How Does Social Class Affect Drug Abuse?

Dear Stanton

Where can I find information about drug use and social stratification? More specifically, where can I find information on what types of drugs are used within specific social classes?

Belinda Dodge


Dear Belinda:

addiction-articles-117-healthyplaceOne of the most common myths is that drug abuse and alcoholism are "equal opportunity" destroyers. This is not true. Sometimes, in making this claim, the claimant points to overall prevalence figures, which often show that white, middle-class people use drugs as frequently—or more so—than lower socioeconomic status groups and minorities.

But these data always end up showing more unhealthy usage patterns among lower SES groups. Perhaps the best illustration of this pattern is drinking. Higher SES groups both drink more often—and drink more often without problems. Put alternately, lower SES groups have fewer drinkers, but a higher percentage of this smaller number drinks problematically.

Nonetheless, popular claims that the middle class is more endangered by drugs than lower SES groups remain prominent. And yet it is obvious how silly this claim is. Is it more common in the suburbs or inner cities to find drug assassinations and violence, children abused by drug users, people incapacitated by drugs and alcohol, and so on? The logic often used to undercut these truisms is that people with greater resources are simply better able to hide their dysfunctional drug use. But if addiction is characterized by loss of control of drug use, is this statement not self-contradicting?

There are certain exceptions to the trend towards greater addiction/substance abuse problems in less privileged groups. These are areas of special concern to middle class people—or the better access of the middle class to the objects of the addiction. Thus, middle class people are more likely to have bulimia or exercise addictions, because these reflect particularly middle-class concerns. Likewise, middle-class people will more likely be addicted to antidepressants and tranquilizers, since prescription drugs are more in the province of employed, insured people.

However, the simple equation that greater resources — more drug use is self-evidently disproven by the most widely abused drug—cigarettes. I remember speaking at a prominent Canadian animal research center (Concordia University, where Roy Wise works). I asked the assembled whether middle class or lower class people are more likely to smoke. Several researchers actually claimed that smoking was more prevalent among those better-off economically. This is in fact incorrect; there is an inverse correlation between social class and smoking. Although people better-off economically could more readily afford cigarettes, they are prevented from smoking by greater health consciousness and enabled to avoid cigarette addiction by better control of their environments and the availability for them of more alternatives.

Best,
Stanton

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APA Reference
Staff, H. (2008, December 29). How Does Social Class Affect Drug Abuse?, HealthyPlace. Retrieved on 2024, October 9 from https://www.healthyplace.com/addictions/articles/how-does-social-class-affect-drug-abuse

Last Updated: June 27, 2016

Internet Addiction: Personality Traits Associated with Its Development

by Dr. Kimberly S. Young and Robert C. Rodgers
University of Pittsburgh at Bradford

Paper presented at the 69th annual meeting of the Eastern Psychological Association in April 1998.

ABSTRACT

This study investigated personality traits of those considered dependent users of the Internet utilizing the 16PF. Results showed that 259 cases of Dependents were classified based upon modified DSM-IV criteria for Pathological Gambling. Dependents ranked high in terms of self-reliance, emotional sensitivity and reactivity, vigilance, low self-disclosure, and non-conformist characteristics. This preliminary analysis discusses how such traits may act as triggers of addiction in order to fulfill an unmet psychological need through on-line stimulation.

INTRODUCTION

The Internet has been touted as a revolutionary technology among politicians, academicians, and businessmen. However, among a small but growing body of research, the term addiction has extended into the psychiatric lexicon that identifies problematic Internet use associated with significant social, psychological, and occupational impairment (Brenner, 1996; Egger, 1996; Griffiths, 1997; Morahan-Martin, 1997; Thompson, 1996; Scherer, 1997; Young, 1996a, Young, 1996b, Young 1997). Because the Internet is a highly promoted tool, detection and diagnosis of addiction is often difficult. Therefore, it is essential that the skilled clinician understand the characteristics which differentiate normal from pathological Internet use (PIU). Proper diagnosis is often complicated by the fact that there is currently no accepted set of criteria for addiction much less Internet addiction listed in the Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV; American Psychiatric Association, 1995). Of all the diagnoses referenced in the DSM-IV, Pathological Gambling was viewed as most akin to the pathological nature of Internet use (Brenner, 1996; Young, 1996a). By using Pathological Gambling as a model, Young (1996a) defined PIU as an impulse-control disorder which does not involve an intoxicant. This research developed an eight-item questionnaire to use as a screening instrument for PIU which modified criteria for pathological gambling (see Appendix 1).

Participants in off-line and on-line surveys were considered "addicted" when answering "yes" to five (or more) of the questions and when their behavior could not be better accounted for by a Manic Episode. Young (1996a) stated that the cut off score of "five" was consistent with the number of criteria used for Pathological Gambling and was seen as an adequate number of criteria to differentiate normal from pathological addictive Internet use. It should be noted that while this scale provides a workable measure of Internet addiction, further study is needed to determine its construct validity and clinical utility. It should also note that a patient's denial of addictive use is likely to be reinforced due to the encouraged practice of utilizing the Internet for academic or employment related tasks (Young, 1997b). Therefore, even if a patient meets all eight criteria, these symptoms can easily be masked as "I need this as part of my job," "Its just a machine," or "Everyone is using it" due to the Internet's prominent role in our society.

Subsequent research on PIU which used on-line survey methods showed that self proclaimed "addicted" users often looked forward their next net session, felt nervous when off-line, lied about their on-line use, easily lost track of time, and felt the Internet caused problems in their jobs, finances, and socially (e.g., Brenner, 1996; Egger, 1996; Thompson, 1996). Two campus-wide surveys conducted at the University of Texas at Austin (Scherer, 1997) and Bryant College (Morahan-Martin, 1997) have further documented that pathological Internet use is problematic for academic performance and relationship functioning. Treatment centers have even initiated Computer/Internet Addiction Recovery Services such as at McLean Hospital in Belmont, Massachusetts.

Despite the increased awareness that PIU is a legitimate concern, little has been researched about the characteristics linked to "at risk" populations causing such a dependence upon the Internet (Loytsker & Aiello, 1997). These authors utilized a multiregression analysis and found that higher levels of boredom proneness, loneliness, social anxiety and private self consciousness all predict Internet addition as it was operationalized in their research. This present study attempted to expand this work to assess personality traits associated with incidence of PIU by utilizing the Sixteen Personality Factor Inventory (16PF). This investigation hopes to yield a further understanding of the personality dynamics associated with the development of PIU.

METHODS

PARTICIPANTS

Participants were volunteers who responded to: (a) nationally and internationally dispersed newspaper advertisements, (b) flyers posted among local college campuses, (c) postings on electronic support groups geared towards Internet addiction for electronic respondents (e.g., the Internet Addiction Support Group, the Webaholics Support Group), and (d) those who searched for the keywords "Internet" or "addiction" on popular Web search engines (e.g., Yahoo).




MEASUREMENTS

An exploratory survey consisting of both open-ended and closed-ended questions was constructed for this study that could be administered by electronic collection. The survey initially administered the Young's (1996a) eight-item questionnaire to classify subjects as addicted (Dependents) or non-addicted Internet users (Non-Dependents). As part of a larger study, respondents were administered the Sixteen Personality Factor Inventory (16PF). Finally, demographic information about the respondent such as gender, age, the number of years of education, and vocational background (classified as none, blue-collar, non-tech white collar, high-tech white collar) was also gathered.

PROCEDURES

The survey electronically existed as a World-Wide Web (WWW) page implemented on a UNIX-based server which captured the answers into a text file. The WWW location of the survey was submitted to several popular search engines and newgroups available to assist on-line users in finding Web pages of interest. On-line users entering keyword searches using "Internet" or "addiction" would find the  survey and have the option to follow the link to the survey in order to fill it out. Answers to the survey were sent in a text file directly to the principal investigator's electronic mailbox for analysis. Respondents who answered "yes" to five or more of the questions were deemed Dependent. All valid profiles, regardless of their score completed the entire on-line survey. The data from both sets of respondents were kept for future research which will compare responses from both groups. The qualitative data gathered were then subjected to content analysis to identify the range of characteristics, behaviors and attitudes found.

