A report of an intervention with staff in a hostel for people with learning difficulties

Abstract

This article is a report of a group designed to help staff in a hostel for people with learning difficulties. The group was led by the writer, who at that time was a clinical psychologist based at a local hospital and provided a service to clients and staff in a variety of situations. The group sessions are described, and the implications for leadership and contracting with the group briefly discussed     

Assessment of the Psychometric Properties of a New “Acceptance of an Alcoholic Identity” Instrument

ABSTRACT

This paper describes the design and psychometric testing of a new instrument, the Acceptance of an Alcoholic Identity Instrument (AAII), for abstinent alcoholics. Subscales include Denial, Shame, Self-Efficacy, Surrender, Gratitude and Love Affair with the Drug. When quantified, the response yields a profile of the subject's acceptance of an alcoholic identity. Individually, various instrument items highlight aspects of the acceptance of such an identity, and indicate whether the individual is still struggling with specific aspects comprising this instrument. The use of the LAAII instrument can help clinicians establish a treatment plan that includes measurable and defined objectives aiding in the transformation and solidification of an acceptance process of being an alcoholic. The AAII is designed for use at any stage of recovery and is expected to provide an opportunity for personal insight and change for the recovering alcoholic.     

Medical Complications of Female Genital Mutilation

Abstract

More than 130 million women are subjected to genital mutilation. Despite increasing efforts to reduce the practice, there are many obstacles to eliminating this 2,000-year-old practice, which is based on strong cultural traditions. As college health clinicians provide care to more international students from countries where female genital mutilation is performed, increased awareness and knowledge of the procedure will enable clinicians to understand and manage its complications. We report a case of obstructive uropathy resulting in hydronephrosis secondary to female genital mutilation and review the medical literature regarding this and other complications of genital mutilation “surgery.”     

Public Documents Financial Assistance for Local Government. A Submission to the Grants Commission

James Joyce in his deepest metaphysical moments was no match for the writer(s) of this Report. Whilst recognizing that interdepartmental reports provide never-to-be-missed opportunities for one-upmanship between bureaucracies, one expects more clarity and simplicity when such technical bulletins are made public (as this one has). Paradoxically the Department of Urban and Regional Development (D.U.R.D.) has its own precedent in the excellent report, “Sydney Western Region—an initial discussion report, May 1974”, which formed the basis for allocations in its area improving programme for Sydney.     

Perceptions of,and Assistance Provided to,a Hypothetical Rape Victim: Differences Between Rape Disclosure Recipients and Nonrecipients

Abstract

Objective: Undergraduate rape disclosure recipients’ and nonrecipients’ sociodemographic and life experience variables, attitudes towards rape, and responses to a hypothetical rape disclosure were compared to determine differences between them. Participants: One hundred ninety-two undergraduates at 3 universities participated in this online survey between November 2011 and April 2012. Methods: Participants reported on their rape myth acceptance (RMA) and personal direct and indirect (ie, disclosure receipt) experiences with sexual assault. Participants also responded to a hypothetical rape disclosure. Results: Disclosure recipients were more likely to report a victimization history, and less confusion and perceived ineffectiveness in helping the hypothetical victim. RMA and nonrecipient status predicted perceived victim responsibility; these variables and childhood victimization predicted confusion about helping. RMA also predicted perceived ineffectiveness of one's helping behaviors. Victimization history and female gender predicted victim empathy. Conclusions: These findings can inform sexual assault–related programming for undergraduates through the provision of targeted assistance and corrective information.     

Proclamations and Silences: ‘Race’, Self-Fashioning and Sexuality in the Trans-Atlantic Correspondence between Langston Hughes and Richard Rive

Abstract

The article draws on research for a larger project – a (literary) biography of writer, essayist and educationist Richard Rive (1930–1989). In this piece, the correspondence between Rive and Langston Hughes, as well as creative, critical and autobiographical works by Rive, provide the sources for an examination of ways in which the Cape-based writer forged a sense of self in the face of acute racial oppression, and how he left unspoken or deeply encoded his sense of his own homosexuality. Gilroy's notion of the creation of meaning through movement across the Atlantic proves useful to a point, but my argument is that Gilroy's ‘double consciousness’ is more applicable to black diaspora in the north than it is to a figure like Rive, who proves to be far more multivalent and contradictory in his self-fashioning as a non-racialist, a South African and both a black and cosmopolitan writer.     

Sex and Cultural Differences in the Acceptance of Functional Foods: A Comparison of American,Canadian, and French College Students

Objective: Functional foods (FF)—foods containing nutritional supplements in addition to natural nutrients—have an increasing presence in the marketplace. Expanding on previous research, the authors investigated college students' acceptance of FF. Participants: In September-March 2004, 811 undergraduates in Canada, the United States, and France participated in the study. Methods: A self-administered questionnaire measured students' general food attitudes and beliefs as well as FF-related knowledge, attitudes, beliefs, and purchase intention. Results: Overall, participants slightly favored FF over traditional foods. However, although most respondents associated FF with positive health benefits, many remained dubious of currently available FF information. In terms of culture and sex, the authors found small but significant divergences in FF knowledge, attitudes, and behaviors. Conclusions: Stronger labeling and education efforts may increase cross-cultural acceptance of FF by college students.     

