HEALTH AND SOCIAL 2006 <622>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 17169151
Status PubMed-not-MEDLINE
Authors Hobden KL. Cunningham JA.
Authors Full Name Hobden, Karen L. Cunningham, John A.
Institution
Centre for Addiction and Mental Health, Toronto, Ontario, Canada. khobden@wayne.edu
Title
Barriers to the dissemination of four harm reduction strategies: a survey of addiction
treatment providers in Ontario.
Source
Harm Reduction Journal. 3:35, 2006.
Journal Name
Harm Reduction Journal
Other ID
Source: NLM. PMC1764412
Country of Publication
England
Abstract
A sample of service providers at addictions agencies' in Ontario were interviewed by
telephone to assess attitudes toward, anticipated internal and external barriers to
implementing, and expected benefits of four harm reduction strategies: needle exchange,
moderate drinking goals, methadone treatment, and provision of free condoms to clients.
Respondents were also asked to define harm reduction, list its most important elements, and
describe what they find most troubling and most appealing about harm reduction. Attitudes
toward harm reduction in general and the services provided at each agency were also
assessed. Results indicated that the service providers surveyed had positive attitudes toward
each of the four harm reduction strategies and harm reduction in general, and the majority of
respondents were aware of the benefits associated with each strategy. Almost all of the
agencies surveyed allowed for moderate drinking outcomes in the treatment of alcohol
problems, and most agencies provided free condoms to clients. In terms of barriers,
anticipated negative community reaction to needle exchange, methadone treatment, and free
condoms was a major concern for the majority of respondents. Lack of staff, of funding, or
anticipated staff resistance were also cited as potential barriers to introducing these
strategies. In the case of methadone maintenance, the unavailability of a qualified physician
was listed as the primary constraint. Implications for future efforts directed at encouraging the
adoption of these strategies and suggestions for future research are discussed.
Publication Type Journal Article.
Date of Publication 2006
Year of Publication 2006
Volume 3
Page 35
HEALTH AND SOCIAL 2006 <626>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 16968551
Status PubMed-not-MEDLINE
Authors Resnicow K. Vaughan R.
Authors Full Name Resnicow, Ken. Vaughan, Roger.
Institution
University of Michigan, Department of Health Education and Health Behavior, School of Public Health, Ann Arbor,
MI, USA. kresnic@umich.edu
Title
A chaotic view of behavior change: a quantum leap for health promotion.
Comments
Comment in: Int J Behav Nutr Phys Act. 2006;3:29; PMID: 16982008], Comment in: Int J
Behav Nutr Phys Act. 2006;3:27; PMID: 16972998]
Source
International Journal of Behavioral Nutrition & Physical Activity. 3:25, 2006.
Journal Name
International Journal of Behavioral Nutrition & Physical Activity
Other ID
Source: NLM. PMC1586207
Country of Publication
England
Abstract
BACKGROUND: The study of health behavior change, including nutrition and physical
activity behaviors, has been rooted in a cognitive-rational paradigm. Change is
conceptualized as a linear, deterministic process where individuals weigh pros and cons, and
at the point at which the benefits outweigh the cost change occurs. Consistent with this
paradigm, the associated statistical models have almost exclusively assumed a linear
relationship between psychosocial predictors and behavior. Such a perspective however, fails
to account for non-linear, quantum influences on human thought and action. Consider why
after years of false starts and failed attempts, a person succeeds at increasing their physical
activity, eating healthier or losing weight. Or, why after years of success a person relapses.
This paper discusses a competing view of health behavior change that was presented at the
2006 annual ISBNPA meeting in Boston. DISCUSSION: Rather than viewing behavior
change from a linear perspective it can be viewed as a quantum event that can be understood
through the lens of Chaos Theory and Complex Dynamic Systems. Key principles of Chaos
Theory and Complex Dynamic Systems relevant to understanding health behavior change
include: 1) Chaotic systems can be mathematically modeled but are nearly impossible to
predict; 2) Chaotic systems are sensitive to initial conditions; 3) Complex Systems involve
multiple component parts that interact in a nonlinear fashion; and 4) The results of Complex
Systems are often greater than the sum of their parts. Accordingly, small changes in
knowledge, attitude, efficacy, etc may dramatically alter motivation and behavioral outcomes.
And the interaction of such variables can yield almost infinite potential patterns of motivation
and behavior change. In the linear paradigm unaccounted for variance is generally relegated
to the catch all "error" term, when in fact such "error" may represent the chaotic component of
the process. The linear and chaotic paradigms are however, not mutually exclusive, as
behavior change may include both chaotic and cognitive processes. Studies of addiction
suggest that many decisions to change are quantum rather than planned events; motivation
arrives as opposed to being planned. Moreover, changes made through quantum processes
appear more enduring than those that involve more rational, planned processes. How such
processes may apply to nutrition and physical activity behavior and related interventions
merits examination.
Publication Type Journal Article.
Date of Publication 2006
Year of Publication 2006
Volume 3
Page 25
HEALTH AND SOCIAL 2006 <630>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 16889673
Status PubMed-not-MEDLINE
Authors Small D.
Authors Full Name Small, Dan.
Title
Patient, prisoner or person?
Comments
Comment on: Harm Reduct J. 2006;3:21; PMID: 16867186]
Source
Harm Reduction Journal. 3:23, 2006.
Journal Name
Harm Reduction Journal
Other ID
Source: NLM. PMC1557480
Country of Publication
England
Abstract
Case studies provide rich descriptions of significant vignettes that highlight atypical systemic
or clinical problems and identify potentially important research questions. The case study
presented by Venters, Razvi, Tobia and Drucker (2006) describes an unfortunate set of
events pertaining to an individual's experience as they were failed by s several systems all at
once and neglected for having had experience with an addiction. This commentary provides
some remarks on the case study with respect to differing institutional narratives as they
pertain to lived experience in the context of everyday life. It is suggested that, in the special
case of addiction, the mistreatment of the subject of the case study, Mr. Ortiz, is not an
exception to the norm, but the norm itself for people living with addictions and their families.
Publication Type Comment. Editorial.
Date of Publication 2006
Year of Publication 2006
Volume 3
Page 23
HEALTH AND SOCIAL 2006 <632>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 16436208
Status PubMed-not-MEDLINE
Authors Hesse M.
