Addressing ‘Dreaded issues’: A Description of a unique counselling intervention with patients with AIDS/HIV

The authors describe an approach to counselling patients with AIDS/HIV in which the patients main anxieties can be addressed. A definition of ‘AIDS Counselling’ and ‘Dreaded issues’ is offered. The choice of method is derived from experience with over 1,000 patients. A therapeutic strategy is used in which hypothetical and future-orientated questions asked by the counsellor can help to sidestep denial and resistance with patients. Clinical case examples are described in order to illustrate the approach. Some of the advantages as well as the limitations of the approach, for patients and staff, are considered.     

The decapitation of Slovenia’s Catholic Church: social factors and consequences

This article discusses the financial collapse of Slovenia’s Catholic Church, a scandal which resulted in the deposition of the country’s archbishops, and its impact on religious belief and on the relations within the Slovenian Catholic establishment and community. Trust in the Church and religious participation have dropped markedly in Slovenia over recent years. While there are no significant changes in religious belief, other religious indicators continue to reflect an ongoing moderate trend towards secularisation that is characteristic of Slovenia in the post-socialist era. The public discourse of the Church’s leadership and lay Catholics reveals tensions on the reasons behind the fall of the Church’s financial empire and on the question of responsibility in the removal of Slovenia’s archbishops. Two general types of reactions were identified in a content analysis of texts from a five-month period after the last depositions. Views within the Slovene Catholic Church, which uphold the institution’s traditional stance, tend to explain these developments as part of a conspiracy against the Church. Others that are more open and reflective are critical towards the actions of the Church and demand change from within the institution.     

Teachers’ perceptions of middle schoolers’ social concerns: strategies and barriers to supporting students’ social success

Social Psychology of Education - Teachers are often at the forefront of efforts to help students struggling socially at school and their support may be particularly critical during the early...     

Infants’ responsiveness to the auditory and visual attributes of a sounding/moving stimulus

Responses to unimodal and multimodal attributes of a compouMauxlitoryMsuat stimulus were investigated in 4-, 6-, 8-, and 10-month-old infants. First, infants were habituated to a compound stimulus consisting of a visual stimulus that moved up anddown on a video monitor and a sound that occurred each time the visual stimulus reversed direction at the bottom. Once each infant met a habituation criterion, a series of test trials was administered to assess responsiveness to the components of the compound stimulus. Response was defined as the total duration of visual fixation in each trial. In the two unimodal test trials, the rate at which the component was presented was changed while the rate of the other component remained the same, whereas in the bimodal test trial the rate of both components was changed simultaneously. Results indicated that infants at each age successfully discriminated the bimodal and the two unimodal changes and that regression to the mean did not account for the results. Results also showed that disruption of the temporal relationship that accompanied the change in rate in the two unimodal test trials was also discriminable, but rate changes appeared to play a greater role in responsiveness than did synchrony changes. Considered together with results from similar prior studies, the current results are consistent with the modality appropriateness hypothesis in showing that discrimination of temporal changes in the auditory and visual modalities is dependent on the specialization of the sensory modalities.     

A comprehensive model of women’s social cognition and responsiveness to infant crying: Integrating personality,emotion, executive function,and sleep

Disparate lines of research suggest that women’s (a) emotion regulation and personality, (b) executive function and (c) sleep may be important predictors of mothers’ cry responding in part through their effects on social cognition. However, the extent to which each contributes to cry responding independently remains unknown. We examined this question in a convenience sample of 109 nulliparous undergraduate women. Women completed online surveys to assess personality and emotion dysregulation traits, then visited the lab for a testing session during which they reported on sleep the night before and reactions to videotapes of crying infants and completed computerized working memory and inhibitory control tasks under challenging noise conditions (exposure to traffic and cry sounds). Results indicate that women’s positive personality and higher working memory were associated with higher levels of infant-oriented cry processing (i.e., accurate distress detection, empathy and situational/emotional attributions about distress), which in turn was associated with higher intended responsiveness to infant crying. Emotion dysregulation and deficits in inhibitory control were associated with higher levels of self-oriented cry processing (i.e., anger, anxiety, negative and emotion minimizing attributions in response to infant distress), which in turn was associated with lower cry responsiveness. Short-term sleep deprivation was associated with lower intended responsiveness via the above path from poorer inhibitory control to heightened self-oriented cry processing. Findings suggest that sleep, emotional and cognitive factors are associated with cry processing and subsequent responsiveness independent of one another.     

