Gendered Mental Disorders: Masculine and Feminine Stereotypes About Mental Disorders and Their Relation to Stigma

Research indicates that stereotypes can intersect. For example, the intersection of stereotypes about gender and mental disorders could result in perceptions of gendered mental disorders. In the current research, Studies 1 and 2 showed that people view specific disorders as being masculine or feminine. The masculine stereotype included antisocial personality disorder, addictions, and paraphilias. The feminine stereotype included eating disorders, histrionic personality disorder, body dysmorphia, and orgasmic disorder. In both studies, the perception of disorders as masculine was positively correlated with stigma. Study 3 showed that the positive correlation between masculinity and stigma also occurred when examining specific symptoms rather than full mental disorders. The findings provide further evidence for the intersection of stereotypes and indicate a novel factor in the understanding of stigma.     

Out of the Loop: (In)access to Health Care for Migrant Workers in Canada

Drawing on a survey of nearly 600 migrant farm workers in Ontario, Canada, we investigate the ways in which the liminality of temporary migrants is both conditioning and consequential in terms of health for these migrants. In particular, we demonstrate how the liminality inherent in managed temporary migration programmes creates the conditions for heightened vulnerability, which also have consequences for the health of migrant workers and their access to care. We discuss common barriers to health care access experienced by migrant workers, including employer mediation, language differences, and hours of work.     

(In)Visible Scars: Two Siblings,a Shared Trauma History,and Their Play

ABSTRACT

This paper tells the story of two siblings and their shared trauma history, with one in the role of the abused, and the other of the bystander. In their play both children reveal true differences and similarities of their heart-wrenching life stories. Several examples of Donnie and Angelique’s play over the course of treatment are compared for the purpose of reflecting on ways these siblings, who experienced markedly different attachment models and different perspectives of violent abuse, symbolized and healed from trauma. This kind of case study has implications about the role of attachment and the value of play-based treatment to psychological processes in severely traumatized youth.     

How U.S. Children and Adolescents Spend Time: What It Does (and Doesn't) Tell Us About Their Development

Young people develop as "the sum of past experiences," and data on their time use are one means of quantifying those experiences. U.S. children and adolescents spend dramatically less time than in the agrarian past in household and income-generating labor. Because such labor is usually repetitive and unchallenging, this reduction has probably not deprived youths of crucial developmental experience. The schoolwork replacing this time has a clearer relationship to developmental outcomes. American teens, however, spend less time on schoolwork than teens in other industrialized countries. American teenagers have more discretionary time, much spent watching television or interacting with friends; spending large amounts of time in these activities is related to negative developmental outcomes. Increasing amounts of young people's discretionary time, however, appear to be spent in structured voluntary activities, like arts, sports, and organizations, which may foster initiative, identity, and other positive developmental outcomes.     

The Sensitivity to Mean Intentions (SeMI) Model: Basic Assumptions,Recent Findings,and Potential Avenues for Future Research

A large body of research has demonstrated that people who are habitually sensitive towards victimization tend to behave uncooperatively and immorally in socially uncertain situations. The “Sensitivity to Mean Intentions” (SeMI) model (Gollwitzer & Rothmund 2009) aims at describing social‐cognitive mechanisms that underlie and explain this effect. The model posits that in socially uncertain situations, victim‐sensitive individuals are asymmetrically sensitive to cues of untrustworthiness. When such cues are present, suspicious cognitive and motivational reactions are triggered in victim‐sensitive individuals, and they behave preemptively selfish to avoid being exploited by others. Although functional at times, victim sensitivity does have dysfunctional side effects. The present article reviews recent findings regarding the SeMI model and sketches potential avenues for future research.     

Mind-set and close relationships: when bias leads to (In)accurate predictions

The authors investigated whether mind-set influences the accuracy of relationship predictions. Because people are more biased in their information processing when thinking about implementing an important goal, relationship predictions made in an implemental mind-set were expected to be less accurate than those made in a more impartial deliberative mind-set. In Study 1, open-ended thoughts of students about to leave for university were coded for mind-set. In Study 2, mind-set about a major life goal was assessed using a self-report measure. In Study 3, mind-set was experimentally manipulated. Overall, mind-set interacted with forecasts to predict relationship survival. Forecasts were more accurate in a deliberative mind-set than in an implemental mind-set. This effect was more pronounced for long-term than for short-term relationship survival. Finally, deliberatives were not pessimistic; implementals were unduly optimistic.     

On the Existence of Duties to the Self (and Their Significance for Moral Philosophy)

Contemporary philosophers generally ignore the topic of duties to the self. I contend that they are mistaken to do so. The question of whether there are such duties, I argue, is of genuine significance when constructing theories of practical reasoning and moral psychology. In this essay, I show that much of the potential importance of duties to the self stems from what has been called the “second‐personal” character of moral duties—the fact that the performance of a duty is “owed to” someone. But this is problematic, as there is reason to doubt whether a person can genuinely owe to herself the performance of an action. Responding to this worry, I show that temporal divisions within an agent's life enable her to relate to herself second‐personally, in the way required by morality. The upshots, I argue, are that we need an intra‐personal theory of justice that specifies the extent of a person's authority over herself, and that we need to rethink our theories of moral emotions in order to specify how an individual ought to respond to attacks on her interests and autonomy that she herself perpetrates.     