RESULTS

A total of 312 surveys were collected with 259 valid geographically dispersed profiles from Dependents. The sample included 130 males with a mean age of 31; and 129 females with a mean age of 33. Educational background was classified as 30% high school degree or less, 38% obtained an Associates or Bachelors degree, 10% obtained a masters degree or doctorate, and 22% were still in school. Vocational background was classified as 15% none (e.g., homemaker or retired), 31% students, 6% blue-collar employment (e.g., factor worker or auto mechanic), 22% non-tech white collar employment (e.g., school teacher or bank teller), and 26% high-tech white collar employment (e.g., computer scientist or systems analyst).

Results from the 16PF are listed in Table 1. Analysis of means and standard deviations show Dependents to rank high in terms of being self-reliant, a strong preference for solitary activities, and tend to restrict their social outlets. Dependents were abstract thinkers who appear less conforming to social convention and more emotionally reactive towards others. Results also show that Dependents tended to be sensitive, vigilant, and private individuals.

DISCUSSION

There are several limitations involved in this study which must first be addressed. Initially, the sample size of 259 Dependents is relatively small compared to the estimated 56 million current Internet users (IntelliQuest, 1997). Furthermore, this study has inherent biases present in its methodology by utilizing an expedient group of self-selected Internet users coupled with the questionable accuracy of on-line responses. Therefore, the generalizability of results must be interrupted with caution and continued research should include larger sample sizes to yield more accurate results. Future research efforts should also attempt to randomly select samples off-line in order to eliminate the methodological limitations of an on-line survey and to improve the clinical utility of the information gathered.

However, this preliminary analysis yields initial data which can be utilized to draw several hypotheses to use in further investigations. On-line users who pre-morbidly demonstrate highly developed abstract thinking skills may develop addictive patterns of Internet use as they are drawn to the mental stimulation offered through the infinite databases and information available. On-line users who tend to lead a more solitary and socially inactive lifestyle may be at greater risk for pathological Internet use. Shotton (1991) was the first to hypothesize that those who suffered from computer dependency were more likely to maintain a schizoid lifestyle and feel comfortable with prolonged periods of social isolation. Thus, it is equally as likely that those who suffer from Internet addiction do not experience the same feelings of alienation others feel when spending long periods of time sitting alone. Additionally, the Internet's interactive capabilities may help the on-line user to feel a sense of connectness among other users despite being physically alone.

Similar to research conducted on CB radio operators (e.g., Dannefer & Kasen, 1981), anonymous communication utilizing "handles" allows individuals to talk on-line with one another in unique ways. Gender, ethic background, socioeconomic status, geographic location, and marital status are hidden behind text-based interactions. On-line handles can even be used to alter one's presence via descriptions which are false such as "Rambo" for a petite woman or "Lusty Female" for a married man. Through such anonymous interaction, Internet users can engage in free expression, develop new on-line personas, and flame others (i.e., often unfiltered rude remarks). Prior research has speculated that specific applications appeared to play a significant role in the development of pathological Internet use (Young, 1996a). Dependents were less likely to control their use of highly interactive features than other on-line applications. It is possible that a unique reinforcement exists that such anonymous on-line relationships gathered from such interactive applications have the ability to provide fulfillment of unmet real life social needs (Young, 1997b).




Guarded individuals may experience more intimidation in their initial face-to-face meetings and have greater difficulty trusting others. Naturally vigilant and private persons may drawn to such anonymous interactive features of the Internet as this allows them to converse with others in uninhibited ways and form new relationships with greater ease than in real life circumstances. Anonymous electronic communication may also attract less conforming individuals who use the medium to rant radical ideologies or discuss taboo social belief systems they maintain, yet in real life either self-inhibit or find few others who share those views. If these individuals also display emotionally reactive tendencies, they may draw upon such a medium to emote in ways that are restricted by social convention. Outbursts of anger, over-sexualized comments, or blunt remarks which are typically self-monitored thoughts in real life may form the basis of typed messages to fellow on-line users in interactive forums. These specific personality traits may place an individual at a greater risk to develop PIU because the on-line world created inside their screens becomes the only outlet for such expression.

In general, these results show a discrepancy from the stereotypic profile of an "Internet addict" as an introverted, computer-savvy male (Young, 1996b) and suggests that specific personality traits may predispose an individual to develop PIU. Future research should continue to examine how personality traits influence PIU and how such interactive applications lead to addictive patterns of behavior. While it is unclear how PIU compares to other established addictions, future research should investigate if a similar personality profile may be an etiologic factor in the development of any addictive syndrome, whether to alcohol, gambling, or the Internet. Finally, these results do not clearly indicate whether these personality traits preceded the development of such Internet abuse or if it was a consequence. Young (1996a) showed withdrawal from significant real life relationships is a consequence of PIU, which could explain the high scores indicated on the 16PF for solitary activity. Therefore, further experimentation with a more comprehensive level of statistical analysis is necessary to examine cause and effect.

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References

American Psychological Association (1995). Diagnostic and Statistical Manual of MentalDisorders - Fourth edition. Washington, DC: Author

Brenner, V. (1996). An initial report on the on-line assessment of Internet addiction: The first 30 days of the Internet usage survey. http://www.ccsnet.com/prep/pap/pap8b/638b012p.txt

Dannefer, D. & Kasen, J. (1981). Anonymous exchanges. Urban Life, 10(3), 265-287.

Egger, O. (1996). Internet and addiction. http://www.ifap.bepr.ethz.ch/~egger/ibq/iddres.htm

Thompson, S. (1996). Internet Addiction Survey. http://cac.psu.edu/~sjt112/mcnair/journal.html

Griffiths, M. (1997). Does Internet and computer addiction exist? Some case study evidence. Paper presented at the 105th annual meeting of the American Psychological Association, August 15, 1997. Chicago, IL.

Loytsker, J., & Aiello, J.R. (1997). Internet addiction and its personality correlates. Poster presented at the annual meeting of the Eastern Psychological Association, Washington, DC, April 11, 1997.

Morahan-Martin, J. (1997). Incidence and correlates of pathological Internet use. Paper presented at the 105th annual meeting of the American Psychological Association, August 18, 1997. Chicago, IL.

Scherer, K. (In press). College life on-line: Healthy and unhealthy Internet use. The Journal of College Student Development. vol. 38, 655-665.

Shotton, M. (1991). The costs and benefits of "computer addiction." Behaviour and Information Technology. 10(3), 219 - 230.

Young, K. S. (1996a). Internet addiction: The emergence of a new clinical disorder. Paper presented at the 104th annual meeting of the American Psychological Association, August 11, 1996. Toronto, Canada.

Young, K. S. (1996b). Pathological Internet Use: A case that breaks the stereotype. Psychological Reports, 79, 899-902.

Young, K. S. & Rodgers, R. (1997a). The relationship between depression and Internet addiction. CyberPsychology and Behavior, 1(1), 25-28.

Young, K. S. (1997b). What makes on-line usage stimulating? Potential explanations for pathological Internet use. Symposia presented at the 105th annual meeting of the American Psychological Association, August 15, 1997. Chicago, IL.



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APA Reference
Staff, H. (2008, December 29). Internet Addiction: Personality Traits Associated with Its Development, HealthyPlace. Retrieved on 2024, October 9 from https://www.healthyplace.com/addictions/center-for-internet-addiction-recovery/personality-traits-linked-to-internet-addiction

Last Updated: June 24, 2016

The Road to Hell

In this article in the International Journal of Drug Policy, Stanton details the story of American "social hygiene" films - movies shown to teenagers to make them into better people. Including their treatment of drugs and alcohol, these films describe a well-meaning American moralism that is both bereft of reality and, at the same time, stultifies genuine thinking about social problems and their causes.

