantitative outcome measures of success.     

Friendships,Subjective Age,and Life Satisfaction of Women in Midlife

The authors conducted a study of 422 women, ages 31 to 77 years, to explore the relationships among friendship networks, subjective age, and life satisfaction. Friendship network size was related to lower subjective age but not to chronological age. More frequent visits with friends were related to lower subjective age and to higher life satisfaction. Satisfaction with the number of friends and a larger number of friends were related to higher levels of life satisfaction. Subjective age, group belonging, and being someone's best friend were significant predictors of life satisfaction.     

Psychological Model for Presymptomatic Test Interviews: Lessons Learned from Huntington Disease

This paper reflects on experience gained from presymptomatic testing for Huntington disease. An approach is presented which considers the role of the clinician and aims of the interview. Irrespective of the disease being tested for, it is suggested that the psychological aim of presymptomatic testing is to foster emotional insight and understanding that will help clients in their decision-making process about testing and their subsequent adjustment to the result. Based on these aims the process of presymptomatic testing, counseling is considered in terms of clarification, consideration, education, and reflection, followed by decision making. Practical approaches are discussed and illustrated with clinical examples.     

Mentoring Nurses in Familial Cancer Risk Assessment and Counseling: Lessons Learned From a Formative Evaluation

Background. As familial cancer genetic services moves into community practice increased numbers of trained health professionals are needed to counsel individuals seeking cancer risk information. Nurses have been targeted to provide cancer risk assessment and counseling. To help prepare nurses for this role, a 5-day training in familial cancer risk assessment and counseling followed by a long-distance mentorship to support continued skill development in the work environment was conducted by Fox Chase Cancer Center, Philadelphia, PA. Methods. Four cohorts (N = 41) have completed the training and were randomized to either an immediate or delayed mentorship. A formative evaluation assessed the nurse’s ability to consult with other genetic health professionals and build self-efficacy in counseling skills via responses to questionnaire. A post-mentorship interview evaluated the usefulness, timing and length of the mentorship. Results. For both groups, there was a statistically significant improvement in self-efficacy for all skills from baseline to 6 months and an increased number of nurses consulting with genetic health professionals. All the nurses reported the value of the mentorship and those with less cancer risk counseling experience prior to the training needed support and resources for further skill and program development. Lessons learned from this formative evaluation are provided.     

Examination of Life Satisfaction,Child Maltreatment Potential and Substance Use in Mothers Referred for Treatment by Child Protective Services for Child Neglect and Substance Abuse: Implications for Intervention Planning

There is evidence to suggest mothers who are served by child protective service agencies are relatively dissatisfied in their lives, leading some investigators to conclude life dissatisfaction may be associated with child maltreatment. To assist in better understanding this relationship the Life Satisfaction Scale for Caregivers (LSSC) was psychometrically developed in a sample of 72 mothers who were referred for behavioral treatment for child neglect and substance abuse by caseworkers from a local child protective service agency. The LSSC was developed to assess mothers’ happiness in nine domains (family, friendships, employment/work, spirituality/religion, safety, sex life/dating, ability to avoid drugs, ability to avoid alcohol, control over one’s own life). Results indicated two factors that appeared to be relevant to Social Satisfaction and Safety and Control Satisfaction. Higher satisfaction scores on both of these scales were negatively associated with child maltreatment potential and substance use at baseline (i.e., positive urinalysis test). Mothers who exposed their children to substances in utero or in infancy (a distinct type of child neglect) were found to report higher satisfaction scores on the LSSC than other types of child neglect. Hispanic-American, African-American, and Caucasian women reported similar levels of life satisfaction. Application of the LSSC as a non-stigmatizing, wellness-focused instrument is discussed within the context of intervention planning.     

The Quest for Multicultural Competence: Challenges and Lessons Learned from Clinical and Organizational Research

Multicultural competence refers to the ability to appreciate diversity and to work effectively in multicultural settings. In this increasingly diverse and globalized world, being culturally competent has become more important than ever. Integrating research in counseling and organizational studies, the authors examine the conceptualization of cultural competence across disciplinary boundaries. The authors review pertinent research to dissect the major challenges posted to the quest for cultural competence and conclude that training programs that overemphasize knowing the different ‘Others’ may promote a false sense of competence, and even fuel intergroup hostility and reactance. To enhance cultural competence, we recommend shifting the emphasis in competence trainings from knowing the different ‘Others’ to enhancing critical self‐awareness.     

