Popular Moralities and Institutional Rationalities in Malawi's Struggle Against AIDS

The AIDS epidemic in sub‐Saharan Africa is fertile ground for examining how moral evaluations evolve over time and across different settings. We compare the discourse on AIDS in Malawi as presented in the media with that of everyday conversations. Drawing on two sets of texts, newspaper articles and conversational journals, produced over a ten‐year period from 1999 through 2008, we analyze their moral injunctions, or what individuals should or should not do in response to the AIDS epidemic. The predominant injunctions in the early years in both sources were premarital abstinence and marital fidelity. Following the introduction of HIV testing and treatment, however, the discourses diverged. Discourse in the media turned toward moral injunctions requiring individuals to interact with authoritative institutions; thus the conceptual center of gravity of the struggle against AIDS in the media shifted from collectivities of individuals to collectivities of institutions. Rural Malawians, however, received these moral injunctions with great skepticism and continued to advise each other to prevent death by controlling one's sexual appetites.     

Using hidden Markov models with raw,triaxial wrist accelerometry data to determine sleep stages

Accelerometry is a low‐cost and noninvasive method that has been used to discriminate sleep from wake, however, its utility to detect sleep stages is unclear. We detail the development and comparison of methods which utilise raw, triaxial accelerometry data to classify varying stages of sleep, ranging from sleep/wake detection to discriminating rapid eye movement sleep, stage one sleep, stage two sleep, deep sleep and wake. First‐ and second‐order hidden Markov models (HMMs) with time‐homogeneous and time‐varying transition probability matrices, along with continuous acceleration observations in the form of a Gaussian‐observation HMM and K‐means classified acceleration in a discrete‐observation HMM were explored. In addition, generalised linear mixed models (GLMMs) with binary and multinomial responses and logit link functions were considered as was whether incorporating adjoining acceleration information into the models improved prediction. Model predictions were compared to the reference‐standard in sleep detection (polysomnography) and outcome accuracies were calculated. Consistently, HMMs yielded greater sleep stage detection than GLMMs but there was little difference between first‐ and second‐order HMMs. Varying degrees of difference were observed when comparing Gaussian‐observation HMMs to discrete‐observation HMMs, and time‐varying HMMs yielded greater discrimination than time‐homogeneous HMMs, as did models which considered adjoining acceleration information. These results suggest that wrist‐worn accelerometry data may be able to detect sleep stages but that further investigation is required to optimise classification accuracy.     

Promoting “Zest for Life”: A Systematic Literature Review of Resiliency Factors to Prevent Youth Suicide

Suicide is a leading cause of death among youth globally. In this critical interpretive synthesis, we examined literature on resiliency factors and suicidality. Systematic searches identified 474 articles, 37 of which were included. Results revealed internal (positive self‐appraisal, zest for life, personal traits, and coping skills) and external factors (social support system and inclusive environments) contribute to resilience among youth, with age, sex and gender, and Indigenous identity as important intersecting considerations. Findings validated fostering resilience as primary suicide prevention among youth, with little explanation for how these factors may work to protect youth from suicidality. Continued research in this area requires a focus on how to promote resilience at the community and systems levels.     

Psychosocial Intervention and Clinical/Educational Outcomes for Students with Emotional and Behavioral Disorders: An Evaluation of the Astor Transitions Program

The Astor Transitions Program (ATP) was developed to assist youth with emotional and behavioral disorders moving into a new educational environment where the services would often be less integrated. A research/evaluation consultant was hired to conduct a program evaluation of the ATP. The study sample consists of the charts of 150 consecutive students admitted to ATP between April 2010 and March 2013. The following hypothesis was tested: the ATP service in terms of caseworkers’ contacts will be associated with better clinical and educational outcomes. The major findings were the impact of caseworker contacts on clinical outcomes was indirect and greatest on type of placement; caseworker contacts had no effect on school attendance, yet ATP students were present about 85% of the time; and casework activity increased for chronic cases in placement but decreased after hospitalization. Recommendations were made to program staff on how to improve ATP services.     

Romancing leadership: Past, present, and future

This paper presents a review of the romance of leadership and the social construction of leadership theory 25 years after it was originally introduced. We trace the development of this theoretical approach from the original formulation of the romance of leadership (RoL) theory as attributional bias through its emergence as a radical, unconventional approach that views leadership as a sensemaking activity that is primarily ‘in the eye of the beholder.’ We subsequently review research published in management and organizational psychology journals, book chapters and special issues of journals from 1985 to 2010. Three overall themes emerged from this review: 1) biases in (mis)attributions of leadership, including attributions for organizational success and failure; 2) follower-centered approaches, including the role of follower characteristics, perceptions, and motivations in interpreting leadership ratings; and 3) the social construction of leadership, including interfollower and social contagion processes, the role of crisis and uncertainty, and constructions and deconstructions of leadership and CEO celebrity in the media. Within each of these themes, we examine developments and summarize key findings. Our review concludes with recommendations for future theoretical and empirical work in this area.     

Every Three Seconds: A Review of an Innovative Documentary on Research and Stigma Surrounding Dementia Across the Globe

Every Three Seconds is an innovative documentary provided by Alzheimer’s Disease International (ADI) and In the Moment (ITM) Productions which explores the impacts of dementia, national and international frameworks and strategies for helping communities,and technological advancements aimed to slow and potentially cure dementia in addition to efforts to raise awareness and reduce stigma. In this review, a general summary of the documentary is provided and its organization, audience and quality related concerns, relevance to gerontological social work and social welfare, the credibility of ADI and key strengths and weaknesses of the film are also explored. Finally, the review concludes with a discussion of how this documentary may be useful for caregivers,individuals with dementia, researchers, and lay audience members alike as well as how it may be used in classroom and/or in organizational settings.     

A Quantitative Examination of Identity Integration in Gay,Lesbian, and Bisexual People of Faith

Much of the religious/spiritual development of gays, lesbians, and bisexuals (GLBs) has focused on experiences of conflict and distress, providing little insight into how these identities can be integrated. The present study explored the religious and spiritual lives of GLBs with a specific focus on the integration of these identities. We conducted a retrospective secondary data analysis of 750 GLB individuals from the Northern California Health Study to quantitatively assess sexual orientation and religion/spirituality integration using hierarchical cluster analysis. Resulting MANCOVA analyses of the five revealed groupings (integrated, gay identity struggle, anti-religious/spiritual, secular, and low gay salience) present numerous statistically significant differences between these integration clusters and a variety of dependent variables including measures of demographics, religiosity/spirituality, gay identity, and multiple mental health outcomes. We discuss the implications of these findings while also making suggestions for future research.