Emotion and Adaptation

In the past few years several major reports highlighted the gap between our knowledge of effective treatments and services currently being received by consumers. These reports agree that we know much about interventions that are effective but make little use of them to help achieve important behavioral health outcomes for children families and adults nationally. This theme is repeated in reports by the Surgeon General (United States Department of Health and Human Services 1999; 2001) the National Institute of Mental Health [NIMH] National Advisory Mental Health Council Workgroup on Child and Adolescent Mental Health Intervention Development and Deployment (2001) Bernfeld Farrington & Leschied (2001) Institute of Medicine (2001) and the Presidents New Freedom Commission on Mental Health (2003). The authors call for applied research to better understand service delivery processes and contextual factors to improve the efficiency and effectiveness of program implementation at local state and national levels. Our understanding of how to develop and evaluate evidence-based intervention programs has been furthered by on-going efforts to research and refine programs and practices to define "evidence bases" and to designate and catalogue "evidence-based programs or practices". However the factors involved in successful implementation of these programs are not as well understood. Current views of implementation are based on the scholarly foundations prepared by Pressman & Wildavskys (1973) study of policy implementation Havelock & Havelocks (1973) classic curriculum for training change agents and Rogers (1983; 1995) series of analyses of factors influencing decisions to choose a given innovation. These foundations were tested and further informed by the experience base generated by pioneering attempts to implement Fairweather Lodges and National Follow-Through education models among others. Petersilia (1990) concluded that "The ideas embodied in innovative social programs are not self-executing." Instead what is needed is an "implementation perspective on innovation--an approach that views postadoption events as crucial and focuses on the actions of those who convert it into practice as the key to success or failure". (excerpt)

Implementation research: a synthesis of the literature.

The measurement of meaning

The authors conducted a meta-analysis of 150 studies in which the risk-taking tendencies of male and female participants were compared. Studies were coded with respect to type of task (e.g., self-reported behaviors vs. observed behaviors), task content (e.g., smoking vs. sex), and 5 age levels. Results showed that the average effects for 14 out of 16 types of risk taking were significantly larger than 0 (indicating greater risk taking in male participants) and that nearly half of the effects were greater than .20. However, certain topics (e.g., intellectual risk taking and physical skills) produced larger gender differences than others (e.g., smoking). In addition, the authors found that (a) there were significant shifts in the size of the gender gap between successive age levels, and (b) the gender gap seems to be growing smaller over time. The discussion focuses on the meaning of the results for theories of risk taking and the need for additional studies to clarify age trends.

Gender differences in risk taking: A meta-analysis.

Adolescent resilience research differs from risk research by focusing on the assets and resources that enable some adolescents to overcome the negative effects of risk exposure. We discuss three models of resilience-the compensatory, protective, and challenge models-and describe how resilience differs from related concepts. We describe issues and limitations related to resilience and provide an overview of recent resilience research related to adolescent substance use, violent behavior, and sexual risk behavior. We then discuss implications that resilience research has for intervention and describe some resilience-based interventions.

/pdf/adolescent-resilience-a-framework-for-understanding-healthy-tmidvkxoxc.pdf

ADOLESCENT RESILIENCE: A Framework for Understanding Healthy Development in the Face of Risk

A theory of cultural identification is presented indicating that identification with different cultures is orthogonal. Instead of cultures being placed at opposite ends of a continuum, cultural identification dimensions are independent of each other, and increasing identification with one culture does not require decreasing identification with another. Studies of Native-American and Mexican-American youth show that: (1) identification with Anglo (White American) culture is related to having Anglo friends and to family acceptance of an Anglo marriage, (2) identification with either the minority or the majority culture is a source of personal and social strength, and (3) this greater strength, however, does not translate automatically into less drug use, because drug use is related to how much the culture that the person identifies with approves or disapproves of drugs. [Translations are provided. See the International Abstracts at the end of the issue.]