Authors Full Name Hesse, Morten.
Institution
Centre for Alcohol and Drug Research, Aarhus University, Kobmagergade 26E, 1150 Copenhagen K, Denmark.
mortenhesse@crf.dk
Title
The Readiness Ruler as a measure of readiness to change poly-drug use in drug
abusers.
Source
Harm Reduction Journal. 3:3, 2006.
Journal Name
Harm Reduction Journal
Other ID
Source: NLM. PMC1395301
Country of Publication
England
Abstract
Readiness to change is a crucial issue in the treatment of substance use disorders.
Experiences with methadone maintenance treatment (MMT) has shown that continuous drug
and alcohol use with all its consequences characterize most MMT programs. In a prospective
study of drug abusers seeking opiate agonist maintenance treatment in the City of
Copenhagen, subjects were administered the Addiction Severity Index, and the Readiness
Ruler for each of 11 different licit and illicit drugs by research technicians. Data was collected
upon admission to the program and at a 18 month follow-up. Subjects who indicated they
wanted to quit or cut down upon admission, reported less drug use at 18 month follow-up,
after controlling for severity of drug problems at intake. Subjects who expressed readiness to
change their drug use upon admission decreased their drug use. It is concluded that the
Readiness Ruler measures a construct related to actual readiness, supporting its use in the
clinical context.
Publication Type Journal Article.
Date of Publication 2006
Year of Publication 2006
Volume 3
Page 3
HEALTH AND SOCIAL 2006 <909>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid
MEDLINE(R)
Unique Identifier 16839486
Status MEDLINE
Authors Madan AK. Orth WS. Ternovits CA. Tichansky DS.
Authors Full Name Madan, Atul K. Orth, Whitney S. Ternovits, Craig A. Tichansky, David S.
Institution
Section of Minimally Invasive Surgery, Department of Surgery, University of Tennessee
Health Science Center and Weight Management Center, Methodist University Hospital,
Memphis, TN 38163, USA. amadan@utmem.edu
Title
Preoperative carbohydrate "addiction" does not predict weight loss after
laparoscopic gastric bypass.
Source
Obesity Surgery. 16(7):879-82, 2006 Jul.
Journal Name
Obesity Surgery
Country of Publication
England
Abstract
BACKGROUND: Weight loss after laparoscopic Roux-en-Y gastric bypass (LRYGBP)
varies. Dietary habits that exist preoperatively may continue after surgery and affect weight
loss. This study investigated the hypothesis that preoperative carbohydrate addiction would
predict weight loss after laparoscopic gastric bypass. METHODS: 104 consecutive patients in
our LRYGBP program were included in the study. A preoperative survey was used to
determine level of carbohydrate craving. This survey was scored from 0 to 60. A higher score
indicated a higher level of carbohydrate addiction. Percentage of excess weight loss (%EWL)
was determined after at least 1 year postoperatively in all patients. RESULTS: Data were
available in 95 (91%) of the patients. There was no correlation seen between level of
carbohydrate addiction and %EWL at 1 year (r=0.02; P=NS). In addition, we looked at
patients with successful weight loss (>50% %EWL; n=83) versus those patients who were
considered unsuccessful (<50% EWL; n=12). There was no statistical difference in the level
of preoperative carbohydrate craving between these 2 groups (36+/-13 vs 33+/-15; P=NS).
CONCLUSIONS: Consistently large carbohydrate intake preoperatively does not predict
weight loss after LRYGBP. High level of carbohydrate addiction is not a contraindication to
LRYGBP.
ISSN Print 0960-8923
Publication Type Journal Article.
Date of Publication 2006 Jul
Year of Publication 2006
Issue/Part 7
Volume 16
Page 879-82
HEALTH AND SOCIAL 2006 <927>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 16504167
Status MEDLINE
Authors Kim TW. Kertesz SG. Horton NJ. Tibbetts N. Samet JH.
Authors Full Name
Kim, Theresa W. Kertesz, Stefan G. Horton, Nicholas J. Tibbetts, Nicole. Samet, Jeffrey H.
Institution
Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of
Medicine, Boston University School of Medicine, Boston, MA, USA. theresa.kim@bmc.org
Title
Episodic homelessness and health care utilization in a prospective cohort of HIVinfected persons with alcohol problems.
Source
BMC Health Services Research. 6:19, 2006.
Journal Name
BMC Health Services Research
Other ID
Source: NLM. PMC1421395
Country of Publication
England
Abstract
BACKGROUND: Because individuals with HIV/AIDS often have complex medical and social
needs, the impact of housing status on medical service utilization is difficult to isolate from the
impact of conditions that may worsen during periods of homelessness such as depression
and substance abuse. We examine whether episodes of homelessness are independently
associated with suboptimal medical utilization even when accounting for concurrent addiction
severity and depression. METHODS: We used data from a 30-month cohort of patients with
HIV/AIDS and alcohol problems. Housing status, utilization (ambulatory visits, emergency
department (ED) visits, and hospitalizations) and other features were assessed with
standardized research interviews at 6-month intervals. Multivariable longitudinal regression
models calculated incidence rate ratios (IRR) comparing utilization rates during 6-month
intervals (homeless versus housed). Additional models assessed whether addiction severity
and depressive symptoms could account for utilization differences. RESULTS: Of the 349
subjects, 139 (39%) reported homelessness at least once during the study period; among
these subjects, the median number of nights homeless per 6-month interview period was 30.
Homelessness was associated with higher ED utilization (IRR = 2.17; 95% CI = 1.72-2.74)
and hospitalizations (IRR = 2.30; 1.70-3.12), despite no difference in ambulatory care
utilization (IRR = 1.09; 0.89-1.33). These associations were attenuated but remained
significant when adjusting for addiction severity and depressive symptoms. CONCLUSION: In
patients with HIV/AIDS and alcohol problems, efforts to improve housing stability may help to
mitigate intensive medical utilization patterns.
Publication Type Comparative Study. Journal Article. Research Support, N.I.H., Extramural.
Date of Publication 2006
Year of Publication 2006
Volume 6
Page 19
HEALTH AND SOCIAL 2006 <933>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 16303225
Status MEDLINE
Authors Franken IH. Zijlstra C. Muris P.
Authors Full Name Franken, Ingmar H A. Zijlstra, Corien. Muris, Peter.
