DW Dance

The following key issues should be considered in determining which option is the most appropriate for given circumstances:

• How severe is the substance abuse problem and is there any evidence (e.g., suicide attempts) to suggest that there may be other problems (e.g., depression)?

• What are the credentials of the staff and what form(s) of therapy (e.g., family, group, medications) are to be used?

• How will the family be involved in the treatment and how long will it be from treatment entry to discharge? Is there a follow-up phase of treatment?

• How will the adolescent continue his/her education during the treatment?

• How much of the treatment will our insurance cover and how much will we need to pay “out of pocket?”

A key physiological component of alcohol dependence is what is referred to as neurological adaptation, or, more commonly, tolerance, whereby the brain adapts itself to the level of alcohol contained in the body and in the bloodstream. This process occurs over time as the drinker drinks more regularly while increasing intake in order to achieve the desired effect. In some cases, however, high levels of tolerance to alcohol is an inborn physical trait, independent of drinking history.

Taken from : The Gale Encyclopedia Of Psychology 2ND Edition - Bonnie Strickland

Heredity appears to play a major role in the contraction of this disorder, with recent discoveries of genes that influence vulnerability to alcoholism. Studies of adopted children who are genetically related to alcohol abusers but raised in families free of the condition suggest that environment plays a smaller role in alcoholism’s onset than heredity. Recent studies suggest that between 10 to 12 percent of the adult population of the United States suffers from some form of alcohol abuse or dependence.

Alcohol dependence and abuse typically appear in males and females at different ages. Males are more likely to begin heavy drinking as teenagers, while females are more likely to begin drinking in their mid-to-late twenties. In males, the disease is likely to progress rapidly;
debilitating symptoms in females can take years to develop. According to the U.S. Department of Health and Human Services, 14 percent of males aged 18 to 29 report symptoms of alcohol dependence, and 20 percent revealed that their drinking has brought about negative consequences in their lives.

Taken from : The Gale Encyclopedia Of Psychology 2ND Edition - Bonnie Strickland

Other psychologists categorize alcohol dependence and abuse into “species.” There are several species currently recognized by some in the medical community, including alpha, a minor, controllable dependence; beta, a dependence that has brought on physical complaints; epsilon, a dependence that occurs in sprees or binges;
gamma, a severe biological dependence; and delta, an advanced form of gamma where the drinker has great difficulty going 24 to 48 hours without getting drunk. It should be noted, however, that many psychologists dispute these particular subdivisions on the grounds that the original data behind their creation has been shown to be flawed.

Alcohol dependence and abuse in adolescents and persons under 30 years of age is often accompanied by abuse of other substances, including marijuana, cocaine, amphetamines, and nicotine, the primary drug in cigarettes. These conditions may also be accompanied by depression, but current thinking is unclear as to whether depression is a symptom or a cause of alcohol dependence and abuse.

Taken from : The Gale Encyclopedia Of Psychology 2ND Edition - Bonnie Strickland

The abuse of alcohol in any of its various forms, exhibited by repeated episodes of excessive drinking often to the point of physical illness during which increasing amounts of alcohol must be consumed to achieve the desired effects.

The American Psychiatric Association ranks alcohol dependence and abuse into three categories (what society normally thinks of as “alcoholics”): 1) individuals who consume alcohol regularly, usually daily, in large amounts 2) those who consume alcohol regularly and
heavily, but, unlike the first group, have the control to confine their excessive drinking to times when there are fewer social consequences, such as the weekend and 3) drinkers defined by the APA who endure long periods of sobriety before going on a binge of alcohol consumption. A binge can last a night, a weekend, a week, or longer. People in the latter two categories often resist seeking help because the control they exercise over their intake usually allows them to maintain a normal daily schedule and function well at work or at school aside from binges.

Taken from : The Gale Encyclopedia Of Psychology 2ND Edition - Bonnie Strickland

The development of this procedure has spawned an enormous body of literature examining the development of mother-child attachment, the role of attachments to other caregivers, and the correlates and consequences of secure and insecure attachments. Ainsworth’s work has not been without controversy. Attempts to replicate her link between response to early crying and later attachment have met with mixed success, and there is much debate about the origins of children’s reactions in the Strange Situation. Still, Mary Ainsworth has made a lasting contribution to the study of children’s affective growth and the role of supportive relationships in many aspects of development.
See also Bowlby, John Doreen Arcus

Further Reading
Ainsworth, M. Infancy in Uganda: Infant Care and the Growth of Love. Baltimore: Johns Hopkins University Press, 1967.
Ainsworth, M., M. C. Blehar, E. Waters, and S. Wall. Patterns of Attachment: A Psychological Study of the Strange Situation.
Hillsdale, NJ: Erlbaum, 1978. Karen, Robert. “Becoming Attached: What Experiences in Infancy Will Allow Children to Thrive Emotionally and to Come to Feel That the World of People Is a Positive Place?” Atlantic 265 (February 1990): 35+.