Children’s Thinking about HIV/AIDS Causality,Prevention, and Social Interaction

Guided by both a Piagetian and a naïve theories perspective on disease concepts, this study examined children’s thinking about HIV/AIDS, with special attention to its development, coherence, and sociocultural correlates. It examined age differences among Mexican-American and Euro-American children aged 8 to 13 (N?=?158) in both Piagetian level of causal understanding (independent of correctness) and the causal knowledge central to an intuitive theory of AIDS (knowledge of risk behaviors and of the viral disease agent). It explored theoretical coherence in terms of implications of causal understanding and causal knowledge for knowledge of how to prevent AIDS and willingness to interact with people who have it. As predicted, scores on all measures increased significantly with age, and causal knowledge of risk factors exceeded knowledge of corresponding prevention rules. In multiple regression analyses, causal knowledge of both risk factors and the viral disease agent predicted knowledge of prevention and willingness to interact, even with age and other measures controlled. Prevention knowledge predicted willingness to interact even better, whereas the Piagetian measure of casual understanding did not predict either prevention knowledge or willingness to interact. Ethnic group differences were not evident but parent education was related to greater viral knowledge and willingness to interact. The results suggest a good deal of coherence in children’s thinking about this disease while also suggesting the desirability of making explicit the implications of critical causal information about an unfamiliar disease for preventing the disease without stigmatizing those who have it.     

AIDS and social exclusion: personality features or adaptive behaviors?

The purpose of this survey is to detect common personality features in people infected with AIDS who have a case history of drug addiction and who live in a situation of social exclusion. The sample comprised 105 male participants from the Autonomous Community of Andalusia, divided into 4 groups: (a) 30 men with AIDS, having an intravenous drug addiction case history and who live in a condition of social exclusion; (b) 30 men with IVDA case history, also living in a situation of social exclusion; (c) 15 men in a social exclusion condition; and (d) 30 men in a condition of social adaptation. The evaluation instruments were an author-designed semi-structured interview and the Multiaxial Clinical Inventory (MCMI-II; Millon, 1987). Although some differences were found, the results indicate that there is no specific personality profile in the "social exclusion" population. People in a condition of social exclusion (AIDS, drug addicts, and poor people) may obtain similar scores in the variables studied, but there is no clear specific personality profile in the excluded population, although there may be certain situations in which the segregated groups present similar behaviors. Furthermore, these behaviors do not always correspond to personality features but are adaptive responses to a harsh and complex reality.     

AIDS and intimate relationships: Adolescents’ knowledge and attitudes

The knowledge level about HIV/AIDS among American adolescents aged 16 to 19 has been assessed on several occasions, showing that in recent years their knowledge base has improved. The knowledge bases of British adolescents and of adolescents younger than 16 have been largely ignored. In attempting to assess the likely impact on present or future behaviors of increasing adolescents’ knowledge base about AIDS it is important to also know something of adolescents’ attitudes to intimate relationships and to sex within those relationships. Previous studies have not linked these two aspects. In this study two hundred London schoolchildren aged 14 and 15 years completed a questionnaire tapping both their knowledge about HIV infection and its transmission and their attitudes to intimate relationships. Their answers revealed that they had absorbed the simple media messages about AIDS, that it kills and that use of a condom during sex offers protection. However they were less well informed on detailed aspects of prevention, although, worryingly, they believed that they knew all that they needed to about preventive measures. The majority had attitudes to intimate relationships that were compatible with the message of restricting their number of sexual partners; however, a significant minority did not. The latter were more likely to deny the risk associated with promiscuity. It is suggested that school-based AIDS education programs should help individuals to develop new attitudes to intimate relationships that are compatible with risk avoidance.     