Institution
Institute of Psychology, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands.
Title
Are nonpharmacological induced rewards related to anhedonia? A study among
skydivers.
Source
Progress in Neuro-Psychopharmacology & Biological Psychiatry. 30(2):297-300, 2006 Mar.
Journal Name
Progress in Neuro-Psychopharmacology & Biological Psychiatry
Country of Publication
England
Abstract
It is well-known that persons with a drug addiction experience feelings of anhedonia during
"normal" daily activities. It has been proposed that these symptoms of anhedonia are the
result of direct pharmacological influences of drugs on the dopamine system. To test the
assumption that nonpharmacological processes are also involved in anhedonia, we studied
anhedonic symptoms in skydivers who regularly expose themselves to thrillful extreme sport
activity and then experience intense hedonic feelings. A group of skydivers completed
anhedonia scales and their scores were compared to a control group (a group of rowers). The
main finding of the present study was that subjects who engage in the high-risk activity of
skydiving, experienced more anhedonic symptoms than subjects who do not engage in such
an extreme sport, but rather prefer a low-risk activity like rowing. This finding supports the
notion that skydiving has similarities with addictive behaviors and that frequent exposure to
"natural high" experiences is related to anhedonia. This suggests that the negative emotional
state as observed in drug users may not be exclusively the results of exogenous
psychopharmacological effects, but might also result from psychological mechanisms that are
partly responsible for these anhedonic feelings.
ISSN Print 0278-5846
Publication Type Comparative Study. Journal Article.
Date of Publication 2006 Mar
Year of Publication 2006
Issue/Part 2
Volume 30
Page 297-300
HEALTH AND SOCIAL 2006 <391>
Database EMBASE
Accession Number 2007042174
Authors Solla P. Floris G. Tacconi P. Cannas A.
Institution
(Solla) Institute of Neurology, University of Cagliari, Via Ospedale 46, 09124 Cagliari, Italy.
(Solla, Cannas) Movement Disorders Centre, Department of Neurology, University of Cagliari, Cagliari, Italy.
(Floris, Tacconi) Department of Neurology, University of Cagliari, Cagliari, Italy.
Country of Publication
United Kingdom
Title
Paraphilic behaviours in a parkinsonian patient with hedonistic homeostatic
dysregulation.
Source
International Journal of Neuropsychopharmacology. 9(6)(pp 767-768), 2006. Date of
Publication: Dec 2006.
Abstract
Hedonistic homeostatic dysregulation (HHD) is a well-known neuropsychiatric complication
described in patients with Parkinson's disease (PD), characterized by misuse of and addiction
to dopaminergic drugs (Giovannoni et al., 2000). Previous reports have indicated HHD in
approximately 3.4% of PD patients, more frequently in males with early onset of the disease
(Pezzella et al., 2005). Copyright copyright 2005 CINP.
ISSN 1461-1457
Publication Type Journal: Article
Journal Name International Journal of Neuropsychopharmacology
Volume 9
Issue Part 6
Page 767-768
Year of Publication 2006
Date of Publication Dec 2006
HEALTH AND SOCIAL (PAIN ISSUES) 2006 <403>
Database EMBASE
Accession Number 2007124899
Authors Balasubramanian S. Hadi I.
Institution
(Balasubramanian) University Hospitals Coventry and Warwickshire, Coventry CV2 2DX, United Kingdom.
(Hadi) Department of Anaesthesia and Intensive Care, Farwania Hospital, Kuwait.
Country of Publication
United Kingdom
Title
Perioperative pain management in patients with chronic pain.
Source
CPD Anaesthesia. 8(3)(pp 109-113), 2006. Date of Publication: 2006.
Abstract
Chronic pain management has evolved into a well-recognised clinical subspecialty.
Anaesthetists commonly come across patients with chronic pain on multiple medications
including high dose opioids presenting for various surgical procedures. Often these patients
are in 'hyperalgesic states' making perioperative pain control challenging. Timely identification
of these patients and optimization of their pain control is of immense importance for a
successful outcome following surgery. Although this subject is well recognised by pain
enthusiasts little is published on this topic. This article reviews the management options of
acute perioperative pain in patients with background chronic pain problem.
ISSN 1466-2922
Publication Type Journal: Review
Journal Name CPD Anaesthesia
Volume 8
Issue Part 3
Page 109-113
Year of Publication 2006
Date of Publication 2006
CHILDREN AND YOUNG PEOPLE 2006 / HEALTH AND SOCIAL 2006 <413>
Database EMBASE
Accession Number 2007004843
Authors Dennis M.L. Chan Y.-F. Funk R.R.
Institution
(Dennis, Chan, Funk) Chestnut Health Systems, Bloomington, IL, United States.
(Dennis) Chestnut Health Systems, 720 West Chestnut, Bloomington, IL 61701, United States.
Country of Publication
United Kingdom
Title
Development and validation of the GAIN Short Screener (GSS) for internalizing,
externalizing and substance use disorders and crime/violence problems among
adolescents and adults.
Source
American Journal on Addictions. 15(SUPPL. 1)(pp 80-91), 2006. Date of Publication: 2006.
Abstract
The Global Appraisal of Individual Needs (GAIN)¹ is a 1-2 hour standardized
biopsychosocial that integrates clinical and research assessment for people presenting to
substance abuse treatment. The GAIN - Short Screener (GSS) is 3-5 minute screener to
quickly identify those who would have a disorder based on the full 60-120 minute GAIN and
triage the problem and kind of intervention they are likely to need along four dimensions
(internalizing disorders, externalizing disorders, substance disorders, and crime/violence).
Data were collected from 6,177 adolescents and 1,805 adults as part of 77 studies in three
dozen locations around the United States that used the GAIN. For both adolescents and
adults the 20-item total disorder screener (TDScr) and its four 5-item sub-screeners
(internalizing disorders, externalizing disorders, substance disorders, and crime/violence) has
good internal consistency (alpha of .96 on total screener), is highly correlated (r = .84 to .94)
with the 123-item longer scales in the full GAIN. The GSS also does well in terms of its
receiver operator characteristics (90% or more under the curve in all analyses) and has
clinical decision-making cut points with excellent sensitivity (90% or more) for identifying
people with a disorder and excellent specificity (92% or more) for correctly ruling out people
who did not have a disorder. The GSS has good potential as an efficient screener for
identifying people with co-occurring disorders across multiple systems and routing them to the
right services and more detailed assessments. Copyright copyright American Academy of
Addiction Psychiatry.