In defense of the right and left audiograms: a reply to Coren (1989) and Coren and Hakstian (1990)

Coren (1989) noticed that the various air-conduction pure-tone thresholds obtained from one ear of an individual in quiet tend to display a high correlation. In addition, Coren and Hakstian (1990) reported a consistently high correlation between pure-tone thresholds in the two ears of the same individual. On the basis of these observations, these authors proposed that pure-tone thresholds measured at audiometric frequencies in one ear, and those measured in both ears of an individual, be collapsed into a single average threshold value. The present paper disputes the usefulness and the appropriateness of such a proposal.     

Correcting Misperceptions About Cognitive Processing Therapy to Treat Moral Injury: A Response to Gray and Colleagues (this issue)

We respond to the commentary by Gray, Nash, and Litz (this issue) regarding the use of cognitive processing therapy (CPT) to address moral injury as described in our previous publication (Wachen et al., 2016). In their commentary, Gray et al. posit that CPT is inappropriate when applied to the treatment of war-related traumas involving “real moral and ethical transgressions” (i.e., moral injuries). However, Gray and colleagues’ assertions are centered on a premise that is incorrect, namely that CPT is based on the idea that “self-blame and guilt are inherently illogical or inaccurate,” and that CPT assumes that all beliefs associated with moral injury are erroneous. On the contrary, we acknowledge that self-blame and guilt may be accurate responses to warzone trauma, yet disagree that CPT is not suitable in these situations. This response serves to clarify some of the inaccurate interpretations of the treatment as stated by Gray and colleagues, and reiterates the position of CPT on many of the issues that were raised. Specifically, we discuss the use of Socratic questioning within CPT to address the issue of moral injury. Furthermore, we highlight the strong evidence base for the use of CPT in treating veterans and active military. Until it has been determined through empirical study, it is premature to assert that CPT is insufficient in addressing moral injury in combat personnel.     

The Fears of Evaluation About Performance (FEAP) Task: Inducing Anxiety-Related Responses to Direct Exposure to Negative and Positive Evaluations

Fears of negative and positive evaluation (i.e., evaluative fears) manifest within performance-based situations (e.g., public speaking, group presentations), particularly among those experiencing social anxiety. Within these performance-based situations, individuals experiencing such evaluative fears frequently display a variety of impairments (e.g., avoidance, nervousness) that might manifest within and across various settings (e.g., employment, school). How do those who experience these fears react to in-the-moment feedback about their performance? We constructed the Fear of Evaluation About Performance (FEAP) task to examine ecologically valid experiences with anxiety when reacting to positive and negative feedback. During the task, participants gave a speech, and subsequent to this and in counterbalanced order, received positive and negative feedback about their speech, with continued assessment of anxiety-related arousal throughout the task. We tested the FEAP task among 127 adults, who provided self-reports of fears of positive and negative evaluation before completing the task. Fears of positive evaluation uniquely predicted arousal following receipt of positive feedback, whereas fears of negative evaluation uniquely predicted arousal following receipt of negative feedback. Relative to participants receiving positive feedback first, those receiving negative feedback first experienced elevated post-feedback arousal, followed by a steep decline in arousal post-positive feedback. Conversely, participants receiving positive feedback first experienced a buffer effect whereby arousal post-negative feedback remained low, relative to the arousal experienced post-negative feedback among those who received negative feedback first. We expect the FEAP task to inform basic science on fears of negative and positive evaluation, as well as treatment planning in applied clinical settings.     

Work‐Group Membership (In)Stability and Survivors' Reactions to Organizational Downsizing1

This longitudinal panel study investigated the interactive effect of work‐group membership stability and time on survivors' reactions to organizational downsizing. The participants were 159 nonmanagement employees of a federal government department. Survivors in moderate‐change work groups did not react more negatively to the downsizing. In fact, they reported a significant increase in job satisfaction, job security, job performance, and employee morale. Survivors who changed to different work groups expressed the least positive attitudes in the initial phase of the downsizing, but the most positive attitudes at the completion of the downsizing. Work‐group membership (in)stability was more likely to affect survivors' reactions to various aspects of their job over time than factors related to the work group itself.     

The Derivation of Gender-Role Scales GM and GF for MMPI-2 and Their Relationship to Scale 5 (Mf)

Separate scales for masculine and feminine gender roles (GM and GF, respectively) were developed for the Minnesota Multiphasic Personality inventory-2 (MMPI-2) based on the item endorsements of men and women in the restandardization sample. Each scale reflects the pattern of answers of a majority of the members of the respective sexes. There are no items in common between the two scales, and they correlate -.10 with each other for both men and women. Distributional, temporal stability, and internal consistency characteristics were analyzed, as well as their item overlap and correlations with the basic profile scales. These separate unipolar scales were contrasted with Scale 5 (the Masculinity-Femininity scale, Mf), the traditional measure of these constructs in the Minnesota Multiphasic Personaaty Inventory (MMPI). The conjoint use of GM and GF to form gender-role groups is recommended to supplement and clarify the ambiguity of midleveI scores on Scale 5.     