Knowledge,Beliefs, and Behaviors: Examining Human Papillomavirus–Related Gender Differences Among African American College Students

Abstract

Objective: Given recent approval for administration of a human papillomavirus (HPV) vaccine to men, it is important to assess the HPV-related perspectives of men and women. The purpose of this study was to examine gender differences in HPV knowledge, beliefs, and vaccine acceptance among college students attending 3 historically black colleges/universities in the Southeast. Participants and Methods: A nonprobability sample of 575 students completed a self-report questionnaire. Results: Males were significantly less likely to have heard of HPV, scored lower in HPV knowledge, were less likely to perceive HPV health outcomes as severe and that there was a benefit to vaccinate, reported fewer cues for vaccine acceptance, and perceived more barriers to vaccination compared to females (all p < .05). Conclusions: The gender disparities demonstrated in this study highlight the need to increase HPV-related communication/education to include men and to extend HPV research to a broader segment of the college population.     

You’re Deaf? Breaking through Myths for Effective Therapeutic Practice

ABSTRACT

Most mental health practitioners provide services to hearing clients and might be unprepared when a deaf individual requests services. The purpose of this article is to explore commonly held stereotypes and myths about deaf people and to provide guidance to clinicians who encounter deaf clients in their practices. Myths and stereotypes can affect the way clinicians perceive their clients’ needs. This can lead to miscommunication, misunderstanding, and misinformation, which can harm the therapeutic relationship, thus making effective therapy unattainable. Clinicians should reframe these beliefs and overcome barriers to make way for the therapeutic process to begin.     

Words Are Her Legacy: Remembering Muriel Dimen

ABSTRACT

Muriel Dimen is remembered as a writer who spoke first-person in a third-person world. She was not content with traditional scholarly narrative and turned instead to auto-theory experiments that blended theory, clinical case material, fiction, and memoir.     

Family Relationships and Religious Identities of GLBQ Christians

ABSTRACT

Nonheterosexual individuals are half as likely as their heterosexual counterparts to report a religious identity. Gay, lesbian, bisexual, and queer (GLBQ) emerging adults who maintain a religious identity and affiliation throughout their adolescent and young adult years challenge dominant narratives of sexuality and religion (Pew, 2012, 2013). This study contextualizes these demographic findings and considers their impact on family life and sexual identity. The authors present data from 11 qualitative interviews with GLBQ individuals between the ages of 20 and 25. Results are presented in a model describing how participants constructed a GLBQ Christian identity, and how they perceive the acceptance of their identities in both their families and church communities.     

Political extremism,group membership and personality traits: who accepts violence? / Extremismo político,pertenencia al grupo y rasgos de personalidad: ¿Quién acepta la violencia?

Abstract

Identity fusion theory proposed that fused individuals have a visceral feeling of oneness with the group and this leads them to engage in radical, violent pro-group behaviours. Other approaches to group extremism link acceptance of violence to right-wing authoritarianism (RWA) and social dominance orientation (SDO). We extended previous research on fusion in three ways. First, by exploring if identity fusion is a significant predictor of the willingness to fight for a group, when controlling for group identification, left-wing authoritarianism (LWA), RWA and SDO. Secondly, we controlled for a membership in a group known for radical action directed at out-groups, namely football hooligans. Finally, we added a second outcome variable, which is the acceptance of violent change of the current social system. The participants were self-described football hooligans (N = 24) and undergraduate students (N = 155). Regression analyses revealed that the strongest predictor of willingness to defend in-group was identity fusion, with RWA and group identification significant as well. RWA and LWA emerged as the strongest predictors of acceptance of violent change. The effect of group membership wasn’t significant.     

Rural Lesbians and Gays

Abstract

The author examines rural helping professionals' perceptions of lesbian and gay consumers and the effects their perceptions have on the provision of services to this population, including the tensions that result when helping professionals' perceptions hinder their acceptance of gay and lesbian consumers. This article uses reports from helping professionals to supplement the discussion. This article challenges helping professionals to evaluate their perceptions of gay and lesbian social service consumers which may hinder their accepting these consumers so that practitioners may gain full acceptance of their gay and lesbian service consumers.     

Human Papillomavirus Vaccine Intention Among College Men: What's Oral Sex Got to Do With It?

