Family Physicians’ Awareness and Knowledge of the Genetic Information Non-Discrimination Act (GINA)

Historically, physicians have expressed concern about their patients’ risk of genetic discrimination, which has acted as a barrier to uptake of genetic services. The Genetic Information Nondiscrimination Act of 2008 (GINA) is intended to protect patients against employer and health insurance discrimination. Physicians’ awareness and knowledge of GINA has yet to be evaluated. In 2009, we mailed surveys to 1500 randomly selected members of the American Academy of Family Physicians. Questions measured physicians’ current knowledge of GINA and their level of concern for genetic discrimination. In total, 401 physicians completed the survey (response rate 26.9%). Approximately half (54.5%) of physicians had no awareness of GINA. Of physicians who reported basic knowledge of GINA, the majority were aware of the protections offered for group health insurance (92.7%), private health insurance (82.9%), and employment (70.7%). Fewer physicians were aware of GINA’s limitations regarding life insurance (53.7%) and long-term care insurance (58.8%). Physicians demonstrated highest levels of concern for health insurance, life insurance, and long-term care insurance discrimination, with less concern for employer and family/social discrimination. Level of concern for the risk of genetic discrimination did not correlate significantly with awareness of GINA. Approximately 17 months after GINA was signed into federal law, physicians’ knowledge remained limited regarding the existence of this legislation and relevant details. Physicians who are aware of GINA continue to have significant concerns regarding the risk of genetic discrimination. This study reveals the need to further educate physicians about the existence of GINA and the protections offered.     

A Comparison of the Interactive Systems Framework (ISF) for Dissemination and Implementation and the CDC Division of HIV/AIDS Prevention’s Research-to-Practice Model for Behavioral Interventions

Translating evidence-based HIV/STD prevention interventions and research findings into applicable HIV prevention practice has become an important challenge for the fields of community psychology and public health due to evidence-based interventions and evidence-based practice being given higher priority and endorsement by federal, state, and local health department funders. The Interactive Systems Framework (ISF) for Dissemination and Implementation and the Division of HIV/AIDS Prevention (DHAP) Research-to-Practice model both address this challenge. The DHAP model and the ISF are each presented with a brief history and an introduction of their features from synthesis of research findings through translation into intervention materials to implementation by prevention providers. This paper describes why the ISF and the DHAP model were developed and the similarities and differences between them. Specific examples of the use of the models to translate research to practice and the subsequent implications for support of each model are provided. The paper concludes that the ISF and the DHAP model are truly complementary with some unique differences, while both contribute substantially to addressing the gap between identifying effective programs and ensuring their widespread adoption in the field.     

The Paradox of Wuwei? Yes (and No)

This essay considers P. J. Ivanhoe's critical challenge to Slingerland's analysis of wuwei(‘effortless action’). While I agree with Ivanhoe that we should do more work to embody and understand the concept of wuwei, I will defend Slingerland's notion that wuwei involves paradox—particularly in the cases of Zhuangi and Laozi. The present essay is not a defense of the specifics of Slingerland's analysis. Nonetheless, this essay focuses on defending the notion of paradox. Ivanhoe offers an alternative view of wuwei, one that sees the paradox as a riddle. I argue that this kind of formulation would frame the problem of wuwei in an unhelpful manner. I offer several novel ways of overcoming, or at least qualifying, the experience of paradox that seems to be at play in nondoing.     

Sexual Nature? (Re)presenting Sexuality and Science in the Museum

The past 15 years have seen dramatic changes in social norms around sex and sexuality in the UK and worldwide. In 2011, the London Natural History Museum (NHM) contributed to these debates by opening the temporary exhibition Sexual Nature, which aimed to provide ‘a candid exploration of sex in the natural world’ whilst also drawing in an under-represented audience of young adults. Sexual Nature provides an opportunity to explore Macdonald's ‘politics of display’ in the mutual construction of (public) scientific knowledge, society and sexuality, at a time of intense contestation over sexual norms. Whilst Sexual Nature both reflected and contributed to major reframings of sexuality and what science can say about it, the assumption that it would be possible to present this topic as morally neutral, reliable and uncontested, in line with traditions of public science, proved to be problematic. The language of the exhibition moved back and forth between human/animal similarity and difference, and between scientific and cultural tropes as the NHM tried to maintain epistemic authority whilst also negotiating the moral boundaries of acceptable sexual behaviour. The topic of sex pushed the museum far beyond its usual expertise in the natural sciences towards the unfamiliar territory of the social and human, resulting in an ad hoc search for, and negotiation with, alternative sources of expertise. Boon et al.’s co-curation approach to exhibition building has the potential to extend the NHM's audience-driven strategy, whilst also producing a more coherent and nuanced exhibition about the science of sex.     