Adult Life Satisfaction and the Role of Forgiveness After Childhood Sexual Abuse: Evidence from a Seventh‐day Adventist Cohort

Negative physical and mental health outcomes are well documented for those who experience child sexual abuse. We explore the role of three types of dispositional forgiveness (of self, of others, and by God) as effect modifiers of the child sexual abuse and life satisfaction relationship. In 2010–2011, a sample of 5,506 Seventh‐day Adventists reported levels of forgiveness, life satisfaction, and whether or not they had experienced sexual abuse in each of the two age periods (younger than 8 years and 8–18 years). Reported experience of childhood sexual abuse lowered life satisfaction regardless of when the child sexual abuse occurred. Forgiveness of self and of others were associated with higher life satisfaction regardless of sexual abuse exposure. Feeling forgiven by God was associated with increased life satisfaction indirectly through forgiveness of self and others. However, for those abused later in childhood, the association of abuse with reduced life satisfaction was weaker for those who felt forgiven by God. These findings suggest forgiveness by God operates primarily through forgiveness of self (and others) but can also buffer the effects of childhood sexual abuse on later life satisfaction when the abuse occurs in childhood/adolescence.     

Relation of Maternal Role Concepts to Parenting, Employment Choices, and Life Satisfaction Among Japanese Women

Japanese women are often described as heavily invested in the role of mother, yet young women in contemporary Japan are increasingly likely to postpone or opt out of marriage and child rearing. To understand the psychological dynamics of parenting among Japanese women who have chosen to become mothers, we examined the relation of maternal role salience beliefs, personal maternal role commitment, and parenting self-efficacy to life satisfaction, number of children, and employment status. Survey data were obtained from 116 urban Japanese women with children in the 2nd grade. Mothers with more children expressed greater personal role commitment. Those who had sought employment were less likely to hold strong maternal role salience beliefs. Life satisfaction was predicted by having more children, feeling efficacious as a parent, and being employed. These findings suggest that even in a society characterized by strong normative expectations for women, women's life satisfaction and choices about family life and employment are related to individual beliefs, attitudes, and judgments about their role.     

Mutual Help Groups, Perceived Status Benefits, and Well-Being: A Test with Adult Children of Alcoholics with Personal Substance Abuse Problems

A field experiment was conducted to examine the potential effects of mutual help group participation on perceived status benefits, depression, and substance use among adult children of alcoholics (ACOAs) with personal substance abuse problems. Participants were randomly assigned to attend either ACOA-specific mutual help group meetings or substance abuse education classes during the initial month that they were enrolled in a residential treatment program for low-income substance abusers. Analyses were based on assessments made at baseline, a 1-month posttest, and a 6-month follow-up. Results indicated that participation in the mutual help group promoted perceived status benefits, which in turn led to reductions in depression and substance use. These findings have clear implications for consumers of ACOA groups and can inform research on the social psychological underpinnings of different types of mutual help groups.     

School Entry After a Community-Wide Trauma: Challenges and Lessons Learned from September 11th, 2001

The purpose of this paper is to describe the implementation of a school-based trauma-specific mental health program in New York City following the terrorist attacks on September 11, 2001. This program aimed to serve children most at risk for developing mental health problems as a result of physical proximity (e.g., evacuation from schools surrounding the World Trade Center) to the trauma. As we present the components of the program, we will review the literature that guided our decision making. The ongoing struggle between searching for answers from established science and immediate needs in a crisis is highlighted. Lastly, a discussion of the lessons learned and recommended next steps is presented.     

Group Creativity Training for Children: Lessons Learned from Two Award‐Winning Teams

The development of group creativity can be challenging for both young students and their teachers. This study examined the processes and learning outcomes of group creativity training from the perspectives of elementary school students and teachers while identifying critical factors that contributed to the success of the training. Data were collected from two Korean elementary school teams that won the gold (1st) and a special medal at the 2011 Destination Imagination global competition. Both individual and group interviews were carried out with 13 students and two teachers to investigate their perspectives of group creativity training. The analysis of the interview data revealed three major factors and subthemes: group dynamics (conflict and play), individual characteristics of the students (personality and motivation), and teachers’ roles (training strategies, training style, and commitment). In addition, a semi‐longitudinal survey conducted a year after the interviews examined nine skill or competency domains (self‐management, creativity, leadership, interpersonal relationship, patience, cooperation, information processing, communication, and presentation) to evaluate effects of the group creativity training on student learning. Synthesizing the analyses, we addressed the following three topics that arose from the discussions: the Safe Nest Effect, teachers’ training style, and multiple learning experiences derived from group creativity training.     

