Community Counselling: Values and Practices

This article focuses on community counselling, specifically in African contexts. A community psychology approach is used as a framework for this discussion. This approach, linked to a critical perspective, highlights the importance of going beyond individualist assessments and interventions towards comprehensive approaches that locate the person in context, and that listen carefully to and engage openly with all voices in a way that highlights dynamics that oppress ourselves and others, for the purposes of building a supportive and health promoting environment for all. Perspectives and values relevant to this approach, and their implications for psychological practice, are discussed. In particular, the implications for psychological assessment and intervention are explored in some detail.     

A Multi-Case Report of the Pathways To and Through Genetic Testing and Cancer Risk Management for BRCA Mutation-Positive Women Aged 18–25

Much of the extant literature addressing the psychosocial aspects of BRCA1/2 mutation testing and risk management aggregates mutation carriers of all ages in study recruitment, data analysis, and interpretation. This analytic strategy does not adequately address the needs of the youngest genetic testing consumers, i.e., women aged 18–25. Despite low absolute cancer risk estimates before age 30, BRCA1/2 mutation-positive women aged 18–25 feel vulnerable to a cancer diagnosis but find themselves in a management quandary because the clinical utility of screening and prevention options are not yet well defined for such young carriers. We present three cases, selected from a larger study of 32 BRCA1/2 mutation-positive women who completed or considered genetic testing before age 25, to demonstrate the unique developmental, relational and temporal influences, as well as the challenges, experienced by very young BRCA mutation-positive women as they complete genetic testing and initiate cancer risk management. The first case describes the maturation of a young woman whose family participated in a national cancer registry. The second addresses the experiences and expectations of a young woman who completed genetic testing after learning that her unaffected father was a mutation carrier. The third case highlights the experiences of a young woman parentally bereaved in childhood, who presented for genetic counseling and testing due to intense family pressure. Together, these cases suggest that BRCA1/2-positive women aged 18–25 are challenged to reconcile their burgeoning independence from their families with risk-related support needs. Loved ones acting in ways meant to care for these young women may inadvertently apply pressure, convoluting family support dynamics and autonomous decision-making. Ongoing support from competent healthcare professionals will enable these young women to remain informed and receive objective counsel about their risk-management decisions.     

Yoga Practice May Buffer the Deleterious Effects of Abuse on Women's Self-Concept and Dysfunctional Coping

Women who experienced abuse as children or adults can suffer from symptoms such as dissociations, physiological regulation difficulties, and mood disturbances that might not respond to traditional interventions. Given the benefits of yoga, we hypothesized that yoga practice would ameliorate the negative impact of abuse on psychological functioning. Our findings suggest that frequent yoga practice might ameliorate the negative impact of abuse history on self-concept and coping skills. In addition, our findings suggest that women who incorporate yoga into other areas of life could get the greatest psychological benefits. Given the preliminary nature of this study, further research into the benefits of yoga on women who have child or adult abuse histories is warranted.     

Becoming (Hetero) Sexual? The Hetero-Spectacle of Idollators and their Real Dolls

Guys and Dolls, a BBC documentary premiering in 2007 sketches out the lives of four men in relationships with silicone-fleshed, anatomically correct Real Dolls (RDs). The men in the documentary treat their RDs as if they are alive—they dress their dolls, rub their feet, and discuss what sex and the relationship with their dolls is like. In relating with their RDs, the men respond to concerns of having “no female company” at all. In this essay, combining Stein’s (Sexualities and society: a reader, Polity Press, Oxford, pp 132–142, 2003) notion of “be-coming out,” with Deleuze and Guattari’s (A thousand plateaus: capitalism and schizophrenia, University of Minnesota Press, Minneapolis, 1987) theory of becoming, we contend that the documentary actively represents the men’s pasts in order to make sense of, justify, and construct the dynamics of their current sexual selves. Because the idollator’s be-coming narratives illuminate their heteronormative shortcomings, these sexual origin stories take a confessional tone. Although confessions regarding sexuality are not soul cleansing acts but are approval seeking performances that reify normative social boundaries, we argue for a queer reading of the Guys and Dolls text which subverts the dominant logic of heteronormativity.     

