‘Should I Circumcise My Daughter?’ Exploring Diversity and Ambivalence in Egyptian Parents' Social Representations of Female Circumcision

Female circumcision is still practiced in different parts of Egypt, impacting women's health and well‐being. Existing studies often portray parents' representations of the practice as positive and homogeneous, with little attention paid to the true diversity of views within a community. This study draws on social representations theory to highlight such nuances, while identifying the psychosocial factors that shape parents' decisions to circumcise or not circumcise their daughters. In‐depth interviews with 11 mothers and five fathers were conducted in rural communities in the Al Qalyoubeya and Benisweif governorates. Thematic analysis revealed the co‐existence of positive, negative and ambivalent representations of female circumcision amongst parents and within the individuals themselves. Although some parents positively represent female circumcision as ensuring the daughter's chastity, safeguarding her femininity and preserving community identity, they feel distress about its potential harms, such as pain, bleeding and terrifying experience on the daughter. Fathers further acknowledge its negative impact on marital sexual relationships. In some cases, parents challenge the ritual and refuse to circumcise their daughters. In light of a theory of change that emphasises the role of community dialogue in renegotiating health‐damaging social practices, along with evidence of diverse views amongst parents, this study argues that sensitively facilitated ‘community conversations’ might provide parents with opportunities to debate their opposing views and allow for the construction of health‐enabling social representations. Copyright © 2014 John Wiley & Sons, Ltd.     

Baseline Response Levels are a Nuisance in Infant Contingency Learning

The impact of differences in level of baseline responding on contingency learning in the first year was examined by considering the response acquisition of infants classified into baseline response quartiles. Whereas the three lower baseline groups showed the predicted increment in responding to a contingency, the highest baseline responders did not. Instead, they responded less in the contingency period relative to baseline. In extinction, the four baseline quartile groups failed to differ. The findings are considered in the context of the law of initial value, and some potential reasons for the effect of baseline responding on contingency learning are discussed. These studies show that variability in baseline responding may compromise our understanding of contingency detection especially for infants with high baseline response levels. Copyright © 2014 John Wiley & Sons, Ltd.     

The many faces of configural processing

Adults' expertise in recognizing faces has been attributed to configural processing. We distinguish three types of configural processing: detecting the first-order relations that define faces (i.e. two eyes above a nose and mouth), holistic processing (glueing the features together into a gestalt), and processing second-order relations (i.e. the spacing among features). We provide evidence for their separability based on behavioral marker tasks, their sensitivity to experimental manipulations, and their patterns of development. We note that inversion affects each type of configural processing, not just sensitivity to second-order relations, and we review evidence on whether configural processing is unique to faces.     

Children's number processing is context dependent

The aim of this paper was to test the hypothesis of a context dependence of number processing in children. Fifth-graders were given two numbers presented successively on screen through a self-presentation procedure after being asked either to add or subtract or compare them. We considered the self-presentation time of the first number as reflecting the complexity of the encoding for a given planned processing. In line with Dehaene's triple-code model, self-presentation times were longer for additions and subtractions than for comparisons with two-digit numbers. Alternative interpretations of these results in terms of more cognitive effort or more mental preparation in the case of addition and subtraction than comparison are discussed and ruled out.     

Personality traits as moderators of the associations between deployment experiences and PTSD symptoms in OEF/OIF service members

Abstract

This investigation examined traits from the five-factor model of personality as moderators of the associations of combat and aftermath of battle experiences with symptoms of posttraumatic stress disorder (PTSD) in 214 National Guard/Reserve service members deployed to operations enduring and Iraqi freedom. Extraversion significantly moderated the associations of both combat experiences and aftermath of battle experiences with PTSD severity, with associations weakening as levels of extraversion increased. The relation between aftermath of battle experiences and PTSD was also moderated by the other four personality factors, with the relation being weaker at higher levels of agreeableness, conscientiousness, and openness, and lower levels of neuroticism. These results suggest that personality traits may impact individual responses to war trauma, particularly war-related experiences that are not directly threatening to one's safety (i.e., aftermath of battle events vs. actual combat events). Although this investigation was cross-sectional, these findings indicate that personality traits are an important risk/resiliency factor to consider in people's responses to traumatic events.     

