Factors Influencing Men's Interest in Gene Testing for Prostate Cancer Susceptibility

Interest in genetic testing for inherited cancer susceptibility is high in the general population. Women at risk for BRCA1 and BRCA2 mutations represent the best-studied population undergoing genetic testing for cancer susceptibility. However, it is unclear whether factors influencing interest in genetic testing in women are directly applicable to men. We designed a study to examine factors associated with men's interest in genetic testing to identify prostate cancer susceptibility. Our sample consisted of 267 men present in waiting rooms of a urology clinic in an urban area. We examined whether the concept of monitoring could be used to predict the interest of men in a genetic test for prostate cancer susceptibility. Our results indicated that monitoring trait was positively associated with interest in genetic testing in these men, but principally for patients rather than nonpatients. Moreover we found that monitoring was associated with over estimation of risk in those men with prostate cancer. Other factors found to influence interest in genetic testing included recommendation by a doctor, family history of prostate cancer, and cost. This study indicated that interest in genetic testing and estimation of risk is influenced by a complex interaction between both psychological factors (monitoring) and nonbehavioral factors (such as patient status, cost, and doctor recommendation).     

Who lives,who dies,who decides: Differences between mass public shooters who survive,are killed,and commit suicide

This study provides an in-depth analysis of American mass public shooting conclusions between 1966 and 2017. Specifically, this work examines differences in factors contributing to the perpetrator's likelihood of surviving, being killed, and committing suicide. Ten hypotheses, rooted in previous homicide, suicide, homicide-suicide, and mass public shooting literature consider different psychological, situational, and background factors shaping the outcome of mass public shootings. Significant findings indicate factors influencing perpetrators' suicide include suicidal ideation, higher victim counts, and suicide copycat effects. Factors influencing perpetrators being killed similarly include higher victim counts, the arrival of law enforcement, lethal/non-lethal resistance, and government targets. This investigation provides practical implications for practitioners and policymakers, especially law enforcement and mental health practitioners, seeking to develop intervention and prevention strategies for addressing suicidal ideation and its most lethal outcome: mass public shootings.     

Veridiction and juridiction in Confessions of the Flesh

In an archived draft at the Bibliothèque nationale de France, Foucault describes two questions haunting him since 1963: “Why are we obliged to tell the truth about ourselves? Which truth?” Foucault poses these two questions in 1980 in drafts for his lectures at the University of California, Berkeley, and I see in these two questions two argumentative threads that weave through Foucault's changing History of Sexuality series over his last decade. These two threads correspond to the dimorphism Foucault frames in Part III of Confessions of the Flesh between confessing monks and married men, that correlates with the distinction between “veridiction” and “juridiction” as two forms relating subjectivity and sexuality. To help tease out these threads, I make two recommendations for how to read Confessions of the Flesh in this following review essay: (1) situate Confessions of the Flesh in relation to Foucault's History of Sexuality series which spans his last decade from 1974 to 1984 and (2) untangle two major threads of Confessions of the Flesh in Foucault's treatment of Cassian and Augustine, as progenitors of veridiction and juridiction respectively, which together produce the conditions for modern disciplinary subjects.     

The Responsibilities of Engineers

Knowledge of the responsibilities of engineers is the foundation for answering ethical questions about the work of engineers. This paper defines the responsibilities of engineers by considering what constitutes the nature of engineering as a particular form of activity. Specifically, this paper focuses on the ethical responsibilities of engineers qua engineers. Such responsibilities refer to the duties acquired in virtue of being a member of a group. We examine the practice of engineering, drawing on the idea of practices developed by philosopher Alasdair MacIntyre, and show how the idea of a practice is important for identifying and justifying the responsibilities of engineers. To demonstrate the contribution that knowledge of the responsibilities of engineers makes to engineering ethics, a case study from structural engineering is discussed. The discussion of the failure of the Sleipner A Platform off the coast of Norway in 1991 demonstrates how the responsibilities of engineers can be derived from knowledge of the nature of engineering and its context.     

