The Experience of Religion and Spirituality Among College Students Who Use Illicit Substances

Nine collegiate illicit substance users participated in a phenomenological study of their perceptions of religion, spirituality, and substance use. We identified three themes from the interviews: (a) development of substance-using behaviors, (b) journey with religion and spirituality, and (c) intersectionality of substance use and religious and spiritual journeys. The participants voiced a complex bidirectional relationship among use behaviors, religion, and spirituality that could be facilitative, adverse, or divergent. We provide implications and suggestions for future research.     

The Impact of Comprehensive Community Initiatives on Population-Level Child,Youth, and Family Outcomes: A Systematic Review

Comprehensive community initiatives (CCIs) represent a popular method for creating systemic change, yet there is a dearth of evidence on their effectiveness (Zaff, Pufall Jones, Donlan, Lin, & Anderson, 2016). This article presents a systematic review of the evidence on the population-level impact of CCIs, focusing specifically on documented effects from studies using an experimental or quasi-experimental design. Of 1,947 articles identified through a database and hand search, 25 articles examining six different CCIs—most of which employed prevention science frameworks—met the review inclusion criteria. The results of this review show that CCIs can strengthen protective factors and reduce risk factors, delay initiation of and reduce substance use, and reduce the likelihood of, and delay engagement in, violent and/or delinquent behaviors. Impacts have been documented as soon as one year after initial intervention, and as early as 7^th grade, with effects sustained as long as seven years post-intervention, and as late as a year post-high school. However, relative to the prevalence of CCIs as a practical intervention, the evidence base is small, potentially dated, and focused on a narrow set of outcomes and populations. Recommendations for interpreting the evidence base are discussed, including methodological limitations and implications for future work.     

Development and Preliminary Evaluation of a 1-Week Summer Treatment Program for Separation Anxiety Disorder

Numerous clinical trials have demonstrated the efficacy of cognitive behavior therapy (CBT) for the treatment of childhood Separation Anxiety Disorder (SAD) and other anxiety disorders yet additional research may still be needed to better access and engage anxious youth. In this study, we investigated the acceptability and preliminary utility of a group cognitive-behavioral intervention for school-aged girls with SAD provided within an intensive, 1-week setting. The development of the proposed treatment strategy, a 1-week summer treatment program, was predicated on evidence supporting the need for childhood treatments that are developmentally sensitive, allow for creative application of intervention components, incorporate a child's social context, and ultimately establish new pathways for dissemination to the community. The summer treatment program for SAD was pilot-tested using a case-series design with 5 female children, aged 8 to 11, each with a principal diagnosis of SAD. For 4 of the 5 participants, treatment gains were evidenced by changes in diagnostic status, significant reductions in measures of avoidance, and improvements on self- and parent-report measures of anxiety symptomology. Specifically, severity of SAD symptoms decreased substantially at posttreatment for each participant and, 2 months following treatment, none of the participants met diagnostic criteria for the disorder. A fifth participant experienced substantive improvement in diagnostic status prior to the onset of treatment and, though she evidenced continued improvements following treatment, the role of the intervention in such improvements is less clear.     

Mexican American Mothers and Fathers’ Prenatal Attitudes and Father Prenatal Involvement: Links to Mother–Infant Interaction and Father Engagement

The present study examines the associations between Mexican American mothers’ and fathers’ pregnancy intentions, fathers’ participation in prenatal activities and mother–infant interactions and father engagement with 9 month-old infants in a nationally representative sample of 735 infants and their parents participating in the Early Childhood Longitudinal Study—Birth Cohort. After controlling for a host of variables, multiple regressions revealed that when mothers wanted the pregnancy, fathers engaged in more literacy and caregiving activities than when mothers did not want the pregnancy. When couples disagreed about wanting the pregnancy, fathers engaged in more literacy activities and showed more warmth than when they agreed. Relationship quality significantly moderated the effects of parents’ wantedness on mother–infant interactions and fathers’ engagement in literacy activities.     

Book Review of In the Presence of Grief: Helping Family Members Resolve Death,Dying, and Bereavement Issues

In the Presence of Grief: Helping Family Members Resolve Death, Dying, and Bereavement Issues by Dorothy S. Becvar, 2001, New York: Guilford Press, 284 pages, $23.00, ISBN 1–57230–937–7.     

Therapeutic Implications of Pharmacotherapy: Current Trends and Ethical Issues

The use of psychotropic medications (pharmacotherapy) in conjunction with psychotherapy is regarded as the standard of care for many mental health disorders. Counselors, therefore, need to be knowledgeable about psychopharmacology to monitor its impact on the therapeutic relationship and on client outcome. Discussed are potential ethical dilemmas with pharmacotherapy interventions, case studies demonstrating proper support of pharmacotherapy with diverse clientele, and critical elements of master's level training in psychopharmacology.     

Variability in the early development of visual self-recognition

A study was conducted to evaluate the (1) developmental course and (2) the temporal sequencing of visual (mirror, photo) and verbal (personal pronoun use) measures of self-recognition as well as the ability to locate a toy from its mirror image in relation to the child's own mirror image. A microgenetic approach was adopted to assess 10 toddlers biweekly between 15 and 23 months of age and for comparison, a cross-section of children tested once across the same age range. Longitudinal data indicated that visual self-recognition emerged gradually and showed wide variability in expression prior to becoming stable, a finding masked in the cross-sectional data where performance appeared to improve abruptly. Both cross-sectional and longitudinal data confirmed that mirror self-recognition was the earliest precursor of the indices of self-recognition to emerge followed by the use of personal pronouns and photo identification. Implications for the emergence and integration of the self are discussed.     

The Accuracy of Self-Reports of Condom Use and Sexual Behavior

In a study of the accuracy of self-reports of sexual behavior and condom use, 285 single, young adults in a large metropolitan area were interviewed once a week for 52 weeks, reporting on their sexual behavior each week. At 1-, 3-, 6-, and 12-month intervals, the individuals also provided self-reports of the number of times they had engaged in sex and the number of times they had used condoms since they began participating in the study. These self-reports were compared with aggregates of the weekly data, which served as a comparison standard for accuracy evaluation. The results indicate a fairly high level of accuracy in self-reports, but with 2% to 5% outliers who are highly inaccurate. The results tend to favor the assessment of sexual behavior over moderate time durations (3 or 6 months) rather than short or long durations (1 month or 12 months) when trying to maximize self-report accuracy. Accuracy was attenuated for individuals who tended to engage in sex frequently, especially at the 12-month time durations.