Psychosocial Impact of Familial Adenomatous Polyposis on Young Adults: A Qualitative Study

The aim of this study was to explore in detail the psychosocial impact of either having familial adenomatous polyposis (FAP) or being at risk for FAP amongst young adults. In-depth interviews were conducted with eleven individuals aged 18–35 with a clinical or genetic diagnosis of, or at risk of developing FAP. While being at risk did not seem to have a major psychosocial impact upon clinically unaffected participants, clinically affected individuals discussed a number of major stressors including issues in relation to changes in body image and physical functioning as a result of surgery, concerns about discussing FAP with new partners, difficulties in relation to childbearing decision-making, and impact on employment. Genetic counseling was described as being highly effective in providing support, but most participants were not aware of any other support services. Providing longer-term support through ongoing genetic counseling appears necessary to adequately address the ongoing challenges faced by young adults who are dealing with FAP.     

Meaning in Life: A Qualitative Inquiry into the Life of Young Adults

The present study explores the relationship of meaning in life with subjective well-being among a sample of young adults launching their career. Using a qualitative approach, ten young adults were asked to share their life experiences using a semi structured interview schedule. A grounded theory analysis revealed that happiness forms a core concern for an individual where it depends not only on the cultural norm involving an individual where social relationships form an important part, but also goals and aims (s) he/she wishes to achieve in life. It exists in temporality but is impacted by the larger dimension of meaning in life which is relatively stable and covers a huge expanse of an individual’s existence. Finding a meaning in life involves both personal goals such as self growth and attainment of peace, and also professional goals like fulfillment of one’s academic aim. Meaning in life is also seen as being impacted by an individual’s past happenings, belief in self- worth and social responsibility.     

Employment in Care-Giving Jobs for Mentally Disabled Young Adults: A Feasibility Study

The authors describe a study of the feasibility of employing mildly mentally retarded persons as care givers in a day care center.     

Selection Methods used by Executive Search Consultancies in Four European Countries: A Survey and Critique

This article identifies two deficiencies in the existing literature on selection methods used for the recruitment of managers: 1. The central focus has been the relationship between the employing organization and the applicant/candidate. It has been assumed that all managerial employees are recruited directly by the employing organization. As a consequence, only the selection methods used by the employer have been examined. 2. Few researchers have considered managerial selection from a cross-national perspective, particularly in relation to the use of external recruitment consultancies. These two issues are the central concern of this article. The use of external executive recruitment consultancies is examined in four European countries: France, Germany, Italy and the UK. Results are presented from two studies on the use of selection methods by such consultancies. A significant difference between France and the UK, and these two countries and the other two, in their use of references and graphology is reported. The evidence shows that, in general, German, Italian and UK search consultancies use low validity techniques, primarily unstructured interviews and references, while France makes use of these two methods in addition to graphology. It is suggested they use low validity selection methods because validity is not the primary ‘evaluative standard’by which the usefulness of selection methods are assessed. Five alternative ‘evaluative standards’are suggested: client expectations, role of consultants, consultant qualifications, impact on candidates and importance of characteristics being assessed. The utilization of different selection methods by search consultancies located in the four countries is negligible. This may be due to three factors: organizational (the form of international search network adopted), individual (the multi-cultural background experiences of consultants) and external (the nature of clients served).     

Beliefs About Tobacco, Health, and Addiction Among Adults in Cambodia: Findings from a National Survey

There remains a very high rate of smoked and smokeless tobacco use in the Western Pacific Region. The most recent findings from national adult tobacco surveys indicate that very few daily users of tobacco intend to quit tobacco use. In Cambodia, a nation that is predominantly Buddhist, faith-based tobacco control programs have been implemented where, under the fifth precept of Buddhism that proscribes addictive behaviors, monks were encouraged to quit tobacco and temples have been declared smoke-free. In the present study, we included items on a large national tobacco survey to examine the relation between beliefs (faith-based, other) about tobacco, health, and addiction among adults (18 years and older). In a stratified, multistage cluster sample (n = 13,988) of all provinces of Cambodia, we found that (1) 88–93% believe that Buddhist monks should not use tobacco, buy tobacco, or be offered tobacco during a religious ceremony; (2) 86–93% believe that the Wat (temple) should be a smoke-free area; (3) 93–95% believe that tobacco is addictive in the same way as habits (opium, gambling, alcohol) listed under the fifth precept of Buddhism; and (4) those who do not use tobacco are significantly more likely to cite a Buddhist principle as part of their anti-tobacco beliefs. These data indicate that anti-tobacco sentiments are highly prevalent in the Buddhist belief system of Cambodian adults and are especially evident among non-users of tobacco. Our findings indicate that faith-based initiatives could be an effective part of anti-tobacco campaigns in Cambodia.     

