Surviving breast cancer: Women's experiences with their changed bodies

In this study, we explored women's experiences with their bodies following treatment for breast cancer. Eleven women who had been treated for the disease (M_{time since treatment} = 4.45 years) were interviewed. Data were collected and analyzed using interpretative phenomenological analysis (Smith et al., 2009). Four main themes emerged from the data: changing visibly and invisibly; experiencing intense thoughts and emotions; meaning of the body: a vehicle of health, well-being, and social expression; and managing and dealing with physical changes. Overall, the women experienced various physical changes that shaped, mostly in a negative way, their perceptions, thoughts, attitudes, feelings, and beliefs about their bodies. The women described attempts to make positive lifestyle behavior choices (e.g., diet, participate in physical activity), and used other strategies (e.g., wigs, make-up, clothes) to manage their appearances and restore positive body-related experiences. Based on these findings, it is important to be cognizant of women's body image concerns following breast cancer given the poignant and lasting effects they can have on their psychosocial and emotional well-being.     

Lay Understandings of Sex/Gender and Genetics: A Methodology That Preserves Polyvocal Coder Input

Lay understandings of the role of heredity and genetics in the production of human sex may be important in perceptions of the relative similarity and difference of men and women and therefore of the appropriateness of behaviors or social policies. We employed 17 focus groups segregated by gender and ethnicity (43 European American and 39 African American) to assess lay understandings of genetics and biological sex. To ensure the inclusion of multiple perspectives in results, we developed and applied a methodology we call “polyvocal coding.” Results show uneven incorporation of basic genetics, with substantial diversity of alternative understandings, especially with regard to sexual orientation. Different individuals, including both coders and participants, may interpret the same information about sex chromosomal inheritance as a fundamental quality of individual identity that constitutes essential and significant difference or as a component with limited impact on each person.     

Semantic priming in young and older adults: evidence for age constancy in automatic and attentional processes

Automatic and attentional components of semantic priming and the relation of each to episodic memory were evaluated in young and older adults. Category names served as prime words, and the relatedness of the prime to a subsequent lexical decision target was varied orthogonally with whether the target category was expected or unexpected. At a prime-target stimulus-onset asynchrony (SOA) of 410 ms, target words in the same category had faster lexical decision latencies than did different category targets. This effect was not significant at a 1,550-ms SOA and was attributed to automatic processes. Expected category targets had faster latencies than unexpected category targets at the 410-ms SOA, and the magnitude of the effect increased at the 1,550-ms SOA. This effect was attributed to attentional processes. These patterns of priming were obtained for both age groups, but in a surprise memory test older adults had poorer recall of primes and targets. We discuss the implications of these results for the hypothesis that older adults suffer deficits in selective attention and for the related hypothesis that attentional deficits impair semantic processing, which causes memory decrements in old age.     

Influence of Child Factors on Health-Care Professionals’ Recognition of Common Childhood Mental-Health Problems

Early recognition of childhood mental-health problems can help minimise long-term negative outcomes. Recognition of mental-health problems, needed for referral and diagnostic evaluation, is largely dependent on health-care professionals’ (HCPs) judgement of symptoms presented by the child. This study aimed to establish whether HCPs recognition of mental-health problems varies as a function of three child-related factors (type of problem, number of symptoms, and demographic characteristics). In an online survey, HCPs (n = 431) evaluated a series of vignettes describing children with symptoms of mental-health problems. Vignettes varied by problem type (Attention-Deficit/Hyperactivity Disorder (ADHD), Generalised Anxiety Disorder (GAD), Autism Spectrum Disorder (ASD), Conduct Disorder (CD) and Major Depressive Disorder), number of symptoms presented (few and many), and child demographic characteristics (ethnicity, gender, age and socio-economic status (SES)). Results show that recognition of mental-health problems varies by problem type, with ADHD best recognised and GAD worst. Furthermore, recognition varies by the number of symptoms presented. Unexpectedly, a child’s gender, ethnicity and family SES did not influence likelihood of problem recognition. These results are the first to reveal differences in HCPs’ recognition of various common childhood mental-health problems. HCPs in practice should be advised about poor recognition of GAD, and superior recognition of ADHD, if recognition of all childhood mental-health problems is to be equal.     

Translating close-up research into action: a critical reflection

This paper argues that simple dissemination models do not work. One of the strengths of close-up research, with its emphasis on depth and understanding, is that it can identify why things are as they are and, by extension, when we identify wrongs seek to challenge them. The paper suggests, however, that making a difference is fraught with contradictions and that the translation from research to action is far from straightforward. We illustrate these tensions by reflecting on our experiences of conducting two projects for the UK Higher Education Academy. At the same time as exploring the slippages of translation and loss of criticality, however, we want to defend notion of praxis as theoretically informed change for critical social purposes. This involves a view of making a difference and research that moves beyond thinking of research as a discrete act and invokes the significance of corporate agency and the possibilities of acting collectively.     

Hospital Restructuring and Nursing Staff Well-Being: The Role of Coping

A research model incorporating hospital restructuring stressors, job satisfaction, psychosomatic symptoms and active and escapist coping was tested in a large sample of nursing staff. Almost 1,400 staff nurses participated by completing anonymous questionnaires. Concepts in the model were assessed using multiple-item scales having satisfactory psychometric properties. A LISREL analysis was undertaken in which relationships among all variables in the model were considered simultaneously. Use of active coping was negatively related to the use of escapist coping; use of escapist coping was positively related to future threats to security and psychosomatic symptoms and negatively related to self-reported job satisfaction; use of active coping was related to perceptions of less extensive hospital restructuring, greater job satisfaction, and fewer psychosomatic symptoms.