Assessing the Clinical Competence of Psychology Students Through Objective Structured Clinical Examinations (OSCEs): Student and Staff Views

Objective Structured Clinical Examinations (OSCEs) are a well‐known, reliable, and valid assessment method used across the healthcare sector. In the present study, we applied OSCEs in three units within professional postgraduate psychology courses, with the broad aims of identifying staff and student perceptions of the assessment. At the conclusion of each OSCE, staff and students completed a feedback questionnaire that contained both scaled and open‐ended questions. Results suggest that clinical psychology OSCEs can be stressful for students, but are also well regarded. Both staff and students felt that the OSCEs were realistic, valid, and aligned well with professional practice. Students reported differences in the way in which they prepared for the OSCEs compared with a written exam or other form of assessment, while staff noted that models of OSCE development must be flexible, to adequately assess the objectives of individual units. Further, because they can be a costly exercise, OSCEs need to be applied judiciously within the tertiary sector.     

Identifying Perceived Neighborhood Stressors Across Diverse Communities in New York City

There is growing interest in the role of psychosocial stress in health disparities. Identifying which social stressors are most important to community residents is critical for accurately incorporating stressor exposures into health research. Using a community‐academic partnered approach, we designed a multi‐community study across the five boroughs of New York City to characterize resident perceptions of key neighborhood stressors. We conducted 14 community focus groups; two to three in each borough, with one adolescent group and one Spanish‐speaking group per borough. We then used systematic content analysis and participant ranking data to describe prominent neighborhood stressors and identify dominant themes. Three inter‐related themes regarding the social and structural sources of stressful experiences were most commonly identified across neighborhoods: (1) physical disorder and perceived neglect, (2) harassment by police and perceived safety and (3) gentrification and racial discrimination. Our findings suggest that multiple sources of distress, including social, political, physical and economic factors, should be considered when investigating health effects of community stressor exposures and psychological distress. Community expertise is essential for comprehensively characterizing the range of neighborhood stressors that may be implicated in psychosocial exposure pathways.     

Psychosoma in crisis: an autoethnographic study of medically unexplained symptoms and their diverse contexts

In this study, we examine autoethnographic data from three critical incidents as experienced by the first author demonstrating the importance of context in understanding medically unexplained symptoms, their incidence and underlying patterns. We make the case for ethnographies as a crucial research strand in discerning the finer aspects of the patient or client experience; aspects that might be missed where people are directed along protocolised pathways of care. The article describes care as fragmented and depersonalising, leading to disembodied exchanges, as reflected in other autoethnographic studies, particularly those that highlight the complex relationship and controversies surrounding diagnostic uncertainty. We observe that psychological therapists, given the quality of the therapeutic relationship and sustained attention to the person’s experience, are well placed to assist in the necessary processes of re-contextualisation and re-embodiment.     

The Influence of Gender Identities on Body Image and Breast Health among Sexual Minority Women in Taiwan: Implications for Healthcare Practices

The present paper presents constructions of gender roles among Taiwanese sexual minority women with different gender identities (i.e., butch and femme, known as T and Po, respectively, in Taiwan) and associations between their views toward their own breasts and breast healthcare intentions and behaviour. A total of 37 face-to-face interviews were conducted among women aged 20 years or older who self-identified as lesbians or women who partnered with other women in four areas of Taiwan between August 2012 and October 2012. The majority of the T –identity lesbians held negative views toward their own breasts. The T-identified lesbians’ negative intentions toward breast cancer screenings were associated with their negative views toward their own breasts and body construction process. All Po-identified lesbians reported positive views toward their own breasts; these views facilitated positive breast healthcare intentions and behaviour. The study findings can be used to help healthcare providers in understanding the importance of providing competent cultural care to sexual minority women and to help policymakers in formulating suitable policy to meet women’s healthcare needs.     

Learning nonwords: the Hebb repetition effect as a model of word learning

Page and Norris [(2008). Is there a common mechanism underlying word-form learning and the Hebb repetition effect? Experimental data and a modelling framework. In A. Thorn &; M. P. A. Page (Eds.), Interactions between short-term and long-term memory in the verbal domain; (2009). A model linking immediate serial recall, the Hebb repetition effect and the learning of phonological word forms. Philosophical Transactions of the Royal Society B: Biological Sciences, 364(1536), 3737–3753. doi:10.1098/rstb.2009.0173] have suggested that the Hebb [(1961). Distinctive features of learning in the higher animal. In J. F. Delafresnaye (Ed.), Brain mechanisms and learning (pp. 37–46). Oxford: Blackwell] repetition paradigm can be considered as a laboratory analogue of word learning. In Hebb learning experiments, the lists of items to be learned are presented as discrete sequences. In contrast, novel words are, by definition, always heard as a single coarticulated whole. Might this undermine the claim that Hebb learning can shed light on word learning? Here we report an experiment comparing learning sequences of isolated syllables with learning the same sequences spoken as a single coarticulated nonword. The pattern of learning was similar in the two cases, suggesting that the Hebb repetition paradigm can indeed provide valuable insights into the way novel word forms are learned.     

