The Problematization of Sexuality among Women Living with HIV and a New Feminist Approach for Understanding and Enhancing Women’s Sexual Lives

In the context of HIV, women’s sexual rights and sexual autonomy are important but frequently overlooked and violated. Guided by community voices, feminist theories, and qualitative empirical research, we reviewed two decades of global quantitative research on sexuality among women living with HIV. In the 32 studies we found, conducted in 25 countries and composed mostly of cis-gender heterosexual women, sexuality was narrowly constructed as sexual behaviours involving risk (namely, penetration) and physiological dysfunctions relating to HIV illness, with far less attention given to the fullness of sexual lives in context, including more positive and rewarding experiences such as satisfaction and pleasure. Findings suggest that women experience declines in sexual activity, function, satisfaction, and pleasure following HIV diagnosis, at least for some period. The extent of such declines, however, is varied, with numerous contextual forces shaping women’s sexual well-being. Clinical markers of HIV (e.g., viral load, CD4 cell count) poorly predicted sexual outcomes, interrupting widely held assumptions about sexuality for women with HIV. Instead, the effects of HIV-related stigma intersecting with inequities related to trauma, violence, intimate relations, substance use, poverty, aging, and other social and cultural conditions primarily influenced the ways in which women experienced and enacted their sexuality. However, studies framed through a medical lens tended to pathologize outcomes as individual “problems,” whereas others driven by a public health agenda remained primarily preoccupied with protecting the public from HIV. In light of these findings, we present a new feminist approach for research, policy, and practice toward understanding and enhancing women’s sexual lives—one that affirms sexual diversity; engages deeply with society, politics, and history; and is grounded in women’s sexual rights.     

Heterogeneity in ADHD: Neurocognitive predictors of peer,family, and academic functioning

Childhood attention-deficit/hyperactivity disorder (ADHD) is associated with impairments in peer, family, and academic functioning. Although impairment is required for diagnosis, children with ADHD vary significantly in the areas in which they demonstrate clinically significant impairment. However, relatively little is known about the mechanisms and processes underlying these individual differences. The current study examined neurocognitive predictors of heterogeneity in peer, family, and academic functioning in a well-defined sample of 44 children with ADHD aged 8–13 years (M = 10.31, SD = 1.42; 31 boys, 13 girls; 81% Caucasian). Reliable change analysis indicated that 98% of the sample demonstrated objectively-defined impairment on at least one assessed outcome measure; 65% were impaired in two or all three areas of functioning. ADHD children with quantifiable deficits in academic success and family functioning performed worse on tests of working memory (d = 0.68 to 1.09), whereas children with impaired parent-reported social functioning demonstrated slower processing speed (d = 0.53). Dimensional analyses identified additional predictors of peer, family, and academic functioning. Working memory abilities were associated with individual differences in all three functional domains, processing speed predicted social functioning, and inhibitory control predicted family functioning. These results add to a growing literature implicating neurocognitive abilities not only in explaining behavioral differences between ADHD and non-ADHD groups, but also in the substantial heterogeneity in ecologically-valid functional outcomes associated with the disorder.     

Effects of aerobic exercise on anxiety sensitivity

Anxiety sensitivity is a known precursor to panic attacks and panic disorder, and involves the misinterpretation of anxiety-related sensations. Aerobic exercise has been shown to reduce generalized anxiety, and may also reduce anxiety sensitivity through exposure to feared physiological sensations. Accordingly, 54 participants with elevated anxiety sensitivity scores completed six 20-min treadmill exercise sessions at either a high-intensity aerobic ( n = 29 ) or low-intensity ( n = 25 ) level. Self-ratings of anxiety sensitivity, fear of physiological sensations associated with anxiety, and generalized anxiety were obtained at pre-treatment, post-treatment, and one-week follow-up. Results indicated that both high- and low-intensity exercise reduced anxiety sensitivity. However, high-intensity exercise caused more rapid reductions in a global measure of anxiety sensitivity and produced more treatment responders than low-intensity exercise. Only high-intensity exercise reduced fear of anxiety-related bodily sensations. The implications of these findings are discussed.     

Reliability of the bipolar form of the profile of mood states using an alternative test protocol

The bipolar version of Profile of Mood States was completed by 124 participants (58 women and 66 men, M age 26.5, SD=3.9 yr.) on two occasions--once when the measure was self-administered according to that test protocol and once when POMS-BI items were projected onto a screen with participants being asked to provide oral responses to items. Data from both modes of administration provided similar support for the internal consistency of the measure (alpha values ranged from .78 to .90).     

Negative Emotions and Alcohol Use Initiation in High-Risk Boys: The Moderating Effect of Good Inhibitory Control

Studies on the relation between negative affect and later alcohol use have provided mixed results. Because definitions of negative affect often include diverse emotions, researchers have begun to dismantle this higher-order construct in an attempt to explain these inconsistent findings. More recent evidence also indicates that good inhibitory control may moderate the relation between negative emotions and alcohol use. The current longitudinal investigation examined the independent relation between three components of negative affect (i.e., depressed mood, fear, and anger) and alcohol use initiation in a sample of aggressive boys. The moderating effect of good inhibitory control was also examined. Results indicated that increased anger and decreased fearfulness are associated with an increased risk for alcohol use initiation only for boys with moderate to low levels of inhibitory control. However, depressed mood predicted alcohol use initiation for boys with good inhibitory control. The potential implications for substance use prevention efforts are discussed.     