Clinical Effectiveness of an Intensive Outpatient Program for Integrated Treatment of Comorbid Substance Abuse and Mental Health Disorders

Comorbid substance use disorders (SUDs) and mental health disorders are a pervasive problem among post-9/11 veterans and service members. Treatment of SUD and comorbid disorders has historically occurred separately and sequentially, and when treated concurrently has been primarily done in a weekly outpatient setting, which has high rates of dropout. The current study describes an integrated 2-week intensive outpatient treatment (IOP) using cognitive-behavioral therapy, including prolonged exposure for posttraumatic stress disorder (PTSD), unified protocol for anxiety and mood disorders, and relapse prevention for SUD. Forty-two patients completed the comorbid treatment program. Results indicated that self-reported substance use, PTSD, and depression symptoms significantly decreased following treatment, while satisfaction with participation in social roles increased. These preliminary effectiveness data indicate that comorbid SUD and mental health disorders can be effectively treated in a 2-week intensive outpatient program.     

Combating the Suicide Epidemic: The Effects of Leisure Engagement on the Incidence of Depression and Poor Life Satisfaction in Soldiers

This cross-sectional study examined the relationship of leisure engagement to levels of depression and life satisfaction in U.S. Army Soldiers. The relationship between overall time engaging in leisure, as well as categories of physically active and sedentary leisure, on the incidence of depression and poor life satisfaction were examined. Results from self-report survey of 230 soldiers revealed higher amounts of time spent engaged in leisure correlated with reported lower levels of depression and higher life satisfaction. The categories physically active and sedentary leisure did not demonstrate a distinct relationship to levels of depression, but both positively related to life satisfaction.     

Lessons Learned from the Intensive Mental Health Program: A School-based,Community Oriented Program for Children with Serious Emotional Disturbances

The Intensive Mental Health Program meets the needs for services in school systems for children with serious emotional disturbances and for training graduate students in clinical applications with a difficult-to-serve population. We address the range of challenges and rewards experienced in the development of the comprehensive intervention program, the continued maintenance of program elements, and the program evaluation.     

师范生职业使命感与学业满意度及生活满意度的关系：人生意义感的作用

采取职业使命感量表、人生意义感量表、学业满意度量表和生活满意度量表对679名免费师范生进行调查,考察免费师范生的职业使命感与其学业满意度和生活满意度的关系,以及人生意义感在其关系中的作用。结果表明:(1)师范生的职业使命感不存在性别和年级差异。(2)师范生的职业使命感对其人生意义体验、学业满意度和生活满意度均存在显著的预测作用。(3)人生意义体验在职业使命感与学业满意度之间起显著的部分中介作用;人生意义体验也在职业使命感与生活满意度之间起显著的部分中介作用。(4)人生意义寻求在职业使命感与学业满意度、生活满意度之间的调节作用未得到支持;人生意义寻求在人生意义体验与学业满意度、生活满意度之间的调节作用也未得到支持,这可能体现了中西文化的差异。     

Assessing interpersonal functioning: Views from within and without

In order to better integrate research on personality pathology, interpersonal problems, and social skills, we applied the traditional methods of these three research strands (questionnaires, interviews, and interpersonal role-plays) to the same sample. Participants who attributed higher levels of interpersonal problems to themselves in general were also more critical of their own role-play performances, but these impressions were not mirrored by observer-ratings. Self-observer agreement in judging overall role-play performance was essentially zero. Interviewer-ratings of personality pathology had incremental validity over self-ratings in predicting observer-rated role-play performance. Self-reports of interpersonal functioning leave relevant behavioral variance untapped and thus should be complemented by other sources of information.     

The Incarcerated Female Felon and Substance Abuse: Demographics,Needs Assessment,and Program Planning for a Neglected Population

Incarcerated women (203 of 237) completed a needs survey designed by an inmate steering committee. The typical inmate was a European American mother of 2 children. Relevant programming (substance abuse education classes, self-study programs, didactic groups and workshops) is discussed.     

The Heterosocial Assessment Inventory for Women: A psychometric and behavioral evaluation

This paper presents a preliminary psychometric and behavioral evaluation of the Heterosocial Assessment Inventory for Women (HAI-W), a novel self-report instrument that evaluates five dimensions that may influence performance in 12 heterosocial situations: likelihood of initiation, anxiety, skillfulness, expectation of outcome, and influence of attractiveness. Study I obtained acceptable reliability and concurrent validity data and described the factor structure of the HAI-W with female college students. Study II found a significant relationship between the HAI-W factors and global ratings of the role-play performances of high- and low-heterosocially competent female college students as rendered by the male confederate, peer judges, and expert judges. The implications of these findings for the multidimensional assessment and facilitation of heterosocial competence are discussed.This study is part of a dissertation submitted to the Department of Psychology, Georgia State University, under the direction of Michael A. Milan. Portions of these data were presented at the Annual Meeting of the Association for Advancement of Behavior Therapy, Los Angeles, 1982.