Parenting a Child with Phenylketonuria (PKU): an Interpretative Phenomenological Analysis (IPA) of the Experience of Parents

Phenylketonuria (PKU) is a rare inherited metabolic disorder which can cause neurological damage if left untreated. PKU is identified through newborn screening in developed countries, and treatment begins immediately to prevent these severe consequences. When a child is diagnosed, parents must assume immediate responsibility for the management of PKU and prevention of neurological damage. Quantitative studies have identified significant psychosocial stressors for parents, but little is known about how the parents experience this process. This study aimed to explore the experiences of parents of children with PKU under the age of two. It is the first study to examine these experiences in this way. Seven parents were interviewed about their experiences, and interpretative phenomenological analysis was used to analyse the data. Three main themes were identified: control, striving for normality and acceptance of PKU as a continuum. Links between the themes and processes underpinning the results were explored with relation to existing literature and theories from a clinical psychology perspective. The role of acceptance of PKU was central to the parent’s experiences. Clinical implications and suggestions for further research are discussed.     

The Commitment Account of Hypocrisy

Hypocrisy is widely thought to be morally objectionable in a way that undermines the hypocrite’s moral standing to blame others. To wit, we seem to intuitively accept the “Nonhypocrisy Condition:” R has the standing to blame S for some violation of a moral norm N only if R’s blaming S is not hypocritical. This claim has been the subject of intensifying philosophical investigation in recent years. However, we can only understand why hypocrisy is morally objectionable and has an effect on standing to blame if we can correctly characterize hypocrisy itself. Unfortunately, some recent discussions fail to do this, which fatally undermines subsequent arguments concerning the effect of hypocrisy on the standing to blame. This paper’s central aim is to develop and defend a better account of hypocrisy. The hope is that with such an account in hand, we can explain and perhaps justify our moral aversion to hypocrisy in general as well as the Nonhypocrisy Condition in particular.     

Cache protection strategies of a non-social food-caching corvid,Clark’s nutcracker (<Emphasis Type="Italic">Nucifraga</Emphasis><Emphasis Type="Italic">columbiana</Emphasis>)

Clark’s nutcrackers (Nucifraga columbiana), a non-social corvid, cache much of their food in order to survive periods of resource uncertainty. These caches are at risk as they are subject to pilferage from other animals including conspecifics. Potentially, nutcrackers can ensure the safety of these caches by keeping track of whether they have been observed making a cache and subsequently engage in cache protection strategies—strategies that have been shown by other members of the corvid family (e.g., scrub-jays and ravens). Behaviors including creating more caches, eating a higher proportion of seeds, and re-caching existing compromised sites have been shown in laboratory settings with social corvids and have provided preliminary evidence of the complex cognitive abilities of corvids. In the present study, Clark’s nutcrackers are shown to engage in similar cache protection behaviors when observed by a conspecific. Furthermore, we show that these behaviors are a result of social, rather than associative, cues.     

Motor imagery effectiveness for mirror reversed movements

Physical practice is known to enhance motor adaptation skills, which refer to the individual ability to compensate for environmental changes. So far, it is still unknown whether a similar effect can be observed following motor imagery (MI). Thirty-nine participants were tested during a joystick tracking task under both normal and mirror conditions (i.e., the inductive direction of the joystick was reversed), before and after a physical practice or MI training phase. Eye movements and electromyographic activity were recorded during MI. Motor performance was also evaluated after a 6 h interval during daytime. As compared to the control group, the results revealed that both MI and physical practice improved motor performance in the mirror condition, during the post-training test. Furthermore, the time to complete the task was further reduced after 6 hours, both in the normal and mirror conditions. These results demonstrate the effectiveness of MI for learning mirror-reversed movements, and for the consolidation process that follows motor adaptation.     

Evaluating the gold standard: a review and meta-analysis of the Structured Interview of Reported Symptoms

The Structured Interview of Reported Symptoms (SIRS; Rogers, Bagby, & Dickens, 1992) is often touted as the gold standard of measures of feigning. This label likely arises in part out of the impressive accuracy rates reported in the extensive validation research that preceded its publication. However, since its publication, researchers not only have continued to investigate the measure's utility but have expanded the study of the SIRS to include novel populations, different study methodologies, and abbreviated versions. The current review examines 26 studies using the SIRS to identify feigning, evaluating both its effectiveness at differentiating feigners from genuine responders and the potential impact of moderating variables. Meta-analyses revealed that research published since the initial validation studies demonstrate higher sensitivity but lower specificity rates than those reported in the SIRS manual. Studies in which feigners were composed of simulators yielded higher classification rates than studies sampling actual suspected malingerers. Furthermore, genuine patient samples were significantly more likely than nonclinical samples to be misclassified as feigning. Abbreviated versions of the SIRS also demonstrated equivalent accuracy with the standard measure. The implications of these findings for clinical practice are discussed.     