Does implementation of reforms authorized in Section 28 of the Youth Justice and Criminal Evidence Act affect the complexity of the questions asked of young alleged victims in court?

This study examined whether the implementation of Section 28 (S28) of the Youth Justice and Criminal Evidence Act and the introduction of mandatory ground rules hearings reduced the complexity of the questions English lawyers asked when examining child witnesses. This study compared cases with (n = 43) and without (n = 43) the S28 special measures and involved children aged 6–15 testifying as alleged victims of sexual abuse. Defense lawyers' questions in the S28 condition comprised fewer words, clauses, false starts, multiple negatives, and temporal and numeric attributes than in the non‐S28 condition. When questioning younger children, lawyers used fewer words, clauses, references to “before/after,” and passive voice. These results demonstrated that S28 successfully reduced the complexity of the questions and that lawyers in both conditions partially adjusted the complexity of their questions to accommodate children's developmental capabilities.     

What’s the 411? Assessing the Feasibility of Providing African American Adolescents with HIV/AIDS Prevention Education in a Faith-Based Setting

This study examines African American faith based leaders’ attitudes and beliefs about providing HIV prevention education and services to adolescents. Using a convenience sample, we identified priority adolescent health issues, attitudes about abstinence messages, and willingness to provide and participate in HIV prevention. Leaders identified drugs, gangs, alcohol, sex, and pregnancy as priority health issues affecting youth in their institutions. Leaders’ strongly preferred to emphasize abstinence messages. Although leaders were willing to provide youth with health education, they were not willing to discuss specific behaviors associated with HIV transmission. African American churches provide a venue to reach African American youth; however, there are limitations to relying on faith-based HIV prevention services. HIV prevention education should continue to be supplemented via parents, schools, and public health agencies.

Becoming (Hetero) Sexual? The Hetero-Spectacle of Idollators and their Real Dolls

Guys and Dolls, a BBC documentary premiering in 2007 sketches out the lives of four men in relationships with silicone-fleshed, anatomically correct Real Dolls (RDs). The men in the documentary treat their RDs as if they are alive—they dress their dolls, rub their feet, and discuss what sex and the relationship with their dolls is like. In relating with their RDs, the men respond to concerns of having “no female company” at all. In this essay, combining Stein’s (Sexualities and society: a reader, Polity Press, Oxford, pp 132–142, 2003) notion of “be-coming out,” with Deleuze and Guattari’s (A thousand plateaus: capitalism and schizophrenia, University of Minnesota Press, Minneapolis, 1987) theory of becoming, we contend that the documentary actively represents the men’s pasts in order to make sense of, justify, and construct the dynamics of their current sexual selves. Because the idollator’s be-coming narratives illuminate their heteronormative shortcomings, these sexual origin stories take a confessional tone. Although confessions regarding sexuality are not soul cleansing acts but are approval seeking performances that reify normative social boundaries, we argue for a queer reading of the Guys and Dolls text which subverts the dominant logic of heteronormativity.     

Clergy’s Beliefs About Mental Illness and Their Perception of Its Treatability: Experience from a Church-Based Prevention of Mother-to-Child HIV Transmission (PMTCT) Trial in Nigeria

Journal of Religion and Health - Clergy participating in the Healthy Beginning Initiative (N = 45), a program utilizing church workers to integrate packages of care into church...     

