ELSI Priorities for Brain Imaging

As one of the most compelling technologies for imaging the brain, functional MRI (fMRI) produces measurements and persuasive pictures of research subjects making cognitive judgments and even reasoning through difficult moral decisions. Even after centuries of studying the link between brain and behavior, this capability presents a number of novel significant questions. For example, what are the implications of biologizing human experience? How might neuroimaging disrupt the mysteries of human nature, spirituality, and personal identity? Rather than waiting for an ethical agenda to emerge from some unpredictable combination of the concerns of ethicists and researchers, the attention of journalists, or after controversy is sparked by research that cannot be retracted, we queried key figures in bioethics and the humanities, neuroscience, media, industry, and patient advocacy in focus groups and interviews. We identified specific ethical, legal and social issues (ELSI) that highlight researcher obligations and the nonclinical impact of the technology at this new frontier.     

Psychosocial,ecological, and community perspectives on disaster response

Abstract

Psychological intervention has grown in little more than a decade from an occasional afterthought in disaster response systems to a thriving enterprise; with that growth, however, have come features that sometimes resemble cottage industries, social movements, or, in extreme cases, evangelical cults. The social history of this evolution is reviewed from the perspective of participant observers, and the issues and implications of recent research are considered in the context of integrated models of theory, research, and application.     

Exercise psychology: A view from Europe

ObjectiveTo provide a review and commentary on developments and key issues in the psychology of health-related physical activity (‘exercise psychology’).Design and MethodNarrative review and commentary.ResultsA view from Europe is provided, with an emphasis on European influence and research. Summary commentaries are provided using the behavioural epidemiological framework as an organisational tool. The role of psychology is discussed in the study of physical activity correlates, theory, and interventions.ConclusionsThe European influence in exercise and health psychology has been significant. However, more needs to be known about pre-intentional motivation processes and post-intentional volition, as well as clarifying and extending theories (e.g., translating intentions into behaviour). There is also a need to do more intervention work, and to improve how we conduct, evaluate and report interventions. New issues are emerging, including the study of sedentary behaviour.     

Beyond priming effects: The role of positive affect and discrepancies in implicit processes of motivation and goal pursuit

Recent research demonstrates that goal pursuit can be instigated without conscious interventions when the mental accessibility of goal representations is enhanced by environmental cues. However, the mechanisms producing this non-conscious, motivational, goal-directed activity are not clearly addressed in the literature. In this chapter we present a framework within which the non-conscious activation of goal-directed behaviour can be understood. The framework departs from the idea that a goal is represented as a desired state and identifies three characteristics of this representation that render non-conscious goal pursuit more likely to occur: its mental accessibility, the discrepancy of the represented state with the actual state, and its association with positive affect. We present findings, largely established in our own labs, that demonstrate the crucial role of these three factors. We will close the chapter by showing how the framework can help to address some of the pressing issues in the research on non-conscious goal pursuit.     

Personality traits,coping strategies and quality of life in patients of hepatitis C

IntroductionIn recent decades, hepatitis has become a community health issue. A severe, asymptomatic and unobserved acute disease could be resulted by HCV and it could be treated completely in few cases or could result in chronic hepatitis.ObjectiveThe current research investigated the relationship among personality traits, coping strategies and quality of life in patients of hepatitis C in Pakistan.MethodTotal 102 patients of HCV were selected from government, semi-government and private hospitals. Mental Health Screening Questionnaire (Mirza & Kausar, 2008) was used to screen the patients. The Urdu versions of Big Five Inventory (John & Srivastava, 1999), Coping Strategies Questionnaire (Kausar & Munir, 2004) and Quality of Life-BREF (1997) were used to measure the study variables.ResultsThe results showed that extraversion had positive relationship with the subscales of quality of life except physical health. Conscientiousness had positive relationship with physical and psychological health. Neuroticism had negative relationship with all the domains of quality of life. Openness to experience had positive relationship with psychological health and environment. religious coping and conscientiousness positively predicted physical health, whereas, agreeableness was the negative predictor of physical health. Psychological health and social relationships were positively predicted by active focused coping, whereas, neuroticism negatively predicted psychological health.ConclusionThe results of present research indicated significant contribution of personality traits and coping strategies in maintaining quality of life of HCV patients. The clinical implications to improve quality of life of HCV patients are discussed in light of results.     

