Will the “Real Boy” Please Behave: Dosing Dilemmas for Parents of Boys with ADHD

The use of Ritalin and other stimulant drug treatments for attention-deficit hyperactivity disorder (ADHD) raises distinctive moral dilemmas for parents; these moral dilemmas have not been adequately addressed in the bioethics literature. This paper draws upon data from a qualitative empirical study to investigate parents' use of the moral ideal of authenticity as part of their narrative justifications for dosing decisions and actions. I show that therapeutic decisions and actions are embedded in valued cultural ideals about masculinity, self-actualization and success, as well as in moral conceptions of authenticity and personal freedom. I argue that this investigation of parents' moral justifications and dosing dilemmas raises questions about the validity of authenticity as a transcendent moral principle. Moreover, this study demonstrates that in order to be relevant, bioethical analysis of neurocognitive enhancement must engage with ground-up studies of moral principles and decision-making in context.     

Understanding the Factors Affecting the HIV Epidemic in Maharashtra: Application of Proximate Determinants Framework

The Indian HIV epidemic is exhibiting a declining trend, providing an opportunity for meta-analysis and data synthesis by triangulation to delineate the comprehensive picture and to understand the drivers of the epidemic. A proximate determinants (PD) framework is used to tease out factors affecting HIV vulnerability and to segregate the interplay of multiple factors operating within the framework. This study focuses on low-risk general males and high-risk male clients who form bridges between high-risk and low-risk populations. Data from NFHS-III, IBBA-1 and BSS have been used. The findings underscore multi-partner, condom use and partner-mixing as PD for general men, with coital frequency an additional determinant for clients. Partner type and number of lifetime partners are significant determinants for both groups. Significant underlying determinants, after adjustment for PDs, are younger age, marital status and alcohol for general men, and marital status, education, age at first intercourse and prior HIV testing for clients.     

Effect of Islamic psycho-spiritual therapy in managing craving,withdrawal symptoms,and mental health problems among cannabis users

ABSTRACT

The present study is an examination of Islamic psycho-spiritual therapy in managing craving, withdrawal symptoms, and mental health problems among cannabis users. Homogeneous purposive sampling was used in the selection of the sample. The therapy and administration of three scales (Marijuana Craving Scale Short Form; Cannabis Withdrawal Scale; Mental Health Inventory) were undertaken among 40 Muslim male cannabis users whose age ranged between 14 and 37 years on pre- and post-test analysis. The results highlighted the significant differences in the respective dimensions of the Craving and Withdrawal Scales and the Mental Health Inventory such as compulsivity, emotionality, expectancy and purposefulness, withdrawal intensity and negative impact of withdrawal symptoms, anxiety, depression, loss of behavioural/emotional control, emotional ties, life satisfaction, psychological distress, psychological well-being, and mental health index.     

SOCIOMETRY AND COMMUNICATION NETWORK IN AN INDIAN VILLAGE

Sociométrie et réseau de communication dans un village indien. — On compare, dans un village indien, les données sociométriques aux communications interpersonnelles qui se produisent aux différentes étapes de l'adoption de trois nouvelles techniques agricoles. La distribution des données sociométriques et celle des communications présentent la même structure: elles révèlent qu'il y a beaucoup d'isolés ou “non-communiquants” et un petit nombre de membres influents. Les “étoiles” sociométriques se trouvent être des “communicateurs-clefs” ou, tout au moins, des personnes qui communiquent davantage. De même, la plupart des “non-communiquants” sont isolés. On constate que les communications interpersonnelles sont limitées au sous-groupe sociométrique (clique), bien que les communications hors-clique ne soient pas totalement absentes. Il semble que la popularité dans le village soit fondamentalement en liaison avec l'influence personnelle, ce qui témoigne du caractère charismatique de l'autorité.     

Reinforcement and attraction specifying the effects of affective states

A multiplicative effect of magnitude and proportion of positive reinforcements on attraction and self-rated feelings was examined. Subjects (N = 270) rated their attraction toward persons associated with one of three reinforcement magnitudes (personality similarity, attitude similarity, and personal evaluations) and one of six proportions of positive reinforcements (.00, .20, .40, .60, .80, and 1.00). Results indicated that the slope of the linear attraction function increased and the Y-intercept decreased with increasing magnitude of reinforcement (p < .05). A similar interaction effect was found on the feelings of the subjects (N = 90) in another experiment. The results were interpreted as added support for Byrne's reinforcement-affect model of interpersonal attraction.     

Covariates of Multiplicity of Risk Behavior Among Injecting Drug Users in Nepal

Drug abuse, needle sharing, and high-risk sexual behaviour are often compounded to increase the risk of human immunodeficiency virus (HIV) transmission. This paper analyzes covariates of multiplicity of risk behavior among injecting drug users (IDUs). Findings are based on data from 1471 IDUs following modified time-location cluster sampling across Nepal in 2010–2011. Among Nepalese IDUs, average duration of injecting drugs is 4.4 years with two-fifths initiating it before age 20. Alcohol use is common with two-fifths reporting its daily consumption. Needle sharing is quite prevalent especially among younger and alcoholic IDUs. Further, IDUs practicing needle sharing exhibit rampant multi-partner behavior. Condom use with non-commercial partners is almost 80 %, whereas with intimate partner it is 41 %. Coexistence of needle sharing and unprotected sex enhances STI prevalence (7 %), which is further pronounced among alcoholics (9 %). Working towards risk reduction for IDUs must deal with multiplicity of risk. Interventions should deal with covariates of risk, addressing youth, substance abuse and risky sexual behavior.