Developing an emotion-focused therapy model for fear of cancer recurrence: A case-level task analysis

Fear of cancer recurrence (FCR) involves anxiety about the possible return or progression of the disease. It is common among people surviving cancer, covering a range of adaptive and maladaptive responses including clinical presentations of FCR, for which different psychological interventions have been developed, most within the cognitive-behavioural paradigm. Recently, emotion-focused therapy (EFT) has been proposed as an alternative and has been the subject of research focusing on the cancer population and cancer-related issues, including FCR. In this study, we looked closely at a successful case from a larger exploratory study, carrying out a discovery-phase task analysis aimed at identifying the main components of EFT–FCR. We found that this approach generally followed the usual structure of an EFT intervention, with four distinct phases. However, we identified some specific secondary processes (e.g., hypervigilance and catastrophising) and clarified the nature of the core pain in this presentation as existential (e.g., fear of dying).     

Sources of Care for Alcohol and Other Drug Problems: The Role of the African American Church

African Americans experience significant disparities in treatment access, retention, and quality of care for alcohol and drug use (AOD) problems. Religious congregations, often the first point of contact for help with AOD problems, can play an integral role in improving access to treatment. However, little is known about the role of African American churches in addressing AOD problems. We administered a survey to a faith-based collaborative of 169 African American churches in Los Angeles to examine how AOD problems are identified in congregations, the types of support provided, barriers to providing treatment referrals, and factors associated with the provision of treatment referrals. Seventy-one percent of churches reported caring often for individuals with AOD problems. AOD problems came to the attention of congregations most commonly via a concerned family member (55%) and less frequently through individuals with AOD problems directly approaching clergy (30%). In addition to providing spiritual support, a substantial proportion of churches reported linking individuals to AOD services through referrals (62%) and consultation with providers (48%). Barriers to providing treatment referrals included lack of affordable programs (50%), stigma (50%), lack of effective treatments (45%), and insufficient resources or staff (45%). The likelihood of providing treatment referrals was greater among mid-sized versus smaller-size congregations (OR 3.43; p < .05) and among congregations with clergy that had attended seminary (OR 3.93; p < .05). Knowing how to effectively coordinate informal sources of care provided by African American churches with the formal service sector could make a significant impact on AOD treatment disparities.     

‘Do-It-Yourself’ Healthcare? Quality of Health and Healthcare Through Wearable Sensors

Wearable sensors are an integral part of the new telemedicine concept supporting the idea that Information Technologies will improve the quality and efficiency of healthcare. The use of sensors in diagnosis, treatment and monitoring of patients not only potentially changes medical practice but also one’s relationship with one’s body and mind, as well as the role and responsibilities of patients and healthcare professionals. In this paper, we focus on knowledge assessment of the online communities of Fitbit (a commercial wearable device) and the Quantified Self movement. Through their online forums, we investigate how users’ knowledge claims, shared experiences and imaginations about wearable sensors interrogate or confirm the narratives through which they are introduced to the publics. Citizen initiatives like the Quantified Self movement claim the right to ‘own’ the sensor generated data. But how these data can be used through traditional healthcare systems is an open question. More importantly, wearable sensors trigger a social function that is transformative of the current idea of care and healthcare, focused on sharing, socialising and collectively reflecting about individual problems. Whether this is aligned with current policy making about healthcare, whose central narrative is focused on efficiency and productivity, is to be seen.     

Mindfulness and psychological distress in men during the COVID-19 pandemic: The mediating role of environmental mastery and purpose in life

Men's mental health has been severely affected during the COVID-19 pandemic, with many studies focussing on the determinants of men's psychological distress. This study aimed at examining the relationships between mindfulness, environmental mastery (EM), purpose in life (PL) and indicators of psychological distress (i.e., common mental disorders and perceived stress). This was a cross-sectional online study in which participants were 1,006 men aged between 29 and 39 years (45.1%), residing in Brazil during the first wave of the COVID-19 pandemic. A parallel multiple mediator model was used to test the study variables' relationships, using mindfulness as the independent variable and indicators of psychological distress as the dependent variables. Results indicated that EM and PL significantly mediated the effects of mindfulness on men's psychological distress, lowering its levels and accounting for 31% of common mental disorders and 51% of perceived stress. Implications for public health policies and clinical practice are discussed.     

Group cohesiveness in children free-play activity: A social network analysis

Despite the ethnic diversity and presence of Amerindian communities in all Brazilian states, the indigenous population suffers from a long process of invisibility and stereotyping. Aiming to increase interethnic associations, together with Mbya-Guarani leaders we promoted interventions in which indigenous and non-indigenous children shared free playtime. We hypothesised that free play activity would stimulate group cohesiveness, mitigating ethnic group avoidance in children's playgroups. Twenty-one Mbya-Guarani and 61 non-indigenous children participated in two “Encounters for Play.” We recorded children's social interactions during the free playtimes. We selected the first and last 10 minutes of each encounter and performed scans every 30s registering spatial proximity (children who were up to 1 m of each other) and play. Then, we applied Social Network Analysis to explore the children's association pattern at the beginning and end of playtime in each encounter. Our results show free play activity was effective in stimulating group cohesiveness. Children' proximity association pattern and playgroup configuration changed between clips, and there was a significant correlation between both categories' associations. We conclude that the encounters have potential applicability as an intervention to mitigate ethnic group avoidance in children.     

Influence of distal and proximal cues in encoding geometric information

Vertebrates use geometric and featural information for spatial navigation. When both geometric and featural cues are available, animals can use a variety of spatial strategies based on this information. To examine the nature of these strategies, we manipulated the spatial relationship between a conspicuous cue and the position of the goal when goldfish (Carassius auratus) were searching for the exit of a rectangular environment with one distinctive wall. Two groups of fish were used, one with the distinctive wall close to the goal and the other with the distinctive wall on the other end of the enclosure. Results showed that fish encoded featural and geometric information in both conditions but the spatial relationship between the goal and the distinctive wall influences the characteristics of the encoding of the spatial cues and the strategy used to locate the goal. These results suggest that fish in both procedures use the local featural cues associated with the goal instead of the whole set of spatial cues as previous studies propose.     

Effects of long-term blindness on preparatory emg modulation in humans performing landing movements

To investigate the long-term effect of blindness on the task of leaping down to a lower landing surface, five blind individuals were compared with 10 sighted individuals who performed landing movements with and without sight. Participants performed six consecutive drop-landings from four different heights, during which the prelanding modulation of EMG timing and amplitude in four lower-limb muscles were recorded. Analysis showed that blind individuals showed specific prelanding EMG modulation, suggesting that long-term dependence on somesthetic and vestibular cues leads to different preparatory measures for vertical falls.     

The Well- and Unwell-Being of a Child

The concept of the ‘well-being of the child’ (like the ‘child’s welfare’ and ‘best interests of the child’) has remained underdetermined in legal and ethical texts on the needs and rights of children. As a hypothetical construct that draws attention to the child’s long-term welfare, the well-being of the child is a broader concept than autonomy and happiness. This paper clarifies some conceptual issues of the well-being of the child from a philosophical point of view. The main question is how well-being could in practice acquire a concrete meaning and content for a particular issue or situation. A phenomenological-hermeneutic research perspective will be outlined that allows the child’s well-being to be elucidated and specified as an anthropological and ethical idea. It is based on a contextual understanding of generative relationships, a combination of the theory and practice of making sense, here described as ‘generative insight’, which could provide ethical guidance for decision making in families, legal practice, medicine or biomedical research.