Sex Education and Intellectual Disability: Practices and Insight from Pediatric Genetic Counselors

Intellectual disability (ID) with or without other anomalies is a common referral for genetic counseling. Sessions may include discussions of reproductive implications and other issues related to sex education. Patients with ID regularly meet barriers when trying to obtain sex education due to the misperceptions of others as being either asexual or that such education would promote inappropriate sexual behavior. In this pilot study, we surveyed genetic counselors to explore their experiences with being asked to provide sex education counseling and their comfort in doing so for patients with ID ages 9–17. Results were analyzed from 38 respondents. Caregivers and patients most frequently requested information on puberty, sex abuse prevention, and reproductive health. Genetic counselors were most comfortable when they could provide sex education counseling within the context of a particular condition or constellation of features. They were least comfortable when they lacked familiarity with the patient, caregiver, or the family’s culture. The most frequently cited barriers that prevented genetic counselors from providing sex education counseling were lack of time, lack of training, the patient’s ID being too profound, and a belief that genetic counselors should not be responsible for providing sex education counseling. While many respondents reported that providing sex education counseling is not considered within the scope of a genetic counselor’s practice, they also noted that patients’ families initiate discussions for which counselors should be prepared. Respondents indicated that resource guides specifically designed for use by genetic counselors would be beneficial to their practice. Genetic counselors have the opportunity to embrace the role of advocate and broach the issue of sexual health with caregivers and patients by directing them toward educational resources, if not providing sex education directly to effectively serve the needs of patients and caregivers.     

Cognitive behavioral therapy reduces suicidal ideation in schizophrenia: results from a randomized controlled trial

Patients with schizophrenia are at high risk of suicide. Cognitive behavior therapy (CBT) has been shown to reduce symptoms in schizophrenia. This study examines whether CBT also changes the level of suicidal ideation in patients with schizophrenia compared to a control group. Ninety ambulatory patients with symptoms of schizophrenia resistant to conventional antipsychotic medication were randomized to CBT or befriending. They were assessed using the Comprehensive Psychopathological Rating Scale, including a rating of suicidal ideation at baseline, post intervention, and after 9 months. Post-hoc analysis revealed that CBT provided significant reductions in suicidal ideation at the end of therapy, and sustained at the follow-up. Further research is required to substantiate these findings and determine the process and mechanisms through which this reduction is achieved.     

The effects of affect and input source on flashbulb memories

Flashbulb memories of shocking news (Challenger Explosion, death of Princess Diana, Pearl Harbour and Iraq bombings) were employed to test two hypotheses: encoding emotion enhances memory and how one gets the shocking news will help determine the nature of what is recalled. Different groups of subjects (Total = 2405) remembered their discoveries at delays ranging from 2 weeks to 50 years on three memory measures: a free and probed recall test of their flashbulb discovery, and a probed recall of the facts concerning the events themselves. Subjects were grouped according to the source of their discovery (Media vs. Person), affect at encoding (calm vs. upset) and recounts (few vs. many). The results indicated that how one learns of shocking news determined the type and extent of the resultant memory. ‘Media’ subjects remembered more facts whereas ‘person’ subjects recalled more of their personal discoveries regardless of the initial flashbulb inspiring event. Copyright © 2007 John Wiley & Sons, Ltd.     

Emotional Triggers and Psychopathology Associated with Suicidal Ideation in Urban Children with Elevated Aggressive-Disruptive Behavior

8.6% suicidal ideation (SI) was found among 349 urban 6–9 year olds in the top tercile of aggressive-disruptive behavior. SI was associated with more self-reported depression, ODD, conduct problems, and ADHD symptoms (ES 0.70–0.97) and 3.5–5 times more clinically significant symptoms. Parents rated more symptoms in older children associated with SI compared to parents of similar age children without SI, including greater somatic and behavior problems in 8–9 year olds with SI. Parent ratings did not differentiate SI and non-SI in 6–7 year olds. SI frequently co-occurred with thoughts about death. Children described anger, dysphoria and interpersonal conflict as motivators/triggers for SI and worries about safety/health as motivator/triggers for thoughts about death, suggesting that problems managing emotionally challenging situations are a specific factor in initiating SI. Universal and indicated interventions for children to strengthen emotional self-regulation and behavioral control are recommended to complement the current emphasis on suicide prevention among adolescents.     

Let Me Entertain You: The Exciting Perks and Perils of Teaching American Religion as a Vaudeville (or Burlesque?) Performer

While teaching a course on religion and consumer culture in the United States, the author was intensely preoccupied with holding the interest of her undergraduate students during class sessions. Inspired in part by the subject matter of the course, she reflects here upon the extent that her courses on American religion drew upon the semiotics of commercial entertainment. While acknowledging the limitations and distortions possible in thinking of the teacher as an entertainer, this paper explores the teaching metaphor of the Vaudevillian Performer, arguing that if put in context with the work on reception in cultural studies, it can be a helpful model in the classroom.     

Lay discourses about Brexit and prejudice: “Ideological creativity” and its limits in Brexit debates

Much research on Brexit has studied whether the vote to leave the EU is a marker of growing prejudice. In this article, we study instead how the relationship between support for Brexit and prejudice is constructed, negotiated and contested in lay discourse. Our analysis of focus groups (N = 12) conducted prior to and following the EU referendum shows that support for Brexit was predominantly constructed as based on nationalism and anti-immigration prejudice, especially in Remain-supporting accounts. This prompted identity management strategies and counter-arguments by Leave supporters, such as providing alternative constructions of prejudice and racism; relating Brexit with “progressive” values; and presenting it as rational and economically sound. In our discussion, we draw attention to the “ideological creativity” that underpins these accounts and also reflect on the possibilities and constraints of developing alternative political narratives under conditions of political polarisation.     

Baptism,Faith and Severe Cognitive Impairment in Some Medieval Theologies

Thirteenth‐century theologians believed that grace and theological virtues count as created habits, infused by God. They held that this belief placed them in a stronger position to give an account of the grace given to those with severe cognitive impairments than those who denied such habits. Aquinas argued that the faith infused in baptism, in the case of those who lack reason, nevertheless needs to be supplemented by other church members' actual occurrent assent to the Christian faith. Duns Scotus gives reasons to deny this, and thus defends a view of church membership that avoids any kind of non‐mutual dependence in this context.