Normalisation Versus Medicalisation of Sexual Disturbances During Menopause: A Qualitative Research in the Italian Context

Past research has found consistent correlations between menopause and increase in sexual disturbances, but very little research has inquired into the attribution of meanings to this change from the womens’ own perspectives and the role of the negotiating between sexes in the social-construction of the problem. This study aims to investigate how professionals, women diagnosed with hypoactive sexual desire disorder and ordinary people, both men and women, signify this phenomenon in the Italian context. Interviews were conducted by asking participants whether or not they considered the decrease in sexual desire to be a problem, and what this was dependent on. The analysis of the 146 participants’ answers revealed that women with sexual deficit emphasized the need for treating the biological changes of menopause; specialists considered both the gynecological and the psychological components, while ordinary people seemed to ‘normalise’ the problem, encoding it as the effect of menopause; they did not seem to be inclined to turn the situation into a call for help, suggesting the importance of sharing the problem within the relationship and underestimating the organic level of the question. The negotiation between sexes seems to transform a sexual problem into normality.     

Counseling Older Adults with Dementia: A Survey of Therapists in Massachusetts

Although much has been written about therapeutic interventions with caregivers, little is known about the counseling services that are available for victims of dementia. The present study was designed to explore community mental health center (CMHC) services and therapists' experiences in providing psychotherapy to this population in Massachusetts. Only 27 of the 36 CMHCs in the state reported providing mental health services to older adults with a dementing illness. A survey of therapists who specialized in working with older adults found that the percentage of older adult clients estimated to have dementia averaged about half of their caseload. Older persons in the early phase of a dementing illness were most frequently referred for depression and anxiety, whereas those with moderate decline were most frequently referred for management of disruptive behavior. The most common services provided to clients with dementia consisted of assessment and individual counseling. The latter finding indicates a discrepancy between what is practiced and the professional literature. Most of the psychotherapy described in the literature concerns group interventions, which were rarely provided by the mental health centers in Massachusetts. The centers tended to offer individual counseling; however, little information on how to provide this form of treatment can be found.     

Bullying in Five European Countries: Evidence for Bringing Gendered Phenomena Under the Umbrella of ‘Sexual Bullying’ in Research and Practice

Sexual bullying refers to bullying or harassment that is sexualised, related to sexuality, and/or related to gender expression (Duncan, 1999). Research on sexual bullying is disparate and still developing as a field. This study extends on this research through a mixed-methods analysis of the different forms of sexual bullying and the relationships between them across five European nations. Participants were 253 young people (aged 13–18) from Bulgaria, England, Italy, Latvia and Slovenia. As part of focus groups on sexual bullying, participants individually and anonymously completed a Sexual Bullying Questionnaire (SBQ), comprising closed- and open-ended questions about their experiences of victimisation and bullying their peers. Factor analysis identified five forms of sexual bullying victimisation and two forms of sexual bullying towards peers. The quantitative and qualitative findings indicated that bullying or harassment that is sexualised, related to sexuality, and/or related to gender expression are associated with each other. Further, sexual bullying was found to be common to all five European countries indicating that it is a cross-national issue. The associations between sexualised, sexuality and gender expression bullying or harassment support the use of the term sexual bullying to unite these forms of peer victimisation in research and practice. Further, all countries studied require initiatives to address sexual bullying, and the gender and sexual norms that may contribute to it, with tailoring to the country context.

     

Decisions About Testing and Termination of Pregnancy for Different Fetal Conditions: A Qualitative Study of European White and Pakistani Mothers of Affected Children

The aim of this study is to explore reasons for and against prenatal testing and termination for a range of conditions in women from two different ethnic backgrounds. A total of 19 Pakistani and European women in West Yorkshire, UK, who either had a child with a genetic condition or had terminated a pregnancy for one, completed a questionnaire about their attitudes regarding prenatal testing and termination for 30 different fetal conditions and were interviewed about their reasons for their responses. There were more similarities than differences between the Pakistani and European white women. The most important factor in most women’s decisions about termination of pregnancy was their perception of the quality of the life of a child with the genetic condition, in particular, whether the child would be “suffering.” This was described as either physical suffering, as a result of medical treatment, or as emotional suffering, as a result of psychological and/or social factors. These findings highlight the need for detailed information about the potential quality of life for the child and the child’s family to enable parents to make informed choices, particularly the extent to which the child is likely to suffer, the nature of such potential “suffering” and the extent to which the child could lead a “normal” life. The findings also challenge stereotypes about cultural differences in attitudes about termination of pregnancy.     