Abstract

Objective: To identify associations between engaging in oral sex and perceived risk of oral cancer among college men. Also, to identify associations, and their moderating factors, between oral sex and human papillomavirus (HPV) vaccine acceptance. Methods: Young men were recruited from 2 university campuses in the South (N = 150). Men completed an audio computer-assisted self-administered interview. Results: With the exception of receiving fellatio, each measure of oral sex behavior was significantly associated with greater perceived risk of oral cancer. Four oral sex behaviors evidenced significant associations with vaccine acceptance. Men engaging in recent oral sex or reporting oral sex behaviors with more than 2 partners were more likely to indicate vaccine intent. African American/black race, communication with parents about sex-related topics, and HPV-related stigma/shame were identified as moderating factors. Conclusion: Young college men giving or receiving oral sex with multiple partners may be predisposed to HPV vaccination.     

A Critical Review of Family Caregiving of Mental Health Consumers in Hong Kong

ABSTRACT

This paper is a critical review on the family caregiving of mental health consumers in Hong Kong. The writer has a brief review on related studies of family caregiving of mental health consumers. In comparing with those in the U.K. and the U.S.A., family caregivers of mental health consumers in Hong Kong are lonely, stigmatized and unsupported by mental health services and members in the community.     

Acceptance of Online Health Services for Self-Help in the Context of Mental Health: Understanding Young Adults’ Experiences

ABSTRACT

This article explores the understanding of the acceptance of online health services from a self-help perspective in the context of mental health. By examining the experiences of young adults, this article develops a framework to leverage the current understanding of the factors that would support the acceptance and use of these types of services. To this end, a multidisciplinary perspective incorporating knowledge from the service marketing, health, and information systems literature is used. The results suggest that the production of online services that are meant for self-help purposes necessitates a focus on the acceptance of technology and, more importantly, instrumental value creation, as the purpose of using these types of services should be better understood and supported by technological solutions. This study also identifies several technological features supporting both the acceptance of technology and users’ ability to achieve well-being. Furthermore, when developing services for health self-help purposes, the issue of branding to increase acceptance should be assessed. From a user perspective, there appears to be a difference regarding whether the services are positioned as health services or as wellness services.     

The Taboos in legal research ‐ a personal case history

As accused or defendant in three trials and their appeals, the present writer has had the misfortune of contributing materially to the drastic narrowing down of the freedom of speech in the administration of justice, and hence of the freedom of scientific enquiry in that field. The question of race particularly has become a subject which is now substantially off‐limits to the researcher and critic of the South African administration of justice. The relevance of these court cases is assessed, both for the permissibility of research in sensitive areas and the fostering of the kind of intellectual climate in which such research would be possible.     

Building Culturally Sensitive Assessments for Transgender Clients: Best Practices for Instrument Development and the Adaptation Process

ABSTRACT

This article focuses on best practices for developing, adapting, and using assessments with transgender clients. The historical context of gender minorities in counseling is discussed, outlining the bias and stigma that has been attached to transgender identities. Due to this historical bias, most assessments use heteronormative language and were not developed for use with gender minorities. As such, we used the guidelines put forth by the American Counseling Association (ACA), the Council for Accreditation of Counseling and Related Educational Programs (CACREP), and the Association for Lesbian, Gay, Bisexual, and Transgender Issues in Counseling (ALGBTIC) to present a guide for developing and adapting assessments for the transgender population. Finally, the authors discuss the clinical application of using a trans-sensitive assessment process for counselor educators and clinicians.     

Fraternity Membership and Sexual Aggression: An Examination of Mediators of the Association

Abstract

Objective: This prospective study examined attitudes (ie, hostility toward women, acceptance of rape myths), peer influences (ie, peer pressure to have sex, peer approval of forced sex), and risky behaviors (ie, high-risk alcohol use, number of sexual partners) as possible mediators of the association between fraternity membership and sexual aggression. Participants: The sample included 424 males recruited as freshmen from a large state university in the southeastern United States. Methods: Respondents completed survey measures in their first, second, and third years of enrollment at the university. Results: Path analyses revealed that the prospective effect of fraternity membership on sexual aggression was mediated by high-risk alcohol use. Conclusions: The findings indicate that high-risk alcohol use accounts for much of the association between fraternity membership and sexual aggression.     

Countertransference and Zebras: Forensic Obfuscation

ABSTRACT

Responding to Daniel Pickar's article entitled “Counter-transference Bias in the Child Custody Evaluator” (this issue), the authors opine that attaching new labels to familiar dynamics fails to contribute to an understanding of interpersonal dynamics with which all participants in the custody evaluation process are already familiar. The position is advanced that, in examining the reports and testimony of evaluators, biases are only relevant when they are manifested in identifiable behavior. Such behaviors include the application by the evaluator of different standards in examining and commenting on the actions of the two parents; the use of insulting terminology in describing the non-favored parent; the use of glowing terminology in describing the favored parent; assignment of minimal importance to possible parenting deficiencies in the favored parent; the assignment of much importance to reported flaws in the non-favored parent; an apparent unquestioning acceptance of the favored parent's perspective; and an apparent rejection of the non-favored parent's perspective.