AIDS: ethics, justice and social policy

ABSTRACT Principles of justice and equality demand that HIV seropositive individuals and those with AIDS should not be discriminated against in any area of social provision. If social policy on AIDS is constructed in terms of reciprocal obligations, that is if obligations to the HIV seropositive individual and obligations of the HIV seropositive individual are given equal weight, the civil rights of HIV seropositive individuals may be secured and this may create a climate in which HIV seropositive individuals will more readily notify partners, and others at risk of infection, of their HIV status. It is conceivable that such a climate could facilitate greater control of the spread of HIV/AIDS.     

Reliability of the Wraparound Observation Form: An Instrument to Measure the Wraparound Process

Within the past decade, the wraparound approach has gained significant popularity in providing services to children with challenging social and family needs. While a plethora of wraparound programs have been developed and studies have been conducted to assess their effectiveness, the need to develop instruments that measure the implementation of wraparound services is clear. The purpose of the present study was to evaluate the reliability of a scale that measures wraparound services. In this study, the Wraparound Observation Form (WOF), was developed to evaluate the implementation of the wraparound process in treatment planning meetings. The WOF includes 34 closed-ended items that requires the respondent to note the occurrence or non-occurrence of specific events or behaviors at treatment planning meetings. In the present study, two data collectors attended planning meetings and independently completed the WOF. The inter-rater reliability was 95%. The WOF appears to be a reliable instrument and be appropriate in evaluating wraparound services.     

Investigating Relationships Among Distress Tolerance,PTSD Symptom Severity,and Alcohol Use

Journal of Psychopathology and Behavioral Assessment - Exposure to trauma (particularly interpersonal trauma), post-traumatic stress disorder (PTSD) symptoms, and low distress tolerance (DT; the...     

Dominance of persistence over adaptation in forward masking

Persistence of excitation and neural adaptation are competing theories proposed to explain the mechanisms underlying psychophysical forward masking. Previous research has been directed towards finding models that accurately describe the phenomenon but cannot account for the underlying explanation. The current study was designed to determine which theory best accounts for results obtained from behavioral gap duration adjustment tasks. Thirteen adults adjusted the gap within asymmetrical noise markers to be subjectively equal to the gap within equal-intensity-noise markers. The duration of the perceived gap between the asymmetrical markers is expected to vary depending on which theory dominates perception. The persistence of excitation mechanism would lead to longer duration gaps when the second noise marker is lower in intensity than the preceding. Neural adaptation would result in matched gaps that are shorter in duration when the second noise marker was lower in level. The outcome of our data analysis is consistent with the persistence of excitation as a dominant mechanism in forward masking.     

“Transformation Tuesday”: Temporal context and post valence influence the provision of social support on social media

Social network sites (SNSs) such as Facebook have become integral in the development and maintenance of interpersonal relationships. Users of SNSs seek social support and validation, often using posts that illustrate how they have changed over time. The purpose of the present research is to examine how the valence and temporal context of an SNS post affect the likelihood of other users providing social support. Participants viewed hypothetical SNS posts and reported their intentions to provide social support to the users. Results revealed that participants were more likely to provide social support for posts that were positive and included temporal context (i.e., depicted improvement over time; Study 1). Furthermore, this research suggests that visual representations of change over time are needed to elicit social support (Study 2). Results are discussed in terms of their practical implications for SNS users and theoretical implications for the literature on social support and social media.     

Post-Adoption Services for High-Risk Families and Their Children: Preliminary Results of a State-Wide Intervention

Despite well-documented post-adoption needs of adoptive families, most states provide no or very limited post-adoption services. This study describes Right Turn® (RT), a state-wide program for strengthening adoptive families and preventing adoption dissolution. Results suggest: (a) RT is serving its targeted audience of adoptive families with challenging problems indicated by older adopted children with a history of multiple placements, extended time in social services systems, and a host of mental health challenges; and (b) adoption training, family support when navigating access to post-adoption services, and collaboration with adoption-competent therapists appeared to have helped improve program outcomes.     

Goal feedback from whom? A physical activity intervention using an N-of-1 RCT

Objective: Adolescents are not meeting the recommended guidelines for physical activity. Social support and self-regulatory skills are two factors known to impact physical activity and sedentary behaviour. The study sought to examine how targeting feedback as part of a self-regulatory process could increase physical activity, and the individual who should be providing the feedback.

Design: The study utilised an aggregated N-of-1 RCT which allows for an iterative process of intervention development, and examines variability within participants to answer the question for whom did the intervention work. Ten adolescents (ages 13–18) set a daily physical activity goal. Adolescents received a SMS text message providing feedback on goal attainment daily from a parent, peer, behavioural health specialist; or no text message (control).

Main Outcome Measures: A bioharness heart rate monitor assessed heart rate as proxy for goal attainment. Adolescents also self-monitored their physical activity in the Calorie Counter and Diet Tracker by MyFitnessPal^TM app (commercially available).

Results: Intervention demonstrated a significant effect for 30% of the sample in increasing MVPA (M_increase = 52 min), with no significant effect on sedentary behaviour.

Conclusion: A single occasion of text messaging from the right person can produce changes, however, careful consideration should be given to who provides the feedback.     

Internalised HIV-stigma,loneliness, depressive symptoms and sleep quality in people living with HIV

Objective: People living with HIV (PLWH) commonly report sleep disturbances which are associated with long-term health consequences, including disease progression. PLWH also experience internalised stigma as a result of their HIV status, which can be associated with increased loneliness and depression. Little attention focuses on the impact of these factors on sleep. Therefore, we examined whether internalised HIV-stigma was indirectly related to poorer sleep quality through higher levels of loneliness and depressive symptoms.

Design: 181 PLWH from across the United States completed an online survey.

Main Study Measures: Internalised HIV-stigma was assessed using the HIV-Stigma Scale, loneliness was assessed using the UCLA-Loneliness Scale-Short Form, depressive symptoms were assessed with the Center for Epidemiologic Studies–Depression Index, and Sleep Quality was assessed using the Pittsburgh Sleep Quality Index.

Results: Internalised HIV-stigma was indirectly associated with poorer global sleep quality and daytime sleep dysfunction through both loneliness and depressive symptoms.

Conclusions: PLWH who experience HIV-related stigma may experience greater feelings of loneliness, which are related to increased depressive symptoms and poorer sleep quality. Interventions focused on improving sleep in PLWH should focus on multiple factors that influence sleep, including psychosocial factors such as stigma, social isolation and depressive symptoms.     

Effects of exposure to sexist humor on perceptions of normative tolerance of sexism

The results of an experiment supported the hypotheses that (1) for men high in hostile sexism, exposure to sexist humor creates a perceived social norm of tolerance of sexism relative to exposure to nonhumorous sexist communication or neutral humor, and (2) due to this ‘relaxed’ normative standard in the context of sexist humor, men high in hostile sexism anticipated feeling less self‐directed negative affect upon imagining that they had behaved in a sexist manner. Finally, exposure to sexist humor did not affect the evaluative content of men's stereotypes of women relative to exposure to neutral humor or nonhumorous sexist communication for participants high or low in hostile sexism. Copyright © 2001 John Wiley & Sons, Ltd.