Abuse Experiences in a Community Sample of Young Adults: Relations with Psychiatric Disorders, Sexual Risk Behaviors, and Sexually Transmitted Diseases

This study documents significant associations among lifetime abuse experiences, psychiatric diagnoses, and sexual risk behaviors in a multiethnic community sample of young men and women (N = 1803) in South Florida. Self-report data were collected via structured interviews as part of a longitudinal follow-up of a larger school-based study. Participants were grouped according to extent of lifetime abuse experiences. Cumulative lifetime abuse experiences were associated with increased risk for a broad range of individual lifetime psychiatric disorders, as well as cumulative lifetime psychiatric disorders. Both cumulative abuse experiences and cumulative psychiatric disorders were independently associated with (a) higher levels of sexual risk behaviors and (b) higher risk for lifetime sexually transmitted diseases (STDs). Implications for selective prevention of sexual risk behaviors and STDs among young adults with histories of abuse and psychiatric disorders are discussed.     

The Association between Childhood Abuse and Labor Force Outcomes in Young Adults: Results from the Ontario Child Health Study

We examined the associations between childhood physical and sexual abuse and labor force outcomes in young adults and the possible mediating effects of educational attainment, current mental health, and physical health. Data from the Ontario Child Health Study (N = 1,893), a province-wide longitudinal study were analyzed. Controlling for childhood and demographic variables, severe childhood physical abuse was significantly associated with reduced income with small mediating effects. There was a sex difference in the association between child abuse and employment. Severe childhood physical abuse was significantly associated with lower likelihood of employment only among males; mediators partially reduced this association. Further research is needed to explore the mechanisms linking exposure to child abuse and economic vulnerability in young adults.     

Creative Out-of-School Activities in Intellectually Gifted Adolescents as Predictors of Their Life Accomplishment in Young Adults: A Longitudinal Study

Career interests and abilities were examined in 130 young adults who, as adolescents, had received exceptionally high scores (top 5% of the entire country) on the test of general intelligence developed by the Israel Defense Force and used each year for selection and placement of recruits. The interests and abilities of the majority of the intellectually gifted research participants were found to be focused and not the opposite, as has been widely assumed among educators of the gifted. In 45% of the research participants, we found a strong relation between the focus of adolescents' out-of-school activities and the field of their adult vocation. Moreover, participants whose adolescent out-of-school activities matched their adult occupation had a higher level of work accomplishment than participants for whom such a match was absent. Our findings indicate that measures of out-of-school activities may provide an appropriate tool for counselors to use in career counseling with adolescents. Finally, young adults who were recognized as intellectually gifted in their adolescence perceived their family climate very positively. They described their families us highly cohesive and said that family members helped and supported one another.     

Contrapower Harassment in Academia: A Survey of Faculty Experience with Student Incivility, Bullying, and Sexual Attention

This study defines contrapower harassment in academia as student incivility, bullying, and sexual attention aimed at faculty. A U.S., Alaskan sample of 399 professors (50% women, 88% white) at the state’s largest public university was surveyed about their experience with contrapower harassment. Although men reported more sexual attention from students and comparable levels of student incivility–bullying, women reported that such behaviors were more upsetting and had a greater negative impact on their health and work-lives; they were also more likely to take action following such experiences than men. Tenure-track faculty appear to be at increased risk of student hostility. Discussion focuses on how gender and other markers of socio-cultural or institutional power relate to the experience of contrapower harassment.     

HIV Testing Experience and Risk Behavior Among Sexually Active Black Young Adults: A CBPR-Based Study Using Respondent-Driven Sampling in Durham,North Carolina

African Americans are disproportionately affected by the HIV epidemic inclusive of men who have sex with men, heterosexual men, and women. As part of a community‐based participatory research study we assessed HIV testing experience among sexually active 18–30 year old Black men and women in Durham, NC. Of 508 participants, 173 (74 %) men and 236 (86 %; p = 0.0008) women reported ever being tested. Barriers to testing (e.g., perceived risk and stigma) were the same for men and women, but men fell behind mainly because a primary facilitator of testing—routine screening in clinical settings—was more effective at reaching women. Structural and behavioral risk factors associated with HIV infection were prevalent but did not predict HIV testing experience. Reduced access to health care services for low income Black young adults may exacerbate HIV testing barriers that already exist for men and undermine previous success rates in reaching women.