Rural HIV: Brief interventions for felony probationers

HIV/AIDS in Southern rural America has been described as an epidemic. Furthermore, the HIV prevalence rate among criminal justice populations is higher than the general population in both rural and urban areas. One segment of the criminal justice population, felony probationers, has not been targeted for HIV/AIDS interventions and little is known about rural HIV risk behaviors. Probation is an appropriate setting for examining HIV interventions because rural participants can be easily identified and contacted. Thus, the purpose of this paper is to describe an HIV intervention for Southern rural probationers and to profile participants (N=800) on their demographics and risk behaviors by degree of criminality. Results suggest that HIV interventions are needed to target rural probationers, especially those with extensive arrest histories since they engage in high-risk behaviors, including illicit substance use and unprotected sex. This project is supported by grant #R01DA11580 from the National Institute on Drug Abuse. The opinions expressed are those of the authors.     

40‐Hz Square‐Wave Stimulation Requires Less Energy to Produce Muscle Contraction: Compared with the TASER® X26 Conducted Energy Weapon

Conducted energy weapons (CEWs) (including the Advanced TASER^® X26 model produced by TASER International, Inc.) incapacitate individuals by causing muscle contractions. In this study using anesthetized swine, the potential incapacitating effect of primarily monophasic, 19‐Hz voltage imposed by the commercial CEW was compared with the effect of voltages imposed by a laboratory device that created 40‐Hz square waves. Forces of muscle contraction were measured with the use of strain gauges. Stimulation with 40‐Hz square waves required less pulse energy than stimulation with the commercial CEW to produce similar muscle contraction. The square‐pulse stimulation, at the higher repetition rate, caused a more complete tetanus at a lower energy. Use of such a simple shape of waveform may be used to make future nonlethal weapon devices more efficient.     

Examining Dose–Response Relationships Between Childhood Victimization,Depression, Symptoms of Psychosis,and Substance Misuse for Incarcerated Women

The current study uses the dose–response model to examine the relationships between childhood victimization events and subsequent depression, symptoms of psychosis, and substance misuse in a sample of 230 randomly selected incarcerated women in the United States. Results on the frequency of victimization were mixed. In this sample, both frequency of physical abuse and frequency of sexual abuse significantly predicted current symptoms of psychosis, but only frequency of physical abuse significantly predicted substance misuse. Incarcerated women who experienced multivictimization were 5.7 times as likely to report depression, 4.2 times as likely to report current symptoms of psychosis, and 3.8 times as likely to meet criteria for a substance use disorder. Results indicate that adjusting prison-based interventions to address multivictimization may improve outcomes and reduce recidivism among this population.     

Gender-Role Implications on Same-Sex Intimate Partner Abuse

This paper examines sociocultural factors that influence how same-sex intimate partner violence is viewed, studied, reported and treated, with a specific focus on the effects of gender-role socialization and heterosexism. Further it summarizes the similarities and differences experienced by heterosexual and same-sex couples in order to provide a framework for understanding the unique factors that must be considered when working with this population. It also explores how gender-role socializations and heterosexism create and enforce stigmas and obstacles for validation and reporting of this abuse. The exacerbation of same-sex partner abuse by the dominant and sexual minority culture is addressed and problems that exist within the legal system are highlighted. Issues created by the power dynamics of intersecting identities (race, socioeconomic status, age, disability, sexual orientation) and minority stress are discussed. Suggestions for supportive legislation and implications for helping professionals are provided.     

The Effects of Child Abuse and Exposure to Domestic Violence on Adolescent Internalizing and Externalizing Behavior Problems

This study examines the effects of child abuse and domestic violence exposure in childhood on adolescent internalizing and externalizing behaviors. Data for this analysis are from the Lehigh Longitudinal Study, a prospective study of 457 youth addressing outcomes of family violence and resilience in individuals and families. Results show that child abuse, domestic violence, and both in combination (i.e., dual exposure) increase a child’s risk for internalizing and externalizing outcomes in adolescence. When accounting for risk factors associated with additional stressors in the family and surrounding environment, only those children with dual exposure had an elevated risk of the tested outcomes compared to non-exposed youth. However, while there were some observable differences in the prediction of outcomes for children with dual exposure compared to those with single exposure (i.e., abuse only or exposure to domestic violence only), these difference were not statistically significant. Analyses showed that the effects of exposure for boys and girls are statistically comparable.     

Assessing Functional Impairment in ADHD: Concerns for Validity of Self-Report

Comprehensive diagnostic assessment of attention deficit hyperactivity disorder (ADHD) should include consideration of degree of impairment, and documentation of impairment is necessary to make service and accommodation determinations. While there has been increasing use of self-report as a way to document impairment, self-reported impairment could be just as vulnerable to invalid report as self-reported symptoms. We examined the influence of invalid self-report and invalid performance on report of functional impairment in a sample of 49 adults referred for evaluation for ADHD and/or learning disorder concerns. Overall, 26–59% of participants referred for evaluation endorsed at least moderate levels of impairment in the domains of understanding and communicating, household, and school/work. Individuals with evidence of invalid self-report of ADHD symptoms endorsed significantly higher levels of disability/impairment on the WHODAS, particularly in the domains of understanding and communicating, household, school/work, and participation in society. Further, individuals who failed a measure of performance validity reported significantly higher levels of impairment/disability, particularly in the domains of understanding and communicating, school/work, and participation in society. Results emphasize the need to assess for validity of self-report and performance in ADHD assessment. Since self-report of impairment may be suspect, clinicians should include data such as school records, past performance on high-stakes standardized testing, evidence of prior accommodations, and collateral reports before making diagnoses and/or recommendations regarding treatment or academic/workplace accommodations.     

Correspondences and Comparisons in International and Domestic Conflict Resolution

The eclectic field of conflict resolution is characterized by a constant interplay between practice and theory (to say nothing about varying interpretations of what practice and theory actually are or should be). The author raises a number of questions about how to develop and test theory; the significant role of context in theory generation; and a variety of themes or issues that can be explored to provide scholarly synthesis as well as guidance for the practitioner, in both domestic and international conflict situations.