For Shame: Feminism,Breastfeeding Advocacy,and Maternal Guilt

In this paper, we provide a new framework for understanding infant‐feeding‐related maternal guilt and shame, placing these in the context of feminist theoretical and psychological accounts of the emotions of self‐assessment. Whereas breastfeeding advocacy has been critiqued for its perceived role in inducing maternal guilt, we argue that the emotion women often feel surrounding infant feeding may be better conceptualized as shame in its tendency to involve a negative self‐assessment—a failure to achieve an idealized notion of good motherhood. Further, we suggest, both formula‐feeding and breastfeeding mothers experience shame: the former report feeling that they fail to live up to ideals of womanhood and motherhood, and the latter transgress cultural expectations regarding feminine modesty. The problem, then, is the degree to which mothers are vulnerable to shame generally, regardless of infant feeding practices. As an emotion that is less adaptive and potentially more damaging than guilt, shame ought to be the focus of resistance for both feminists and breastfeeding advocates, who need to work in conjunction with women to oppose this shame by assisting them in constructing their own ideals of good motherhood that incorporate a sense of self‐concern.     

Ethnic and gender differences in the labour market perceptions of post‐higher education job seekers: ‘Double jeopardy’ or ‘ethnic prominence’?

Ethnic and gender differences in perceptions of graduate job acquisition difficulty among U.K. post‐higher education job seekers were investigated. Two main hypotheses were compared: the double jeopardy hypothesis (DJH), suggesting an additive or interactive increase in perceived difficulty associated with membership of different disadvantaged demographic categories; and the ethnic prominence hypothesis, arguing for the salience of ethnicity over gender in perceptions. Graduates and final year students (N= 800) from Black, Indian, Pakistani/Bangladeshi, and White ethnic backgrounds rated the level of difficulty that a suitably qualified man and woman from their own ethnic background would encounter in attaining 10 graduate jobs. Interactions between participant ethnic background and gender of job seeker rated were examined in the context of the competing hypotheses. The perceptions of men, and Indian and Pakistani/Bangladeshi women, were consistent with the additive DJH, whereas Black women's perceptions were not. It is concluded that: (1) the perceptions of the latter group may reflect knowledge of Black male disadvantage, or negative stereotyping with respect to employment in the U.K. graduate labour market; and (2) perceptions of double jeopardy by some female graduates may have negative effects on their job seeking endeavours.     

Interplay of the production and picture superiority effects: A signal detection analysis

Three experiments explored the interaction between the production effect (greater memory for produced compared to non-produced study items) and the picture superiority effect (greater memory for pictures compared to words). Pictures and words were presented in a blocked (E1) or mixed (E2, E3) design, each accompanied by an instruction to silently name (non-produced condition) or quietly mouth (produced condition) the corresponding referent. Memory was then tested for all study items as well as an equal number of foil items using a speeded (E1, E2) or self-paced (E3) yes-no recognition task. Experiments 1, 2, and 3 all revealed a small but reliable production×stimulus interaction. Production was also found to result in a liberal shift in response bias that could result in the overestimation of the production effect when measured using hits instead of sensitivity. Together our findings suggest that the application of multiple distinctive processes at study produces an especially discriminative memory trace at test, more so than the summation of each process individually.     

Individual, Peer, and Family Factors Influencing Urban African American Adolescents’ Responses to Problem Dating Situations

A clear understanding of factors influencing adolescents’ responses to problem dating situations is needed to guide efforts to promote healthy dating relationships and address issues such as emotional distress, conflict, and violence in dating contexts. This study used qualitative methods guided by a socio-ecological model to identify factors at the individual-level and those within adolescents’ peer and family relationships that influenced their use of specific strategies (active, avoidant, support-seeking, or aggressive) in response to problem dating situations. Interviews were conducted with 38 African American middle and high school students in an urban public school system. Participants identified nine themes that would make it easier for them to engage in their best response strategies to deal with problem dating situations. These included four individual-level factors (e.g., individual characteristics and adolescents’ confidence in their ability to address dating problems), three peer factors (e.g., supportive advice from peers), and two family factors (e.g., support, advice, and messages about dating relationships from family members). Nine themes were identified that would make it harder for adolescents to engage in these responses including three individual-level factors (e.g., difficulty in regulating anger, anxiety, and sadness in dealing with dating problems), four peer factors (e.g., peer instigated conflict among dating partners), and two family factors (e.g., family involvement in adolescents’ dating relationships). The results inform prevention efforts that focus on promoting healthy dating relationships during adolescence.     

IMPROVING BEHAVIOR IN A RESIDENTIAL SERVICE FOR YOUTH IN DRUG AND ALCOHOL REHABILITATION

A token reinforcement program, named ‘Thumbs Up’, was introduced in a residential therapeutic community for drug and alcohol rehabilitation. Sixteen young people aged 14–17 years participated for varying durations. Participants were able to negotiate target behaviors and choose backup reinforcers. We evaluated the program within a multiple baseline design across participants, settings, and behaviors. Improvements occurred in positive verbal statements across settings, timely room cleaning, and leadership responsibilities. Inappropriate statements were also measured and did not change. One staff member was trained in the use of Thumbs Up with positive results. Difficulties with implementing behavioral interventions in a non‐behaviorally oriented treatment service were identified. Despite needing refinements, it was concluded that a token reinforcement program can be an effective and acceptable means of improving behavior within a therapeutic community framework. Copyright © 2012 John Wiley & Sons, Ltd.     

Emerging narrative discourse skills 18 months after traumatic brain injury in early childhood

This study examined the longer term effect of traumatic brain injury (TBI), approximately 18 months post-injury, on emerging narrative discourse skills of 85 children with orthopaedic injury (OI), 43 children with moderate TBI, and 19 children with severe TBI who were between 3 years and 6 years 11 months at injury. Children with TBI performed worse than children with OI on most discourse indices. Children with severe TBI were less proficient than children with moderate TBI at identifying unimportant story information. Age and pragmatic skills were predictors of discourse performance.     

Informed Consent Revisited: Japan and the U.S.

Informed consent, decision-making styles and the role of patient–physician relationships are imperative aspects of clinical medicine worldwide. We present the case of a 74-year-old woman afflicted with advanced liver cancer whose attending physician, per request of the family, did not inform her of her true diagnosis. In our analysis, we explore the differences in informed-consent styles between patients who hold an “independent” and “interdependent” construal of the self and then highlight the possible implications maintained by this position in the context of international clinical ethics. Finally, we discuss the need to reassess informed-consent styles suitable to the needs of each patient regardless of whether he or she resides in the United States or in Japan.