Introduction to Nina Farhi's “Hands of the Living God: ‘Finding the Familiar in the Unfamiliar’”

In this Introduction we set the project in a particular moment of mourning. We describe the experience of engaging with Nina Farhi to publish her paper, recounting and reworking an early and famous analysis conducted by Marion Milner. Farhi's unexpected and untimely death just at the point of developing this extended project has cast a pall over the subsequent work. We detail the history of Farhi and Milner's contribution; her influences from Winnicott, Klein, and Ghent; and her radical extension of Milner's own ideas. We survey, in this Introduction the dialogue, in two iterations, of Jeanne Wolff Bernstein, Dodi Goldman, and Avgi Sekatepoulou. We describe the distinct but interwoven dialogues among these three writers, each concerned in different ways with aspects of Farhi's and, earlier, of Milner's project. We record also the work of Jean White, who stakes out a less mournful and more celebratory aspect of Nina Farhi's and Marion Milner's work and the tradition in psychoanalysis that they represent.     

How do psychosocial challenges associated with living with congenital heart disease translate into treatment interests and preferences? A qualitative approach

Objectives: There is an increasing amount of research being conducted regarding the psychosocial challenges associated with living with congenital heart disease (CHD), however little is known about how these challenges influence the type of psychosocial services patients want. This study investigated (1) the type of services patients want; (2) how they want to access these services; and (3) why they want these services. Methods: Three focus groups with adults with CHD (total of 14 participants aged 19-67) were conducted and thematic analysis was used to identify emerging themes. Results: Participants described wanting to access specific psychosocial services in three broad categories (counselling, connecting with other adults with CHD and psycho-education) and in three main formats (individual/group therapy, mentorship programmes and patient conferences). Reasons for wanting these services were grouped under two overarching themes, namely intrapersonal factors and interpersonal challenges. Conclusions: Psychosocial challenges are part of the everyday lives of adults with CHD, yet they are rarely addressed as part of routine medical care. Patients themselves have clear opinions regarding the psychological services most appropriate to target their experiences of living with CHD.     

Bias in the Reporting of Family History: Implications for Clinical Care

Family history of cancer is critical for identifying and managing patients at risk for cancer. However, the quality of family history data is dependent on the accuracy of patient self reporting. Therefore, the validity of family history reporting is crucial to the quality of clinical care. A retrospective review of family history data collected at a community hospital between 2005 and 2009 was performed in 43,257 women presenting for screening mammography. Reported numbers of breast, colon, prostate, lung, and ovarian cancer were compared in maternal relatives vs. paternal relatives and in first vs. second degree relatives. Significant reporting differences were found between maternal and paternal family history of cancer, in addition to degree of relative. The number of paternal family histories of cancer was significantly lower than that of maternal family histories of cancer. Similarly, the percentage of grandparents' family histories of cancer was significantly lower than the percentage of parents' family histories of cancer. This trend was found in all cancers except prostate cancer. Self-reported family history in the community setting is often influenced by both bloodline of the cancer history and the degree of relative affected. This is evident by the underreporting of paternal family histories of cancer, and also, though to a lesser extent, by degree. These discrepancies in reporting family history of cancer imply we need to take more care in collecting accurate family histories and also in the clinical management of individuals in relation to hereditary risk.     

The consequences of stereotype threat on the academic performance of White and non-White lower income college students

This research examined whether socioeconomic stereotypes produce stereotype threat among lower, middle, or upper income college students who are either White or non-White. Before completing an academic test, participants were either told that the purpose of the research was to understand why lower income students generally perform worse on academic tests or to examine problem-solving processes. Results showed that lower income students exposed to stereotype threat experienced greater test anxiety and performed worse on the academic test than their middle income and higher income counterparts. However, lower income students who experienced stereotype threat exerted as much effort on the test as lower income students who did not experience stereotype threat. Nonetheless, they were less likely to identify with school-related subjects. Stereotype threat and reduced performance did not influence lower income students’ self-esteem. Participant race did not influence these findings. The research is discussed in light of cognitive dissonance theory. Portions of the results were presented at the 2004 American Psychological Society Conference, Chicago, IL. Lisa A. Harrison is an assistant professor of psychology at California State University, Sacramento. Her research interests include stereotypes and prejudice, gender role norms and female athletes, and the influence of social identity on judgments of interpersonal violence. E-mail: lharriso@csus.edu Chiesha M. Stevens is currently working toward her MA in industrial/organizational psychology at California State University, Long Beach Adrienne N. Monty is currently working toward her MA in psychology at California State University, Sacramento Christine Coakley received her BA in psychology from California State University, Sacramento where she is currently working toward her MA in industrial/organizational psychology. Her research interests include stereotype threat, optimism, motivation and employee burnout in special education. E-mail: Sac78629@saclink.csus.edu     

