Cognitive-behavioral therapy for obsessive-compulsive disorder: review of treatment techniques

Obsessive-compulsive disorder (OCD) is a chronic, impairing condition with an estimated lifetime prevalence in adults of 2.5%. Controlled treatment trials have demonstrated that cognitive-behavioral therapy (CBT) is an effective intervention for OCD. However, many individuals diagnosed with OCD do not receive appropriate, empirically validated interventions, perhaps due to limited knowledge of CBT among mental health practitioners. This article provides a review of CBT for OCD. Issues related to treatment delivery and assessment are presented and highlighted by an individual example.     

Health belief factors and dispositional optimism as predictors of STD and HIV preventive behavior

Identifying factors predictive of youth's engaging in preventive behaviors related to sexually transmitted diseases (STDs) and HIV remains a prominent public health concern. The utility of the Health Belief Model (HBM) continues to be suggested in identifying preventive behaviors. This study sought to examine the full HBM, including self-efficacy, with regard to STD and HIV preventive behavioral intentions in college students. Self-efficacy was identified as the primary predictor for each of the behavioral intentions (condom use, STD testing, and HIV testing), whereas response efficacy was only predictive of testing intentions. Inconsistent with HBM assumptions, perceived HIV severity was negatively related to HIV testing intentions. Students who perceived HIV as high in severity were less likely to intend to obtain HIV testing. Overall, the utility of the HBM in predicting college students' sexual preventive behavior was unsupported. An argument for a change in the direction of research, away from the continued emphasis on the study of cognitive variables, is made.     

Internet use among community college students: implications in designing healthcare interventions

The Internet has become a commonly used venue for seeking healthcare information. Young adults search the Internet for health information more than any other group, yet little is known about use patterns among community college students. The authors surveyed a diverse community college to assess students' use of the Internet for health-related information. More than 80% had home Internet access, regardless of race or gender. Men and women searched for health information in almost equal numbers. Most students were interested in searching for diet/nutrition topics, and least interested in smoking information. Although the digital divide appears to be closing, varying levels of interest in a variety of important health topics remain. Understanding these differences could guide the design of more effective Web-based health interventions.     

Introduction: moving youth participation forward

Given the emerging interest among researchers, practitioners, and policymakers in youth participation, it is important to examine and assess carefully the promise and challenges of youth engagement.     

Hematopoietic stem cells and aging

Hematopoiesis is a process by which a single cell--called a hematopoietic stem cell (HSC)--has the proliferative potential to give rise to all of the major lineages of blood and immune cells. Stem cells can undergo both symmetric division, which results in two copies of the parent stem cell, and asymmetric division, which results in self-renewal of the parent stem cell as well as production of a daughter cell that is capable of differentiating along a specific lineage. A number of different elements of HSC replication change with age, even though these transformations do not appear to result in hematopoietic deficiencies under normal circumstances. In this Perspective, the author discusses these age-related alterations.     

Problematic White Identities and a Search for Racial Justice

Blauner (1995, Racism and Antiracism in World Perspective. Thousand Oaks, CA: Sage), Winant (1998, Ethnic and Racial Studies 24(4): 755–766) and Bonnett (1997, New Communities 22(1): 97–110) all express concern over the construction of racism as a white-only phenomenon and the corresponding degree to which whiteness is essentialized as a negative identity. This paper explores how white antiracism activists mediate between a static construction of white racism and a more contextual understanding of racism and possibilities for white activism. While whiteness is clearly hegemonic in the larger social world, within movements for racial justice, whiteness is often seen as suspect. Given this, white antiracism activists spend a fair amount of their activist hours negotiating a problematic identity. This paper explores the mechanisms by which such an identity is negotiated. I conclude that while white activism is complicated by a definition of racism that tends to essentialize whiteness, the activists have found ways to empower themselves and to conceptualize their relationship to racism and antiracism activism in a less rigid way. All of this contributes to our understanding of the complexity of white identity and efforts to demonstrate how it is an identity that, like other identities, is always in formation.     

Identifying meaning and perceived level of satisfaction within the context of work

OBJECTIVE: The primary objectives of this study were to identify sources of meaning for individuals within the context of a work environment, and to compare varied sources of meaning for individuals with high and low work satisfaction levels. METHOD: Participants were chosen based on satisfaction levels in employment, full-time employment status within an organization for at least one year, and diversity in the work setting. Data were gathered through a series of interviews and observations of the participants' workplaces. A comparative analysis of transcribed interviews was conducted by the researchers and with an expert occupational therapy faculty panel. From these analyses, the researchers developed work narratives for a mechanical engineer, a high school teacher, an employee of mechanical services, and a career service counselor. RESULTS: Emerging themes from the work narratives indicated that the various meanings employees found in work had an effect on their perceived levels of job satisfaction. Participants conveyed that organization identification, financial benefits, independent decision-making, reciprocal respect, opportunities for creativity, and maintaining significant relationships outside of work enhanced meaning and satisfaction. CONCLUSIONS: The worker role is a significant source of an individual's identity, meaning, and satisfaction in life. Professionals in various fields can work with employers to develop meaningful work environments for increased job satisfaction, greater motivation for work, increased productivity, and decreased employee turnover.