ISSN 1055-0496
Publication Type Journal: Article
Journal Name American Journal on Addictions
Volume 15
Issue Part SUPPL. 1
Page 80-91
Year of Publication 2006
Date of Publication 2006
HEALTH AND SOCIAL 2006 <428>
Database EMBASE
Accession Number 2007003792
Authors Kubiak S.P. Arfken C.L. Boyd C. Cortina L.M.
Institution
(Kubiak) School of Social Work, Wayne State University, Detroit, MI, United States.
(Arfken) Medical School, Wayne State University, Detroit, MI, United States.
(Boyd) Institute for Research on Women and Gender, School of Nursing, University of Michigan, Ann Arbor, MI,
United States.
(Cortina) Department of Psychology, University of Michigan, Ann Arbor, MI, United States.
(Kubiak) Michigan State University, East Lansing, MI, United States.
(Kubiak) Michigan State University, 254 Baker Hall, East Lansing, MI 48224, United States.
Country of Publication
United Kingdom
Title
More severe violence exposure associated with poly-pharmaceutical use.
Source
American Journal on Addictions. 15(6)(pp 457-461), 2006. Date of Publication: Nov 2006.
Abstract
Exposure to emotional, physical, and sexual abuse carries varying psychological and
somatic sequelae, including the increased use of alcohol and illicit drugs. Less studied is the
association between violence exposure and prescription drug use. Using previously
determined lifetime exposure profiles of 16,000 men and women, the current use of three
specific drug categories was assessed and a strong relationship between victimization
severity and prescription drugs used within the last month was found. Victimization screening
has important implications in health care settings. Copyright copyright American Academy of
Addiction Psychiatry.
ISSN 1055-0496
Publication Type Journal: Article
Journal Name American Journal on Addictions
Volume 15
Issue Part 6
Page 457-461
Year of Publication 2006
Date of Publication Nov 2006
HEALTH AND SOCIAL 2006 <440>
Database EMBASE
Accession Number 2006620099
Authors van Ours J.C.
Institution
(van Ours) Department of Economics and CentER, Tilburg University, P.O. Box 90153, NL 5000 Tilburg,
Netherlands.
Country of Publication
United Kingdom
Title
Dynamics in the use of drugs.
Source
Health Economics. 15(12)(pp 1283-1294), 2006. Date of Publication: Dec 2006.
Abstract
This paper uses information about prime age individuals living in Amsterdam to study the
dynamics in the use of tobacco, cannabis, and cocaine. The analysis examines transitions
from non-use to use, as well as transitions from use to non-use. Particular attention is given to
the effect of the age of onset on quitting behavior. The empirical analysis shows that for most
of the drugs investigated, the earlier individuals start using a particular drug the less likely
they are to stop using that drug. Copyright copyright 2006 John Wiley & Sons, Ltd.
ISSN 1057-9230
Publication Type Journal: Article
Journal Name Health Economics
Volume 15
Issue Part 12
Page 1283-1294
Year of Publication 2006
Date of Publication Dec 2006
HEALTH AND SOCIAL (SEX) 2006 <448>
Database EMBASE
Accession Number 2006605346
Authors Marshall L.E. Marshall W.L.
Institution
(Marshall, Marshall) Rockwood Psychological Services, Kingstone, ON, Canada.
Country of Publication
United Kingdom
Title
Sexual addiction in incarcerated sexual offenders.
Source
Sexual Addiction and Compulsivity. 13(4)(pp 377-390), 2006. Date of Publication: Oct 2006.
Abstract
The prevalence and features of sexual addiction in sexual offenders incarcerated in a
Canadian Federal prison were examined. Eighty male respondents (40 sexual offenders, 40
community subjects) completed questionnaires on sexual addiction and drug and alcohol
problems. Sexual offenders were significantly more likely than the comparison group to be
classified as sexual addicts. Fourteen of 40 sexual offenders (35%), and 5 of 40 community
subjects (12.5%) were classified as sexual addicts. Sexual offender sexual addicts were more
likely than non-addicts to report a preoccupation with sex and having been a victim of
childhood or adolescent sexual abuse. However, sexual offender sex addicts were no more
likely than sexual offender non-addicts to report co-morbid addiction problems with drugs or
alcohol. Results are discussed in terms of their implication for the notion of sexual addiction
and its relationship to sexual offending.
ISSN 1072-0162
Publication Type Journal: Article
Journal Name Sexual Addiction and Compulsivity
Volume 13
Issue Part 4
Page 377-390
Year of Publication 2006
Date of Publication Oct 2006
HEALTH AND SOCIAL (SEX) 2006 <449>
Database EMBASE
Accession Number 2006605345
Authors Guigliamo J.
Country of Publication
United Kingdom
Title
Out of control sexual behavior: A qualitative investigation.
Source
Sexual Addiction and Compulsivity. 13(4)(pp 361-375), 2006. Date of Publication: Oct 2006.
Abstract
The purpose of this study was to obtain a clearer description and understanding of
problematic sexual behavior. In-depth interviews were conducted with 14 adult men who selfidentified as having problematic sexual behavior. Study participants identified a range of
meanings for their sexual behavior: meeting sexual needs, fulfillment of narcissistic needs,
desire for human connection, compensation for low self esteem, need for control,
reenactment of childhood trauma, avoidance of feelings, and/or coping with sexual identity
issues. Thus, sexually addictive behaviors serve different psychological organizations and
needs, which has particular implications for treatment to expand beyond the overt sexual
behaviors.
ISSN 1072-0162
Publication Type Journal: Article
Journal Name Sexual Addiction and Compulsivity
Volume 13
Issue Part 4
Page 361-375
Year of Publication 2006
Date of Publication Oct 2006
HEALTH AND SOCIAL (SEX) 2006 <450>
Database EMBASE
Accession Number 2006605344
Authors Cimbolic P. Cartor P.
Institution
(Cimbolic, Cartor) Bellarmine University, Louisville, KY, United States.
Country of Publication
United Kingdom
Title
Looking at ephebophilia through the lens of cleric sexual abuse.