From dialectic to organization: Bogdanov’s contribution to social theory

This paper situates Bogdanov in the context of social theory generally and socialist theory in particular. It outlines briefly the principal characteristics of his mature system, and assesses the strengths and weaknesses of his approach to the fundamental problems of social thought. The paper devotes particular attention to the problem of just how systems develop from less complex to more complex forms of organization, and evaluates Bogdanov’s solution to this problem against the background of populist, social democratic, and Leninist alternatives.     

What do pre-adolescents and adolescents understand about HIV/AIDS?

Abstract

Pre-adolescents and adolescents (N= 80, aged 10, 12, 15, and 18 years) were tested on their knowledge of HIV/AIDS. Knowledge was assessed using a self-report questionnaire (examining levels of factual knowledge) and a semi-structured interview (examining cognitive developmental levels of understanding). Examination of the developmental shifts in understanding of HIV/AIDS revealed an increase in conceptual complexity on causal and prevention dimensions. The main conceptual changes included a shift from single cause to multiple cause solutions and a shift from identifying surface or immediate features to implicating less salient features. Additionally, with age, concepts about HIV/AIDS were increasingly organised around internal, physiological principles. Questionnaire responses yielded significant age-related increases in knowledge. Level of knowledge, as measured by the questionnaire, was higher than that assessed by the interview for the three youngest age groups. Thus, factual information acquired about HIV/AIDS is not automatically accompanied by understanding. In light of these findings the past conclusion that adolescents have high levels of knowledge of HIV/AIDS is questioned.     

‘What’s so special about HIV and AIDS?5: Stresses and strains for clients and counsellors

The issues of supervision relating to counselling people who have been diagnosed as having HIV and AIDS are discussed. Against the background of the stigmatisation of this group of clients by society, the impact of these issues upon the client and the counsellor is addressed. Using a case-history as illustration, the conflicts and losses arising at different stages are explored. These have important implications for the need for supervision to facilitate the changes necessary in coping with clients' and counsellors' feelings regarding a terminal illness, death and dying, and the containment of anxiety. The process within supervision of enabling the counsellor to deal with their countertrans-ference, hopelessness and sense of loss is examined. Through this, the counsellor is enabled to allow a balanced view to be reached within the therapeutic relationship.     

Editors’ introduction: social dynamics and collective rationality

We provide a brief introduction to this special issue on social dynamics and collective rationality, and summarize the gist of the papers collected therein.     

Optimism and social support: The providers’ perspective

It has been presumed that the beneficial health effects of optimism are mediated by social support provided by the social environment. To further analyze this assumption, in two experiments (N?=?240 and N?=?120) social responses toward optimists, pessimists, and realists were examined. Participants listened to tape-recorded conversations in which optimistic, pessimistic and realistic targets reported how they were dealing with a stressful situation before completing a questionnaire assessing (a) their evaluation of the target's behavior and personality, (b) their attraction to the target, and (c) their willingness to provide the target with social support. Optimistic and realistic targets were viewed more favorably than pessimistic targets, while the behavior of realists was regarded as being more adequate than that of optimists. However, the more positive evaluation of optimists and realists compared to pessimists was not accompanied by a greater willingness to provide them with social support.     

HIV and AIDS and “family” counselling: A systems and developmental perspective

This paper describes first, a developmental and systems/interactional conceptual model for understanding HIV and AIDS and second, outlines four basic principles of a systems model of therapeutic counselling used with people infected and affected by HIV Clinical examples are taken from the work of a team of family therapists at Bouverie Family Therapy Centre in Melbourne, Australia, to demonstrate that a systems developmental model is an appropriate therapy to assist HIV and AIDS affected people and their significant others to live with a chronic and stigmatized terminal illness.     