Dissemination of Family-Centered Prevention for Military and Veteran Families: Adaptations and Adoption within Community and Military Systems of Care

In response to the needs of military families confronting the challenges of prolonged war, we developed Families OverComing Under Stress (FOCUS), a multi-session intervention for families facing multiple deployments and combat stress injuries adapted from existing evidence-based family prevention interventions (Lester et al. in Mil Med 176(1): 19–25, 2011). In an implementation of this intervention contracted by the US Navy Bureau of Medicine and Surgery (BUMED), FOCUS teams were deployed to military bases in the United States and the Pacific Rim to deliver a suite of family-centered preventive services based on the FOCUS model (Beardslee et al. in Prev Sci 12(4): 339–348, 2011). Given the number of families affected by wartime service and the changing circumstances they faced in active duty and veteran settings, it rapidly became evident that adaptations of this approach for families in other contexts were needed. We identified the core elements of FOCUS that are essential across all adaptations: (1) Family Psychological Health Check-in; (2) family-specific psychoeducation; (3) family narrative timeline; and (4) family-level resilience skills (e.g., problem solving). In this report, we describe the iterative process of adapting the intervention for different groups of families: wounded, ill, and injured warriors, families with young children, couples, and parents. We also describe the process of adopting this intervention for use in different ecological contexts to serve National Guard, Reserve and veterans, and utilization of technology-enhanced platforms to reach geographically dispersed families. We highlight the lessons learned when faced with the need to rapidly deploy interventions, adapt them to the changing, growing needs of families under real-world circumstances, and conduct rigorous evaluation procedures when long-term, randomized trial designs are not feasible to meet an emergent public health need.     

Initial Implementation of the ARC Framework in Juvenile Justice Settings

Virtually all youth in detention have been exposed at least one traumatic event in their family system or in the community, and a vast majority have experienced cumulative traumatic events that led to major dysregulated states. Building on several seminal works on trauma-informed juvenile justice programs and on implementation research, this theoretical research-based paper aims to describe the preparation stage for implementation of the Attachment, Self-Regulation, and Competency framework (ARC) to a population of youth in detention. The ARC framework is well-suited to meet the complex needs of young offenders by focusing on building blocks that promote resiliency, including caregiver affect management and attunement, affect identification and modulation, and executive functions and self-identity. Based on this extensive preparation stage and a case illustration, recommendations and best practice protocols for making a shift towards a trauma-informed youth justice system are highlighted.     

Beyond Task 1 difficulty: The duration of T1 encoding modulates the attentional blink

Manipulations of Task 1 difficulty in the attentional blink paradigm can have minimal effects on performance of a subsequent visual encoding task, when Task 1 difficulty is thought of as a form of data limitation (e.g., by masking T1 more or less effectively) using mixed trials (e.g., McLaughlin, Shore, & Klein, 2001). In this work we show that a different form of Task 1 difficulty, namely the difficulty of organizing T1 as a representation in STM, has a large impact on accuracy in Task 2, even when the different levels of Task 1 difficulty are intermixed from trial to trial. The results support the Central Interference Theory of the attentional blink by showing that the time taken for central processing of T1 has a direct impact on performance in Task 2.     

Is Social Justice Relative When It Comes to Oral Health? The Realities of a Complex Health Issue

For decades pastoral theology has emphasized care for the whole person and, more recently, this focus has been expanded to include caring for the physical health of parishioners. However, an overlooked area of general fitness has been the importance of oral health. Dental caries and periodontal disease are among the most common chronic diseases that disproportionately affect the most vulnerable populations. Despite significant progress in preventing and managing these oral diseases, there is a large segment of the population that have not experienced the same gains. This paper seeks to begin to fill this gap by identifying key epidemiological, professional and ethical issues related to social justice and oral health. Disparities of oral disease and access to oral health care in the United States will be addressed by examining questions and issues related to social justice. Critical problems are identified, including inadequate financial resources, a disjointed infrastructure of care, separation from the general medical care system, and poor understanding of important oral health determinants. Furthermore, if oral health is integral to one’s overall health and general well-being, then the concept of a basic human right should be entertained. Faith-based groups could provide a link for bridging this disparity gap in oral health among their parishioners through active listening, advocacy and targeted educational programs.