Prepublication version of article appearing in the International Journal of Drug Policy, 11:245-250, 2000.
© Copyright 2000 Stanton Peele. All rights reserved.

Review of Mental Hygiene: Classroom Films - 1945-1970, by Ken Smith, Blast Books, NY 1999

Mental HygieneKen Smith was working for The Comedy Channel, excerpting industrial and classroom films for programming laughs, when he became addicted to what he terms "hygiene" movies. These were a few thousand short subjects - 10 minutes in length and called "social guidance" films - created by a small number of specialty studios (mainly in the Midwest) for classroom viewing. Their topics were driving, dating, sex, drugs, hygiene, and - generally - getting along in life and with others. As he screened the films for humorous moments, Smith became aware that they shared distinctive themes and techniques. Smith came to see the genre as "a uniquely American experiment in social engineering." Although today we find the themes ultraconservative, in fact the filmmakers represented a liberal-thinking progressive streak of American striving for self-betterment.

Begun after World War II - when young people, freed from the depression and the War, were creating their own culture - the films educated adolescents about "correct" behavior, including good grooming, manners, and citizenship. The films grew from war time "attitude-building" works (some produced by leading Hollywood directors) meant to inspire both military personnel and those on the home front. For young people in the late 1940s and the 1950s, the chief message was to fit in. The films disdained independence and bohemianism, or looking or acting different in any way. That someone might simply not fit the mold of well-groomed, attractive adolescent (not to mention that someone would reject this image!) was simply not conceivable. Teens who were not able to fit in were portrayed as frankly deviant and deeply troubled, often ending up in tears or worse.

With boys, the message was to avoid delinquency and impulsive and dangerous behavior, to practice good manners, and to achieve. For girls, the message was to get a man; films told teenage girls to downplay their intelligence and independent thinking in order to curry dates and eventual marriage. Today, The Way to a Man's Heart (1945) and More Dates for Kay (1952) would be shown as object examples of the oppression of women. But, while the girl in More Dates for Kay throws herself at every man she meets, she was of course not to let her desperation push her into offering sexual favors. The 1947 Coronet film, Are You Popular, made clear "Girls who park in cars are not really popular." Thus, the industry periodical Educational Screen recommended More Dates along with How to Say No and Shy Guy for church youth meetings.

Progressing from the late 1940s through the 1950s and into the 1960s, the films encountered a difficult social reality as they encouraged conformity. As Smith describes this paradox in terms of the film Shy Guy (1947) - which featured a young Dick York, who went on to television fame as the straight-edged husband and foil in Bewitched - "what makes school kids popular with each other is often not what makes school kids popular with moms and dads." In the film, a dad who very much resembles the father in the TV series Leave It to Beaver helps his nerdy son to fit in. After the York character gains popularity by fixing the gang's record player, the narrator intones, "He's not really different."

Smith points out that conformity was encouraged as a political and social tranquilizer at a time when segregation was still law in many states. Today many could question the goal expressed in Manners at School (1956), "If we mind our own business, people will like us better." A number of films explored democracy, including a few red scare films. The most famous of these, Duck and Cover (which described how to avoid nuclear holocaust by ducking under school desks and covering up with whatever is convenient - including newspapers and blankets) achieved a second life in the 1982 documentary, The Atomic Café. Duck and Cover (which was produced on contract for the Federal Civil Defense Administration in 1951) portrayed scenes of everyday life being interrupted by blinding flashes and atomic mushrooms. Even if young viewers were unaware of radioactive fallout and the scorching heat that slaughtered those near ground zero at Hiroshima, the film seemed more likely to produce nightmares than to reassure.

While many of the films were unremittingly upbeat, a strong sadistic streak pervades others. That is, suspecting young people of the worst, the films warn of dire consequences for those who step out of line. Perhaps the strangest example of a scare film is the hard-to-catalogue What's on Your Mind, produced for the National Film Board of Canada in 1946. Smith summarizes the film's content:

"This man is a catatonic schizophrenic," says the film's bombastic narrator, Lorne Greene, as an obviously staged scene shows a guy in black leotards, his eyes turned upwards, wondering around a tile-lined room. "In a world changing overnight, men long to escape the fear of atomic destruction, of everyday living!"


In rapid succession the film cuts to a car running over a pedestrian, a distraught family waiting in line for postwar housing, a riot between union strikers and police, and a woman throwing herself off a bridge. "For some the urge to escape grows so extreme, they make the final exit."

This film had no obvious purpose or resolution - it seems mainly a tribute to uncontrolled paranoia, if not by viewers, then by the film's producers. Indeed, a number of films just warned children about environmental dangers - some of which seem quite farfetched. Their titles are indicative: Let's Play Safe (1947), Why Take Chances? (1952), and Safe Living at School (1948). The latter film emphasizes the necessity that drinking fountains have "no sharp parts" and "are safely constructed to reduce the danger of bumping your teeth while drinking." And how many women die from falls from a kitchen chair, as described in Doorway to Death (1949)?

But most scare films clearly depicted the observed catastrophes as the direct results of misbehavior. One whole subgenre of this kind of film is the highway safety film (within this subgenre were an entire group of drunk-driving films). Indeed, such films are still produced and screened in driver education classes (I saw one when, a bit past my teenage years, I accumulated too many points on my driver's license). Whereas these films had something of an educational bent previously, the advent of large-scale teenage driving by the 1950s hyped up the genre, which could now more accurately be labeled "highway accident" films. The first of these was evocatively titled, Last Date (1950), and contained the haunting line, "My face, my face!" The film was promoted with the teaser, "What is Teen-a-cide?"

In 1958, the genre transmogrified into highway gore, when Safety or Slaughter (1958 - perhaps readers at this point think Smith is making these titles up) showed actual highway carnage: "That man is a statistic. So is that girl." Some classics in this mode were Mechanized Death (1961), which opened with a dying woman hacking up blood as troopers pried her from a wreck, and Highways of Agony (1969), which first artfully showed a desolate shoe before focussing on dead bodies on asphalt. Just as great films are remade or updated over the years, The Last Prom appeared in 1972, and a staged shot of an attractive young woman in a prom dress screaming behind breaking glass is mixed with shots of bleeding bodies of girls. Highway police loved these films (which is why I got to see one as an adult), and began carrying cameras to contribute footage to the filmmakers.

Pain and death were the result of wild teen driving, and of much else that adolescents might be tempted to do. Among the categories of cautionary tales were those about sex. Post-War parents assumed that children, given freedom and independence, would constantly be tempted by sex. As Smith admits, "These were not irrational concerns." The first line of defense was to avoid sex, or to avoid getting seriously involved. Thus, films entitled Are You Ready for Marriage? (1950) and Worth Waiting For (1962) emphasized the heavy burden of the ultimate commitment. Some films emphasized the shame and social opprobrium of pregnancy. But sex education films seemed especially preoccupied with syphilis and - in the shock style that evolved - lesions, microscopic shots of bacteria, and deformed babies became staples in sixties films. Dance, Little Children (1961), made by the Kansas State Board of Health, showed syphilis as the sequelae for an adolescent girl who innocently enough wanted to go to a dance.

