Narrative Practices and Positive Aging: A Reflection about Life Celebration in a Group of Old Women

The main objective of this article is to address the impact of narrative practices in life celebration after the age of 80 and in the co-construction of a community-positive future. We share here an exploratory reflection about the narratives of a group of older women integrated in a community project. The Wednesday Tea Project (Chá das Quartas) has been ongoing for 4 years, and involves a group of old women experiencing high levels of loneliness and isolation in their small village in Portugal. The Wednesday Tea Project is based on positive psychology methodologies and consists of ritualized sessions that encourage participatory group dynamics. To describe how this project has highlighted the benefits of narrative practices, we utilized a series of scaffolding questions. Some of the most relevant outcomes of this project are: (a) the deconstruction of the dominant social discourse; (b) the publication of a book; (c) the reduction of loneliness feelings by re-membering significant figures; and (d) new levels of action both to women and the community as a consequence of a re-authoring process. Narrative practices seem to have contributed to the consolidation of all time dimensions, giving these women the opportunity to celebrate life after the age of 80, while also allowing the community to be part of and to benefit from the process. A reflection about the contributions of this article to a paradigm change toward positive aging is presented.     

Experiences of Women Who Underwent Predictive BRCA 1/2 Mutation Testing Before the Age of 30

This qualitative interview study focuses on the experiences of a sample of British female BRCA 1/2 carriers who had predictive testing before the age of 30, which is the minimum age for breast screening in the UK. Following appropriate informed consent procedures participants were recruited through the Cancer Genetics Service for Wales. Semi-structured interviews were conducted face-to-face with seven participants, transcribed in full and analyzed using thematic analysis. The motives for testing and perceived advantages described by participants were similar to those identified in previous studies with older participants, such as increased awareness and knowledge and feeling more in control. However some of the perceived disadvantages were specific to younger women, including feeling pressured to make important life decisions earlier than they would have liked, such as about family planning and risk reducing surgery. Participants also reported feeling abandoned or forgotten because of lack of ongoing clinical contact, or feeling “stuck waiting” for screening to begin. However, none felt that these disadvantages were a reason to regret having testing. Findings in this small study suggest that having BRCA 1/2 predictive testing can have positive outcomes for young women even though they may be unable to access interventions such as breast screening. However it may be helpful to encourage young women during pre-test counseling to explore the decisions and choices they may face. These young women could benefit from ongoing support and follow up and increased interaction with healthcare professionals.     

Psychometric Properties of the Mental Health Continuum-Short Form: A Study of Portuguese Speaking Children/Youths

The development of measures of children and adolescents’ subjective well-being is crucial to the conceptualization and evaluation of positive mental health. The aim of this study was to investigate the factorial structure and invariance of the Mental Health Continuum-Short Form (MHC-SF—adolescents) across children and youths. Participants were from two different samples: 208 elementary school children (sample 1) and 216 middle school youths (sample 2). Results confirmed the three-dimensional structure of subjective well-being in both samples. The three sub-scales of the MHCSF yielded high internal consistency and results from the HTMT85 indicated discriminant validity. Measurement invariance testing across three different age groups (7–8, 9–10 and 11–14 years) confirmed the full metric and approximate scalar invariance of the MHC-SF. Full scalar invariance was achieved across gender. The study also compared the latent means for mental well-being in the three age groups, and found that the younger groups showed significantly higher levels of wellbeing. The present research study strongly suggests that the MHC-SF (adolescents) is an appropriate instrument to measure the positive mental health and well-being of children and pre-adolescents as multidimensional construct.     

The Treatment of Anxiety in Autism Spectrum Disorder (TAASD) Study: Rationale,Design and Methods

This paper describes the rationale, design, and methods of the Treatment for Anxiety in Autism Spectrum Disorders study, a three-site randomized controlled trial investigating the relative efficacy of a modular CBT protocol for anxiety in ASD (Behavioral Interventions for Anxiety in Children with Autism) versus standard CBT for pediatric anxiety (the Coping Cat program) and a treatment-as-usual control. The trial is distinct in its scope, its direct comparison of active treatments for anxiety in ASD, and its comprehensive approach to assessing anxiety difficulties in youth with ASD. The trial will evaluate the relative benefits of CBT for children with ASD and investigate potential moderators (ASD severity, anxiety presentation, comorbidity) and mediators of treatment response, essential steps for future dissemination and implementation.     

Family Cohesion and Adaptation in Pediatric Chronic Conditions: The Missing Link of the Family’s Condition Management

The quality of family functioning has been considered an important predictor of adaptation in children with chronic conditions and their parents. Previous research suggests that beyond general family functioning, the specific experience of the family’s condition management is paramount for understanding family members’ adaptation. This study’s first goal was to compare family functioning and parents’ and children’s adaptation outcomes across four chronic conditions: asthma, diabetes, epilepsy, and obesity. Secondly, we explored the mediating role of family life difficulties and parental mutuality, as two potential paths through which family cohesion is linked to family members’ adaptation. A total of 263 parents of children (3–19 years old) with asthma (n = 77), obesity (n = 79), epilepsy (n = 52) and diabetes (n = 55) completed self-report measures of family cohesion, family life difficulty, parental mutuality, anxiety and depressive symptoms, and their children’s health-related quality of life (HrQoL). The results showed that families of children with diabetes, obesity, and epilepsy were at higher risk of experiencing family difficulties and children’s deteriorated HrQoL when compared to families of children with asthma. With regard to the links among study variables, although family cohesion had both a direct and indirect relationship with parental depressive symptoms, its links with parental anxiety symptoms and children’s HrQoL were only indirect, through family life difficulty. These associations were consistent across the four clinical groups. These findings emphasize the relevance of family-centered interventions aimed at promoting family cohesion, parents’ mutuality, and effective coping with the demands of pediatric chronic conditions.     

Risk Factors for Internalizing and Externalizing Problems in the Preschool Years: Systematic Literature Review Based on the Child Behavior Checklist 1½–5

Early childhood is a common period for the onset of internalizing and externalizing problems. Many are the risk factors that contribute to the emergence of these types of problems. Literature enhances the importance of viewing the child as part of a system, in order to better understand the origin, the trajectory and the impact of risk factors in child mental health in preschool age. The current systematic literature review aims to examine empirical evidence based on the Child Behavior Checklist 1½–5 for risk factors related to the presence of internalizing and externalizing problems in children aged between 3 and 6 years old. The literature review includes articles published from January 2001 to December 2014. Twenty-eight articles that attend to pre-established inclusion and exclusion criteria were reported throughout the review. In general, results indicate that risk factors for internalizing and externalizing problems in preschool age can be organized into three main groups of risks: environment factors, parental/parenting factors, and child factors. It is clear that frequently more than one risk related to the emergence of internalizing and externalizing problems in preschool age children are reported. It is also possible to note that are few risks factors consistently studied in this age, highlighting the need for further investigation.     

Reactive Attitudes,Forgiveness, and the Second-Person Standpoint

Philosophers discussing forgiveness have usually been split between those who think that forgiveness is typically virtuous, even when the wrongdoer doesn’t repent, and those who think that, for forgiveness to be virtuous, certain pre-conditions must be satisfied. I argue that Darwall’s second-personal account of morality offers significant theoretical support for the latter view. I argue that if, as Darwall claims, reactive attitudes issue a demand, this demand needs to be adequately answered for forgiveness to be warranted. It follows that we should reject the thesis that unconditional forgiveness is appropriate in the absence of repentance.