Reducing drug and alcohol use and improving well-being for Indigenous and non-Indigenous Australians using the Community Reinforcement Approach: A feasibility and acceptability study

There is a lack of evidence of effective and appropriate drug and alcohol treatment for Aboriginal and Torres Strait Islander peoples. This paper contributes to addressing the evidence gap by examining the feasibility and acceptability and conducting a pre/post-evaluation of the Aboriginal-adapted Community Reinforcement Approach (CRA) delivered in New South Wales, Australia. Aboriginal and non-Aboriginal clients (n = 55) received tailored CRA delivery between March and November 2013. Compared to the original US version, tailored CRA had reduced technical language, reduced number of treatment sessions, and the addition of group delivery option. An Australian training manual with local case studies was developed. Alcohol, Smoking and Substance Involvement Test (ASSIST), Kessler-5 (K-5) and the Growth Empowerment Measure were used. 58% of participants were followed-up at 3 months. Tailored CRA was feasible to deliver in a rural, community-based health setting, and rated by clients as highly effective and acceptable. CRA was associated with statistically significant reductions in the use of alcohol, tobacco, cannabis, amphetamine and over the counter medication, and levels of psychological distress, and an increase in levels of empowerment for Aboriginal and non-Aboriginal clients. This study provides evidence for the feasibility and acceptability of an Aboriginal-adapted psychological intervention addressing drug, alcohol and mental health outcomes.     

Evaluation of a trial-based interview-informed synthesized contingency analysis

We evaluated the viability of an interview-informed synthesized-contingency analysis (IISCA) conducted in a trial-based format with 3 children with autism spectrum disorders who engaged in problem behavior. We compared results to those from typical trial-based and traditional functional analyses and found high degrees of correspondence. The trial-based IISCA format took the least amount of time to conduct and was associated with the lowest frequencies of problem behavior. Results are discussed in terms of merits of each of the 3 types of functional analysis arrangements and directions for future research.     

Counter-argument self-efficacy predicts choice of belief-defense strategies

Research has identified many strategies people use to defend against belief-inconsistent information. However, little research has identified factors that predict which defense strategy people will use when more than one is available. Two experiments tested whether people choose to counter-argue belief-inconsistent information because they believe arguing will be successful, but resort to weaker defense strategies because they believe arguing will be unsuccessful. Exposure to strong versus weak belief-inconsistent information caused a decrease in counter-arguing and an increase in ignoring (Experiment 1) or claiming a belief to be a matter of opinion (untestable) rather than a matter of fact (testable; Experiment 2). Consistent with self-efficacy theory, expectations of successful counter-arguing was the mechanism responsible for both effects. When people feel less capable of successfully counter-arguing because the information is too difficult to refute, they resort to epistemically weaker defense strategies in order to preserve their belief.     

Genetic and environmental explanations of juvenile violence in advantaged and disadvantaged environments

This study tests the proposition derived from behavioral genetic theory that genetics and environmental variables have different effects across different environments. I examine the effects of intellectual imbalance [performance IQ (P) significantly greater than verbal IQ (V)] a variable assumed to be heritable to some extent, and love deprivation, a composite variable consisting of various indices of parental abuse and neglect, on violent delinquency within different socioeconomic status (SES) environments. The findings are consistent with behavioral genetic theory, in that love deprivation could not explain any unique variance in violent delinquency after P > V explained all that it could in the advantaged environment (49.5%), and P > V could not explain any unique variance in the disadvantaged environment after love deprivation explained all that it could (28.8%). It was also found that love deprivation explains a highly significant 30.5% of the variance in P > V among SES-disadvantaged subjects, thus supporting those who posit that environmental disadvantages contribute significantly to intellectual imbalance. © 1992 Wiley-Liss, Inc.     

Stigma towards psychosis: Cross‐cultural differences in prejudice,stereotypes, and discrimination in White British and South Asians

Public stigma towards people with mental health problems has been demonstrated in Western societies. Little is known about non‐Western cultures and whether cultures differ in their perceptions of people with mental health problems. Aim of this study was to examine cultural differences in prejudice, stereotypes, and discrimination towards people with psychosis. Participants were from White British and South Asian backgrounds (N = 128, aged 16–20 years) recruited from two schools and colleges in the United Kingdom. They completed a cross‐sectional survey on affective, cognitive, and behavioural dimensions of stigma. Results revealed significant cultural differences on all three stigma dimensions. South Asians attributed higher anger (prejudice) and dangerousness (stereotypes) to people with psychosis than White British. They also reported lower willingness to help, greater avoidance, and higher endorsement of segregation (discrimination). The effects of ethnic group on helping intentions, avoidance, and segregation endorsement were mediated by anger and by dangerousness. Understanding cultural differences in stigma towards psychosis will be important for designing stigma interventions as well as treatments for people with different cultural backgrounds.