Psychiatric Morbidity Differences in Male and Female Adolescent Inpatients With Alcohol Use Disorders

Objective: To examine gender differences in demography, cooccurrence of Diagnostic Statistical Manual (third edition, revised; DSM-III-R) axis I disorders and axis II personality disorders, and self-reported psychological distress in adolescent psychiatric inpatients with alcohol use disorders. Method: A consecutive series of 61 adolescent inpatients (36 boys and 25 girls) with either alcohol abuse or dependence were reliably assessed with structured diagnostic interviews for DSM-III-R Axis I and Axis II personality disorders. Results: Boys and girls did not differ in age, ethnicity, socioeconomic status, global functioning, age at first psychiatric contact, or number of hospitalizations. Girls were more likely to meet criteria for oppositional defiant disorder, eating disorders, and additional drug use disorders. Girls were also more likely than boys to meet criteria for at least one personality disorder and borderline personality Contrary to gender patterns in the general population, the proportion of girls and boys with affective disorders and conduct disorders did not differ significantly. Conclusions: Relatively few gender differences were found in adolescent inpatient alcohol abusers even where they would be expected, based on non substance-abuse general population gender patterns. When observed, gender differences were in the direction of greater psychiatric disturbance among girls. Some of the gender patterns observed among alcohol abusing adolescents are at odds with gender differences observed in non substance-abuse samples.     

Local feminist policy networks in the contemporary American interest group system

The emergence of local feminist policy networks is set within the context of the New Federalism of the Reagan-Bush administrations and the transformation of the U.S. interest group system over the past three decades. A case study of policymaking in a single urban setting focuses on changes in four policy areas of special interest to women: sexual assault, domestic violence, child care, and displaced homemakers. Single-issue feminist policy networks, composed of feminist advocacy groups, women-run services, local elected officials, and urban bureaucrats responsible for delivering, funding or regulating each policy, have formed around these issues. Each is characterized by: responsive policy changes; frequent interactions between local legislators, bureaucrats, and feminists; interlocking directorates; a symbiotic support system; diverse strategies and funding sources; and a federal-type organization. Local feminists have been incorporated in a new group universe embedded within a complex system of intergovernmental grants, contracts, and mandates. These networks help to sustain feminism and its public policy agenda through crises and challenges.     

Public information campaigns as policy instruments

Considerable controversy surrounds public information campaigns: government-directed and sponsored efforts to communicate to large numbers of citizens in order to achieve a policy result, or what might be called government propaganda. We analyze the use of campaigns as policy instruments in three ways: (1) effectiveness in achieving substantive outcomes; (2) political benefits for public officials; and (3) consequences for democratic processes. Our review of 100 campaigns from these three perspectives reveals significant advantages and disadvantages of using campaigns in practice. We conclude that the advantages of public information campaigns justify their use as policy intruments when used appropriately and with care to mitigate the disadvantages.     

Patterns of childhood poverty: New challenges for policy

Poverty takes many forms. Using data from the U.S. Panel Study of Income Dynamics, this article (1) distinguishes different kinds of childhood poverty, defined in terms of the spacing, severity, and duration of spells; and (2) establishes the extent and distribution of childhood poverty, employing new measures that take into account both duration and severity. Some strategies for targeting assistance on particular forms of poverty are briefly considered.     

OUTCOMES OF FAMILY COUNSELING INTERVENTIONS WITH CHILDREN WHO RESIST VISITATION: AN ADDENDUM TO FRIEDLANDER AND WALTERS (2010)

Preliminary findings on the outcomes of family-focused counseling interventions for alienated and estranged children are presented based upon data from a longitudinal study of children in chronic custody disputes who were interviewed as young adults and from the clinical records of long-term therapy with these children who were resisting visitation.