Source
Sexual Addiction and Compulsivity. 13(4)(pp 347-359), 2006. Date of Publication: Oct 2006.
Abstract
The United States Conference of Catholic Bishops commissioned John Jay College of
Criminal Justice to conduct a national study that was descriptive of the nature and extent of
clerical sexual abuse, demographics of offenders and victims, and other factors. Embedded in
the report however was clear evidence that the majority of victims were pubescent or postpubescent males lending support for the need of an additional diagnostic category:
ephebophilia. We examine the report concluding there is evidence for the validity of the
ephebophilia construct and its differentiation from pedophilia.
ISSN 1072-0162
Publication Type Journal: Article
Journal Name Sexual Addiction and Compulsivity
Volume 13
Issue Part 4
Page 347-359
Year of Publication 2006
Date of Publication Oct 2006
HEALTH AND SOCIAL (SEX) 2006 <451>
Database EMBASE
Accession Number 2006605343
Authors Williams D.J.
Institution
(Williams) Idaho State University, Pocatello, ID, United States.
Country of Publication
United Kingdom
Title
Different (painful!) Strokes for different folks: A general overview of sexual
sadomasochism (SM) and its diversity.
Source
Sexual Addiction and Compulsivity. 13(4)(pp 333-346), 2006. Date of Publication: Oct 2006.
Abstract
This article, written primarily for clinicians, draws from a variety of sources and provides a
basic overview of sexual sadomasochism (SM). SM represents a wide range of behaviors and
practices often associated with sexuality, yet it may also refer to a specific lifestyle or
subculture composed of participants who regularly engage in such practices. Although large
numbers of individuals are likely to participate in SM practices in various possible forms,
many professionals may be unfamiliar with the diversity, terminology, possible motivations,
and issues surrounding SM. Given that SM is easily misunderstood, it is important for
professionals working in the area of human sexuality to become familiar with alternative
expressions of eroticism, creative stimulation, and intimacy. It is suggested that SM potentially
may be enriching and beneficial to many who safely participate, or it sometimes may be
considered pathological and destructive. Insights are provided herein to raise awareness of
issues and to help clinicians negotiate these determinations.
ISSN 1072-0162
Publication Type Journal: Review
Journal Name Sexual Addiction and Compulsivity
Volume 13
Issue Part 4
Page 333-346
Year of Publication 2006
Date of Publication Oct 2006
HEALTH AND SOCIAL 2006 <453>
Database EMBASE
Accession Number 2006601824
Authors Ball D.
Institution
(Ball) Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, South London and Maudsley
NHS Trust, London, United Kingdom.
Country of Publication
United Kingdom
Title
Genetics of addiction.
Source
Psychiatry. 5(12)(pp 446-448), 2006. Date of Publication: 01 Dec 2006.
Abstract
The observation that addiction can run in families, and that this is in part determined by
genetic factors, has been confirmed by family, twin and adoption studies. The actual genes
that underpin this genetic contribution to vulnerability are being sought and identified using a
combination of approaches including genetic linkage and association. Ultimately, the
identification of the complex interaction between genes and environment that occurs during
the process of addiction development will provide the framework through which potential
treatment approaches can be developed and targeted. copyright 2006 Elsevier Ltd. All rights
reserved.
ISSN 1476-1793
Publication Type Journal: Review
Journal Name Psychiatry
Volume 5
Issue Part 12
Page 446-448
Year of Publication 2006
Date of Publication 01 Dec 2006
HEALTH AND SOCIAL (PUBLIC HEALTH) 2006 <456>
Database EMBASE
Accession Number 2006596523
Authors Marshall E.J. Farrell M.
Institution
(Marshall, Farrell) Institute of Psychiatry, London, United Kingdom.
(Marshall, Farrell) Michael Farrell MRCP MRCPsych is a Reader in Addiction Psychiatry at the National Addiction
Centre, Institute of Psychiatry, London, United Kingdom.
Country of Publication
United Kingdom
Title
Introduction.
Source
Psychiatry. 5(12)(pp 421-422), 2006. Date of Publication: 01 Dec 2006.
Abstract
Tobacco, alcohol and drug problems, individually and combined, are some of the most
common problems encountered by healthcare workers these days. One-third of the
population smoke regularly, nearly 90% drink alcohol and nearly half have tried an illegal
drug. We now have considerable evidence of the public health burden associated with
smoking, drinking and drug-taking. Regrettably, we also have evidence that the burden from
alcohol and other drugs has increased in many countries; the burden from tobacco smoking,
although still affecting a significant proportion of the population, has fallen. This chapter is
designed to provide a substantive and thorough introduction to the field, giving a background
introduction to the theories and classification of addictions and an overview of the relevant
neuroscience base. Treatment approaches combining pharmacological and psychosocial
therapies - the bedrock of the response to addiction problems - are outlined. Overall, this
chapter provide a concise, up-to-date introduction and overview of the state of the art of
treatment in the addiction field. copyright 2006.
ISSN 1476-1793
Publication Type Journal: Review
Journal Name Psychiatry
Volume 5
Issue Part 12
Page 421-422
Year of Publication 2006
Date of Publication 01 Dec 2006
HEALTH AND SOCIAL (SEX WORKERS) 2006 <502>
Database EMBASE
Accession Number 2006509045
Authors Ward H. Day S.
Institution
(Ward) Department of Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London W2 1PG,
United Kingdom.
(Ward) Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom.
(Day) Department of Anthropology, Goldsmiths College, University of London, United Kingdom.
Country of Publication
United Kingdom
Title
What happens to women who sell sex? Report of a unique occupational cohort.
Source
Sexually Transmitted Infections. 82(5)(pp 413-417), 2006. Date of Publication: Oct 2006.
Abstract
Background/objectives: Sex work has been seen as both a health and a social problem.
