Counselling children and adults about AIDS/HIV: The ripple effect on haemophilia care settings

Haemophilia and HIV/AIDS are life-long, life-threatening conditions for which there is treatment but no cure. Both affect not only the patient but all members of the family. This paper focusses on how the counselling of those with AIDS/HIV has been affected by dilemmas such as treatment, infectious aspects, blood donation, sex, the media and having children. The impact of haemophilia and AIDS on the family and the ripple effect on health care staff is addressed.     

A ToolBook computer program to develop course objectives and assessment measures

College courses are generally developed because of current fashion in the field and/or student and faculty interest in some topic without reference to departmental or programmatic goals. Current calls and needs for accountability in higher education demand a more organized approach. A computer program, ToolBook 1.53, which provides information to the instructor about systematic development of courses and assessment of student outcomes, is described. The program supports the construction of outcome-oriented learning objectives and corresponding assessment techniques. Instructors who used this program to learn about how to construct such objectives showed an increase in knowledge and evaluated the program positively. Using the information provided in this program leads to an integrated approach to course design and development in which course objectives are linked to the college mission statement through departmental or program objectives.     

Increased Intrasubject Variability in Boys with ADHD Across Tests of Motor and Cognitive Control

Increased intrasubject variability (ISV), or short-term, within-person fluctuations in behavioral performance is consistently found in Attention-Deficit/Hyperactivity Disorder (ADHD). ADHD is also associated with impairments in motor control, particularly in boys. The results of the few studies that have examined variability in self-generated motor output in children with ADHD have been inconsistent. The current study examined variability in motor control during a finger sequencing task among boys with and without ADHD as well as the relationship between intrasubject variability during motor and cognitive control tasks. Changes in performance over the course of the task and associations with ADHD symptom domains were also examined to elucidate the nature of impaired motor control in children with ADHD. Fifty-one boys (ages 8 to 12 years) participated in the study, including 28 boys with ADHD and 23 typically developing (TD) boys. Participants completed a finger sequencing task and a Go/No-Go task providing multiple measures of response speed and variability. Boys with ADHD were slower and more variable in both intertap interval on the finger sequencing task and reaction time on the Go/No-Go task, with measures of speed and variability correlated across the two tasks. For the entire cohort, the only unique predictor of parent ratings of hyperactive-impulsive symptoms was variability in intertap interval during finger sequencing, whereas inattentive symptoms were only predicted by reaction time variability on the Go/No-Go task. These findings suggest that inefficient motor control is implicated in the pathophysiology of ADHD, particularly in regards to developmentally inappropriate levels of hyperactivity and impulsivity.     

Sleep deprivation and stressors: Evidence for elevated negative affect in response to mild stressors when sleep deprived

Stress often co-occurs with inadequate sleep duration, and both are believed to impact mood and emotion. It is not yet known whether inadequate sleep simply increases the intensity of subsequent stress responses or interacts with stressors in more complicated ways. To address this issue, we investigated the effects of one night of total sleep deprivation on subjective stress and mood in response to low-stress and high-stress cognitive testing conditions in healthy adult volunteers in two separate experiments (total N = 53). Sleep was manipulated in a controlled, laboratory setting and stressor intensity was manipulated by changing difficulty of cognitive tasks, time pressure, and feedback about performance. Sleep-deprived participants reported greater subjective stress, anxiety, and anger than rested controls following exposure to the low-stressor condition, but not in response to the high-stressor condition, which elevated negative mood and stress about equally for both sleep conditions. These results suggest that sleep deprivation lowers the psychological threshold for the perception of stress from cognitive demands but does not selectively increase the magnitude of negative affect in response to high-stress performance demands. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Dissociation, trauma, and the role of lived experience: toward a new conceptualization of voice hearing

