The peripheral position of sex in a psychotherapy: An illustrative case of a mirror transference

Understanding the role of sexualization in a depressed patient gives us the opportunity to re-examine the place of sexual activity in psychopathology. The self psychological concept of the mirror transference is used to explain the therapist's activity in the case illustration.     

From QA to TQM

In the decade from 1950 to 1960, two quality-related processes--medical audit and total quality management--were being developed, one directly in the health care field and the other in the manufacturing sector. These processes remained isolated from each other until the mid-1980s. Each would have a separate but major effect on the health care industry.     

Q-LEARNING WITH CENSORED DATA

We develop methodology for a multistage-decision problem with flexible number of stages in which the rewards are survival times that are subject to censoring. We present a novel Q-learning algorithm that is adjusted for censored data and allows a flexible number of stages. We provide finite sample bounds on the generalization error of the policy learned by the algorithm, and show that when the optimal Q-function belongs to the approximation space, the expected survival time for policies obtained by the algorithm converges to that of the optimal policy. We simulate a multistage clinical trial with flexible number of stages and apply the proposed censored-Q-learning algorithm to find individualized treatment regimens. The methodology presented in this paper has implications in the design of personalized medicine trials in cancer and in other life-threatening diseases.     

“To get the word out”: LGBTQ+ Young adults’ motivations for participating in qualitative research studies

Understanding why socially marginalized individuals, such as lesbian, gay, bisexual, transgender and/or queer (LGBTQ+) people, participate in research can improve qualitative research designs, as well as social services and policies. In providing a participant-centered foundation, we interviewed 65 LGBTQ+ young adults and asked “Why are certain LGBTQ+ young adults motivated to engage in qualitative social science studies?” Many LGBTQ+ young people said they were committed to enacting social change and promoting advocacy. Participants also highlighted supporting scientific research and knowledge production. Finally, LGBTQ?+ participants engaged with research to introspectively analyze their identity development processes. These findings can facilitate access to socially vulnerable and underrepresented groups through a methodological focus on participant benefits.     

Family Welfare Effort,Total Fertility,and In Vitro Fertilization: Explaining the Israeli Anomaly

The theory of family welfare effort is a leading macro‐sociological explanation of variation in human fertility. It holds that states which provide universally available, inexpensive, high‐quality day care, generous parental leave, and flexible work schedules lower the opportunity cost of motherhood. They thus enable women, especially those in lower socioeconomic strata, to have the number of babies they want. A considerable body of research supports this theory. However, it is based almost exclusively on analyses of Western European and North American countries. This paper examines the Israeli case because Israel's total fertility rate is anomalously high given its family welfare effort. Based on a review of the relevant literature and a reanalysis of data from various published sources, it explains the country's unusually high total fertility rate as the product of (1) religious and nationalistic sentiment that is heightened by the Jewish population's perception of a demographic threat in the form of a burgeoning Palestinian population and (2) the state's resulting support for pro‐natal policies, including the world's most extensive in vitro fertilization (IVF) system. The paper also suggests that Israel's IVF policy may not be in harmony with the interests of many women insofar as even women with an extremely low likelihood of becoming pregnant are encouraged to undergo the often lengthy, emotionally and physically painful, and risky process of IVF.     

Invariant co-ordinate selection

Summary.  A general method for exploring multivariate data by comparing different estimates of multivariate scatter is presented. The method is based on the eigenvalue–eigenvector decomposition of one scatter matrix relative to another. In particular, it is shown that the eigenvectors can be used to generate an affine invariant co-ordinate system for the multivariate data. Consequently, we view this method as a method for invariant co-ordinate selection . By plotting the data with respect to this new invariant co-ordinate system, various data structures can be revealed. For example, under certain independent components models, it is shown that the invariant co- ordinates correspond to the independent components. Another example pertains to mixtures of elliptical distributions. In this case, it is shown that a subset of the invariant co-ordinates corresponds to Fisher's linear discriminant subspace, even though the class identifications of the data points are unknown. Some illustrative examples are given.     

Longitudinal Consistency in Self-Reported Age of First Vaginal Intercourse among Young Adults

We examined consistency in self-reports of age at first vaginal sex among 9,399 male and female respondents who participated in Waves III and IV (separated by approximately seven years) of the National Longitudinal Study of Adolescent Health (Add Health). Respondents were coded as consistent if they reported an age at first vaginal intercourse at Wave IV that was within one year of the age they reported at Wave III. Sociodemographic, behavioral, and cognitive predictors of consistency were examined using bivariate and multivariate logistic regression. Overall, 85.43% of respondents were able to provide consistent reports. Among both males and females, consistency was associated with age, years since first vaginal intercourse, race/ethnicity, and lifetime number of other-sex partners in final multivariate models. Respondents who were older and had more recently had their first sexual experience were more likely to be consistent. For females only, those who reported a history of nonparental, physically forced sex were less likely to be consistent. Most young adults consistently report age at first vaginal intercourse, supporting the credibility of retrospective self-reports about salient sexual events such as timing of first vaginal intercourse.     

Marriage (In)equality: The Perspectives of Adolescents and Emerging Adults With Lesbian,Gay, and Bisexual Parents

The debate over whether same‐sex couples should be allowed to enter into civil marriages continues in the United States. Forty‐nine adolescents and emerging adults (ages 14–29) with lesbian, gay, and bisexual parents were interviewed for the current exploratory study, which examined how individuals perceived themselves and their families as being affected by marriage (in)equality, as well as the factors that shaped their perspectives. More than two thirds of participants voiced unequivocal support for marriage equality, citing numerous legal and symbolic benefits that their families were denied. One quarter of participants articulated critical perspectives of marriage or the fight for marriage equality, while also acknowledging the benefits associated with marriage. As the first study to examine the perspectives of individuals with lesbian, gay, and bisexual parents with regard to marriage (in)equality, this research has important implications for the marriage equality debate and provides a springboard for future studies on this topic.