The Development of a Brief Distress Reduction Intervention for Individuals Recently Diagnosed With HIV in China

In China, where there are few mental health resources, the majority of HIV-related efforts have focused on medical treatment and transmission prevention rather than psychosocial support. Yet people living with HIV/AIDS (PLWHA) report high levels of psychological distress, especially upon first receiving their HIV diagnosis. We conducted mixed methods research of a qualitative study with (N = 31) individual interviews and 3 focus groups (n = 6 in each group) of HIV-affected participants, and a quantitative survey (N = 200) with individuals living with HIV in Shanghai and Beijing, China. Our qualitative data revealed themes of forms of distress experienced and types of psychosocial support that our participants wished they could have accessed upon diagnosis as well as suggestions for intervention structure that would be most feasible and acceptable. Our quantitative surveys provided further evidence of the high degree of psychosocial distress among recently diagnosed PLWHA. Our findings informed the development of the Psychology Toolbox intervention, a brief CBT skills-based intervention comprising cognitive restructuring, behavioral activation, and paced breathing, designed to be integrated into primary care for recently diagnosed PLWHA. This study describes the intervention development process and contents of each session. Future research should evaluate the intervention for efficacy as well as examine best strategies for eventual implementation and dissemination.     

Affect as a foundational psychological process for spirituality and empathy

There is growing interest in understanding the manner by which spiritual experiences, religious beliefs and behaviours, and prosocial traits (e.g., empathy, altruism) are related. Research has recently focused on determining those psychological constructs (e.g., affective, behavioural, cognitive) that are common to these related constructs, although the specific relationships remain unclear. The current study evaluated relationships among spiritual experiences and affective and cognitive dimensions of empathy in 98 participants with heterogeneous health conditions. Results indicate that spirituality is significantly related to affective empathy, but not cognitive empathy. These findings suggest that individuals’ propensity to be both spiritual and empathetic is primarily related to a greater disposition towards emotional connection with others (i.e., whether with the divine or other people). Research and practical implications are discussed.     

Age-Friendly Communities Matter for Older People’s Well-Being

This study aims to identify relationships between age-friendly environments (in terms of social and physical neighborhood attributes) and older people’s overall well-being, as well as the underlying instrumental goals to achieve overall well-being. A sample of 945 community-dwelling older adults living in Rotterdam’s districts Lombardijen, Lage Land/Prinsenland, Oude Westen, and Vreewijk was asked to complete a questionnaire in 2013. A total of 588 (62%) responded. The majority (56%) of respondents was female, 19% had low educational levels, 35% were married, and 85% were born in the Netherlands. Mean age was 77.1 ± 5.3 (range 70–93) years. Levels of age-friendliness and older people’s ability to realize the instrumental goals to achieve overall well-being varied tremendously among neighborhoods, with older people living in less age-friendly communities reporting lower levels of well-being. These differences in well-being resulted especially from differences in affection, behavioral confirmation, and comfort. Higher-educated older persons were more critical regarding the domains civic participation, transportation, and communication and information in their neighborhoods, suggesting a socioeconomic gradient in the perceived lack of neighborhood attributes facilitating aging in place. Currently, physical and social neighborhood attributes enabling aging in place seem to satisfy the needs for affection, behavioral confirmation, and comfort in some, but not all, neighborhoods. Levels of age-friendliness in neighborhoods did not explain differences in opportunities for older people to realize the instrumental goals of status and stimulation.     

The cosmology of economy: West African witchcraft,finance and the futures market

In this article, the relationship between cosmology and financial transactions via the sacred and deeply secret discourses of West African traditional priests in Europe is explored, who believe that they can spiritually manipulate the monetary pricing of stocks and shares. Of particular interest is how West African witchcraft discourses, while still embedded in kinship relationships, become symbolically caught up in the economy and in the volatile movement of industrial commodity indexes. In analysing the financial imaginary and constant reconfiguration of the marketplace by different networks of stakeholders, Ghanaian fetish priests allow for a fiscal elasticity and material distorting of monetary flows such that the incoherence and uncertainty of global financial practices and the fictious pricing and purchase of unstable commodities are shaped and magnified through a thick Akan cosmology.     

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.     

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.     

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.