Current and Future Education and Practice

SUMMARY

This article describes a national study conducted by the American Occupational Therapy Association Mental Health Special Interest Section to assess the adequacy of mental health content and fieldwork experiences in occupational therapy educational programs preparing graduates for current and future mental health practice. The results of the study indicate that occupational therapists, especially those who practice in mental health settings, must become more “business-oriented.” This orientation includes educating occupational therapy students about reimbursement issues, legal and political systems, marketing strategies, and advocacy roles. Other recommendations are discussed as possible ways to prepare future practitioners more effectively for roles in community-based settings.     

Love,passion, and peak experience: A qualitative study on six continents

Abstract

Qualitative inquiry promotes deeper understanding of human experiences that can be reduced and decontextualized when examined solely via quantitative methods. In this study, we interviewed 150 people in 22 countries on six continents, asking them, ‘What do you love?’, ‘What is a great passion in your life?’, and ‘What has been a peak experience in your life?’. Love, passion, and peak experience share definitional and theoretical overlaps. However, they have not been explored simultaneously across cultures using qualitative methods. We utilized a pragmatic, inductive, thematic methodology, and 11 key themes emerged from the data. Other people and learning and growing were the top two themes for all three constructs, and data patterns suggested more variation within than between continents. We suggest that love, passion, and peak experience may promote self-determination and/or psychological complexity via integration with and differentiation from the environment, and suggest directions for future research.     

Examining the effects of perceived social support on momentary mood and symptom reports in asthma and arthritis patients

Objective: Social support has been linked to beneficial effects on health directly (main effect) and as a buffer to stress. Most research, however, has examined these relationships using global and retrospective assessments of health and stress, which may be subject to recall biases. This study used ambulatory ecological momentary assessment (EMA) methods to test the main and stress-buffering effects of social support on the daily health and well-being of asthma and rheumatoid arthritis (RA) patients.

Design: Community volunteers with asthma (n?=?97) or RA (n?=?31) responded to EMA prompts five times daily for one week.

Main outcomes: Baseline perceived social support was obtained, and then, participants reported mood, stress and symptoms using EMA. Multilevel mixed-modelling examined whether social support predicted mood and symptoms directly or via stress-reducing effects.

Results: Supporting a main effect, more perceived social support predicted decreased negative mood and stress severity. Supporting a stress-buffering effect, more perceived social support resulted in fewer reported symptoms when stress was present.

Conclusion: Results suggest perceived social support directly relates to better ambulatory status and dynamically buffers individuals against the negative effects of stressors, and highlight the importance of studying social support across different temporal and contextual levels.     

Physical activity and body image: Intertwined health priorities identified by transmasculine young people in a non-metropolitan area

Abstract

Background: A dearth of research exists about the health behaviors of transgender young people (TYP). As we seek to learn more about transgender (trans) health, community-based participatory research (CBPR) approaches are crucial for incorporating TYP’s needs into the formulation of research questions and development of health behavior programing.

Aim: Explore body image and exercise as priorities among TYP.

Methods: Trans masculine young adults (N?=?16) in a small city in the Midwest took part in semi-structured interviews about their health behaviors and priorities. Theme analysis was used to capture key patterns in participants’ responses. Specific analysis steps included initial and more specific coding, analytical memos, organizational matrices and reports, and discussion about results with participants.

Results: Participants identified exercise and body image as connected primary health concerns. They discussed these issues in terms of three themes: Body shape as motivation for exercise; Poor body image, stigma and fear as exercise barriers, and; Exercise or lack of, as destructive. Participants wanted to exercise to achieve a certain body shape, not for health or as stress relief. They cited gyms as unwelcoming, however. They also worried about discrimination and did not feel sufficiently comfortable with their bodies to exercise. When they could not exercise, they used harmful behaviors, like restricted eating, to achieve a specific male shape.

Conclusions: Using participatory methods allowed us to understand the priorities of a group of Transmasculine young people. Our findings suggest that it is important to continue to explore TYP’s body-related motivations for exercise and understand the balance between exercise as a positive health behavior, and a potentially harmful one, in light of TYP’s complex body image concerns. Trans friendly gyms and gym policies could promote safe exercise and continued anti trans discrimination work and policy advocacy can promote the safety of TYP in all spaces.     

