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The American drug panic of the 1980s: social construction or objective threat?

Two perspectives have dominated the study of social problems: the objectivist and the constructionist. The objectivist approach defines social problems by the concrete, scientifically-measurable damage conditions cause, or the objective dangers they pose, to human life. The constructionist approach defines social problems by the public concern that conditions or issues generate. Constructionists often exaggerate the discrepancies that exist between the objective and the subjective dimensions--that is, for specific conditions, they argue that objectively damaging conditions may generate little or no concern, or that public concern erupts over a condition that may be stable or actually declining in objective seriousness. The American drug crisis or panic of the 1980s is used as a specific issue or condition to illuminate the viability of these two approaches. Some constructionists have minimized the objective harm caused or threat posed by drug misuse during this period, and argue that it actually diminished during the course of the 1980s, while public concern erupted. Using concrete indicators, I show that, although public concern did indeed increase dramatically, in fact, key indicators point to a concomitant increase in drug misuse during this decade, even though use indicators are actually down. While not minimizing the importance of the construction of social problems, I suggest that something of a synthesis of the objective and the subjective approaches may be necessary to understanding social problems.

Cross-Sectional Studies↗

Alcohol-related social consequences in Castille and Leon, Spain.

BACKGROUND: The purpose of this study was to examine the prevalence of alcohol-related social problems, as well as to assess the relationship between alcohol-related social problems and patterns of alcohol consumption in the general population during the year 2004. METHODS: A total of 2,500 individuals, age range from 14 to 70 years, in Castille and Leon, Spain, were surveyed in 2004 for their patterns of alcohol consumption and alcohol-related social consequences during the previous year. RESULTS: Participants who admitted to having had some kind of social problem related to the consumption of alcohol in the previous year were 6.5%, with a mean of 2.4 alcohol-related social problems. The most frequent problems cited were "argument, discussion, or serious conflict without physical aggression" (3%). CONCLUSIONS: The present study shows that the reporting of alcohol-related social problems was quite frequent and that having alcohol-related social problems was related to drunkenness episodes in the previous year, having 5 or more drinks on a single occasion in the previous year, and alcohol intake.

Absenteeism↗

Relation between sexual abuse in childhood and adult depression: case-control study.

OBJECTIVE: To examine the association between sexual abuse in childhood and adult depression in women. DESIGN: Two stage, case detection and case identification design, using the 30-item general health questionnaire and the Beck depression inventory for screening and the affective items relating to current functioning on the schizophrenia and affective disorders schedule to identify depressed cases. Details of sexual abuse in childhood were elicited retrospectively by semistructured interview, and social problems by the social problems questionnaire. SETTING: Three general practices, in middle class suburban, deprived inner city, and rural areas. SUBJECTS: 1189 women were screened and 237 subsequently interviewed; 132 were depressed. RESULTS: 49 (37%) of the depressed interviews and 24 (23%) of the non-depressed interviews reported experience of sexual abuse when they were aged under 16 years. A positive association existed between the more severe abuse and depression--all those who had experienced penetration were depressed as adults. A relation was also found between sexual abuse in childhood and sexual problems, housing problems, and problems with their children at school. CONCLUSION: A positive association between child sexual abuse and depression was confirmed, but this was confined to more severe abuse (penetration or attempted penetration).

Adolescent↗

Social psychology a century ago.

America's dual interest in social welfare and practical science fueled the emergence of social psychology in the late 19th century. By that century's end, psychologists had presented diverse and sometimes contesting models of social psychology. These varied conceptualizations, however, were challenged by the discipline's growing dedication to the scientific method and experimentation, as well as the profession's need to produce knowledge that could be readily used to address current social problems and regulate social institutions. An appreciation of this late-19th-century moment of intellectual generativity and constraint affords an opportunity to reflect on the potentials and constraints of social psychology at the end of the 20th century.

History, 19th Century↗

Social problem-solving telephone partnerships with family caregivers of persons with stroke.

As individuals with significant functional deficits are discharged earlier from the hospital, health care professionals are challenged to develop cost-effective intervention programmes that will assist family members to manage caregiving problems in the home. The literature suggests that social problem-solving can positively influence the physical and psychological well-being of individuals. This paper describes a social problem-solving training procedure provided primarily by telephone to assist family caregivers to manage caregiving issues in the home.

Aged↗

A comparison of children with and without learning disabilities on social problem-solving skill, school behavior, and family background.