The extremity of these films seems to be testimony to their ineffectiveness - it was as though the ante had to be upped since children were disregarding them. Smith correlates this with the emergent rebelliousness of the 1960s. The man best positioned to capture this mood - and the recipient of Smith's vote for the archetypal social guidance filmmaker - was Sid Davis, who began his career as a stand-in for John Wayne. Davis got funding for his first film from Wayne - Dangerous Stranger (1950), a film based on a favorite topic of Davis's, child molesting. Davis returned to this topic repeatedly in his 150+ film career, claiming his own daughter made him sensitive to the issue (Davis's daughter appeared in a number of his films). Davis combined a rock solid commitment to mainstream values with an unflinching willingness to explore the dark side. Thus, Davis made Boys Beware (1961), the only social hygiene film to feature the topic of homosexuals who pick up and seduce adolescent boys: "What Jimmy didn't know was that Ralph was sick. A sickness that was not visible like smallpox, but no less dangerous and contagious. You see, Ralph was a homosexual."

Davis brings out Smith's best writing, as in his description of The Dropout (1962), the story of a boy, Robert, who doesn't feel he needs to complete high school:

The Dropout is Sid Davis at his most relentless. . . . Like teenagers in many Sid Davis teen films, Robert has made a fatal error - he thinks he can Break the Rules. This film will serve as his river of destiny, carrying him irrevocably downstream to his doom. . . . Robert, not yet realizing that he's trapped in a Sid Davis universe, visits an unemployment agency. . . . The film ends as Robert apathetically watches one of his new buddies being dragged out of a pool hall by the police. . . . [followed by] Zoom in on the eight ball. Fade to black.

Davis's films, while intense, suffered from poor production values, as Davis skimped on costs (particularly actors' salaries), and tried to cram too many themes into the ten-minute format. Frequently, the narrator in his films worked overtime breathlessly "enunciating every self-satisfied condemnation."


Of course, the story of the descent into perdition favored by Davis and other of his compatriots in mental hygiene films is the temperance tale. Alcohol, aside from drinking-driving films, was not actually a much featured topic - since, through the time the films were made, alcohol was well accepted in the U.S. (Betty Ford had not yet come forward, leading to the boom in alcoholism treatment and, eventually, a new temperance signaled by a decline in alcohol consumption beginning in 1980.) Davis did produce Alcohol is Dynamite (1967), a reminder of the "fatal glass of beer" straight from the nineteenth century. Two boys, trying to buy some alcohol, encounter a sports writer who instead tells them about three other boys who began drinking. Although in the flashback the drinkers immediately double up in pain and become zombies after their first swig, they resume drinking as soon as they regain consciousness. The narrator of their fates tells how one of the boys ended up on skid row, the other joined Alcoholics Anonymous, and the third vowed never to drink again - which he didn't. "How do I know?" the narrator asks rhetorically. It turns out that boy was his son.

Nothing shows better that mental hygiene films were not educational efforts, but moral fables, than educational movies on drugs. However, like films about menstruation, the principal producers refused to touch the topic, leaving production to independents who specialized in drug films. The earliest of these films, Drug Addiction (1951), showed the results for Marty of smoking marijuana. Stoned, he drinks from a broken Pepsi bottle and cuts his mouth to ribbons. Directly after smoking marijuana, Marty buys heroin from a local drug dealer, and proceeds straight downhill. Marty then enters a countrified rehab center where he farms and plays baseball, and soon recovers.

The focus on heroin was typical of these early films - drug use was not common among young Americans, and the idea proposed was that any drug use led virtually instantaneously to heroin addiction. Young people progressed from marijuana, to heroin, and to sobriety in a matter of weeks in The Terrible Truth and H: The Story of a Teen-Age Drug Addict (both made in 1951). Urban-centered films such as Narcotics (1951) and Monkey on the Back (1955) were among the few mental hygiene films in which African Americans ever appeared. By the 1960s, youthful drug use had become an actual concern for Americans, and drug films became a staple of the social guidance field. Nonetheless, marijuana was still shown inevitably to produce immediate mental deterioration and to lead inevitably to use of narcotics or LSD. In the 1967 version of Narcotics: Pit of Despair, the protagonist laughs maniacally after one puff of marijuana. As in earlier films, excruciating withdrawal is depicted, but then the young man is sent to a hospital where "the very best treatment modern science can give" is available.

Every cliché about drugs that you have heard has been memorialized in one of these drugs films - yes, LSD users stare at the sun until they go blind in the officially-titled LSD-25 (1967). Flashbacks are documented in Trip to Where (1968) and Curious Alice (1969). Marijuana (1968) was narrated by Sonny Bono, whom Smith reports "looks and sounds as if he were stoned." The pot smoker in this film stares at himself in a mirror - "until his face is replaced by a rubber monster mask!" Of course, while claiming to educate, these films imitated the drug exploitation films of the 1960s (like Roger Corman's 1967 The Trip), Hollywood films about narcotics use (like Otto Preminger's 1955 The Man with the Golden Arm), and the most famous drug film of all, the 1930s' Reefer Madness. The filmmakers simply could not ween themselves from their moral crusades no matter how scientific-seeming the film was purported to be - in Drugs and the Nervous System (made in 1972, the most recent film included in this book), LSD users run into traffic because they "believe they are God." Indeed, it is their growing isolation from reality that, in Smith's view, drove the standard mental hygiene film into extinction, replaced by more open-ended, 1970s "discussion" films.

Whereas, Smith feels, "In the late 1940s and early 1950s, when kids wanted to conform, they [mental hygiene films] were effective. In the late 1960s, when kids didn't, they were not." Even the irrepressible Sid Davis was moved to simulate greater reality in Keep Off the Grass (1970). In this film, mom finds a reefer in Tom's room. Tom's dad lectures him, "prolonged use may result in a loss of ambition. . . ." [the ultimate downer in Davis world]. Tom learns from several cops that, "Not every pot smoker goes on to heroin, of course. A personality factor is undoubtedly largely responsible for that step." But, then, Davis could not resist then speculating, "Very likely the same personality factor which turned the user onto pot!" As we can see, Davis could not remove the blinders of the genre.

Yet, we may inquire how much American educational films and public health messages have changed since the heyday of the social guidance movie. AIDS is even superior to syphilis for warning adolescents to avoid sex, even though it is virtually impossible that an adolescent will contract the HIV virus in sexual intercourse with another non-drug-injecting teenager. The Center on Addiction and Substance Abuse (CASA) - whose president Joseph A. Califano, Jr. is former Secretary of the U.S. Department of Health, Education, and Welfare - has recently repopularized the "progression" model of drug use depicted in these films with the "gateway" model. Califano and his colleagues point out that heroin addicts nearly all began their drug-use careers by smoking marijuana and cigarettes and drinking alcohol (although microscopically few alcohol or marijuana users become heroin addicts). In a fraction of the 10 minutes required for a mental hygiene film, ads by the Partnership for a Drug Free America present the identical picture of the consequences of drug experimentation.

In fact, the lesson of the mental hygiene film seems to be that American moralism about personal behavior is inextinguishable. Media messages convey the same inexorable progression from pleasure to perdition that American blue-stockings have always maintained - a message largely absent when Europeans deal with drugs, alcohol, and sex. Likewise, the obsessiveness and fear-based nature of public health education, and of the American view of the world, still seems to be a distinctive characteristic of the American psyche.

In any case, I can't wait for the film version of Mental Hygiene.

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APA Reference
Staff, H. (2008, December 29). The Road to Hell, HealthyPlace. Retrieved on 2024, October 9 from https://www.healthyplace.com/addictions/articles/the-road-to-hell

Last Updated: June 27, 2016

What's to Become of You?

"What's to become of me?" you say?

That may be the wrong question. What more is to become of me? Ask yourself that question and see what comes up. You always want to be working on the more of you which is the best of the rest of you! What's left? What more can you contribute to others than by always working on really being more than you have been for yourself and for them? The emphasis is on being. Be. Become.

What's to Become of You?Become more than you are!

What you think about is what you are becoming. Thinking about what you have thought about in the past is what got you to this point. Look forward to the present. What you are thinking right now contributes to who and what more will become of you. Becoming more than you are happens when you make the decision to only think and live who you really are becoming.

You are what you think!