Orthogonal Cultural Identification Theory: The Cultural Identification of Minority Adolescents

A cluster analysis of responses from more than 1500 college students to 53 potentially angering driving-related situations yielded a 33-item driving anger scale (alpha reliability = .90) with six reliable subscales involving hostile gestures, illegal driving, police presence, slow driving, discourtesy, and traffic obstructions. Subscales all correlated positively, suggesting a general dimension of driving anger as well as anger related to specific driving-related situations. Men were more angered by police presence and slow driving whereas women were more angered by illegal behavior and traffic obstructions, but differences compensated so there were no gender differences on total score. A 14-item short form (alpha reliability = .80) was developed from scores more highly correlated (r = .95) with scores on the long form. Driving anger may have potential value for research on accident prevention and health psychology.

Development of a driving anger scale

Communities are at many different stages of readiness for implementing programs, and this readiness is to be a major factor in determining whether a local program can be effectively implemented and supported by the community. The Community Readiness Model was developed to meet research needs, (e.g., matching treatment and control communities for an experimental intervention) as well as to provide a practical tool to help communities mobile for change. The model defines nine stages of community readiness ranging from “no awareness” of the problem to “professionalization” in the response to the problem within the community. Assessment of the stage of readiness is accomplished using key informant interviews, with questions on six different dimensions related to a community's readiness to mobilize to address a specific issue. Based on experiences in working directly with communities, strategies for successful effort implementation have been developed for each stage of readiness. Once a community has achieved a stage of readiness where local efforts can be initiated, community teams can be trained in use of the community readiness model. These teams can then develop specific, culturally appropriate efforts that use local resources to guide the community to more advanced levels of readiness, eventually leading to long-term sustainability of local community efforts. This article presents the history of the development of the model, the stages of readiness, dimensions used to assess readiness, how readiness is assessed and strategies for change at each level of readiness. © 2000 John Wiley & Sons, Inc.

Community readiness: Research to practice

The fundamental theorem of primary socialization theory is that normative and deviant behaviors are learned social behaviors, products of the interaction of social, psychological, and cultural characteristics, and that norms for social behaviors, including drug use, are learned predominantly in the context of interactions with the primary socialization sources. During adolescence, learning of social behaviors is frequently dominated by interactions with peer clusters. There are a number of additional postulates: 1) The strength of the bonds between the youth and the primary socialization sources is a major factor in determining how effectively norms are transmitted. 2) Any socialization link can transmit deviant norms, but healthy family and school systems are more likely to transmit prosocial norms. 3) Peer clusters can transmit either prosocial or deviant norms, but the major source of deviant norms is usually peer clusters. 4) Weak family/child and/ or school/child bonds increase the chances that the youth will bond with a deviant peer cluster and will engage in deviant behaviors. 5) Weak peer bonds can also ultimately increase the changes of bonding with deviant peers. Primary socialization theory is consistent with current research, has strong implications for improving prevention and treatment, and suggests specific hypotheses for further research.

Primary Socialization Theory: The Etiology of Drug Use and Deviance. I

Adolescent drug use increased until about 1981, but since then it has steadily declined. Current data show some drug use in the 4th and 5th grades and considerable increases from the 6th to the 9th grades. For drugs such as marijuana, cocaine, and stimulants, lifetime prevalence continues to increase through high school; for drugs such as inhalants and heroin, lifetime prevalence may decline for Grades 10, 11, and 12, suggesting that students who use these drugs early may drop out. Drug use of rural youth is similar to that of other youth. Barrio, ghetto, and Native-American reservation youth may have high rates of use, but use of Black and Hispanic seniors may be equivalent to or less than that of White seniors. National data and broadly defined ethnic data, however, may cover up important subgroup differences. For example, Western Mexican-American girls have lower use than Western Spanish-American girls, possibly because of the greater influence of "marianisma." Different locations may also have very different patterns of adolescent drug use, calling for different types of local intervention.

Eugene R. Oetting

Papers

Orthogonal Cultural Identification Theory: The Cultural Identification of Minority Adolescents

Development of a driving anger scale

Community readiness: Research to practice

Primary Socialization Theory: The Etiology of Drug Use and Deviance. I

Adolescent drug use: findings of national and local surveys.