Do Boys and Girls Act Differently in the Classroom? A Content Analysis of Student Characters in Educational Psychology Textbooks

Previous research on gender stereotyping in textbooks has focused primarily on pictures used in texts. However, many textbooks also use scenarios, with fictional characters, as pedagogical devices. Student characters in educational psychology textbooks were analyzed for potential gender stereotypes. Results revealed that male characters were depicted with negative masculine traits, such as aggression, significantly more often than were female characters. However, no differences were found for positive masculine traits or for feminine traits. Male characters were also portrayed as engaging in stereotypically masculine activities significantly more often than female characters, although no difference was found in science activity as a function of gender. The findings are discussed in terms of possible influence on preservice teachers who are the primary readers of educational psychology textbooks.     

Does Legalized Gambling Elevate the Risk of Suicide? An Analysis of U.S. Counties and Metropolitan Areas

This study addresses a possible link between suicide and casino gambling. Resident suicide rates are analyzed for (a) a 1990 cross-section of 148 U.S. metropolitan areas and (b) before and after the advent of legalized casinos in five U.S. counties. Data are drawn from government and gaming industry sources. In cross-section, metro area suicide is strongly correlated with region, accidental death and homicide rates, age and race composition, and economic vitality, followed by a modest net positive correlation with casino presence. By contrast, the time series analysis yields no evidence of a gambling effect.     

Does Parental Monitoring Moderate the Impact of Community Violence Exposure on Probation Youth’s Substance Use and Sexual Risk Behavior?

The present study examined whether parental monitoring buffers the negative effects of communtity violence exposure on probation youth’s substance use and sexual risk behaviors. Among a sample of 347 Chicago youth on probation, ages 13–17 years, parental monitoring did not moderate the relationship between community violence exposure and probation youth’s sexual risk and substance use. However, parental monitoring was independently associated with less engagement in sexual risk and substance use, and community violence exposure was independently associated with more risk behavior among probation youth. The present study contributes to the growing literature on the impact of community violence exposure and parenting on adjudicated youth risk.     

Assessing Sexual Orientation–Related Obsessions and Compulsions in Italian Heterosexual Individuals: Development and Validation of the Sexual Orientation Obsessive-Compulsive Scale (SO-OCS)

Sexual Orientation–Obsessive-Compulsive Disorder (SO-OCD) is characterized by intrusive thoughts, images, and urges related to one’s sexual orientation, and by consequent avoidance, reassurance seeking, and overt and covert compulsions. Currently there is no short self-report measure that assesses SO-OCD symptoms. The current article describes two studies that develop and evaluate the first version of the Sexual Orientation Obsessive-Compulsive Scale (SO-OCS), a 14-item Italian self-report measure targeted towards heterosexual individuals. In Study 1, the SO-OCS was developed and refined through item analysis and exploratory factor analysis from an initial pool of 33 items administered to 732 Italian nonclinical participants. The SO-OCS showed a unidimensional structure and an acceptable internal consistency. In Study 2, the factor structure, internal consistency, temporal stability, construct and criterion validity, and diagnostic sensitivity of the SO-OCS were investigated in three samples of Italian participants (294 from the general population, 52 OCD patients who reported sexual orientation-related symptoms or concerns as a primary complaint, and 51 OCD patients who did not report these symptoms as primary complaint). The SO-OCS was again found to have a unidimensional structure and good internal consistency, as well as to exhibit strong construct validity. Specifically, the SO-OCS showed an excellent criterion validity and diagnostic sensitivity, as it successfully discriminated between those with SO-OCD and all other groups of participants. Finally, evidence of temporal stability of the SO-OCS in a nonclinical subsample was found. The SO-OCS holds promise as a measure of SO-OCD symptoms in heterosexual individuals.     

Feudal Economy and Rural Settlement of Oultrejourdain and Their Impact on Muslim Farmers under the Rule of the Crusaders (1099–1189)

The dispersed and fragmented records on the history of Oultrejourdain have contributed to the vagueness of the understanding of the interrelationships between crusaders and settlers, especially those related to economic and settlement matters. Using historical, archaeological and ethnographic records, this study expands on the understanding of the intertwined variables that created the economic and social fabrics in Oultrejourdain for the period from 1099 to 1189. The results of the study show that the military structures in the major cities of Oultrejourdain caused the rural settlements to prosper, though at the same time land management followed a feudal system. In addition, areas with large numbers of crusader and local Eastern Christian settlers witnessed increased political stability and institutional development as well as greater urbanization. These areas also experienced prosperity in agriculture, trade and capital accumulation, even with the presence of underlying religious conflicts with Muslims. It is clear that villagers, farmers, Bedouins and castle garrisons were all closely dependent upon each other. Those who lived and worked inside the forts relied on neighbouring estates for food, supplies and revenues.     