When you become more than you are, you accomplish not only the personal rewards that come with doing the best you can, you become an accomplishment from which others can model. What is the more that you can become? Think about it! Only work on that, and all the other stuff you value will fall in line in good order and for the good of all concerned.

Think of yourself as an accomplishment!

Are you proud of you as an accomplishment? Are you proud of the example you are for others to become? To take a liberty with one of my favorite good thoughts, "Let your light so shine that others may feel the accomplishment you are."

You don't have to believe that you make a difference for it to be true!

Look at your children. Look at your significant other. Look at those around you that mean the most. Think of the times you did good and you knew it and you knew that they knew it. Look at yourself and love yourself for doing the best you could, even when it didn't feel like it. You never, ever should look at what didn't work except to learn from the experience. The past is not changeable. There is no future in it.


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The future is up to you!

It's true that others are influenced by your speaking and your actions in many, many different ways. Keep looking forward. That was then. . . this is now!

What more is to become of you?

What personal project could you be working on? How about your relationship with yourself first, then relationships with others. You know, the project you can put all of your energy in, because you know that it feeds on the energy you give it. That personal project knows the law of circulation. It gives energy back to you. You both win! And others around you are indeed influenced by that. You begin to see them as winners becoming. Now. . . what about you?

What more is to become of you?

next: The Truth About Relationship Expectations

APA Reference
Staff, H. (2008, December 29). What's to Become of You?, HealthyPlace. Retrieved on 2024, October 9 from https://www.healthyplace.com/relationships/celebrate-love/whats-to-become-of-you

Last Updated: June 2, 2015

Hey Guys! Don't be Someone Who Grumbles!

Hey Guys! Don't be Someone Who Grumbles!If you want to keep your significant other happy and content - do things for her. Willingly.

Run errands. Surprise her by filling her car with gas. Switch roles for a day.

Offer to help with a chore she doesn't particularly enjoy doing. The fact that you offer may come as a pleasant surprise.

Pick something you really don't like to do and do it "without grumbling" while you do it. The secret is to not tell her you don't like it and focus on the fact that although you don't like to do it you know the affect it will have on your relationship.

Men often have a need to grumble while doing something they don't like. When you make a choice not to grumble, your partner will most likely reward you by helping you fulfill one of your basic needs: approval. There could be other needs but face it, you like to be recognized for your accomplishments no matter how small.

Remember, foreplay begins with taking out the garbage "without being asked!


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next: What's to Become of You?

APA Reference
Staff, H. (2008, December 29). Hey Guys! Don't be Someone Who Grumbles!, HealthyPlace. Retrieved on 2024, October 9 from https://www.healthyplace.com/relationships/celebrate-love/hey-guys-dont-be-someone-who-grumbles

Last Updated: June 2, 2015

Publications: Dr. Kimberly Young

Young, K, Cooper, A., Buchanan, J, & O'Mara, J. (in press) Cybersex and Infidelity Online: Implications for evaluation and treatment. Sexual Addiction and Compulsivity. Young, K, Buchanan, J, & O'Mara, J. (in press) Cyber-disorders: The mental health concern for the millennium. CyberPsychology and Behavior. Young, K. S. (October 25, 1999). Seller as Psychologist: Understanding E-Auction Behavior. Auctionwatch.com. Young, K.S. (1999).

How to Evaluate and Treat Internet Addiction. Student Bristish Journal of Medicine. 7, 351-352. Young, K.S. (1999) Factors related to deviant behavior online. Horizons Newsletter, Published by the Michigan Council on Sexual Abuse and Deviancy. 1 (2), 8. Young, K.S. (1999).

Internet Addiction: Symptoms, Evaluation and Treatment. L. VandeCreek & Jackson (eds). Innovations in Clinical Practice: A Source Book, vol. 17, 19-31. Young, K.S. (1998). Internet Misuse in the Workplace. Credit Union Management, pages 42-43. Young, (2/28/99) "In My View" for The Sunday Post (London), pages 28-29. Young, K. S. (1998). Internet addiction: The emergence of a new clinical disorder. CyberPsychology and Behavior, 3 (1), 237-244. Young, K.S. & Rodgers, R. C. (1998).

The relationships between depression and Internet addiction. CyberPsychology and Behavior, 1, 25-28. Young, K.S. (September, 1998). How to treat clients addicted to the Internet. The National Psychologist, 8(5), 2B-3B. Young, K. S. (1998) Caught in the Net: How to Recognize Internet addiction and A Winning Strategy for Recovery. New York, NY: John Wiley & Sons, Inc. Young, K. S. (1996) Addictive use of the Internet: A case that breaks the stereotype. Psychological Reports. 79, 899-902. Young, K.S. (1996)

Internet Junkies: Confessions from behind the screen. American Federation of Teachers' On Campus, 16(2), p. 18. Letter to Editor, The Chronicle of Higher Education, April 8, 1996. Carrol, E. N., Young, K. S., & Wilson, S. L. (second revision review). EMG feedback-guided rehabilitation of writing function in a quadriplegic male with intention tremor, oppensplasty and flexor tendon transfers. Rehabilitation Psychology Naugle, R. I., Young, K. S., Tucker, G. D., Chelune, G. J., & Luders, H. O. (in preparation) Subjective memory estimates and objective findings with temporal lobectomy patients. Young, K. S. & Rodgers, R. (in preparation). Therapists' attitudes and treatment approaches to pathological Internet use. Young, K. S. & Rodgers. R (in preparation).

Personality characteristics and Internet addiction. Young, K.S., O'Mara, J.E., & Pistner, M. (in preparation). Levels of martial satisfaction, loneliness, and psychiatric illness among pathological Internet users. Presentations: Young, K.S. & Pistner, M (1999). Cyber-Disorders: The mental health concern for the new millenium. Paper presented at the 107th Annual Meeting of the American Psychological Association, Boston, MA., August 21, 1999. Young, K.S. (1999). The controversial nature of Internet addiction. Paper presented at the 107th Annual Meeting of the American Psychological Association, Boston, MA., August 21, 1999. Young, K.S. (1999).

Cybersex: How the Internet is creating a new outlet for sexual addiction. Workshop presented at the National Council of Sexual Addiction and Compulsivity National Conference. April 8, 1999. Young, K.S. (1998) Interventions with pathological and deviant populations within an online community. Paper presented at the 106th Annual Meeting of the American Psychological Association, SanFrancisco, CA Young, K.S. (1988) Internet addiction and its personality correlates. Paper presented at the 70th Annual Meeting of the Eastern Psychological Association, Boston, MA. Young, K.S. (1988) The effects of computer misuse on human behavior. Symposia presented at the 70th Annual Meeting of the Eastern Psychological Association. Boston, MA Young, K.S. (1997).

Internet addiction and telecommuting overload: Two sides of the same coin. Telecommute "97, Orlando, FL, November 2, 1997. Young, K.S. (1997) Relationship between Depression and Pathological Internet Use. Paper presented at the Annual Meeting of the American Psychological Association, Chicago, IL, August, 1997. Young, K. S. (1997). What makes the Internet so addictive: Potential explanations for pathological Internet use? Paper presented at the Annual Meeting of the American Psychological Association, Chicago, IL, August, 1997. Young, K. S. (1997)

Relationship between Sensation Seeking Behavior and Pathological Internet Use. Paper presented at the Annual Meeting of the American Psychological Society, Washington, DC, May, 1997. Young, K. S., Rodgers, R.C. (1997) Levels of Depression and Addiction Underlying Pathological Internet Use. Paper presented at the Annual Meeting of the Eastern Psychological Association, Washington, DC, April, 1997 Young, K. S. (1996). Internet Addiction: Symptoms, Consequences, and Evaluation. Paper presented at the Annual Meeting of the New England Council of Mental Health, Portland, Maine, November 22, 1996. Young, K. S. (1996). Internet Addiction: Is it real and how significant are the consequences? Paper presented at the Annual Meeting of the Society for Computers in Psychology, Chicago, IL, October 31, 1996. Young, K. S. (1996).