Marketing social norms: Social marketing and the ‘social norm approach’

This paper is inspired by the observation that the social norm approach (SNA) to socially desirable behaviour change – that is, telling people about what lots of other people do – retains something of a Cinderella role among social marketing practitioners and academics. Thus, the objective of this paper is to bring the social norm approach to the attention of a wider – and specifically, marketing and social marketing – audience, in the hope that the practice, study and critical analysis of the approach can be widened and deepened. We begin this task by tracing the background of the social norm approach to its origins in psychology and social psychology and by discussing a number of typical social norm campaigns. Thereafter, we review four key characteristics of successful social norm campaigns. In our discussion, we return to a more theoretical discussion of how the social norm approach works, and we pose a number of questions that emerge from the paper. Copyright © 2012 John Wiley & Sons, Ltd.     

Framing cognition: Dewey’s potential contributions to some enactivist issues

It is well known that John Dewey was very far from embracing the traditional idea of cognition as something happening inside one’s own mind and consisting in a pictorial representation of the alleged purely external reality out there. His position was largely convergent with enactivist accounts of cognition as something based in life and consisting in human actions within a natural environment. The paper considers Dewey’s conception of cognition by focusing on its potential contributions to the current debate with enactivism. It claims that Dewey’s anti-substantial, continuistic, and emergentistic conception of the mind as a typically human conduct pulls the rug out of the idea of cognition as representation, as well as pushes the current discussion towards a serious reconsideration of representationalist assumptions about conceptuality and language. The paper emphasises that Dewey—differently from enactivists—frames the role of cognition within experience: he argues that cognition concerns those intermediate phases of our experiences of the world which are characterised by an indeterminate or troubled situation, because he claims that human beings’ interactions with their own environment are qualitatively richer and broader than cognition, including as they do many different and intertwined modes of experience. Finally, the author suggests that a coherent development of Dewey’s lines of thought should avoid rigid distinctions and hierarchies between lower and higher degrees of cognition in humans, which are still maintained in certain forms of radical enactivism. Differently, we should consider the impact of the cultural and broadly linguistic configuration of the human–environment even on perception, motor action, and affective sensibility.

     

From individual to social and relational dimensions in asylum-seekers’ narratives: A multidimensional approach

Taking a psychodynamic perspective, the present exploratory study proposes an integrated approach to explore the forced migratory experience, focusing simultaneously on mental health risk and protective factors and on the quality of the subjective experience of migration. We aimed to evaluate trauma and protective factors and to explore in-depth representations and meanings asylum seekers hosted in Italy attribute to their experiences. Levels of trauma and resilience were first evaluated for twenty asylum seekers hosted in two Reception Centres; then, in-depth interviews were administered. Six out of twenty participants presented with symptoms of trauma and all presented with moderately high resilience levels. The interviews were analysed using a quality-quantitative methodology via T-Lab software, and showed four thematic clusters: A godforsaken place; From death to life across the sea; Memories from the past; Searching for a land of care. In line with the identity fracture highlighted in psychodynamic literature, our results show a breakdown between the deeper and original aspects of participants’ identity and their new cultural identity as migrants, which has many social components. Reflections on the implications of the study will be outlined.     

“I’m not a feminist, but…”: factors contributing to the discrepancy between pro-feminist orientation and feminist social identity

Using constructs from theories of social identity and collective action, hypotheses were developed concerning variables that predict pro-feminist orientation among those who resist the feminist label, as compared to variables that predict willingness to identify as a feminist. Predictors that were expected to be important to the latter, but not the former group, included (1) positive evaluation of feminists, (2) belief in collective action, (3) recognition of discrimination, and (4) previous exposure to feminist thought. The sample consisted of 47 male and 94 female college students (60% Anglo, 16% Asian-American, 7% African-American, 9% Hispanic, and 7% “Other”), aged 17–50 years. Using separate multiple regressions, support for the differential inclusion of all but the third variable was found. Also as predicted, the genders did not differ in pro-feminist orientation, although college women were more willing than college men to identify as feminist. Results are discussed as potentially important to understanding willingness to engage in collective advocacy.