The study compared 86 children with learning disabilities (LD) with 86 matched children without learning disabilities (NLD) on three domains of variables: social problem-solving skill, teacher-rated school behavior and competence, and family background. The children with LD and the NLD group differed on variables in all three domains. More specifically, the children with LD were able to generate fewer alternatives for solving social problem situations, showed less tolerance for frustration and less adaptive assertiveness, and had more overall classroom behavior problems and less personal and social competence in a variety of areas as rated by teachers. Children having LD also showed more family background difficulties (e.g., lack of educational stimulation at home, economic difficulties). The findings suggest the need for greater attention to social and behavioral remediation for children with LD and greater involvement of their families, in addition to the cognitive and academic remediation emphasized in existing curricula for children with LD.

Child↗

Social problem-solving skills of children with traumatic brain injury.

Studies of specific social skill deficits in adults with traumatic brain injury (TBI) have begun to appear [1,2], but there are few empirical studies of children with TBI. This study examined social problem-solving skills in boys and girls with TBI and a matched group of non-injured peers, ages 7-13. The TBI group generated fewer total solutions on a social problem-solving measure, largely reflecting situation-specific differences in generated solutions. The TBI group also generated fewer positive assertive, and more indirect responses to peer group entry situations than the comparison group. Implications are discussed for a model of social information processing in paediatric brain injury.

Adolescent↗

[Psychosomatic-psychotherapeutic rehabilitation of social medicine problem patients--an exploratory study of findings, follow-up and treatment outcome].

The group of social-medical problem patients was defined as comprising those patients who are admitted during an on-going invalidity pension award procedure or who are drawing a fixed-term pension, patients who have declared their intention to apply for pension award and/or have been on sick leave for an uninterrupted 6 months at the time of admission. In light of this definition, some 25-30% of the patients referred to us would be considered social-medical problem patients. The main focus of the present study had been to identify the subgroup of patients who might be expected to profit from psychosomatic rehabilitation notwithstanding their social-medical problems. Improvement in physical symptoms was achieved in 34% of the patients, and in 43% relative to the psychological symptoms present. The group of patients showing the greatest measure of improvement can be described by the following prognostically favourable factors: incapacity for work at the time of admission but no application for pension award made or planned; lower average age, higher motivation on admission, and lower severity of the social-medical problems, no denial of psychosocial factors, and willingness to join group psychotherapy. Prognostically unfavourable factors were found to be a fixed-term pension already awarded, along with repeated participation in rehabilitation measures on purely somatic grounds, and a higher age. Pertinent literature is reviewed in light of these findings, underscoring the significance of the time factor in chronification of neurotic disorders of the capacity for work and gainful activity. Consequently, these patients should as speedily as possible undergo efficient psychosomatic diagnosis and be referred for inpatient psychosomatic rehabilitation.

Adult↗

Social problem-solving abilities and personality disorder characteristics among dual-diagnosed persons in substance abuse treatment.

We examined the relation of self-appraised social problem-solving abilities and personality-disorder characteristics to the adjustment and compliance of persons with dual diagnoses in substance-abuse treatment. It was hypothesized that elements of the problem-orientation component would remain predictive of depressive behavior and distress after considering personality-disorder characteristics among 117 persons receiving inpatient-substance-abuse treatment. Furthermore, self-appraised problem-solving abilities were expected to predict the occurrence of "dirty" drug and alcohol screens during treatment and compliance with the first scheduled community follow-up visit. Results supported predictions concerning the relation of problem-solving confidence to depressive behavior, distress, and substance-use screens; however, a paradoxical relation was observed between the problem-orientation variables and compliance with the first outpatient visit. The results are interpreted within the context of contemporary models of social problem solving and the implications for cognitive-behavioral assessment and intervention are considered.

Adult↗

[Psychosocial problems in the elderly in Rotterdam and point of departure for prevention].

The aim of this study is to examine the prevalence of psycho-social problems among the elderly in order to plan prevention-programs. A questionnaire was sent in 1990 to a sample of 1989 inhabitants of the city of Rotterdam aged 65-79 years living on their own, drawn at random from the municipal registrar's office (response 58%). The results show that one third of the respondents experiences psycho-social problems. Groups at risk are: women, men who live alone, those with a low socio-economic status, people who live on their own but receive limited support from institutions. These socio-demographic variables explain only 5% of the variance in psycho-social well-being. Risk-indicators for psycho-social problems are problems in the performance of activities of daily living (ADL) and household-activities (HHA) as well as decreased social support. The relationship between satisfaction with living environment and psycho-social problems is affected by these risk-indicators. Elderly experiencing only psycho-social problems and those experiencing only ADL/HHA-problems visited their general practitioner during the last three months just frequently. Elderly experiencing both psycho-social and ADL/HHA-problems most frequently visited their GP. More elderly in Rotterdam compared to elderly in some other Dutch cities and to normscores seem to have psycho-social problems.

