A Systems Approach to the Treatment of Chemical Addiction

Therapists are increasingly considering chemical addiction from a family systems perspective. Effects of chemical dependency upon the family are discussed and intervention approaches aimed toward assisting the family as families redefine themselves and change their structure are considered. The integration of chemical dependency treatment and the family therapy is also discussed as it is practiced in an intensive outpatient program at a psychiatric hospital.     

Behavior of neonates exposed in utero to methadone as assessed on the Brazelton scale

Twenty-nine infants exposed in utero to methadone and 37 comparison infants were examined on the Neonatal Behavioral Assessment Scale at early and late neonatal ages. All infants were full-term at birth, over 2500 g, and not yet circumcised at the early assessment. None of the methadone-exposed infants were breast-fed or were being treated pharmacologically for withdrawal. During the first week of life, methadone-exposed neonates differed from comparison ones in motoric behavior. Relative to comparison-group infants, they were jerkier and more tremulous, tense, active, and better able to put hand in mouth. By the end of the first month these differences diminished, although there was still a tendency for the methadone-exposed infants to have elevated body tonus. Neither perinatal complications, birth weight, nor sex of infant could explain the early neonatal differences between the methadone and comparison groups. Past the early stage of acute withdrawal, neonates exposed prenatally to methadone behave not unlike their nonexposed peers.     

“打”出来的手机成瘾？父母粗暴养育对青少年智能手机成瘾的作用

对湖北省两所中学3219名初一至初三年级学生进行问卷调查,建立结构方程模型考察父母粗暴养育、核心自我评价、友谊质量和青少年智能手机成瘾的关系。结果发现：（1）核心自我评价在父母粗暴养育和青少年智能手机成瘾之间起部分中介作用,即父母粗暴养育既对青少年智能手机成瘾产生直接影响,也通过核心自我评价对青少年智能手机成瘾产生间接影响;（2）父母粗暴养育和核心自我评价的关系（中介作用的前半段路径）受到友谊质量的调节,即在高友谊质量和低友谊质量条件下,随着粗暴养育程度的增加,青少年核心自我评价均显著下降,但在高友谊质量的条件下,下降的程度更高。研究结果有助于揭示父母粗暴养育对青少年智能手机成瘾的影响及其作用机制,为预防和干预青少年智能手机成瘾带来一些重要的启示。     

The observational study of adolescent gambling in UK amusement arcades

In the UK, excessive fruit machine playing is the most documented form of pathological gambling amongst adolescents. Although there have been a few retrospective questionnaire studies in adolescent fruit machine gambling, there has been very little systematic observational fieldwork into the behaviour. The studies reported explore the social world of fruit machine playing using data collected via the monitoring of 33 UK amusement arcades employing participant and non-participant observation methodologies. The basic aims were to observe the arcade clientele and their behavioural characteristics, and to examine motivations for machine playing. Results suggest that level of adolescent gambling depends upon both time of day and time of year, and regular players conform to rules of etiquette and display stereotypical behaviours when playing fruit machines. The results also suggest that adolescents play fruit machines for a wide range of reasons including fun, to win money, to socialize, to escape and for excitement, and that inland and coastal arcades are frequented by different clienteles, probably as a function of the amusement machine available.     

父母教养方式与大学生手机依赖:自我控制和感觉寻求的链式中介作用

采用父母教养方式问卷、手机依赖指数量表、自我控制量表和感觉寻求问卷,对426名在校大学生进行测查,以探讨父母教养方式与大学生手机依赖的关系及自我控制和感觉寻求的作用。结果发现：（1）父母拒绝和过度保护与手机依赖正相关,而父母情感温暖、理解与手机依赖负相关;（2）自我控制和感觉寻求在父母教养方式与大学生手机依赖间分别起部分中介作用;（3）自我控制和感觉寻求在父母教养方式与大学生手机依赖间起链式中介作用。结果表明父母教养方式与大学生手机依赖具有密切联系,自我控制和感觉寻求在该联系中起重要作用。     

The Lived Experiences of Addiction Counselors After Marijuana Legalization

This qualitative study examines the perceptions of counselors who work with populations with addictions in states where marijuana has been legalized. Findings include themes related to client experiences, counselor experiences, specific interventions, and lack of understanding.     

基于网络理论的物质成瘾新视角

物质成瘾是一种涉及生理、心理和环境等多因素的复杂现象, 但是当前基于生物还原论的解释对物质成瘾现象整体性的理解和康复研究造成了阻碍。网络理论聚焦于心理障碍变量之间相互作用形成的反馈环路, 从整体视角为研究物质成瘾提供了新的理论框架。将网络理论应用于物质成瘾的研究中将有利于:(1)理解症状之间的相互关系和影响; (2)理解症状网络的整体性和系统性动态变化过程; 以及(3)将多层次和多水平因素整合到统一的理论框架中。从网络理论视角来理解物质成瘾, 也将对未来的干预和治疗提供了理论支持。目前, 网络理论仍处于言语模型阶段, 未来需要进一步提出更具体、可验证的统计模型, 以完善对于物质成瘾机制的了解, 更加有效地推进物质成瘾的治疗与恢复。     

亲子间科技干扰与青少年网络人际关系成瘾：有调节的中介模型

对1353名高中生进行问卷调查,探究亲子间科技干扰与青少年网络人际关系成瘾之间的关系,相对剥夺感的中介作用及内在觉知的调节作用,结果表明：（1）亲子间科技干扰正向预测青少年网络人际关系成瘾;（2）相对剥夺感是亲子间科技干扰与网络人际关系成瘾之间的中介变量;（3）亲子间科技干扰与网络人际关系成瘾的间接效应前半段受到内在觉知的调节。因此,亲子间科技干扰和网络人际关系成瘾之间存在有调节的中介效应。     

青少年创伤后应激障碍症状与网络成瘾症状的关系：惩罚敏感性和孤独感的中介及性别的调节

汶川地震9.5年后,对汶川县和都江堰市767名中学生进行调查,考察惩罚敏感性和孤独感在创伤后应激障碍症状和网络成瘾症状之间的多重中介作用及性别差异。结果发现：（1）PTSD症状正向预测网络成瘾症状,并分别通过惩罚敏感性、孤独感的单独中介作用及两者的链式中介作用显著预测网络成瘾症状;（2）女性的PTSD症状显著正向预测网络成瘾症状,并分别通过惩罚敏感性和孤独感间接影响网络成瘾症状;男性的网络成瘾症状仅被PTSD症状正向预测。