An existential framework of spirituality

A holistic approach to spirituality indicates a spiritual development that is relevant for all students and not just for those who have a religious background. However, debates in England surrounding spirituality in education often generally locate it within the religious domain (Blake, 1996 Blake, N. (1996). Against spiritual education. Oxford Review of Education, 22(4): 443–456.  [Google Scholar];Carr, 1995 Carr, D. (1995). Towards a distinctive conception of spiritual education. Oxford Review of Education, 21(1): 83–98.  [Google Scholar], 1999 Carr, D. (1999). Spiritual language and the ethics of redemption: a reply to Jim Mackenzie. Journal of Philosophy of Education, 33(3): 451–461.  [Google Scholar];Isherwood, 1999 Isherwood, L. (1999). Liberating spirituality: empowered people for a world in need of passion. British Journal of Religious Education, 21(2): 80–89.  [Google Scholar]). Conceptualizing spirituality in such a way tends to deny access to this development for non‐religious students or students in non‐religious contexts. Alternatively the other approaches to spirituality have adopted non‐religious viewpoints (see Erricker, 2003 Erricker, C. (2003). Against the protection of childhood innocence. International Journal of Children's Spirituality, 8(1): 3–7.  [Google Scholar], p. 7). Such either/or approaches work against the notion that spirituality should be conceived as intrinsic to the enterprise of education. This paper offers a brief view of a more elaborate existential framework of spirituality which has been developed in order to transcend the religious/secular divide. A short account of Existentialist philosophy is provided before an outline of the framework is discussed.     

The relationship between women's body satisfaction and self-image across the life span: the role of cognitive control

The authors examined the relationship between body dissatisfaction and self-image across the life span. A sample of 106 women between the ages of 20 and 65 years completed questionnaire measures of body dissatisfaction, body importance, cognitive control over the body, self-concept, and self-esteem. The authors found that body dissatisfaction and body importance did not differ among the groups of women who were younger, middle aged, and older. Although body dissatisfaction was related to self-concept and self-esteem for the entire sample, the strength of that relationship reduced with increasing age and increasing perceptions of cognitive control. The authors concluded that the cognitive strategies of women who were older protect their self-concept and self-esteem from the influence of body dissatisfaction.     

The Short-Term Assessment of Risk and Treatability (START): a prospective validation study in a forensic psychiatric sample

A new assessment scheme--the Short-Term Assessment of Risk and Treatability (START)--presents a workable method for assessing risks to self and others encountered in mentally and personality disordered clients. This study aimed to demonstrate (a) prevalence and severity of risk behaviors measured by the START, (b) psychometric properties of START, (c) similarities and differences in START scores across different mental health professionals, and (d) concurrent validity of START with diverse negative outcomes. Treatment team members completed the 20-item, dynamically focused START for 137 forensic psychiatric inpatients. Prevalence and severity of START risk domains were measured for 51 patients detained in the hospital for 1 year. Results revealed high rates of generally low-level adverse events. With some exceptions, START scores were meaningfully associated with outcomes measured by a modified Overt Aggression Scale.     

An evaluation of response allocations to concurrently available slot machine simulations

Gambling behavior often involves making choices between concurrently available game options. With regard to slot machine gambling, multiple games allow for choices to be made with respect to which game to play. The authors of the present study used a slot machine simulation created in Visual Basic. NET to examine gambling preference. The specific question addressed was whether gamblers prefer a smaller payout more often (averaging around every 10 spins) over a larger payout less often (averaging around every 50 spins). Two types of reinforcement were examined during the study: frequency of payouts and the amount of credits won. The results indicate that participants had a preference for a slot machine with the more frequent payout as opposed to one with more intermittent payout. These results support existing literature on theories of choice and provide a step toward understanding human gambling behavior.     

Intrusive effects of implicitly processed information on explicit memory

This study described the interference of implicitly processed information on the memory for explicitly processed information. Participants studied a list of words either auditorily or visually under instructions to remember the words (explicit study). They were then visually presented another word list under instructions which facilitate implicit but not explicit processing. Following a distractor task, memory for the explicit study list was tested with either a visual or auditory recognition task that included new words, words from the explicit study list, and words implicitly processed. Analysis indicated participants both failed to recognize words from the explicit study list and falsely recognized words that were implicitly processed as originating from the explicit study list. However, this effect only occurred when the testing modality was visual, thereby matching the modality for the implicitly processed information, regardless of the modality of the explicit study list. This "modality effect" for explicit memory was interpreted as poor source memory for implicitly processed information and in light of the procedures used. as well as illustrating an example of "remembering causing forgetting."