Activities of Daily Living↗

[Analysis of the management of patients aged 75 and older in an admitting and emergency service of a large hospital].

A prospective survey carried out over two periods (35 days total) presented a typology of people aged 75 and older entering the admitting and emergency unit of a university hospital center, and underlined the specifics of the care they received. These patients represent 27.8% of patients received in the unit. The women (60.9%) live preferentially alone at home or in group establishment. The majority of admissions are the result of a referral from the patients' doctors. Tuesday remains the busiest day for admissions (19.7% of total admissions). 10.9% of patients arrive alone and without health records. The specialist is solicited for 41.3% of older people. Their autonomy level (measured with the AGGI R grid) is evaluated during the emergency visit. An analysis of pathological profiles shows a preponderance of acute problems with risk of degenerative problems (54.9%). Social problems (8.2% of patients) particularly affect the group with multiple pathologies. The choice of placement is more often in specialty services (61.3%) than geriatric services (18.7%). A return to ones previous home is more rarely re-envisaged. The placement obtained corresponds to the desired placement in 68% of cases. Lack of beds is the main cause in cases where the desired placement is not achieved. While the care of older people admitted for "specialised" reasons poses little problem many pathologies including "social" issues, and are admitted for "general" reasons) is a very different issue.

Academic Medical Centers↗

The relation between stressful life events and adjustment in elementary school children: the role of social support and social problem-solving skills.

This study investigated the relation between stressful life events and adjustment in elementary school children, with particular emphasis on the potential main and stress-buffering effects of social support and social problem-solving skills. Third through fifth graders (N = 361) completed social support and social problem-solving measures. Their parents provided ratings of stress in the child's environment and ratings of the child's behavioral adjustment. Teachers provided ratings of the children's behavioral and academic adjustment. Hierarchical multiple regressions revealed significant stress-buffering effects for social support and problem-solving skills on teacher-rated behavior problems, that is, higher levels of social support and problem-solving skills moderated the relation between stressful life events and behavior problems. A similar stress-buffering effect was found for problem-solving skills on grade-point average and parent-rated behavior problems. In terms of children's competent behaviors, analyses supported a main effect model of social support and problem-solving. Possible processes accounting for the main and stress-buffering effects are discussed.

Achievement↗

Effect of differentiation of self on adolescent risk behavior: test of the theoretical model.

BACKGROUND: Innovative theoretical models are needed to explain the occurrence of high-risk sexual behaviors, alcohol and other-drug (AOD) use, and academic engagement among ethnically diverse, inner-city adolescents. OBJECTIVE: The aim of this study was to test the credibility of a theoretical model based on the Bowen family systems theory to explain adolescent risk behavior. Specifically tested was the relationship between the predictor variables of differentiation of self, chronic anxiety, and social problem solving and the dependent variables of high-risk sexual behaviors, AOD use, and academic engagement. METHODS: An ex post facto cross-sectional design was used to test the usefulness of the theoretical model. Data were collected from 161 racially/ethnically diverse, inner-city high school students, 14 to 19 years of age. Participants completed self-report written questionnaires, including the Differentiation of Self Inventory, State-Trait Anxiety Inventory, Social Problem Solving for Adolescents, Drug Involvement Scale for Adolescents, and the Sexual Behavior Questionnaire. RESULTS: Consistent with the model, higher levels of differentiation of self related to lower levels of chronic anxiety (p < .001) and higher levels of social problem solving (p < .01). Higher chronic anxiety was related to lower social problem solving (p < .001). A test of mediation showed that chronic anxiety mediates the relationship between differentiation of self and social problem solving (p < .001), indicating that differentiation influences social problem solving through chronic anxiety. Higher levels of social problem solving were related to less drug use (p < .05), less high-risk sexual behaviors (p < .01), and an increase in academic engagement (p < .01). CONCLUSIONS: Findings support the theoretical model's credibility and provide evidence that differentiation of self is an important cognitive factor that enables adolescents to manage chronic anxiety and motivates them to use effective problem solving, resulting in less involvement in health-comprising behaviors and increased academic engagement.

Adolescent↗

Children's asthma, internalizing problems, and social functioning: an urban perspective.

PROBLEM: Asthma may serve as a risk factor for higher levels of psychosocial problems in urban school-aged children. METHOD: Interview data were collected from 48 children (27 with asthma and 21 without asthma) and their mothers. FINDINGS: Asthma did not function as a risk factor for psychosocial problems in this sample. Children with more symptoms of depression and anxiety experienced poorer social functioning, regardless of their health status. CONCLUSION: These results highlight the importance of examining co-occurring difficulties in psychosocial development among urban children in order to design interventions that minimize the impact of such challenges.

Anxiety↗