However, there is a paucity of evidence on the longer term impact on health. We explored the
health and career paths over a period of 15 years among women who have worked in the sex
industry. Design: A longitudinal study of sex workers recruited between 1986 and 1993 and
followed for 15 years. Outcome data were obtained through interview, clinic records, or third
parties. Setting: Clinic and community settings in London. Participants: We obtained outcome
data on 130 (37%) of the original cohort of 354 women, with a combined follow up of 1247
years. Main outcome measures: Vital status, most recent occupation, duration of sex work,
sexually transmitted infections (STI), major health problems. Results: The majority (73/124,
59%) were still in the sex industry and had sold sex for a mean of 13.6 years. There were six
deaths, a mortality of 4.8 per 1000 person years. Surviving women had a high cumulative risk
(110 of 118, 93%) of STI. Past gonorrhoea was associated with pelvic inflammatory disease
(RR 2.28, 95% CI 1.12 to 4.66) and infertility (RR 10.9, 95% CI 1.5 to 77.3). Other outcomes
included mental health problems (38 of 97, 40%) and addiction (46 of 72, 64%). There were
no significant differences in health outcomes between women who were still in the sex
industry and those who had stopped. There was a high level of occupational mobility, and 31
women (of 84, 37%) had completed vocational or higher education, including eight to
postgraduate level. Conclusions: Sex work is associated with excess mortality and morbidity
including the sequelae of STI, mental health problems, and substance misuse. The relation
between these health problems and sex work is complex.
ISSN 1368-4973
Publication Type Journal: Article
Journal Name Sexually Transmitted Infections
Volume 82
Issue Part 5
Page 413-417
Year of Publication 2006
Date of Publication Oct 2006
HEALTH AND SOCIAL 2006 <517>
Database EMBASE
Accession Number 2006491533
Authors Christensen H. Low L.-F. Anstey K.J.
Institution
(Christensen, Low, Anstey) Centre for Mental Health Research, Australian National University, Canberra, ACT,
Australia.
(Christensen) Centre for Mental Health Research, Australian National University, Canberra, ACT 0200, Australia.
Country of Publication
United Kingdom
Title
Prevalence, risk factors and treatment for substance abuse in older adults.
Source
Current Opinion in Psychiatry. 19(6)(pp 587-592), 2006. Date of Publication: Nov 2006.
Abstract
PURPOSE OF REVIEW: This paper briefly outlines new research on the epidemiology of
alcohol and drug use in the older population, describes mental and cognitive consequences of
substance use and summarizes recent treatment trials for alcohol dependence. RECENT
FINDINGS: Cross-sectional and longitudinal studies indicate that alcohol use is less prevalent
in older groups, and it decreases over time. Comorbidity (alcohol and other drugs, alcohol
with mental health disorders) is high. An inverse-U-shaped curve describes the association
between alcohol consumption and cognitive impairment with increased impairment for
abstainers and high users as compared with moderate users. Trials of alcohol use in the older
population are rare, but they suggest that brief patient education may reduce drinking levels in
primary care populations, and that, for some users, integrated primary care may be more
useful than referral to specialist care. SUMMARY: The basis for higher risk in abstainers is
not resolved. More randomized controlled trials are needed, which target alcohol use and
dependence and also focus on comorbid disorders. copyright 2006 Lippincott Williams &
Wilkins, Inc.
ISSN 0951-7367
Publication Type Journal: Review
Journal Name Current Opinion in Psychiatry
Volume 19
Issue Part 6
Page 587-592
Year of Publication 2006
Date of Publication Nov 2006
HEALTH AND SOCIAL 2006 <518>
Database EMBASE
Accession Number 2006490359
Authors Forman R.F. Marlowe D.B. McLellan A.T.
Institution
(Forman, Marlowe, McLellan) 88 Sidney Street, Cambridge, MA 02139, United States.
Country of Publication
United Kingdom
Title
The internet as a source of drugs of abuse.
Source
Current Psychiatry Reports. 8(5)(pp 377-382), 2006. Date of Publication: Oct 2006.
Abstract
The Internet is a vital medium for communication, entertainment, and commerce, with more
than 1 billion individuals connected worldwide. In addition to the many positive functions
served by the Internet, it also has been used to facilitate the illicit sale of controlled
substances. No-prescription websites (NPWs) offer - and then actually sell - controlled
substances over the Internet without a valid prescription. NPW monitoring studies have
focused primarily on the availability of prescription opioid medications, although many other
drugs of abuse also are available online. Research indicates that these NPW sites are
prevalent. Google or Yahoo searches simply using the term "Vicodin" return 40% to 50%
NPWs in the top 100 sites. Thus, NPWs represent an important development in the sale of
illicit drugs because of the ease with which controlled substances can be sold with relative
anonymity. The emergence of NPWs requires new law enforcement and public health
initiatives; continued monitoring efforts will determine whether effort to reduce the availability
of NPWs are successful. Copyright copyright 2006 by Current Science Inc.
ISSN 1523-3812
Publication Type Journal: Review
Journal Name Current Psychiatry Reports
Volume 8
Issue Part 5
Page 377-382
Year of Publication 2006
Date of Publication Oct 2006
HEALTH AND SOCIAL 2006 <521>
Database EMBASE
Accession Number 2006487529
Authors Wahba A. Nordhaug D.
Country of Publication
United Kingdom
Title
What are the long-term results of cardiac valve replacements in left sided
endocarditis with a history of i.v. drug abuse?
Source
Interactive Cardiovascular and Thoracic Surgery. 5(5)(pp 608-610), 2006. Date of
Publication: 01 Oct 2006.
Abstract
A best evidence topic in cardiac surgery was written according to a structured protocol. The
question addressed was what the long-term results of cardiac valve replacements are in left
sided endocarditis with a history of i.v. drug abuse? A total of 286 publications were found
using the reported search, of which nine presented the best evidence to answer the clinical
question. The author, journal, date and country of publication, patients group studied, study
type, relevant outcomes, results, and study weaknesses of these papers were tabulated. We
conclude that cardiac valve replacement for left sided endocarditis in i.v. drug users carries a
substantial mortality. Continued drug abuse is the commonest cause of death in this patient
group. In contrast, the type of valve used to perform the replacement does not seem to
influence mortality. Postoperative management should focus on treatment of the drug
addiction. copyright 2006 Published by European Association for Cardio-Thoracic Surgery. All
rights reserved.
ISSN 1569-9293
Publication Type Journal: Article
Journal Name Interactive Cardiovascular and Thoracic Surgery
Volume 5
Issue Part 5
Page 608-610
Year of Publication 2006
Date of Publication 01 Oct 2006
HEALTH AND SOCIAL 2006 <534>
Database EMBASE
Accession Number 2006468359
Authors Small D.
Institution
(Small) PHS Community Services Society, 20 West Hastings Street, Vancouver, BC V6B 1G6, Canada.
