Aprendiendo de La Vida (Learning from Life): Development of a Radionovela to Promote Preventive Health Care Utilization among Indigenous Farmworkers from Mexico Living in California

Journal of Medical Humanities - Mixtecs and Zapotecs, originating from the Oaxaca area in Mexico, are among the largest indigenous groups of workers in California. Many adults in this community...     

Experiences of transgender prisoners and their knowledge,attitudes, and practices regarding sexual behaviors and HIV/STIs: A systematic review

Background: Despite transgender people being more visible in prison systems, research suggests they are at higher risk of experiencing sexual violence compared to other prisoners. Research also suggests that transgender prisoners experience harassment, and physical and sexual assault by fellow prisoners, and prison officers who lack transgender-specific health knowledge. There exist no systematic reviews on the experiences of transgender people in prisons. This review aims to fill this research gap. The following question developed in consultation with transgender, sexual health/HIV and corrective services stakeholders has guided the systematic review: What are transgender and gender-diverse prisoners’ experiences in various prison settings and what are their knowledge, attitudes and practices regarding sexual behaviors and HIV/STIs?

Methods: The review followed the PRISMA guidelines and searches were conducted in four databases for the period of January 2007 to August 2017. Studies were assessed against predetermined inclusion and exclusion criteria. Included studies were peer-reviewed, written in English with online full-text availability and reported data on transgender and gender-diverse prisoner experiences relevant to the research question.

Results: Eleven studies (nine qualitative, one quantitative, one mixed-methods; nine in USA, two in Australia) met the criteria for review. Four studies were of high quality, six were of good/acceptable quality, and one study was of modest quality. Transgender and gender-diverse prisoners reported a range of challenges which included sexual assault, discrimination, stigma, harassment, and mistreatment. Information on their sexual health and HIV/STIs knowledge, attitudes, practices is in short supply. Also, their lack of access to gender-affirming, sexual health/STIs and mental health services is commonplace.

Conclusions: The experiences of transgender prisoners as reported in this review are almost uniformly more difficult than other prisoners. Their “otherness” is used as a weapon against them by fellow prisoners through intimidation and violence (including sexual) and by prison officers through neglect and ignorance.     

Discrimination of five-dimensional stimuli by pigeons: Limitations of feature analysis

Pigeons were trained to discriminate between stimuli constructed using five orthogonal two-valued features. The stimuli consisted of stylized monochrome drawings of seeds. Two different training procedures (conditional and simultaneous discrimination) were used. In the first two experiments, the discrimination required was between polymorphous categories, in which a positive stimulus was defined as one in which three or more of the five features took their positive values. Discrimination in both experiments was imperfect; the pigeons' behaviour only came under the control of a subset of the available features (one to three in Experiment 1, three or four in Experiment 2). In Experiment 3, single features had to be discriminated, while the remaining features varied. It was found that all five features of the “seed” stimuli could be discriminated, but one of them was exceptionally difficult. The results show that pigeons do not reliably use all the features available to them when making category discriminations. This casts doubts on feature analysis as a basis for the excellent performance pigeons show when required to discriminate between categories of natural objects.     

Tourette's syndrome—case report and contribution to the Prata/Masson-Nunn controversy

The conflicting views on Tourette's syndrome (TS) and its management in children put forward in the November 1985 issue of Journal of Family Therapy (Nunn, 1985; Prata & Masson, 1985) and the Editorial in the same issue prompt us to report a case. A twelve-year-old boy with TS managed on interactional lines snowed changes more modest than those achieved by Prata and Masson, and we address some of the issues raised by Nunn in his critique of their paper.     

Thoughts of Self‐Harm and Help‐Seeking Behavior among Youth in the Community

The association between thoughts of self‐harm and help‐seeking among youth with symptoms of depression was examined. Data were drawn from the Health Behavior of School‐aged Children Study (n = 15, 686), a nationally representative sample of youth in the United States. Analyses focused on comparing help‐seeking behaviors among youth with and without thoughts of deliberate self‐harm (DSH) when depressed. Depressed youth with thoughts of DSH exhibited different patterns of help‐seeking than those without. Both groups most frequently sought help from friends and parents. However, adolescents with thoughts of DSH were statistically more likely than youth without to seek help from friends (DSH: 69.9%; no DSH: 57.8%; AOR = 1.46), but less likely to seek help from parents (DSH: 53.7%; no DSH: 73.1%; AOR = 0.47). Youth with DSH were more likely to seek help from school officials (AOR = 1.05), health professionals (AOR: 1.83), or a counselor (AOR = 1.93) compared with those without thoughts of DSH who were more likely to seek help from a sibling (AOR: 0.77) or other relatives (AOR: 0.78). Results may help inform programs to improve identification of youth at risk of self‐harm in community and school settings.