Sex and genes,part 2: A biopsychosocial approach to assess and treat challenging sexual behavior in persons with intellectual disabilities including fragile X syndrome and 22q11.2 deletion syndrome

Individuals with intellectual disabilities (IDs) – and specifically those with genetic disorders – are more prone to medical and psychological challenges that affect their sexual development, experiences, and fertility. In this review paper we first provide an overview of the biopsychosocial (BPS) model and then explain how the model can guide and improve the assessment and treatment of challenging sexual behaviors by persons with IDs. We discuss two genetic conditions – fragile X syndrome and 22q11.2 deletion syndrome – in case studies, showing how the BPS model can be used to assess and treat the sexual problems of individuals with various types of ID. We conclude with BPS-formulated treatment considerations in three key domains: biomedical treatment (e.g., medication side effects; stopping or changing medications), psychological treatment (e.g., providing psychological therapies), and socio-environmental interventions (e.g., providing socio-sexual education and staff training). Together, these treatment interventions can aid clinicians to prevent and/or treat problematic sexual behaviors of people with IDs.     

Assessment of Executive Functions after Treatment of Childhood Acute Lymphoid Leukemia: a Systematic Review

Neuropsychology Review - Individuals treated for childhood acute lymphoblastic leukemia (ALL) have a high survival rate. This fact, however, may lead to neurocognitive impairments in survivors, as...     

Collisions, logrolls, and psychological science

Relationships among science, public policy, and the media have long been a topic of controversy. A discussion of this controversy serves to place views on the Rind et al. affair in a broader context and set the stage for constructing more effective working relationships between scientists and both policy and media experts. To advance these relationships, the author offers several recommendations that emphasize ongoing institutional activities and encourage collaboration with other professional organizations.     

The moderating roles of personal and social resources on the relationship between dual expectations (for instrumentality and expressiveness) and well-being

The authors examined the roles of self-esteem and perceived social support in moderating the relationship between dual social expectations (instrumentality and expressivity) and well-being. Participants were 166 female and 87 male students in an urban community in the midwestern United States. After the authors controlled for the main effects of instrumental and expressive expectations, social support, as predicted, moderated the relationship between dual expectations and well-being: With higher levels of social support, higher levels of dual expectations were associated with higher levels of well-being; with lower levels of social support, higher levels of dual expectations were associated with lower levels of well-being. Contrary to predictions, however, self-esteem did not moderate the relation between dual expectations and well-being. The discussion focuses on the importance of social resources in enhancing the potential benefits of dual expectations in interpersonal contexts.     

The Process Through Which an Advocacy Intervention Resulted in Positive Change for Battered Women Over Time

A prior experimental evaluation of a community-based advocacy program for women with abusive partners demonstrated positive change in the lives of women even 2 years postintervention (C. M. Sullivan & D. I. Bybee, 1999). The current study explored the complex mediational process through which this change occurred, using longitudinal structural equation modeling and formal tests of mediation. As hypothesized, the advocacy intervention first resulted in women successfully obtaining desired community resources and increasing their social support, which enhanced their overall quality of life. This improvement in well-being appeared to serve as a protective factor from subsequent abuse, as women who received the intervention were significantly less likely to be abused at 2-year follow-up compared with women in the control condition. Increased quality of life completely mediated the impact of the advocacy intervention on later reabuse. Discussion places advocacy for women in the context of other efforts that are needed to build an effective community response to preventing intimate violence against women.     

Beyond bruises and broken bones: the joint effects of stress and injuries on battered women's health

We investigated the joint mediating effects of injuries and stress on the relationship between abuse and women's health. A community sample of 397 women, half of whom had been assaulted by an intimate partner within the prior 6 months, was interviewed about their experience of intimate partner violence, injuries, stress, income, depression, and physical health problems. Structural equation modeling techniques confirmed the complex model of hypothesized indirect effects of abuse on women's physical health problems through injuries, stress, and depression. Stress accounted for 80% of the indirect effect of abuse on women's physical health. Its direct effect on physical health was somewhat larger than its indirect effect through depression, but both processes played a key role in determining the effect of abuse on women's physical health problems. Furthermore, abuse was a stronger predictor of women's stress than was poverty. Implication and future research are discussed.     

Constraints have different concurrent effects and aftereffects on variability

Three experiments showed that constraints imposed early in learning have different effects on variability when they are in effect and after they are removed. Task constraints, which determine how something can be done, limited the number of possible responses in a computer game. Variability constraints, which specify how differently something must be done, required that each response differ from some number of prior responses. Less restrictive constraints (Experiments 1 and 2) produced higher variability during the constraints. More restrictive constraints (Experiments 2 and 3) led to higher variability after the constraints were relaxed. The authors discuss how these differences reflect strategies acquired during the constraints (default rules) and modified in closely related ways (exception rules) afterward.     

Visual speech information for face recognition

Two experiments test whether isolated visible speech movements can be used for face matching. Visible speech information was isolated with a point-light methodology. Participants were asked to match articulating point-light faces to a fully illuminated articulating face in an XAB task. The first experiment tested single-frame static face stimuli as a control. The results revealed that the participants were significantly better at matching the dynamic face stimuli than the static ones. Experiment 2 tested whether the observed dynamic advantage was based on the movement itself or on the fact that the dynamic stimuli consisted of many more static and ordered frames. For this purpose, frame rate was reduced, and the frames were shown in a random order, a correct order with incorrect relative timing, or a correct order with correct relative timing. The results revealed better matching performance with the correctly ordered and timed frame stimuli, suggesting that matches were based on the actual movement itself. These findings suggest that speaker-specific visible articulatory style can provide information for face matching.     

Recent exposure affects artifact naming

Deciding how to label an object depends both on beliefs about the culturally appropriate name and on memory. A label should be consistent with a language community's norms, but those norms can be used only if they can be retrieved. Two experiments are reported in which we tested the hypothesis that immediate prior exposure to familiar objects and their names affects how an ambiguous target object is named. Exposure to a typical instance of one name category was pitted against exposure to one or two instances from a contrasting category. When the contrast set consisted of a neighbor of the target, naming was usually consistent with the contrast category. This effect was reduced when a typical instance of the contrast category was also exposed. In Experiment 2, the exposure set was varied to include conditions in which either the neighbor or a prototypical instance was paired with an instance dissimilar to the target. The results suggest that all recently exposed objects affect name choice in proportion to their similarity to the target.     

The discrimination of cat odours by humans

We explored the ability of humans to identify individual cats by smell. Twenty-five cat owners were required to indicate which of two odours (one belonging to their own cat and one belonging to an unfamiliar cat) smelt the strongest, most pleasant, and which belonged to their own cat. Only thirteen (52%) of the participants were able to recognise the odour of their own cat.