Family Therapy for Substance Use among Sexual Minority Youth: A Review of Treatment Options

Abstract

Substance use disorders are nearly twice as common among sexual minority youth (SMY) as among their heterosexual peers. Most applied literature about this population suggests interventions on either the individual or community level, and the benefits of family therapy for this population are often overlooked. The present literature review (a) outlines clinical knowledge related to sexual minority youth and substance use (e.g., prevalence rates, contributing factors), (b) discusses the importance of clinical self-awareness around these topics, and (c) outlines clinical behaviors and interventions from literature that may be employed when working with substance-using SMY and their families.     

Cognitive and Emotion‐Regulatory Mediators of the Relationship Between Behavioral Approach System Sensitivity and Nonsuicidal Self‐Injury Frequency

Nonsuicidal self‐injury (NSSI) is highly prevalent among late adolescents and predicts the onset of suicidal ideation and behavior. Although research has established an association between the behavioral approach system (BAS) and NSSI, less research has explored mechanisms underlying this relationship. The authors examined negative and positive emotion regulation patterns, as well as the BAS‐relevant cognitive style of self‐criticism, as potential mechanisms through which a hypersensitive BAS might be related to NSSI frequency. Late adolescents (N = 177) with high and moderate BAS levels completed measures of self‐criticism, positive emotion regulation, brooding, and both lifetime and last‐year frequency of NSSI. Results indicated that self‐criticism and positive emotion dampening independently mediated the relationship between BAS and last‐year frequency of NSSI. Self‐criticism also mediated the relationship between BAS and lifetime frequency of NSSI. Results suggest that cognitive and emotion‐regulatory styles may help to explain why high BAS individuals are likely to engage in NSSI.     

Contemplating the One who Remains the Same: Augustine,Swinburne, and Psalm 102 on the Relation between Divine Immutability and Theological Reason

This article defends a classical doctrine of divine immutability by contending that the most influential objections lodged against it by theologians and philosophers such as Richard Swinburne–i.e. that divine immutability is speculative rather than practical, is philosophical rather than biblical, and fails to cohere with a ‘personal’ God who relates to creatures–are rooted in a particular construal of theological reason. I diagnose Swinburne’s account of theological reason with the help of Karl Barth’s interpretation of Anselm, and put forth a contrasting account of divine immutability, rooted in a distinct approach to theological reason, through a theological interpretation of Psalm 102, an analysis of the Creator/creature distinction, and an examination of Augustine’s De trinitate.     

A DEFENCE OF THE EXPLANATORY ARGUMENT FOR PHYSICALISM

One argument for reductive physicalism, the explanatory argument, rests on its ability to explain the vast and growing body of acknowledged psychophysical correlations. Jaegwon Kim has recently levelled four objections against the explanatory argument. I assess all of Kim's objections, showing that none is successful. The result is a defence of the explanatory argument for physicalism.