A Systematic Review of the Relationship between High School Dropout and Substance Use

A systematic review of peer-reviewed, empirical literature published between 1990 and 2006 was undertaken to determine whether existing research could provide evidence, and a deeper understanding of the relationship between dropping out of high school and the use of substances such as tobacco, alcohol, cannabis/marijuana and other illicit drugs. Forty-six articles were reviewed. The review describes the heterogeneity of theoretical frameworks employed, as well as the limited ability of any one to adequately explain the relationship between high school dropout and substance use. A refinement of the many confounding and mediating variables into coherent conceptual categories would aid more robust theory building and theory integration. In spite of differences in dropout definitions and diverse measures of substance use across studies, the main findings point to a largely consistent relationship between dropping out of high school and substance use. However, socially disadvantaged and poor persons, dropouts, and drug users are over-represented in some of the loss to follow-up groups in longitudinal studies surveyed. More rigorous mechanisms to retain participants in longitudinal studies should be employed. Suggestions for future research include comparisons between urban and rural populations, employing qualitative research methods, and research in developing countries, which have the least favourable school outcomes and a dearth of research on high school dropout.

The Powerless‐Empowerment Scale: Measurement of Substance Abuse Counseling Orientation

The authors describe the development of an instrument to measure substance abuse counseling orientations. The Powerless‐Empowerment Scale, which was developed by investigating its reliability and viability, demonstrated initial promise as an instrument that can be used in a variety of settings in the substance abuse field.     

Usefulness of emotive imagery in the treatment of childhood phobias: Clinical guidelines,case examples and issues

Emotive imagery is a variant of systematic desensitization that has been developed for use in the treatment of children's excessive fears. We outline clinical guidelines for the use of emotive imagery and present several case examples. Although emotive imagery appears to be useful and cost efficient, controlled studies are needed to establish the efficacy of emotive imagery and explore the active treatment ingredients or mechanism.     

Supported Education Practitioners: Agents of Transformation?

Interviews with adult mental health in- and out-patients attending a psychiatric hospital-based supported education program, and their program staff and volunteers, demonstrated that while an informal program structure had initial success in increasing student confidence and independence, the subsequent expansion of the program requires formalizing it using adult and transformative education protocols to increase literacy gains. We argue that professional development in adult education showing the value of transformative learning for staff can complement their occupational therapy and mental healthcare training, so that the empowerment and identity transformation can be increased for these vulnerable students.     

Personality Homogeneity in Organizations and Occupations: Considering Similarity Sources

Purpose

The purpose of this study was to investigate organizational and occupational homogeneity, compare homogeneity at different levels of composition, and uncover a mechanism for homogeneity.

Design/Methodology/Approach

Data were obtained from an archival data base of current employees (N = 23,933) in 40 organizations, 19 major job groupings, 42 minor job groupings, and 115 detailed job titles.

Findings

Support for homogeneity within organizations and occupations was found, regardless of the granularity with which occupation were defined. Homogeneity estimates were smaller than prior estimates in the literature based on smaller, less diverse samples. Occupational homogeneity was significantly greater than homogeneity at the organizational level for neuroticism and extraversion. As a potential mechanism, we demonstrated that occupational interest could predict personality at the occupational level.

Implications

Investigating homogeneity effects with a large, representative sample and simultaneously considering occupation and organization helps to advance our theoretical understanding of the Attraction–Selection–Attrition process. This study provides evidence of relative homogeneity effects and mechanisms. Such knowledge could help inform the selection, training, and socialization tactics employed by practitioners.

Originality/Value

Little is currently known about how within-occupation homogeneity in personality relates to within-organization homogeneity, or the influence of vocational interests on such homogeneity. We provide a methodological update to decompose and compare organizational and occupational influence on personality homogeneity. We also assess homogeneity at three levels of occupational granularity, and delineate a mechanism for personality to become homogeneous at the occupation level.

     

Dialectical Behavior Therapy Skills for Families of Individuals With Behavioral Disorders: Initial Feasibility and Outcomes

Family members of individuals with behavioral disorders are a valuable source of logistical and emotional support for patients. Family members may take on tremendous financial and/or psychological responsibility to care for their loved ones, which can result in poor psychological outcomes for the family and, in turn, impede the recovery of the patient. Dialectical Behavior Therapy (DBT) skills training is an effective treatment that has been utilized with numerous populations, including family members of individuals with behavioral problems, and has shown efficacy in improving various interpersonal outcomes; however, no study has examined feasibility and outcomes of delivering all four unabridged DBT skills modules to this population. Twenty participants attended weekly DBT skills classes for 6 months, where they acquired skills in mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance. There were significant pre-post improvements for emotion dysregulation, stress reactivity, and various interpersonal outcomes; there were no significant changes in depression or anxiety. These results suggest that DBT skills may be effective at improving broad clinical domains in a sample of family members of individuals with behavioral problems. This research is the first step in demonstrating that DBT skills might benefit family members of patients with heterogeneous mental health problems and, therefore, fits in to the field’s growing interest in cost-effective transdiagnostic interventions.