Parental Identification and Response to Adolescent Substance Use and Substance Use Disorders.

Previous research showing that parents tend to underestimate adolescent substance use is consistent with concerns that adolescent substance use may develop because parents delay in reacting to it. However, little research has examined parental decisions regarding how and when to intervene on adolescent substance use. This study examines the actions that parents report they would take after a) discovering substance use to intoxication and b) when they believe their child has a substance use problem.

Challenges to Practicing HIV Sex-Risk Prevention Among People in Continuing Care for Cocaine Addiction.

Background: Intimate partnerships are discouraged during early recovery, despite research that highlights their capacity to be resources for change.

Objective: This study seeks to provide descriptions of intimate partnerships and how such partnerships challenge and/or support minimizing HIV sex-risk among participants in continuing care for cocaine addiction in order to inform substance use programming.

Methods: Forty-two recorded continuing care counseling sessions of 33 people who discussed HIV sex-risk behavior were transcribed and analyzed using thematic analysis.

Profiles of patients with a history of mild head injury.

Mild head injury (MHI) causes heterogeneous disorders. In this exploratory study, the authors attempted to gain an understanding of this heterogeneity by isolating on clinical criteria three groups of bona fide MHI patients. These were patients who presented with virtually no complaints unless prodded (a "stoic" or "low complaint," LC) group; those who were admitted with numerous complaints, who were also demanding and argumentative ("extraverted-aggressive," EA); and those who, although symptomatic, appeared to retreat under conditions of environmental stress ("introverted-withdrawn," IW).