MOVING ON

The following personal narrative concerns the author's experience with a malignant brain tumor. She uses the metaphor of motion to describe what happened to her about three years ago. Today, she continues to move on with her life.     

Systematic review of instruments measuring homophobia and related constructs

Since its conceptualization, the construct of homophobia has been the subject of many speculations about its specificity, reach, and possibility of empirical assessment. Several instruments have been created aiming to measure the prejudice against homosexuals. Peer‐reviewed articles of studies using measures to assess homophobia and related constructs were systematically reviewed in 4 databases (Medline, PsycINFO, ERIC, JSTOR). The articles were classified as they displayed evidence of the instrument's validity, reliability, or both. Finally, the instruments were rated according to that evidence. Out of 1076 results, 115 studies between 1993 and 2010 were identified as relevant. Those studies used 47 different instruments. This review focused in 5 instruments that concentrated the majority of the citations. Psychometric properties were acceptable.     

Deontic and epistemic reasoning in children revisited: Comment on Dack and Astington

Dack and Astington (Journal of Experimental Child Psychology 110 2011 94–114) attempted to replicate the deontic reasoning advantage among preschoolers reported by Cummins (Memory & Cognition 24 1996 823–829) and by Harris and Nuñez (Child Development. 67 1996 572–1591). Dack and Astington argued that the apparent deontic advantage reported by these studies was in fact an artifact due to a methodological confound, namely, inclusion of an authority in the deontic condition only. Removing this confound attenuated the effect in young children but had no effect on the reasoning of 7-year-olds and adults. Thus, removing reference to authority “explains away” young children’s apparent precocity at this type of reasoning. But this explanation rests on (a) a misunderstanding of norms as targets of deontic reasoning and (b) conclusions based on a sample size that was too small to detect the effect in young children.     

Reconsidering illness-related goals: Is discrepancy resolved by confronting emotions?

The aim of this study was to examine prospectively whether patients with an illness imposing self-management demands (29 asthma patients and 23 diabetic patients) would adjust their evaluations of discrepant illness-related goals. Goals were considered discrepant when patients rated them as important but less attainable, or as less important but attainable. We hypothesized that discrepancy would be resolved by adjusting attainability evaluations and that shifts in these evaluations would be more present in important but less attainable goals. We also hypothesized that shifts in evaluations of discrepant goals would be promoted by engaging in confronting emotions associated with the goal as a first step in coming to terms with discrepant goals. Results confirmed the first, but not the second hypothesis as confronting emotions proved to increase discrepancy evaluations of illness-related goals. These findings are discussed with an emphasis on confronting emotions as a strategy for coming to terms with the experience of discrepancy.     

Coping and physical health outcomes: an overview

The aim of the present study was to investigate longitudinally the sensitivity of optimistic beliefs (positive outcome expectancies, efficacy expectancies, and optimistic bias) to disease-related stress (measured by disease duration, depressive symptoms, physical symptoms, physical impairment, and life-events) in Type 1 diabetes (n = 90) and multiple sclerosis (n = 90). First, we examined whether chronically ill patients were less optimistic than a healthy control group (n = 60), which showed that patients reported lower levels of optimistic bias but similar levels of the two other optimistic beliefs. Next, we analyzed the stability of the three types of optimistic beliefs across time (one year) for both disease groups, which demonstrated that optimistic bias in MS patients decreased. Finally, the impact of disease-related stressors on optimistic beliefs during a one-year period was determined, showing that all three optimistic beliefs decreased when patients reported depressive symptoms. Together, these findings show that positive outcome expectancies and efficacy expectancies were unaffected by being ill and fairly stable unless patients reported depressive symptoms while optimistic bias appeared to decrease as a result of being ill. Results are discussed in terms of the role of control and depression in optimistic bias.     

Confidentiality and Mental Health/Chaplaincy Collaboration

Confidentiality can both facilitate and inhibit working relationships of chaplains and mental health professionals addressing the needs of service members and veterans in the United States. Researchers conducted this study to examine opportunities for improving integration of care within the Department of Defense (DoD) and Department of Veterans Affairs (VA). Interviews were conducted with 198 chaplains and 201 mental health professionals in 33 DoD and VA facilities. Using a blended qualitative research approach, researchers identified several themes from the interviews, including recognition that integration can improve services; chaplaincy confidentiality can facilitate help seeking behavior; and mental health and chaplain confidentiality can inhibit information sharing and active participation on interdisciplinary teams. Cross-disciplinary training on confidentiality requirements and developing policies for sharing information across disciplines is recommended to address barriers to integrated service delivery.     

Examining the Potential of Community-Based After-School Programs for Latino Youth

Results are presented from two pilot studies examining the potential influence of community-based after-school programs (ASPs) on regionally diverse Latino youth of varying ages. Study 1 examined relations between dimensions of ASP attendance and content, and ethnic identity development, and self-worth in urban Latino adolescents. In this study, higher ratings of the ASP’s emphasis on ethnic socialization were associated with a more developed ethnic identity, while greater intensity of ASP participation and perceptions of ASP quality were associated with higher levels of self-worth. Study 2 examined relations between ASP participation and development of concentration and emotion regulation skills in rural Latino grade-school youth. In this study, youth who regularly attended the ASP demonstrated significantly better concentration and regulation skills than those who did not regularly attend, if they exhibited preexisting concentration and regulation problems. Findings illustrate how ASPs with varying strategies, activities, and assessment tools can be evaluated in the interest of designing future large-scale investigations into ASPs and Latino positive youth development.     

Health Care Professionals’ Views of Sharing Information with Families Who Have a Child with a Genetic Condition

The purpose of this study was to examine health care professionals’ views and strategies for individualizing information sharing in families who have a child with a genetic condition. The sample consisted of 37 health professionals from three clinical sites in the greater metropolitan area of a large Midwestern city. Qualitative content thematic analysis was used to analyze data from the health professionals’ semi-structured interviews. Four themes captured how health care professionals work with families around information management: Sharing Information with Parents, Taking into Account Parental Preferences, Understanding of the Condition, and Helping Parents Inform Others. These findings contribute to understanding the processes that health professionals use in sharing information with parents who have children with a genetic condition, and they provide guidance for clinical practice, professional training, and future research.