Influences of problem format and SES on preschoolers’ understanding of approximate addition

Recent studies suggest that 5-year-olds can add and compare large numerical quantities through approximate representations of number. However, the nature of this understanding and its susceptibility to environmental influences remain unclear. We examined whether children's early competence depends on the canonical problem format (i.e., arithmetic operations presented on the left side). Sixty children from middle-to-high-SES backgrounds (Experiment 1) and 47 children from low-SES backgrounds (Experiment 2) viewed events that required them to add and compare large numbers. Events were shown in a canonical or noncanonical format. Children from both SES backgrounds performed above chance on the approximate addition tasks, but children from middle-to-high-SES backgrounds performed significantly better. Moreover, children from middle-to-high SES backgrounds performed better when problems were presented in the canonical format, whereas children from low-SES backgrounds did not. These results suggest that children's understanding of approximate number is affected by some of the same environmental factors that affect performance on exact arithmetic tasks.     

Effects of group prenatal care on psychosocial risk in pregnancy: results from a randomised controlled trial

Few interventions have succeeded in reducing psychosocial risk among pregnant women. The objective of this study was to determine whether an integrated group prenatal care intervention already shown to improve perinatal and sexual risk outcomes can also improve psychosocial outcomes compared to standard individual care. This randomised controlled trial included pregnant women ages 14-25 from two public hospitals (N = 1047) who were randomly assigned to standard individual care, group prenatal care or integrated group prenatal care intervention (CenteringPregnancy Plus, CP+). Timing and content of visits followed obstetrical guidelines, from 18-week gestation through birth. Each 2-h group prenatal care session included physical assessment, education/skills building and support via facilitated discussion. Using intention-to-treat models, there were no significant differences in psychosocial function; yet, women in the top tertile of psychosocial stress at study entry did benefit from integrated group care. High-stress women randomly assigned to CP+ reported significantly increased self-esteem, decreased stress and social conflict in the third trimester of pregnancy; social conflict and depression were significantly lower 1-year postpartum (all p-values < 0.02). CP+ improved psychosocial outcomes for high-stress women. This 'bundled' intervention has promise for improving psychosocial outcomes, especially for young pregnant women who are traditionally more vulnerable and underserved.     

Madness versus badness: the ethical tension between the recovery movement and forensic psychiatry

The mental health recovery movement promotes patient self-determination and opposes coercive psychiatric treatment. While it has made great strides towards these ends, its rhetoric impairs its political efficacy. We illustrate how psychiatry can share recovery values and yet appear to violate them. In certain criminal proceedings, for example, forensic psychiatrists routinely argue that persons with mental illness who have committed crimes are not full moral agents. Such arguments align with the recovery movement’s aim of providing appropriate treatment and services for people with severe mental illness, but contradict its fundamental principle of self-determination. We suggest that this contradiction should be addressed with some urgency, and we recommend a multidisciplinary collaborative effort involving ethics, law, psychiatry, and social policy to address this and other ethical questions that arise as the United States strives to implement recovery-oriented programs.     

What Facilitates or Impedes Family Communication Following Genetic Testing for Cancer Risk? A Systematic Review and Meta-Synthesis of Primary Qualitative Research

To systematically review and meta-synthesise primary qualitative research findings regarding family communication following genetic testing of cancer risk, in order to inform development of effective interventions. Systematic searches of CINAHL, Embase, Medline, British Nursing Index and PsycINFO databases were undertaken and relevant studies identified using strict criteria. The selected primary qualitative studies were appraised for quality and relevance by three independent researchers and then synthesized using a “Framework” approach. Fourteen (4.3%) studies met the inclusion criteria. The following factors influenced family communication following genetic testing for late-onset hereditary cancer: the informant’s feelings about informing relatives about genetic testing; the perceived relevance of the information to other family members and their anticipated reactions; the “closeness” of relationships within the family; family rules and patterns (e.g., who is best placed to share information with whom); finding the right time and level of disclosure; and the supportive role of heath care professionals. The themes identified in this review could provide practitioners with a useful framework for discussing family communication with those undergoing genetic testing. This framework focuses on helping health care professionals to facilitate family communication. The next step will be the development of an intervention to directly support people in talking to their relatives.     

A daily diary study of coping in the context of the job demands-control-support model

We examined one of the processes thought to underpin Karasek and Theorell’s job demands-control-support model (1990). This is that control and support accentuate better well-being by fostering problem-focused coping with work demands. We also examined whether other forms of coping implemented through control and support are related to indicators of well-being. In a daily diary study of 29 workers in a public hospital, we found higher levels of subsequent goal attainment were associated with problem-focused coping implemented by executing control. Problem-focused coping implemented by eliciting support was associated with higher concurrent and subsequent levels of pleasant affect. We found other forms of coping were also associated with affect and goal attainment. The results have implications for elaboration of the DCS model.     

Perceptions of personal Web usage in the workplace: AQ-methodology approach.

An important aspect to managing Personal Web Usage (PWU) at the workplace lies in understanding and reshaping the perceptions of the users. The study contends that the outward manifestation of PWU behaviors at the workplace is but one consequence of the actors' attitudes which in turn are determinants of their ingrained beliefs. This study explores user perceptions about PWU using a web-based Q-methodology. Q-methodology used in this study is suitable for exploratory research, to obtain a deeper and first-hand understanding about the underlying phenomena about an under-explored concept. Twenty-five participants were asked to sort 38 statements according to their relative importance. The results uncover three distinct factors PWU: (1) cyber-bureaucrat, (2) cyber-humanist, and (3) cyber-adventurer. This indicates that PWU maybe a multidimensional construct instead of a uni-dimensional one as previously thought. The findings of this study can help managers understand, and shape the perceptions of the users rather than the outwardly manifested behaviors.     

Preventing Violence Against Women: Engaging the Fathers of Today and Tomorrow

Although fathers play a key role in helping their children develop ideas about gender relations and close relationships, they have been largely overlooked as a resource to help prevent violence against women. This paper explores some of the reasons why fathers have not been successfully engaged in violence prevention. Engaging fathers to promote wider definitions of masculinity for themselves and their children is presented as a major mechanism by which fathers could help prevent violence against women. The information-motivation-behavior model of change, developed for preventing high-risk sexual behavior, is applied to the area to provide structure for understanding previous and current attempts to engage fathers. Examples of innovative programs are used to highlight the application of this model.