Internet Addiction: The emergence of a New Clinical Disorder. Poster presented at the Annual Meeting of the American Psychological Association, Toronto, Canada, August, 1996. Young, K. S. (1996). The Addictive Reinforcers Underlying Internet Addiction Disorder. Poster presented at the Annual Meeting of the American Psychological Society, San Francisco, CA, June, 1996. Young, K. S ., & VandeCreek, L. D. (1996).

Ethnic Minority Selection Procedures in Clinical Psychology Graduate Admissions. Paper presented at the Annual Meeting of the Eastern Psychological Association, Philadelphia, PA, March, 1996. Young, K. S., & VandeCreek, L. D. (1996). The Reliability and Validity of the Personal Interview among Professional Clinical Psychology Programs. Paper presented at the Annual Meeting of the Eastern Psychological Association, Philadelphia, PA, March, 1996. Naugle, R. I., Chelune, G. J., Tucker, G. D., Young, K. S. , & Luders, H.O. (1994). Self-Report of Memory is Related to Formal Examination Results. Paper presented at the American Epilepsy Society, New Orleans, LO., August, 1994. Zanich, M. L., Grover, D. E., & Young, K. S., (1994).

Barriers to Academic Achievement for Career Women in Psychology. Paper presented at the Annual Meeting of the American Psychological Society, Washington, DC, July, 1994. Young, K. S., (1993). Cardiac Rehabilitation and Spousal Support. Paper presented at the meeting of the State System of Higher Education, Slippery Rock University, PA, March, 1993 . Young, K. S., (1993). Smoking Cessation Techniques and their Efficacy. Paper presented at the meeting of the State System of Higher Education, Slippery Rock University, PA, March, 1993 . Young, K. S., & McHugh, M. (1992). Testimonies of the Breaking Up Process: A Qualitative Analysis. Paper presented at the Association of Women in Psychology National Convention, Long Beach, CA, March, 1992.



next:   Center for Internet Addiction Recovery Homepage
~ all center for online addiction articles
~ all articles on addictions

APA Reference
Staff, H. (2008, December 29). Publications: Dr. Kimberly Young, HealthyPlace. Retrieved on 2024, October 9 from https://www.healthyplace.com/addictions/center-for-internet-addiction-recovery/publications-of-dr-kimberly-young

Last Updated: October 6, 2015

How Do I Manage Withdrawal from Clonidine?

Is it possible that someone who went thru heroin withdrawal with Clonidine (last dose heroin 12 days ago) Clonidine patch removed 2 days ago, suddenly have severe heroin withdrawal symptoms (freq. vomiting, diarrhea, "gooseflesh", shakes)?


Dear Anonymous:

I went through heroin withdrawal with Clonidine and removed the patch 2 days ago and now I'm going through severe heroin withdrawal symptoms.I am not an expert on Clonidine-managed withdrawal. If you read my site, you will see that I view withdrawal as highly situationally and psychologically determined. In this view, it would certainly be possible to encounter withdrawal symptoms from only a small maintenance dose of a narcotic, and this happens. "Addicts" report withdrawal with often quite minimal exposure to narcotics. On the other hand, withdrawal has often been overcome readily through social milieu therapy (being in a rich, involving environment where anticipation of withdrawal is minimized because the focus is elsewhere).

Don't despair. Report your experience to the physician I assume supervised your Clonidine therapy if you have not done so. Obviously, you may be somewhat skeptical about his or her ability to predict or manage your condition. But you have to take responsibility for your withdrawal. The proof is in your engagement in the post-withdrawal activities of life — family, work, health, positive use of spare time — and in the development of a range of positive activities to construct your life.

Regards, Stanton

next: I'm Falling for a Sexy Alcoholic - Should I Stop Myself?
~ all Stanton Peele articles
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~ all addictions articles

APA Reference
Staff, H. (2008, December 29). How Do I Manage Withdrawal from Clonidine?, HealthyPlace. Retrieved on 2024, October 9 from https://www.healthyplace.com/addictions/articles/how-do-i-manage-withdrawal-from-clonidine

Last Updated: June 27, 2016

ADHD Children and Immature Social Skills

Many problems children with ADHD face have a direct relationship with poor social skills.  Here's an analysis plus strategies for enhancing your ADHD child's social skills.

Many problems children with ADHD face have a direct relationship with poor social skills. Here's an analysis plus strategies for enhancing your ADHD child's social skills.

Problems with impulse control, attention, and related issues, means that our ADHD children tend to find integrating with their peers very difficult.

Our children with ADHD will often butt into conversations, not wait their turn in a queue or in a game. They often think of something which they really need to say before they forget it. Generally not being able to communicate at the same level as their peers - it is generally felt through a lot of the research which has been carried out, that children with conditions like ADHD develop at approximately 3 years below their peers in their emotional and comprehension abilities. This makes it very difficult for them to interact with other children of the same age. They will very often get on really well with younger children who they obviously feel more able to communicate with or with older children or adults; as they do not feel as threatened when in conversation or interaction with these groups.

It is very difficult for them to understand all that is going on around them due to lack of attention and concentration they will often not be able to follow the flow of conversation and therefore will then often make inappropriate remarks to get back to the centre of attention!

What Causes Children with ADHD to Have Peer Problems?

However, first we need to consider a number of the main problems which hamper our children from being able to interact as well with their peers.

These can include:

a)Inhibited peer interactions or social relationships - the children may appear solitary, preferring their own company, even resisting any "invasion" of their space by others. They may seek interaction but are uncertain how to approach other children, fail to give out or read the appropriate social signals, and do not appreciate how behaviour may need to vary according to circumstances. They may appear actively anti-social.

b)Limited communication - vocabulary knowledge and articulator skills may be adequate but there is poor use of language, and communication may be one-sided and eventually break down altogether. There may be an obsessive repetition of the same questions or, at least, an insistence on focusing upon one topic. Understanding is often literal with an inability to understand humour or idioms. Tone of voice tends to be monotonous, the face may remain expressionless, and there is minimal use or understanding of non-verbal signals (including when the other person is becoming irritated).

c)A lack of imaginative play or flexible thinking - there is a common lack of true interactive play with other children so that the children with ADHD may focus upon individual activities and appear obsessed with some particular object or set of objects. They may seek to impose their choice of games upon others and may not be able to take part in "pretend" games.

Children with ADHD also commonly fail to understand that other people may have and are entitled to have opinions, attitudes, or knowledge which differ from their own. They are likely to assume, instead, that others share their outlook and will be immediately able to tune into what they say and to understand what they are talking about without the need for introduction. If there is no awareness of what someone else might be thinking or feeling, it will not be possible to make sense of that person's actions or to anticipate their reactions to a given situation or event.

Other difficulties which can include a resistance to change and anxiety at the prospect of an interruption to routines ( or distress/anger if someone makes any change in the way toys or belongings have been set out). They really do prefer things to stay the same.

Other Difficulties Faced by ADHD Children

Some of our children may also have awkward motor skills, a clumsiness, and impaired ability to run or throw or catch. Where, some children may show an exaggerated response to touch or sound, or display a sensory defensiveness.

Finally, these children may show a kind of innocence in not recognising teasing but a tendency to comply with being told to perform some unacceptable or silly action and then fail to comprehend why the other children laugh at them or why they are the ones who end up getting into trouble, they are also then unable to explain why they have done these things so will often end up lying about them, some can almost convince you that black is white as they are so adamant about things which can then lead them into even more trouble. The other thing that often ends up happening is that they get so used to getting into trouble and others being believed over them that they start to lose self esteem, confidence and sense of self worth with is a very sad and serious consequence of their lack of social skills.