Taken from : The Gale Encyclopedia Of Psychology 2ND Edition - Bonnie Strickland

In this scenario, an observer takes a mother and child of about one year to an unfamiliar room containing toys. There are a series of separations and reunions. For example, mother and child are alone in the room for several minutes, the observer re-enters, remains, and after a few minutes, the mother leaves and returns after a few more minutes. Both observer and mother may comfort the distressed child.

Ainsworth found that key individual differences among children are revealed by the child’s reaction to the mother’s return. She categorized these responses into three major types: (A) Anxious/avoidant—the child may not be distressed at the mother’s departure and may avoid or turn away from her on return; (B) Securely attached— the child is distressed by mother’s departure
and easily soothed by her on her return; (C) Anxious/resistant— the child may stay extremely close to the mother during the first few minutes and become highly disdistressed at her departure, only to seek simultaneously comfort and distance from the mother on her return by such behaviors as crying and reaching to be held and then attempting to leave once picked up.

Taken from : The Gale Encyclopedia Of Psychology 2ND Edition - Bonnie Strickland

Based on her original observations in Uganda and subsequent studies in Baltimore, Ainsworth concluded that there are qualitatively distinct patterns of attachment that evolve between infants and their mothers over the opening years of life. Although a majority of these patterns are marked by comfort and security, some are tense
or conflicted, and Ainsworth found evidence suggesting that these relationships were related to the level of responsiveness that mothers showed toward their infants from the earliest months. In one study she found mothers who responded more quickly to their infants’ cries at three months were more likely to have developed secure attachments with their babies by one year.

How could the security of a relationship be measured? Ainsworth and her colleagues devised a system for assessing individual differences in infants’ reactions to a series of separations and reunions with their mothers. This method, the “Strange Situation,” has become one of the most widely used procedures in child development research.

Taken from : The Gale Encyclopedia Of Psychology 2ND Edition - Bonnie Strickland

In England Mary Ainsworth began work at the Tavistock Clinic on a research project investigating the effects of early maternal separation on children’s personality development. The project director, John Bowlby, had studied children’s reactions to separations during the
war years in England, and brought an evolutionary and ethological perspective to understanding the problems of attachment, separation, and loss. Her work with Bowlby brought Ainsworth’s earlier interest in security into the developmental realm, and she planned to conduct a longitudinal study of mother-infant interaction in a natural setting at her earliest opportunity.

That opportunity came when Ainsworth’s husband accepted a position in the East African Institute of Social Research in Kampala, Uganda. It was in Uganda that Mary Ainsworth studied mothers and infants in their natural environment, observing and recording as much as
possible, and analyzing and publishing the data years later after joining the faculty at Johns Hopkins University in Baltimore.

Taken from : The Gale Encyclopedia Of Psychology 2ND Edition - Bonnie Strickland

1913- American psychologist specializing in the study of infant attachment.

Mary D. Satler Ainsworth graduated from the University of Toronto in 1935 and earned her Ph.D. in psychology from that same institution in 1939. She is best known for her landmark work in assessing the security of infant attachment and linking attachment security to aspects of maternal caregiving.

Ainsworth began her career teaching at the University of Toronto before joining the Canadian Women’s Army Corp in 1942 during World War II. After a brief period of post-war government service as the superintendent of Women’s Rehabilitation in the Canadian Department
of Veteran’s Affairs, Ainsworth returned to Toronto to teach personality psychology and conduct research in the assessment of security. She married Leonard Ainsworth in 1950. Since he was a graduate student in the same department in which she held a faculty appointment,the couple decided to move to London where he could finish his degree at University College.

Taken from : The Gale Encyclopedia Of Psychology 2ND Edition - Bonnie Strickland

According to the National Institute of Mental Health, depression
among the elderly range from 10 to 65 percent. Suicide rates among the elderly have been increasing at alarming rates. A study conducted by the federal government found that between 1980 and 1986, suicides by persons aged 65 and older increased 23 percent among white men, 42 percent among black men, and 17 percent among white
women. The highest suicide rates are for white men over age 85. The elderly comprise about 13 percent of the nation’s population (one in eight Americans) and account for about 20 percent of all suicides.

With the increase in the aging population, more focus is being placed on geriatric mental health issues, including disabilities since more than half the population has at least one, chronic health problems, living alone or in assisted housing, depression, loss, pain, Alzheimer’s
and dementia, among others. The nation’s 78 million American baby boomers are expected to crave more vitality and longer life, which could contribute to a healthier version of aging.

Further Reading
Cadoff, Jennifer. “Feel Your Best at Every Age.” McCall’s (February 1994): 128.
Kahn, Ada, and Jan Fawcett, eds. The Encyclopedia of Mental Health. New York: Facts on File, 1993.
Schrof, Joannie M. “Brain Power.” U.S. News and World Report (28 November 1994): 88+. White, Kristin. “How the Mind Ages: Aging: Getting It Right.” Psychology Today (November/December 1993): 38+.

Taken from : The Gale Encyclopedia Of Psychology 2ND Edition - Bonnie Strickland