This article provides a review of various types of literature on gender differences among substance abusers. The authors begin this literature review by summarizing the literature on the differing treatment needs of men and women. The authors continue with a review of the empirically based literature on gender differences in background characteristics of substance users. They conclude with a review of treatment outcome studies. This review provides a context for identifying the gaps in the literature and identifies a research agenda that will help improve treatment services for women in both community-based and prison settings.Knowledge about gender differences in pathways into addiction and crime have established that these differences are critical in delivering effective treatment to both women and men. One fifth of all persons arrested are women, and many women who commit crimes have substance use problems. In a random sample of women arrested for any crime, 65% tested positive for one or more of the following drugs: cocaine, opiates, marijuana, methamphetamines, or phencyclidine (PCP; National Institute of Justice, 2003). In an effort to address this issue, many women have been mandated into substance use treatment programs in both residential (including prison-based) and community-based settings.To design effective substance use treatment programs for women who enter through the criminal justice system, an understanding of the research 343 BERNADETTE PELISSIER, Federal Bureau of Prisons. NICOLE JONES, Federal Bureau of Prisons.We thank Barbara Owen, who contributed to an earlier version of this article and the anonymous reviewers who provided invaluable comments.
This study examined the psychometric properties of the revised Conflict Tactics Scale (CTS2) with one specialized population. A sample of 264 incarcerated women in a large, Midwest, maximum security correctional center reported on the conflict tactics they employed against their partner (self as aggressor) and their partner employed on them (self as victim). High chronicity and severity rates of partner violence were reported, and the psychometric properties of the CTS2 were altered. Exploratory factor analysis revealed a four-factor solution for both the Self as Victim and Self as Aggressor subscales. These factors were labeled Negotiation, Sexual Coercion, Injury, and General Assault, which combined the Physical Assault and Psychological Aggression subscales originally proposed by the instrument's developers. Implications for the general use of the CTS2 and for use with incarcerated women are discussed.
Methylphenidate (MPH) often ameliorates attention-deficit/hyperactivity disorder (ADHD) behavioral dysfunction according to indirect informant reports and rating scales. The standard of care behavioral MPH titration approach seldom includes direct neuropsychological or academic assessment data to determine treatment efficacy. Documenting "cool" executive-working memory (EWM) and "hot" self-regulation (SR) neuropsychological impairments could aid in differential diagnosis of ADHD subtypes and determining cognitive and academic MPH response. In this study, children aged 6 to 16 with ADHD inattentive type (IT; n = 19) and combined type (n = 33)/hyperactive-impulsive type (n = 4) (CT) participated in double-blind placebo-controlled MPH trials with baseline and randomized placebo, low MPH dose, and high MPH dose conditions. EWM/ SR measures and behavior ratings/classroom observations were rank ordered separately across conditions, with nonparametric randomization tests conducted to determine individual MPH response. Participants were subsequently grouped according to their level of cool EWM and hot SR circuit dysfunction. Robust cognitive and behavioral MPH response was achieved for children with significant baseline EWM/SR impairment, yet response was poor for those with adequate EWM/ SR baseline performance. Even for strong MPH responders, the best dose for neuropsychological functioning was typically lower than the best dose for behavior. Findings offer one possible explanation for why long-term academic MPH treatment gains in ADHD have not been realized. Implications for academic achievement and medication titration practices for children with behaviorally diagnosed ADHD will be discussed.
The purpose of this study was to assess the utility of social cognition and insight in the prediction of violence in a psychiatric inpatient sample. Violence history, demographic information, symptomatology, neuropsychological functioning, social cognition (i.e., attributional style), and insight were assessed in 29 inpatients with severe mental illness. Greater posttest violence was associated with greater pretest violence, less education, greater psychiatric distress, neuropsychological impairment, and hostile attributional and personalizing biases. Hierarchical multiple regression analyses showed that history of violence contributed the most variance to posttest violence. Hostile attributional and personalizing biases were also uniquely associated with posttest violence. Overall, this study supported the modest utility of attributional style measures in the prediction of inpatient violence. The predictive value of insight in this context appears limited.
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