In respect of anxiety, the technique involving "Social Stories" may be very helpful in individual work with a given child to reduce his or her anxiety over some identified activity or circumstance during the school day, with the implication that, if the negative thoughts and anticipations can be largely eliminated, the child will no longer feel the need to set him/herself apart or avoid significant parts of the school experience.

 




For example, in the initial description of the use of Social Stories, Gray (1995) refers to a child who is intimidated by the general noise in the dining hall but is encouraged to recognise that there is no need for anxiety so that (s)he can join peers in what is a particularly important, socially-speaking, part of the school day. Research has confirmed that this approach is very useful for the ADHD child given its visual format, the use of simple language, the explicitness, and availability for repeated usage.

It needs also to be remembered that the child with ADHD may experience a range of negative emotions but not be able to label them or to express them to other people. The implication is for some help in recognising anxiety, in establishing some message or signal by which the child can make clear when anxiety or stress or anger is building up, and taking time to explore the reasons behind the feelings.

It is likely that a significant source may be the apparent unpredictability of the world, with the child with ADHD developing rituals by which to increase feelings of stability. Everything must remain in a certain place ; activities must be followed in the same sequence ... and the "free" social and play activities of various groups of children during school break times may be a particular source of the perceptions of unpredictability and feelings of insecurity, with the child motivated by a wish to escape from this setting.

Social Skills Groups Can Help Your ADHD Child Develop Social Skills

There are a number of ways to help our children to overcome a lot of these problems. Obviously professional Social Skills Groups are the best option and all of our children would really benefit from these. However, these are so rarely available that it is probably a good idea to try to incorporate as much as we can into daily life until these groups start to appear.

Social Skills Groups can be found via the local Child and Adolescent Mental Health Services, some schools will run these during the school day for small groups and also the local Social Services Children's Service can arrange to hold these. The thing is that it does not cost a great deal in money terms to set something like this up and there are a lot of great materials around which you can get to help with this. Check out our Books and Resources Section - Social Skills.

I found a copy of a great board game basically called "The Social Skills Game" which I got a copy of and lent to my son's small school unit. Some of the children and teachers have written some great reviews for this. For an initial layout of approximately £40, this can be used over and over with many groups of children so it would be a great investment for many schools who would be prepared to work with a group of up to say 6 children for no more than about 15 minutes twice or three times a week either during lesson time or maybe over a break time or lunch time. One of the bits I found the children loved when we used this was the part where they each had to whisper something, then they had to shout it as loud as they could. Well, of course, they all tried to out-shout each other, but it was great fun and they did learn a lot from it.

There are also a lot of activity and other books including The Social Stories Book by Carol Grey which is based on cartoon strip of everyday things. The book can be used to discuss appropriate situations and how to handle things. A CD Rom called Gaining Face was also used at the school. This has various faces to enable the child to learn about facial expressions.

On a larger scale, there is an Interactive CD Rom from Behaviour UK called the Conduct Files which can be purchased by the LEA and used in a number of schools on a license basis. The CD is for both primary school and senior school age groups and uses video clips and then questions to ask the children how they could handle the situation better than the child on the video.

It all depends on how much the group is able to invest, but anything that is purchased can be used for a number of years with a lot of children. So these more than pay for themselves over time.

All of these are, of course, available for parents to purchase as well so maybe a group of parents could get together and get some of these to use with their own group of children to help them as no particular qualifications are really needed to do this. Obviously, to have groups run by professionals is probably the best option as then there are people there who can work with the children on other levels as well. In addition, it's very likely that after doing one of two of the sessions, some children may have specific questions which may be best dealt with by a therapist, teacher or social worker. But on the whole, parents are quite able to run these groups as a starting point at least. This may also provide the evidence which could then be passed onto the authorities to show what need there is in your area for such groups to be run officially.

What Else Can Be Done to Improve Social Skills and Peer Interaction?

As mentioned above, it is possible to do a lot of things in everyday circumstances and with our children on our own. However, as we go through a number of things which are important for them to be able to learn, our children often start to question things which they may have come across and do not understand. Some of these may be better answered by a professional running a specific group as they can go through things from a less emotionally-attached point-of-view. Unfortunately, until these groups become more common, then we must do the best we can to help our children learn some of the vital skills they need to reach their full potential.

Once you have worked on these things with your own individual child, then try to involve other children as well. These could be other classmates who do not have specific problems, or siblings, or even other children who have similar problems to your own child, to get them used to working in a group. Try out some of the skills you are working on with them. You will need to be there in the middle of things even if you have a friend over to play a game to make sure that they are sticking to the rules, taking turns and actually playing with the friend, rather than just being in the same room! It can be fairly intensive, so short periods of doing this is quite enough for both you and your child or tempers can start to fray!

REFERENCES

  • Roeyers H. 1996 The influence of non-handicapped peers on the social interaction of children with a pervasive developmental disorder. Journal of Autism and Developmental Disorders 26 307-320
  • Novotini M 2000 What Does Everyone Else Know That I Don't
  • Connor M 2002 Promoting Social Skills among Children with Asperger Syndrome (ASD)
  • Gray C My Social Stories Book
  • Searkle Y, Streng I The Social Skills Game (Lifegames)
  • Behaviour UK Conduct Files
  • Team Asperger Gaining Face, CD Rom Game

 


 

APA Reference
Staff, H. (2008, December 29). ADHD Children and Immature Social Skills, HealthyPlace. Retrieved on 2024, October 9 from https://www.healthyplace.com/adhd/articles/adhd-children-and-immature-social-skills

Last Updated: May 7, 2019

Impact of ADHD on Adults

Many adults with ADHD are undiagnosed and have a limited awareness of how ADHD-related behaviors cause problems for themselves and others.

Many adults with ADHD are undiagnosed and have a limited awareness of how ADHD-related behaviors cause problems for themselves and others.

ADHD Makes You Feel Driven to Distraction

If your idea of someone who has attention deficit hyperactivity disorder (ADHD) is a school-age boy or girl who can't sit still in class, can't complete assignments, distracts other children, talks inappropriately, and has poor impulse control, then you're missing a big part of the ADHD picture.

"About 5% of school-age children have ADHD, but this is a chronic condition, it doesn't go away, and what we see is that as many as two-thirds of children with ADHD will become adults with ADHD," says Oscar Bukstein, MD, associate professor of psychiatry at the University of Pittsburgh Medical Center's Western Psychiatric Institute and Clinic.

For adults, untreated or undiagnosed ADHD is a particularly nasty condition. Children with behavioral problems may get poor marks and have difficulty fitting in with others. But many adults with ADHD have to deal with difficulty holding jobs, financial problems due to poor decision making, substance abuse, and troubled interpersonal relationships.

Trouble at Home and Work

"Most adults with ADHD are not hyperactive, but they may seem fidgety and verbally impulsive," says Bukstein. "Family troubles are common because these people may say stupid things and forget birthdays and anniversaries and have trouble at work. We often see ADHD combined with other problems, such as depression and learning disability."

This combination of disorders -- what doctors call comorbidity -- was highlighted in a recent report from the CDC.

According to the report, which used data collected in 1997-98, about one-half of the 1.6 million school-aged children diagnosed with ADHD have been identified with an accompanying learning disability. And this also appears to hold true of adults.

"This report reinforces what the leading scientific institutions have been telling us all along," says Clarke Ross, CEO of Children and Adults with Attention-Deficit/Hyperactivity Disorder, or CHADD, a nonprofit support group. "Nearly 70% of those with ADHD simultaneously cope with other conditions such as learning disabilities, mood disorders, anxiety, and more."

But these complex problems have nothing to do with a lack of intelligence or motivation.

"Many people with ADHD are labeled lazy, incompetent or stupid," says Bukstein. "But that's not the case. I've had very bright patients with ADHD. One computer programmer I treated had an IQ of 170, but outside of the tasks of computer programming he couldn't think his way out of a wet paper bag."

