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Using Multivariate Statistics

The self-medication hypothesis of addictive disorders derives primarily from clinical observations of patients with substance use disorders. Individuals discover that the specific actions or effects of each class of drugs relieve or change a range of painful affect states. Self-medication factors occur in a context of self-regulation vulnerabilities--primarily difficulties in regulating affects, self-esteem, relationships, and self-care. Persons with substance use disorders suffer in the extreme with their feelings, either being overwhelmed with painful affects or seeming not to feel their emotions at all. Substances of abuse help such individuals to relieve painful affects or to experience or control emotions when they are absent or confusing. Diagnostic studies provide evidence that variously supports and fails to support a self-medication hypothesis of addictive disorders. The cause-consequence controversy involving psychopathology and substance use/abuse is reviewed and critiqued. In contrast, clinical observations and empirical studies that focus on painful affects and subjective states of distress more consistently suggest that such states of suffering are important psychological determinants in using, becoming dependent upon, and relapsing to addictive substances. Subjective states of distress and suffering involved in motives to self-medicate with substances of abuse are considered with respect to nicotine dependence and to schizophrenia and posttraumatic stress disorder comorbid with a substance use disorder.

The Self-medication Hypothesis of Substance Use Disorders: A Reconsideration and Recent Applications

Statistical Analysis With Missing Data (2nd ed.) (Book)

refugee children, Watters’ book provides more generally significant insights into a wide array of issues relevant to contemporary refugees. Rather than concentrating on those who receive refugee status from host societies, Watters asserts “the focus of this book is not restricted to legal and administrative definitions of refugee children, but instead accords with what Zolberg has referred to as a ‘sociological’ definition ‘grounded in observable social realities’” (p. 2). In addition, Watters draws extensively from contemporary theorists of inequality, exclusion and domination—Michel Foucault, Aihwa Ong, Pierre Bourdieu, Homi Bhabha, Liisa Malkki among them—to create a refined appreciation of the ways that states and bureaucracies affect refugees’ understandings of themselves, their social position and their ability to act in their own interest. Refugee Children is based upon the analysis of refugees in several (mostly European) countries of settlement, including Germany, the Netherlands, Belgium, France and especially the U.K., which according to the author is regarded by many stateless persons as the most desirable point of settlement. In addition, the book examines populations originating from and travelling through multiple world regions. Drawing from his own research as well as his reviews of journalistic and academic literature, Watters gives readers numerous first-hand accounts of the settings, interactions and assistance programs that refugee youth encounter. The author carefully attends to the origins of refugees, considering their history, religion and cultural background. Based on this, he questions both the assimilationist approach to refugee resettlement that would compel recent arrivals into the acceptance of host society practices in order to facilitate access to jobs and health care, as well as multicultural models that see refugees as inextricably immersed in the cultural and religious patterns of their country of origin, and as such, fundamentally unlike persons native to the host society. Championing neither, he regards both as paternalistic and potentially limiting to refugee children’s ability to make choices based upon their own outlooks, goals and understandings. In a like manner, Watters assesses models of resettlement in terms of their allocation of resources. He critiques both tight-fisted programs that fail to provide minimal levels of support as well as therapeutic regimes that assume all forced migrants to be deeply wounded and as such, in immediate need of culturally alien and sometimes unwanted rehabilitation. Despite its impressive scholarship, Refugee Children: Towards the Next Horizon is not simply an exercise in academic analysis. Rather, it offers valuable information with many practical examples drawn from successful programs devoted to refugee youth. If there is one downside to this book, it is that the volume is so rich in theories, examples, case studies, suggestions for practice and evaluations of the political and ethical implications of various approaches to working with young refugees, that readers may become overwhelmed. Its scholarly exuberance notwithstanding, Refugee Children: Towards the Next Horizon is a thought-provoking and sophisticated resource for scholars and practitioners interested in the experience of forced migrants in general and refugee youth in particular. The book does an impressive job of filling the conceptual, contextual and theoretical gaps that have, until recently, limited the breadth and quality of research on forced migrants.

Imprisoning Communities: How Mass Incarceration Makes Disadvantaged Neighborhoods Worse

Two federal reports dating from 1999 and 2006 are by far the most widely cited sources for the prevalence of mental illness among persons in U.S. jails and prisons. To provide a broader picture of the issue, the author undertook a systematic review of 28 articles published between 1989 and 2013. Not only did the review confirm the high prevalence of mental illnesses among prisoners, it identified a litany of health problems associated with the incarceration of persons with mental illness and profound difficulties in finding housing and employment after release.

/pdf/prevalence-of-mental-illnesses-in-u-s-state-prisons-a-2m1kf88a5p.pdf

Prevalence of Mental Illnesses in U.S. State Prisons: A Systematic Review

https://fsu.digital.flvc.org/islandora/object/fsu%3A205317/datastream/PDF/view

Histories of childhood victimization and subsequent mental health problems, substance use, and sexual victimization for a sample of incarcerated women in the US.

In an effort to self-medicate psychological distress stemming from exposure to traumatic life events, at-risk youth may be likely to seek intoxication via substance use. Concomitantly, self-medication with psychoactive substances is theorized to confer risk of developing future psychiatric and substance use disorders. The present study employed structural equation modeling to examine self-medication among a sample of 723 youth in residential treatment for antisocial behavior via recursive and non-recursive relationships between trauma history, substance misuse, and psychological distress. Results supported study hypotheses that: (a) the effects of trauma history on psychological distress are partially mediated by substance misuse, and (b) exposure to traumatic life events drives a feedback loop between substance misuse and psychological distress. Findings from this large-scale survey of adolescents exhibiting behavioral dysfunction suggest that identification of self-medication processes among traumatized youth may be crucial for developing targeted prevention and treatment initiatives.

Self-medication among traumatized youth: structural equation modeling of pathways between trauma history, substance misuse, and psychological distress

/pdf/from-mass-incarceration-to-smart-decarceration-2ugkx652ld.pdf

From Mass Incarceration to Smart Decarceration

Naturally Occurring Social Support in Interventions for Former Prisoners with Substance Use Disorders: Conceptual Framework and Program Model

The work of parole officers who supervise sex offenders rarely comes to the public’s attention unless something goes wrong. Research suggests that those providing postrelease supervision of convicted sex offenders likely experience trauma as a result of their work and that little support is available to respond to their emotional needs. This manuscript explores parole officers’ and parole officer supervisors’ experiences of the symptoms of secondary trauma, defined as the emotional and cognitive experiences of hearing stories that recount one or more traumatic events. The qualitative study described here builds on existing literature by providing a detailed exploration, presented in their own words, of the experiences of specialist parole officers, about how they cope with the symptoms of secondary trauma, and about what they need to help them continue to do the job that the public and the politic want done well. Recognizing and understanding the symptoms of secondary trauma among supervising officers hav...

Carrie Pettus-Davis

Papers

Histories of childhood victimization and subsequent mental health problems, substance use, and sexual victimization for a sample of incarcerated women in the US.

Self-medication among traumatized youth: structural equation modeling of pathways between trauma history, substance misuse, and psychological distress

From Mass Incarceration to Smart Decarceration

Naturally Occurring Social Support in Interventions for Former Prisoners with Substance Use Disorders: Conceptual Framework and Program Model

Parole Officers’ Experiences of the Symptoms of Secondary Trauma in the Supervision of Sex Offenders