Valuing the Spiritual

Journal of Religion and Health - Identifying reforms that minimize US healthcare costs is imperative. This commentary explores one intervention with potential cost-saving implications that has...     

Multiple sclerosis,emotion perception and social functioning

People with multiple sclerosis (MS) can experience problems in interpreting others’ emotions from faces or voices. However, to date little is known about whether difficulties in emotion perception in MS are related to broader aspects of social functioning. Also, there are few studies reporting the effect of MS on more ecologically valid assessments of emotion perception using multimodal videos. The current study looks at (1) the effect of MS on perceiving emotions from faces, voices and multimodal videos; (2) the possible role of slowed processing and executive dysfunction in emotion perception problems in MS and (3) the relationship between emotion perception and broader social functioning in MS. 53 people with MS and 31 healthy controls completed tasks of emotion perception and cognition, and assessed their levels of social support and social participation. Participants with MS performed worse than demographically matched controls on all measures of emotion perception. Emotion perception performance was related to cognitive measures in those with MS. Also, significant associations were found between emotion perception difficulties in MS and poorer social function. In particular, people with MS who had poorer emotion perception also reported lower levels of social support from their friends, and regression analysis showed that this prediction was maintained even when disease severity and cognitive function were taken into account. These results show that problems with emotion perception in MS extend to more realistic tasks and may predict key aspects of social functioning.     

Reducing drug and alcohol use and improving well-being for Indigenous and non-Indigenous Australians using the Community Reinforcement Approach: A feasibility and acceptability study

There is a lack of evidence of effective and appropriate drug and alcohol treatment for Aboriginal and Torres Strait Islander peoples. This paper contributes to addressing the evidence gap by examining the feasibility and acceptability and conducting a pre/post-evaluation of the Aboriginal-adapted Community Reinforcement Approach (CRA) delivered in New South Wales, Australia. Aboriginal and non-Aboriginal clients (n = 55) received tailored CRA delivery between March and November 2013. Compared to the original US version, tailored CRA had reduced technical language, reduced number of treatment sessions, and the addition of group delivery option. An Australian training manual with local case studies was developed. Alcohol, Smoking and Substance Involvement Test (ASSIST), Kessler-5 (K-5) and the Growth Empowerment Measure were used. 58% of participants were followed-up at 3 months. Tailored CRA was feasible to deliver in a rural, community-based health setting, and rated by clients as highly effective and acceptable. CRA was associated with statistically significant reductions in the use of alcohol, tobacco, cannabis, amphetamine and over the counter medication, and levels of psychological distress, and an increase in levels of empowerment for Aboriginal and non-Aboriginal clients. This study provides evidence for the feasibility and acceptability of an Aboriginal-adapted psychological intervention addressing drug, alcohol and mental health outcomes.     

Sexual Identification in the United States at the Intersections of Gender,Race/Ethnicity,Immigration, and Education

Sex Roles - Sexual identification is shaped by social processes that vary across multiple axes of marginalization and social position—including gender, race/ethnicity, immigration status, and...     

The utility of ground rule instructions with younger and older adult witnesses

This study examined the effectiveness of ground rules—simple instructions outlining the communication expectations of an investigative interview—with 73 younger (age 18–40) and 57 older (age 60+) adults. Participants watched a film depicting an implied sexual assault and were interviewed after a brief delay. One third received no ground rules, one third received ground rules as statements, and one third received the statements along with practice examples. The interview contained questions that required participants to apply one of the rules. Those who received ground rules were asked their perceptions of the rules. Results demonstrated that practicing ground rules improved response quality to problematic recognition questions, younger adults showed more variability in responses to different ground rules than older adults, and most participants found ground rule instructions useful in investigative interviews. Results provide support for the use of ground rules in interviews with adult witnesses.     

Differences between students' estimated and attained grades in a first-year introductory psychology course as a function of identity development

Two hundred sixty-eight first-year university students were surveyed about the state of their identity development and their perceptions regarding chances for academic success in an introductory psychology course. In general, it was found that students who had an adult identity had a more accurate assessment of their chances for success in the course and also used more efficient study strategies. Students who had not completely formed an adult identity, however, were more inaccurate in estimates of their final grades and also seemed to use less productive study strategies. It was concluded that those who have formulated an adult identity might have also developed a more complete understanding of both themselves and their situation. Implications of the findings for further research regarding the effects of identity development on university life, as well as the implications for academic intervention programs, are discussed.     

Motivation in later life: personal projects and well-being

"Personal projects," as defined by B. R. Little (1983), were elicited from 600 community residents aged 70+, representing a broad range of health and illness. Factor analysis revealed 6 types of personal projects: activities of daily living, active recreation, other-oriented activities, intellectual activities, home planning, and spiritual moral activities. Background factors and health were shown to affect the number and type of projects reported. Most indices of personal projects were associated with positive affect and valuation of life. Only 1 was associated with depression. This confirms the differential association of personal projects to positive but not negative affect. Personal projects are seen as part of an open motivational system in which social position, cognitive ability, health, and positive mental health are mutually interacting members.     

Postmodernism Versus Modernism: Rethinking Theoretical Tensions in Social Gerontology

The interconnection of social theory to social aspects of aging has grown in recent years. The theoretical movement entitled structured dependency, couched in social class analysis, has tended to ignore an understanding of aging identity, the body, cultural representations of aging, and positive images of aging, all of which are central features of an emerging postmodern paradigm in gerontological theory. This article argues that the concept of gender can form a useful bridge, a continuity, between structured dependency and postmodernism in theoretical gerontology. Unfortunately, the compartmentalization of these two conceptual approaches has made their links difficult to forge. This article attempts to take a first step in this direction by highlighting the way postmodern ideas can be used to understand a modernist issue—gender in a gerontological context. Also, focusing on the aging body as a primary form of analysis generates some novel insights into the importance of both the theoretical understanding and cultural representations of the body.