The role of attentional set on attentional cueing and inhibition of return

When people know what critical feature will define a target for a block of trials, only cues that share a critical feature with targets will capture attention. This result is taken to mean that attentional control settings play a role in target identification. To examine the validity of the attentional control settings hypothesis while controlling for potential sensory artifacts, the first experiment compared conditions in which the critical target features were either blocked or randomized. The results indicated that all cues captured attention in the random conditions, but only cues that matched targets captured attention in the attentional set condition. The second experiment used the same two conditions to examine the effect of attentional set on inhibition of return (IOR). No differences were found between the blocked and random conditions, indicating that attentional set did not impact the IOR effects. Overall, the results indicate that (1) the previous findings of attentional set effects were not due to an artifact of the method, and (2) attentional set influences and early occurring attentional cueing effects but not later-occurring IOR effects.     

Production and Identification Repetition Priming in AmnesticMild Cognitive Impairment

ABSTRACT

The experiment reported here examined implicit memory function, as measured through repetition priming, in amnestic mild cognitive impairment (MCI) to examine whether impairments exist in this aspect of memory function. Young adults, healthy older controls, Alzheimer's disease patients, and MCI participants were asked to perform two types of implicit memory tests (word stem completion and threshold identification repetition priming tasks), as well as a recognition test for studied items. As expected, young adults performed better than the other participants on the recognition test and the word stem completion task; there was equivalent priming across groups on the word identification task. While both the older control and MCI participants showed lower levels of priming on the word stem completion task relative to the young adults, the magnitude of priming was equivalent for these two groups, and reliably greater than that of the dementia participants. These results suggest that not all aspects of memory function are impaired in MCI relative to healthy aging.     

Daily Functioning, Health Status, and Happiness in Older Adults

The hypothesis that the degree to which disease disrupts daily functioning is inversely associated with happiness is widely accepted, yet existing literature offers little direct evidence in its support. This paper explores the hypothesized association in a community-based sample of 383 older adults. To assess the degree to which disease disrupts daily functioning we developed a measure—called the freedom-from-debility score—based on four Short Form-12 (SF-12) Health Survey questions explicitly designed to represent “limitations in physical activities because of health problems” and “limitations in usual role activities because of physical health problems.” The results were consistent with the hypothesis. When participants were divided into categories based on their freedom-from-debility score, median happiness scores were monotonically increasing across categories. Controlling for demographic and socio-economic factors as well as health status (measured both subjectively and objectively), a one-point increase in freedom-from-debility score (on a scale from 0 to 100) was associated with a three-percent reduction in the odds of lower-quartile happiness. The results support the contention that health status is one of the most influential predictors of happiness, that the association between health status and happiness depends greatly on the manner in which health status is measured, and that the degree to which disease disrupts daily functioning is inversely associated with happiness.     

Weight discrepancy and body appreciation among women in Poland and Britain

Previous studies have suggested that the process of transmigration has detrimental effects on the body image of migrants relative to women in the country of origin. In the present work, we examined the body image of Polish migrants in Britain (n = 153), Polish women in Poland (n = 153), and a comparison group of British White women (n = 110). Participants completed a measure of actual-ideal weight discrepancy and the Body Appreciation Scale (BAS). Contrary to hypotheses, our results showed that Polish women in Poland had significantly higher weight discrepancy than their counterparts in Britain. Further analyses showed that the BAS reduced to two dimensions among Polish participants, with Polish participants in Poland having significantly lower body appreciation than Polish migrants. We suggest that the sociocultural changes that have taken place in Eastern Europe may place women in that region at relatively high risk for developing negative body image.     

Right-Wing Authoritarianism, Party Identification, and Attitudes Toward Feminism in Student Evaluations of the Clinton-Lewinsky Story

This study explored the relationship among undergraduates' right-wing authoritarianism (as measured by the RWA scale), attitudes toward feminism, party identification, gender, and attitudes about the Clinton-Lewinsky relationship. Factor analysis yielded three subscales, reflecting participants' evaluations of Clinton's morality, the affair, and Kenneth Starr (the independent counsel). Republican identification was related to each subscale and also mediated the relationship between RWA and two subscales, which illustrates how party identification channels the expression of personality variables in partisan contexts. In addition, RWA—especially those items tapping aggression—was directly related to negative evaluations of Clinton, which suggests a punitiveness going beyond the mere channeling of opinions by party identification. Attitudes toward feminism were unrelated to the subscales, possibly because feminism supporters viewed Clinton's policies positively but his behavior negatively. However, females did give significantly lower evaluations of Clinton and the affair.