Treating ADHD in Adults

Despite increased awareness and identification of the disorder in adults, many adults remain unidentified and untreated, says Ross. Part of the problem is that while ADHD is well-documented in children, it's symptoms tend to be vague in adults. That's one reason, according to CHADD, that the disorder should only be diagnosed by an experienced and qualified medical professional.

"Many AD/HD patients initially seek help for other problems," says Bukstein, such as difficulty with relationships, organization, mood disorders, substance abuse, employment, or after the person's child has been diagnosed with it.

The good news about ADHD is that it is highly treatable. In children, stimulants like Ritalin and dexedrine are effective in up to 80% of cases, says Bukstein, and works for about 60% of adults.

"Talk therapy for ADHD adults can be useful," he says, adding that improving decision making, time management, and organization are often the goals of such therapy.

"Some studies have shown that buproprion (Wellbutrin) can work as well as stimulants in some people, and it has the advantage of being an antidepressant, so, obviously, that can work well for people who have depression along with ADHD," says Bukstein.

A non-stimulant drug, Strattera, has also proven helpful in the treatment of adult ADHD. "It's not looking as good as stimulants, but it seems like it is better than any of the other non-stimulant medications," says Bukstein.

But it's getting that diagnosis that is all-important.

"The tragedy here is that many people still don't know that this very treatable problem can affect adults," says Bukstein. "It's even worse than adults who have high blood pressure or diabetes without knowing it because these people live with the ongoing damage their whole lives."

SOURCES: Oscar Bukstein, MD, associate professor of psychiatry, University of Pittsburgh Medical Center, Western Psychiatric Institute and Clinic - Clarke Ross, CEO, Children and Adults with Attention-Deficit/Hyperactivity Disorder - CDC



next: ADHD Adults: Improving Time Management Skills
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APA Reference
Staff, H. (2008, December 29). Impact of ADHD on Adults, HealthyPlace. Retrieved on 2024, October 9 from https://www.healthyplace.com/adhd/articles/impact-adhd-on-adults

Last Updated: October 2, 2017

Computer Addictions Entangle Students

More students report they are addicted to their computers, and their studies and social lives are suffering as a result.

It's 4 a.m. and 'Steve' is engulfed in the green glare of his computer screen, one minute pretending he's a ruthless mafia lord masterminding a gambling empire, the next minute imagining he's an evil sorcerer or an alien life form.

Steve, a college student, is playing a Multiple User Dungeon (MUD) game-a fictional game modeled after Dungeons and Dragons that is played by sending online messages to other players. But as he continually logs on hours, Steve finds himself sleeping through classes, forgetting his homework and slipping into 'Internet addiction'-a disorder emerging on college campuses. Affected students spend up to 40 hours to 60 hours a week in MUDs, e-mail and chat rooms, racking up online time unrelated to their school work.

'These people stay on their computers from midnight 'til the sun comes up,' said Jonathan Kandell, PhD, assistant director of the counseling center at the University of Maryland-College Park. 'It becomes a downward spiral they get sucked into.'

Internet addiction can afflict anyone who has easy access to the plethora of online services, but students seem especially prone to it. As universities increasingly give students their own free Internet accounts, psychologists like Kandell and Kimberly Young, PhD, of the University of Pittsburgh-Bradford, have noticed them spending larger amounts of time online, sometimes to the detriment of their social lives and studies.

'For many students this is a very real problem,' says Young. 'Some of them are saying it's destroying their lives.'

Few students seek help for 'Internet addiction' per se. But in intake interviews, many of them say they recognize that they go online to escape, university counseling centers report. Some students say they feel fidgety and nervous during every minute of 'offline' time and claim they go online to avoid life's pressures.

Cyberpill

Young likens Internet addiction to any other form of addiction: It becomes a problem when it interferes with other parts of peoples' lives, such as sleep, work, socializing and exercise.

'Some of these people even forget to eat,' she says.

The Internet can be a healthy, helpful tool when used to find information or to communicate with friends, co-workers and professors, she said. But people become dependent on it when they use it mainly to fill their time, and may even lose the ability to control that use.

'Substitute the word 'computer' for 'substance' or 'alcohol,' and you find that Internet obsession fits the classic 'Diagnostic Statistical Manual' definition of addiction,' says Young.

People seek the same escapist, pleasurable feelings from the Internet that they seek from drugs, gambling or alcohol, she believes. Gambling gives them a high, alcohol numbs them and the Internet offers them an alternate reality. Just as people struggle to keep from taking a drink or popping a pill, they struggle to turn their computer off, she said. And the Internet can serve as a tonic for students with underlying social problems, depression or anxiety.

Paradoxically, the Internet's usefulness and social acceptability make it easy to abuse, says psychologist Kathleen Scherer, PhD, of the counseling and mental health center at the University of Texas-Austin.

Students will log on to their computer to check e-mail from a professor or to write a paper for their biology class, and then with a simple push of a button, immerse themselves in Internet banter for hours.

'It becomes so easy for students to move between work time and play time that the line between the two gets blurred,' said Scherer.

Plug-in buddy

Another danger of incessant online surfing, is that Internet social interactions can start to replace real social relationships, Scherer warns.

Although some educators argue that television or reading also cut into peoples' social lives, Scherer claims the Internet is more addictive because it offers interaction with other people that ostensibly fills a social void. Stories abound about Internet addicts who lose mates, families and friends, and about students who would rather ask strangers for dates over e-mail than approach them in person.

Students visiting chat rooms or playing MUD games can assume new, glamorous identities. Some start to believe that they're loved and cared for in their new identities-'an illusion that these online relationships are the same as the real thing,' said Kandell.

'Online you have the freedom to talk to anyone, be anything you want and not be censored for it,' he said. 'It's a sort of unconditional acceptance unusual in flesh-and-blood relationships that makes you less used to dealing with real life.'




Students sometimes attach to their computers emotionally and form a distorted view of social interactions, notes psychologist Linda Tipton, PhD, a colleague of Kandell's at Maryland. They spend the evening with their computer instead of going out and meeting people, she said.

Logging off

Psychologists are looking for ways to help Internet junkies overcome their addiction. Hoping to attract the ones who don't come in for counseling-the majority-Tipton last fall offered a campus-wide workshop called 'Caught in the Net.' Only three students attended because, Tipton says, 'it's hard to break through the denial and admit you have a problem.'

Scherer drew a bigger audience for a workshop she hosted at the University of Texas with her husband, computer scientist Jacob Kornerup. Sixteen people, both faculty and students, attended the session, and learned how to control the amount of time they play online, for instance, by stopping their subscriptions to the online services they find most addictive (see sidebar on page 38).

Attendees informally told Scherer that the workshop helped, and some pursued counseling for their addiction. To determine the extent of the problem at the University of Texas, Scherer and psychologist Jane Morgan Bost, PhD, assistant director of the counseling and mental health center, are conducting a study of 1,000 students, some who use the Internet and some who don't. They want to determine the forms the disorder takes and how best they can help afflicted students.

For example, some students may prefer online support services to counseling or workshops, said Scherer. Already the Internet Addiction Support Group, an Internet service recently established by psychiatrist Ivan Goldberg, MD, has begun attracting subscribers. Users of the service own up to their addiction and swap ways to tackle it.

Once addicts can say 'enough is enough,' and deliberately switch the computer off without regret, they're on the way to recovery, said Scherer.

'There are a lot of valuable and not-so-valuable resources on the Internet,' she said. 'To manage your use, you have to know the difference in value and know yourself.

Source: APA Monitor



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APA Reference
Staff, H. (2008, December 29). Computer Addictions Entangle Students, HealthyPlace. Retrieved on 2024, October 9 from https://www.healthyplace.com/addictions/center-for-internet-addiction-recovery/computer-addictions-entangle-students

Last Updated: June 24, 2016