Ethics in behavioral genetics research

As research in behavioral genetics uncovers the genetic contribution to human behavior, it will undoubtedly further our understanding of normal human variation in many behavioral traits, such as personality, intelligence, and sexuality. This research also shows great potential for the diagnosis, treatment, and prevention of mental illnesses. Recent findings underscore this potential and document the increasing validity of research methods--methods that in the past have led to mistaken inferences about genes "for" violent behavior and homosexuality. Although all research with human subjects requires adequate attention to its ethical aspects, certain ethical issues involved with behavioral genetics are particularly acute and deserve careful attention. This article reviews these selected major ethical issues arising in (1) the conduct of behavioral genetics research; and (2) the application of its research findings. While some of the ethical concerns in the latter category are likely to be of substantial importance and animate considerable popular concern, they currently fall outside the realm of traditional research review. Determining how to deal with these concerns should be a focus of future scholarly work.     

Regional Religions?: Extending the “Semi-involuntary” Thesis of African-American Religious Participation

This research examines religious affiliation and church attendance among African-Americans in three different regions of the United States to evaluate the thesis that the Black church represents a semi-involuntary institution shaped by historical dynamics of segregation in the rural South. We extend the analyses of others who have found the rural South to have distinctive church participation patterns by examining two nationally representative data sets (the 1972–1996 General Social Surveys and the 1984 National Alcohol Study). We explore both level and type of church attendance of African-Americans, and how patterns differ by region. Further, we refine prior analyses by (1) differentiating between members of historically White and conservative churches from those in the black mainline, (2) examining racial segregation, and (3) focusing on the type of church attendance (rather than just overall level). Ordinary Least Squares (OLS) and logistic regression models support the thesis that the rural South exhibits some distinctive patterns that make the semi-involuntary institution notion a useful concept, although patterns not predicted by the thesis are also found. The semi-involuntary thesis is also used to illuminate some church attendance patterns observed outside the rural South.     

Health care issues among lesbian, gay, bisexual, transgender and intersex (LGBTI) populations in the United States: Introduction

This supplemental issue of the Journal of Homosexuality presents research that explores a variety of health care issues encountered by lesbian, gay, bisexual, transgender and intersex (LGBTI) population groups in the United States over the 10-year period from 1993 to 2002. Topics include access to health care, utilization of care, training of medical and mental health providers, and the appropriate preparation of clinical offices and waiting areas. Authors used a variety of community-based public health research methods, including participant and provider surveys and retrospective chart reviews of patients, to develop this body of research, providing a recent-historical perspective on the complex health care and health-related needs of sexual and gender minorities. Particularly for transgender and intersex populations, the state of research describing their health care needs is in its infancy, and much remains to be done to design effective medical and mental health programs and interventions.     

Case study: musicians' playing-related injuries

Professional and student musicians are at high risk of acquiring a playing-related injury at some point in their careers. Yet, specialized healthcare for musicians is scarce and expensive for most self-employed musicians. Diagnosing these injuries is challenging, and simply taking a break from an activity that has caused physical problems does not address the ergonomic and biomechanic causes of the problem. Under these circumstances, it is not surprising that musicians are reluctant to seek care, and when they do, lack trust in the care that is provided to them. This article is a case presentation of the experiences of a graduate student musician studying performance at a North American university. A narrative style is used to reflect the quality and nature of experiences this musician encountered, followed by a discussion of how to advance a more participatory and holistic approach to enabling return to function.     

The Canadian Problem Gambling Index: An Evaluation of the Scale and Its Accompanying Profiler Software in a Clinical Setting

Across two studies we assessed the clinical utility of the Canadian Problem Gambling Index (CPGI). In Study 1, the scored items on the CPGI significantly correlated with those of the South Oaks Gambling Screen (SOGS), yet their shared variance was low. Importantly, clinician evaluation of the client’s level of pathology was more strongly associated with that revealed by the CPGI than the SOGS. In terms of utility, clinicians found the non-scored items on the CPGI more useful in treatment than those included with the SOGS. In Study 2, the effectiveness of the CPGI profiler (CPGI-P) software, which graphically depicts problematic gambling-relevant attitudes and behaviours, was assessed. Although clients had difficulties using the CPGI-P interface, they overwhelmingly indicated that the output prompted action to address their gambling. The clinicians were less enthusiastic as they felt the output did not help clients truly understand their gambling problems. Such sentiments were reiterated by the clinicians at a 6 months follow-up. The use of the SOGS and possible adoption of the CPGI (as well as the CPGI-P) in a clinical setting are discussed.     

The benefits of reflecting on and discussing purpose in life in emerging adulthood

The benefits of understanding and pursuing one's purposes in life are well documented. However, few studies have addressed potential interventions for enhancing purpose. This article presents the results of an empirical investigation testing whether reflecting on and discussing one's core values, life goals, and purposes in life has benefits for later purpose, as well as later life satisfaction. The study involved a pretest/posttest experimental design with 102 college students, with posttest measures administered nine months later. Results showed that those who engaged in the guided discussion of their values, life goals, and purpose (compared to those who did not) benefited in terms of their goal directedness and life satisfaction and that the benefits for life satisfaction were partially attributable to changes in goal directedness. The article concludes by highlighting implications for practitioners of all kinds, including parents, with recommendations for implementing the purpose discussion in a variety of youth settings.     

Backstage discourse and the reproduction of white masculinities

This article documents the shared patterns of private white male discourse. Drawing from comparative ethnographic research in a white nationalist and a white antiracist organization, I analyze how white men engage in private discourse to reproduce coherent and valorized understandings of white masculinity. These private speech acts reinforce prevailing narratives about race and gender, reproduce understandings of segregation and paternalism as natural, and rationalize the expression of overt racism. This analysis illustrates how antagonistic forms of “frontstage” white male activism may distract from white male identity management in the “backstage.”     

Toward a standard of care for child ADHD: implications for marriage and family therapists

In this article, we briefly review the etiology of Attention Deficit Hyperactivity Disorder (ADHD) and describe the most current scientifically supported theory about the nature of this disorder. Based on the research literature, several organizations have established standards of care for its diagnosis and treatment, which involves a multimodal strategy for treatment at the biological, individual, family, school, and community levels. Assessment and treatment guidelines are provided for Marriage and Family Therapists (MFTs), and specific areas of competency are proposed for MFTs who are working with children who have ADHD.