An Examination of the “Greening of Christianity” Thesis Among Americans, 1993–2010

Some environmental and religious scholars, religious leaders, and media figures have claimed there has been a “greening of Christianity” in the United States since the mid‐1990s. Such a trend would be socially significant, as the integration of Christian values and environmental values may invigorate both domains. Using nationally representative data from the 1993 and 2010 General Social Surveys, we analyze how green self‐identified Christians in the U.S. general public are in their pro‐environmental attitudes, beliefs, and behaviors. Using structural equation modeling, we find no clear evidence of a greening of Christianity among rank‐and‐file Christians in the general public between 1993 and 2010. Indeed, the patterns of our results are quite similar to those from earlier decades, which documented that self‐identified Christians reported lower levels of environmental concern than did non‐Christians and nonreligious individuals. We did find evidence of some greening among evangelical Protestants, especially relative to mainline Protestants, between 1993 and 2010. We close by suggesting a few fruitful avenues for further research in this area via variable‐oriented, case‐oriented, and experimental studies and discussing some theoretical implications of our findings.     

Dialectical Behavior Therapy With Prolonged Exposure for Adolescents: Rationale and Review of the Research

Among adolescents, interpersonal trauma has been associated with severe post-traumatic stress disorder (PTSD) and impairments across multiple domains of functioning (e.g., Derosa, Amaya-Jackson & Layne, 2013; Ford, Courtois, Steele, van der Hart, & Nijenhuis, 2005; van der Kolk, 2005). Such difficulties can include high-risk behaviors such as active suicidality (Middlebrooks & Audage, 2008) and nonsuicidal self-injurious behavior (NSSI; Hu, Taylor, Li, & Glauert, 2017). While there have been many advances in the treatment of trauma, treatment dropout for adolescents seeking trauma-informed treatment is predicted by diagnostic comorbidity and complexity (Sprang et al., 2013), as well as the number of traumatic events endorsed (Wamser-Nanney & Steinzor, 2016). Many traumatized adolescents with high-risk behaviors are referred to Dialectical Behavior Therapy (DBT-A). However, DBT-A does not yet include a specific, evidence-based protocol for treating PTSD, without which treatment gains may not be sustained for traumatized adolescents (Harned, Korslund, & Linehan, 2014). While Prolonged Exposure (PE) is indicated as the gold-standard treatment for PTSD and has proven effective for adolescents (PE-A; Foa, McLean, Capaldi, & Rosenfield, 2013), it has not yet been validated with adolescents who are actively suicidal. However, PE has successfully been integrated within DBT for adults with co-occurring Borderline Personality Disorder and PTSD (e.g., DBT-PE; Harned et al., 2014). Based upon this model, the current paper proposes the integration of DBT-A and PE-A to treat adolescents with interpersonal trauma who also present with high-risk behaviors. The paper discusses anticipated complications related to adapting this model for adolescents and provides direction for future research.     

Multiple risk expert systems interventions: impact of simultaneous stage-matched expert system interventions for smoking, high-fat diet, and sun exposure in a population of parents.

Three stage-based expert system interventions for smoking, high-fat diet, and unsafe sun exposure were evaluated in a sample of 2,460 parents of teenagers. Eighty-four percent of the eligible parents were enrolled in a 2-arm randomized control trial, with the treatment group receiving individualized feedback reports for each of their relevant behaviors at 0, 6, and 12 months as well as a multiple behavior manual. At 24 months, the expert system outperformed the comparison condition across all 3 risk behaviors, resulting in 22% of the participants in action or maintenance for smoking (vs. 16% for the comparison condition), 34% for diet (vs. 26%), and 30% for sun exposure (vs. 22%). Proactive, home-based, and stage-matched expert systems can produce significant multiple behavior changes in at-risk populations where the majority of participants are not prepared to change.     

Distinguishing rumination from worry in clinical insomnia

Research has found that repetitive thought processes, such as worry and rumination, play an important role in several disorders; however, these cognitive processes have not yet been examined in insomnia. This study explores rumination and worry in insomnia by examining: 1) whether those high and low on rumination and worry differ on subjective sleep measures, and 2) whether rumination and worry are distinct processes in insomnia. Participants (N = 242) were diagnosed with an insomnia disorder by sleep experts. Participants completed measures of worry and rumination and maintained a 2-week daily sleep log. Results of a multivariate analysis of variance found no main effect of worry; although high and low ruminators differed on several sleep log indices, including sleep efficiency, wakefulness after sleep onset and sleep quality. Factor analysis supported the idea that rumination and worry are separate constructs. Whereas previous research has focused on worry in insomnia, these findings suggest that rumination is important for understanding sleep disturbance. Further, although rumination and worry are both repetitive thought processes, these results indicate that they are distinct processes within insomnia and should be treated as such. The results are discussed with respect to treatment implications for Cognitive Behavioural Therapy for Insomnia.