Beliefs about the "hot hand" in basketball across the adult life span

Many people believe in streaks. In basketball, belief in the "hot hand" occurs when people think a player is more likely to make a shot if they have made previous shots. However, research has shown that players' successive shots are independent events. To determine how age would impact belief in the hot hand, we examined this effect across the adult life span. Older adults were more likely to believe in the hot hand, relative to younger and middle-aged adults, suggesting that older adults use heuristics and potentially adaptive processing based on highly accessible information to predict future events. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Quality of life of patients with amyotrophic lateral sclerosis

The aim of this study is to evaluate the correlation between different measures of quality of life (QoL), functional status and mood status in patients with amyotrophic lateral sclerosis (ALS). A sample of 40 patients with ALS was recruited and scales for the evaluation of health-related QoL (SF36), patient-centered QoL (SEIQoL), functional status (ALSFRS) and depression (ZDS) have been administered to them. All the correlations (Pearson's r) between the scores have been considered and the t-test was performed in order to compare male with female patients. No correlation emerged between the different measures of QoL and functional status, apart from the scores of the Physical Functioning subscale of the SF36 which resulted positively correlated (p?相似文献   

Integrating psychopathology and personality disorders conceptualized by the MMPI-2-RF and the MCMI-III: a structural validity study

The Minnesota Multiphasic Personality Inventory-2-Restructured Form (Ben-Porath & Tellegen, 2008 ) Restructured Clinical scales and Higher Order scales were linked to the Millon Clinical Multiaxial Inventory-III (Millon, Millon, Davis, & Grossman, 2009 ) personality disorder scales and clinical syndrome scales in a Flemish/Dutch sample of psychiatric inpatients and outpatients, substance abuse patients, correctional inmates, and forensic psychiatric patients (N = 968). Structural validity of psychopathology and personality disorders as conceptualized by both instruments was investigated by means of principal component analysis. Results reveal a higher order structure with 4 dimensions (internalizing disorders, externalizing disorders, paranoid ideation/thought disturbance, and pathological introversion) that parallels earlier research on pathological personality dimensions as well as research linking pathological personality traits with mental disorders. Theoretical and clinical implications are considered.     

When Fatigue Turns Deadly: The Association Between Fatigue and Racial Bias in the Decision to Shoot

Racial bias in the decision to shoot can be minimized if individuals have ample cognitive resources to regulate automatic reactions. However, when individuals are fatigued, cognitive control may be compromised, which can lead to greater racial bias in shoot/don't-shoot decisions. The current studies provide evidence for this hypothesis experimentally using undergraduate participants (Study 1) and in a correlational design testing police recruits (Study 2). These results shed light on the processes underlying the decision to shoot and, given the high prevalence of fatigue among police officers, may have important practical implications.     

Comparing the Predictive Accuracy of Case Linkage Methods in Serious Sexual Assaults

The empirical support for linkage analysis is steadily increasing, but the question remains as to what method of linking is the most effective. We compared a more theory‐based, dimensional behavioural approach with a rather pragmatic, multivariate behavioural approach with regard to their accuracy in linking serial sexual assaults in a UK sample of serial sexual assaults (n = 90) and one‐off sexual assaults (n = 129). Their respective linkage accuracy was assessed by (1) using seven dimensions derived by non‐parametric Mokken scale analysis (MSA) as predictors in discriminant function analysis (DFA) and (2) 46 crime scene characteristics simultaneously in a naive Bayesian classifier (NBC). The dimensional scales predicted 28.9% of the series correctly, whereas the NBC correctly identified 34.5% of the series. However, a subsequent inclusion of non‐serial offences in the target group decreased the amount of correct links in the dimensional approach (MSA–DFA: 8.9%; NBC: 32.2%). Receiver operating characteristic analysis was used as a more objective comparison of the two methods under both conditions, confirming that each achieved good accuracies (AUCs = .74–.89), but the NBC performed significantly better than the dimensional approach. The consequences for the practical implementation in behavioural case linkage are discussed. Copyright © 2012 John Wiley & Sons, Ltd.