Stigma modifies the association between social support and mental health among sexual violence survivors in the Democratic Republic of Congo: implications for practice

Background and Objectives: The aim of this study was to further understanding of the relationship between social support, internalized and perceived stigma, and mental health among women who experienced sexual violence in the eastern Democratic Republic of Congo (DRC).

Methods: Drawing from baseline survey data collected in eastern DRC, researchers conducted a secondary cross-sectional analysis using data from 744 participants. Regression and moderation analyses were conducted to examine associations between social support variables, felt stigma, and depression, anxiety and posttraumatic stress disorder (PTSD).

Results: Emotional support seeking and felt stigma were positively associated with increased symptom severity across all three mental health variables. Stigma modified associations between emotional support seeking and depression (t?=??2.49, p?=?.013), anxiety (t?=??3.08, p?=?.002), and PTSD (t?=??2.94, p?=?.003). Increased frequency of emotional support seeking was associated with higher mental health symptoms of anxiety and PTSD among women experiencing all levels of stigma.

Conclusions: Enhancing understanding of social support and stigma may inform research and intervention among Congolese forced migrant populations across circumstances and geographic locations. Implications for practice and research are discussed.     

Value Perceptions of Integrative Health Care: A Study of Primary Care Physicians and Professional Clinical Counselors

A study was conducted to identify value perceptions of primary care physicians and Professional Clinical Counselors on integrative health care. Surveys were collected from 54 primary care physicians and 33 Professional Clinical Counselors in Central Ohio. Quantitative and qualitative results indicate favorable perceptions and opportunities for professional collaboration.     

Explaining Mendelian Inheritance in Genetic Consultations: An IPR Study of Counselor and Counselee Experiences

The explanation of Mendelian inheritance is a key component of most genetic counselling consultations, yet no evidence base exists for this area of practice. This qualitative study used Interpersonal Process Recall (IPR) to explore how information about X-linked inheritance is provided and received in genetic counseling. Twelve consultations involving two senior genetic counselors and 21 counselees were videotaped. Section(s) of videotape featuring the explanation were subsequently played back separately to both counselees and counselors and their responses and reflections recorded. All interviews were fully transcribed and analysed using the constant comparison method. A personalised diagram, drawn “live” by the counselor during the consultation was recalled by counselees as being central to their understanding of the “bottom line”. This helped bridge the gap between scientific information and their family experience and did not appear to require a baseline understanding of genetic concepts such as genes or chromosomes. Counselors reflected on the diagram’s positive impact on the way they sequenced, paced and tailored the explanation. A positive counselor-counselee relationship was vital even during this educative exchange: for counselees to feel at ease discussing complex genetic information and to help gauge counselee understanding.     

Training paraprofessionals to use behavioral strategies when educating learners with autism spectrum disorders across environments

Although the use of paraprofessionals in the education of young children with autism spectrum disorders (ASD) is a common practice, research on effective training procedures is scarce. The following study used a multiple‐baseline design across settings replicated by five paraprofessionals to evaluate their use of behavioral strategies with young children with, or at risk for, autism spectrum disorder. A training package consisting of a workshop and performance feedback by their supervising special education teacher served as the intervention. Results revealed that even though the paraprofessionals demonstrated skills in the use of behavioral strategies at the workshop, there was either no transfer or generalization to the preschool or home environments where they worked, or their use of skills decreased over time. When performance feedback was provided to all participants, their correct use of strategies increased. The training model evaluated in this study provides an example of one that could be employed in a typical public school classroom or early intervention program. Copyright © 2009 John Wiley & Sons, Ltd.     

Social preference,social prominence,and group membership in late elementary school: homophilic concentration and peer affiliation configurations

This study investigated the social preference and social prominence of 622 5th graders (290 boys, 332 girls) in relation to peer group membership. The sample was recruited from 11 elementary schools in a southeastern state. The ethnicity of participants was 55% European American, 41% African American, and 4% other. Peer groups were classified on each of three domains (academic, aggression, popular) by the proportion of group members who were high on the characteristic of interest. Participants’ peer affiliations were also classified with cluster analytic techniques that yielded distinct configurations of aggression, popularity, and academic competence. Social preference and social prominence were each related to popular peer group type for both boys and girls and differentially related to aggressive and academic group types. Social prominence, but not social preference, was related to peer group configurations for both girls and boys. Implications for the development of social contextual interventions to support students’ adjustment and academic engagement during late elementary school are discussed.     