An Ecological View of School Satisfaction in Adolescence: Linkages Between Social Support and Behavior Problems

This study investigated the relationships among school satisfaction, social support, and problem behaviors in adolescents. Modest associations were found between school satisfaction and the demographic variables of gender, race, age, and grade level. Support from teachers, parents, and classmates contributed unique variance to ratings of school satisfaction; with teacher support contributing the most unique variance. School satisfaction mediated the relationship between social support and internalizing and externalizing behaviors. School satisfaction did not moderate the relationship between social support and problem behavior; however, it did serve as a protective factor across all levels of social support. Implications are discussed, including suggestions for developing interventions that focus on increasing support for adolescents in efforts to improve school satisfaction and reduce problem behaviors.     

New uses for the on-line computer medium in mental health care

A number of research projects related to new uses for computers in mental health service delivery are presented. These projects include work on software psychology, new computer applications in mental health care, and studies relating to the successful implementation of technology in mental health settings. Emphasis is placed on developing a better understanding of appropriate uses of technology rather than merely describing new applications.     

Using empowerment theory in collaborative partnerships for community health and development

Models of community empowerment help us understand the process of gaining influence over conditions that matter to people who share neighborhoods, workplaces, experiences, or concerns. Such frameworks can help improve collaborative partnerships for community health and development. First, we outline an interactive model of community empowerment that describes reciprocal influences between personal or group factors and environmental factors in an empowerment process. Second, we describe an iterative framework for the process of empowerment in community partnerships that includes collaborative planning, community action, community change, capacity building, and outcomes, and adaptation, renewal, and institutionalization. Third, we outline activities that are used by community leadership and support organizations to facilitate the process of community empowerment. Fourth, we present case stories of collaborative partnerships for prevention of substance abuse among adolescents to illustrate selected enabling activities. We conclude with a discussion of the challenges and opportunities of facilitating empowerment with collaborative partnerships for community health and development. This work was supported by Kansas Health Foundation Grants 9206032B and 9206032A to support and evaluate community partnerships to prevent adolescent substance abuse. Thanks to Tom Wolff for sharing his wisdom about community coalitions so generously, and to Bill Berkowitz and anonymous reviewers for thoughtful comments on an earlier version of this manuscrpt. We also thank our colleagues from the Kansas Health Foundation, Mary K. Campuzano, Steve Coen, and Marni Vliet, and those from collaborating communities, who continue to teach us about ways to enhance community capacities to address local concerns.     

Quality of life and social support of patients being evaluated for bone marrow transplantation

A sample of 437 patients completed self-report measures of quality of life and social support while they were being evaluated for bone marrow transplantation (BMT) at The Johns Hopkins Oncology Center. Generally, the candidates showed reasonably high levels of quality of life (QOL) on the Satisfaction with Life Domains Scale (SLDS), their present ranking on the Cantril Self-Anchoring Ladder of Life, and their scores on the Bradburn Positive Affect Scale. The level of QOL of these candidates for transplant was significantly related to their level of social support. Both availability and adequacy of social support for these transplant candidates were found to be significantly related to QOL as measured by the SLDS. Availability of social support as measured by patient membership in religious and other organizations was significantly related to Positive Affect but not Negative Affect. The Family APGAR and Relational Support Scales measures of social support were significantly correlated with both Positive and Negative Affect.     

Coping with Exposure to Violence: Relations to Emotional Symptoms and Aggression in Three Urban Samples

Relations among exposure to violence, coping, and adjustment were examined in three urban samples. In study 1, which took place in a southeastern city, children ages 6–16 (N = 35; M age = 10.7 years) completed measures of adjustment, exposure to violence, and coping with violence. In study 2, which took place in one southern Midwestern city and one Northeastern city, children ages 8–15 (N = 70; M age = 11.3 years) completed similar measures with the addition of a measure assessing normative beliefs about aggression. Results are in line with the pathologic adaptation model and provide preliminary evidence for two hypothesized pathways explaining the effects of exposure to violence on adjustment: a normalization pathway in which exposure leads to more aggression-supporting beliefs and in turn to greater aggression, and a distress pathway in which exposure leads to avoidant coping and in turn to emotional symptoms.