(Small) Department of Anthropology and Sociology, University of British Columbia, Vancouver, BC V6T 1Z1,
Canada.
Country of Publication
United Kingdom
Title
Patient, prisoner or person?
Source
Harm Reduction Journal. 3, 2006. Article Number: 23. Date of Publication: 07 Aug 2006.
Abstract
Case studies provide rich descriptions of significant vignettes that highlight atypical systemic
or clinical problems and identify potentially important research questions. The case study
presented by Venters, Razvi, Tobia and Drucker (2006) describes an unfortunate set of
events pertaining to an individual's experience as they were failed by s several systems all at
once and neglected for having had experience with an addiction. This commentary provides
some remarks on the case study with respect to differing institutional narratives as they
pertain to lived experience in the context of everyday life. It is suggested that, in the special
case of addiction, the mistreatment of the subject of the case study, Mr. Ortiz, is not an
exception to the norm, but the norm itself for people living with addictions and their families.
copyright 2006 Small; licensee BioMed Central Ltd.
ISSN 1477-7517
Publication Type Journal: Article
Journal Name Harm Reduction Journal
Volume 3
Year of Publication 2006
Date of Publication 07 Aug 2006
HEALTH AND SOCIAL 2006 <552>
Database EMBASE
Accession Number 2006444736
Authors Stuart G.L. Meehan J. Temple J.R. Moore T.M. Hellmuth J. Follansbee K. Morean M.
Institution
(Stuart, Temple, Hellmuth, Follansbee) Brown Medical School, Butler Hospital, Providence, RI, United States.
(Meehan, Moore) Brown University Center for Alcohol and Addiction Studies, Providence, RI, United States.
(Morean) Department of Psychology, Brown University, Providence, RI, United States.
(Moore, Hellmuth) University of Tennessee-Knoxville, Knoxville, TN, United States.
(Morean) Yale University, New Haven, CT, United States.
(Stuart) Brown Medical School, Butler Hospital, 345 Blackstone Blvd., Providence, RI 02906, United States.
Country of Publication
United Kingdom
Title
Readiness to quit cigarette smoking, intimate partner violence, and substance abuse
among arrested violent women.
Source
American Journal on Addictions. 15(5)(pp 396-399), 2006. Date of Publication: 01 Oct 2006.
Abstract
Cigarette smoking is a leading cause of preventable mortality in the United States. Not much
data are available regarding the prevalence and correlates of cigarette smoking in female
perpetrators of intimate partner violence (IPV). Ninety-eight arrested violent women were
recruited from court-referred batterer intervention programs. The prevalence of smoking in the
sample was 62%. Smokers reported higher levels of substance abuse, psychopathology,
general violence, and IPV perpetration and victimization than nonsmokers. Most smokers
(65%) indicated a desire to quit within the next year. The results highlight the importance of
screening for cigarette smoking in violence intervention programs and offering assistance to
those who choose to quit. Copyright copyright American Academy of Addiction Psychiatry.
ISSN 1055-0496
Publication Type Journal: Article
Journal Name American Journal on Addictions
Volume 15
Issue Part 5
Page 396-399
Year of Publication 2006
Date of Publication 01 Oct 2006
HEALTH AND SOCIAL 2006 <562>
Database EMBASE
Accession Number 2006441943
Authors Buxton A.P.
Institution
(Buxton) Straight Spouse Network, Oakland, CA, United States.
Country of Publication
United Kingdom
Title
When a spouse comes out: Impact on the heterosexual partner.
Source
Sexual Addiction and Compulsivity. 13(2-3)(pp 317-332), 2006. Date of Publication: Apr
2006.
Abstract
When a spouse comes out as gay, lesbian, bisexual, or transgender, the disclosure is a
family matter. However, the impact on the heterosexual partner is usually overlooked. Most
cope alone, though some find peer support. The most common issues faced are sexual
rejection, challenge to the marriage, concern for their children, and crises of identity, integrity,
and belief system. Resolving the most unique of these (sexuality, identity, integrity, and belief
system) typically takes from three to six years as the straight spouses move from shock and
confusion to accept reality, heal, reconfigure their identity, moral compass, and belief system;
and, finally, to transform their lives, whether or not they stay married. About a third of couples
break up within the first year of disclosure; another third stay together for about two years
before separating; and a third commit to staying married, half of whom remain together for
three or more years. Knowing spouses' issues and stages of coping helps therapists work
with them, especially those overwhelmed by anger, fear, anger, pain, or low self-esteem.
Sexual addiction of some disclosing partners magnifies the impact of disclosure, and coaddiction or codependency problems of some heterosexual spouses further complicate the
resolution process. To help spouses resolve disclosure issues constructively, any addiction
and, if present, codependency or co-addiction problems need to be addressed first.
ISSN 1072-0162
Publication Type Journal: Article
Journal Name Sexual Addiction and Compulsivity
Volume 13
Issue Part 2-3
Page 317-332
Year of Publication 2006
Date of Publication Apr 2006
HEALTH AND SOCIAL (SEX) 2006 <564>
Database EMBASE
Accession Number 2006441941
Authors Tripodi C.
Institution
(Tripodi) Sexual Trauma and Recovery, Inc., Wynnewood, PA, United States.
Country of Publication
United Kingdom
Title
Long term treatment of partners of sex addicts: A multi-phase approach.
Source
Sexual Addiction and Compulsivity. 13(2-3)(pp 269-288), 2006. Date of Publication: Apr
2006.
Abstract
The intimate partners of sex addicts, also known as coaddicts, are often the unrecognized
"difficult" persons in the spectrum of sex addiction recovery. This paper addresses several
components in the long term treatment of partners of sex addicts: (1) the ways coaddicts
present for treatment; (2) identification of characteristic behaviors of coaddicts, and typical
phases that they move through in their own recovery; (3) differences between their initial
presentation and longer-term responses to the impact of sex addiction; and finally, (4)
interventions that are most useful for this special population and ways to assist therapists
working with sexual coaddicts. Knowledge about these factors, as well as the destructive
patterns that maintain homeostasis in the relational system, will enhance professional
understanding of partners of sex addicts.