What It Means to (Mis)Trust: Forced Migration,Ontological (In)Security,and the Unrecognized Political Psychology of the Israeli-Lebanese Conflict

What does it mean to search for trust—the constitutive element of feeling ontologically secure—in the context of protracted conflict, trauma, and forced migration? This article addresses this key question in ontological security (OS) studies in International Relations (IR) by analyzing an unrecognized consequence of the Israeli-Lebanese conflict: a Lebanese community of forced migrants created overnight on Israeli premises due to Israel's unilateral withdrawal from South Lebanon in 2000. Relying on 60 in-depth interviews with Lebanese migrants in Israel, the article demonstrates how forced migrants engage in various OS-seeking strategies in relentless efforts to reconstitute trust. These strategies range from self-justification and securitizing identity through religious and communal practices, to a search for recognition from statist institutions and boundary-work vis-à-vis “sibling” disempowered “others” in the host state. However, the article shows how under political circumstances of protracted conflict and repeated perceived betrayal by the state, forced migrants are unable to reconstitute the routinized relations of trust on which OS is based. By exposing the particularistic, dynamic, and highly political character of the migrants' quest for trust, the article sheds new light on the political psychology of an “old” conflict and on the multiple meanings of ontological (in)security in migration.     

In God and CAM We Trust. Religious Faith and Use of Complementary and Alternative Medicine (CAM) in a Nationwide Cohort of Women Treated for Early Breast Cancer

Turning to faith in God or a higher spiritual power is a common way of coping with life-threatening disease such as cancer. Little, however, is known about religious faith among cancer patients in secular societies. The present study aimed at exploring the prevalence of religious faith among Danish breast cancer patients and at identifying whether socio-demographic, pre-cancer health status, clinical, and health behavior characteristics, including their use of complementary and alternative medicine (CAM), were associated with their degree of faith. Information on faith in God or a higher spiritual power and use of CAM was provided by a nationwide sample of 3,128 recurrence-free Danish women who had received surgery for early-stage breast cancer 15–16 months earlier. Socio-demographic, clinical, and health status variables were obtained from national longitudinal registries, and health behaviors had been assessed at 3–4 months post-surgery. Of the women, 47.3% reported a high degree of faith (unambiguous believers), 35.9% some degree of faith (ambiguous believers), while the remaining 16.8% were non-believers. Unambiguous believers were more likely than ambiguous believers to experience their faith as having a positive impact on their disease and their disease-related quality-of-life. When compared to non-believers, unambiguous believers were also older, had poorer physical function, and were more frequent users of CAM, and more inclined to believe that their use of CAM would have a beneficial influence on their cancer. Disease- and treatment-related variables were unrelated to faith. While overall religious faith appears equally prevalent among Danish and US breast cancer patients, the majority of Danish breast cancer patients experienced ambiguous faith, whereas the majority of US patients have been found to express unambiguous faith. Our results suggest that future studies may benefit from exploring the role of faith for health behaviors, adherence to conventional treatment, and impact upon quality of life.     

Throwing a Wrench in the Work(s): Using Multicultural and Social Justice Competency to Develop a Social Justice–Oriented Employment Counseling Toolbox

This article presents a social justice toolbox from which employment counselors can draw when working with various populations at multiple levels. First, the authors introduce social justice and its relationship to employment counseling (the toolbox). Second, the skills and knowledge required to integrate social justice into employment counseling (the tools) are presented. Finally, strategies are offered to maintain social justice competency so that the tools can be maintained and applied ethically and effectively.     

The Nature of Executive Function (EF) Deficits in Daily Life Activities in Adults with ADHD and Their Relationship to Performance on EF Tests

Although attention-deficit/hyperactivity disorder (ADHD) is believed to impair EF, research using EF tests shows such deficits exist in only a minority of those with ADHD. This study hypothesized that this disparity is largely due to the low ecological validity of these EF tests. A 91-item rating scale of EF was constructed based on EF theories and found to represent 5 underlying dimensions: Self-Management to Time, Self-Organization/Problem-Solving, Self-Discipline, Self-Motivation, and Self-Activation/Concentration. Three groups were compared on these scales: Adults with ADHD (N = 146), Clinical control adults not diagnosed with ADHD (N = 97), and a Community control group (N = 109). The ADHD group had more severe EF ratings than did the Clinical group and Community control groups on all 5 scales using both self and other-reported versions. Relationships between the EF scales and tests were low and mostly not significant. Most ADHD adults were clinically impaired on the EF ratings but only a small minority were so on the tests. The EF ratings were more highly associated with measures of deviant behavior (antisocial acts, crime diversity, negative driving outcomes) than the EF tests, most of which were unrelated to such behavior. These results agree with previous research showing that EF tests are largely unrelated to EF ratings and that EF ratings are more strongly associated with impairment in major life activities, in this case deviant or antisocial behavior. Contrary to earlier conclusions based on EF tests, adult ADHD involves substantial problems in EF in daily life.