Experiences of transgender prisoners and their knowledge,attitudes, and practices regarding sexual behaviors and HIV/STIs: A systematic review

Background: Despite transgender people being more visible in prison systems, research suggests they are at higher risk of experiencing sexual violence compared to other prisoners. Research also suggests that transgender prisoners experience harassment, and physical and sexual assault by fellow prisoners, and prison officers who lack transgender-specific health knowledge. There exist no systematic reviews on the experiences of transgender people in prisons. This review aims to fill this research gap. The following question developed in consultation with transgender, sexual health/HIV and corrective services stakeholders has guided the systematic review: What are transgender and gender-diverse prisoners’ experiences in various prison settings and what are their knowledge, attitudes and practices regarding sexual behaviors and HIV/STIs?

Methods: The review followed the PRISMA guidelines and searches were conducted in four databases for the period of January 2007 to August 2017. Studies were assessed against predetermined inclusion and exclusion criteria. Included studies were peer-reviewed, written in English with online full-text availability and reported data on transgender and gender-diverse prisoner experiences relevant to the research question.

Results: Eleven studies (nine qualitative, one quantitative, one mixed-methods; nine in USA, two in Australia) met the criteria for review. Four studies were of high quality, six were of good/acceptable quality, and one study was of modest quality. Transgender and gender-diverse prisoners reported a range of challenges which included sexual assault, discrimination, stigma, harassment, and mistreatment. Information on their sexual health and HIV/STIs knowledge, attitudes, practices is in short supply. Also, their lack of access to gender-affirming, sexual health/STIs and mental health services is commonplace.

Conclusions: The experiences of transgender prisoners as reported in this review are almost uniformly more difficult than other prisoners. Their “otherness” is used as a weapon against them by fellow prisoners through intimidation and violence (including sexual) and by prison officers through neglect and ignorance.     

On the perpetuation of ignorance: system dependence, system justification, and the motivated avoidance of sociopolitical information

How do people cope when they feel uninformed or unable to understand important social issues, such as the environment, energy concerns, or the economy? Do they seek out information, or do they simply ignore the threatening issue at hand? One would intuitively expect that a lack of knowledge would motivate an increased, unbiased search for information, thereby facilitating participation and engagement in these issues-especially when they are consequential, pressing, and self-relevant. However, there appears to be a discrepancy between the importance/self-relevance of social issues and people's willingness to engage with and learn about them. Leveraging the literature on system justification theory (Jost & Banaji, 1994), the authors hypothesized that, rather than motivating an increased search for information, a lack of knowledge about a specific sociopolitical issue will (a) foster feelings of dependence on the government, which will (b) increase system justification and government trust, which will (c) increase desires to avoid learning about the relevant issue when information is negative or when information valence is unknown. In other words, the authors suggest that ignorance-as a function of the system justifying tendencies it may activate-may, ironically, breed more ignorance. In the contexts of energy, environmental, and economic issues, the authors present 5 studies that (a) provide evidence for this specific psychological chain (i.e., ignorance about an issue → dependence → government trust → avoidance of information about that issue); (b) shed light on the role of threat and motivation in driving the second and third links in this chain; and (c) illustrate the unfortunate consequences of this process for individual action in those contexts that may need it most.     

Prioritizing Patterns and Life Satisfaction among Ultra-Orthodox Jews: The Moderating Role of the Sense of Community

Abstract

Recent research suggests that individuals differ in the extent to which they seek activities that promote hedonic or eudaimonic well-being. Prioritizing positivity describes a strategy of pursuing happiness by seeking pleasurable activities or circumstances that can lead to naturally occurring positive emotions, while prioritizing meaning describes a strategy of cultivating well-being by purposefully seeking activities that are conducive to experiencing meaning in life. While these notions have been examined among the general population, little is known about how these prioritizing patterns are linked with well-being in closed religious groups, who often promote the benefit of the collective group in lieu of the individual’s personal choices and interests. Based on a sample of 407 Ultra-Orthodox Jewish individuals (mean age?=?33.58, SD?=?8.89), 55.5% of which were women, the results demonstrated that prioritizing meaning and sense of community were positively associated with life satisfaction. Moreover, a significant interaction of sense of community?×?prioritizing positivity was found, indicating a positive connection between prioritizing positivity and life satisfaction for individuals with a high sense of community, but a negative connection for those with a low sense of community. Our findings suggest that even in extremely close-knit community-oriented societies, a strong sense of belonging to a community enables individuals to prioritize more hedonic aspects of their lives in order to promote their life satisfaction.     

What about the family in youth gender diversity? A literature review

Abstract

Background: Previous research has suggested that gender diversity affects everyone in the family, with positive mental health and global outcomes for gender diverse youth reliant on receiving adequate family support and validation. Although the individual mental health, treatment and outcomes for gender diverse youth have received recent research attention, much less is known about a family perspective. Hence, a review of the literature exploring youth gender diversity from a family perspective is warranted.