Voice hearing (VH) is often regarded as pathognomic for schizophrenia. The purpose of this article is to review and integrate historical, clinical, epidemiological, and phenomenological evidence in order to suggest that VH may be more appropriately understood as a dissociative rather than a psychotic phenomenon. First, we discuss the lifetime prevalence of VH in the general population, which is estimated to range between 1% and 16% for adult nonclinical populations and 2% and 41% in healthy adolescent samples. Second, we demonstrate how the ubiquity of VH phenomenology, including variables like voice location, content, and frequency, limits its diagnostic and prognostic utility for differentiating psychotic from trauma-spectrum and nonclinical populations. Finally, we report on the empirical associations between VH, measures of dissociation, and trauma particularly (though not exclusively) childhood sexual abuse. There are 2 main conclusions from this review. First, we argue that available evidence suggests that VH experiences, including those in the context of psychotic disorders, can be most appropriately understood as dissociated or disowned components of the self (or self-other relationships) that result from trauma, loss, or other interpersonal stressors. Second, we provide a rationale for clinicians to use psychotherapeutic methods for integrating life events as precipitating and/or maintaining factors for distressing voices. Potential mechanisms for the relationship between trauma, dissociation, VH, and clinical diagnosis are described, including the relevance of literature from the field of attachment in providing a diathesis for dissociation. Suggestions for future research are also discussed.     

Emotional engagement in the context of development and spirituality research

An awareness of spirituality and religion is increasingly being integrated within development theory and practice in order to recognise the way that many people approach community development. There are significant implications for researchers and their methodological practice that arise in paying attention to this area of development studies, particularly with regard to spiritual aspects of emotional engagement for researchers. This paper explores some of those implications from an analysis of my participatory research into geographies of development and spirituality. Two community groups with self-identified Christian spiritualities took part: a Melanesian settlement in Fiji and a women’s church-based group in rural Tanzania. I argue that emotional engagement and spiritual engagement are implicitly connected and demonstrate how attention to emotional knowledge provides valuable insight within this area of research. In particular, I illustrate how a relational approach to emotional knowledge, inspired by the philosophic and psychoanalytic work of Luce Irigaray, is particularly suited to approaching human and spiritual relationships and resonates with key concerns within participatory and community development. Paying particular attention to the concept of fidelity and the spatiality of subjectivity within her work, this paper illustrates the challenge from Luce Irigaray’s work regarding the relational framing of emotional knowledge and the transformational potential implicit within all research relationships.     

Partial knowledge in a tip-of-the-tongue state about two- and three-word proper names

Participants in this study attempted to name 44 famous people in response to reading biographical information about them. Half of the celebrities had names that contained two words (e.g., Gwyneth Paltrow and Sean Penn), and half of them had names containing three words (e.g., Catherine Zeta Jones and Billy Bob Thornton). Half of the names had previously been judged to be of high familiarity (e.g., Gwyneth Paltrow), and half were of lower familiarity (e.g., Billy Bob Thornton). The results showed that when in a tip-of-the-tongue (TOT) state, the participants were able to estimate at above-chance rates whether a celebrity’s name comprised two or three words. Accurate information about the number of words was not available to the participants unless they were in a TOT state or had already named the person. Attempts to identify celebrities whose name had three elements were associated with an increased number of TOTs, relative to celebrities whose name had two units, but there was no difference in the number of don’t know responses for names containing two or three words. Calculations based on Gollan and Brown (2006) suggested that having three names impaired the phonological but not the semantic stage of lexical retrieval, whereas low familiarity impaired both semantic and phonological retrieval stages.     

An examination of the relationships among emotion management,interpersonal hassles,and depressive symptomatology

This study extended previous research by testing three models predicting depressive symptoms from emotion management (EM) and interpersonal hassles in a sample with a wide range of depression scores. Adults (n = 218) from sources including a depression internet site completed measures of interpersonal hassles, depression, and three aspects of EM (attention to, clarity of, and repair of emotions). Regression analyses supported a model in which lower clarity and repair scores and greater frequency of interpersonal hassles each contributed directly to depression scores. While lower attention to emotions was associated with fewer interpersonal hassles, it did not correlate significantly with depression scores. Moderation analyses did not support a model of EM components acting on depression by buffering effects of interpersonal hassles. A model of depression and hassles predicting EM difficulties was also considered; when both hassles and depression scores were entered to predict EM, only depressive symptoms uniquely predicted clarity and repair.