Unexpected patterns of continuance in psychotherapy 1

Social work students and professionals need to develop the ability to gauge potential links between race and resource deprivation and limited access to social services. Using data from a university-wide student survey, we tested two hypotheses: (a) that social work students exhibit greater racial tolerance than students not studying social work and (b) that entering and graduating MSW students alike exhibit greater racial tolerance than BSW students. Our results clearly suggest social work students were more tolerant than other students. However, with a few exceptions, progress through social work study was not significantly associated with increase in tolerance.     

Adopted Children Admitted to Residential Psychiatric Care

In an investigation of adopted children admitted to residential, psychiatric care over a five year period it was found that the percentage of adoptees far outnumbered their proportion in the general population. Clinical variables related to adoption were analyzed and early deprivation in the child and family pathology were found to be major factors in many cases. It was suggested that these findings should not discredit adoption as such, but rather that they pointed out areas to which attention could be directed, namely, more careful selection of adoptive parents together with post adoptive counselling and follow-up for the adoptive families.     

Lost in Translation: Language,Terminology, and Understanding of Penile–Anal Intercourse in an HIV Prevention Trial in South Africa,Uganda, and Zimbabwe

Despite efforts to use culturally appropriate, understandable terms for sexual behavior in HIV prevention trials, the way in which participants interpret questions is underinvestigated and not well understood. We present findings from qualitative interviews with 88 women in South Africa, Uganda, and Zimbabwe who had previously participated in an HIV prevention trial. Findings suggested that participants may have misinterpreted questions pertaining to penile–anal intercourse (PAI) to refer to vaginal sex from behind and subsequently misreported the behavior. Three key issues emerge from these findings: first, the underreporting of socially stigmatized sexual behaviors due to social desirability bias; second, the inaccurate reporting of sexual behaviors due to miscomprehension of research terms; and third, the ambiguity in vernacular terms for sexual behavior and lack of acceptable terms for PAI in some languages. These findings highlight methodological challenges around developing clear and unambiguous definitions for sexual behaviors, with implications not only for clinical trials but also for clinical practice and sexual risk assessment. We discuss the challenges in collecting accurate and reliable data on heterosexual PAI in Africa and make recommendations for improved data collection on sensitive behaviors.     

Hazard-based nonparametric survivor function estimation

Summary.  A representation is developed that expresses the bivariate survivor function as a function of the hazard function for truncated failure time variables. This leads to a class of nonparametric survivor function estimators that avoid negative mass. The transformation from hazard function to survivor function is weakly continuous and compact differentiable, so that such properties as strong consistency, weak convergence to a Gaussian process and bootstrap applicability for a hazard function estimator are inherited by the corresponding survivor function estimator. The set of point mass assignments for a survivor function estimator is readily obtained by using a simple matrix calculation on the set of hazard rate estimators. Special cases arise from a simple empirical hazard rate estimator, and from an empirical hazard rate estimator following the redistribution of singly censored observations within strips. The latter is shown to equal van der Laan's repaired nonparametric maximum likelihood estimator, for which a Greenwood-like variance estimator is given. Simulation studies are presented to compare the moderate sample performance of various nonparametric survivor function estimators.     

On “Methodological Monism” in Rural Sociology1

Abstract This paper is a brief outline of the history of methods in rural sociology which suggests that the dominant methodological practice results from institutional arrangements and the traditions of the academic culture, as well as commitment to a scientific sociology. I note oft-stated critiques of the positivist model relevant to rural sociology's “methodological monism,” including imprecise measurement, low levels of predictability, and a social psychological orientation. I suggest, in addition, that methodological homogeneity in rural sociology presents social life as social facts rather than social process, leads to a simplistic understanding of the interview, and separates the researcher from the experience of research. A wider methodological orientation would, I suggest, encourage the examination of a wider range of issues and encourage wider participation in a subdiscipline which, because of its particular history, has developed in isolation from mainstream sociology.     

PERCEIVED EQUITY AND INTIMACY IN MARRIAGE

The extent to which perceived inequity is related to perceived marital intimacy was examined. Sixty-six couples married five years or less were randomly selected from marriage license records in a western rural community. Equity/inequity was assessed using the Walster global measure of equity. Levels of overall intimacy, conflict resolution, affection, cohesion, sexuality, identity, compatibility, autonomy, and expressiveness were measured using the Waring Intimacy Questionnaire (WIQ). Inequity was associated with lower levels of overall intimacy, compatibility, identity, and expressiveness among the wives. Among the husbands, inequity was not associated with any types of intimacy. When comparing husbands in inequitable relationships to wivwes in inequitable relationships, the wives reported lower scores for only one kind intimacy- identity . Explanations and implications for marriage therapy are discussed.     

Development of a Health Literacy Assessment for Young Adult College Students: A Pilot Study

Abstract

Objective: The purpose of this study was to develop a comprehensive health literacy assessment tool for young adult college students. Participants: Participants were 144 undergraduate students. Methods: Two hundred and twenty-nine questions were developed, which were based on concepts identified by the US Department of Health and Human Services, the World Health Organization, and health communication scholars. Four health education experts reviewed this pool of items and helped select 87 questions for testing. Students completed an online assessment consisting of these 87 questions in June and October of 2012. Item response theory and goodness-of-fit values were used to help eliminate nonperforming questions. Results: Fifty-one questions were selected based on good item response theory discrimination parameter values. Conclusions: The instrument has 51 questions that look promising for measuring health literacy in college students, but needs additional testing with a larger student population to see how these questions continue to perform.