Aims: To systematically identify, appraise and summarize all published literature primarily exploring gender diversity in young people under the age of 18?years, as well as selected literature pertaining to a family understanding.

Methods: Six electronic databases (CINAHL, MEDLINE, EMBASE, PsycINFO, SCOPUS, Web of Science) were searched for relevant literature pertaining to youth under the age of 18?years.

Results: Research evidence was consistently found to support the beneficial effects of a supportive family system for youth experiencing gender diversity, and a systemic understanding and approach for professionals. Conversely, lack of family support was found to lead to poorer mental health and adverse life outcomes. Few articles explored the experience of siblings under the age of 18?years.

Discussion: This literature review is the first to critically evaluate and summarize all published studies which adopted a family understanding of youth gender diversity. The review highlighted a lack of current research and the need for further targeted research, which utilizes a systemic clinical approach to guide support for gender diverse youth and family members.     

Unattainable educational goals: Disengagement,reengagement with alternative goals,and consequences for subjective well-being

IntroductionIs it always positive, in terms of well-being, to be highly committed to one's goals? Even if giving up on goals is most often seen as an undesirable response to difficulties, some researchers have begun to demonstrate the benefits of goal disengagement and reengagement with another goal when faced with unattainable goals.ObjectiveThis study aims to test the impact of goal commitment, goal disengagement and goal reengagement on several indicators of well-being in the higher education context, where in first year, a relatively large proportion of students may perceive their initial educational goal as unattainable.MethodSome 357 students with secondary school leaving qualifications were surveyed in a first wave of data collection; 186 of these also participated in a second wave.ResultsResults show that the positive impact of goal commitment on well-being disappears, or even becomes negative, when the goal is perceived as unattainable. Moreover, disengagement from an unattainable goal was found to have beneficial effects on self-mastery. However, this disengagement was not enough to reduce depressive feelings; it must be accompanied by reengagement with an alternative goal.ConclusionThese results are discussed and proposals for future research are put forward.     

Toward a Public Mental Health Approach for Survivors of Terrorism

Abstract

Although most people exposed to bioterrorism or mass casualties will be extremely distressed during the immediate aftermath, only a minority (approximately 30%) will develop clinically significant psychiatric disorders. From a public mental health perspective, the challenge is to provide both preventive programs for the entire population and early detection and intervention for those at greatest risk for PTSD or other post-traumatic psychiatric disorders. Both individual and soci-etal preventive and early intervention approaches are reviewed. Utilization of the media, especially television, is presented as an example of one of many potential community/societal public mental health approaches.     

The Liberalization of Young Evangelicals: A Research Note

Media outlets and observers of American religion suggest that young evangelicals are retreating from the ranks of the “Christian right” and are embracing more liberal positions on controversial social issues. We test this hypothesis using the Baylor Religion Survey. We examine two separate measures of evangelical identity as well as a wide variety of political identifications and attitudes. Our study indicates that young evangelicals (1) are significantly more likely than older evangelicals to think that more should be done to protect the environment; (2) hold views similar to older evangelicals regarding abortion, same‐sex marriage, stem cell research, marijuana use, government welfare spending, spending on the nation's health, and the war in Iraq; and (3) remain significantly more conservative than nonevangelicals on these same social issues. We find no strong evidence to support the notion that young evangelicals are retreating from traditional positions or increasingly adopting more liberal positions on hot‐button or controversial social issues.     

The revised six-factor Sport Motivation Scale (Mallett,Kawabata, Newcombe,Otero-Forero, & Jackson, 2007): Something old,something new,and something borrowed

ObjectivesMallett, Kawabata, Newcombe, Otero-Forero, and Jackson (2007) questioned the validity of some of the items from the SMS, the construct validity of the three types of intrinsic motivation measured by the SMS, and they proposed an integrated regulation subscale to measure the most self-determined form of extrinsic motivation proposed by SDT. In this article, we focus on the following two questions: “Does the SMS need to be revised?”, and “Is the Revised 6-factor SMS a better scale?”.ConclusionOur review leads us to the following main conclusions: (a) the SMS has generally demonstrated acceptable validity and reliability in many previous studies, supporting its use; (b) the proposed revised version may also be problematic due to item selection, factor structure, and validity issues as well as problems with the integration scale.