Exclusivist or Universalist? Origen the ‘Wise Steward of the Word’ (CommRom. V.1.7) and the Issue of Genre

Abstract: This article explores the issue of Origen's universalism. It identifies the two seemingly self‐contradictory strands in the Origen corpus which have led to dual pictures of Origen as either an arch‐universalist or an exclusivist. To make sense of this, the hermeneutical key of CommRom. V.1.7 (in which Origen states Paul covers over his universalism to be a ‘wise steward of the word’) is applied to Origen's own texts. Identifying the different genres in Origen's works, it is clear that different stances on universalism are taken dependent upon the genre of his work. The question is posed as to whether such a move in theology is justifiable and biblical.     

Does Posttraumatic Growth Buffer the Association Between Death Anxiety and Quality of Life Among People living with HIV/AIDS?

People living with HIV (PLWH) may experience death anxiety (DA), which can be detrimental to quality of life. Posttraumatic growth (PTG), however, is antithetical to DA, with its positive attributes at odds with negative psychosocial outcomes. Previous research has not examined the buffering effect of PTG on the association between DA and quality of life. Therefore, in addition to the direct effects of DA and PTG on health-related quality of life (HRQoL), we investigated the moderating role of PTG on the relationship between DA and HRQoL among people living with HIV/AIDS (PLWH) in Nigeria. Using cross-sectional design and availability sampling method, we selected 201 outpatients (men, n?=?63, 31.3%, women, n?=?138, 68.7%, mean age?=?40.1, SD?=?10.5) managed for HIV/AIDS in a Nigerian tertiary healthcare institution. Death Anxiety Inventory-Revised, Posttraumatic Growth Inventory-Short Form, and Patient-Reported Outcome Quality of Life-HIV were used to access DA, PTG and HRQoL, respectively. Results showed that while adjusting for socio-demographic factors (age, gender, time since diagnosis and educational status), DA was associated with physical health, mental health and social relationships domains of HRQoL as well as overall HRQoL. In contrast, PTG did not evidence significant association with HRQoL dimensions and overall HRQoL. The moderation effect of PTG on the association between DA and HRQoL was not supported. Independent of PTG, alleviating DA may be an important target in terms of therapeutic intervention towards improving quality life of PLWH.

     

Does Generalized (Dis)Trust Travel? Examining the Impact of Cultural Heritage and Destination‐Country Environment on Trust of Immigrants

At least two contrasting perspectives on the roots of generalized trust exist: The cultural perspective emphasizing how trust is a stable trait passed on from one generation to the next through parental socialization, and the experiential perspective, which stresses that trust is subject to change with what we experience in the environment in which we live. Analyzing trust of immigrants is an effective way to contrast the two perspectives, as the cultural perspective predicts that immigrants' level of trust will continue to reflect the level of trust of their home country, whereas the experiential perspective predicts that trust of immigrants will change according to the environment of the destination country. This article examines how first‐generation immigrants from three low‐trust countries of origin (Turkey, Poland, and Italy) are affected by migrating to high‐trust countries in Northern Europe, which hold qualities conducive to trust. In contrast to earlier studies examining trust of immigrants, I build on one data set containing data on both migrants and nonmigrants from the same country of origin as well as on a wide range of relevant covariates of trust. Using the method of matching, the results of the analysis lend most support to the experiential perspective on trust as the destination‐country context has a massive impact on trust of immigrants, who display significantly higher levels of trust than comparable respondents in their country of origin. The results are robust to limiting the destination‐country context to only one country (Germany) and comparing migrants and nonmigrants responding in the same language.     

Against the Disembraining Machine. What is Psychoanalysis (Still) Capable of?

The American Journal of Psychoanalysis - With the intensification of the practices of social networks and the phobia of the internal world, operationalist thinking ends up presenting itself as a...