Family First? The Costs and Benefits of Family Centrality for Adolescents with High-Conflict Families

Youth who do not identify with or value their families (i.e., low family centrality) are considered to be at risk for maladjustment. However, the current study investigated whether low family centrality may be adaptive in negative family contexts (i.e., high family conflict) because youth’s self-worth should be less tied to the quality of their family relationships. Multilevel models using daily diaries and latent variable interactions using longitudinal questionnaires indicated that, among a sample of 428 Mexican American adolescents (49.8% male, M _age?=?15.02 years), lower family centrality was generally detrimental to youth’s well-being. However, for youth in adverse family environments, low family centrality ceased to function as a risk factor. The present findings suggest that family centrality values play a more nuanced role in youth well-being than previously believed, such that low family centrality may be an adaptive response to significant family challenges.     

Family Obligation Values and Family Assistance Behaviors: Protective and Risk Factors for Mexican–American Adolescents’ Substance Use

Adolescent substance use is one of today’s most important social concerns, with Latino youth exhibiting the highest overall rates of substance use. Recognizing the particular importance of family connection and support for families from Mexican backgrounds, the current study seeks to examine how family obligation values and family assistance behaviors may be a source of protection or risk for substance use among Mexican–American adolescents. Three hundred and eighty-five adolescents (51 % female) from Mexican backgrounds completed a questionnaire and daily diary for 14 consecutive days. Results suggest that family obligation values are protective, relating to lower substance use, due, in part, to the links with less association with deviant peers and increased adolescent disclosure. In contrast, family assistance behaviors are a source of risk within high parent–child conflict homes, relating to higher levels of substance use. These findings suggest that cultural values are protective against substance use, but the translation of these values into behaviors can be a risk factor depending upon the relational context of the family.     

A very risky business. Medical professionals are demanding more effective AIDS protection for themselves.

Physicians, nurses and other health-care workers have always been willing to risk exposure to infectious diseases; it goes with the territory. But AIDS is in a grim category all by itself--a contagious illness that, so far, is almost always fatal. Today many health professionals no longer feel safe on the job--and they're demanding better protection for themselves.     

A case of Cotard's syndrome associated with self-starvation

Cotard's syndrome is a psychotic condition often associated with nihilistic delusions. This syndrome can be associated with destructive behaviors directed at the self and/or others. In this report we highlight the psychiatric-legal issues involving a case of Cotard's syndrome associated with self-starvation.     

The view from below: Cuban agriculture in the ‘special period in peacetime’

This article examines the changes taking place in Cuban agriculture at the local level as a result of the demise of the socialist trading bloc and Cuba's subsequent economic crisis. Based on fieldwork in three municipalities of Cuba, the authors describe new developments in each of the three main sectors of Cuban agriculture: state farms, production co‐operatives and individual peasant producers. They conclude that the dominant trend of this period is the tendency toward decentralisation of the state farm sector ‐ culminating in the historic September 1993 decision to form production co‐operatives on the state farms — counterpoised to renewed attempts to impose greater state control over peasant producers. Overall, they find a good deal of experimentation and heterogeneity in the actual implementation of state policy at the local level.