The Influence of Child Gender on the Prospective Relationships between Parenting and Child ADHD

The aims of the current study were to (i) explore the potential bidirectional, prospective relationships between parenting and child ADHD, and (ii) explore whether these relationships differed on the basis of child gender. Data were obtained from waves 1 (children aged 4- to 5-years) to 5 (children aged 12- to 13-years) of the Longitudinal Study of Australian Child (LSAC) dataset (child cohort). In order to examine dimensions of both mothers’ and fathers’ parenting, a subsample of nuclear families with mothers, fathers and children present at all waves was extracted (final sample = 1932; sons = 981, daughters = 951). Child ADHD measures included the hyperactive-impulsive subscale of the strengths and difficulties questionnaire for symptoms, and parent-report question for diagnosis. Mothers and fathers completed scales on dimensions of Angry, Warm and Consistent Parenting. A cross-lagged panel model demonstrated (i) higher child ADHD symptoms at wave 1 led to a global increase in less-than-optimal parenting at wave 2, and (ii) child ADHD symptoms and Angry Parenting shared a prospective, bi-directional relationship (whereby increases in one predicted increases in the other over time) during earlier years of development. Latent growth curve models demonstrated that increases in Angry Parenting across time were significantly predicted by increases in child ADHD symptoms. A logistic regression demonstrated that both mothers’ and fathers’ Angry Parenting at wave 1 significantly predicted an ADHD diagnosis in children at wave 3. No predictive relationships differed between child genders; thus, it appears these prospective pathways are similar for both sons and daughters.     

Does Thor ask Iron Man for Help? Examining Help-Seeking Behaviors in Marvel Superheroes

Men seek help for problems less often and more hesitantly than women across a wide range of contexts. While there are many potential sources for this gender discrepancy, one possibility is that masculine attitudes and behaviors discourage help-seeking behaviors and create help-seeking barriers. As the superhero genre often changes over time to reflect current social attitudes, the current study explores patterns, contexts, and rewards of help-seeking behaviors portrayed by men in a genre of media frequently consumed by men: superhero films. Twenty-three Marvel Cinematic Universe films were coded for superhero men’s help-seeking behaviors, as well as patterns in context and outcomes around help seeking. Overall, we found that superhero men displayed the help-seeking behaviors of approaching problems and collaboration with others most often, followed by the maladaptive coping strategy violence. In addition, help-seeking behaviors were most often displayed when the superhero was acting in his personal/self, capacity and superhero men were most often confronted with physical problems. Furthermore, we found that most of the help-seeking behaviors coded were rewarded only about half of the time. Finally, we found several differences in patterns of help-seeking displayed by various specific heroes. Other patterns and implications are discussed.

     

Making Men of Steel: Superhero Exposure and the Development of Hegemonic Masculinity in Children

Sex Roles - Superheroes are extremely popular among children, adolescents, and adults in the United States (and worldwide). However, there is little research on the impact of superhero exposure on...     

Handheld Devices: The Barrier for Parents with Mental Health Difficulties in Child Outcomes

Journal of Child and Family Studies - The parenting landscape has changed dramatically over the last decade with the increasing prevalence of screen time. There is a growing body of evidence that...     

Happy at Work in Africa? Measuring Hedonic Well-Being Among Water Carriers in Rural Kenya Using the Experience Sampling Method

Despite work’s importance in people’s overall sense of purpose in life, several studies measuring momentary well-being find that people are very unhappy while at work. These studies have focused on workers in industrialized countries doing paid labor in the formal sector. For a large fraction of humanity, however, “work” is smallholder farming, tending cattle and collecting water and fuelwood. We measure momentary well-being with the Experience Sampling Method in a sample of 195 subjects in rural Kenya. Subjects were the household’s main water carrier; 93% were women. Each subject was asked to complete four ESM surveys per day over eight weeks. Results from 9559 ESM records show that subjects are indeed less happy “at work”, whether that work is paid or unpaid casual labor, paid formal sector employment, or resource collection. They are also less energetic, less sociable and in more pain. We also find evidence that subjects perceive themselves as less safe while working or traveling away from home. We find a statistically significant, though small, relationship between the intercepts in the model (individual-level average momentary well-being) and the log of household wages earned over the past two weeks. The relationship is stronger with wages earned by the subject herself.