Merleau‐Ponty’s Reading of Kant’s Transcendental Idealism

The aim of this paper is to explore Merleau‐Ponty’s ambivalent relationship with Kant’s transcendental philosophy. I begin by looking at several points of convergence between Kant and Merleau‐Ponty, focusing on the affinities between Kant’s account of transcendental realism and Merleau‐Ponty’s notion of objective thought. I then show how Merleau‐Ponty’s analysis of Kant’s paradox of asymmetrical objects points to a parallel in Kant’s thought to Merleau‐Ponty’s thesis of the primacy of perception. In the second part of the paper, I show why Merleau‐Ponty believes that, despite the promise of Kant’s thought, he fails to adequately escape from objective thought. After presenting the central claims of the transcendental deduction, I piece together Merleau‐Ponty’s criticism of it by answering three questions: For Merleau‐Ponty, how do we encounter the world prior to reflection? How is experience constituted? And what leads Kant to mischaracterise experience in his own transcendental philosophy?     

The relationships between socially prescribed perfectionism,in‐group affect,negative urgency,and disordered eating in women

Socially prescribed perfectionism (SPP) is often considered as a key risk factor for disordered eating (DE). However, current conceptualizations of SPP largely assume that this perfectionism pressure is non‐specific (i.e., a global pressure), despite research indicating that for females experiencing DE, female‐dominated groups impose this pressure (as a perceived norm). Furthermore, this relationship may be mediated by a negative reaction to this pressure, in the form of impulsivity (or negative urgency). To date, no research has investigated whether the relationship between SPP and DE is mediated by negative urgency, nor has there been research clarifying how in‐group identification relates to DE, independent of SPP and negative urgency. To address these gaps, we assessed these variables in 147 female dieters (M_age = 25.12 years, SD = 3.08) using a cross‐sectional design. Consistent with our hypotheses, negative urgency fully mediated the link between female‐based SPP and disordered eating, while female‐based in‐group affect (identification) was predictive of disordered eating (although the latter relationship was not sustained in a multiple regression model). These findings suggest that the SPP from other women may relate to DE through increasing negative urgency, and that the link between in‐group (female) affect and DE may be better explained by SPP's link to DE.     

The myth of school shooters and psychotropic medications

There has been an assertion in certain parts of the media, especially social media, that the majority of individuals who have engaged in a school shooting were prescribed psychotropic medications prior to the event. To determine if there is any validity to this assertion, the authors of this article reviewed publicly available information regarding individuals involved in “educational shootings” per FBI publications for active shooters from 2000 to 2017. Sources of information included news reports with official citations, official reports regarding events, available court records, and FBI Freedom of Information Act requests. Secondary data‐points were also collected, such as location, number of weapons used, number of victims, legal outcome, and whether the shooter committed suicide. From the information obtained, it appears that most school shooters were not previously treated with psychotropic medications – and even when they were, no direct or causal association was found.     

Perseverative cognition,distracted communication,and well‐being in everyday social interaction

This study examined how rumination and worry experienced within varying contexts of everyday life are associated with current‐moment and cross‐moment indicators of subjective well‐being. We also investigated if, in the context of social interaction, distracted communication uniquely predicts subjective well‐being and mediates the link between perseverative cognition and well‐being. Using experience sampling, we found that the effects of rumination and worry on subjective well‐being were social‐context dependent. Rumination experienced alone, relative to during interaction, was a stronger positive predictor of current and later‐in‐the‐day loneliness. In contrast, worry experienced alone, but not during interaction, negatively predicted later loneliness. Distracted communication accounted for unique variance in current affective well‐being and current and later loneliness, but its role as a mediator was uncertain.