ISSN 1072-0162
Publication Type Journal: Article
Journal Name Sexual Addiction and Compulsivity
Volume 13
Issue Part 2-3
Page 269-288
Year of Publication 2006
Date of Publication Apr 2006
HEALTH AND SOCIAL (SEX) 2006 <565>
Database EMBASE
Accession Number 2006441940
Authors Steffens B.A. Rennie R.L.
Institution
(Steffens) Cincinnati Christian University, Cincinnati, OH, United States.
(Rennie) Play at Heart: Child and Family Counseling, Chesapeake, VA, United States.
Country of Publication
United Kingdom
Title
The traumatic nature of disclosure for wives of sexual addicts.
Source
Sexual Addiction and Compulsivity. 13(2-3)(pp 247-267), 2006. Date of Publication: Apr
2006.
Abstract
Wives of sexual addicts experience distressing symptoms in response to the disclosure of
their husbands' compulsive sexual behaviors and often describe the disclosure event as
traumatic. The results of this study suggest that a majority of wives of sexual addicts respond
to disclosure with significant trauma-related distress. The data also reveal that years married
at the time of disclosure and number of previous traumatic event exposures best predicted
total trauma symptom severity scores. The study concluded with a discussion of the benefits
of using a trauma model to understand and treat wives of sexual addicts following disclosure.
ISSN 1072-0162
Publication Type Journal: Article
Journal Name Sexual Addiction and Compulsivity
Volume 13
Issue Part 2-3
Page 247-267
Year of Publication 2006
Date of Publication Apr 2006
HEALTH AND SOCIAL (SEX) 2006 <566>
Database EMBASE
Accession Number 2006441939
Authors Phillips L.A.
Institution
(Phillips) Albright College, Reading, PA, United States.
Country of Publication
United Kingdom
Title
Literature review of research in family systems treatment of sexual addiction.
Source
Sexual Addiction and Compulsivity. 13(2-3)(pp 241-246), 2006. Date of Publication: Apr
2006.
Abstract
Many clinicians describe using a family systems approach to treating sexual addiction, and
this model seems to be widely considered a treatment of choice. However, little empirical
validation exists to support this theory. This article outlines the theory of systemic treatment
and reviews some initial studies that analyze this condition from a systems perspective. The
author discusses the need for further research in this area.
ISSN 1072-0162
Publication Type Journal: Review
Journal Name Sexual Addiction and Compulsivity
Volume 13
Issue Part 2-3
Page 241-246
Year of Publication 2006
Date of Publication Apr 2006
HEALTH AND SOCIAL (SEX) 2006 <567>
Database EMBASE
Accession Number 2006441937
Authors Laaser M.R.
Institution
(Laaser) Faithful and True Ministries, Eden Prairie, MN, United States.
Country of Publication
United Kingdom
Title
Working with couples from a spiritual perspective.
Source
Sexual Addiction and Compulsivity. 13(2-3)(pp 209-217), 2006. Date of Publication: Apr
2006.
Abstract
Couple's work where one of the partners is a sex addict can be both frustrating and
rewarding. Doing so from a faith based or spiritual perspective can be equally so, but in my
view it is a fundamental part of the healing journey. Most committed relationships begin as an
expression of spiritual belief. Jewish, Christian, and Islamic traditions view this as a sacred
covenant between the couple and God. Jewish scripture, which is the foundation of all three
traditions, describes marriage in the second chapter of the book of Genesis as a "one flesh"
union. This is a concept that strikes fear in the hearts of some of those who fear
codependency and enmeshment. It is, nevertheless, a concept worth understanding.
ISSN 1072-0162
Publication Type Journal: Article
Journal Name Sexual Addiction and Compulsivity
Volume 13
Issue Part 2-3
Page 209-217
Year of Publication 2006
Date of Publication Apr 2006
HEALTH AND SOCIAL (SEX) 2006 <568>
Database EMBASE
Accession Number 2006441935
Authors Corley M.D. Kort J.
Institution
(Corley) Sante Center for Healing, Argyle, TX, United States.
(Kort) Joe Kort and Associates, Royal Oak, MI, United States.
Country of Publication
United Kingdom
Title
The sex addicted mixed-orientation marriage: Examining attachment styles,
internalized homophobia and viability of marriage after disclosure.
Source
Sexual Addiction and Compulsivity. 13(2-3)(pp 167-193), 2006. Date of Publication: Apr
2006.
Abstract
This article explores attachment styles, internalized homophobia, and sex addiction in
mixed-orientation marriage and discusses the viability of mixed-orientation marriages after a
gay or bisexual sex addicted spouse (GBSAS) discloses. A retrospective examination of
patient records revealed that most GBSAS identified with characteristics of avoidantattachment style and used addictive behavior as a way to cope with their own internalized
homophobia. The majority of wives of GBSAS identified with characteristics of anxiousattachment style and had some knowledge or suspicion of their husbands' attraction to other
men. At discharge, two-thirds of the couples had plans to separate or divorce. A process for
helping couples during crisis phase is reviewed.
ISSN 1072-0162
Publication Type Journal: Review
Journal Name Sexual Addiction and Compulsivity
Volume 13
Issue Part 2-3
Page 167-193
Year of Publication 2006
Date of Publication Apr 2006
HEALTH AND SOCIAL (SEX) 2006 <569>
Database EMBASE
Accession Number 2006441934
Authors Manning J.C.
Institution
(Manning) Brigham Young University, Provo, UT, United States.
Country of Publication
United Kingdom
Title
The impact of internet pornography on marriage and the family: A review of the
research.
Source
Sexual Addiction and Compulsivity. 13(2-3)(pp 131-165), 2006. Date of Publication: Apr
2006.
Abstract
Since the advent of the Internet, the sex industry has profited from an unprecedented
proximity to the home environment. Consequently, couples, families, and individuals of all
ages are being impacted by pornography in new ways. Examining the systemic impact of
Internet pornography, however, is relatively uncharted territory and the body of systemicallyfocused research is limited. A review of the research that does exist was undertaken and
many negative trends were revealed. While much remains unknown about the impact of
Internet pornography on marriages and families, the available data provide an informed
starting point for policy makers, educators, clinicians, and researchers.
ISSN 1072-0162
Publication Type Journal: Review
Journal Name Sexual Addiction and Compulsivity
Volume 13
Issue Part 2-3
Page 131-165
Year of Publication 2006
Date of Publication Apr 2006